314. EPMO Open Source Coordination Office Redaction File Detail Report

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314.1 Files compared

#	Location	File	Last Modified
1	C:\working_scrub\Unredacted\eHX Code Base\eHX_Bld2_Source Code_CIF_2017-02-14\NHIN_adapter\weblogic\domains\adapter_devl\config\VANHIN_Adapter	cccd-template.xml	Fri Feb 10 15:41:44 2017 UTC
2	eHX-CIF.zip\eHX-CIF\eHX Code Base\eHX_Bld2_Source Code_CIF_2017-02-14\NHIN_adapter\weblogic\domains\adapter_devl\config\VANHIN_Adapter	cccd-template.xml	Wed Apr 5 11:59:37 2017 UTC

314.2 Comparison summary

Description	Between Files 1 and 2
Description	Text Blocks	Lines
Unchanged	2	21500
Changed	1	2
Inserted	0	0
Removed	0	0

314.3 Comparison options

Whitespace
Character case	Differences in character case are significant
Line endings	Differences in line endings (`CR` and `LF` characters) are ignored
CR/LF characters	Not shown in the comparison detail

314.4 Active regular expressions

No regular expressions were active.

314.5 Comparison detail

	1	<?xml
	2	version="1 .0"
	3	?>
	4	<?xml-styl esheet
	5	type="text /xsl"
	6	href="cda. xsl"
	7	?>
	8	<ClinicalD ocument
	9	xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce"
	10
	11	xmlns="urn :hl7-org:v 3"
	12	xmlns:sdtc ="urn:hl7- org:sdtc"
	13
	14	xsi:schema Location=" urn:hl7-or g:v3 CDA.x sd"
	15	>
	16
	17	<!-- *** ****** ****** ****** ****** ******** * C-CDA CC D
	18	R1.1 HEADER ****** ****** ****** ****** ****** ** -->
	19
	20	<realmCode
	21	code="US"
	22	/>
	23
	24	<typeId
	25	root="2.16 .840.1.113 883.1.3"
	26	extension= "POCD_HD00 0040"
	27	/>
	28
	29	<templateI d
	30	root="2.16 .840.1.113 883.10.20. 22.1.1"
	31	/>
	32
	33	<templateI d
	34	root="2.16 .840.1.113 883.10.20. 22.1.2"
	35	/>
	36
	37	<!-- CCD D ocument Id entifer, i d=VA OID, extension= system-gen erated -->
	38
	39	<id
	40	root="2.16 .840.1.113 883.4.349"
	41	/>
	42
	43	<!-- CCD D ocument Co de -->
	44
	45	<code
	46	codeSystem ="2.16.840 .1.113883. 6.1"
	47	codeSystem Name="LOIN C"
	48
	49	code="3413 3-9"
	50	displayNam e="Summari zation of Episode No te"
	51	/>
	52
	53	<!-- CCD D ocument Ti tle -->
	54
	55	<title>
	56	Department of Vetera ns Affairs Health Su mmary
	57	</title>
	58
	59	<!-- 1.01 DOCUMENT T IMESTAMP, REQUIRED - ->
	60
	61	<effective Time />
	62
	63	<!-- CCD C onfidentia lity Code, REQUIRED -->
	64
	65	<confident ialityCode
	66	code="N"
	67	codeSystem ="2.16.840 .1.113883. 5.25"
	68
	69	codeSystem Name="Conf identialit yCode"
	70	/>
	71
	72	<!-- CCD D OCUMENT LA NGUAGE, RE QUIRED -->
	73
	74	<languageC ode
	75	code="en-U S"
	76	/>
	77
	78	<recordTar get>
	79
	80	<patientRo le>
	81
	82	<!-- 1.02 PERSON ID, REQUIRED, id=VA OID , extensio n=GUID -->
	83
	84	<id
	85	root="2.16 .840.1.113 883.4.349"
	86	/>
	87
	88	<!-- 1.03 PERSON ADD RESS-HOME PERMANENT, REQUIRED -->
	89
	90	<addr
	91	use="HP"
	92	>
	93
	94	<streetAdd ressLine / >
	95
	96	<city />
	97
	98	<state />
	99
	100	<postalCod e />
	101
	102	</addr>
	103
	104	<!-- 1.04 PERSON PHO NE/EMAIL/U RL, REQUIR ED -->
	105
	106	<telecom / >
	107
	108	<patient>
	109
	110	<!-- 1.05 PERSON NAM E LEGAL, R EQUIRED -- >
	111
	112	<name
	113	use="L"
	114	>
	115
	116	<prefix />
	117
	118	<given />
	119
	120	<family />
	121
	122	<suffix />
	123
	124	</name>
	125
	126	<!-- 1.05 PERSON NAM E Alias Na me, Option al -->
	127
	128	<name
	129	use="P"
	130	>
	131
	132	<prefix />
	133
	134	<given />
	135
	136	<family />
	137
	138	<suffix />
	139
	140	</name>
	141
	142	<!-- 1.06 GENDER, RE QUIRED, HL 7 Administ rative Gen der -->
	143
	144	<administr ativeGende rCode
	145	codeSystem ="2.16.840 .1.113883. 5.1"
	146
	147	codeSystem Name="Admi nistrative GenderCode "
	148	>
	149
	150	<originalT ext>
	151
	152	<reference />
	153
	154	</original Text>
	155
	156	</administ rativeGend erCode>
	157
	158	<!-- 1.07 PERSON DAT E OF BIRTH , REQUIRED -->
	159
	160	<birthTime />
	161
	162	<maritalSt atusCode
	163	code='mari talCode'
	164	codeSystem ='2.16.840 .1.113883. 5.2'
	165
	166	codeSystem Name='Mari talStatusC ode'
	167	displayNam e='marital Display'
	168	>
	169
	170	<originalT ext />
	171
	172	<!-- 1.08 MARITAL ST ATUS, Opti onal-R2 -- >
	173
	174	</maritalS tatusCode>
	175
	176	<!-- 1.09 RELIGIOUS AFFILIATIO N, Optiona l, Removed b/c data not yet av ailable
	177	via VA VIs tA RPCs -- >
	178
	179	<!-- 1.10 RACE, Opti onal -->
	180
	181	<raceCode
	182	codeSystem ='2.16.840 .1.113883. 6.238'
	183
	184	codeSystem Name='Race & Eth nicity - C DC'
	185	>
	186
	187	<originalT ext>
	188	race
	189	</original Text>
	190
	191	</raceCode >
	192
	193	<sdtc:race Code
	194	codeSystem ='2.16.840 .1.113883. 6.238'
	195
	196	codeSystem Name='Race & Eth nicity - C DC'
	197	>
	198
	199	<originalT ext>
	200	race
	201	</original Text>
	202
	203	</sdtc:rac eCode>
	204
	205	<!-- 1.11 ETHNICITY, Optional -->
	206
	207	<ethnicGro upCode
	208
	209	codeSystem ='2.16.840 .1.113883. 6.238'
	210	codeSystem Name='Race & Eth nicity - C DC'
	211	>
	212
	213	<originalT ext>
	214	ethnicity
	215	</original Text>
	216
	217	</ethnicGr oupCode>
	218
	219	<!-- *** ****** ****** ****** ****** ****** * LANGUA GE
	220	SPOKEN CON TENT MODUL E, R2 ** ****** ****** ****** ****** ****** ** -->
	221
	222	<languageC ommunicati on>
	223
	224	<!-- 2.01 LANGUAGE, REQUIRED, languageCo de as null Flavor b/c data not
	225	ye t availabl e via VA V istA RPCs -->
	226
	227	<languageC ode
	228	nullFlavor ="UNK"
	229	/>
	230
	231	</language Communicat ion>
	232
	233	</patient>
	234
	235	</patientR ole>
	236
	237	</recordTa rget>
	238
	239	<!-- *** ****** ****** ****** ****** ****** ****** ***
	240	INFO RMATION SO URCE CONTE NT MODULE, REQUIRED ******** ****** ****** ****** ****** ****** ******** -->
	241
	242	<!-- AUTHO R SECTION (REQUIRED) OF INFORM ATION SOUR CE CONTENT MODULE -- >
	243
	244	<author>
	245
	246	<!-- 10.01 AUTHOR TI ME (=Docum ent Creati on Date), REQUIRED - ->
	247
	248	<time
	249	value="doc umentCreat edOn"
	250	/>
	251
	252	<assignedA uthor>
	253
	254	<!-- 10.02 AUTHOR ID (VA OID) (authorOID ), REQUIIR ED -->
	255
	256	<id
	257	root="2.16 .840.1.113 883.4.349"
	258	/>
	259
	260	<!-- Assig ned Author Address R equired, b ut VA Vist A data not yet avail able -->
	261
	262	<addr
	263	nullFlavor ="NA"
	264	/>
	265
	266	<!-- Assig ned Author Telecom R equired, b ut VA Vist A data not yet avail able -->
	267
	268	<telecom
	269	nullFlavor ="NA"
	270	/>
	271
	272	<!-- 10.02 AUTHOR NA ME REQUIRE D -->
	273
	274	<!-- assig nedPerson/ Author Nam e REQUIRED but provi ded as rep resentedOr ganization -->
	275
	276	<assignedP erson>
	277
	278	<name>
	279	Department of Vetera ns Affairs
	280	</name>
	281
	282	</assigned Person>
	283
	284	<!-- 10.02 AUTHOR NA ME REQUIRE D as repre sentedOrga nization - ->
	285
	286	<represent edOrganiza tion>
	287
	288	<!-- 10.02 AUTHORING DEVICE OR GANIZATION OID (VA O ID) (devic eOrgOID),
	289	REQUIIRED -->
	290
	291	<id
	292	root="2.16 .840.1.113 883.4.349"
	293	/>
	294
	295	<!-- 10.02 AUTHORING DEVICE OR GANIZATION NAME (dev iceOrgName ), REQUIIR ED -->
	296
	297	<name>
	298	Department of Vetera ns Affairs
	299	</name>
	300
	301	<!-- Assig ned Author Telecom R equired, b ut VA Vist A data not yet avail able -->
	302
	303	<telecom
	304	nullFlavor ="NA"
	305	/>
	306
	307	<!-- Assig ned Author Address R equired, b ut VA Vist A data not yet avail able -->
	308
	309	<addr
	310	nullFlavor ="NA"
	311	/>
	312
	313	</represen tedOrganiz ation>
	314
	315	</assigned Author>
	316
	317	</author>
	318
	319	<!-- *** ****** ****** ****** ****** ****** ****** ****** ****** ****
	320	INFO RMANT SECT ION (AS AN ORGANIZAT ION), Opti onal *** ****** ****** ****** ****** ****** ****** ****** ****** **** -->
	321
	322	<informant >
	323
	324	<assignedE ntity>
	325
	326	<id
	327	nullFlavor ="NI"
	328	/>
	329
	330	<addr
	331	nullFlavor ="NA"
	332	/>
	333
	334	<telecom
	335	nullFlavor ="NA"
	336	/>
	337
	338	<assignedP erson>
	339
	340	<!-- Name Required f or informa nt/assigne dEntity/as signedPers on -->
	341
	342	<name>
	343	Department of Vetera ns Affairs
	344	</name>
	345
	346	</assigned Person>
	347
	348	<represent edOrganiza tion>
	349
	350	<!-- 10.06 INFORMATI ON SOURCE ORGANIZATI ON OID (VA OID) (sou rceOrgOID) ,
	351	REQUIRED - ->
	352
	353	<id
	354	root="2.16 .840.1.113 883.4.349"
	355	/>
	356
	357	<!-- 10.06 INFORMATI ON SOURCE ORGANIZATI ON NAME (s ourceOrgNa me), REQUI RED -->
	358
	359	<name>
	360	Department of Vetera ns Affairs
	361	</name>
	362
	363	<telecom
	364	nullFlavor ="NA"
	365	/>
	366
	367	<addr
	368	nullFlavor ="NA"
	369	/>
	370
	371	</represen tedOrganiz ation>
	372
	373	</assigned Entity>
	374
	375	</informan t>
	376
	377	<!-- *** ****** ****** ****** ****** ****** ****** ****** ****
	378	CUST ODIAN AS A N ORGANIZA TION, REQU IRED *** ****** ****** ****** ****** ****** ****** ****** ***** -- >
	379
	380	<custodian >
	381
	382	<assignedC ustodian>
	383
	384	<represent edCustodia nOrganizat ion>
	385
	386	<!-- CUSTO DIAN OID ( VA OID) -- >
	387
	388	<id
	389	root="2.16 .840.1.113 883.4.349"
	390	/>
	391
	392	<!-- CUSTO DIAN NAME -->
	393
	394	<name>
	395	Department of Vetera ns Affairs
	396	</name>
	397
	398	<!-- Telec om Require d for repr esentedOrg anization, but VA Vi stA data
	399	not yet av ailable -- >
	400
	401	<telecom
	402	nullFlavor ="NA"
	403	/>
	404
	405	<!-- Addre ss Require d for repr esentedOrg anization, but VA Vi stA data
	406	not yet av ailable -- >
	407
	408	<addr>
	409
	410	<streetAdd ressLine>
	411	810 Vermon t Avenue N W
	412	</streetAd dressLine>
	413
	414	<city>
	415	Washington
	416	</city>
	417
	418	<state>
	419	DC
	420	</state>
	421
	422	<postalCod e>
	423	20420
	424	</postalCo de>
	425
	426	</addr>
	427
	428	</represen tedCustodi anOrganiza tion>
	429
	430	</assigned Custodian>
	431
	432	</custodia n>
	433
	434	<!-- *** ****** ****** ****** ****** ****** ****** ********
	435	LEGA L AUTHENTI CATOR (AS AN ORGANIZ ATION), Op tional * ****** ****** ****** ****** ****** ****** ****** -->
	436
	437	<legalAuth enticator>
	438
	439	<!-- TIME OF AUTHENT ICATION -- >
	440
	441	<time
	442	value=" "
	443	/>
	444
	445	<signature Code
	446	code="S"
	447	/>
	448
	449	<assignedE ntity>
	450
	451	<id
	452	nullFlavor ="NA"
	453	/>
	454
	455	<addr
	456	nullFlavor ="NA"
	457	/>
	458
	459	<telecom
	460	nullFlavor ="NA"
	461	/>
	462
	463	<assignedP erson>
	464
	465	<name>
	466	Department of Vetera ns Affairs
	467	</name>
	468
	469	</assigned Person>
	470
	471	<represent edOrganiza tion>
	472
	473	<!-- LEGAL AUTHENTIC ATOR OID ( VA) -->
	474
	475	<id
	476	root="2.16 .840.1.113 883.4.349"
	477	/>
	478
	479	<name>
	480	Department of Vetera ns Affairs
	481	</name>
	482
	483	<telecom
	484	nullFlavor ="NA"
	485	/>
	486
	487	<addr>
	488	810 Vermon t Avenue N W Washingt on, DC 204 20
	489	</addr>
	490
	491	</represen tedOrganiz ation>
	492
	493	</assigned Entity>
	494
	495	</legalAut henticator >
	496
	497	<!-- *** ****** ****** ****** ****** ****** ****** *
	498	SUPP ORT INFORM ATION CONT ENT MODULE , Optional ******* ****** ****** ****** ****** ****** ******* -->
	499
	500	<participa nt
	501	typeCode=" IND"
	502	>
	503
	504	<!-- 3.01 DATE, REQU IRED -->
	505
	506	<!-- 3.01 DATE date as nullFla vor b/c da ta not yet available via VA Vi stA
	507	RPCs - ->
	508
	509	<time
	510	nullFlavor ="UNK"
	511	/>
	512
	513	<!-- 3.02 CONTACT TY PE, REQUIR ED, classC ode value determined by VistA value
	514	in con tactType - ->
	515
	516	<associate dEntity
	517	classCode= "contactTy pe"
	518	>
	519
	520	<code
	521	code="UNK"
	522	codeSystem ='2.16.840 .1.113883. 5.111'
	523
	524	codeSystem Name='Role Code'
	525	>
	526
	527	<originalT ext>
	528	relationsh ipType
	529	</original Text>
	530
	531	</code>
	532
	533	<!-- 3.04 CONTACT Ad dresss, Ho me Permane nt, Option al-R2 -->
	534
	535	<addr
	536	use="HP"
	537	>
	538
	539	<streetAdd ressLine>
	540	homeAddres sLine
	541	</streetAd dressLine>
	542
	543	<city>
	544	homeCity
	545	</city>
	546
	547	<state>
	548	homeState
	549	</state>
	550
	551	<postalCod e>
	552	homePostal
	553	</postalCo de>
	554
	555	</addr>
	556
	557	<!-- 3.05 CONTACT PH ONE/EMAIL/ URL, Optio nal-R2, Re moved b/c data not y et
	558	availabl e via VA V istA RPCs -->
	559
	560	<telecom / >
	561
	562	<associate dPerson>
	563
	564	<!-- 3.06 CONTACT NA ME, REQUIR ED -->
	565
	566	<name>
	567
	568	<prefix />
	569
	570	<given>
	571	nameGiven
	572	</given>
	573
	574	<family>
	575	nameFamily
	576	</family>
	577
	578	<suffix>
	579	nameSuffix
	580	</suffix>
	581
	582	</name>
	583
	584	</associat edPerson>
	585
	586	</associat edEntity>
	587
	588	</particip ant>
	589
	590	<!-- *** ****** ****** ****** ****** ****** ****** ****** **
	591	DOCU MENTATION OF MODULE - QUERY ME TA DATA, O ptional ****** ****** ****** ****** ****** ****** ****** ***** -- >
	592
	593	<documenta tionOf>
	594
	595	<serviceEv ent
	596	classCode= "PCPR"
	597	>
	598
	599	<effective Time>
	600
	601	<low
	602	value=""
	603	/>
	604
	605	<high
	606	value=""
	607	/>
	608
	609	</effectiv eTime>
	610
	611
	612	<performer
	613	typeCode=" PRF"
	614	id="PCP"
	615	>
	616
	617	<!-- ***** * PRIMARY HEALTHCARE PROVIDER MODULE, Op tional * **** -->
	618
	619	<!-- 4.02 PROVIDER R OLE CODED, optional -->
	620
	621	<functionC ode
	622	code="PCP"
	623	codeSystem ="2.16.840 .1.113883. 5.88"
	624
	625	codeSystem Name="HL7 particiati onFunction "
	626	displayNam e="Primary Care Prov ider"
	627	>
	628
	629	<originalT ext>
	630	Primary Ca re Provide r
	631	</original Text>
	632
	633	</function Code>
	634
	635	<assignedE ntity>
	636
	637	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	638
	639	<id
	640	extension= "providerN "
	641	root="2.16 .840.1.113 883.4.349"
	642	/>
	643
	644	<!--4.04 P ROVIDER TY PE, option al, NUCC - ->
	645
	646	<code
	647	codeSystem ="2.16.840 .1.113883. 6.101"
	648	codeSystem Name="NUCC "
	649	>
	650
	651	<originalT ext />
	652
	653	</code>
	654
	655	<!-- Addre ss Require d for assi gnedEntity -->
	656
	657	<addr
	658	use="WP"
	659	>
	660
	661	<streetAdd ressLine / >
	662
	663	<city />
	664
	665	<state />
	666
	667	<postalCod e />
	668
	669	</addr>
	670
	671	<!-- Telec om Require d for iass ignedEntit y, but VA VistA data not yet
	672	av ailable -- >
	673
	674	<telecom
	675	ID="TELEPH ONE"
	676	use="WP"
	677	/>
	678
	679	<telecom
	680	ID="EMAIL"
	681	use="WP"
	682	/>
	683
	684	<!-- 4.07- PROVIDER N AME, REQUI RED -->
	685
	686	<assignedP erson>
	687
	688	<name />
	689
	690	</assigned Person>
	691
	692	<represent edOrganiza tion>
	693
	694	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING
	695	FACI LITY NBR - ->
	696
	697	<id
	698	root="2.16 .840.1.113 883.4.349"
	699	nullFlavor ="UNK"
	700	/>
	701
	702	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	703
	704	<name />
	705
	706	<!-- Telec om Require d for repr esentedOrg anization, but VA Vi stA data
	707	not yet availa ble -->
	708
	709	<telecom
	710	nullFlavor ="UNK"
	711	/>
	712
	713	<!-- Addre ss Require d for repr esentedOrg anization, but VA Vi stA data
	714	not yet availa ble -->
	715
	716	<addr
	717	nullFlavor ="UNK"
	718	/>
	719
	720	</represen tedOrganiz ation>
	721
	722	</assigned Entity>
	723
	724	</performe r>
	725
	726
	727	<performer
	728	typeCode=" PRF"
	729	id="notPCP "
	730	>
	731
	732	<!-- ***** * HEALTHCA RE PROVIDE R MODULE, Optional * ******** - ->
	733
	734	<functionC ode
	735	code="PCP"
	736	codeSystem ="2.16.840 .1.113883. 5.88"
	737
	738	codeSystem Name="HL7 particiati onFunction "
	739	displayNam e="Primary Care Prov ider"
	740	>
	741
	742	<originalT ext>
	743	Primary Ca re Provide r
	744	</original Text>
	745
	746	</function Code>
	747
	748	<assignedE ntity>
	749
	750	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	751
	752	<id
	753	root="2.16 .840.1.113 883.4.349"
	754	/>
	755
	756	<code
	757	codeSystem ="2.16.840 .1.113883. 6.101"
	758	codeSystem Name="NUCC "
	759	>
	760
	761	<originalT ext />
	762
	763	</code>
	764
	765	<!-- Addre ss Require d for assi gnedEntity , but VA V istA data not yet
	766	av ailable -- >
	767
	768	<addr
	769	nullFlavor ="UNK"
	770	/>
	771
	772	<!-- Telec om Require d for iass ignedEntit y, but VA VistA data not yet
	773	av ailable -- >
	774
	775	<telecom
	776	nullFlavor ="UNK"
	777	/>
	778
	779	<assignedP erson>
	780
	781	<name />
	782
	783	</assigned Person>
	784
	785	<represent edOrganiza tion>
	786
	787	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING
	788	FACI LITY NBR - ->
	789
	790	<id
	791	root="2.16 .840.1.113 883.4.349"
	792	nullFlavor ="UNK"
	793	/>
	794
	795	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	796
	797	<name />
	798
	799	<!-- Telec om Require d for repr esentedOrg anization, but VA Vi stA data
	800	not yet availa ble -->
	801
	802	<telecom
	803	nullFlavor ="UNK"
	804	/>
	805
	806	<!-- Addre ss Require d for repr esentedOrg anization, but VA Vi stA data
	807	not yet availa ble -->
	808
	809	<addr
	810	nullFlavor ="UNK"
	811	/>
	812
	813	</represen tedOrganiz ation>
	814
	815	</assigned Entity>
	816
	817	</performe r>
	818
	819
	820
	821	</serviceE vent>
	822
	823	</document ationOf>
	824
	825	<component Of>
	826
	827	<encompass ingEncount er>
	828
	829	<id
	830	root="2.16 .840.1.113 883.4.349"
	831	/>
	832
	833	<effective Time
	834	nullFlavor ="UNK"
	835	/>
	836
	837	</encompas singEncoun ter>
	838
	839	</componen tOf>
	840
	841	<!-- *** ****** ****** ****** ****** ******** * CDA BODY ******* ****** ****** ****** ****** ***** -- >
	842
	843	<component >
	844
	845	<structure dBody>
	846
	847	<component >
	848
	849	<!-- *** ****** ****** ****** ****** ****** **** ALL ERGY/DRUG
	850	SECTION SE CTION, REQ UIRED ** ****** ****** ****** ****** ****** ***** -- >
	851
	852	<section>
	853
	854	<!-- ALLER GY/DRUG Se ction Temp late Entri es REQUIRE D -->
	855
	856	<templateI d
	857	root="2.16 .840.1.113 883.10.20. 22.2.6.1"
	858	/>
	859
	860	<templateI d
	861	root="2.16 .840.1.113 883.10.20. 22.2.6"
	862	/>
	863
	864	<code
	865	code="4876 5-2"
	866	codeSystem ="2.16.840 .1.113883. 6.1"
	867
	868	codeSystem Name="LOIN C"
	869	displayNam e="Allergi es, advers e reaction s, alerts"
	870	/>
	871
	872	<title>
	873	Allergies Section
	874	</title>
	875
	876	<!-- ALLER GIES NARRA TIVE BLOCK -->
	877
	878	<text>
	879
	880	<!-- VA Al lergies/Dr ug Busines s Rules fo r Medical Content -- >
	881
	882	<paragraph >
	883	This secti on contain s Allergie s on recor d with VA for the
	884	pati ent. The d ata comes from all V A treatmen t faciliti es. It doe s
	885	not list aller gies that were remov ed or ente red in err or. Some
	886	alle rgies may be reporte d in the I mmunizatio n section.
	887	</paragrap h>
	888
	889	<table
	890	ID="allerg yNarrative "
	891	border="1"
	892	width="100 %"
	893	>
	894
	895	<thead>
	896
	897	<tr>
	898
	899	<th>
	900	Allergen
	901	</th>
	902
	903	<th>
	904	Event Date
	905	</th>
	906
	907	<th>
	908	Event Type
	909	</th>
	910
	911	<th>
	912	Reaction(s )
	913	</th>
	914
	915	<th>
	916	Severity
	917	</th>
	918
	919	<th>
	920	Source
	921	</th>
	922
	923	</tr>
	924
	925	</thead>
	926
	927	<tbody>
	928
	929	<tr>
	930
	931	<td>
	932
	933	<content
	934	ID="andAll ergy"
	935	/>
	936
	937	</td>
	938
	939	<td />
	940
	941
	942	<td>
	943
	944	<content
	945	ID="andEve ntType"
	946	/>
	947
	948	</td>
	949
	950	<td>
	951
	952	<list>
	953
	954	<item>
	955
	956	<content
	957	ID="andRea ction"
	958	/>
	959
	960	</item>
	961
	962	</list>
	963
	964	</td>
	965
	966	<td>
	967
	968	<content
	969	ID="andSev erity"
	970	/>
	971
	972	</td>
	973
	974	<td>
	975
	976	<content
	977	ID="andSou rce"
	978	/>
	979
	980	</td>
	981
	982	</tr>
	983
	984	</tbody>
	985
	986	</table>
	987
	988	</text>
	989
	990	<!-- ALLER GIES STRUC TURED DATA -->
	991
	992	<entry
	993	typeCode=" DRIV"
	994	>
	995
	996	<act
	997	classCode= "ACT"
	998	moodCode=" EVN"
	999	>
	1000
	1001	<templateI d
	1002	root="2.16 .840.1.113 883.10.20. 22.4.30"
	1003	/>
	1004
	1005	<!-- CCD A llergy Act ID as nul lflavor -- >
	1006
	1007	<id
	1008	nullFlavor ="NA"
	1009	/>
	1010
	1011	<code
	1012	code="4876 5-2"
	1013	codeSystem ="2.16.840 .1.113883. 6.1"
	1014
	1015	codeSystem Name="LOIN C"
	1016	displayNam e="Allergi es, advers e reaction s, alerts"
	1017	/>
	1018
	1019	<statusCod e
	1020	code="acti ve"
	1021	/>
	1022
	1023	<effective Time
	1024	nullFlavor ="NA"
	1025	>
	1026
	1027	<low
	1028	nullFlavor ="NA"
	1029	/>
	1030
	1031	</effectiv eTime>
	1032
	1033	<!-- INFOR MATION SOU RCE FOR AL LERGIES/DR UG, Option al -->
	1034
	1035	<author>
	1036
	1037	<time
	1038	nullFlavor ="NA"
	1039	/>
	1040
	1041	<assignedA uthor>
	1042
	1043	<id
	1044	nullFlavor ="NA"
	1045	/>
	1046
	1047	<represent edOrganiza tion>
	1048
	1049	<!-- INFOR MATION SOU RCE ID, ro ot=VA OID, extension = VAMC TRE ATING
	1050	FA CILITY NBR -->
	1051
	1052	<id
	1053	root="2.16 .840.1.113 883.4.349"
	1054	/>
	1055
	1056	<!-- INFOR MATION SOU RCE NAME, name=VAMC TREATING F ACILITY NA ME -->
	1057
	1058	<name />
	1059
	1060	<telecom
	1061	nullFlavor ="NA"
	1062	/>
	1063
	1064	<addr
	1065	nullFlavor ="NA"
	1066	/>
	1067
	1068	</represen tedOrganiz ation>
	1069
	1070	</assigned Author>
	1071
	1072	</author>
	1073
	1074	<entryRela tionship
	1075	typeCode=" SUBJ"
	1076
	1077	inversionI nd="true"
	1078	>
	1079
	1080	<!-- Aller gy Intoler ance Obser vation Ent ry -->
	1081
	1082	<observati on
	1083	classCode= "OBS"
	1084	moodCode=" EVN"
	1085
	1086	negationIn d="false"
	1087	>
	1088
	1089	<templateI d
	1090	root="2.16 .840.1.113 883.10.20. 22.4.7"
	1091	/>
	1092
	1093	<id
	1094	nullFlavor ="NA"
	1095	/>
	1096
	1097	<code
	1098	code="ASSE RTION"
	1099	codeSystem ="2.16.840 .1.113883. 5.4"
	1100
	1101	codeSystem Name="HL7A ctCode"
	1102	/>
	1103
	1104	<statusCod e
	1105	code="comp leted"
	1106	/>
	1107
	1108	<!-- 6.01 ADVERSE EV ENT DATE, REQUIRED - ->
	1109
	1110	<effective Time>
	1111
	1112	<low />
	1113
	1114	</effectiv eTime>
	1115
	1116	<!-- 6.02 ADVERSE EV ENT TYPE, REQUIRED; SNOMED CT -->
	1117
	1118	<value
	1119	xsi:type=" CD"
	1120	code="4160 98002"
	1121	codeSystem ="2.16.840 .1.113883. 6.96"
	1122
	1123	codeSystem Name="SNOM ED CT"
	1124	>
	1125
	1126	<originalT ext>
	1127
	1128	<reference />
	1129
	1130	</original Text>
	1131
	1132	</value>
	1133
	1134	<participa nt
	1135	typeCode=" CSM"
	1136	>
	1137
	1138	<participa ntRole
	1139	classCode= "MANU"
	1140	>
	1141
	1142	<playingEn tity
	1143	classCode= "MMAT"
	1144	>
	1145
	1146	<!-- 6.04 PRODUCT CO DED,REQUIR ED -->
	1147
	1148	<code
	1149	codeSystem ="2.16.840 .1.113883. 6.88"
	1150
	1151	codeSystem Name="RxNo rm"
	1152	>
	1153
	1154	<originalT ext>
	1155
	1156	<reference />
	1157
	1158	</original Text>
	1159
	1160	<translati on
	1161	codeSystem ="2.16.840 .1.113883. 6.233"
	1162	codeSystem Name="VHA Enterprise Reference Terminolo gy"
	1163	/>
	1164
	1165	<!-- 6.03 PRODUCT FR EE TEXT, R 2 -->
	1166
	1167	</code>
	1168
	1169	<name />
	1170
	1171	</playingE ntity>
	1172
	1173	</particip antRole>
	1174
	1175	</particip ant>
	1176
	1177	<!-- REACT ION ENTRY RELATIONSH IP BLOCK R 2, repeata ble -->
	1178
	1179	<entryRela tionship
	1180	typeCode=" MFST"
	1181
	1182	inversionI nd="true"
	1183	>
	1184
	1185	<observati on
	1186	classCode= "OBS"
	1187	moodCode=" EVN"
	1188	>
	1189
	1190	<templateI d
	1191	root="2.16 .840.1.113 883.10.20. 22.4.9"
	1192	/>
	1193
	1194	<id
	1195	nullFlavor ="NA"
	1196	/>
	1197
	1198	<code
	1199	nullFlavor ="NA"
	1200	/>
	1201
	1202	<statusCod e
	1203	code="comp leted"
	1204	/>
	1205
	1206
	1207	<!-- 6.06 REACTION C ODED, REQU IRED -->
	1208
	1209
	1210	<value
	1211	xsi:type=" CD"
	1212
	1213	codeSystem ="2.16.840 .1.113883. 6.96"
	1214	codeSystem Name="SNOM ED CT"
	1215	>
	1216
	1217	<!-- 6.05 REACTION-F REE TEXT, optional, -->
	1218
	1219	<originalT ext>
	1220
	1221	<reference />
	1222
	1223	</original Text>
	1224
	1225	<translati on
	1226	codeSystem ="2.16.840 .1.113883. 6.233"
	1227	codeSystem Name="VHA Enterprise Reference Terminolo gy"
	1228	/>
	1229
	1230	</value>
	1231
	1232	</observat ion>
	1233
	1234	</entryRel ationship>
	1235
	1236	<!-- SEVER ITY ENTRY RELATIONSH IP BLOCK R 2, 0 or 1 per Allerg y -->
	1237
	1238	<entryRela tionship
	1239	typeCode=" SUBJ"
	1240
	1241	inversionI nd="true"
	1242	>
	1243
	1244	<observati on
	1245	classCode= "OBS"
	1246	moodCode=" EVN"
	1247	>
	1248
	1249	<templateI d
	1250	root="2.16 .840.1.113 883.10.20. 22.4.8"
	1251	/>
	1252
	1253	<code
	1254	code="SEV"
	1255	displayNam e="Severit y Observat ion"
	1256
	1257	codeSystem ="2.16.840 .1.113883. 5.4"
	1258	codeSystem Name="ActC ode"
	1259	/>
	1260
	1261	<statusCod e
	1262	code="comp leted"
	1263	/>
	1264
	1265	<!-- 6.08 SEVERITY C ODED, REQU IRED, SNOM ED CT -->
	1266
	1267	<value
	1268	xsi:type=" CD"
	1269
	1270	codeSystem ="2.16.840 .1.113883. 6.96"
	1271	codeSystem Name="SNOM ED CT"
	1272	>
	1273
	1274	<!-- 6.07 SEVERITY F REE TEXT, Optional-R 2 Removed b/c remove d
	1275	in tem plate -->
	1276
	1277	<originalT ext>
	1278
	1279	<reference />
	1280
	1281	</original Text>
	1282
	1283	</value>
	1284
	1285	</observat ion>
	1286
	1287	</entryRel ationship>
	1288
	1289	</observat ion>
	1290
	1291	</entryRel ationship>
	1292
	1293	</act>
	1294
	1295	</entry>
	1296
	1297	</section>
	1298
	1299	</componen t>
	1300
	1301	<component >
	1302
	1303	<!-- *** ****** ****** ****** ****** ******** * VITAL SI GNS
	1304	SECTION, R EQUIRED ****** ****** ****** ****** ****** ** -->
	1305
	1306	<section>
	1307
	1308	<!-- C-CDA CCD VITAL SIGNS Sec tion Templ ate Entrie s REQUIRED -->
	1309
	1310	<templateI d
	1311	root="2.16 .840.1.113 883.10.20. 22.2.4.1"
	1312	/>
	1313
	1314	<templateI d
	1315	root="2.16 .840.1.113 883.10.20. 22.2.4"
	1316	/>
	1317
	1318	<code
	1319	code="8716 -3"
	1320	codeSystem ="2.16.840 .1.113883. 6.1"
	1321
	1322	codeSystem Name="LOIN C"
	1323	displayNam e="Vital S igns"
	1324	/>
	1325
	1326	<title>
	1327	Vital Sign s Section
	1328	</title>
	1329
	1330	<!-- VITAL SIGNS NAR RATIVE BLO CK, REQUIR ED -->
	1331
	1332	<text>
	1333
	1334	<!-- VA Vi tal Signs Business R ules for M edical Con tent -->
	1335
	1336	<paragraph >
	1337	This sec tion conta ins inpati ent and ou tpatient V ital Signs on record
	1338	at VA fo r the pati ent. The data comes from all VA treatme nt facilit ies.
	1339	It inclu des vital signs coll ected with in the req uested dat e range wi th a
	1340	maximum of the 10 most recen t sets of vitals. I f more tha n one set of
	1341	vitals w as taken o n the same date, onl y the most recent se t is popul ated
	1342	for that date. If no date ra nge was pr ovided, it includes 12 months of data,
	1343	with a m aximum of the 10 mos t recent s ets of vit als. If m ore than o ne set of
	1344	vitals w as taken o n the same date, onl y the most recent se t is popul ated for t hat date.
	1345
	1346	</paragrap h>
	1347
	1348	<table
	1349	ID="vitalN arrative"
	1350	border="1"
	1351	width="100 %"
	1352	>
	1353
	1354	<thead>
	1355
	1356	<tr>
	1357
	1358	<th>
	1359	Date/Time
	1360	</th>
	1361
	1362	<th>
	1363	Temperatur e
	1364	</th>
	1365
	1366	<th>
	1367	Pulse
	1368	</th>
	1369
	1370	<th>
	1371	Blood Pres sure
	1372	</th>
	1373
	1374	<th>
	1375	Respirator y Rate
	1376	</th>
	1377
	1378	<th>
	1379	SP02
	1380	</th>
	1381
	1382	<th>
	1383	Pain
	1384	</th>
	1385
	1386	<th>
	1387	Height
	1388	</th>
	1389
	1390	<th>
	1391	Weight
	1392	</th>
	1393
	1394	<th>
	1395	Body Mass Index
	1396	</th>
	1397
	1398	<th>
	1399	Source
	1400	</th>
	1401
	1402	</tr>
	1403
	1404	</thead>
	1405
	1406	<tbody>
	1407
	1408	<tr>
	1409
	1410	<td />
	1411
	1412
	1413	<td />
	1414
	1415
	1416	<td />
	1417
	1418
	1419	<td />
	1420
	1421
	1422	<td />
	1423
	1424
	1425	<td />
	1426
	1427
	1428	<td />
	1429
	1430
	1431	<td />
	1432
	1433
	1434	<td />
	1435
	1436
	1437	<td />
	1438
	1439
	1440	<td>
	1441
	1442	<content
	1443	ID="vndSou rce"
	1444	/>
	1445
	1446	</td>
	1447
	1448	</tr>
	1449
	1450	</tbody>
	1451
	1452	</table>
	1453
	1454	<!-- CDA O bservation Text as a Reference tag -->
	1455
	1456	<content
	1457	ID="vital1 "
	1458	revised='d elete'
	1459	>
	1460	Vital Sign Observati on Text
	1461	Not Available
	1462	</content>
	1463
	1464	</text>
	1465
	1466	<!-- VITAL SIGNS STR UCTURED DA TA -->
	1467
	1468	<entry
	1469	typeCode=' DRIV'
	1470	>
	1471
	1472	<!-- Vital Signs Org anizer Tem plate, REQ UIRED -->
	1473
	1474	<organizer
	1475	classCode= "CLUSTER"
	1476	moodCode=" EVN"
	1477	>
	1478
	1479	<templateI d
	1480	root="2.16 .840.1.113 883.10.20. 22.4.26"
	1481	/>
	1482
	1483	<!-- Vital Sign Orga nizer ID a s nullFlav or b/c dat a not yet available
	1484	via VA VistA RPC s -->
	1485
	1486	<id
	1487	nullFlavor ="NA"
	1488	/>
	1489
	1490	<code
	1491	code="4668 0005"
	1492	codeSystem ="2.16.840 .1.113883. 6.96"
	1493
	1494	codeSystem Name="SNOM ED CT"
	1495	displayNam e="Vital s igns"
	1496	/>
	1497
	1498	<statusCod e
	1499	code="comp leted"
	1500	/>
	1501
	1502	<effective Time />
	1503
	1504	<!-- INFOR MATION SOU RCE FOR VI TAL SIGN O RGANIZER/P ANEL, Opti onal -->
	1505
	1506	<author>
	1507
	1508	<time
	1509	nullFlavor ="NA"
	1510	/>
	1511
	1512	<assignedA uthor>
	1513
	1514	<id
	1515	nullFlavor ="NA"
	1516	/>
	1517
	1518	<represent edOrganiza tion>
	1519
	1520	<!-- INFOR MATION SOU RCE ID, ro ot=VA OID, extension = VAMC TRE ATING
	1521	FA CILITY NBR -->
	1522
	1523	<id
	1524	root="2.16 .840.1.113 883.4.349"
	1525	/>
	1526
	1527	<!-- INFOR MATION SOU RCE NAME, name=VAMC TREATING F ACILITY NA ME -->
	1528
	1529	<name />
	1530
	1531	<telecom
	1532	nullFlavor ="NA"
	1533	/>
	1534
	1535	<addr
	1536	nullFlavor ="NA"
	1537	/>
	1538
	1539	</represen tedOrganiz ation>
	1540
	1541	</assigned Author>
	1542
	1543	</author>
	1544
	1545	<!-- One c omponent b lock for e ach Vital Sign -->
	1546
	1547	<component >
	1548
	1549	<observati on
	1550	classCode= "OBS"
	1551	moodCode=" EVN"
	1552	>
	1553
	1554	<templateI d
	1555	root="2.16 .840.1.113 883.10.20. 22.4.27"
	1556	/>
	1557
	1558	<!-- 14.01 -VITAL SIG N RESULT I D, REQUIRE D -->
	1559
	1560	<id
	1561	root="2.16 .840.1.113 883.4.349"
	1562	/>
	1563
	1564	<!-- 14.03 -VITAL SIG N RESULT T YPE, REQUI RED, LOINC -->
	1565
	1566	<code
	1567	codeSystem ="2.16.840 .1.113883. 6.1"
	1568	codeSystem Name="LOIN C"
	1569	>
	1570
	1571	<originalT ext>
	1572
	1573	<reference />
	1574
	1575	</original Text>
	1576
	1577	<translati on
	1578	codeSystem ="2.16.840 .1.113883. 6.233"
	1579	codeSystem Name="VHA Enterprise Reference Terminolo gy"
	1580	/>
	1581
	1582	</code>
	1583
	1584	<!-- 14.04 -VITAL SIG N RESULT S TATUS, REQ UIRED, Sta tic value of complet ed -->
	1585
	1586	<statusCod e
	1587	code="comp leted"
	1588	/>
	1589
	1590	<!-- 14.02 -VITAL SIG N RESULT D ATE/TIME, REQURIED - ->
	1591
	1592	<effective Time />
	1593
	1594	<!-- 14.05 -VITAL SIG N RESULT V ALUE, COND ITIONALLY REQUIRED w hen
	1595	moodCode=E VN -->
	1596
	1597	<!-- 14.05 -VITAL SIG N RESULT V ALUE with Unit of Me asure -->
	1598
	1599	<value
	1600	xsi:type=" PQ"
	1601	>
	1602
	1603	<translati on
	1604	code="vaUn it"
	1605	codeSystem ="2.16.840 .1.113883. 4.349"
	1606	codeSystem Name="Depa rtment of Veterans A ffairs Vis tA"
	1607	displayNam e="vaUnit"
	1608	/>
	1609
	1610	</value>
	1611
	1612	<!-- 14.06 -VITAL SIG N RESULT I NTERPRETAT ION, Optio nal, HL7 R esult
	1613	Normalcy S tatus Valu e Set -->
	1614
	1615	<!-- 14.06 -VITAL SIG N RESULT I NTERPRETAT ION, Remov ed b/c dat a not
	1616	yet availa ble via VA VistA RPC s -->
	1617
	1618	<!-- 14.07 -VITAL SIG N RESULT R EFERENCE R ANGE, Opti onal, -->
	1619
	1620	<!-- 14.07 -VITAL SIG N RESULT R EFERENCE R ANGE, Remo ved b/c da ta not
	1621	yet availa ble via VA VistA RPC s -->
	1622
	1623	<methodCod e
	1624	nullFlavor ="UNK"
	1625	>
	1626
	1627	<originalT ext>
	1628	</original Text>
	1629
	1630	</methodCo de>
	1631
	1632	<targetSit eCode
	1633	nullFlavor ="UNK"
	1634	>
	1635
	1636	<originalT ext>
	1637	</original Text>
	1638
	1639	</targetSi teCode>
	1640
	1641	</observat ion>
	1642
	1643	</componen t>
	1644
	1645	</organize r>
	1646
	1647	</entry>
	1648
	1649	</section>
	1650
	1651	</componen t>
	1652
	1653	<component >
	1654
	1655	<!-- *** ****** ****** ****** ****** ******** * PROBLEM/ CONDITION
	1656	SECTION, R EQUIRED ****** ****** ****** ****** ****** ** -->
	1657
	1658	<section>
	1659
	1660	<!-- C-CDA Problem S ection Tem plate. Ent ries REQUI RED -->
	1661
	1662	<templateI d
	1663	root="2.16 .840.1.113 883.10.20. 22.2.5.1"
	1664	/>
	1665
	1666	<templateI d
	1667	root="2.16 .840.1.113 883.10.20. 22.2.5"
	1668	/>
	1669
	1670	<code
	1671	code="1145 0-4"
	1672	codeSystem ="2.16.840 .1.113883. 6.1"
	1673
	1674	codeSystem Name="LOIN C"
	1675	displayNam e="Problem List"
	1676	/>
	1677
	1678	<title>
	1679	Problem Li st
	1680	</title>
	1681
	1682	<!-- PROBL EMS NARRAT IVE BLOCK -->
	1683
	1684	<text>
	1685
	1686	<!-- VA Pr oblem/Cond ition Busi ness Rules for Medic al Content -->
	1687
	1688	<paragraph >
	1689	This secti on contain s a list o f Problems /Condition s known to VA
	1690	for the patien t. It incl udes both active and inactive
	1691	prob lems/condi tions. The data come s from all VA treatm ent
	1692	faci lities.
	1693	</paragrap h>
	1694
	1695	<table
	1696	ID="proble mNarrative "
	1697	border="1"
	1698	width="100 %"
	1699	>
	1700
	1701	<thead>
	1702
	1703	<tr>
	1704
	1705	<th>
	1706	Problem
	1707	</th>
	1708
	1709	<th>
	1710	Status
	1711	</th>
	1712
	1713	<th>
	1714	Problem Co de
	1715	</th>
	1716
	1717	<th>
	1718	Date of On set
	1719	</th>
	1720
	1721	<th>
	1722	Date of Re solution
	1723	</th>
	1724
	1725	<th>
	1726	Comment(s)
	1727	</th>
	1728
	1729	<th>
	1730	Provider
	1731	</th>
	1732
	1733	<th>
	1734	Source
	1735	</th>
	1736
	1737	</tr>
	1738
	1739	</thead>
	1740
	1741	<tbody>
	1742
	1743	<tr>
	1744
	1745	<td>
	1746
	1747	<content
	1748	ID="pndPro blem"
	1749	/>
	1750
	1751	</td>
	1752
	1753	<td>
	1754
	1755	<content
	1756	ID="pndSta tus"
	1757	/>
	1758
	1759	</td>
	1760
	1761	<td>
	1762
	1763	<content
	1764	ID="pndPro blemCode"
	1765	/>
	1766
	1767	</td>
	1768
	1769	<td>
	1770
	1771	<content
	1772	ID="pndDat eOfOnset"
	1773	/>
	1774
	1775	</td>
	1776
	1777	<td>
	1778
	1779	<content
	1780	ID="pndDat eOfResolut ion"
	1781	/>
	1782
	1783	</td>
	1784
	1785	<td>
	1786
	1787	<list>
	1788
	1789	<item>
	1790
	1791	<content
	1792	ID="pndCom ment"
	1793	/>
	1794
	1795	</item>
	1796
	1797	</list>
	1798
	1799	</td>
	1800
	1801	<td>
	1802
	1803	<content
	1804	ID="pndPro vider"
	1805	/>
	1806
	1807	</td>
	1808
	1809	<td>
	1810
	1811	<content
	1812	ID="pndSou rce"
	1813	/>
	1814
	1815	</td>
	1816
	1817	</tr>
	1818
	1819	</tbody>
	1820
	1821	</table>
	1822
	1823	</text>
	1824
	1825	<!-- PROBL EMS STRUCT URED DATA -->
	1826
	1827	<!-- Probl em Concern Activty E ntry -->
	1828
	1829	<entry>
	1830
	1831	<act
	1832	classCode= "ACT"
	1833	moodCode=" EVN"
	1834	>
	1835
	1836	<templateI d
	1837	root="2.16 .840.1.113 883.10.20. 22.4.3"
	1838	/>
	1839
	1840	<id
	1841	nullFlavor ="NA"
	1842	/>
	1843
	1844	<code
	1845	code="CONC "
	1846	codeSystem ="2.16.840 .1.113883. 5.6"
	1847
	1848	codeSystem Name="HL7A ctClass"
	1849	displayNam e="Concern "
	1850	/>
	1851
	1852	<statusCod e
	1853	code="acti ve"
	1854	/>
	1855
	1856	<!-- 7.01 PROBLEM DA TE, R2 -->
	1857
	1858	<effective Time>
	1859
	1860	<!-- 7.01 PROBLEM DA TE, cda:lo w=Date of Onset -->
	1861
	1862	<low />
	1863
	1864	<!-- 7.01 PROBLEM DA TE, cda:hi gh=Date Re solved -->
	1865
	1866	<high />
	1867
	1868	</effectiv eTime>
	1869
	1870	<!-- TREAT ING PROVID ER Perform er Block, Optional - ->
	1871
	1872	<performer >
	1873
	1874	<assignedE ntity>
	1875
	1876	<!-- 7.05 TREATING P ROVIDER, e xtension = VA Provide r ID, link ed to
	1877	HealthCare Provider Section -- >
	1878
	1879	<id
	1880	root="2.16 .840.1.113 883.4.349"
	1881	/>
	1882
	1883	<assignedP erson>
	1884
	1885	<name />
	1886
	1887	</assigned Person>
	1888
	1889	</assigned Entity>
	1890
	1891	</performe r>
	1892
	1893	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	1894
	1895	<author>
	1896
	1897	<time
	1898	nullFlavor ="NA"
	1899	/>
	1900
	1901	<assignedA uthor>
	1902
	1903	<id
	1904	nullFlavor ="NA"
	1905	/>
	1906
	1907	<represent edOrganiza tion>
	1908
	1909	<!-- INFOR MATION SOU RCE ID, ro ot=VA OID, extension = VAMC TRE ATING
	1910	FA CILITY NBR -->
	1911
	1912	<id
	1913	root="2.16 .840.1.113 883.4.349"
	1914	/>
	1915
	1916	<!-- INFOR MATION SOU RCE NAME, name=VAMC TREATING F ACILITY NA ME -->
	1917
	1918	<name />
	1919
	1920	<telecom
	1921	nullFlavor ="NA"
	1922	/>
	1923
	1924	<addr
	1925	nullFlavor ="NA"
	1926	/>
	1927
	1928	</represen tedOrganiz ation>
	1929
	1930	</assigned Author>
	1931
	1932	</author>
	1933
	1934	<entryRela tionship
	1935	typeCode=" SUBJ"
	1936	>
	1937
	1938	<!-- CCD P roblem Obs ervation - ->
	1939
	1940	<observati on
	1941	classCode= "OBS"
	1942	moodCode=" EVN"
	1943	>
	1944
	1945	<templateI d
	1946	root="2.16 .840.1.113 883.10.20. 22.4.4"
	1947	/>
	1948
	1949	<id
	1950	nullFlavor ="NA"
	1951	/>
	1952
	1953	<!-- 7.02 PROBLEM TY PE, REQUIR ED, SNOMED CT, provi ded as nul lFalvor
	1954	b/c data n ot yet ava ilable via VA VistA RPCs -->
	1955
	1956	<code
	1957	codeSystem ="2.16.840 .1.113883. 6.96"
	1958	codeSystem Name="SNOM ED CT"
	1959
	1960	nullFlavor ="UNK"
	1961	>
	1962
	1963	<originalT ext>
	1964	Problem Ty pe Not Ava ilable
	1965	</original Text>
	1966
	1967	</code>
	1968
	1969	<!-- 7.03 PROBLEM NA ME, R2 -->
	1970
	1971	<text>
	1972
	1973	<reference
	1974	value="#pn dProblem"
	1975	/>
	1976
	1977	</text>
	1978
	1979	<statusCod e
	1980	code="comp leted"
	1981	/>
	1982
	1983	<!-- 7.04 PROBLEM CO DE, Option al, When u ncoded onl y xsi:type ="CD"
	1984	allowed, A vailable a s ICD-9, n ot SNOMED CT, -->
	1985
	1986	<value
	1987	xsi:type=" CD"
	1988	codeSystem ="2.16.840 .1.113883. 6.96"
	1989
	1990	codeSystem Name="SNOM ED CT"
	1991	>
	1992
	1993	<originalT ext>
	1994
	1995	<reference />
	1996
	1997	</original Text>
	1998
	1999	<translati on
	2000	codeSystem ='2.16.840 .1.113883. 6.103'
	2001
	2002	codeSystem Name='ICD- 9-CM'
	2003	/>
	2004
	2005	</value>
	2006
	2007	<!-- PROBL EM STATUS entryRelat ionship bl ock, Optio nal, -->
	2008
	2009	<entryRela tionship
	2010	typeCode=" SUBJ"
	2011	>
	2012
	2013	<observati on
	2014	classCode= "OBS"
	2015	moodCode=" EVN"
	2016	>
	2017
	2018	<templateI d
	2019	root="2.16 .840.1.113 883.10.20. 22.4.6"
	2020	/>
	2021
	2022	<code
	2023	code="3399 9-4"
	2024	codeSystem ="2.16.840 .1.113883. 6.1"
	2025
	2026	codeSystem Name="LOIN C"
	2027	displayNam e="Status"
	2028	/>
	2029
	2030	<statusCod e
	2031	code="comp leted"
	2032	/>
	2033
	2034	<value
	2035	xsi:type=" CD"
	2036	codeSystem ="2.16.840 .1.113883. 6.96"
	2037
	2038	codeSystem Name="SNOM ED CT"
	2039	>
	2040
	2041	<originalT ext>
	2042
	2043	<reference />
	2044
	2045	</original Text>
	2046
	2047	<translati on />
	2048
	2049	</value>
	2050
	2051	</observat ion>
	2052
	2053	</entryRel ationship>
	2054
	2055	<!-- PROBL EM COMMENT (for SSA) entryRela tionship b lock, Opti onal, -->
	2056
	2057	<entryRela tionship
	2058	inversionI nd="true"
	2059	typeCode=" MFST"
	2060	>
	2061
	2062	<act
	2063	classCode= "ACT"
	2064	moodCode=" EVN"
	2065	>
	2066
	2067	<templateI d
	2068	root="2.16 .840.1.113 883.10.20. 22.4.64"
	2069	/>
	2070
	2071	<code
	2072	code="4876 7-8"
	2073	codeSystem ="2.16.840 .1.113883. 6.1"
	2074	codeSystem Name="LOIN C"
	2075	displayNam e="Annotat ion commen t"
	2076	/>
	2077
	2078	<text>
	2079
	2080	<reference
	2081	value="#pn dComment"
	2082	/>
	2083
	2084	</text>
	2085
	2086	</act>
	2087
	2088	</entryRel ationship>
	2089
	2090	</observat ion>
	2091
	2092	</entryRel ationship>
	2093
	2094	<!-- CCD P roblem Age Observati on, not pr ovided b/c data not yet availa ble
	2095	via VA VistA RPC s -->
	2096
	2097	<!-- CCD H ealth Stat us Observa tion, not provided b /c data no t yet
	2098	availa ble via VA VistA RPC s -->
	2099
	2100	</act>
	2101
	2102	</entry>
	2103
	2104	</section>
	2105
	2106	</componen t>
	2107
	2108	<component >
	2109
	2110	<!-- *** ****** ****** ****** ****** ****** ****** ****** *****
	2111	INSURANCE PROVIDERS (PAYERS) S ECTION, Op tional * ****** ****** ****** ****** ****** ****** ****** ******* -->
	2112
	2113	<section>
	2114
	2115	<templateI d
	2116	root="2.16 .840.1.113 883.10.20. 22.2.18"
	2117	/>
	2118
	2119	<code
	2120	code="4876 8-6"
	2121	codeSystem ="2.16.840 .1.113883. 6.1"
	2122
	2123	codeSystem Name="LOIN C"
	2124	displayNam e="Payers"
	2125	/>
	2126
	2127	<title>
	2128	Insurance Providers (Payers) S ection
	2129	</title>
	2130
	2131	<!-- PAYER S NARRATIV E BLOCK -- >
	2132
	2133	<text>
	2134
	2135	<!-- VA In surance Pr oviders Bu siness Rul es for Med ical Conte nt -->
	2136
	2137	<paragraph >
	2138	This secti on contain s the name s of all a ctive insu rance
	2139	prov iders for the patien t from all VA treatm ent facili ties.
	2140	</paragrap h>
	2141
	2142	<table
	2143	ID="insura nceNarrati ve"
	2144	border="1"
	2145	width="100 %"
	2146	>
	2147
	2148	<thead>
	2149
	2150	<tr>
	2151
	2152	<th>
	2153	Insurance Provider
	2154	</th>
	2155
	2156	<th>
	2157	Type of Co verage
	2158	</th>
	2159
	2160	<th>
	2161	Plan Name
	2162	</th>
	2163
	2164	<th>
	2165	Start of P olicy Cove rage
	2166	</th>
	2167
	2168	<th>
	2169	End of Pol icy Covera ge
	2170	</th>
	2171
	2172	<th>
	2173	Group Numb er
	2174	</th>
	2175
	2176	<th>
	2177	Member ID
	2178	</th>
	2179
	2180	<th>
	2181	Insurance Provider's Telephone Number
	2182	</th>
	2183
	2184	<th>
	2185	Policy Hol der's Name
	2186	</th>
	2187
	2188	<th>
	2189	Patient's Relationsh ip to Poli cy Holder
	2190	</th>
	2191
	2192	</tr>
	2193
	2194
	2195	</thead>
	2196
	2197	<tbody>
	2198
	2199	<tr>
	2200
	2201	<td>
	2202
	2203	<content
	2204	ID="insCom pany"
	2205	/>
	2206
	2207	</td>
	2208
	2209	<td>
	2210
	2211	<content
	2212	ID="insIns urance"
	2213	/>
	2214
	2215	</td>
	2216
	2217	<td>
	2218
	2219	<content
	2220	ID="insGro upName"
	2221	/>
	2222
	2223	</td>
	2224
	2225
	2226
	2227	<td>
	2228
	2229	<content
	2230	ID="insEff ectiveDate "
	2231	/>
	2232
	2233	</td>
	2234
	2235	<td>
	2236
	2237	<content
	2238	ID="insExp irationDat e"
	2239	/>
	2240
	2241	</td>
	2242
	2243
	2244	<td>
	2245
	2246	<content
	2247	ID="insGro up"
	2248	/>
	2249
	2250	</td>
	2251
	2252	<td>
	2253
	2254	<content
	2255	ID="insMem berId"
	2256	/>
	2257
	2258	</td>
	2259
	2260	<td>
	2261
	2262	<content / >
	2263
	2264	</td>
	2265
	2266	<td>
	2267
	2268	<content
	2269	ID="insMem berName"
	2270	/>
	2271
	2272	</td>
	2273
	2274
	2275	<td>
	2276
	2277	<content
	2278	ID="insRel ationship"
	2279	/>
	2280
	2281	</td>
	2282
	2283
	2284	</tr>
	2285
	2286	</tbody>
	2287
	2288	</table>
	2289
	2290	</text>
	2291
	2292	<!-- PAYER S STRUCTUR ED DATA -- >
	2293
	2294	<!-- CCD C overage Ac tivity -->
	2295
	2296	<entry>
	2297
	2298	<act
	2299	classCode= "ACT"
	2300	moodCode=" EVN"
	2301	>
	2302
	2303	<templateI d
	2304	root="2.16 .840.1.113 883.10.20. 22.4.60"
	2305	/>
	2306
	2307	<id
	2308	nullFlavor ="NA"
	2309	/>
	2310
	2311	<code
	2312	code="4876 8-6"
	2313	codeSystem ="2.16.840 .1.113883. 6.1"
	2314
	2315	codeSystem Name="LOIN C"
	2316	displayNam e="Payment Sources"
	2317	/>
	2318
	2319	<statusCod e
	2320	code="comp leted"
	2321	/>
	2322
	2323	<!-- CCD P ayment Pro vider Even t Entry -- >
	2324
	2325	<entryRela tionship
	2326	typeCode=" COMP"
	2327	>
	2328
	2329	<act
	2330	classCode= "ACT"
	2331	moodCode=" EVN"
	2332	>
	2333
	2334	<templateI d
	2335	root="2.16 .840.1.113 883.10.20. 22.4.61"
	2336	/>
	2337
	2338	<!-- 5.01 GROUP NUMB ER, REQUIR ED -->
	2339
	2340	<id
	2341	extension= "groupNbr"
	2342	root="2.16 .840.1.113 883.4.349"
	2343	/>
	2344
	2345	<!-- 5.02 HEALTH INS URANCE TYP E, REQURIE D -->
	2346
	2347	<code
	2348	codeSystem ="2.16.840 .1.113883. 6.255.1336 "
	2349	codeSystem Name="X12N -1336"
	2350	/>
	2351
	2352	<statusCod e
	2353	code="comp leted"
	2354	/>
	2355
	2356	<!-- 5.07 - Health P lan Covera ge Dates, R2-Optiona l -->
	2357
	2358	<effective Time>
	2359
	2360	<!-- 5.07 VistA Poli cy Effecti ve Date -- >
	2361
	2362	<low />
	2363
	2364	<!-- 5.07 VistA Poli cy Expirat ion Date -->
	2365
	2366	<high />
	2367
	2368	</effectiv eTime>
	2369
	2370	<performer
	2371	typeCode=" PRF"
	2372	>
	2373
	2374	<templateI d
	2375	root="2.16 .840.1.113 883.10.20. 22.4.87"
	2376	/>
	2377
	2378	<!-- CCD P ayer Info -->
	2379
	2380	<assignedE ntity>
	2381
	2382	<!-- 5.03 HEALTH PLA N INSURANC E INFO SOU RCE ID, RE QUIRED -->
	2383
	2384	<id
	2385	root="2.16 .840.1.113 883.4.349"
	2386	/>
	2387
	2388	<code />
	2389
	2390	<!-- 5.04 HEALTH PLA N INSURANC E INFO SOU RCE ADDRES S, Optiona l -->
	2391
	2392	<addr>
	2393
	2394	<streetAdd ressLine / >
	2395
	2396	<streetAdd ressLine / >
	2397
	2398	<city />
	2399
	2400	<state />
	2401
	2402	<postalCod e />
	2403
	2404	</addr>
	2405
	2406	<!-- 5.05 HEALTH PLA N INSURANC E INFO SOU RCE PHONE/ EMAIL/URL, Optional -->
	2407
	2408	<telecom / >
	2409
	2410	<represent edOrganiza tion>
	2411
	2412	<!-- 5.06 HEALTH PLA N INSURANC E INFO SOU RCE NAME ( Insurance
	2413	Compan y Name), R 2 -->
	2414
	2415	<name />
	2416
	2417	<addr />
	2418
	2419	</represen tedOrganiz ation>
	2420
	2421	</assigned Entity>
	2422
	2423	</performe r>
	2424
	2425	<author>
	2426
	2427	<time
	2428	nullFlavor ="UNK"
	2429	/>
	2430
	2431	<assignedA uthor>
	2432
	2433	<id
	2434	nullFlavor ="NI"
	2435	/>
	2436
	2437	<represent edOrganiza tion>
	2438
	2439	<id
	2440	root="2.16 .840.1.113 883.4.349"
	2441	/>
	2442
	2443	<!-- INFOR MATION SOU RCE NAME, name=VAMC TREATING F ACILITY NA ME -->
	2444
	2445	<name />
	2446
	2447	<telecom
	2448	nullFlavor ="NA"
	2449	/>
	2450
	2451	<addr
	2452	nullFlavor ="NA"
	2453	/>
	2454
	2455	</represen tedOrganiz ation>
	2456
	2457	</assigned Author>
	2458
	2459	</author>
	2460
	2461	<participa nt
	2462	typeCode=" COV"
	2463	>
	2464
	2465	<templateI d
	2466	root="2.16 .840.1.113 883.10.20. 22.4.89"
	2467	/>
	2468
	2469	<participa ntRole>
	2470
	2471	<id
	2472	root="2.16 .840.1.113 883.4.349"
	2473	/>
	2474
	2475	<!-- 5.09 PATIENT RE LATIONSHIP TO SUBSCR IBER, REQU IRED, HL7 Coverage
	2476	Role Type -->
	2477
	2478	<code
	2479	nullFlavor ="UNK"
	2480	codeSystem ="2.16.840 .1.113883. 5.111"
	2481
	2482	codeSystem Name="Role Code"
	2483	>
	2484
	2485	<originalT ext>
	2486
	2487	<reference />
	2488
	2489	</original Text>
	2490
	2491	</code>
	2492
	2493	<playingEn tity>
	2494
	2495	<!-- 5.12 PATIENT NA ME, REQUIR ED -->
	2496
	2497	<name
	2498	use="L"
	2499	>
	2500
	2501	<prefix />
	2502
	2503	<given />
	2504
	2505	<family />
	2506
	2507	<suffix />
	2508
	2509	</name>
	2510
	2511	<!-- 5.13 PATIENT DA TE OF BIRT H, R2 -->
	2512
	2513	<sdtc:birt hTime
	2514	nullFlavor ="UNK"
	2515	/>
	2516
	2517	</playingE ntity>
	2518
	2519	</particip antRole>
	2520
	2521	</particip ant>
	2522
	2523	<participa nt
	2524	typeCode=" HLD"
	2525	>
	2526
	2527	<templateI d
	2528	root="2.16 .840.1.113 883.10.20. 22.4.90"
	2529	/>
	2530
	2531	<participa ntRole>
	2532
	2533	<id
	2534	root="2.16 .840.1.113 883.4.349"
	2535	/>
	2536
	2537	<playingEn tity>
	2538
	2539	<!-- 5.18 SUBSCRIBER NAME, REQ UIRED -->
	2540
	2541	<name />
	2542
	2543	<!-- 5.19 SUBSCRIBER DATE OF B IRTH, R2 - ->
	2544
	2545	<sdtc:birt hTime
	2546	nullFlavor ="UNK"
	2547	/>
	2548
	2549	<!-- 5.17 SUBSCRIBE R PHONE -- >
	2550
	2551	<telecom
	2552	nullFlavor ="NA"
	2553	/>
	2554
	2555	<!-- 5.11 SUBSCRIBER ADDRESS - ->
	2556
	2557	<addr
	2558	use="HP"
	2559	nullFlavor ="NA"
	2560	/>
	2561
	2562	</playingE ntity>
	2563
	2564	</particip antRole>
	2565
	2566	</particip ant>
	2567
	2568	<!-- 5.24 HEALTH PLA N NAME, op tional -->
	2569
	2570	<entryRela tionship
	2571	typeCode=" REFR"
	2572	>
	2573
	2574	<act
	2575	classCode= "ACT"
	2576	moodCode=" DEF"
	2577	>
	2578
	2579	<id
	2580	root="2.16 .840.1.113 883.4.349"
	2581	/>
	2582
	2583	<code
	2584	nullFlavor ="NA"
	2585	/>
	2586
	2587	<text />
	2588
	2589	</act>
	2590
	2591	</entryRel ationship>
	2592
	2593	</act>
	2594
	2595	</entryRel ationship>
	2596
	2597	</act>
	2598
	2599	</entry>
	2600
	2601	</section>
	2602
	2603	</componen t>
	2604
	2605	<component >
	2606
	2607	<!-- *** ****** ****** ****** ****** ******** * ADVANCED
	2608	DIRECTIVE SECTION, R EQUIRED ****** ****** ****** ****** ****** ** -->
	2609
	2610	<section>
	2611
	2612	<!-- C-CDA Advanced Directive Section Te mplate Ent ries REQUI RED -->
	2613
	2614	<templateI d
	2615	root="2.16 .840.1.113 883.10.20. 22.2.21.1"
	2616	/>
	2617
	2618	<templateI d
	2619	root="2.16 .840.1.113 883.10.20. 22.2.21"
	2620	/>
	2621
	2622	<code
	2623	code="4234 8-3"
	2624	codeSystem ="2.16.840 .1.113883. 6.1"
	2625
	2626	codeSystem Name="LOIN C"
	2627	displayNam e="Advance Directive s"
	2628	/>
	2629
	2630	<title>
	2631	Advance Di rectives
	2632	</title>
	2633
	2634	<!-- ADVAN CED DIRECT IVES NARRA TIVE BLOCK -->
	2635
	2636	<text>
	2637
	2638	<paragraph >
	2639	This secti on contain s ALL of a patient's completed or amende d
	2640	VA A dvance and Rescinded Directive s. Entries below ind icate that
	2641	a di rective ex ists for t he patient , but an a ctual copy is not
	2642	incl uded with this docum ent.
	2643	</paragrap h>
	2644
	2645	<table
	2646	ID="advanc edirective snarrative "
	2647	border="1"
	2648	width="100 %"
	2649	>
	2650
	2651	<thead>
	2652
	2653	<tr>
	2654
	2655	<th>
	2656	Date
	2657	</th>
	2658
	2659	<th>
	2660	Advance Di rectives
	2661	</th>
	2662
	2663	<th>
	2664	Provider
	2665	</th>
	2666
	2667	<th>
	2668	Source
	2669	</th>
	2670
	2671	</tr>
	2672
	2673	</thead>
	2674
	2675	<tbody>
	2676
	2677	<tr>
	2678
	2679	<td />
	2680
	2681
	2682	<td>
	2683
	2684	<content
	2685	ID="advanc eDirective "
	2686	/>
	2687
	2688	</td>
	2689
	2690	<td>
	2691
	2692	<content
	2693	ID="advDir Provider"
	2694	/>
	2695
	2696	</td>
	2697
	2698	<td>
	2699
	2700	<content
	2701	ID="advDir Source"
	2702	/>
	2703
	2704	</td>
	2705
	2706	</tr>
	2707
	2708	</tbody>
	2709
	2710	</table>
	2711
	2712	</text>
	2713
	2714	<!-- ADVAN CED DIRECT IVES STRUC TURED DATA -->
	2715
	2716	<entry>
	2717
	2718	<!-- CCD A dvanced Di rective Ob servation, R2 -->
	2719
	2720	<observati on
	2721	classCode= "OBS"
	2722	moodCode=" EVN"
	2723	>
	2724
	2725	<templateI d
	2726	root="2.16 .840.1.113 883.10.20. 22.4.48"
	2727	/>
	2728
	2729	<id
	2730	nullFlavor ="NA"
	2731	/>
	2732
	2733	<!-- 12.01 ADVANCED DIRECTIVE TYPE, REQU IRED, SNOM ED CT -->
	2734
	2735	<code
	2736	nullFlavor ="UNK"
	2737	codeSystem ="2.16.840 .1.113883. 6.96"
	2738
	2739	codeSystem Name="SNOM ED CT"
	2740	>
	2741
	2742	<originalT ext>
	2743
	2744	<reference />
	2745
	2746	</original Text>
	2747
	2748	</code>
	2749
	2750	<statusCod e
	2751	code="comp leted"
	2752	/>
	2753
	2754	<!-- 12.03 ADVANCED DIRECTIVE EFFECTIVE DATE, REQU IRED -->
	2755
	2756	<effective Time>
	2757
	2758	<!-- ADVAN CED DIRECT IVE EFFECT IVE DATE l ow = start ing time, REQUIRED - ->
	2759
	2760	<low />
	2761
	2762	<!-- ADVAN CED DIRECT IVE EFFECT IVE DATE h igh= endin g time, RE QUIRED -->
	2763
	2764	<high
	2765	nullFlavor ="NA"
	2766	/>
	2767
	2768	</effectiv eTime>
	2769
	2770
	2771	<author>
	2772
	2773	<time
	2774	nullFlavor ="UNK"
	2775	/>
	2776
	2777	<assignedA uthor>
	2778
	2779	<id
	2780	nullFlavor ="UNK"
	2781	/>
	2782
	2783	<represent edOrganiza tion>
	2784
	2785	<id
	2786	root="2.16 .840.1.113 883.4.349"
	2787	/>
	2788
	2789	<name />
	2790
	2791	</represen tedOrganiz ation>
	2792
	2793	</assigned Author>
	2794
	2795	</author>
	2796
	2797
	2798	<participa nt
	2799	typeCode=" VRF"
	2800	>
	2801
	2802	<time />
	2803
	2804	<participa ntRole>
	2805
	2806	<addr
	2807	nullFlavor ="NA"
	2808	/>
	2809
	2810	<!-- VERIF IER PHONE/ EMAIL/URL, R2 -->
	2811
	2812	<telecom
	2813	nullFlavor ="NA"
	2814	/>
	2815
	2816	<playingEn tity>
	2817
	2818	<!-- VERIF IER NAME, RQUIRED -- >
	2819
	2820	<name>
	2821	Department of Vetera ns Affairs
	2822	</name>
	2823
	2824	</playingE ntity>
	2825
	2826	</particip antRole>
	2827
	2828	</particip ant>
	2829
	2830	<!-- CUSTO DIAN OF DO CUMENT, RE QUIRED -->
	2831
	2832	<participa nt
	2833	typeCode=" CST"
	2834	>
	2835
	2836	<participa ntRole
	2837	classCode= "AGNT"
	2838	>
	2839
	2840	<!-- CUSTO DIAN ADDRE SS, R2 -->
	2841
	2842	<addr>
	2843	810 Vermon t Avenue N W Washingt on, DC 204 20
	2844	</addr>
	2845
	2846	<!-- CUSTO DIAN PHONE ?EMAIL/URL , R2 -->
	2847
	2848	<telecom
	2849	nullFlavor ="NA"
	2850	/>
	2851
	2852	<playingEn tity>
	2853
	2854	<!-- CUSTO DIAN NAME, REQUIRED -->
	2855
	2856	<name />
	2857
	2858	</playingE ntity>
	2859
	2860	</particip antRole>
	2861
	2862	</particip ant>
	2863
	2864
	2865
	2866
	2867	<!-- ADVAN CED DIRECT IVE REFERE NCE, R2, n ot provide d by VA -- >
	2868
	2869
	2870	</observat ion>
	2871
	2872	</entry>
	2873
	2874	</section>
	2875
	2876	</componen t>
	2877
	2878	<component >
	2879
	2880	<!-- *** ****** ****** ****** ****** ****** *******
	2881	MEDICATION S (RX & No n-RX) SECT ION, REQUI RED **** ****** ****** ****** ****** ****** ****** - ->
	2882
	2883	<section>
	2884
	2885	<!-- C-CDA Medicatio ns Section Template Entries RE QUIRED -->
	2886
	2887	<templateI d
	2888	root="2.16 .840.1.113 883.10.20. 22.2.1.1"
	2889	/>
	2890
	2891	<templateI d
	2892	root="2.16 .840.1.113 883.10.20. 22.2.1"
	2893	/>
	2894
	2895	<code
	2896	code="1016 0-0"
	2897	codeSystem ="2.16.840 .1.113883. 6.1"
	2898
	2899	codeSystem Name="LOIN C"
	2900	displayNam e="History of medica tion use"
	2901	/>
	2902
	2903	<title>
	2904	Medication s Section
	2905	</title>
	2906
	2907	<!-- MEDIC ATIONS NAR RATIVE BLO CK -->
	2908
	2909	<text>
	2910
	2911	<!-- VA Me dication B usiness Ru les for Me dical Cont ent -->
	2912
	2913	<paragraph >
	2914	This sec tion conta ins: 1) p rescriptio ns process ed by a VA pharmacy
	2915	in the l ast 15 mon ths, and 2 ) all medi cations re corded in the VA med ical
	2916	record a s â€œnon-V A medicati onsâ€. Ph armacy ter ms refer t o VA pharm acyâ€™s wo rk
	2917	on presc riptions. VA patien ts are adv ised to ta ke their m edications as
	2918	instruct ed by thei r health c are team. Data come s from all VA treatm ent facili ties.
	2919
	2920	</paragrap h>
	2921
	2922	<paragraph >
	2923
	2924	<u>
	2925	Glossary o f Pharmacy Terms:
	2926	</u>
	2927
	2928	<u>
	2929	Active
	2930	</u>
	2931	=Prescript ion availa ble to be
	2932	filled a t local VA pharmacy.
	2933	<u>
	2934	Discontinu ed
	2935	</u>
	2936	=Prescript ion no lon ger active
	2937	due to a cting of p rovider or pharmacis t.
	2938	<u>
	2939	Expired
	2940	</u>
	2941	=Prescript ion is too old
	2942	to fill (does not refer to e xpiration date on me dication b ottle).
	2943
	2944	<u>
	2945	Non-VA
	2946	</u>
	2947	=Medicatio ns prescri bed by VA providers or non-VA providers
	2948	but not dispensed by a VA ph armacy; ma y also be over the c ounter med ications,
	2949	herbals, samples, or other m edications not presc ribed, rep orted by t he patient
	2950	and docu mented in the VA Ele ctronic He alth Recor d.
	2951	<u>
	2952	On Hold
	2953	</u>
	2954	=Active pr escription
	2955	that wil l not be f illed unti l pharmacy resolves the hold.
	2956	<u>
	2957	Pending
	2958	</u>
	2959	=Prescript ion
	2960	signed b y physicia n, awaitin g pharmacy review.
	2961	<u>
	2962	Suspense
	2963	</u>
	2964	=Active pr escription
	2965	that wil l be ready at the ne xt fill da te.
	2966
	2967	</paragrap h>
	2968
	2969	<table
	2970	ID="medica tionNarrat ive"
	2971	border="1"
	2972	width="100 %"
	2973	>
	2974
	2975	<thead>
	2976
	2977	<tr>
	2978
	2979	<th>
	2980	Medication Name and Strength
	2981	</th>
	2982
	2983	<th>
	2984	Pharmacy T erm
	2985	</th>
	2986
	2987	<th>
	2988	Instructio ns
	2989	</th>
	2990
	2991	<th>
	2992	Quantity O rdered
	2993	</th>
	2994
	2995	<th>
	2996	Prescripti on Expires
	2997	</th>
	2998
	2999	<th>
	3000	Prescripti on Number
	3001	</th>
	3002
	3003	<th>
	3004	Last Dispe nse Date
	3005	</th>
	3006
	3007	<th>
	3008	Ordering P rovider
	3009	</th>
	3010
	3011	<th>
	3012	Facility
	3013	</th>
	3014
	3015	</tr>
	3016
	3017	</thead>
	3018
	3019	<tbody>
	3020
	3021	<tr>
	3022
	3023	<td>
	3024
	3025	<content
	3026	ID="mndMed ication"
	3027	/>
	3028
	3029	</td>
	3030
	3031	<td>
	3032
	3033	<content
	3034	ID="mndSta tus"
	3035	/>
	3036
	3037	</td>
	3038
	3039	<td>
	3040
	3041	<content
	3042	ID="mndSig "
	3043	/>
	3044
	3045	</td>
	3046
	3047	<td>
	3048
	3049	<content
	3050	ID="mndQua ntity"
	3051	/>
	3052
	3053	</td>
	3054
	3055	<td>
	3056
	3057	<content
	3058	ID="mndExp ires"
	3059	/>
	3060
	3061	</td>
	3062
	3063	<td>
	3064
	3065	<content
	3066	ID="mndPre scription"
	3067	/>
	3068
	3069	</td>
	3070
	3071	<td>
	3072
	3073	<content
	3074	ID="mndLas tDispensed "
	3075	/>
	3076
	3077	</td>
	3078
	3079	<td>
	3080
	3081	<content
	3082	ID="mndPro vider"
	3083	/>
	3084
	3085	</td>
	3086
	3087	<td>
	3088
	3089	<content
	3090	ID="mndSou rce"
	3091	/>
	3092
	3093	</td>
	3094
	3095	</tr>
	3096
	3097	</tbody>
	3098
	3099	</table>
	3100
	3101	</text>
	3102
	3103	<!-- MEDIC ATIONS STR UCTURED DA TA -->
	3104
	3105	<!-- CCD M edication Activity E ntry -->
	3106
	3107	<entry>
	3108
	3109	<substance Administra tion
	3110	classCode= "SBADM"
	3111
	3112	moodCode=" EVN"
	3113	>
	3114
	3115	<templateI d
	3116	root="2.16 .840.1.113 883.10.20. 22.4.16"
	3117	/>
	3118
	3119	<id
	3120	nullFlavor ="UNK"
	3121	/>
	3122
	3123	<id
	3124	assigningA uthorityNa me="Depart ment of Ve terans Aff airs"
	3125
	3126	extension= "nullFlavo r"
	3127	root="2.16 .840.1.113 883.4.349"
	3128	/>
	3129
	3130	<!-- 8.12 DELIVERY M ETHOD, Opt ional, No value set defined, N ot provide d
	3131	by VA b/c data f rom VA Vis tA RPCs no t yet avai lable -->
	3132
	3133	<!-- 8.01 FREE TEXT SIG REFERE NCE, Optio nal -->
	3134
	3135	<text>
	3136
	3137	<reference
	3138	value="#mn dSig"
	3139	/>
	3140
	3141	</text>
	3142
	3143	<statusCod e
	3144	code="comp leted"
	3145	/>
	3146
	3147	<effective Time
	3148	xsi:type=" IVL_TS"
	3149	>
	3150
	3151	<low />
	3152
	3153	<!-- INDIC ATE MEDICA TION STOPP PED, high= Indicate M edication Stopped,
	3154	Optional -->
	3155
	3156	<high />
	3157
	3158	</effectiv eTime>
	3159
	3160	<!-- 8.02 INDICATE M EDICATION STOPPPED, Optional, Removed b/ c data
	3161	not ye t availabl e via VA V istA RPCs -->
	3162
	3163	<!-- 8.03 ADMINISTRA TION TIMIN G (xsi:typ e='EIVL' o perator='A '), Option al,
	3164	Not pr ovided by VA b/c dat a not yet available via VA Vis tA RPCs -- >
	3165
	3166	<!-- 8.04 FREQUENCY (xsi:type= 'PIVL_TS i nstitution Specified= 'false'
	3167	operat or='A''), Optional, Not provid ed by VA b /c data no t yet avai lable via
	3168	VA Vis tA RPCs -- >
	3169
	3170	<!--8.05 I NTERVAL ( xsi:type=' PIVL_TS' i nstitution Specified= 'false'
	3171	operat or='A'), O ptional,No t provided by VA b/c data not yet availa ble via
	3172	VA Vis tA RPCs -- >
	3173
	3174	<!--8.06 D URATION ( xsi:type=' PIVL_TS' o perator='A '), Option al, Not
	3175	provid ed by VA b /c data no t yet avai lable via VA VistA R PCs -->
	3176
	3177	<!-- 8.08 DOSE, Opti onal, Not provided b y VA b/c d ata not ye t availabl e
	3178	via VA VistA RPC s -->
	3179
	3180	<doseQuant ity />
	3181
	3182	<consumabl e>
	3183
	3184	<manufactu redProduct
	3185	classCode= "MANU"
	3186	>
	3187
	3188	<templateI d
	3189	root="2.16 .840.1.113 883.10.20. 22.4.23"
	3190	/>
	3191
	3192	<manufactu redMateria l>
	3193
	3194	<!-- 8.13 CODED PROD UCT NAME, REQUIRED, UNII, RxNo rm, NDF-RT , NDC,
	3195	No t provided by VA b/c data not yet availa ble via VA VistA RPC s -->
	3196
	3197	<code
	3198	codeSystem ="2.16.840 .1.113883. 6.88"
	3199
	3200	codeSystem Name="RxNo rm"
	3201	>
	3202
	3203	<!-- 8.14 CODED BRAN D NAME, R2 , Not prov ided by VA b/c data not
	3204	yet available via VA Vis tA RPCs -- >
	3205
	3206	<!-- 8.15 FREE TEXT PRODUCT NA ME, REQUIR ED -->
	3207
	3208	<originalT ext>
	3209
	3210	<reference
	3211	value="#mn dMedicatio n"
	3212	/>
	3213
	3214	</original Text>
	3215
	3216	<translati on
	3217	codeSystem ="2.16.840 .1.113883. 6.233"
	3218	codeSystem Name="VHA Enterprise Reference Terminolo gy"
	3219	/>
	3220
	3221	</code>
	3222
	3223	<!-- 8.16 FREE TEXT BRAND NAME , R2, Not provided b y VA b/c d ata
	3224	no t yet avai lable via VA VistA R PCs -->
	3225
	3226	</manufact uredMateri al>
	3227
	3228	</manufact uredProduc t>
	3229
	3230	</consumab le>
	3231
	3232	<!-- Infor mation Sou rce for Me dication E ntry, Opti onal -->
	3233
	3234	<author>
	3235
	3236	<time
	3237	nullFlavor ="UNK"
	3238	/>
	3239
	3240	<assignedA uthor>
	3241
	3242	<id
	3243	nullFlavor ="NI"
	3244	/>
	3245
	3246	<assignedP erson>
	3247
	3248	<name />
	3249
	3250	</assigned Person>
	3251
	3252	<represent edOrganiza tion>
	3253
	3254	<id
	3255	root="2.16 .840.1.113 883.4.349"
	3256	/>
	3257
	3258	<name />
	3259
	3260	<telecom
	3261	nullFlavor ="NA"
	3262	/>
	3263
	3264	<addr
	3265	nullFlavor ="NA"
	3266	/>
	3267
	3268	</represen tedOrganiz ation>
	3269
	3270	</assigned Author>
	3271
	3272	</author>
	3273
	3274
	3275	<!-- 8.20- STATUS OF MEDICATION , Optional -R2, SNOME D CT -->
	3276
	3277	<entryRela tionship
	3278	typeCode=" REFR"
	3279	>
	3280
	3281	<!--To Ide ntify Stat us -->
	3282
	3283	<observati on
	3284	classCode= "OBS"
	3285	moodCode=" EVN"
	3286	>
	3287
	3288	<templateI d
	3289	root="2.16 .840.1.113 883. IP "
	3290	/>
	3291
	3292	<code
	3293	code="3399 9-4"
	3294	displayNam e="Status"
	3295	codeSystem ="2.16.840 .1.113883. 6.1"
	3296
	3297	codeSystem Name="LOIN C"
	3298	/>
	3299
	3300	<value
	3301	xsi:type=" CE"
	3302	>
	3303
	3304	<originalT ext>
	3305	</original Text>
	3306
	3307	</value>
	3308
	3309	</observat ion>
	3310
	3311	</entryRel ationship>
	3312
	3313	<!-- CCD P atient Ins tructions Entry, Opt ional -->
	3314
	3315
	3316	<entryRela tionship
	3317	typeCode=' SUBJ'
	3318	>
	3319
	3320	<observati on
	3321	classCode= 'OBS'
	3322	moodCode=' EVN'
	3323	>
	3324
	3325	<!-- VLER SEG 1B: 8. 19-TYPE OF MEDICATIO N, Optiona l-R2, SNOM ED CT -->
	3326
	3327	<code
	3328	code=''
	3329	displayNam e=''
	3330	codeSystem ='2.16.840 .1.113883. 6.96'
	3331
	3332	codeSystem Name='SNOM ED CT'
	3333	>
	3334
	3335	<originalT ext />
	3336
	3337	</code>
	3338
	3339	<statusCod e
	3340	code='comp leted'
	3341	/>
	3342
	3343	</observat ion>
	3344
	3345	</entryRel ationship>
	3346
	3347
	3348	<entryRela tionship
	3349	inversionI nd="true"
	3350
	3351	typeCode=' SUBJ'
	3352	>
	3353
	3354	<act
	3355	classCode= "ACT"
	3356	moodCode=" INT"
	3357	>
	3358
	3359	<templateI d
	3360	root="2.16 .840.1.113 883.10.20. 22.4.20"
	3361	/>
	3362
	3363	<code
	3364	codeSystem ="2.16.840 .1.113883. 6.96"
	3365	codeSystem Name="SNOM ED CT"
	3366	/>
	3367
	3368	<statusCod e
	3369	code="comp leted"
	3370	/>
	3371
	3372	</act>
	3373
	3374	</entryRel ationship>
	3375
	3376	<!-- CCD D rug Vehicl e Entry, O ptional, N ot provide d by VA b/ c data
	3377	not ye t availabl e via VA V istA RPCs -->
	3378
	3379	<!-- 8.24 VEHICLE, O ptional, N ot provide d by VA b/ c data not yet avail able
	3380	via VA VistA RPC s -->
	3381
	3382	<!-- CCD I ndication Entry, Opt ional, Not provided by VA b/c data not
	3383	yet av ailable vi a VA VistA RPCs -->
	3384
	3385	<!-- 8.21 INDICATION VALUE, Op tional, SN OMED CT, N ot provide d by VA
	3386	b/c da ta not yet available via VA Vi stA RPCs - ->
	3387
	3388	<!-- CCD M edication Supply Ord er Entry, REQUIRED - ->
	3389
	3390	<entryRela tionship
	3391	typeCode=' REFR'
	3392	>
	3393
	3394	<supply
	3395	classCode= "SPLY"
	3396	moodCode=" INT"
	3397	>
	3398
	3399	<templateI d
	3400	root="2.16 .840.1.113 883.10.20. 22.4.17"
	3401	/>
	3402
	3403	<!-- VLER SEG 1B: 8. 26 ORDER N UMBER, Opt ional-R2 - ->
	3404
	3405	<id
	3406	root="2.16 .840.1.113 883.4.349"
	3407	/>
	3408
	3409	<statusCod e
	3410	code="comp leted"
	3411	/>
	3412
	3413	<!-- 8.29 ORDER EXPI RATION DAT E/TIME, Op tional-R2 -->
	3414
	3415	<effective Time
	3416	xsi:type=" IVL_TS"
	3417	>
	3418
	3419	<high />
	3420
	3421	</effectiv eTime>
	3422
	3423	<!-- VLER SEG 1B: 8. 27 FILLS, Optional - ->
	3424
	3425	<repeatNum ber />
	3426
	3427	<!-- 8.28 QUANTITY O RDERED, R2 , Not prov ided by VA b/c data not
	3428	yet availa ble via VA VistA RPC s -->
	3429
	3430	<quantity />
	3431
	3432	<product>
	3433
	3434	<manufactu redProduct
	3435	classCode= "MANU"
	3436	>
	3437
	3438	<templateI d
	3439	root="2.16 .840.1.113 883.10.20. 22.4.23"
	3440	/>
	3441
	3442	<manufactu redMateria l>
	3443
	3444	<code
	3445	codeSystem ="2.16.840 .1.113883. 6.88"
	3446
	3447	codeSystem Name="RxNo rm"
	3448	>
	3449
	3450
	3451	</code>
	3452
	3453	</manufact uredMateri al>
	3454
	3455	</manufact uredProduc t>
	3456
	3457	</product>
	3458
	3459	<author>
	3460
	3461	<!-- 8.30 ORDER DATE /TIME, Opt ional -->
	3462
	3463	<time />
	3464
	3465	<assignedA uthor>
	3466
	3467	<id
	3468	nullFlavor ="NI"
	3469	/>
	3470
	3471	<assignedP erson>
	3472
	3473	<!-- 8.31 ORDERING P ROVIDER, O ptional -- >
	3474
	3475	<name />
	3476
	3477	</assigned Person>
	3478
	3479	</assigned Author>
	3480
	3481	</author>
	3482
	3483	</supply>
	3484
	3485	</entryRel ationship>
	3486
	3487	<!-- FULFI LLMENT HIS TORY INFOR MATION -->
	3488
	3489	<!-- CCD M edication Dispense E ntry, Opti onal -->
	3490
	3491	<entryRela tionship
	3492	typeCode=' REFR'
	3493	>
	3494
	3495	<supply
	3496	classCode= "SPLY"
	3497	moodCode=" EVN"
	3498	>
	3499
	3500	<templateI d
	3501	root="2.16 .840.1.113 883.10.20. 22.4.18"
	3502	/>
	3503
	3504	<!-- 8.34 PRESCRIPTI ON NUMBER, Optional- R2 -->
	3505
	3506	<id />
	3507
	3508	<statusCod e
	3509	code="comp leted"
	3510	/>
	3511
	3512	<effective Time
	3513	xsi:type=" IVL_TS"
	3514	>
	3515
	3516	<high />
	3517
	3518	</effectiv eTime>
	3519
	3520	<repeatNum ber />
	3521
	3522	<product>
	3523
	3524	<manufactu redProduct
	3525	classCode= "MANU"
	3526	>
	3527
	3528	<templateI d
	3529	root="2.16 .840.1.113 883.10.20. 22.4.23"
	3530	/>
	3531
	3532	<manufactu redMateria l>
	3533
	3534	<code
	3535	codeSystem ="2.16.840 .1.113883. 6.88"
	3536
	3537	codeSystem Name="RxNo rm"
	3538	nullFlavor ="UNK"
	3539	>
	3540
	3541	<originalT ext />
	3542
	3543	</code>
	3544
	3545	</manufact uredMateri al>
	3546
	3547	</manufact uredProduc t>
	3548
	3549	</product>
	3550
	3551	<author>
	3552
	3553	<time />
	3554
	3555	<assignedA uthor>
	3556
	3557	<id
	3558	nullFlavor ="NI"
	3559	/>
	3560
	3561	<assignedP erson>
	3562
	3563	<name />
	3564
	3565	</assigned Person>
	3566
	3567	</assigned Author>
	3568
	3569	</author>
	3570
	3571	</supply>
	3572
	3573	</entryRel ationship>
	3574
	3575	</substanc eAdministr ation>
	3576
	3577	<!-- 8.23 REACTION O BSERVATION Entry, Op tional, No t provided by VA
	3578	b/c data not y et availab le via VA VistA RPCs -->
	3579
	3580	<!-- CCD P RECONDITIO N FOR SUBS TANCE ADMI NISTRATION ENTRY, Op tional,
	3581	Not provided b y VA b/c d ata not ye t availabl e via VA V istA RPCs -->
	3582
	3583	<!--8.25 D OSE INDICA TOR, Optio nal, Not p rovided by VA b/c da ta not
	3584	yet available via VA Vis tA RPCs -- >
	3585
	3586	</entry>
	3587
	3588	</section>
	3589
	3590	</componen t>
	3591
	3592	<component >
	3593
	3594	<!-- *** ****** ****** ****** ****** ******** * ENCOUNTE R
	3595	SECTION, O ptional ****** ****** ****** ****** ****** ** -->
	3596
	3597	<section>
	3598
	3599	<templateI d
	3600	root="2.16 .840.1.113 883.10.20. 22.2.22.1"
	3601	/>
	3602
	3603	<templateI d
	3604	root="2.16 .840.1.113 883.10.20. 22.2.22"
	3605	/>
	3606
	3607	<code
	3608	code="4624 0-8"
	3609	codeSystem ="2.16.840 .1.113883. 6.1"
	3610
	3611	codeSystem Name="LOIN C"
	3612	displayNam e="Encount ers"
	3613	/>
	3614
	3615	<title>
	3616	Encounters Section
	3617	</title>
	3618
	3619	<text>
	3620
	3621	<!-- VA En counter Bu siness Rul es for Med ical Conte nt -->
	3622
	3623	<paragraph >
	3624	This
	3625	sect ion contai ns a list of complet ed VA Outp atient Enc ounters fo r
	3626	the patient an d a list o f Discharg e Summarie s, Consult Notes, an d
	3627	Hist ory & Physical N otes for t he patient . The data comes fro m
	3628	all VA treatme nt facilit ies.
	3629
	3630	<br />
	3631
	3632	<br />
	3633
	3634	</paragrap h>
	3635
	3636
	3637	<paragraph
	3638	ID="opEncT itle"
	3639	>
	3640	The list of VA Out patient En counters s hows the 1 50 most re cent Encou nter
	3641	dates wi thin the r equested d ate range. If no da te range w as provide d,
	3642	the list of VA Out patient En counters s hows the 1 50 most re cent Encou nter
	3643	dates wi thin the l ast 36 mon ths. Foll ow-up visi ts related to the VA
	3644	Encounte r are not included. The data comes from all VA tr eatment fa cilities.
	3645
	3646	</paragrap h>
	3647
	3648	<table
	3649	ID="encoun terNarrati ve"
	3650	border="1"
	3651	width="100 %"
	3652	>
	3653
	3654	<thead>
	3655
	3656	<tr>
	3657
	3658	<th>
	3659	Date/Time
	3660	</th>
	3661
	3662	<th>
	3663	Encounter Type
	3664	</th>
	3665
	3666	<th>
	3667	Encounter Descriptio n
	3668	</th>
	3669
	3670	<th>
	3671	Reason
	3672	</th>
	3673
	3674	<th>
	3675	Provider
	3676	</th>
	3677
	3678	<th>
	3679	Source
	3680	</th>
	3681
	3682	</tr>
	3683
	3684	</thead>
	3685
	3686	<tbody>
	3687
	3688	<tr>
	3689
	3690	<td />
	3691
	3692
	3693	<td>
	3694
	3695	<content
	3696	ID="endEnc ounterType "
	3697	/>
	3698
	3699	</td>
	3700
	3701	<td>
	3702
	3703	<content
	3704	ID="endEnc ounterDesc ription"
	3705	/>
	3706
	3707	</td>
	3708
	3709	<td>
	3710
	3711	<content
	3712	ID="endRea son"
	3713	/>
	3714
	3715	</td>
	3716
	3717	<td>
	3718
	3719	<content
	3720	ID="endPro vider"
	3721	/>
	3722
	3723	</td>
	3724
	3725	<td>
	3726
	3727	<content
	3728	ID="endSou rce"
	3729	/>
	3730
	3731	</td>
	3732
	3733	</tr>
	3734
	3735	</tbody>
	3736
	3737	</table>
	3738
	3739	<!-- Start Associate d Notes Na rrative-->
	3740
	3741	<paragraph
	3742	ID="anTitl e"
	3743	>
	3744	The list o f Progress Notes inc ludes the 10 most re cent notes for each Outpatient Encounter . The dat a comes fr om all VA treatment facilities .
	3745	</paragrap h>
	3746
	3747	<table
	3748	ID="anNote Narrative"
	3749	border="1"
	3750	width="100 %"
	3751	>
	3752
	3753	<thead>
	3754
	3755	<tr>
	3756
	3757	<th>
	3758	Date/Time
	3759	</th>
	3760
	3761	<th>
	3762	Encounter Note
	3763	</th>
	3764
	3765	<th>
	3766	Provider
	3767	</th>
	3768
	3769	<th>
	3770	Source
	3771	</th>
	3772
	3773	</tr>
	3774
	3775	</thead>
	3776
	3777	<tbody>
	3778
	3779	<tr>
	3780
	3781	<td>
	3782
	3783	<content
	3784	ID="anNote DateTime"
	3785	/>
	3786
	3787	</td>
	3788
	3789	<td>
	3790
	3791	<content
	3792	ID="anNote EncounterD escription "
	3793	/>
	3794
	3795	</td>
	3796
	3797	<td>
	3798
	3799	<content
	3800	ID="anNote Provider"
	3801	/>
	3802
	3803	</td>
	3804
	3805	<td>
	3806
	3807	<content
	3808	ID="anNote Source"
	3809	/>
	3810
	3811	</td>
	3812
	3813	</tr>
	3814
	3815	</tbody>
	3816
	3817	</table>
	3818
	3819	<!-- Stop Associated Notes Nar rative -->
	3820
	3821	<!-- Consu lt notes b egin -->
	3822
	3823	<paragraph
	3824	ID="conTit le"
	3825	>
	3826	The list of Consul t Notes in cludes the 20 most r ecent note s within
	3827	the with in the req uested dat e range. If no date range was provided,
	3828	the list of Consul t Notes in cludes the 20 most r ecent note s within
	3829	the with in the las t 24 month s. The dat a comes fr om all VA treatment
	3830	faciliti es.
	3831
	3832	</paragrap h>
	3833
	3834	<table
	3835	ID="NoteNa rrative"
	3836	border="1"
	3837	width="100 %"
	3838	>
	3839
	3840	<thead>
	3841
	3842	<tr>
	3843
	3844	<th>
	3845	Date/Time
	3846	</th>
	3847
	3848	<th>
	3849	Encounter Note
	3850	</th>
	3851
	3852	<th>
	3853	Provider
	3854	</th>
	3855
	3856	<th>
	3857	Source
	3858	</th>
	3859
	3860	</tr>
	3861
	3862	</thead>
	3863
	3864	<tbody>
	3865
	3866	<tr>
	3867
	3868	<td>
	3869
	3870	<content
	3871	ID="noteDa teTime"
	3872	/>
	3873
	3874	</td>
	3875
	3876	<td>
	3877
	3878	<content
	3879	ID="noteEn counterDes cription"
	3880	/>
	3881
	3882	</td>
	3883
	3884	<td>
	3885
	3886	<content
	3887	ID="notePr ovider"
	3888	/>
	3889
	3890	</td>
	3891
	3892	<td>
	3893
	3894	<content
	3895	ID="noteSo urce"
	3896	/>
	3897
	3898	</td>
	3899
	3900	</tr>
	3901
	3902	</tbody>
	3903
	3904	</table>
	3905
	3906	<!-- histo ry and phy sical note s begin -- >
	3907
	3908	<paragraph
	3909	ID="hnpTit le"
	3910	>
	3911	The list of H &amp ; P Notes includes t he 20 most recent no tes within
	3912	the requ ested date range. I f no date range was provided,
	3913	the list of H &amp ; P Notes includes t he 20 most recent no tes within the
	3914	last 24 months. Th e data com es from al l VA treat ment facil ities.
	3915
	3916	</paragrap h>
	3917
	3918	<table
	3919	ID="HnPNot eNarrative "
	3920	border="1"
	3921	width="100 %"
	3922	>
	3923
	3924	<thead>
	3925
	3926	<tr>
	3927
	3928	<th>
	3929	Date/Time
	3930	</th>
	3931
	3932	<th>
	3933	Encounter Note
	3934	</th>
	3935
	3936	<th>
	3937	Provider
	3938	</th>
	3939
	3940	<th>
	3941	Source
	3942	</th>
	3943
	3944	</tr>
	3945
	3946	</thead>
	3947
	3948	<tbody>
	3949
	3950	<tr>
	3951
	3952	<td>
	3953
	3954	<content
	3955	ID="HnPnot eDateTime"
	3956	/>
	3957
	3958	</td>
	3959
	3960	<td>
	3961
	3962	<content
	3963	ID="HnPnot eEncounter Descriptio n"
	3964	/>
	3965
	3966	</td>
	3967
	3968	<td>
	3969
	3970	<content
	3971	ID="HnPnot eProvider"
	3972	/>
	3973
	3974	</td>
	3975
	3976	<td>
	3977
	3978	<content
	3979	ID="HnPnot eSource"
	3980	/>
	3981
	3982	</td>
	3983
	3984	</tr>
	3985
	3986	</tbody>
	3987
	3988	</table>
	3989
	3990	<!-- Disch arge summa ry notes b egin -->
	3991
	3992	<paragraph
	3993	ID="disTit le"
	3994	>
	3995	The list of Discha rge Summar ies includ es the 10 most recen t
	3996	summarie s within t he request ed date ra nge. If n o date ran ge
	3997	was prov ided, the list of Di scharge Su mmaries in cludes the 10
	3998	most rec ent summar ies within the last 36 months. The data comes
	3999	from all VA treatm ent facili ties.
	4000
	4001	</paragrap h>
	4002
	4003	<table
	4004	ID="DisNot eNarrative "
	4005	border="1"
	4006	width="100 %"
	4007	>
	4008
	4009	<thead>
	4010
	4011	<tr>
	4012
	4013	<th>
	4014	Date/Time
	4015	</th>
	4016
	4017	<th>
	4018	Encounter Note
	4019	</th>
	4020
	4021	<th>
	4022	Provider
	4023	</th>
	4024
	4025	<th>
	4026	Source
	4027	</th>
	4028
	4029	</tr>
	4030
	4031	</thead>
	4032
	4033	<tbody>
	4034
	4035	<tr>
	4036
	4037	<td>
	4038
	4039	<content
	4040	ID="Disnot eDateTime"
	4041	/>
	4042
	4043	</td>
	4044
	4045	<td>
	4046
	4047	<content
	4048	ID="Disnot eEncounter Descriptio n"
	4049	/>
	4050
	4051	</td>
	4052
	4053	<td>
	4054
	4055	<content
	4056	ID="Disnot eProvider"
	4057	/>
	4058
	4059	</td>
	4060
	4061	<td>
	4062
	4063	<content
	4064	ID="Disnot eSource"
	4065	/>
	4066
	4067	</td>
	4068
	4069	</tr>
	4070
	4071	</tbody>
	4072
	4073	</table>
	4074
	4075
	4076	<!-- CDA O bservation Text as a Reference tag -->
	4077
	4078	<content
	4079	ID='encNot e-1'
	4080	revised="d elete"
	4081	>
	4082	IHE Encoun ter Templa te
	4083	Text not used by VA
	4084	</content>
	4085
	4086	</text>
	4087
	4088	<entry>
	4089
	4090	<encounter
	4091	classCode= "ENC"
	4092	moodCode=" EVN"
	4093	>
	4094
	4095	<templateI d
	4096	root="2.16 .840.1.113 883.10.20. 22.4.49"
	4097	/>
	4098
	4099	<id
	4100	nullFlavor ="NI"
	4101	/>
	4102
	4103	<!-- 16.02 ENCOUNTER TYPE. R2, CPT-4 -->
	4104
	4105	<code
	4106	codeSystem ="2.16.840 .1.113883. 6.12"
	4107	codeSystem Name="CPT- 4"
	4108	>
	4109
	4110	<!-- 16.03 ENCOUNTER FREE TEXT TYPE. R2 -->
	4111
	4112	<originalT ext>
	4113
	4114	<reference />
	4115
	4116	</original Text>
	4117
	4118	<translati on>
	4119
	4120	<!-- 16.03 ENCOUNTER FREE TEXT TYPE. R2 -->
	4121
	4122	<originalT ext>
	4123
	4124	<reference />
	4125
	4126	</original Text>
	4127
	4128	</translat ion>
	4129
	4130
	4131	</code>
	4132
	4133	<!-- 16.04 ENCOUNTER DATE/TIME , REQUIRED -->
	4134
	4135	<effective Time>
	4136
	4137	<low />
	4138
	4139	</effectiv eTime>
	4140
	4141	<performer >
	4142
	4143	<assignedE ntity>
	4144
	4145	<id
	4146	nullFlavor ="NA"
	4147	/>
	4148
	4149	<assignedP erson>
	4150
	4151	<!-- 16.05 ENCOUNTER PROVIDER NAME, REQU IRED -->
	4152
	4153	<name />
	4154
	4155	</assigned Person>
	4156
	4157	</assigned Entity>
	4158
	4159	</performe r>
	4160
	4161	<author>
	4162
	4163	<time
	4164	nullFlavor ="NA"
	4165	/>
	4166
	4167	<assignedA uthor>
	4168
	4169	<id
	4170	nullFlavor ="NA"
	4171	/>
	4172
	4173	<represent edOrganiza tion>
	4174
	4175	<id
	4176	root="2.16 .840.1.113 883.4.349"
	4177	/>
	4178
	4179	<name />
	4180
	4181	</represen tedOrganiz ation>
	4182
	4183	</assigned Author>
	4184
	4185	</author>
	4186
	4187	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA
	4188	VistA -->
	4189
	4190	<!--16.11 - FACILITY LOCATION, Optional -->
	4191
	4192	<participa nt
	4193	typeCode=" LOC"
	4194	>
	4195
	4196	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	4197
	4198	<time>
	4199
	4200	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	4201
	4202	<low />
	4203
	4204	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	4205
	4206	<high />
	4207
	4208	</time>
	4209
	4210	<participa ntRole
	4211	classCode= "SDLOC"
	4212	>
	4213
	4214	<playingEn tity
	4215	classCode= "PLC"
	4216	/>
	4217
	4218	</particip antRole>
	4219
	4220	</particip ant>
	4221
	4222	<entryRela tionship
	4223	typeCode=" RSON"
	4224	>
	4225
	4226	<observati on
	4227	classCode= "OBS"
	4228	moodCode=" EVN"
	4229	>
	4230
	4231	<templateI d
	4232	root="2.16 .840.1.113 883.10.20. 22.4.19"
	4233	/>
	4234
	4235	<id
	4236	nullFlavor ="NI"
	4237	/>
	4238
	4239	<!-- CCD R eason for Visit Code , REQUIRED , SNOMED C T -->
	4240
	4241	<code
	4242	nullFlavor ="UNK"
	4243	/>
	4244
	4245	<!-- 16.13 REASON FO R VISIT TE XT, Option al -->
	4246
	4247	<text>
	4248
	4249	<reference />
	4250
	4251	</text>
	4252
	4253	<statusCod e
	4254	code="comp leted"
	4255	/>
	4256
	4257	<value
	4258	xsi:type=" CD"
	4259	codeSystem ="2.16.840 .1.113883. 6.96"
	4260
	4261	codeSystem Name="SNOM ED CT"
	4262	/>
	4263
	4264	</observat ion>
	4265
	4266	</entryRel ationship>
	4267
	4268
	4269	<!-- CCD E NCOUNTER D IAGNOSIS P ROBLEM COD E, REQURIE D, SNOMED CT -->
	4270
	4271
	4272	<!-- CCD E NCOUNTER D IAGNOSIS, Optional - ->
	4273
	4274	<entryRela tionship
	4275	typeCode=" SUBJ"
	4276
	4277	inversionI nd="false"
	4278	>
	4279
	4280	<act
	4281	classCode= "ACT"
	4282	moodCode=" EVN"
	4283	>
	4284
	4285	<!--Encoun ter diagno sis act -- >
	4286
	4287	<templateI d
	4288	root="2.16 .840.1.113 883.10.20. 22.4.80"
	4289	/>
	4290
	4291	<id
	4292	nullFlavor ="UNK"
	4293	/>
	4294
	4295	<code
	4296	xsi:type=" CE"
	4297	code="2930 8-4"
	4298	codeSystem ="2.16.840 .1.113883. 6.1"
	4299
	4300	codeSystem Name="LOIN C"
	4301	displayNam e="ENCOUNT ER DIAGNOS IS"
	4302	/>
	4303
	4304	<statusCod e
	4305	code="acti ve"
	4306	/>
	4307
	4308	<effective Time
	4309	nullFlavor ="UNK"
	4310	/>
	4311
	4312
	4313	<entryRela tionship
	4314	typeCode=" SUBJ"
	4315
	4316	inversionI nd="false"
	4317	>
	4318
	4319	<observati on
	4320	classCode= "OBS"
	4321	moodCode=" EVN"
	4322
	4323	negationIn d="false"
	4324	>
	4325
	4326	<templateI d
	4327	root="2.16 .840.1.113 883.10.20. 22.4.4"
	4328	/>
	4329
	4330	<!-- Probl em Observa tion -->
	4331
	4332	<id
	4333	nullFlavor ="UNK"
	4334	/>
	4335
	4336
	4337	<code
	4338	nullFlavor ="UNK"
	4339	>
	4340
	4341	<originalT ext>
	4342	Encounter Diagnosis Type Not A vailable
	4343	</original Text>
	4344
	4345	</code>
	4346
	4347
	4348	<statusCod e
	4349	code="comp leted"
	4350	/>
	4351
	4352	<!-- CCD E NCOUNTER D IAGNOSIS P ROBLEM COD E, REQUIRE D, SNOMED CT -->
	4353
	4354	<value
	4355	xsi:type=" CD"
	4356	codeSystem Name="SNOM ED CT"
	4357
	4358	codeSystem ="2.16.840 .1.113883. 6.96"
	4359	>
	4360
	4361	<originalT ext>
	4362
	4363	<reference />
	4364
	4365	</original Text>
	4366
	4367	<translati on
	4368	codeSystem Name="ICD- 9-CM"
	4369
	4370	codeSystem ="2.16.840 .1.113883. 6.103"
	4371	>
	4372	</translat ion>
	4373
	4374
	4375	</value>
	4376
	4377	</observat ion>
	4378
	4379	</entryRel ationship>
	4380
	4381	</act>
	4382
	4383	</entryRel ationship>
	4384
	4385
	4386	<!-- 16.09 DISCHARGE DISPOSITI ON CODE, O ptional, N ot provide d by VA
	4387	b/c da ta not yet available via VA Vi stA RPCs - ->
	4388
	4389	</encounte r>
	4390
	4391	</entry>
	4392
	4393	<entry
	4394	typeCode=" DRIV"
	4395	id="con"
	4396	>
	4397
	4398	<encounter
	4399	classCode= "ENC"
	4400	moodCode=" EVN"
	4401	>
	4402
	4403	<templateI d
	4404	root="2.16 .840.1.113 883.10.20. 22.4.49"
	4405	/>
	4406
	4407	<id
	4408	nullFlavor ="UNK"
	4409	/>
	4410
	4411	<!-- 16.02 ENCOUNTER TYPE. R2, CPT-4 -->
	4412
	4413	<code
	4414	codeSystem ="2.16.840 .1.113883. 6.12"
	4415	codeSystem Name="CPT- 4"
	4416	>
	4417
	4418	<!-- 16.03 ENCOUNTER FREE TEXT TYPE. R2 -->
	4419
	4420	<originalT ext>
	4421
	4422	<reference />
	4423
	4424	</original Text>
	4425
	4426	<translati on>
	4427	</translat ion>
	4428
	4429	</code>
	4430
	4431	<!-- 16.04 ENCOUNTER DATE/TIME , REQUIRED -->
	4432
	4433	<effective Time>
	4434
	4435	<low />
	4436
	4437	</effectiv eTime>
	4438
	4439	<performer >
	4440
	4441	<assignedE ntity>
	4442
	4443	<id
	4444	nullFlavor ="NA"
	4445	/>
	4446
	4447	<assignedP erson>
	4448
	4449	<!-- 16.05 ENCOUNTER PROVIDER NAME, REQU IRED -->
	4450
	4451	<name />
	4452
	4453	</assigned Person>
	4454
	4455	</assigned Entity>
	4456
	4457	</performe r>
	4458
	4459	<author>
	4460
	4461	<time
	4462	nullFlavor ="NA"
	4463	/>
	4464
	4465	<assignedA uthor>
	4466
	4467	<id
	4468	nullFlavor ="NA"
	4469	/>
	4470
	4471	<represent edOrganiza tion>
	4472
	4473	<id
	4474	root="2.16 .840.1.113 883.4.349"
	4475	/>
	4476
	4477	<name />
	4478
	4479	</represen tedOrganiz ation>
	4480
	4481	</assigned Author>
	4482
	4483	</author>
	4484
	4485	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA
	4486	VistA -->
	4487
	4488	<!--16.11 - FACILITY LOCATION, Optional -->
	4489
	4490	<participa nt
	4491	typeCode=" LOC"
	4492	>
	4493
	4494	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	4495
	4496	<time>
	4497
	4498	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	4499
	4500	<low />
	4501
	4502	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	4503
	4504	<high />
	4505
	4506	</time>
	4507
	4508	<participa ntRole
	4509	classCode= "SDLOC"
	4510	>
	4511
	4512	<templateI d
	4513	root="2.16 .840.1.113 883.10.20. 22.4.32"
	4514	/>
	4515
	4516	<code
	4517	nullFlavor ="UNK"
	4518	/>
	4519
	4520	<addr
	4521	nullFlavor ="UNK"
	4522	/>
	4523
	4524	<telecom
	4525	nullFlavor ="UNK"
	4526	/>
	4527
	4528	<playingEn tity
	4529	classCode= "PLC"
	4530	>
	4531
	4532	<name />
	4533
	4534	</playingE ntity>
	4535
	4536	</particip antRole>
	4537
	4538	</particip ant>
	4539
	4540	<entryRela tionship
	4541	typeCode=" RSON"
	4542	>
	4543
	4544	<observati on
	4545	classCode= "OBS"
	4546	moodCode=" EVN"
	4547	>
	4548
	4549	<templateI d
	4550	root="2.16 .840.1.113 883.10.20. 22.4.19"
	4551	/>
	4552
	4553	<id
	4554	nullFlavor ="NI"
	4555	/>
	4556
	4557	<!-- CCD R eason for Visit Code , REQUIRED , SNOMED C T -->
	4558
	4559	<code
	4560	nullFlavor ="UNK"
	4561	/>
	4562
	4563	<!-- 16.13 REASON FO R VISIT TE XT, Option al -->
	4564
	4565	<text>
	4566
	4567	<reference />
	4568
	4569	</text>
	4570
	4571	<statusCod e
	4572	code="comp leted"
	4573	/>
	4574
	4575	<effective Time>
	4576
	4577	<low
	4578	nullFlavor ="UNK"
	4579	/>
	4580
	4581	</effectiv eTime>
	4582
	4583	<value
	4584	xsi:type=" CD"
	4585	/>
	4586
	4587	</observat ion>
	4588
	4589	</entryRel ationship>
	4590
	4591	<entryRela tionship
	4592	typeCode=" SUBJ"
	4593	inversionI nd="false"
	4594	>
	4595
	4596	<act
	4597	classCode= "ACT"
	4598	moodCode=" EVN"
	4599	>
	4600
	4601	<!--Encoun ter diagno sis act -- >
	4602
	4603	<templateI d
	4604	root="2.16 .840.1.113 883.10.20. 22.4.80"
	4605	/>
	4606
	4607	<id
	4608	nullFlavor ="UNK"
	4609	/>
	4610
	4611	<code
	4612	xsi:type=" CE"
	4613	code="2930 8-4"
	4614	codeSystem ="2.16.840 .1.113883. 6.1"
	4615
	4616	codeSystem Name="LOIN C"
	4617	displayNam e="ENCOUNT ER DIAGNOS IS"
	4618	/>
	4619
	4620	<statusCod e
	4621	code="acti ve"
	4622	/>
	4623
	4624	<effective Time
	4625	nullFlavor ="UNK"
	4626	>
	4627
	4628	</effectiv eTime>
	4629
	4630	<entryRela tionship
	4631	typeCode=" SUBJ"
	4632
	4633	inversionI nd="false"
	4634	>
	4635
	4636	<observati on
	4637	classCode= "OBS"
	4638	moodCode=" EVN"
	4639
	4640	negationIn d="false"
	4641	>
	4642
	4643	<templateI d
	4644	root="2.16 .840.1.113 883.10.20. 22.4.4"
	4645	/>
	4646
	4647	<!-- Probl em Observa tion -->
	4648
	4649	<id
	4650	nullFlavor ="UNK"
	4651	/>
	4652
	4653	<code
	4654	nullFlavor ="UNK"
	4655	>
	4656
	4657	<originalT ext>
	4658	Encounter Diagnosis Type Not A vailable
	4659	</original Text>
	4660
	4661	</code>
	4662
	4663	<statusCod e
	4664	code="comp leted"
	4665	/>
	4666
	4667	<!-- CCD E NCOUNTER D IAGNOSIS P ROBLEM COD E, REQUIRE D, SNOMED CT -->
	4668
	4669	<value
	4670	xsi:type=" CD"
	4671	code="UNK"
	4672	codeSystem ='2.16.840 .1.113883. 6.96'
	4673	codeSystem Name='SNOM ED CT'
	4674	>
	4675	</value>
	4676
	4677	</observat ion>
	4678
	4679	</entryRel ationship>
	4680
	4681	</act>
	4682
	4683	</entryRel ationship>
	4684
	4685
	4686	<!-- CCD E NCOUNTER D IAGNOSIS P ROBLEM COD E, REQURIE D, SNOMED CT -->
	4687
	4688	<!-- 16.09 DISCHARGE DISPOSITI ON CODE, O ptional, N ot provide d by VA
	4689	b/c da ta not yet available via VA Vi stA RPCs - ->
	4690
	4691	</encounte r>
	4692
	4693	</entry>
	4694
	4695	<entry
	4696	typeCode=" DRIV"
	4697	id="hnp"
	4698	>
	4699
	4700	<encounter
	4701	classCode= "ENC"
	4702	moodCode=" EVN"
	4703	>
	4704
	4705	<templateI d
	4706	root="2.16 .840.1.113 883.10.20. 22.4.49"
	4707	/>
	4708
	4709	<id
	4710	nullFlavor ="NI"
	4711	/>
	4712
	4713	<!-- 16.02 ENCOUNTER TYPE. R2, CPT-4 -->
	4714
	4715	<code
	4716	codeSystem ="2.16.840 .1.113883. 6.12"
	4717	codeSystem Name="CPT- 4"
	4718	>
	4719
	4720	<!-- 16.03 ENCOUNTER FREE TEXT TYPE. R2 -->
	4721
	4722	<originalT ext>
	4723
	4724	<reference />
	4725
	4726	</original Text>
	4727
	4728	<translati on>
	4729	</translat ion>
	4730
	4731	</code>
	4732
	4733	<!-- 16.04 ENCOUNTER DATE/TIME , REQUIRED -->
	4734
	4735	<effective Time>
	4736
	4737	<low />
	4738
	4739	</effectiv eTime>
	4740
	4741	<performer >
	4742
	4743	<assignedE ntity>
	4744
	4745	<id
	4746	nullFlavor ="NA"
	4747	/>
	4748
	4749	<assignedP erson>
	4750
	4751	<!-- 16.05 ENCOUNTER PROVIDER NAME, REQU IRED -->
	4752
	4753	<name />
	4754
	4755	</assigned Person>
	4756
	4757	</assigned Entity>
	4758
	4759	</performe r>
	4760
	4761	<author>
	4762
	4763	<time
	4764	nullFlavor ="NA"
	4765	/>
	4766
	4767	<assignedA uthor>
	4768
	4769	<id
	4770	nullFlavor ="NA"
	4771	/>
	4772
	4773	<represent edOrganiza tion>
	4774
	4775	<id
	4776	root="2.16 .840.1.113 883.4.349"
	4777	/>
	4778
	4779	<name />
	4780
	4781	</represen tedOrganiz ation>
	4782
	4783	</assigned Author>
	4784
	4785	</author>
	4786
	4787	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA
	4788	VistA -->
	4789
	4790	<!--16.11 - FACILITY LOCATION, Optional -->
	4791
	4792	<participa nt
	4793	typeCode=" LOC"
	4794	>
	4795
	4796	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	4797
	4798	<time>
	4799
	4800	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	4801
	4802	<low />
	4803
	4804	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	4805
	4806	<high />
	4807
	4808	</time>
	4809
	4810	<participa ntRole
	4811	classCode= "SDLOC"
	4812	>
	4813
	4814	<templateI d
	4815	root="2.16 .840.1.113 883.10.20. 22.4.32"
	4816	/>
	4817
	4818	<code
	4819	nullFlavor ="UNK"
	4820	/>
	4821
	4822	<addr
	4823	nullFlavor ="UNK"
	4824	/>
	4825
	4826	<telecom
	4827	nullFlavor ="UNK"
	4828	/>
	4829
	4830	<playingEn tity
	4831	classCode= "PLC"
	4832	>
	4833
	4834	<name />
	4835
	4836	</playingE ntity>
	4837
	4838	</particip antRole>
	4839
	4840	</particip ant>
	4841
	4842	<entryRela tionship
	4843	typeCode=" RSON"
	4844	>
	4845
	4846	<observati on
	4847	classCode= "OBS"
	4848	moodCode=" EVN"
	4849	>
	4850
	4851	<templateI d
	4852	root="2.16 .840.1.113 883.10.20. 22.4.19"
	4853	/>
	4854
	4855	<id
	4856	nullFlavor ="NI"
	4857	/>
	4858
	4859	<!-- CCD R eason for Visit Code , REQUIRED , SNOMED C T -->
	4860
	4861	<code
	4862	nullFlavor ="UNK"
	4863	/>
	4864
	4865	<!-- 16.13 REASON FO R VISIT TE XT, Option al -->
	4866
	4867	<text>
	4868
	4869	<reference />
	4870
	4871	</text>
	4872
	4873	<statusCod e
	4874	code="comp leted"
	4875	/>
	4876
	4877	<effective Time>
	4878
	4879	<low
	4880	nullFlavor ="UNK"
	4881	/>
	4882
	4883	</effectiv eTime>
	4884
	4885	<value
	4886	xsi:type=" CD"
	4887	/>
	4888
	4889	</observat ion>
	4890
	4891	</entryRel ationship>
	4892
	4893	<entryRela tionship
	4894	typeCode=" SUBJ"
	4895	inversionI nd="false"
	4896	>
	4897
	4898	<act
	4899	classCode= "ACT"
	4900	moodCode=" EVN"
	4901	>
	4902
	4903	<!--Encoun ter diagno sis act -- >
	4904
	4905	<templateI d
	4906	root="2.16 .840.1.113 883.10.20. 22.4.80"
	4907	/>
	4908
	4909	<id
	4910	nullFlavor ="UNK"
	4911	/>
	4912
	4913	<code
	4914	xsi:type=" CE"
	4915	code="2930 8-4"
	4916	codeSystem ="2.16.840 .1.113883. 6.1"
	4917
	4918	codeSystem Name="LOIN C"
	4919	displayNam e="ENCOUNT ER DIAGNOS IS"
	4920	/>
	4921
	4922	<statusCod e
	4923	code="acti ve"
	4924	/>
	4925
	4926	<effective Time
	4927	nullFlavor ="UNK"
	4928	>
	4929
	4930	</effectiv eTime>
	4931
	4932	<entryRela tionship
	4933	typeCode=" SUBJ"
	4934
	4935	inversionI nd="false"
	4936	>
	4937
	4938	<observati on
	4939	classCode= "OBS"
	4940	moodCode=" EVN"
	4941
	4942	negationIn d="false"
	4943	>
	4944
	4945	<templateI d
	4946	root="2.16 .840.1.113 883.10.20. 22.4.4"
	4947	/>
	4948
	4949	<!-- Probl em Observa tion -->
	4950
	4951	<id
	4952	nullFlavor ="UNK"
	4953	/>
	4954
	4955	<code
	4956	nullFlavor ="UNK"
	4957	>
	4958
	4959	<originalT ext>
	4960	Encounter Diagnosis Type Not A vailable
	4961	</original Text>
	4962
	4963	</code>
	4964
	4965	<statusCod e
	4966	code="comp leted"
	4967	/>
	4968
	4969	<!-- CCD E NCOUNTER D IAGNOSIS P ROBLEM COD E, REQUIRE D, SNOMED CT -->
	4970
	4971	<value
	4972	xsi:type=" CD"
	4973	code="UNK"
	4974	codeSystem ='2.16.840 .1.113883. 6.96'
	4975	codeSystem Name='SNOM ED CT'
	4976	>
	4977	</value>
	4978
	4979	</observat ion>
	4980
	4981	</entryRel ationship>
	4982
	4983	</act>
	4984
	4985	</entryRel ationship>
	4986
	4987
	4988	<!-- CCD E NCOUNTER D IAGNOSIS P ROBLEM COD E, REQURIE D, SNOMED CT -->
	4989
	4990	<!-- 16.09 DISCHARGE DISPOSITI ON CODE, O ptional, N ot provide d by VA
	4991	b/c da ta not yet available via VA Vi stA RPCs - ->
	4992
	4993	</encounte r>
	4994
	4995	</entry>
	4996
	4997	<entry
	4998	typeCode=" DRIV"
	4999	id="dis"
	5000	>
	5001
	5002	<encounter
	5003	classCode= "ENC"
	5004	moodCode=" EVN"
	5005	>
	5006
	5007	<templateI d
	5008	root="2.16 .840.1.113 883.10.20. 22.4.49"
	5009	/>
	5010
	5011	<id
	5012	nullFlavor ="NI"
	5013	/>
	5014
	5015	<!-- 16.02 ENCOUNTER TYPE. R2, CPT-4 -->
	5016
	5017	<code
	5018	codeSystem ="2.16.840 .1.113883. 6.12"
	5019	codeSystem Name="CPT- 4"
	5020	>
	5021
	5022	<!-- 16.03 ENCOUNTER FREE TEXT TYPE. R2 -->
	5023
	5024	<originalT ext>
	5025
	5026	<reference />
	5027
	5028	</original Text>
	5029
	5030	<translati on>
	5031	</translat ion>
	5032
	5033	</code>
	5034
	5035
	5036	<!-- 16.04 ENCOUNTER DATE/TIME , REQUIRED -->
	5037
	5038	<effective Time>
	5039
	5040	<low />
	5041
	5042	</effectiv eTime>
	5043
	5044	<performer >
	5045
	5046	<assignedE ntity>
	5047
	5048	<id
	5049	nullFlavor ="NA"
	5050	/>
	5051
	5052	<assignedP erson>
	5053
	5054	<!-- 16.05 ENCOUNTER PROVIDER NAME, REQU IRED -->
	5055
	5056	<name />
	5057
	5058	</assigned Person>
	5059
	5060	</assigned Entity>
	5061
	5062	</performe r>
	5063
	5064	<author>
	5065
	5066	<time
	5067	nullFlavor ="NA"
	5068	/>
	5069
	5070	<assignedA uthor>
	5071
	5072	<id
	5073	nullFlavor ="NA"
	5074	/>
	5075
	5076	<represent edOrganiza tion>
	5077
	5078	<id
	5079	root="2.16 .840.1.113 883.4.349"
	5080	/>
	5081
	5082	<name />
	5083
	5084	</represen tedOrganiz ation>
	5085
	5086	</assigned Author>
	5087
	5088	</author>
	5089
	5090	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA
	5091	VistA -->
	5092
	5093	<!--16.11 - FACILITY LOCATION, Optional -->
	5094
	5095	<participa nt
	5096	typeCode=" LOC"
	5097	>
	5098
	5099	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	5100
	5101	<time>
	5102
	5103	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	5104
	5105	<low />
	5106
	5107	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	5108
	5109	<high />
	5110
	5111	</time>
	5112
	5113	<participa ntRole
	5114	classCode= "SDLOC"
	5115	>
	5116
	5117	<playingEn tity
	5118	classCode= "PLC"
	5119	/>
	5120
	5121	</particip antRole>
	5122
	5123	</particip ant>
	5124
	5125	<entryRela tionship
	5126	typeCode=" RSON"
	5127	>
	5128
	5129	<observati on
	5130	classCode= "OBS"
	5131	moodCode=" EVN"
	5132	>
	5133
	5134	<templateI d
	5135	root="2.16 .840.1.113 883.10.20. 22.4.19"
	5136	/>
	5137
	5138	<id
	5139	nullFlavor ="NI"
	5140	/>
	5141
	5142	<!-- CCD R eason for Visit Code , REQUIRED , SNOMED C T -->
	5143
	5144	<code
	5145	nullFlavor ="UNK"
	5146	/>
	5147
	5148	<!-- 16.13 REASON FO R VISIT TE XT, Option al -->
	5149
	5150	<text>
	5151
	5152	<reference />
	5153
	5154	</text>
	5155
	5156	<statusCod e
	5157	code="comp leted"
	5158	/>
	5159
	5160	<value
	5161	xsi:type=" CD"
	5162	codeSystem ="2.16.840 .1.113883. 6.96"
	5163
	5164	codeSystem Name="SNOM ED CT"
	5165	/>
	5166
	5167	</observat ion>
	5168
	5169	</entryRel ationship>
	5170
	5171
	5172	<!-- CCD E NCOUNTER D IAGNOSIS P ROBLEM COD E, REQURIE D, SNOMED CT -->
	5173
	5174
	5175
	5176	<entryRela tionship
	5177	typeCode=" SUBJ"
	5178	inversionI nd="false"
	5179	>
	5180
	5181	<act
	5182	classCode= "ACT"
	5183	moodCode=" EVN"
	5184	>
	5185
	5186	<!--Encoun ter diagno sis act -- >
	5187
	5188	<templateI d
	5189	root="2.16 .840.1.113 883.10.20. 22.4.80"
	5190	/>
	5191
	5192	<id
	5193	nullFlavor ="UNK"
	5194	/>
	5195
	5196	<code
	5197	xsi:type=" CE"
	5198	code="2930 8-4"
	5199	codeSystem ="2.16.840 .1.113883. 6.1"
	5200
	5201	codeSystem Name="LOIN C"
	5202	displayNam e="ENCOUNT ER DIAGNOS IS"
	5203	/>
	5204
	5205	<statusCod e
	5206	code="acti ve"
	5207	/>
	5208
	5209	<effective Time
	5210	nullFlavor ="UNK"
	5211	>
	5212
	5213	</effectiv eTime>
	5214
	5215	<entryRela tionship
	5216	typeCode=" SUBJ"
	5217
	5218	inversionI nd="false"
	5219	>
	5220
	5221	<observati on
	5222	classCode= "OBS"
	5223	moodCode=" EVN"
	5224
	5225	negationIn d="false"
	5226	>
	5227
	5228	<templateI d
	5229	root="2.16 .840.1.113 883.10.20. 22.4.4"
	5230	/>
	5231
	5232	<!-- Probl em Observa tion -->
	5233
	5234	<id
	5235	nullFlavor ="UNK"
	5236	/>
	5237
	5238	<code
	5239	nullFlavor ="UNK"
	5240	>
	5241
	5242	<originalT ext>
	5243	Encounter Diagnosis Type Not A vailable
	5244	</original Text>
	5245
	5246	</code>
	5247
	5248	<statusCod e
	5249	code="comp leted"
	5250	/>
	5251
	5252	<!-- CCD E NCOUNTER D IAGNOSIS P ROBLEM COD E, REQUIRE D, SNOMED CT -->
	5253
	5254	<value
	5255	xsi:type=" CD"
	5256	code="UNK"
	5257	codeSystem ='2.16.840 .1.113883. 6.96'
	5258	codeSystem Name='SNOM ED CT'
	5259	>
	5260	</value>
	5261
	5262	</observat ion>
	5263
	5264	</entryRel ationship>
	5265
	5266	</act>
	5267
	5268	</entryRel ationship>
	5269
	5270	</encounte r>
	5271
	5272	</entry>
	5273
	5274
	5275
	5276	<entry
	5277	typeCode=" DRIV"
	5278	id="eds"
	5279	>
	5280
	5281	<encounter
	5282	classCode= "ENC"
	5283	moodCode=" EVN"
	5284	>
	5285
	5286	<templateI d
	5287	root="2.16 .840.1.113 883.10.20. 22.4.49"
	5288	/>
	5289
	5290	<id
	5291	nullFlavor ="NI"
	5292	/>
	5293
	5294	<!-- 16.02 ENCOUNTER TYPE. R2, CPT-4 -->
	5295
	5296	<code
	5297	codeSystem ="2.16.840 .1.113883. 6.12"
	5298	codeSystem Name="CPT- 4"
	5299	>
	5300
	5301	<!-- 16.03 ENCOUNTER FREE TEXT TYPE. R2 -->
	5302
	5303	<originalT ext>
	5304
	5305	<reference />
	5306
	5307	</original Text>
	5308
	5309	<translati on>
	5310	</translat ion>
	5311
	5312	</code>
	5313
	5314
	5315	<!-- 16.04 ENCOUNTER DATE/TIME , REQUIRED -->
	5316
	5317	<effective Time>
	5318
	5319	<low />
	5320
	5321	</effectiv eTime>
	5322
	5323	<performer >
	5324
	5325	<assignedE ntity>
	5326
	5327	<id
	5328	nullFlavor ="NA"
	5329	/>
	5330
	5331	<assignedP erson>
	5332
	5333	<!-- 16.05 ENCOUNTER PROVIDER NAME, REQU IRED -->
	5334
	5335	<name />
	5336
	5337	</assigned Person>
	5338
	5339	</assigned Entity>
	5340
	5341	</performe r>
	5342
	5343	<author>
	5344
	5345	<time
	5346	nullFlavor ="NA"
	5347	/>
	5348
	5349	<assignedA uthor>
	5350
	5351	<id
	5352	nullFlavor ="NA"
	5353	/>
	5354
	5355	<represent edOrganiza tion>
	5356
	5357	<id
	5358	root="2.16 .840.1.113 883.4.349"
	5359	/>
	5360
	5361	<name />
	5362
	5363	</represen tedOrganiz ation>
	5364
	5365	</assigned Author>
	5366
	5367	</author>
	5368
	5369	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA
	5370	VistA -->
	5371
	5372	<!--16.11 - FACILITY LOCATION, Optional -->
	5373
	5374	<participa nt
	5375	typeCode=" LOC"
	5376	>
	5377
	5378	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	5379
	5380	<time>
	5381
	5382	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	5383
	5384	<low />
	5385
	5386	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	5387
	5388	<high />
	5389
	5390	</time>
	5391
	5392	<participa ntRole
	5393	classCode= "SDLOC"
	5394	>
	5395
	5396	<playingEn tity
	5397	classCode= "PLC"
	5398	/>
	5399
	5400	</particip antRole>
	5401
	5402	</particip ant>
	5403
	5404	<entryRela tionship
	5405	typeCode=" RSON"
	5406	>
	5407
	5408	<observati on
	5409	classCode= "OBS"
	5410	moodCode=" EVN"
	5411	>
	5412
	5413	<templateI d
	5414	root="2.16 .840.1.113 883.10.20. 22.4.19"
	5415	/>
	5416
	5417	<id
	5418	nullFlavor ="NI"
	5419	/>
	5420
	5421	<!-- CCD R eason for Visit Code , REQUIRED , SNOMED C T -->
	5422
	5423	<code
	5424	nullFlavor ="UNK"
	5425	/>
	5426
	5427	<!-- 16.13 REASON FO R VISIT TE XT, Option al -->
	5428
	5429	<text>
	5430
	5431	<reference />
	5432
	5433	</text>
	5434
	5435	<statusCod e
	5436	code="comp leted"
	5437	/>
	5438
	5439	<value
	5440	xsi:type=" CD"
	5441	codeSystem ="2.16.840 .1.113883. 6.96"
	5442
	5443	codeSystem Name="SNOM ED CT"
	5444	/>
	5445
	5446	</observat ion>
	5447
	5448	</entryRel ationship>
	5449
	5450
	5451	<!-- CCD E NCOUNTER D IAGNOSIS P ROBLEM COD E, REQURIE D, SNOMED CT -->
	5452
	5453
	5454
	5455	<entryRela tionship
	5456	typeCode=" SUBJ"
	5457	inversionI nd="false"
	5458	>
	5459
	5460	<act
	5461	classCode= "ACT"
	5462	moodCode=" EVN"
	5463	>
	5464
	5465	<!--Encoun ter diagno sis act -- >
	5466
	5467	<templateI d
	5468	root="2.16 .840.1.113 883.10.20. 22.4.80"
	5469	/>
	5470
	5471	<id
	5472	nullFlavor ="UNK"
	5473	/>
	5474
	5475	<code
	5476	xsi:type=" CE"
	5477	code="2930 8-4"
	5478	codeSystem ="2.16.840 .1.113883. 6.1"
	5479
	5480	codeSystem Name="LOIN C"
	5481	displayNam e="ENCOUNT ER DIAGNOS IS"
	5482	/>
	5483
	5484	<statusCod e
	5485	code="acti ve"
	5486	/>
	5487
	5488	<effective Time
	5489	nullFlavor ="UNK"
	5490	>
	5491
	5492	</effectiv eTime>
	5493
	5494	<entryRela tionship
	5495	typeCode=" SUBJ"
	5496
	5497	inversionI nd="false"
	5498	>
	5499
	5500	<observati on
	5501	classCode= "OBS"
	5502	moodCode=" EVN"
	5503
	5504	negationIn d="false"
	5505	>
	5506
	5507	<templateI d
	5508	root="2.16 .840.1.113 883.10.20. 22.4.4"
	5509	/>
	5510
	5511	<!-- Probl em Observa tion -->
	5512
	5513	<id
	5514	nullFlavor ="UNK"
	5515	/>
	5516
	5517	<code
	5518	nullFlavor ="UNK"
	5519	>
	5520
	5521	<originalT ext>
	5522	Encounter Diagnosis Type Not A vailable
	5523	</original Text>
	5524
	5525	</code>
	5526
	5527	<statusCod e
	5528	code="comp leted"
	5529	/>
	5530
	5531	<!-- CCD E NCOUNTER D IAGNOSIS P ROBLEM COD E, REQUIRE D, SNOMED CT -->
	5532
	5533	<value
	5534	xsi:type=" CD"
	5535	code="UNK"
	5536	codeSystem ='2.16.840 .1.113883. 6.96'
	5537	codeSystem Name='SNOM ED CT'
	5538	>
	5539	</value>
	5540
	5541	</observat ion>
	5542
	5543	</entryRel ationship>
	5544
	5545	</act>
	5546
	5547	</entryRel ationship>
	5548
	5549	</encounte r>
	5550
	5551	</entry>
	5552
	5553
	5554	</section>
	5555
	5556	</componen t>
	5557
	5558	<component >
	5559
	5560	<!-- *** ****** ****** ****** ****** ******** * RESULTS
	5561	SECTION, R EQUIRED ****** ****** ****** ****** ****** ** -->
	5562
	5563	<section>
	5564
	5565	<!-- CCD R esults Sec tion Entri es REQUIRE D -->
	5566
	5567	<templateI d
	5568	root="2.16 .840.1.113 883.10.20. 22.2.3.1"
	5569	/>
	5570
	5571	<templateI d
	5572	root="2.16 .840.1.113 883.10.20. 22.2.3"
	5573	/>
	5574
	5575	<code
	5576	code="3095 4-2"
	5577	codeSystem ="2.16.840 .1.113883. 6.1"
	5578
	5579	codeSystem Name="LOIN C"
	5580	displayNam e="Relevan t diagnost ic tests a nd/or labo ratory dat a"
	5581	/>
	5582
	5583	<title>
	5584	Results Se ction
	5585	</title>
	5586
	5587	<text>
	5588
	5589	<!-- VA Re sults Busi ness Rules for Medic al Content -->
	5590
	5591	<paragraph >
	5592	This section c ontains th e Chemistr y and Hema tology Lab Results,
	5593	Radi ology Repo rts, and P athology R eports on record wit h VA for
	5594	the patient. T he data co mes from a ll VA trea tment faci lities.
	5595
	5596	</paragrap h>
	5597
	5598	<table
	5599	ID="labRul es"
	5600	border="1"
	5601	width="100 %"
	5602	>
	5603
	5604	<tbody>
	5605
	5606	<tr>
	5607
	5608	<td>
	5609	Lab Result s
	5610	</td>
	5611
	5612	</tr>
	5613
	5614	<tr>
	5615
	5616	<td>
	5617	This section c ontains th e Chemistr y/Hematolo gy Results
	5618	coll ected with in the req uested dat e range an d are limi ted
	5619	to t he 20 most recent se ts of test s. If no d ate range was
	5620	prov ided, the included C hemistry/H ematology Results ar e from
	5621	the last 24 mo nths and a re limited to the 20 most rece nt sets
	5622	of t ests. The data comes from all VA treatme nt facilit ies.
	5623
	5624	</td>
	5625
	5626	</tr>
	5627
	5628	</tbody>
	5629
	5630	</table>
	5631
	5632	<table
	5633	ID="labNar rative"
	5634	border="1"
	5635	width="100 %"
	5636	>
	5637
	5638	<thead>
	5639
	5640	<tr>
	5641
	5642	<th>
	5643	Date/Time
	5644	</th>
	5645
	5646	<th>
	5647	Source
	5648	</th>
	5649
	5650	<th>
	5651	Result Typ e
	5652	</th>
	5653
	5654	<th>
	5655	Result - U nit
	5656	</th>
	5657
	5658	<th>
	5659	Interpreta tion
	5660	</th>
	5661
	5662	<th>
	5663	Reference Range
	5664	</th>
	5665
	5666	<th>
	5667	Comment
	5668	</th>
	5669
	5670	</tr>
	5671
	5672	</thead>
	5673
	5674
	5675	<tbody>
	5676
	5677
	5678	<tr
	5679	ID="labTes t"
	5680	>
	5681
	5682	<td />
	5683
	5684
	5685	<td>
	5686
	5687	<content / >
	5688
	5689	</td>
	5690
	5691	<td>
	5692
	5693	<content / >
	5694
	5695	</td>
	5696
	5697	<td />
	5698
	5699
	5700	<td />
	5701
	5702
	5703	<td />
	5704
	5705
	5706	<td>
	5707
	5708	<content / >
	5709
	5710	</td>
	5711
	5712	</tr>
	5713
	5714	<tr
	5715	ID="labVal ues"
	5716	>
	5717
	5718	<td />
	5719
	5720
	5721	<td />
	5722
	5723
	5724	<td>
	5725
	5726	<content / >
	5727
	5728	</td>
	5729
	5730	<td>
	5731
	5732	<content / >
	5733
	5734	</td>
	5735
	5736	<td>
	5737
	5738	<content / >
	5739
	5740	</td>
	5741
	5742	<td>
	5743
	5744	<content / >
	5745
	5746	</td>
	5747
	5748	<td>
	5749
	5750	<content / >
	5751
	5752	</td>
	5753
	5754	</tr>
	5755
	5756
	5757	</tbody>
	5758
	5759	</table>
	5760
	5761
	5762
	5763
	5764
	5765	<table
	5766	ID="microb iologyRule s"
	5767	border="1"
	5768	width="100 %"
	5769	>
	5770
	5771	<tbody>
	5772
	5773	<tr>
	5774
	5775	<td>
	5776	Microbiolo gy Reports
	5777	</td>
	5778
	5779	</tr>
	5780
	5781	<tr>
	5782
	5783	<td>
	5784	The includ ed Microbi ology Repo rts are th e 20 most recent rep orts withi n the last 24 months . The data comes fro m all VA t reatment f acilities. ANTIBIOT IC SUSCEPT IBILITY TE ST RESULTS KEY: SUSC = Suscept ibility Re sult, S = Susceptibl e, INTP = Interpreta tion, I = Intermedia te, MIC = Minimum I nhibitory Concentrat ion, R = R esistant.
	5785
	5786	</td>
	5787
	5788	</tr>
	5789
	5790	</tbody>
	5791
	5792	</table>
	5793
	5794	<table
	5795	ID="microb iologyNarr ative"
	5796	border="1"
	5797	width="100 %"
	5798	>
	5799
	5800	<thead>
	5801
	5802	<tr>
	5803
	5804	<th>
	5805	Date/Time
	5806	</th>
	5807
	5808	<th>
	5809	Result Typ e
	5810	</th>
	5811
	5812	<th>
	5813	Source
	5814	</th>
	5815
	5816	<th>
	5817	Report
	5818	</th>
	5819
	5820	<th>
	5821	Provider
	5822	</th>
	5823
	5824	<th>
	5825	Status
	5826	</th>
	5827
	5828	</tr>
	5829
	5830	</thead>
	5831
	5832
	5833	<tbody>
	5834
	5835
	5836	<tr
	5837	ID="microb iologyTest "
	5838	>
	5839
	5840	<td />
	5841
	5842
	5843	<td>
	5844
	5845	<content / >
	5846
	5847	</td>
	5848
	5849	<td>
	5850
	5851	<content / >
	5852
	5853	</td>
	5854
	5855	<td>
	5856
	5857	<content / >
	5858
	5859	</td>
	5860
	5861	<td>
	5862
	5863	<content / >
	5864
	5865	</td>
	5866
	5867	<td>
	5868
	5869	<content>
	5870	completed
	5871	</content>
	5872
	5873	</td>
	5874
	5875	</tr>
	5876
	5877	</tbody>
	5878
	5879	</table>
	5880
	5881
	5882	<table
	5883	ID="radiol ogyRules"
	5884	border="1"
	5885	width="100 %"
	5886	>
	5887
	5888	<tbody>
	5889
	5890	<tr>
	5891
	5892	<td>
	5893	Radiology Reports
	5894	</td>
	5895
	5896	</tr>
	5897
	5898	<tr>
	5899
	5900	<td>
	5901	The included R adiology R eports are the 20 mo st recent reports
	5902	with in the req uested dat e range. If no date range was provided,
	5903	the included R adiology R eports are the 20 mo st recent reports wi thin
	5904	the last 24 mo nths. The data comes from all VA treatme nt facilit ies.
	5905
	5906	</td>
	5907
	5908	</tr>
	5909
	5910	</tbody>
	5911
	5912	</table>
	5913
	5914	<table
	5915	ID="radiol ogyNarrati ve"
	5916	border="1"
	5917	width="100 %"
	5918	>
	5919
	5920	<thead>
	5921
	5922	<tr>
	5923
	5924	<th>
	5925	Result Dat e/Time
	5926	</th>
	5927
	5928	<th>
	5929	Results Ty pe (LOINC)
	5930	</th>
	5931
	5932	<th>
	5933	Source
	5934	</th>
	5935
	5936	<th>
	5937	Result
	5938	</th>
	5939
	5940	<th>
	5941	Provider
	5942	</th>
	5943
	5944	<th>
	5945	Status
	5946	</th>
	5947
	5948	</tr>
	5949
	5950	</thead>
	5951
	5952	<tbody>
	5953
	5954	<tr>
	5955
	5956	<td />
	5957
	5958
	5959	<td>
	5960
	5961	<content / >
	5962
	5963	</td>
	5964
	5965	<td>
	5966
	5967	<content / >
	5968
	5969	</td>
	5970
	5971	<td>
	5972
	5973	<content / >
	5974
	5975	</td>
	5976
	5977	<td>
	5978
	5979	<content / >
	5980
	5981	</td>
	5982
	5983	<td>
	5984
	5985	<content>
	5986	completed
	5987	</content>
	5988
	5989	</td>
	5990
	5991
	5992	</tr>
	5993
	5994	</tbody>
	5995
	5996	</table>
	5997
	5998	<table
	5999	ID="pathol ogyRules"
	6000	border="1"
	6001	width="100 %"
	6002	>
	6003
	6004	<tbody>
	6005
	6006	<tr>
	6007
	6008	<td>
	6009	Pathology Reports
	6010	</td>
	6011
	6012	</tr>
	6013
	6014	<tr>
	6015
	6016	<td>
	6017	The included P athology R eports are the 20 mo st recent reports
	6018	with in the req uested dat e range. If no date range was provided,
	6019	the included P athology R eports are the 20 mo st recent reports wi thin
	6020	the last 24 mo nths. The data comes from all VA treatme nt facilit ies.
	6021
	6022	</td>
	6023
	6024	</tr>
	6025
	6026	</tbody>
	6027
	6028	</table>
	6029
	6030	<table
	6031	ID="pathol ogyNarrati ve"
	6032	border="1"
	6033	width="100 %"
	6034	>
	6035
	6036	<thead>
	6037
	6038	<tr>
	6039
	6040	<th>
	6041	Result Dat e/Time
	6042	</th>
	6043
	6044	<th>
	6045	Results Ty pe (LOINC)
	6046	</th>
	6047
	6048	<th>
	6049	Source
	6050	</th>
	6051
	6052	<th>
	6053	Result
	6054	</th>
	6055
	6056	<th>
	6057	Provider
	6058	</th>
	6059
	6060	<th>
	6061	Status
	6062	</th>
	6063
	6064
	6065	</tr>
	6066
	6067	</thead>
	6068
	6069	<tbody>
	6070
	6071	<tr>
	6072
	6073	<td />
	6074
	6075
	6076	<td>
	6077
	6078	<content / >
	6079
	6080	</td>
	6081
	6082	<td>
	6083
	6084	<content / >
	6085
	6086	</td>
	6087
	6088	<td>
	6089
	6090	<content / >
	6091
	6092	</td>
	6093
	6094	<td>
	6095
	6096	<content / >
	6097
	6098	</td>
	6099
	6100	<td>
	6101
	6102	<content>
	6103	completed
	6104	</content>
	6105
	6106	</td>
	6107
	6108	</tr>
	6109
	6110	</tbody>
	6111
	6112	</table>
	6113
	6114	</text>
	6115
	6116	<entry
	6117	typeCode=' DRIV'
	6118	>
	6119
	6120	<!-- CCD R esults Org anizer = V A Lab Orde r Panel , REQUIRED - ->
	6121
	6122	<organizer
	6123	classCode= "CLUSTER"
	6124	moodCode=" EVN"
	6125	>
	6126
	6127	<templateI d
	6128	root="2.16 .840.1.113 883.10.20. 22.4.1"
	6129	/>
	6130
	6131	<id
	6132	root="2.16 .840.1.113 883.4.349"
	6133	/>
	6134
	6135	<code
	6136	nullFlavor ="UNK"
	6137	>
	6138
	6139	<originalT ext>
	6140
	6141	<reference />
	6142
	6143	</original Text>
	6144
	6145	<translati on>
	6146
	6147	<originalT ext>
	6148
	6149	<reference />
	6150
	6151	</original Text>
	6152
	6153	</translat ion>
	6154
	6155	</code>
	6156
	6157	<statusCod e
	6158	code="comp leted"
	6159	/>
	6160
	6161	<effective Time>
	6162
	6163	<low />
	6164
	6165	</effectiv eTime>
	6166
	6167	<author>
	6168
	6169	<time
	6170	nullFlavor ="NA"
	6171	/>
	6172
	6173	<assignedA uthor>
	6174
	6175	<id
	6176	nullFlavor ="NA"
	6177	/>
	6178
	6179	<represent edOrganiza tion>
	6180
	6181	<id
	6182	root="2.16 .840.1.113 883.3.1275 "
	6183	/>
	6184
	6185	<name />
	6186
	6187	</represen tedOrganiz ation>
	6188
	6189	</assigned Author>
	6190
	6191	</author>
	6192
	6193	<component >
	6194
	6195	<observati on
	6196	classCode= "OBS"
	6197	moodCode=" EVN"
	6198	>
	6199
	6200	<templateI d
	6201	root="2.16 .840.1.113 883.10.20. 22.4.2"
	6202	/>
	6203
	6204	<!-- 15.01 RESULT ID , REQUIRED -->
	6205
	6206	<id
	6207	root="2.16 .840.1.113 883.4.349"
	6208	/>
	6209
	6210	<!-- 15.03 -RESULT TY PE, REQUIR ED -->
	6211
	6212	<code
	6213	codeSystem ="2.16.840 .1.113883. 6.1"
	6214	codeSystem Name="LOIN C"
	6215	>
	6216
	6217	<originalT ext>
	6218
	6219	<reference />
	6220
	6221	</original Text>
	6222
	6223	<translati on>
	6224	</translat ion>
	6225
	6226	</code>
	6227
	6228
	6229	<text >
	6230	<reference >
	6231	</referenc e>
	6232	</text>
	6233
	6234	<statusCod e
	6235	code="comp leted"
	6236	/>
	6237
	6238	<!-- 15.02 RESULT DA TE/TIME, R EQUIRED -- >
	6239
	6240	<effective Time />
	6241
	6242	<!-- 15.05 RESULT VA LUE, REQUI RED, xsi:t ype="PQ" - ->
	6243
	6244	<value
	6245	xsi:type=" PQ"
	6246	>
	6247
	6248	<reference >
	6249	</referenc e>
	6250
	6251	</value>
	6252
	6253	<!-- 15.06 RESULT IN TERPRETATI ON, R2, -- >
	6254
	6255	<interpret ationCode>
	6256
	6257	<originalT ext>
	6258
	6259	<reference />
	6260
	6261	</original Text>
	6262
	6263	</interpre tationCode >
	6264
	6265	<entryRela tionship
	6266	typeCode=" SUBJ"
	6267
	6268	inversionI nd="true"
	6269	>
	6270
	6271	<act
	6272	classCode= "ACT"
	6273	moodCode=" EVN"
	6274	>
	6275
	6276	<templateI d
	6277	root="2.16 .840.1.113 883.10.20. 22.4.64"
	6278	/>
	6279
	6280	<code
	6281	code="4876 7-8"
	6282	codeSystem ="2.16.840 .1.113883. 6.1"
	6283
	6284	codeSystem Name="LOIN C"
	6285	displayNam e="Annotat ion commen t"
	6286	/>
	6287
	6288	<text>
	6289
	6290	<reference />
	6291
	6292	</text>
	6293
	6294	</act>
	6295
	6296	</entryRel ationship>
	6297
	6298	<!-- CCD M ETHOD CODE , Optional , Not prov ided by VA b/c data not
	6299	yet availa ble via VA VistA RPC s -->
	6300
	6301	<!-- CCD T ARGET SITE CODE, Opt ional, Not provided by VA b/c data
	6302	not yet av ailable vi a VA VistA RPCs -->
	6303
	6304	<!-- 15.07 RESULT RE FERENCE RA NGE, R2, - ->
	6305
	6306	<reference Range>
	6307
	6308	<observati onRange>
	6309
	6310	<text />
	6311
	6312	</observat ionRange>
	6313
	6314	</referenc eRange>
	6315
	6316	<author>
	6317
	6318	<time
	6319	nullFlavor ="NA"
	6320	/>
	6321
	6322	<assignedA uthor>
	6323
	6324	<id
	6325	nullFlavor ="NA"
	6326	/>
	6327
	6328	<assignedP erson>
	6329
	6330	<name />
	6331
	6332	</assigned Person>
	6333
	6334	</assigned Author>
	6335
	6336	</author>
	6337
	6338	</observat ion>
	6339
	6340	</componen t>
	6341
	6342	</organize r>
	6343
	6344	</entry>
	6345
	6346	</section>
	6347
	6348	</componen t>
	6349
	6350	<component >
	6351
	6352	<!-- *** ****** ****** ****** ****** ******** * IMMUNIZA TIONS
	6353	SECTION, O ptional ****** ****** ****** ****** ****** ** -->
	6354
	6355	<section>
	6356
	6357	<!-- CCD R esults Sec tion Entri es REQUIRE D -->
	6358
	6359	<templateI d
	6360	root="2.16 .840.1.113 883.10.20. 22.2.2.1"
	6361	/>
	6362
	6363	<templateI d
	6364	root="2.16 .840.1.113 883.10.20. 22.2.2"
	6365	/>
	6366
	6367	<code
	6368	code="1136 9-6"
	6369	codeSystem ="2.16.840 .1.113883. 6.1"
	6370
	6371	codeSystem Name="LOIN C"
	6372	/>
	6373
	6374	<title>
	6375	Immunizati ons Sectio n
	6376	</title>
	6377
	6378	<text>
	6379
	6380	<!-- VA Im munization Business Rules for Medical Co ntent -->
	6381
	6382	<paragraph >
	6383	This secti on contain s Immuniza tions on r ecord with VA for th e
	6384	pati ent. The d ata comes from all V A treatmen t faciliti es. A
	6385	reac tion to an immunizat ion may be reported in the all ergy
	6386	sect ion.
	6387	</paragrap h>
	6388
	6389	<table
	6390	ID="immuni zationNarr ative"
	6391	border="1"
	6392	width="100 %"
	6393	>
	6394
	6395	<thead>
	6396
	6397	<tr>
	6398
	6399	<th>
	6400	Immunizati on
	6401	</th>
	6402
	6403	<th>
	6404	Series
	6405	</th>
	6406
	6407	<th>
	6408	Date Issue d
	6409	</th>
	6410
	6411	<th>
	6412	Reaction
	6413	</th>
	6414
	6415	<th>
	6416	Comments
	6417	</th>
	6418
	6419	</tr>
	6420
	6421	</thead>
	6422
	6423	<tbody>
	6424
	6425	<tr>
	6426
	6427	<td>
	6428
	6429	<content
	6430	ID="indImm unization"
	6431	/>
	6432
	6433	</td>
	6434
	6435	<td>
	6436
	6437	<content
	6438	ID="indSer ies"
	6439	/>
	6440
	6441	</td>
	6442
	6443	<td />
	6444
	6445
	6446	<td>
	6447
	6448	<content
	6449	ID="indRea ction"
	6450	/>
	6451
	6452	</td>
	6453
	6454	<td>
	6455
	6456	<content
	6457	ID="indCom ments"
	6458	/>
	6459
	6460	</td>
	6461
	6462	</tr>
	6463
	6464	</tbody>
	6465
	6466	</table>
	6467
	6468	</text>
	6469
	6470	<entry
	6471	typeCode=' DRIV'
	6472	>
	6473
	6474	<!-- CCD I mmunizatio n Activity Entry, RE QUIRED -->
	6475
	6476	<!-- 13.01 IMMUNIZAT ION REFUSA L (negatio n ind="tru e"), REQUI RED -->
	6477
	6478	<substance Administra tion
	6479	classCode= "SBADM"
	6480
	6481	moodCode=" EVN"
	6482	negationIn d="false"
	6483	>
	6484
	6485	<templateI d
	6486	root="2.16 .840.1.113 883.10.20. 22.4.52"
	6487	/>
	6488
	6489	<id
	6490	nullFlavor ="NA"
	6491	/>
	6492
	6493	<text>
	6494
	6495	<reference
	6496	value="#in dComments"
	6497	/>
	6498
	6499	</text>
	6500
	6501	<statusCod e
	6502	code="comp leted"
	6503	/>
	6504
	6505	<effective Time />
	6506
	6507	<repeatNum ber />
	6508
	6509	<consumabl e>
	6510
	6511	<manufactu redProduct
	6512	classCode= "MANU"
	6513	>
	6514
	6515	<templateI d
	6516	root="2.16 .840.1.113 883.10.20. 22.4.54"
	6517	/>
	6518
	6519	<manufactu redMateria l>
	6520
	6521	<!-- 13.06 CODED IMM UNIZATION PRODUCT NA ME -->
	6522
	6523	<code
	6524	codeSystem Name="Vacc ine Admini stered (CV X code)"
	6525	codeSystem ="2.16.840 .1.113883. 12.292"
	6526	>
	6527
	6528	<originalT ext>
	6529
	6530	<reference />
	6531
	6532	</original Text>
	6533
	6534	<translati on
	6535	codeSystem ='2.16.840 .1.113883. 6.12'
	6536
	6537	codeSystem Name='Curr ent Proced ural Termi nology (CP T) Fourth Edition (C PT-4)'
	6538	/>
	6539
	6540	</code>
	6541
	6542	</manufact uredMateri al>
	6543
	6544	</manufact uredProduc t>
	6545
	6546	</consumab le>
	6547
	6548	<performer >
	6549
	6550	<assignedE ntity>
	6551
	6552	<!-- CCD P rovider ID , extensio n = VA Pro vider ID, root=VA OI D, REQUIRE D -->
	6553
	6554	<id
	6555	root="2.16 .840.1.113 883.4.349"
	6556	/>
	6557
	6558	<assignedP erson>
	6559
	6560	<!-- CCD P rovider Na me, REQUIR ED -->
	6561
	6562	<name />
	6563
	6564	</assigned Person>
	6565
	6566	</assigned Entity>
	6567
	6568	</performe r>
	6569
	6570	<!-- INFOR MATION SOU RCE FOR IM MUNIZATION , Optional -->
	6571
	6572	<author>
	6573
	6574	<time
	6575	nullFlavor ="NA"
	6576	/>
	6577
	6578	<assignedA uthor>
	6579
	6580	<id
	6581	nullFlavor ="NA"
	6582	/>
	6583
	6584	<represent edOrganiza tion>
	6585
	6586	<!-- INFOR MATION SOU RCE FACILI TY OID (ID = VA OID, EXT = TRE ATING
	6587	FA CILITY NBR ) -->
	6588
	6589	<id
	6590	nullFlavor ="NA"
	6591	/>
	6592
	6593	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	6594
	6595	<name />
	6596
	6597	</represen tedOrganiz ation>
	6598
	6599	</assigned Author>
	6600
	6601	</author>
	6602
	6603	<entryRela tionship
	6604	typeCode=" CAUS"
	6605
	6606	inversionI nd="true"
	6607	>
	6608
	6609	<observati on
	6610	classCode= "OBS"
	6611	moodCode=" EVN"
	6612	>
	6613
	6614	<templateI d
	6615	root="2.16 .840.1.113 883.10.20. 22.4.9"
	6616	/>
	6617
	6618	<id
	6619	nullFlavor ="NA"
	6620	/>
	6621
	6622	<code
	6623	nullFlavor ="UNK"
	6624	/>
	6625
	6626	<text>
	6627
	6628	<reference />
	6629
	6630	</text>
	6631
	6632	<statusCod e
	6633	code="comp leted"
	6634	/>
	6635
	6636	<value
	6637	nullFlavor ="UNK"
	6638	xsi:type=" CD"
	6639	codeSystem ="2.16.840 .1.113883. 6.96"
	6640
	6641	codeSystem Name="SNOM ED CT"
	6642	/>
	6643
	6644	</observat ion>
	6645
	6646	</entryRel ationship>
	6647
	6648	<!-- 13.10 REFUSAL R EASON ENTR Y, Optiona l, VA prov ides admin istered
	6649	immuni zations on ly -->
	6650
	6651	</substanc eAdministr ation>
	6652
	6653	</entry>
	6654
	6655	</section>
	6656
	6657	</componen t>
	6658
	6659	<component >
	6660
	6661	<!-- *** ****** ****** ****** ****** ******** * PROCEDUR ES
	6662	SECTION ****** ****** ****** ****** ****** ** -->
	6663
	6664	<section>
	6665
	6666	<!-- CCD P rocedures Section En tries REQU IRED -->
	6667
	6668	<templateI d
	6669	root="2.16 .840.1.113 883.10.20. 22.2.7.1"
	6670	/>
	6671
	6672	<code
	6673	code="4751 9-4"
	6674	codeSystem ="2.16.840 .1.113883. 6.1"
	6675
	6676	codeSystem Name="LOIN C"
	6677	displayNam e="History of Proced ures"
	6678	/>
	6679
	6680	<title>
	6681	History of Procedure s
	6682	</title>
	6683
	6684	<!-- PROCE DURE NARRA TIVE BLOCK -->
	6685
	6686	<text>
	6687
	6688	<!-- VA Pr ocedure Bu siness Rul es for Med ical Conte nt -->
	6689
	6690	<paragraph >
	6691	This sec tion conta ins a list of Surgic al Procedu res perfor med at the VA for th e
	6692	patient and a list of Surgic al Procedu re Notes a nd Clinica l Procedur e Notes on record at
	6693	the VA f or the pat ient.
	6694
	6695	</paragrap h>
	6696
	6697
	6698	<paragraph
	6699	ID="proced ureNarrati veIntro"
	6700	>
	6701	The list of Surgic al Procedu res shows the 25 mos t recent p rocedure d ates
	6702	within t he request ed date ra nge. If n o date ran ge was pro vided, the list
	6703	of Surgi cal Proced ures shows the 25 mo st recent procedure dates with in the
	6704	last 12 months. T he data co mes from a ll VA trea tment faci lities.
	6705
	6706	</paragrap h>
	6707
	6708	<table
	6709	ID="proced ureNarrati ve"
	6710	border="1"
	6711	width="100 %"
	6712	>
	6713
	6714	<thead>
	6715
	6716	<tr>
	6717
	6718	<th>
	6719	Date/Time
	6720	</th>
	6721
	6722	<th>
	6723	Procedure Type
	6724	</th>
	6725
	6726	<th>
	6727	Procedure Qualifiers
	6728	</th>
	6729
	6730	<th>
	6731	Procedure Note
	6732	</th>
	6733
	6734	<th>
	6735	Provider
	6736	</th>
	6737
	6738	<th>
	6739	Source
	6740	</th>
	6741
	6742	</tr>
	6743
	6744	</thead>
	6745
	6746	<tbody>
	6747
	6748	<tr>
	6749
	6750	<td>
	6751
	6752	<content
	6753	ID="prndDa teTime"
	6754	/>
	6755
	6756	</td>
	6757
	6758	<td>
	6759
	6760	<content
	6761	ID="prndPr ocedureTyp e"
	6762	/>
	6763
	6764	</td>
	6765
	6766	<td>
	6767
	6768	<list>
	6769
	6770	<item>
	6771
	6772	<content
	6773	ID="prndQu alifiers"
	6774	/>
	6775
	6776	</item>
	6777
	6778	</list>
	6779
	6780	</td>
	6781
	6782	<td>
	6783
	6784	<content
	6785	ID="prndDe scription"
	6786	/>
	6787
	6788	</td>
	6789
	6790	<td>
	6791
	6792	<content
	6793	ID="prndPr ovider"
	6794	/>
	6795
	6796	</td>
	6797
	6798	<td>
	6799
	6800	<content
	6801	ID="prndSo urce"
	6802	/>
	6803
	6804	</td>
	6805
	6806	</tr>
	6807
	6808	</tbody>
	6809
	6810	</table>
	6811
	6812
	6813	<table
	6814	ID="Surgic alNotesTop Header"
	6815	border="1"
	6816	width="100 %"
	6817	>
	6818
	6819	<!-- Surgi cal notes begin -->
	6820
	6821	<thead>
	6822
	6823	<tr>
	6824
	6825	<th
	6826	align="lef t"
	6827	>
	6828	Surgical N otes
	6829	</th>
	6830
	6831	</tr>
	6832
	6833	</thead>
	6834
	6835
	6836	<tbody>
	6837
	6838	<tr>
	6839
	6840	<td>
	6841	The list o f Surgica l Notes as sociated t o the Sur gical Proc edures . 10 most re cent notes per proce dure.
	6842	</td>
	6843
	6844	</tr>
	6845
	6846	</tbody>
	6847
	6848	</table>
	6849
	6850	<table
	6851	ID="Surgic alNotesNar rative"
	6852	border="1"
	6853	width="100 %"
	6854	>
	6855
	6856	<thead>
	6857
	6858	<tr>
	6859
	6860	<th>
	6861	Date/Time
	6862	</th>
	6863
	6864	<th>
	6865	Surgical N ote
	6866	</th>
	6867
	6868	<th>
	6869	Provider
	6870	</th>
	6871
	6872	<th>
	6873	Source
	6874	</th>
	6875
	6876	</tr>
	6877
	6878	</thead>
	6879
	6880	<tbody>
	6881
	6882	<tr>
	6883
	6884	<td>
	6885
	6886	<content
	6887	ID="surgic alNoteDate Time"
	6888	/>
	6889
	6890	</td>
	6891
	6892	<td>
	6893
	6894	<content
	6895	ID="surgic alNoteEnco unterDescr iption"
	6896	/>
	6897
	6898	</td>
	6899
	6900	<td>
	6901
	6902	<content
	6903	ID="surgic alNoteProv ider"
	6904	/>
	6905
	6906	</td>
	6907
	6908	<td>
	6909
	6910	<content
	6911	ID="surgic alNoteSour ce"
	6912	/>
	6913
	6914	</td>
	6915
	6916	</tr>
	6917
	6918	</tbody>
	6919
	6920	</table>
	6921
	6922
	6923	<!-- Surgi cal End -- >
	6924
	6925	<table
	6926	ID="Clinic alNotesTop Header"
	6927	border="1"
	6928	width="100 %"
	6929	>
	6930
	6931	<!-- Consu lt notes b egin -->
	6932
	6933	<thead>
	6934
	6935	<tr>
	6936
	6937	<th
	6938	align="lef t"
	6939	>
	6940	Clinical N otes
	6941	</th>
	6942
	6943	</tr>
	6944
	6945	</thead>
	6946
	6947
	6948	<tbody>
	6949
	6950	<tr>
	6951
	6952	<td>
	6953	This section c ontains th e 20 most recent Cli nical Proc edure Note s
	6954	that have proc edure date s within t he request ed date ra nge.
	6955	If n o date ran ge was pro vided, the section c ontains th e 20 most
	6956	rece nt Clinica l Procedur e Notes th at have pr ocedure da tes within
	6957	the last 36 mo nths. The data come s from all VA treatm ent facili ties.
	6958
	6959	</td>
	6960
	6961	</tr>
	6962
	6963	</tbody>
	6964
	6965	</table>
	6966
	6967	<table
	6968	ID="Clinic alNotesNar rative"
	6969	border="1"
	6970	width="100 %"
	6971	>
	6972
	6973	<thead>
	6974
	6975	<tr>
	6976
	6977	<th>
	6978	Date/Time
	6979	</th>
	6980
	6981	<th>
	6982	Procedure Note
	6983	</th>
	6984
	6985	<th>
	6986	Provider
	6987	</th>
	6988
	6989	<th>
	6990	Source
	6991	</th>
	6992
	6993	</tr>
	6994
	6995	</thead>
	6996
	6997	<tbody>
	6998
	6999	<tr>
	7000
	7001	<td>
	7002
	7003	<content
	7004	ID="clinic alNoteDate Time"
	7005	/>
	7006
	7007	</td>
	7008
	7009	<td>
	7010
	7011	<content
	7012	ID="clinic alNoteEnco unterDescr iption"
	7013	/>
	7014
	7015	</td>
	7016
	7017	<td>
	7018
	7019	<content
	7020	ID="clinic alNoteProv ider"
	7021	/>
	7022
	7023	</td>
	7024
	7025	<td>
	7026
	7027	<content
	7028	ID="clinic alNoteSour ce"
	7029	/>
	7030
	7031	</td>
	7032
	7033	</tr>
	7034
	7035	</tbody>
	7036
	7037	</table>
	7038
	7039	</text>
	7040
	7041	<!-- PROCE DURE STRUC TURED -->
	7042
	7043	<entry>
	7044
	7045	<procedure
	7046	classCode= "PROC"
	7047	moodCode=" EVN"
	7048	>
	7049
	7050	<templateI d
	7051	root="2.16 .840.1.113 883.10.20. 22.4.14"
	7052	/>
	7053
	7054	<id
	7055	nullFlavor ="UNK"
	7056	/>
	7057
	7058	<!-- 17.0 2-PROCEDUR E TYPE, RE QUIRED, LO INC, SNOME D CT or CP T, 4 -->
	7059
	7060	<code
	7061	nullFlavor ="UNK"
	7062	>
	7063
	7064	<!-- 17.03 PROCEDURE FREE TEXT TYPE, R2 -->
	7065
	7066	<originalT ext>
	7067
	7068	<reference />
	7069
	7070	</original Text>
	7071
	7072	<translati on>
	7073
	7074	<!-- 17.03 PROCEDURE FREE TEXT TYPE, R2 -->
	7075
	7076	<originalT ext>
	7077
	7078	<reference />
	7079
	7080	</original Text>
	7081
	7082	</translat ion>
	7083
	7084	<qualifier >
	7085
	7086	<name />
	7087
	7088	<value />
	7089
	7090	</qualifie r>
	7091
	7092	</code>
	7093	<statusCod e
	7094	code="comp leted"
	7095	/>
	7096
	7097	<effective Time>
	7098
	7099
	7100	</effectiv eTime>
	7101
	7102	<performer >
	7103
	7104	<assignedE ntity>
	7105
	7106	<id
	7107	nullFlavor ="NA"
	7108	/>
	7109
	7110	<addr
	7111	nullFlavor ="NA"
	7112	/>
	7113
	7114	<telecom
	7115	nullFlavor ="NA"
	7116	/>
	7117
	7118	<assignedP erson>
	7119
	7120	<!-- 17.05 PROCEDURE PROVIDER NAME, REQU IRED -->
	7121
	7122	<name />
	7123
	7124	</assigned Person>
	7125
	7126	</assigned Entity>
	7127
	7128	</performe r>
	7129
	7130	<!-- INFOR MATION SOU RCE FOR PR OCEDURE EN TRY, Optio nal -->
	7131
	7132	<author>
	7133
	7134	<time
	7135	nullFlavor ="UNK"
	7136	/>
	7137
	7138	<assignedA uthor>
	7139
	7140	<id
	7141	nullFlavor ="NA"
	7142	/>
	7143
	7144	<represent edOrganiza tion>
	7145
	7146	<id
	7147	root="2.16 .840.1.113 883.4.349"
	7148	/>
	7149
	7150	<name />
	7151
	7152	</represen tedOrganiz ation>
	7153
	7154	</assigned Author>
	7155
	7156	</author>
	7157
	7158	</procedur e>
	7159
	7160	</entry>
	7161
	7162	</section>
	7163
	7164	</componen t>
	7165
	7166	<component >
	7167
	7168	<!-- *** ****** ****** ****** ****** ******** * SOCIAL
	7169	HISTORY SE CTION, Opt ional ** ****** ****** ****** ****** ****** -->
	7170
	7171	<section>
	7172
	7173	<!-- CCD S ocial Hist ory Sectio n Entries -->
	7174
	7175	<templateI d
	7176	root="2.16 .840.1.113 883.10.20. 22.2.17"
	7177	/>
	7178
	7179	<code
	7180	code="2976 2-2"
	7181	codeSystem ="2.16.840 .1.113883. 6.1"
	7182
	7183	codeSystem Name="LOIN C"
	7184	displayNam e="Social history"
	7185	/>
	7186
	7187	<title>
	7188	Social His tory Secti on
	7189	</title>
	7190
	7191	<text>
	7192
	7193	<!-- VA Pr ocedure Bu siness Rul es for Med ical Conte nt -->
	7194
	7195	<paragraph >
	7196	This secti on display s the smok ing status on record with VA f or
	7197	the patient.
	7198	</paragrap h>
	7199
	7200	<table
	7201	ID="factor sNarrative "
	7202	border="1"
	7203	width="100 %"
	7204	>
	7205
	7206	<thead>
	7207
	7208	<tr>
	7209
	7210	<th>
	7211	Smoking St atus
	7212	</th>
	7213
	7214	<th>
	7215	Comment
	7216	</th>
	7217
	7218	<th>
	7219	Facility
	7220	</th>
	7221
	7222	</tr>
	7223
	7224	</thead>
	7225
	7226	<tbody>
	7227
	7228	<tr>
	7229
	7230	<td>
	7231
	7232	<content
	7233	ID="hfName "
	7234	/>
	7235
	7236	</td>
	7237
	7238	<td>
	7239
	7240	<content
	7241	ID="hfComm ent"
	7242	/>
	7243
	7244	</td>
	7245
	7246	<td>
	7247
	7248	<content
	7249	ID="hfFaci lity"
	7250	/>
	7251
	7252	</td>
	7253
	7254	</tr>
	7255
	7256	</tbody>
	7257
	7258	</table>
	7259
	7260	</text>
	7261
	7262	<entry>
	7263
	7264	<observati on
	7265	classCode= "OBS"
	7266	moodCode=" EVN"
	7267	>
	7268
	7269	<templateI d
	7270	root="2.16 .840.1.113 883.10.20. 22.4.78"
	7271	/>
	7272
	7273	<templateI d
	7274	root="2.16 .840.1.113 883.10.20. 22.4.85"
	7275	/>
	7276
	7277	<code
	7278	code="ASSE RTION"
	7279	codeSystem ="2.16.840 .1.113883. 5.4"
	7280	/>
	7281
	7282	<statusCod e
	7283	code="comp leted"
	7284	/>
	7285
	7286	<!-- CCD S moking Sta tus Effect ive Time, R2 -->
	7287
	7288	<effective Time
	7289	nullFlavor ="UNK"
	7290	/>
	7291
	7292
	7293
	7294	<!-- CCD S moking Sta tus Value, REQURIED, SNOMED CT -->
	7295
	7296	<value
	7297	xsi:type=" CD"
	7298	codeSystem ="2.16.840 .1.113883. 6.96"
	7299
	7300	codeSystem Name="SNOM ED CT"
	7301	>
	7302
	7303	<originalT ext>
	7304
	7305	<reference />
	7306
	7307	</original Text>
	7308
	7309	</value>
	7310
	7311	<!-- INFOR MATION SOU RCE FOR SM OKING STAT US, Option al -->
	7312
	7313	<author>
	7314
	7315	<time
	7316	nullFlavor ="UNK"
	7317	/>
	7318
	7319	<assignedA uthor>
	7320
	7321	<id
	7322	nullFlavor ="NI"
	7323	/>
	7324
	7325	<assignedP erson>
	7326
	7327	<name />
	7328
	7329	</assigned Person>
	7330
	7331	<represent edOrganiza tion>
	7332
	7333	<!-- INFOR MATION SOU RCE FACILI TY OID (ID = VA OID, EXT = TRE ATING
	7334	FA CILITY NBR ) -->
	7335
	7336	<id
	7337	extension= "facilityN umber"
	7338	root="2.16 .840.1.113 883.4.349"
	7339	/>
	7340
	7341	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	7342
	7343	<name>
	7344	facilityNa me
	7345	</name>
	7346
	7347	</represen tedOrganiz ation>
	7348
	7349	</assigned Author>
	7350
	7351	</author>
	7352
	7353	<!-- CCD S moking Sta tus Commen t Entry, O ptional -- >
	7354
	7355	<entryRela tionship
	7356	typeCode=" SUBJ"
	7357
	7358	inversionI nd="true"
	7359	>
	7360
	7361	<act
	7362	classCode= "ACT"
	7363	moodCode=" EVN"
	7364	>
	7365
	7366	<templateI d
	7367	root="2.16 .840.1.113 883.10.20. 22.4.64"
	7368	/>
	7369
	7370	<code
	7371	code="4876 7-8"
	7372	codeSystem ="2.16.840 .1.113883. 6.1"
	7373
	7374	codeSystem Name="LOIN C"
	7375	displayNam e="Annotat ion commen t"
	7376	/>
	7377
	7378	<!-- CCD S moking Sta tus Commen t, REQUIRE D -->
	7379
	7380	<text>
	7381
	7382	<reference />
	7383
	7384	</text>
	7385
	7386	</act>
	7387
	7388	</entryRel ationship>
	7389
	7390	</observat ion>
	7391
	7392	</entry>
	7393
	7394	</section>
	7395
	7396	</componen t>
	7397
	7398	<component >
	7399
	7400	<!-- *** ****** ****** ****** ****** ******** * PLAN OF
	7401	CARE SECTI ON, Option al ***** ****** ****** ****** ****** ******* -->
	7402
	7403	<section>
	7404
	7405	<!-- CCD P lan of Car e Section Entries -- >
	7406
	7407	<templateI d
	7408	root="2.16 .840.1.113 883.10.20. 22.2.10"
	7409	/>
	7410
	7411	<code
	7412	code="1877 6-5"
	7413	codeSystem ="2.16.840 .1.113883. 6.1"
	7414
	7415	codeSystem Name="LOIN C"
	7416	displayNam e="Treatme nt plan"
	7417	/>
	7418
	7419	<title>
	7420	Treatment Plan
	7421	</title>
	7422
	7423	<text>
	7424
	7425	<paragraph >
	7426	This secti on contain s future c are activi ties for t he patient from all VA treatme nt facilit ies. Plan of Care in cludes fut ure appoin tments, ac tive and p ending rad iology ord ers, and a ctive and pending ch emistry/he matology o rders.
	7427	</paragrap h>
	7428
	7429	<table
	7430	ID="future Appointmen tsRules"
	7431	border="1"
	7432	width="100 %"
	7433	>
	7434
	7435	<thead>
	7436
	7437	<tr>
	7438
	7439	<th>
	7440	Future App ointments
	7441	</th>
	7442
	7443	</tr>
	7444
	7445	</thead>
	7446
	7447	<tbody>
	7448
	7449	<tr>
	7450
	7451	<td>
	7452	This secti on display s appointm ents sched uled in th e next 12
	7453	months up to a maxim um of 50 a ppointment s. Patient s may have
	7454	recurring appointmen ts, with m ultiple in stances of the same
	7455	appointmen t. Not all appointme nts are do cumented b ased upon
	7456	variabilit y in workf lows
	7457	from facil ity to fac ility. As a result, all future appointme nts
	7458	may not be included.
	7459
	7460	</td>
	7461
	7462	</tr>
	7463
	7464	</tbody>
	7465
	7466	</table>
	7467
	7468	<table
	7469	ID="future Appointmen ts"
	7470	border="1"
	7471	width="100 %"
	7472	>
	7473
	7474	<thead>
	7475
	7476	<tr>
	7477
	7478	<th>
	7479	Appointmen t Date/Tim e
	7480	</th>
	7481
	7482	<th>
	7483	Appointmen t Type
	7484	</th>
	7485
	7486	<th>
	7487	Appointmen t Facility Name
	7488	</th>
	7489
	7490	</tr>
	7491
	7492	</thead>
	7493
	7494	<tbody>
	7495
	7496	<tr>
	7497
	7498	<td>
	7499
	7500	<content
	7501	ID="apptDa teTime"
	7502	/>
	7503
	7504	</td>
	7505
	7506	<td>
	7507
	7508	<content
	7509	ID="apptTy pe"
	7510	/>
	7511
	7512	</td>
	7513
	7514	<td>
	7515
	7516	<content
	7517	ID="apptFa cility"
	7518	/>
	7519
	7520	</td>
	7521
	7522	</tr>
	7523
	7524	</tbody>
	7525
	7526	</table>
	7527
	7528
	7529	<table
	7530	ID="future Radiologie sRules"
	7531	border="1"
	7532	width="100 %"
	7533	>
	7534
	7535	<thead>
	7536
	7537	<tr>
	7538
	7539	<th>
	7540	Future Rad iology Exa ms
	7541	</th>
	7542
	7543	</tr>
	7544
	7545	</thead>
	7546
	7547	<tbody>
	7548
	7549	<tr>
	7550
	7551	<td>
	7552	This secti on display s schedule d radiolog y orders i n the next 12 months active an d pending radiology orders ent ered in th e last 12 months, up to a maxi mum of 50 orders are included.
	7553	</td>
	7554
	7555	</tr>
	7556
	7557	</tbody>
	7558
	7559	</table>
	7560
	7561	<table
	7562	ID="future Radiologie s"
	7563	border="1"
	7564	width="100 %"
	7565	>
	7566
	7567	<thead>
	7568
	7569	<tr>
	7570
	7571	<th>
	7572	Exam Date/ Time
	7573	</th>
	7574
	7575	<th>
	7576	Exam Type
	7577	</th>
	7578
	7579	<th>
	7580	Exam Detai ls
	7581	</th>
	7582
	7583	<th>
	7584	Facility N ame
	7585	</th>
	7586
	7587	</tr>
	7588
	7589	</thead>
	7590
	7591	<tbody>
	7592
	7593	<tr>
	7594
	7595	<td>
	7596
	7597	<content
	7598	ID="orderD ateTime"
	7599	/>
	7600
	7601	</td>
	7602
	7603	<td>
	7604
	7605	<content
	7606	ID="conten tType"
	7607	/>
	7608
	7609	</td>
	7610
	7611	<td>
	7612
	7613	<content
	7614	ID="orderD etails"
	7615	/>
	7616
	7617	</td>
	7618
	7619	<td>
	7620
	7621	<content
	7622	ID="orderF acilityNam e"
	7623	/>
	7624
	7625	</td>
	7626
	7627	</tr>
	7628
	7629	</tbody>
	7630
	7631	</table>
	7632
	7633
	7634	<table
	7635	ID="future ScheduledT estsRules"
	7636	border="1"
	7637	width="100 %"
	7638	>
	7639
	7640	<thead>
	7641
	7642	<tr>
	7643
	7644	<th>
	7645	Future Che mistry and Hematolog y Tests
	7646	</th>
	7647
	7648	</tr>
	7649
	7650	</thead>
	7651
	7652	<tbody>
	7653
	7654	<tr>
	7655
	7656	<td>
	7657	This secti on display s VA activ e and pend ing chemis try/hemato logy order s entered in the las t 12 month s, up to a maximum o f 50.
	7658	</td>
	7659
	7660	</tr>
	7661
	7662	</tbody>
	7663
	7664	</table>
	7665
	7666	<table
	7667	ID="future ScheduledT ests"
	7668	border="1"
	7669	width="100 %"
	7670	>
	7671
	7672	<thead>
	7673
	7674	<tr>
	7675
	7676	<th>
	7677	Test Date/ Time
	7678	</th>
	7679
	7680	<th>
	7681	Test Type
	7682	</th>
	7683
	7684	<th>
	7685	Test Detai ls
	7686	</th>
	7687
	7688	<th>
	7689	Facility N ame
	7690	</th>
	7691
	7692	</tr>
	7693
	7694	</thead>
	7695
	7696	<tbody>
	7697
	7698	<tr>
	7699
	7700	<td>
	7701
	7702	<content
	7703	ID="orderD ateTime"
	7704	/>
	7705
	7706	</td>
	7707
	7708	<td>
	7709
	7710	<content
	7711	ID="conten tType"
	7712	/>
	7713
	7714	</td>
	7715
	7716	<td>
	7717
	7718	<content
	7719	ID="orderD etails"
	7720	/>
	7721
	7722	</td>
	7723
	7724	<td>
	7725
	7726	<content
	7727	ID="orderF acilityNam e"
	7728	/>
	7729
	7730	</td>
	7731
	7732	</tr>
	7733
	7734	</tbody>
	7735
	7736	</table>
	7737
	7738	</text>
	7739
	7740	<!-- PLAN OF CARE (P OC) STRUCT URED DATA -->
	7741
	7742	<!-- CCD P lan of Car e (POC) Ac tivity Enc ounter (Fu ture VA Ap pointments ,
	7743	Fu ture Sched uled Tests , Wellness Reminders ), Optiona l -->
	7744
	7745	<entry>
	7746
	7747	<encounter
	7748	classCode= "ENC"
	7749	moodCode=" INT"
	7750	>
	7751
	7752	<templateI d
	7753	root="2.16 .840.1.113 883.10.20. 22.4.40"
	7754	/>
	7755
	7756	<id
	7757	root="2.16 .840.1.113 883.4.349"
	7758	/>
	7759
	7760	<code>
	7761
	7762	<originalT ext>
	7763
	7764	<reference />
	7765
	7766	</original Text>
	7767
	7768	</code>
	7769
	7770	<text />
	7771
	7772	<statusCod e
	7773	code="ACTI VE"
	7774	/>
	7775
	7776	<effective Time>
	7777
	7778	<center />
	7779
	7780	</effectiv eTime>
	7781
	7782	<performer >
	7783
	7784	<assignedE ntity>
	7785
	7786	<id
	7787	root="2.16 .840.1.113 883.4.349"
	7788	/>
	7789
	7790	<assignedP erson>
	7791
	7792	<name />
	7793
	7794	</assigned Person>
	7795
	7796	</assigned Entity>
	7797
	7798	</performe r>
	7799
	7800	<author>
	7801
	7802	<time
	7803	nullFlavor ="UNK"
	7804	/>
	7805
	7806	<assignedA uthor>
	7807
	7808	<id
	7809	nullFlavor ="UNK"
	7810	/>
	7811
	7812
	7813	<represent edOrganiza tion>
	7814
	7815	<id
	7816	root="2.16 .840.1.113 883.4.349"
	7817	/>
	7818
	7819	<name>
	7820	</name>
	7821
	7822	</represen tedOrganiz ation>
	7823
	7824	</assigned Author>
	7825
	7826	</author>
	7827
	7828
	7829	<entryRela tionship
	7830	inversionI nd="true"
	7831
	7832	typeCode=' SUBJ'
	7833	>
	7834
	7835	<act
	7836	classCode= "ACT"
	7837	moodCode=" INT"
	7838	>
	7839
	7840	<templateI d
	7841	root="2.16 .840.1.113 883.10.20. 22.4.20"
	7842	/>
	7843
	7844	<code
	7845	code="4090 73007"
	7846	codeSystem ="2.16.840 .1.113883. 6.96"
	7847
	7848	displayNam e="Instruc tion"
	7849	codeSystem Name="SNOM ED CT"
	7850	/>
	7851
	7852	<text>
	7853
	7854	<reference />
	7855
	7856	</text>
	7857
	7858	<statusCod e
	7859	code="comp leted"
	7860	/>
	7861
	7862	</act>
	7863
	7864	</entryRel ationship>
	7865
	7866
	7867	</encounte r>
	7868
	7869	</entry>
	7870
	7871	</section>
	7872
	7873	</componen t>
	7874
	7875
	7876	<!-- ***** FUNCTIONA L STATUS, Optional * ********** * -->
	7877
	7878	<component >
	7879
	7880	<section>
	7881
	7882	<templateI d
	7883	root="2.16 .840.1.113 883.10.20. 22.2.14"
	7884	/>
	7885
	7886	<code
	7887	code="4742 0-5"
	7888	codeSystem ="2.16.840 .1.113883. 6.1"
	7889	codeSystem Name="LOIN C"
	7890
	7891	displayNam e="Functio nal status assessmen t note"
	7892	/>
	7893
	7894	<title>
	7895	Functional Status
	7896	</title>
	7897
	7898	<text>
	7899
	7900	<paragraph >
	7901	This sec tion conta ins a list of the Fu nctional I ndependenc e Measurem ent (FIM)
	7902	assessme nts on rec ord at VA for the pa tient. It shows the FIM scores that were
	7903	recorded within th e requeste d date ran ge. If no date rang e was prov ided, it
	7904	shows as sessment s cores that were comp leted with in the las t 3 years. Data come s
	7905	from all VA treatm ent facili ties. FIM Scale: 1=T otal Assis tance (Sub ject = 0% +),
	7906	2=Maxima l Assistan ce (Subjec t = 25% +) , 3= Moder ate Assist ance (Subj ect = 50% +),
	7907	4=Minima l Assistan ce (Subjec t = 75% +) , 5=Superv ision, 6=M odified In dependence
	7908	(Device) , 7= Compl ete Indepe ndence (Ti mely, Safe ly).
	7909
	7910	</paragrap h>
	7911
	7912	<table
	7913	ID="fimNar rative"
	7914	border="1"
	7915	width="100 %"
	7916	>
	7917
	7918	<thead>
	7919
	7920	<tr>
	7921
	7922	<th>
	7923	Assessment Date/Time
	7924	</th>
	7925
	7926	<th>
	7927	Source
	7928	</th>
	7929
	7930	<th>
	7931	Assessment Type/Skil l
	7932	</th>
	7933
	7934	<th>
	7935	FIM Score
	7936	</th>
	7937
	7938	<th>
	7939	Details
	7940	</th>
	7941
	7942	</tr>
	7943
	7944	</thead>
	7945
	7946	<tbody>
	7947
	7948	<tr>
	7949
	7950	<td>
	7951	<content
	7952	ID="fimAss essmentDat e"
	7953	/>
	7954	</td>
	7955
	7956	<td>
	7957	<content
	7958	ID="fimFac ility"
	7959	/>
	7960	</td>
	7961
	7962	<td>
	7963	<content
	7964	ID="fimAss essment"
	7965	/>
	7966	</td>
	7967
	7968	<td>
	7969	</td>
	7970
	7971	<td>
	7972	</td>
	7973
	7974	</tr>
	7975
	7976	<tr>
	7977
	7978	<td>
	7979	</td>
	7980
	7981	<td>
	7982	</td>
	7983
	7984	<td>
	7985
	7986	<content
	7987	ID="fimEat Name"
	7988	>
	7989	Eating
	7990	</content>
	7991
	7992	</td>
	7993
	7994	<td>
	7995	<content
	7996	ID="fimEat "
	7997	/>
	7998	</td>
	7999
	8000	<td>
	8001
	8002	<content
	8003	ID="fimEat Detail"
	8004	>
	8005	Self Care
	8006	</content>
	8007
	8008	</td>
	8009
	8010	</tr>
	8011
	8012	<tr>
	8013
	8014	<td>
	8015	</td>
	8016
	8017	<td>
	8018	</td>
	8019
	8020	<td>
	8021
	8022	<content
	8023	ID="fimGro omName"
	8024	>
	8025	Grooming
	8026	</content>
	8027
	8028	</td>
	8029
	8030	<td>
	8031	<content
	8032	ID="fimGro om"
	8033	/>
	8034	</td>
	8035
	8036	<td>
	8037
	8038	<content
	8039	ID="fimGro omDetail"
	8040	>
	8041	Self Care
	8042	</content>
	8043
	8044	</td>
	8045
	8046	</tr>
	8047
	8048	<tr>
	8049
	8050	<td>
	8051	</td>
	8052
	8053	<td>
	8054	</td>
	8055
	8056	<td>
	8057
	8058	<content
	8059	ID="fimBat hName"
	8060	>
	8061	Bathing
	8062	</content>
	8063
	8064	</td>
	8065
	8066	<td>
	8067	<content
	8068	ID="fimBat h"
	8069	/>
	8070	</td>
	8071
	8072	<td>
	8073
	8074	<content
	8075	ID="fimBat hDetail"
	8076	>
	8077	Self Care
	8078	</content>
	8079
	8080	</td>
	8081
	8082	</tr>
	8083
	8084	<tr>
	8085
	8086	<td>
	8087	</td>
	8088
	8089	<td>
	8090	</td>
	8091
	8092	<td>
	8093
	8094	<content
	8095	ID="fimDre ssUpName"
	8096	>
	8097	Dressing - Upper Bod y
	8098	</content>
	8099
	8100	</td>
	8101
	8102	<td>
	8103	<content
	8104	ID="fimDre ssUp"
	8105	/>
	8106	</td>
	8107
	8108	<td>
	8109
	8110	<content
	8111	ID="fimDre ssUpDetail "
	8112	>
	8113	Self Care
	8114	</content>
	8115
	8116	</td>
	8117
	8118	</tr>
	8119
	8120	<tr>
	8121
	8122	<td>
	8123	</td>
	8124
	8125	<td>
	8126	</td>
	8127
	8128	<td>
	8129
	8130	<content
	8131	ID="fimDre ssLoName"
	8132	>
	8133	Dressing - Lower Bod y
	8134	</content>
	8135
	8136	</td>
	8137
	8138	<td>
	8139	<content
	8140	ID="fimDre ssLo"
	8141	/>
	8142	</td>
	8143
	8144	<td>
	8145
	8146	<content
	8147	ID="fimDre ssLoDetail "
	8148	>
	8149	Self Care
	8150	</content>
	8151
	8152	</td>
	8153
	8154	</tr>
	8155
	8156	<tr>
	8157
	8158	<td>
	8159	</td>
	8160
	8161	<td>
	8162	</td>
	8163
	8164	<td>
	8165
	8166	<content
	8167	ID="fimToi letName"
	8168	>
	8169	Toileting
	8170	</content>
	8171
	8172	</td>
	8173
	8174	<td>
	8175	<content
	8176	ID="fimToi let"
	8177	/>
	8178	</td>
	8179
	8180	<td>
	8181
	8182	<content
	8183	ID="fimToi letDetail"
	8184	>
	8185	Self Care
	8186	</content>
	8187
	8188	</td>
	8189
	8190	</tr>
	8191
	8192	<tr>
	8193
	8194	<td>
	8195	</td>
	8196
	8197	<td>
	8198	</td>
	8199
	8200	<td>
	8201
	8202	<content
	8203	ID="fimBla dderName"
	8204	>
	8205	Bladder Ma nagement
	8206	</content>
	8207
	8208	</td>
	8209
	8210	<td>
	8211	<content
	8212	ID="fimBla dder"
	8213	/>
	8214	</td>
	8215
	8216	<td>
	8217
	8218	<content
	8219	ID="fimBla dderDetail "
	8220	>
	8221	Sphincter Control
	8222	</content>
	8223
	8224	</td>
	8225
	8226	</tr>
	8227
	8228	<tr>
	8229
	8230	<td>
	8231	</td>
	8232
	8233	<td>
	8234	</td>
	8235
	8236	<td>
	8237
	8238	<content
	8239	ID="fimBow elName"
	8240	>
	8241	Bowel Mana gement
	8242	</content>
	8243
	8244	</td>
	8245
	8246	<td>
	8247	<content
	8248	ID="fimBow el"
	8249	/>
	8250	</td>
	8251
	8252	<td>
	8253
	8254	<content
	8255	ID="fimBow elDetail"
	8256	>
	8257	Sphincter Control
	8258	</content>
	8259
	8260	</td>
	8261
	8262	</tr>
	8263
	8264	<tr>
	8265
	8266	<td>
	8267	</td>
	8268
	8269	<td>
	8270	</td>
	8271
	8272	<td>
	8273
	8274	<content
	8275	ID="fimTra nsChairNam e"
	8276	>
	8277	Bed, Chair , Wheelcha ir
	8278	</content>
	8279
	8280	</td>
	8281
	8282	<td>
	8283	<content
	8284	ID="fimTra nsChair"
	8285	/>
	8286	</td>
	8287
	8288	<td>
	8289
	8290	<content
	8291	ID="fimTra nsChairDet ail"
	8292	>
	8293	Transfers
	8294	</content>
	8295
	8296	</td>
	8297
	8298	</tr>
	8299
	8300	<tr>
	8301
	8302	<td>
	8303	</td>
	8304
	8305	<td>
	8306	</td>
	8307
	8308	<td>
	8309
	8310	<content
	8311	ID="fimTra nsToiletNa me"
	8312	>
	8313	Toilet
	8314	</content>
	8315
	8316	</td>
	8317
	8318	<td>
	8319	<content
	8320	ID="fimTra nsToilet"
	8321	/>
	8322	</td>
	8323
	8324	<td>
	8325
	8326	<content
	8327	ID="fimTra nsToiletDe tail"
	8328	>
	8329	Transfers
	8330	</content>
	8331
	8332	</td>
	8333
	8334	</tr>
	8335
	8336	<tr>
	8337
	8338	<td>
	8339	</td>
	8340
	8341	<td>
	8342	</td>
	8343
	8344	<td>
	8345
	8346	<content
	8347	ID="fimTra nsTubName"
	8348	>
	8349	Tub, Showe r
	8350	</content>
	8351
	8352	</td>
	8353
	8354	<td>
	8355	<content
	8356	ID="fimTra nsTub"
	8357	/>
	8358	</td>
	8359
	8360	<td>
	8361
	8362	<content
	8363	ID="fimTra nsTubDetai l"
	8364	>
	8365	Transfers
	8366	</content>
	8367
	8368	</td>
	8369
	8370	</tr>
	8371
	8372	<tr>
	8373
	8374	<td>
	8375	</td>
	8376
	8377	<td>
	8378	</td>
	8379
	8380	<td>
	8381
	8382	<content
	8383	ID="fimLoc omWalkName "
	8384	>
	8385	Walk/Wheel chair
	8386	</content>
	8387
	8388	</td>
	8389
	8390	<td>
	8391	<content
	8392	ID="fimLoc omWalk"
	8393	/>
	8394	</td>
	8395
	8396	<td>
	8397
	8398	<content
	8399	ID="fimLoc omWalkDeta il"
	8400	>
	8401	Locomotion
	8402	</content>
	8403
	8404	</td>
	8405
	8406	</tr>
	8407
	8408	<tr>
	8409
	8410	<td>
	8411	</td>
	8412
	8413	<td>
	8414	</td>
	8415
	8416	<td>
	8417
	8418	<content
	8419	ID="fimLoc omStairNam e"
	8420	>
	8421	Stairs
	8422	</content>
	8423
	8424	</td>
	8425
	8426	<td>
	8427	<content
	8428	ID="fimLoc omStair"
	8429	/>
	8430	</td>
	8431
	8432	<td>
	8433
	8434	<content
	8435	ID="fimLoc omStairDet ail"
	8436	>
	8437	Locomotion
	8438	</content>
	8439
	8440	</td>
	8441
	8442	</tr>
	8443
	8444	<tr>
	8445
	8446	<td>
	8447	</td>
	8448
	8449	<td>
	8450	</td>
	8451
	8452	<td>
	8453
	8454	<content
	8455	ID="fimCom prehendNam e"
	8456	>
	8457	Comprehens ion
	8458	</content>
	8459
	8460	</td>
	8461
	8462	<td>
	8463	<content
	8464	ID="fimCom prehend"
	8465	/>
	8466	</td>
	8467
	8468	<td>
	8469
	8470	<content
	8471	ID="fimCom prehendDet ail"
	8472	>
	8473	Communicat ion
	8474	</content>
	8475
	8476	</td>
	8477
	8478	</tr>
	8479
	8480	<tr>
	8481
	8482	<td>
	8483	</td>
	8484
	8485	<td>
	8486	</td>
	8487
	8488	<td>
	8489
	8490	<content
	8491	ID="fimExp ressName"
	8492	>
	8493	Expression
	8494	</content>
	8495
	8496	</td>
	8497
	8498	<td>
	8499	<content
	8500	ID="fimExp ress"
	8501	/>
	8502	</td>
	8503
	8504	<td>
	8505
	8506	<content
	8507	ID="fimExp ressDetail "
	8508	>
	8509	Communicat ion
	8510	</content>
	8511
	8512	</td>
	8513
	8514	</tr>
	8515
	8516	<tr>
	8517
	8518	<td>
	8519	</td>
	8520
	8521	<td>
	8522	</td>
	8523
	8524	<td>
	8525
	8526	<content
	8527	ID="fimInt eractName"
	8528	>
	8529	Social Int eraction
	8530	</content>
	8531
	8532	</td>
	8533
	8534	<td>
	8535	<content
	8536	ID="fimInt eract"
	8537	/>
	8538	</td>
	8539
	8540	<td>
	8541
	8542	<content
	8543	ID="fimInt eractDetai l"
	8544	>
	8545	Social Cog nition
	8546	</content>
	8547
	8548	</td>
	8549
	8550	</tr>
	8551
	8552	<tr>
	8553
	8554	<td>
	8555	</td>
	8556
	8557	<td>
	8558	</td>
	8559
	8560	<td>
	8561
	8562	<content
	8563	ID="fimPro blemName"
	8564	>
	8565	Problem So lving
	8566	</content>
	8567
	8568	</td>
	8569
	8570	<td>
	8571	<content
	8572	ID="fimPro blem"
	8573	/>
	8574	</td>
	8575
	8576	<td>
	8577
	8578	<content
	8579	ID="fimPro blemDetail "
	8580	>
	8581	Social Cog nition
	8582	</content>
	8583
	8584	</td>
	8585
	8586	</tr>
	8587
	8588	<tr>
	8589
	8590	<td>
	8591	</td>
	8592
	8593	<td>
	8594	</td>
	8595
	8596	<td>
	8597
	8598	<content
	8599	ID="fimMem oryName"
	8600	>
	8601	Memory
	8602	</content>
	8603
	8604	</td>
	8605
	8606	<td>
	8607	<content
	8608	ID="fimMem ory"
	8609	/>
	8610	</td>
	8611
	8612	<td>
	8613
	8614	<content
	8615	ID="fimMem oryDetail"
	8616	>
	8617	Social Cog nition
	8618	</content>
	8619
	8620	</td>
	8621
	8622	</tr>
	8623
	8624	<tr>
	8625
	8626	<td>
	8627	</td>
	8628
	8629	<td>
	8630	</td>
	8631
	8632	<td>
	8633
	8634	<content
	8635	ID="fimTot alName"
	8636	>
	8637	FIM Total
	8638	</content>
	8639
	8640	</td>
	8641
	8642	<td>
	8643	<content
	8644	ID="fimTot al"
	8645	/>
	8646	</td>
	8647
	8648	<td>
	8649	<content
	8650	ID="fimTot alDetail"
	8651	/>
	8652	</td>
	8653
	8654	</tr>
	8655
	8656	<tr>
	8657
	8658	<td>
	8659	</td>
	8660
	8661	<td>
	8662	</td>
	8663
	8664	<td>
	8665	</td>
	8666
	8667	<td>
	8668	</td>
	8669
	8670	<td>
	8671	</td>
	8672
	8673	</tr>
	8674
	8675	</tbody>
	8676
	8677	</table>
	8678
	8679	</text>
	8680
	8681	<!-- FUNC TIONAL STA TUS STRUCT URED ENTRI ES -->
	8682
	8683	<entry
	8684	typeCode=" DRIV"
	8685	>
	8686
	8687	<organizer
	8688	classCode= "CLUSTER"
	8689	moodCode=" EVN"
	8690	>
	8691
	8692	<!-- ** Functional Status Re sult Organ izer templ ate ** - ->
	8693
	8694	<templateI d
	8695	root="2.16 .840.1.113 883.10.20. 22.4.66"
	8696	/>
	8697
	8698	<id
	8699	root="2.16 .840.1.113 883.4.349"
	8700	nullFlavor ="UNK"
	8701	/>
	8702
	8703	<!-- Funct ional Stat us Result Organizer Code, ICF or SNOMED CT, FIM A ssessment Type -->
	8704
	8705	<code
	8706	nullFlavor ="UNK"
	8707	>
	8708
	8709	<originalT ext>
	8710
	8711	<reference
	8712	value="#fi mAssessmen t"
	8713	/>
	8714
	8715	</original Text>
	8716
	8717	</code>
	8718
	8719	<statusCod e
	8720	code="comp leted"
	8721	/>
	8722
	8723	<!-- Func tional Sta tus Result Organizer Date/Time , FIM Asse ssment Dat e -->
	8724
	8725	<effective Time>
	8726
	8727	<low
	8728	value="ass essTime"
	8729	/>
	8730
	8731	</effectiv eTime>
	8732
	8733	<!-- * Inf ormation S ource for Functional Status, V A Facility -->
	8734
	8735	<author>
	8736
	8737	<time
	8738	nullFlavor ="NA"
	8739	/>
	8740
	8741	<assignedA uthor>
	8742
	8743	<id
	8744	nullFlavor ="NA"
	8745	/>
	8746
	8747	<represent edOrganiza tion>
	8748
	8749	<id
	8750	extension= "442"
	8751	root="2.16 .840.1.113 883.3.1275 "
	8752	/>
	8753
	8754	<name>
	8755	CHEYENNE V AMC
	8756	</name>
	8757
	8758	</represen tedOrganiz ation>
	8759
	8760	</assigned Author>
	8761
	8762	</author>
	8763
	8764	<component >
	8765
	8766	<!-- Funct ional Stat us Result Observatio n -->
	8767
	8768	<observati on
	8769	classCode= "OBS"
	8770	moodCode=" EVN"
	8771	>
	8772
	8773	<templateI d
	8774	root="2.16 .840.1.113 883.10.20. 22.4.67"
	8775	/>
	8776
	8777	<!-- Funct ional Stat us Result Observatio n ID -->
	8778
	8779	<id
	8780	nullFlavor ="UNK"
	8781	root="2.16 .840.1.113 883.4.349"
	8782	/>
	8783
	8784	<!-- Func tional Sta tus Result Observati on Code, I CF or SNOM ED CT, FIM Skill -- >
	8785
	8786	<code
	8787	nullFlavor ="UNK"
	8788	/>
	8789
	8790	<text>
	8791
	8792	<reference
	8793	value="#fi mEatName"
	8794	/>
	8795
	8796	</text>
	8797
	8798	<statusCod e
	8799	code="comp leted"
	8800	/>
	8801
	8802	<!-- Funct ional Stat us Result Observatio n Date/Tim e, FIM Ass essment Da te/Time -- >
	8803
	8804	<effective Time>
	8805
	8806	<low
	8807	value="ski llTime"
	8808	/>
	8809
	8810	</effectiv eTime>
	8811
	8812	<!-- Func tional Sta tus Result Observati on Date/Ti me, FIM Sk ill Score -->
	8813
	8814	<value
	8815	nullFlavor ="NA"
	8816	xsi:type=" CD"
	8817	>
	8818
	8819	<originalT ext>
	8820
	8821	<reference
	8822	value="#fi mEat"
	8823	/>
	8824
	8825	</original Text>
	8826
	8827	</value>
	8828
	8829	<!-- Func tional Sta tus Result Observati on Comment , FIM Deta ils -->
	8830
	8831	<entryRela tionship
	8832	inversionI nd="true"
	8833	typeCode=" SUBJ"
	8834	>
	8835
	8836	<act
	8837	classCode= "ACT"
	8838	moodCode=" EVN"
	8839	>
	8840
	8841	<templateI d
	8842	root="2.16 .840.1.113 883.10.20. 22.4.64"
	8843	/>
	8844
	8845	<code
	8846	code="4876 7-8"
	8847	codeSystem ="2.16.840 .1.113883. 6.1"
	8848	codeSystem Name="LOIN C"
	8849	displayNam e="Annotat ion commen t"
	8850	/>
	8851
	8852	<text>
	8853
	8854	<reference
	8855	value="#fi mEatDetail "
	8856	/>
	8857
	8858	</text>
	8859
	8860	</act>
	8861
	8862	</entryRel ationship>
	8863
	8864	</observat ion>
	8865
	8866	</componen t>
	8867
	8868	<component >
	8869
	8870	<!-- Funct ional Stat us Result Observatio n -->
	8871
	8872	<observati on
	8873	classCode= "OBS"
	8874	moodCode=" EVN"
	8875	>
	8876
	8877	<templateI d
	8878	root="2.16 .840.1.113 883.10.20. 22.4.67"
	8879	/>
	8880
	8881	<!-- Funct ional Stat us Result Observatio n ID -->
	8882
	8883	<id
	8884	nullFlavor ="UNK"
	8885	root="2.16 .840.1.113 883.4.349"
	8886	/>
	8887
	8888	<!-- Func tional Sta tus Result Observati on Code, I CF or SNOM ED CT, FIM Skill -- >
	8889
	8890	<code
	8891	nullFlavor ="UNK"
	8892	/>
	8893
	8894	<text>
	8895
	8896	<reference
	8897	value="#fi mGroomName "
	8898	/>
	8899
	8900	</text>
	8901
	8902	<statusCod e
	8903	code="comp leted"
	8904	/>
	8905
	8906	<!-- Funct ional Stat us Result Observatio n Date/Tim e, FIM Ass essment Da te/Time -- >
	8907
	8908	<effective Time>
	8909
	8910	<low
	8911	value="ski llTime"
	8912	/>
	8913
	8914	</effectiv eTime>
	8915
	8916	<!-- Func tional Sta tus Result Observati on Date/Ti me, FIM Sk ill Score -->
	8917
	8918	<value
	8919	nullFlavor ="NA"
	8920	xsi:type=" CD"
	8921	>
	8922
	8923	<originalT ext>
	8924
	8925	<reference
	8926	value="#fi mGroom"
	8927	/>
	8928
	8929	</original Text>
	8930
	8931	</value>
	8932
	8933	<!-- Func tional Sta tus Result Observati on Comment , FIM Deta ils -->
	8934
	8935	<entryRela tionship
	8936	inversionI nd="true"
	8937	typeCode=" SUBJ"
	8938	>
	8939
	8940	<act
	8941	classCode= "ACT"
	8942	moodCode=" EVN"
	8943	>
	8944
	8945	<templateI d
	8946	root="2.16 .840.1.113 883.10.20. 22.4.64"
	8947	/>
	8948
	8949	<code
	8950	code="4876 7-8"
	8951	codeSystem ="2.16.840 .1.113883. 6.1"
	8952	codeSystem Name="LOIN C"
	8953	displayNam e="Annotat ion commen t"
	8954	/>
	8955
	8956	<text>
	8957
	8958	<reference
	8959	value="#fi mGroomDeta il"
	8960	/>
	8961
	8962	</text>
	8963
	8964	</act>
	8965
	8966	</entryRel ationship>
	8967
	8968	</observat ion>
	8969
	8970	</componen t>
	8971
	8972	<component >
	8973
	8974	<!-- Funct ional Stat us Result Observatio n -->
	8975
	8976	<observati on
	8977	classCode= "OBS"
	8978	moodCode=" EVN"
	8979	>
	8980
	8981	<templateI d
	8982	root="2.16 .840.1.113 883.10.20. 22.4.67"
	8983	/>
	8984
	8985	<!-- Funct ional Stat us Result Observatio n ID -->
	8986
	8987	<id
	8988	nullFlavor ="UNK"
	8989	root="2.16 .840.1.113 883.4.349"
	8990	/>
	8991
	8992	<!-- Func tional Sta tus Result Observati on Code, I CF or SNOM ED CT, FIM Skill -- >
	8993
	8994	<code
	8995	nullFlavor ="UNK"
	8996	/>
	8997
	8998	<text>
	8999
	9000	<reference
	9001	value="#fi mBathName"
	9002	/>
	9003
	9004	</text>
	9005
	9006	<statusCod e
	9007	code="comp leted"
	9008	/>
	9009
	9010	<!-- Funct ional Stat us Result Observatio n Date/Tim e, FIM Ass essment Da te/Time -- >
	9011
	9012	<effective Time>
	9013
	9014	<low
	9015	value="ski llTime"
	9016	/>
	9017
	9018	</effectiv eTime>
	9019
	9020	<!-- Func tional Sta tus Result Observati on Date/Ti me, FIM Sk ill Score -->
	9021
	9022	<value
	9023	nullFlavor ="NA"
	9024	xsi:type=" CD"
	9025	>
	9026
	9027	<originalT ext>
	9028
	9029	<reference
	9030	value="#fi mBath"
	9031	/>
	9032
	9033	</original Text>
	9034
	9035	</value>
	9036
	9037	<!-- Func tional Sta tus Result Observati on Comment , FIM Deta ils -->
	9038
	9039	<entryRela tionship
	9040	inversionI nd="true"
	9041	typeCode=" SUBJ"
	9042	>
	9043
	9044	<act
	9045	classCode= "ACT"
	9046	moodCode=" EVN"
	9047	>
	9048
	9049	<templateI d
	9050	root="2.16 .840.1.113 883.10.20. 22.4.64"
	9051	/>
	9052
	9053	<code
	9054	code="4876 7-8"
	9055	codeSystem ="2.16.840 .1.113883. 6.1"
	9056	codeSystem Name="LOIN C"
	9057	displayNam e="Annotat ion commen t"
	9058	/>
	9059
	9060	<text>
	9061
	9062	<reference
	9063	value="#fi mBathDetai l"
	9064	/>
	9065
	9066	</text>
	9067
	9068	</act>
	9069
	9070	</entryRel ationship>
	9071
	9072	</observat ion>
	9073
	9074	</componen t>
	9075
	9076	<component >
	9077
	9078	<!-- Funct ional Stat us Result Observatio n -->
	9079
	9080	<observati on
	9081	classCode= "OBS"
	9082	moodCode=" EVN"
	9083	>
	9084
	9085	<templateI d
	9086	root="2.16 .840.1.113 883.10.20. 22.4.67"
	9087	/>
	9088
	9089	<!-- Funct ional Stat us Result Observatio n ID -->
	9090
	9091	<id
	9092	nullFlavor ="UNK"
	9093	root="2.16 .840.1.113 883.4.349"
	9094	/>
	9095
	9096	<!-- Func tional Sta tus Result Observati on Code, I CF or SNOM ED CT, FIM Skill -- >
	9097
	9098	<code
	9099	nullFlavor ="UNK"
	9100	/>
	9101
	9102	<text>
	9103
	9104	<reference
	9105	value="#fi mDressUpNa me"
	9106	/>
	9107
	9108	</text>
	9109
	9110	<statusCod e
	9111	code="comp leted"
	9112	/>
	9113
	9114	<!-- Funct ional Stat us Result Observatio n Date/Tim e, FIM Ass essment Da te/Time -- >
	9115
	9116	<effective Time>
	9117
	9118	<low
	9119	value="ski llTime"
	9120	/>
	9121
	9122	</effectiv eTime>
	9123
	9124	<!-- Func tional Sta tus Result Observati on Date/Ti me, FIM Sk ill Score -->
	9125
	9126	<value
	9127	nullFlavor ="NA"
	9128	xsi:type=" CD"
	9129	>
	9130
	9131	<originalT ext>
	9132
	9133	<reference
	9134	value="#fi mDressUp"
	9135	/>
	9136
	9137	</original Text>
	9138
	9139	</value>
	9140
	9141	<!-- Func tional Sta tus Result Observati on Comment , FIM Deta ils -->
	9142
	9143	<entryRela tionship
	9144	inversionI nd="true"
	9145	typeCode=" SUBJ"
	9146	>
	9147
	9148	<act
	9149	classCode= "ACT"
	9150	moodCode=" EVN"
	9151	>
	9152
	9153	<templateI d
	9154	root="2.16 .840.1.113 883.10.20. 22.4.64"
	9155	/>
	9156
	9157	<code
	9158	code="4876 7-8"
	9159	codeSystem ="2.16.840 .1.113883. 6.1"
	9160	codeSystem Name="LOIN C"
	9161	displayNam e="Annotat ion commen t"
	9162	/>
	9163
	9164	<text>
	9165
	9166	<reference
	9167	value="#fi mDressUpDe tail"
	9168	/>
	9169
	9170	</text>
	9171
	9172	</act>
	9173
	9174	</entryRel ationship>
	9175
	9176	</observat ion>
	9177
	9178	</componen t>
	9179
	9180	<component >
	9181
	9182	<!-- Funct ional Stat us Result Observatio n -->
	9183
	9184	<observati on
	9185	classCode= "OBS"
	9186	moodCode=" EVN"
	9187	>
	9188
	9189	<templateI d
	9190	root="2.16 .840.1.113 883.10.20. 22.4.67"
	9191	/>
	9192
	9193	<!-- Funct ional Stat us Result Observatio n ID -->
	9194
	9195	<id
	9196	nullFlavor ="UNK"
	9197	root="2.16 .840.1.113 883.4.349"
	9198	/>
	9199
	9200	<!-- Func tional Sta tus Result Observati on Code, I CF or SNOM ED CT, FIM Skill -- >
	9201
	9202	<code
	9203	nullFlavor ="UNK"
	9204	/>
	9205
	9206	<text>
	9207
	9208	<reference
	9209	value="#fi mDressLoNa me"
	9210	/>
	9211
	9212	</text>
	9213
	9214	<statusCod e
	9215	code="comp leted"
	9216	/>
	9217
	9218	<!-- Funct ional Stat us Result Observatio n Date/Tim e, FIM Ass essment Da te/Time -- >
	9219
	9220	<effective Time>
	9221
	9222	<low
	9223	value="ski llTime"
	9224	/>
	9225
	9226	</effectiv eTime>
	9227
	9228	<!-- Func tional Sta tus Result Observati on Date/Ti me, FIM Sk ill Score -->
	9229
	9230	<value
	9231	nullFlavor ="NA"
	9232	xsi:type=" CD"
	9233	>
	9234
	9235	<originalT ext>
	9236
	9237	<reference
	9238	value="#fi mDressLo"
	9239	/>
	9240
	9241	</original Text>
	9242
	9243	</value>
	9244
	9245	<!-- Func tional Sta tus Result Observati on Comment , FIM Deta ils -->
	9246
	9247	<entryRela tionship
	9248	inversionI nd="true"
	9249	typeCode=" SUBJ"
	9250	>
	9251
	9252	<act
	9253	classCode= "ACT"
	9254	moodCode=" EVN"
	9255	>
	9256
	9257	<templateI d
	9258	root="2.16 .840.1.113 883.10.20. 22.4.64"
	9259	/>
	9260
	9261	<code
	9262	code="4876 7-8"
	9263	codeSystem ="2.16.840 .1.113883. 6.1"
	9264	codeSystem Name="LOIN C"
	9265	displayNam e="Annotat ion commen t"
	9266	/>
	9267
	9268	<text>
	9269
	9270	<reference
	9271	value="#fi mDressLoDe tail"
	9272	/>
	9273
	9274	</text>
	9275
	9276	</act>
	9277
	9278	</entryRel ationship>
	9279
	9280	</observat ion>
	9281
	9282	</componen t>
	9283
	9284	<component >
	9285
	9286	<!-- Funct ional Stat us Result Observatio n -->
	9287
	9288	<observati on
	9289	classCode= "OBS"
	9290	moodCode=" EVN"
	9291	>
	9292
	9293	<templateI d
	9294	root="2.16 .840.1.113 883.10.20. 22.4.67"
	9295	/>
	9296
	9297	<!-- Funct ional Stat us Result Observatio n ID -->
	9298
	9299	<id
	9300	nullFlavor ="UNK"
	9301	root="2.16 .840.1.113 883.4.349"
	9302	/>
	9303
	9304	<!-- Func tional Sta tus Result Observati on Code, I CF or SNOM ED CT, FIM Skill -- >
	9305
	9306	<code
	9307	nullFlavor ="UNK"
	9308	/>
	9309
	9310	<text>
	9311
	9312	<reference
	9313	value="#fi mToiletNam e"
	9314	/>
	9315
	9316	</text>
	9317
	9318	<statusCod e
	9319	code="comp leted"
	9320	/>
	9321
	9322	<!-- Funct ional Stat us Result Observatio n Date/Tim e, FIM Ass essment Da te/Time -- >
	9323
	9324	<effective Time>
	9325
	9326	<low
	9327	value="ski llTime"
	9328	/>
	9329
	9330	</effectiv eTime>
	9331
	9332	<!-- Func tional Sta tus Result Observati on Date/Ti me, FIM Sk ill Score -->
	9333
	9334	<value
	9335	nullFlavor ="NA"
	9336	xsi:type=" CD"
	9337	>
	9338
	9339	<originalT ext>
	9340
	9341	<reference
	9342	value="#fi mToilet"
	9343	/>
	9344
	9345	</original Text>
	9346
	9347	</value>
	9348
	9349	<!-- Func tional Sta tus Result Observati on Comment , FIM Deta ils -->
	9350
	9351	<entryRela tionship
	9352	inversionI nd="true"
	9353	typeCode=" SUBJ"
	9354	>
	9355
	9356	<act
	9357	classCode= "ACT"
	9358	moodCode=" EVN"
	9359	>
	9360
	9361	<templateI d
	9362	root="2.16 .840.1.113 883.10.20. 22.4.64"
	9363	/>
	9364
	9365	<code
	9366	code="4876 7-8"
	9367	codeSystem ="2.16.840 .1.113883. 6.1"
	9368	codeSystem Name="LOIN C"
	9369	displayNam e="Annotat ion commen t"
	9370	/>
	9371
	9372	<text>
	9373
	9374	<reference
	9375	value="#fi mToiletDet ail"
	9376	/>
	9377
	9378	</text>
	9379
	9380	</act>
	9381
	9382	</entryRel ationship>
	9383
	9384	</observat ion>
	9385
	9386	</componen t>
	9387
	9388	<component >
	9389
	9390	<!-- Funct ional Stat us Result Observatio n -->
	9391
	9392	<observati on
	9393	classCode= "OBS"
	9394	moodCode=" EVN"
	9395	>
	9396
	9397	<templateI d
	9398	root="2.16 .840.1.113 883.10.20. 22.4.67"
	9399	/>
	9400
	9401	<!-- Funct ional Stat us Result Observatio n ID -->
	9402
	9403	<id
	9404	nullFlavor ="UNK"
	9405	root="2.16 .840.1.113 883.4.349"
	9406	/>
	9407
	9408	<!-- Func tional Sta tus Result Observati on Code, I CF or SNOM ED CT, FIM Skill -- >
	9409
	9410	<code
	9411	nullFlavor ="UNK"
	9412	/>
	9413
	9414	<text>
	9415
	9416	<reference
	9417	value="#fi mBladderNa me"
	9418	/>
	9419
	9420	</text>
	9421
	9422	<statusCod e
	9423	code="comp leted"
	9424	/>
	9425
	9426	<!-- Funct ional Stat us Result Observatio n Date/Tim e, FIM Ass essment Da te/Time -- >
	9427
	9428	<effective Time>
	9429
	9430	<low
	9431	value="ski llTime"
	9432	/>
	9433
	9434	</effectiv eTime>
	9435
	9436	<!-- Func tional Sta tus Result Observati on Date/Ti me, FIM Sk ill Score -->
	9437
	9438	<value
	9439	nullFlavor ="NA"
	9440	xsi:type=" CD"
	9441	>
	9442
	9443	<originalT ext>
	9444
	9445	<reference
	9446	value="#fi mBladder"
	9447	/>
	9448
	9449	</original Text>
	9450
	9451	</value>
	9452
	9453	<!-- Func tional Sta tus Result Observati on Comment , FIM Deta ils -->
	9454
	9455	<entryRela tionship
	9456	inversionI nd="true"
	9457	typeCode=" SUBJ"
	9458	>
	9459
	9460	<act
	9461	classCode= "ACT"
	9462	moodCode=" EVN"
	9463	>
	9464
	9465	<templateI d
	9466	root="2.16 .840.1.113 883.10.20. 22.4.64"
	9467	/>
	9468
	9469	<code
	9470	code="4876 7-8"
	9471	codeSystem ="2.16.840 .1.113883. 6.1"
	9472	codeSystem Name="LOIN C"
	9473	displayNam e="Annotat ion commen t"
	9474	/>
	9475
	9476	<text>
	9477
	9478	<reference
	9479	value="#fi mBladderDe tail"
	9480	/>
	9481
	9482	</text>
	9483
	9484	</act>
	9485
	9486	</entryRel ationship>
	9487
	9488	</observat ion>
	9489
	9490	</componen t>
	9491
	9492	<component >
	9493
	9494	<!-- Funct ional Stat us Result Observatio n -->
	9495
	9496	<observati on
	9497	classCode= "OBS"
	9498	moodCode=" EVN"
	9499	>
	9500
	9501	<templateI d
	9502	root="2.16 .840.1.113 883.10.20. 22.4.67"
	9503	/>
	9504
	9505	<!-- Funct ional Stat us Result Observatio n ID -->
	9506
	9507	<id
	9508	nullFlavor ="UNK"
	9509	root="2.16 .840.1.113 883.4.349"
	9510	/>
	9511
	9512	<!-- Func tional Sta tus Result Observati on Code, I CF or SNOM ED CT, FIM Skill -- >
	9513
	9514	<code
	9515	nullFlavor ="UNK"
	9516	/>
	9517
	9518	<text>
	9519
	9520	<reference
	9521	value="#fi mBowelName "
	9522	/>
	9523
	9524	</text>
	9525
	9526	<statusCod e
	9527	code="comp leted"
	9528	/>
	9529
	9530	<!-- Funct ional Stat us Result Observatio n Date/Tim e, FIM Ass essment Da te/Time -- >
	9531
	9532	<effective Time>
	9533
	9534	<low
	9535	value="ski llTime"
	9536	/>
	9537
	9538	</effectiv eTime>
	9539
	9540	<!-- Func tional Sta tus Result Observati on Date/Ti me, FIM Sk ill Score -->
	9541
	9542	<value
	9543	nullFlavor ="NA"
	9544	xsi:type=" CD"
	9545	>
	9546
	9547	<originalT ext>
	9548
	9549	<reference
	9550	value="#fi mBowel"
	9551	/>
	9552
	9553	</original Text>
	9554
	9555	</value>
	9556
	9557	<!-- Func tional Sta tus Result Observati on Comment , FIM Deta ils -->
	9558
	9559	<entryRela tionship
	9560	inversionI nd="true"
	9561	typeCode=" SUBJ"
	9562	>
	9563
	9564	<act
	9565	classCode= "ACT"
	9566	moodCode=" EVN"
	9567	>
	9568
	9569	<templateI d
	9570	root="2.16 .840.1.113 883.10.20. 22.4.64"
	9571	/>
	9572
	9573	<code
	9574	code="4876 7-8"
	9575	codeSystem ="2.16.840 .1.113883. 6.1"
	9576	codeSystem Name="LOIN C"
	9577	displayNam e="Annotat ion commen t"
	9578	/>
	9579
	9580	<text>
	9581
	9582	<reference
	9583	value="#fi mBowelDeta il"
	9584	/>
	9585
	9586	</text>
	9587
	9588	</act>
	9589
	9590	</entryRel ationship>
	9591
	9592	</observat ion>
	9593
	9594	</componen t>
	9595
	9596	<component >
	9597
	9598	<!-- Funct ional Stat us Result Observatio n -->
	9599
	9600	<observati on
	9601	classCode= "OBS"
	9602	moodCode=" EVN"
	9603	>
	9604
	9605	<templateI d
	9606	root="2.16 .840.1.113 883.10.20. 22.4.67"
	9607	/>
	9608
	9609	<!-- Funct ional Stat us Result Observatio n ID -->
	9610
	9611	<id
	9612	nullFlavor ="UNK"
	9613	root="2.16 .840.1.113 883.4.349"
	9614	/>
	9615
	9616	<!-- Func tional Sta tus Result Observati on Code, I CF or SNOM ED CT, FIM Skill -- >
	9617
	9618	<code
	9619	nullFlavor ="UNK"
	9620	/>
	9621
	9622	<text>
	9623
	9624	<reference
	9625	value="#fi mTransChai rName"
	9626	/>
	9627
	9628	</text>
	9629
	9630	<statusCod e
	9631	code="comp leted"
	9632	/>
	9633
	9634	<!-- Funct ional Stat us Result Observatio n Date/Tim e, FIM Ass essment Da te/Time -- >
	9635
	9636	<effective Time>
	9637
	9638	<low
	9639	value="ski llTime"
	9640	/>
	9641
	9642	</effectiv eTime>
	9643
	9644	<!-- Func tional Sta tus Result Observati on Date/Ti me, FIM Sk ill Score -->
	9645
	9646	<value
	9647	nullFlavor ="NA"
	9648	xsi:type=" CD"
	9649	>
	9650
	9651	<originalT ext>
	9652
	9653	<reference
	9654	value="#fi mTransChai r"
	9655	/>
	9656
	9657	</original Text>
	9658
	9659	</value>
	9660
	9661	<!-- Func tional Sta tus Result Observati on Comment , FIM Deta ils -->
	9662
	9663	<entryRela tionship
	9664	inversionI nd="true"
	9665	typeCode=" SUBJ"
	9666	>
	9667
	9668	<act
	9669	classCode= "ACT"
	9670	moodCode=" EVN"
	9671	>
	9672
	9673	<templateI d
	9674	root="2.16 .840.1.113 883.10.20. 22.4.64"
	9675	/>
	9676
	9677	<code
	9678	code="4876 7-8"
	9679	codeSystem ="2.16.840 .1.113883. 6.1"
	9680	codeSystem Name="LOIN C"
	9681	displayNam e="Annotat ion commen t"
	9682	/>
	9683
	9684	<text>
	9685
	9686	<reference
	9687	value="#fi mTransChai rDetail"
	9688	/>
	9689
	9690	</text>
	9691
	9692	</act>
	9693
	9694	</entryRel ationship>
	9695
	9696	</observat ion>
	9697
	9698	</componen t>
	9699
	9700	<component >
	9701
	9702	<!-- Funct ional Stat us Result Observatio n -->
	9703
	9704	<observati on
	9705	classCode= "OBS"
	9706	moodCode=" EVN"
	9707	>
	9708
	9709	<templateI d
	9710	root="2.16 .840.1.113 883.10.20. 22.4.67"
	9711	/>
	9712
	9713	<!-- Funct ional Stat us Result Observatio n ID -->
	9714
	9715	<id
	9716	nullFlavor ="UNK"
	9717	root="2.16 .840.1.113 883.4.349"
	9718	/>
	9719
	9720	<!-- Func tional Sta tus Result Observati on Code, I CF or SNOM ED CT, FIM Skill -- >
	9721
	9722	<code
	9723	nullFlavor ="UNK"
	9724	/>
	9725
	9726	<text>
	9727
	9728	<reference
	9729	value="#fi mTransToil etName"
	9730	/>
	9731
	9732	</text>
	9733
	9734	<statusCod e
	9735	code="comp leted"
	9736	/>
	9737
	9738	<!-- Funct ional Stat us Result Observatio n Date/Tim e, FIM Ass essment Da te/Time -- >
	9739
	9740	<effective Time>
	9741
	9742	<low
	9743	value="ski llTime"
	9744	/>
	9745
	9746	</effectiv eTime>
	9747
	9748	<!-- Func tional Sta tus Result Observati on Date/Ti me, FIM Sk ill Score -->
	9749
	9750	<value
	9751	nullFlavor ="NA"
	9752	xsi:type=" CD"
	9753	>
	9754
	9755	<originalT ext>
	9756
	9757	<reference
	9758	value="#fi mTransToil et"
	9759	/>
	9760
	9761	</original Text>
	9762
	9763	</value>
	9764
	9765	<!-- Func tional Sta tus Result Observati on Comment , FIM Deta ils -->
	9766
	9767	<entryRela tionship
	9768	inversionI nd="true"
	9769	typeCode=" SUBJ"
	9770	>
	9771
	9772	<act
	9773	classCode= "ACT"
	9774	moodCode=" EVN"
	9775	>
	9776
	9777	<templateI d
	9778	root="2.16 .840.1.113 883.10.20. 22.4.64"
	9779	/>
	9780
	9781	<code
	9782	code="4876 7-8"
	9783	codeSystem ="2.16.840 .1.113883. 6.1"
	9784	codeSystem Name="LOIN C"
	9785	displayNam e="Annotat ion commen t"
	9786	/>
	9787
	9788	<text>
	9789
	9790	<reference
	9791	value="#fi mTransToil etDetail"
	9792	/>
	9793
	9794	</text>
	9795
	9796	</act>
	9797
	9798	</entryRel ationship>
	9799
	9800	</observat ion>
	9801
	9802	</componen t>
	9803
	9804	<component >
	9805
	9806	<!-- Funct ional Stat us Result Observatio n -->
	9807
	9808	<observati on
	9809	classCode= "OBS"
	9810	moodCode=" EVN"
	9811	>
	9812
	9813	<templateI d
	9814	root="2.16 .840.1.113 883.10.20. 22.4.67"
	9815	/>
	9816
	9817	<!-- Funct ional Stat us Result Observatio n ID -->
	9818
	9819	<id
	9820	nullFlavor ="UNK"
	9821	root="2.16 .840.1.113 883.4.349"
	9822	/>
	9823
	9824	<!-- Func tional Sta tus Result Observati on Code, I CF or SNOM ED CT, FIM Skill -- >
	9825
	9826	<code
	9827	nullFlavor ="UNK"
	9828	/>
	9829
	9830	<text>
	9831
	9832	<reference
	9833	value="#fi mTransTubN ame"
	9834	/>
	9835
	9836	</text>
	9837
	9838	<statusCod e
	9839	code="comp leted"
	9840	/>
	9841
	9842	<!-- Funct ional Stat us Result Observatio n Date/Tim e, FIM Ass essment Da te/Time -- >
	9843
	9844	<effective Time>
	9845
	9846	<low
	9847	value="ski llTime"
	9848	/>
	9849
	9850	</effectiv eTime>
	9851
	9852	<!-- Func tional Sta tus Result Observati on Date/Ti me, FIM Sk ill Score -->
	9853
	9854	<value
	9855	nullFlavor ="NA"
	9856	xsi:type=" CD"
	9857	>
	9858
	9859	<originalT ext>
	9860
	9861	<reference
	9862	value="#fi mTransTub"
	9863	/>
	9864
	9865	</original Text>
	9866
	9867	</value>
	9868
	9869	<!-- Func tional Sta tus Result Observati on Comment , FIM Deta ils -->
	9870
	9871	<entryRela tionship
	9872	inversionI nd="true"
	9873	typeCode=" SUBJ"
	9874	>
	9875
	9876	<act
	9877	classCode= "ACT"
	9878	moodCode=" EVN"
	9879	>
	9880
	9881	<templateI d
	9882	root="2.16 .840.1.113 883.10.20. 22.4.64"
	9883	/>
	9884
	9885	<code
	9886	code="4876 7-8"
	9887	codeSystem ="2.16.840 .1.113883. 6.1"
	9888	codeSystem Name="LOIN C"
	9889	displayNam e="Annotat ion commen t"
	9890	/>
	9891
	9892	<text>
	9893
	9894	<reference
	9895	value="#fi mTransTubD etail"
	9896	/>
	9897
	9898	</text>
	9899
	9900	</act>
	9901
	9902	</entryRel ationship>
	9903
	9904	</observat ion>
	9905
	9906	</componen t>
	9907
	9908	<component >
	9909
	9910	<!-- Funct ional Stat us Result Observatio n -->
	9911
	9912	<observati on
	9913	classCode= "OBS"
	9914	moodCode=" EVN"
	9915	>
	9916
	9917	<templateI d
	9918	root="2.16 .840.1.113 883.10.20. 22.4.67"
	9919	/>
	9920
	9921	<!-- Funct ional Stat us Result Observatio n ID -->
	9922
	9923	<id
	9924	nullFlavor ="UNK"
	9925	root="2.16 .840.1.113 883.4.349"
	9926	/>
	9927
	9928	<!-- Func tional Sta tus Result Observati on Code, I CF or SNOM ED CT, FIM Skill -- >
	9929
	9930	<code
	9931	nullFlavor ="UNK"
	9932	/>
	9933
	9934	<text>
	9935
	9936	<reference
	9937	value="#fi mLocomWalk Name"
	9938	/>
	9939
	9940	</text>
	9941
	9942	<statusCod e
	9943	code="comp leted"
	9944	/>
	9945
	9946	<!-- Funct ional Stat us Result Observatio n Date/Tim e, FIM Ass essment Da te/Time -- >
	9947
	9948	<effective Time>
	9949
	9950	<low
	9951	value="ski llTime"
	9952	/>
	9953
	9954	</effectiv eTime>
	9955
	9956	<!-- Func tional Sta tus Result Observati on Date/Ti me, FIM Sk ill Score -->
	9957
	9958	<value
	9959	nullFlavor ="NA"
	9960	xsi:type=" CD"
	9961	>
	9962
	9963	<originalT ext>
	9964
	9965	<reference
	9966	value="#fi mLocomWalk "
	9967	/>
	9968
	9969	</original Text>
	9970
	9971	</value>
	9972
	9973	<!-- Func tional Sta tus Result Observati on Comment , FIM Deta ils -->
	9974
	9975	<entryRela tionship
	9976	inversionI nd="true"
	9977	typeCode=" SUBJ"
	9978	>
	9979
	9980	<act
	9981	classCode= "ACT"
	9982	moodCode=" EVN"
	9983	>
	9984
	9985	<templateI d
	9986	root="2.16 .840.1.113 883.10.20. 22.4.64"
	9987	/>
	9988
	9989	<code
	9990	code="4876 7-8"
	9991	codeSystem ="2.16.840 .1.113883. 6.1"
	9992	codeSystem Name="LOIN C"
	9993	displayNam e="Annotat ion commen t"
	9994	/>
	9995
	9996	<text>
	9997
	9998	<reference
	9999	value="#fi mLocomWalk Detail"
	10000	/>
	10001
	10002	</text>
	10003
	10004	</act>
	10005
	10006	</entryRel ationship>
	10007
	10008	</observat ion>
	10009
	10010	</componen t>
	10011
	10012	<component >
	10013
	10014	<!-- Funct ional Stat us Result Observatio n -->
	10015
	10016	<observati on
	10017	classCode= "OBS"
	10018	moodCode=" EVN"
	10019	>
	10020
	10021	<templateI d
	10022	root="2.16 .840.1.113 883.10.20. 22.4.67"
	10023	/>
	10024
	10025	<!-- Funct ional Stat us Result Observatio n ID -->
	10026
	10027	<id
	10028	nullFlavor ="UNK"
	10029	root="2.16 .840.1.113 883.4.349"
	10030	/>
	10031
	10032	<!-- Func tional Sta tus Result Observati on Code, I CF or SNOM ED CT, FIM Skill -- >
	10033
	10034	<code
	10035	nullFlavor ="UNK"
	10036	/>
	10037
	10038	<text>
	10039
	10040	<reference
	10041	value="#fi mLocomStai rName"
	10042	/>
	10043
	10044	</text>
	10045
	10046	<statusCod e
	10047	code="comp leted"
	10048	/>
	10049
	10050	<!-- Funct ional Stat us Result Observatio n Date/Tim e, FIM Ass essment Da te/Time -- >
	10051
	10052	<effective Time>
	10053
	10054	<low
	10055	value="ski llTime"
	10056	/>
	10057
	10058	</effectiv eTime>
	10059
	10060	<!-- Func tional Sta tus Result Observati on Date/Ti me, FIM Sk ill Score -->
	10061
	10062	<value
	10063	nullFlavor ="NA"
	10064	xsi:type=" CD"
	10065	>
	10066
	10067	<originalT ext>
	10068
	10069	<reference
	10070	value="#fi mLocomStai r"
	10071	/>
	10072
	10073	</original Text>
	10074
	10075	</value>
	10076
	10077	<!-- Func tional Sta tus Result Observati on Comment , FIM Deta ils -->
	10078
	10079	<entryRela tionship
	10080	inversionI nd="true"
	10081	typeCode=" SUBJ"
	10082	>
	10083
	10084	<act
	10085	classCode= "ACT"
	10086	moodCode=" EVN"
	10087	>
	10088
	10089	<templateI d
	10090	root="2.16 .840.1.113 883.10.20. 22.4.64"
	10091	/>
	10092
	10093	<code
	10094	code="4876 7-8"
	10095	codeSystem ="2.16.840 .1.113883. 6.1"
	10096	codeSystem Name="LOIN C"
	10097	displayNam e="Annotat ion commen t"
	10098	/>
	10099
	10100	<text>
	10101
	10102	<reference
	10103	value="#fi mLocomStai rDetail"
	10104	/>
	10105
	10106	</text>
	10107
	10108	</act>
	10109
	10110	</entryRel ationship>
	10111
	10112	</observat ion>
	10113
	10114	</componen t>
	10115
	10116	<component >
	10117
	10118	<!-- Funct ional Stat us Result Observatio n -->
	10119
	10120	<observati on
	10121	classCode= "OBS"
	10122	moodCode=" EVN"
	10123	>
	10124
	10125	<templateI d
	10126	root="2.16 .840.1.113 883.10.20. 22.4.67"
	10127	/>
	10128
	10129	<!-- Funct ional Stat us Result Observatio n ID -->
	10130
	10131	<id
	10132	nullFlavor ="UNK"
	10133	root="2.16 .840.1.113 883.4.349"
	10134	/>
	10135
	10136	<!-- Func tional Sta tus Result Observati on Code, I CF or SNOM ED CT, FIM Skill -- >
	10137
	10138	<code
	10139	nullFlavor ="UNK"
	10140	/>
	10141
	10142	<text>
	10143
	10144	<reference
	10145	value="#fi mComprehen dName"
	10146	/>
	10147
	10148	</text>
	10149
	10150	<statusCod e
	10151	code="comp leted"
	10152	/>
	10153
	10154	<!-- Funct ional Stat us Result Observatio n Date/Tim e, FIM Ass essment Da te/Time -- >
	10155
	10156	<effective Time>
	10157
	10158	<low
	10159	value="ski llTime"
	10160	/>
	10161
	10162	</effectiv eTime>
	10163
	10164	<!-- Func tional Sta tus Result Observati on Date/Ti me, FIM Sk ill Score -->
	10165
	10166	<value
	10167	nullFlavor ="NA"
	10168	xsi:type=" CD"
	10169	>
	10170
	10171	<originalT ext>
	10172
	10173	<reference
	10174	value="#fi mComprehen d"
	10175	/>
	10176
	10177	</original Text>
	10178
	10179	</value>
	10180
	10181	<!-- Func tional Sta tus Result Observati on Comment , FIM Deta ils -->
	10182
	10183	<entryRela tionship
	10184	inversionI nd="true"
	10185	typeCode=" SUBJ"
	10186	>
	10187
	10188	<act
	10189	classCode= "ACT"
	10190	moodCode=" EVN"
	10191	>
	10192
	10193	<templateI d
	10194	root="2.16 .840.1.113 883.10.20. 22.4.64"
	10195	/>
	10196
	10197	<code
	10198	code="4876 7-8"
	10199	codeSystem ="2.16.840 .1.113883. 6.1"
	10200	codeSystem Name="LOIN C"
	10201	displayNam e="Annotat ion commen t"
	10202	/>
	10203
	10204	<text>
	10205
	10206	<reference
	10207	value="#fi mComprehen dDetail"
	10208	/>
	10209
	10210	</text>
	10211
	10212	</act>
	10213
	10214	</entryRel ationship>
	10215
	10216	</observat ion>
	10217
	10218	</componen t>
	10219
	10220	<component >
	10221
	10222	<!-- Funct ional Stat us Result Observatio n -->
	10223
	10224	<observati on
	10225	classCode= "OBS"
	10226	moodCode=" EVN"
	10227	>
	10228
	10229	<templateI d
	10230	root="2.16 .840.1.113 883.10.20. 22.4.67"
	10231	/>
	10232
	10233	<!-- Funct ional Stat us Result Observatio n ID -->
	10234
	10235	<id
	10236	nullFlavor ="UNK"
	10237	root="2.16 .840.1.113 883.4.349"
	10238	/>
	10239
	10240	<!-- Func tional Sta tus Result Observati on Code, I CF or SNOM ED CT, FIM Skill -- >
	10241
	10242	<code
	10243	nullFlavor ="UNK"
	10244	/>
	10245
	10246	<text>
	10247
	10248	<reference
	10249	value="#fi mExpressNa me"
	10250	/>
	10251
	10252	</text>
	10253
	10254	<statusCod e
	10255	code="comp leted"
	10256	/>
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