712. EPMO Open Source Coordination Office Redaction File Detail Report

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712.1 Files compared

#	Location	File	Last Modified
1	C:\working_scrub\Unredacted\VAP Code Base\VAP_Bld2_Source_Code_CIF_2017-02-14\nvap-web\src\main\resources\gov\va\nvap\mock\report\sampleExportSQA\20170112\DEPARTMENT OF VETERANS AFFAIRS	373988_C32_20161208.xml	Thu Jan 12 19:48:52 2017 UTC
2	eHX-CIF.zip\eHX-CIF\VAP Code Base\VAP_Bld2_Source_Code_CIF_2017-02-14\nvap-web\src\main\resources\gov\va\nvap\mock\report\sampleExportSQA\20170112\DEPARTMENT OF VETERANS AFFAIRS	373988_C32_20161208.xml	Mon Apr 3 14:11:27 2017 UTC

712.2 Comparison summary

Description	Between Files 1 and 2
Description	Text Blocks	Lines
Unchanged	103	19372
Changed	102	204
Inserted	0	0
Removed	0	0

712.3 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

712.4 Active regular expressions

No regular expressions were active.

712.5 Comparison detail

	1	<?xml
	2	version="1 .0"
	3	encoding=" UTF-8"
	4	standalone ="no"
	5	?>
	6	<?xml-styl esheet
	7	type="text /xsl"
	8	href="CCD. xsl"
	9	?>
	10	<ClinicalD ocument
	11	xmlns="urn :hl7-org:v 3"
	12	xmlns:voc= "urn:hl7-o rg:v3/voc"
	13	xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce"
	14	xsi:schema Location=" urn:hl7-or g:v3 http: //xreg2.ni st.gov:110 80/hitspVa lidation/s chema/cdar 2c32/infra structure/ cda/C32_CD A.xsd"
	15	>
	16
	17	<!--
	18	**** ****** ****** ****** ****** ********
	19	CDA He ader
	20	**** ****** ****** ****** ****** ********
	21	-->
	22
	23	<!-- HITSP C32 V2.5: Add real mCode -->
	24
	25	<realmCode
	26	code="US"
	27	/>
	28
	29	<!-- Follo wing templ ate is HL7 CDA Relea se 2 -->
	30
	31	<!-- POCD_ HD000040 i s for Lab. Report.Cli nical.Docu ment -->
	32
	33	<typeId
	34	extension= "POCD_HD00 0040"
	35	root="2.16 .840.1.113 883.1.3"
	36	/>
	37
	38	<!-- HITSP C32 V2.5: Template for IHE P CC Medical Documents specifica tion -->
	39
	40	<templateI d
	41	root="1.3. 6.1.4.1.19 376.1.5.3. 1.1.1"
	42	/>
	43
	44	<!-- Follo wing templ ate is the CCD v1.0 Templates Root -->
	45
	46	<templateI d
	47	root="2.16 .840.1.113 883.10.20. 1"
	48	/>
	49
	50	<!-- HITSP C32 V2.5: Template for HL7 G eneral Hea der constr aints-->
	51
	52	<templateI d
	53	root="2.16 .840.1.113 883.10.20. 3"
	54	/>
	55
	56	<!-- Follo wing templ ate is the HITSP/C32 Registrat ion and Me dication T emplate -- >
	57
	58	<templateI d
	59	root="2.16 .840.1.113 883.3.88.1 1.32.1"
	60	/>
	61
	62	<!-- HITSP C32 V2.5: Template for HITSP C32 V2.5 -->
	63
	64	<templateI d
	65	root="2.16 .840.1.113 883.3.88.1 1.83.1"
	66	/>
	67
	68	<!-- CDA D ocument Id entifer, i d=VA OID, extension= system-gen erated -->
	69
	70	<id
	71	extension= "2.25.1092 9296991385 2703327170 5483767939 05965"
	72	root="2.16 .840.1.113 883.4.349"
	73	/>
	74
	75	<!-- CDA D ocument Co de -->
	76
	77	<code
	78	code="3413 3-9"
	79	codeSystem ="2.16.840 .1.113883. 6.1"
	80	displayNam e="Summari zation of Episode No te"
	81	/>
	82
	83	<!-- CDA D ocument Ti tle -->
	84
	85	<title>
	86	Department of Vetera ns Affairs Summariza tion of Ep isode Note
	87	</title>
	88
	89	<!-- 1.01 DOCUMENT T IMESTAMP, REQUIRED - ->
	90
	91	<effective Time
	92	value="201 6120813103 7-0600"
	93	/>
	94
	95	<!-- CDA C onfiedntia lity Code -->
	96
	97	<confident ialityCode
	98	code="N"
	99	codeSystem ="2.16.840 .1.113883. 5.25"
	100	/>
	101
	102	<!-- CDA D OCUMENT LA NGUAGE -->
	103
	104	<languageC ode
	105	code="en-U S"
	106	/>
	107
	108	<!--
	109	****** ****** ****** ****** ****** **
	110	PE RSON INFOR MATION CON TENT MODUL E, REQUIRE D
	111	****** ****** ****** ****** ****** **
	112	-- >
	113
	114	<recordTar get>
	115
	116	<patientRo le>
	117
	118	<!-- 1.02 PERSON ID, REQUIRED, id=VA OID , extensio n=GUID -->
	119
	120	<id
	121	extension= "101263892 5V204624"
	122	root="2.16 .840.1.113 883.4.349"
	123	/>
	124
	125	<!-- 1.03 PERSON AD DRESS-HOME PERMANENT , REQUIRED -->
	126
	127	<addr
	128	use="HP"
	129	>
	130
	131	<streetAdd ressLine>
	132	1200 TEST STREET
	133	</streetAd dressLine>
	134
	135	<city>
	136	HELENA
	137	</city>
	138
	139	<state>
	140	AL
	141	</state>
	142
	143	<postalCod e>
	144	35080
	145	</postalCo de>
	146
	147	</addr>
	148
	149	<!-- 1.04 PERSON PHO NE/EMAIL/U RL, REQUIR ED -->
	150
	151	<telecom
	152	use="HP"
	153	value="tel :+1-205-11 1-2222"
	154	/>
	155
	156	<patient>
	157
	158	<!-- 1.05 PERSON NA ME LEGAL, REQUIRED - ->
	159
	160	<name
	161	use="L"
	162	>
	163
	164
	165	<given>
	166	NWHINTWO
	167	</given>
	168
	169	<family>
	170	NWHINZZZTE STPATIENT
	171	</family>
	172
	173
	174	</name>
	175
	176	<!-- 1.05 PERSON NA ME Alias N ame, Optio nal -->
	177
	178	<name
	179	use="P"
	180	>
	181
	182
	183	<given
	184	nullFlavor ="UNK"
	185	/>
	186
	187	<family
	188	nullFlavor ="UNK"
	189	/>
	190
	191
	192	</name>
	193
	194	<!-- HITSP C32 V2.5: 1.06 GEND ER, REQUIR ED AND REQ UIRED Term inology -- >
	195
	196	<!-- HITSP C32 V2.5: When Vist a value is M, F, sen d as HL7Ad minGenderC ode -->
	197
	198	<!-- HITSP C32 V2.5: When Vist a value is "Unknown" , send as genderCode nullFlavo r=UNK" -- >
	199
	200	<administr ativeGende rCode
	201	code="M"
	202	codeSystem ="2.16.840 .1.113883. 5.1"
	203	codeSystem Name="Admi nistrative GenderCode "
	204	displayNam e="Male"
	205	>
	206
	207	<originalT ext>
	208	MALE
	209	</original Text>
	210
	211	</administ rativeGend erCode>
	212
	213	<!-- 1.07 PERSON DAT E OF BIRTH , REQUIRED -->
	214
	215	<birthTime
	216	value="198 20102"
	217	/>
	218
	219	<!-- 1.08 MARITAL S TATUS, Opt ional-R2 - ->
	220
	221	<!-- VLER SEG 1B: S end as HL7 MaritalSt atus -->
	222
	223	<maritalSt atusCode
	224	code="M"
	225	codeSystem ="2.16.840 .1.113883. 5.2"
	226	codeSystem Name="Mari talStatusC ode"
	227	displayNam e="Married "
	228	>
	229
	230	<originalT ext>
	231	MARRIED
	232	</original Text>
	233
	234	</maritalS tatusCode>
	235
	236	<!-- 1.09 RELIGIOUS AFFILIATI ON, Option al, Remove d b/c data not yet a vailable v ia VA VIst A RPCs-->
	237
	238	<!-- 1.10 RACE, Opt ional -->
	239
	240	<!-- 1.10 RACE as o riginalTex t per NHIN Core Cont ent Specif ication b/ c VA code translatio n not yet available -->
	241
	242	<raceCode
	243	codeSystem ="2.16.840 .1.113883. 6.238"
	244	codeSystem Name="CDC Race and E thnicity"
	245	nullFlavor ="UNK"
	246	>
	247
	248
	249	</raceCode >
	250
	251	<!-- 1.11 ETHNICITY, Optional -->
	252
	253	<!-- 1.11 ETHNICITY as origina lText per NHIN Core Content Sp ecificatio n b/c VA c ode transl ation not yet availa ble -->
	254
	255	<ethnicGro upCode
	256	codeSystem ="2.16.840 .1.113883. 6.238"
	257	codeSystem Name="CDC Race and E thnicity"
	258	nullFlavor ="UNK"
	259	>
	260
	261
	262	</ethnicGr oupCode>
	263
	264	<!--
	265	****** ****** ****** ****** ****** ******
	266	LANGUAGE SPOKEN CO NTENT MODU LE
	267	****** ****** ****** ****** ****** ******
	268	-->
	269
	270	<languageC ommunicati on>
	271
	272	<templateI d
	273	root="2.16 .840.1.113 883.3.88.1 1.32.2"
	274	/>
	275
	276	<!-- 2.01 LANGUAGE, REQUIRED, languageC ode as nul lFlavor b/ c data not yet avail able via V A VistA RP Cs -->
	277
	278	<languageC ode
	279	nullFlavor ="UNK"
	280	/>
	281
	282	</language Communicat ion>
	283
	284	</patient>
	285
	286	</patientR ole>
	287
	288	</recordTa rget>
	289
	290	<!--
	291	****** ****** ****** ****** ****** **
	292	IN FORMATION SOURCE CON TENT MODUL E, REQUIRE D
	293	****** ****** ****** ****** ****** **
	294	-- >
	295
	296	<!-- AUTHO R SECTION (REQUIRED) OF INFORM ATION SOUR CE CONTENT MODULE -- >
	297
	298	<author>
	299
	300	<!-- 10.01 AUTHOR TI ME (=Docum ent Creati on Date), REQUIRED - ->
	301
	302	<time
	303	value="201 6120813103 7-0600"
	304	/>
	305
	306	<assignedA uthor>
	307
	308	<!-- 10.02 AUTHOR ID (VA OID) (authorOID ), REQUIIR ED -->
	309
	310	<id
	311	root="2.16 .840.1.113 883.4.349"
	312	/>
	313
	314	<!-- HITSP C32 V2.5: Assigned Author Ad dress Requ ired, but VA VistA d ata not ye t availabl e -->
	315
	316	<addr/>
	317
	318	<!-- HITSP C32 V2.5: Assigned Author T elecom Req uired, but VA VistA data not y et availab le -->
	319
	320	<telecom/>
	321
	322	<!-- 10.02 AUTHOR NA ME REQUIRE D -->
	323
	324	<!-- HITSP C32 V2.5: C83 ass ignedPerso n/Author N ame REQUIR ED but pro vided as r epresented Organizati on-->
	325
	326	<assignedP erson>
	327
	328	<name/>
	329
	330	</assigned Person>
	331
	332	<!-- 10.02 AUTHOR NA ME REQUIRE D as repre sentedOrga nization-- >
	333
	334	<represent edOrganiza tion>
	335
	336	<!-- 10.02 AUTHORING DEVICE OR GANIZATION OID (VA O ID) (devic eOrgOID), REQUIIRED -->
	337
	338	<id
	339	root="2.16 .840.1.113 883.4.349"
	340	/>
	341
	342	<!-- 10.02 AUTHORING DEVICE OR GANIZATION NAME (dev iceOrgName ), REQUIIR ED -->
	343
	344	<name>
	345	Department of Vetera ns Affairs
	346	</name>
	347
	348	<!-- HITSP C32 V2.5: Assigned Author T elecom Req uired, but VA VistA data not y et availab le -->
	349
	350	<telecom/>
	351
	352	<!-- HITSP C32 V2.5: Assigned Author Ad dress Requ ired, but VA VistA d ata not ye t availabl e -->
	353
	354	<addr/>
	355
	356	</represen tedOrganiz ation>
	357
	358	</assigned Author>
	359
	360	</author>
	361
	362	<!-- INFOR MATION SOU RCE SECTIO N (OPTIONA L)OF INFOR MATION SOU RCE CONTEN T MODULE - ->
	363
	364	<!-- 10.06 INFORMATI ON SOURCE AS AN ORGA NIZATION, REQUIRED - ->
	365
	366	<informant >
	367
	368	<assignedE ntity>
	369
	370	<id
	371	nullFlavor ="NI"
	372	/>
	373
	374	<!-- HITSP C32 V2.5: Address Required for inform ant/assign edEntity, but VA Vis tA data no t yet avai lable -->
	375
	376	<addr/>
	377
	378	<!-- HITSP C32 V2.5: Teleco m Required for infor mant/assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	379
	380	<telecom/>
	381
	382	<!-- HITSP C32 V2.5: assigned Person Req uired for informant/ assignedEn tity, but VA VistA d ata not ye t availabl e -->
	383
	384	<assignedP erson>
	385
	386	<!-- HITSP C32 V2.5: Name Req uired for informant/ assignedEn tity/assig nedPerson -->
	387
	388	<name>
	389	Department of Vetera ns Affairs
	390	</name>
	391
	392	</assigned Person>
	393
	394	<represent edOrganiza tion>
	395
	396	<!-- 10.06 INFORMATI ON SOURCE ORGANIZATI ON OID (VA OID) (sou rceOrgOID) , REQUIRED -->
	397
	398	<id
	399	root="2.16 .840.1.113 883.4.349"
	400	/>
	401
	402	<!-- 10.06 INFORMATI ON SOURCE ORGANIZATI ON NAME (s ourceOrgNa me), REQUI RED -->
	403
	404	<name>
	405	Department of Vetera ns Affairs
	406	</name>
	407
	408	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	409
	410	<telecom/>
	411
	412	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	413
	414	<addr/>
	415
	416	</represen tedOrganiz ation>
	417
	418	</assigned Entity>
	419
	420	</informan t>
	421
	422	<!--
	423	****** ****** ****** ****** ****** **
	424	CC D CDA R2 C USTODIAN A S AN ORGAN IZATION, R EQUIRED
	425	****** ****** ****** ****** ****** **
	426	-- >
	427
	428	<custodian >
	429
	430	<assignedC ustodian>
	431
	432	<represent edCustodia nOrganizat ion>
	433
	434	<!-- CCD C DA R2 CUST ODIAN OID (VA) (cust odianOID) -->
	435
	436	<id
	437	root="2.16 .840.1.113 883.4.349"
	438	/>
	439
	440	<!-- CCD C DA R2 CUST ODIAN NAME (custodia nName) -->
	441
	442	<name>
	443	Department of Vetera ns Affairs
	444	</name>
	445
	446	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	447
	448	<telecom/>
	449
	450	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	451
	452	<addr/>
	453
	454	</represen tedCustodi anOrganiza tion>
	455
	456	</assigned Custodian>
	457
	458	</custodia n>
	459
	460	<!--
	461	****** ****** ****** ****** ****** **
	462	CC D CDA R2 L EGAL AUTHE NTICATOR A S AN ORGAN IZATION, R EQUIRED
	463	****** ****** ****** ****** ****** **
	464	-- >
	465
	466	<legalAuth enticator>
	467
	468	<!-- CCD C DA R2 TIME OF AUTHEN TICATION - ->
	469
	470	<time
	471	value="201 6120813103 7-0600"
	472	/>
	473
	474	<signature Code
	475	code="S"
	476	/>
	477
	478	<assignedE ntity>
	479
	480	<id
	481	nullFlavor ="NI"
	482	/>
	483
	484	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	485
	486	<addr/>
	487
	488	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	489
	490	<telecom/>
	491
	492	<!-- HITSP C32 V2.5: assigne d Person R equired fo r legalAut henticator /assignedE ntity -->
	493
	494	<assignedP erson>
	495
	496	<name>
	497	Department of Vetera ns Affairs
	498	</name>
	499
	500	</assigned Person>
	501
	502	<represent edOrganiza tion>
	503
	504	<!-- CCD C DA R2 LEGA L AUTHENTI CATOR OID (VA) -->
	505
	506	<id
	507	root="2.16 .840.1.113 883.4.349"
	508	/>
	509
	510	<!-- CCD C DA R2 LEGA L AUTHENTI CATOR NAME (authenti catorName) -->
	511
	512	<name>
	513	Department of Vetera ns Affairs
	514	</name>
	515
	516	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	517
	518	<telecom/>
	519
	520	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	521
	522	<addr/>
	523
	524	</represen tedOrganiz ation>
	525
	526	</assigned Entity>
	527
	528	</legalAut henticator >
	529
	530	<!--
	531	**** ****** ****** ****** ****** ********
	532	SUPPOR T CONTENT MODULE, RE QUIRED
	533	**** ****** ****** ****** ****** ********
	534	-->
	535
	536	<participa nt
	537	typeCode=" IND"
	538	>
	539
	540	<!-- parti cipant blo ck repeate d for NOK and ECON - ->
	541
	542	<templateI d
	543	root="2.16 .840.1.113 883.3.88.1 1.32.3"
	544	/>
	545
	546	<!-- HITSP C32 V2.5: IHE Su pport Temp late -->
	547
	548	<templateI d
	549	root="1.3. 6.1.4.1.19 376.1.5.3. 1.2.4"
	550	/>
	551
	552	<!-- 3.01 DATE, REQ UIRED -->
	553
	554	<!-- 3.01 DATE date as nullFl avor b/c d ata not ye t availabl e via VA V istA RPCs -->
	555
	556	<time
	557	nullFlavor ="UNK"
	558	/>
	559
	560	<!-- 3.02 CONTACT T YPE, REQUI RED, class Code value determine d by VistA value in contactTyp e -->
	561
	562	<associate dEntity
	563	classCode= "ECON"
	564	>
	565
	566	<!-- 3.03 CONTACT R ELATIONSHI P as origi nalText pe r NHIN Cor e Content Specificat ion b/c VA code tran slation no t yet avai lable -->
	567
	568	<code
	569	code="UNK"
	570	codeSystem ="2.16.840 .1.113883. 5.111"
	571	codeSystem Name="Role Code"
	572	>
	573
	574	<originalT ext>
	575	relationsh ipType
	576	</original Text>
	577
	578	</code>
	579
	580	<!-- 3.04 CONTACT A ddresss, H ome Perman ent, Optio nal-R2 -->
	581
	582	<addr
	583	use="HP"
	584	>
	585
	586
	587	<city>
	588	homeCity
	589	</city>
	590
	591	<state>
	592	homeState
	593	</state>
	594
	595	<postalCod e>
	596	homePostal
	597	</postalCo de>
	598
	599	</addr>
	600
	601	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity -->
	602
	603	<!-- 3.05 CONTACT P HONE/EMAIL /URL, Opti onal-R2, Removed b/ c data not yet avail able via V A VistA RP Cs -->
	604
	605	<telecom
	606	nullFlavor ="UNK"
	607	/>
	608
	609	<associate dPerson>
	610
	611	<!-- 3.06 CONTACT NA ME, REQUIR ED -->
	612
	613	<name>
	614
	615
	616	<given>
	617	NWHINTWO
	618	</given>
	619
	620	<family>
	621	NWHINZZZTE STPATIENT
	622	</family>
	623
	624
	625	</name>
	626
	627	</associat edPerson>
	628
	629	</associat edEntity>
	630
	631	</particip ant>
	632
	633	<!--
	634	****** ****** ****** ****** ****** **
	635	CC D CDA R2 D OCUMENTATI ON OF MODU LE - QUERY META DATA , Optional
	636	****** ****** ****** ****** ****** **
	637	-- >
	638
	639	<documenta tionOf>
	640
	641	<serviceEv ent
	642	classCode= "PCPR"
	643	>
	644
	645	<effective Time>
	646
	647	<!-- QUERY META DATA , SERVICE START TIME , Optional -->
	648
	649	<low
	650	value="198 20102"
	651	/>
	652
	653	<!-- QUERY META DATA , SERVICE STOP TIME, Optional -->
	654
	655	<high
	656	value="201 6120813103 7-0600"
	657	/>
	658
	659	</effectiv eTime>
	660
	661	<!--
	662	**** ****** ****** ****** ****** ********
	663	HEALTH CARE PROVI DER MODULE , OPTIONAL
	664	**** ****** ****** ****** ****** ********
	665	-->
	666
	667
	668
	669	<performer
	670	typeCode=" PRF"
	671	>
	672
	673	<!-- Provi der Templa te Id -->
	674
	675	<templateI d
	676	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	677	/>
	678
	679	<!-- 4.02- PROVIDER R OLE CODED, Optional- R2, Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	680
	681
	682	<!-- 4.03- PROVIDER R OLE FREE T EXT, Optio nal-R2, Re moved b/c data not y et availab le via VA VistA RPCs -->
	683
	684	<!-- 4.01- DATE RANGE , Required , nullFlav or b/c dat a not yet available via VA Vis tA RPCs -- >
	685
	686	<time>
	687
	688	<high
	689	nullFlavor ="UNK"
	690	/>
	691
	692	</time>
	693
	694	<assignedE ntity>
	695
	696	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	697
	698	<id
	699	extension= "provider1 001"
	700	root="2.16 .840.1.113 883.4.349"
	701	/>
	702
	703	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	704
	705	<addr/>
	706
	707	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	708
	709	<telecom
	710	nullFlavor ="UNK"
	711	/>
	712
	713	<assignedP erson>
	714
	715	<name>
	716	MANGUS,CHR ISTOPHER
	717	</name>
	718
	719	</assigned Person>
	720
	721	<represent edOrganiza tion>
	722
	723	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	724
	725	<id
	726	extension= "983"
	727	root="2.16 .840.1.113 883.4.349"
	728	/>
	729
	730	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	731
	732	<name>
	733	CHYSHR TES T LAB
	734	</name>
	735
	736	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	737
	738	<telecom/>
	739
	740	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	741
	742	<addr/>
	743
	744	</represen tedOrganiz ation>
	745
	746	</assigned Entity>
	747
	748	</performe r>
	749	<performer
	750	typeCode=" PRF"
	751	>
	752
	753	<!-- Provi der Templa te Id -->
	754
	755	<templateI d
	756	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	757	/>
	758
	759	<!-- 4.02- PROVIDER R OLE CODED, Optional- R2, Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	760
	761
	762	<!-- 4.03- PROVIDER R OLE FREE T EXT, Optio nal-R2, Re moved b/c data not y et availab le via VA VistA RPCs -->
	763
	764	<!-- 4.01- DATE RANGE , Required , nullFlav or b/c dat a not yet available via VA Vis tA RPCs -- >
	765
	766	<time>
	767
	768	<high
	769	nullFlavor ="UNK"
	770	/>
	771
	772	</time>
	773
	774	<assignedE ntity>
	775
	776	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	777
	778	<id
	779	extension= "provider1 002"
	780	root="2.16 .840.1.113 883.4.349"
	781	/>
	782
	783	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	784
	785	<addr/>
	786
	787	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	788
	789	<telecom
	790	nullFlavor ="UNK"
	791	/>
	792
	793	<assignedP erson>
	794
	795	<name>
	796	MANGUS,CHR ISTOPHER
	797	</name>
	798
	799	</assigned Person>
	800
	801	<represent edOrganiza tion>
	802
	803	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	804
	805	<id
	806	extension= "983"
	807	root="2.16 .840.1.113 883.4.349"
	808	/>
	809
	810	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	811
	812	<name>
	813	CHYSHR TES T LAB
	814	</name>
	815
	816	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	817
	818	<telecom/>
	819
	820	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	821
	822	<addr/>
	823
	824	</represen tedOrganiz ation>
	825
	826	</assigned Entity>
	827
	828	</performe r>
	829	<performer
	830	typeCode=" PRF"
	831	>
	832
	833	<!-- Provi der Templa te Id -->
	834
	835	<templateI d
	836	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	837	/>
	838
	839	<!-- 4.02- PROVIDER R OLE CODED, Optional- R2, Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	840
	841
	842	<!-- 4.03- PROVIDER R OLE FREE T EXT, Optio nal-R2, Re moved b/c data not y et availab le via VA VistA RPCs -->
	843
	844	<!-- 4.01- DATE RANGE , Required , nullFlav or b/c dat a not yet available via VA Vis tA RPCs -- >
	845
	846	<time>
	847
	848	<high
	849	nullFlavor ="UNK"
	850	/>
	851
	852	</time>
	853
	854	<assignedE ntity>
	855
	856	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	857
	858	<id
	859	extension= "provider1 003"
	860	root="2.16 .840.1.113 883.4.349"
	861	/>
	862
	863	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	864
	865	<addr/>
	866
	867	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	868
	869	<telecom
	870	nullFlavor ="UNK"
	871	/>
	872
	873	<assignedP erson>
	874
	875	<name>
	876	MANGUS,CHR ISTOPHER
	877	</name>
	878
	879	</assigned Person>
	880
	881	<represent edOrganiza tion>
	882
	883	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	884
	885	<id
	886	extension= "983"
	887	root="2.16 .840.1.113 883.4.349"
	888	/>
	889
	890	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	891
	892	<name>
	893	CHYSHR TES T LAB
	894	</name>
	895
	896	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	897
	898	<telecom/>
	899
	900	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	901
	902	<addr/>
	903
	904	</represen tedOrganiz ation>
	905
	906	</assigned Entity>
	907
	908	</performe r>
	909	<performer
	910	typeCode=" PRF"
	911	>
	912
	913	<!-- Provi der Templa te Id -->
	914
	915	<templateI d
	916	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	917	/>
	918
	919	<!-- 4.02- PROVIDER R OLE CODED, Optional- R2, Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	920
	921
	922	<!-- 4.03- PROVIDER R OLE FREE T EXT, Optio nal-R2, Re moved b/c data not y et availab le via VA VistA RPCs -->
	923
	924	<!-- 4.01- DATE RANGE , Required , nullFlav or b/c dat a not yet available via VA Vis tA RPCs -- >
	925
	926	<time>
	927
	928	<high
	929	nullFlavor ="UNK"
	930	/>
	931
	932	</time>
	933
	934	<assignedE ntity>
	935
	936	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	937
	938	<id
	939	extension= "provider1 004"
	940	root="2.16 .840.1.113 883.4.349"
	941	/>
	942
	943	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	944
	945	<addr/>
	946
	947	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	948
	949	<telecom
	950	nullFlavor ="UNK"
	951	/>
	952
	953	<assignedP erson>
	954
	955	<name>
	956	TREEHORN,J ACKIE
	957	</name>
	958
	959	</assigned Person>
	960
	961	<represent edOrganiza tion>
	962
	963	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	964
	965	<id
	966	extension= "983"
	967	root="2.16 .840.1.113 883.4.349"
	968	/>
	969
	970	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	971
	972	<name>
	973	CHYSHR TES T LAB
	974	</name>
	975
	976	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	977
	978	<telecom/>
	979
	980	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	981
	982	<addr/>
	983
	984	</represen tedOrganiz ation>
	985
	986	</assigned Entity>
	987
	988	</performe r>
	989	<performer
	990	typeCode=" PRF"
	991	>
	992
	993	<!-- Provi der Templa te Id -->
	994
	995	<templateI d
	996	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	997	/>
	998
	999	<!-- 4.02- PROVIDER R OLE CODED, Optional- R2, Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	1000
	1001
	1002	<!-- 4.03- PROVIDER R OLE FREE T EXT, Optio nal-R2, Re moved b/c data not y et availab le via VA VistA RPCs -->
	1003
	1004	<!-- 4.01- DATE RANGE , Required , nullFlav or b/c dat a not yet available via VA Vis tA RPCs -- >
	1005
	1006	<time>
	1007
	1008	<high
	1009	nullFlavor ="UNK"
	1010	/>
	1011
	1012	</time>
	1013
	1014	<assignedE ntity>
	1015
	1016	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	1017
	1018	<id
	1019	extension= "provider1 005"
	1020	root="2.16 .840.1.113 883.4.349"
	1021	/>
	1022
	1023	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	1024
	1025	<addr/>
	1026
	1027	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	1028
	1029	<telecom
	1030	nullFlavor ="UNK"
	1031	/>
	1032
	1033	<assignedP erson>
	1034
	1035	<name>
	1036	TREEHORN,J ACKIE
	1037	</name>
	1038
	1039	</assigned Person>
	1040
	1041	<represent edOrganiza tion>
	1042
	1043	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	1044
	1045	<id
	1046	extension= "983"
	1047	root="2.16 .840.1.113 883.4.349"
	1048	/>
	1049
	1050	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	1051
	1052	<name>
	1053	CHYSHR TES T LAB
	1054	</name>
	1055
	1056	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	1057
	1058	<telecom/>
	1059
	1060	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	1061
	1062	<addr/>
	1063
	1064	</represen tedOrganiz ation>
	1065
	1066	</assigned Entity>
	1067
	1068	</performe r>
	1069	<performer
	1070	typeCode=" PRF"
	1071	>
	1072
	1073	<!-- Provi der Templa te Id -->
	1074
	1075	<templateI d
	1076	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	1077	/>
	1078
	1079	<!-- 4.02- PROVIDER R OLE CODED, Optional- R2, Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	1080
	1081
	1082	<!-- 4.03- PROVIDER R OLE FREE T EXT, Optio nal-R2, Re moved b/c data not y et availab le via VA VistA RPCs -->
	1083
	1084	<!-- 4.01- DATE RANGE , Required , nullFlav or b/c dat a not yet available via VA Vis tA RPCs -- >
	1085
	1086	<time>
	1087
	1088	<high
	1089	nullFlavor ="UNK"
	1090	/>
	1091
	1092	</time>
	1093
	1094	<assignedE ntity>
	1095
	1096	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	1097
	1098	<id
	1099	extension= "provider1 006"
	1100	root="2.16 .840.1.113 883.4.349"
	1101	/>
	1102
	1103	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	1104
	1105	<addr/>
	1106
	1107	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	1108
	1109	<telecom
	1110	nullFlavor ="UNK"
	1111	/>
	1112
	1113	<assignedP erson>
	1114
	1115	<name>
	1116	MANGUS,CHR ISTOPHER
	1117	</name>
	1118
	1119	</assigned Person>
	1120
	1121	<represent edOrganiza tion>
	1122
	1123	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	1124
	1125	<id
	1126	extension= "983"
	1127	root="2.16 .840.1.113 883.4.349"
	1128	/>
	1129
	1130	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	1131
	1132	<name>
	1133	CHYSHR TES T LAB
	1134	</name>
	1135
	1136	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	1137
	1138	<telecom/>
	1139
	1140	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	1141
	1142	<addr/>
	1143
	1144	</represen tedOrganiz ation>
	1145
	1146	</assigned Entity>
	1147
	1148	</performe r>
	1149	<performer
	1150	typeCode=" PRF"
	1151	>
	1152
	1153	<!-- Provi der Templa te Id -->
	1154
	1155	<templateI d
	1156	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	1157	/>
	1158
	1159	<!-- 4.02- PROVIDER R OLE CODED, Optional- R2, Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	1160
	1161
	1162	<!-- 4.03- PROVIDER R OLE FREE T EXT, Optio nal-R2, Re moved b/c data not y et availab le via VA VistA RPCs -->
	1163
	1164	<!-- 4.01- DATE RANGE , Required , nullFlav or b/c dat a not yet available via VA Vis tA RPCs -- >
	1165
	1166	<time>
	1167
	1168	<high
	1169	nullFlavor ="UNK"
	1170	/>
	1171
	1172	</time>
	1173
	1174	<assignedE ntity>
	1175
	1176	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	1177
	1178	<id
	1179	extension= "provider1 007"
	1180	root="2.16 .840.1.113 883.4.349"
	1181	/>
	1182
	1183	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	1184
	1185	<addr/>
	1186
	1187	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	1188
	1189	<telecom
	1190	nullFlavor ="UNK"
	1191	/>
	1192
	1193	<assignedP erson>
	1194
	1195	<name>
	1196	MANGUS,CHR ISTOPHER
	1197	</name>
	1198
	1199	</assigned Person>
	1200
	1201	<represent edOrganiza tion>
	1202
	1203	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	1204
	1205	<id
	1206	extension= "983"
	1207	root="2.16 .840.1.113 883.4.349"
	1208	/>
	1209
	1210	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	1211
	1212	<name>
	1213	CHYSHR TES T LAB
	1214	</name>
	1215
	1216	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	1217
	1218	<telecom/>
	1219
	1220	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	1221
	1222	<addr/>
	1223
	1224	</represen tedOrganiz ation>
	1225
	1226	</assigned Entity>
	1227
	1228	</performe r>
	1229	<performer
	1230	typeCode=" PRF"
	1231	>
	1232
	1233	<!-- Provi der Templa te Id -->
	1234
	1235	<templateI d
	1236	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	1237	/>
	1238
	1239	<!-- 4.02- PROVIDER R OLE CODED, Optional- R2, Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	1240
	1241
	1242	<!-- 4.03- PROVIDER R OLE FREE T EXT, Optio nal-R2, Re moved b/c data not y et availab le via VA VistA RPCs -->
	1243
	1244	<!-- 4.01- DATE RANGE , Required , nullFlav or b/c dat a not yet available via VA Vis tA RPCs -- >
	1245
	1246	<time>
	1247
	1248	<high
	1249	nullFlavor ="UNK"
	1250	/>
	1251
	1252	</time>
	1253
	1254	<assignedE ntity>
	1255
	1256	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	1257
	1258	<id
	1259	extension= "provider1 008"
	1260	root="2.16 .840.1.113 883.4.349"
	1261	/>
	1262
	1263	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	1264
	1265	<addr/>
	1266
	1267	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	1268
	1269	<telecom
	1270	nullFlavor ="UNK"
	1271	/>
	1272
	1273	<assignedP erson>
	1274
	1275	<name>
	1276	MANGUS,CHR ISTOPHER
	1277	</name>
	1278
	1279	</assigned Person>
	1280
	1281	<represent edOrganiza tion>
	1282
	1283	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	1284
	1285	<id
	1286	extension= "983"
	1287	root="2.16 .840.1.113 883.4.349"
	1288	/>
	1289
	1290	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	1291
	1292	<name>
	1293	CHYSHR TES T LAB
	1294	</name>
	1295
	1296	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	1297
	1298	<telecom/>
	1299
	1300	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	1301
	1302	<addr/>
	1303
	1304	</represen tedOrganiz ation>
	1305
	1306	</assigned Entity>
	1307
	1308	</performe r>
	1309
	1310	</serviceE vent>
	1311
	1312	</document ationOf>
	1313
	1314	<!--
	1315	****** ****** ****** ****** ****** **
	1316	CD A BODY
	1317	****** ****** ****** ****** ****** **
	1318	-- >
	1319
	1320	<component >
	1321
	1322	<structure dBody>
	1323
	1324	<!--
	1325	**** ****** ****** ****** ****** ********
	1326	ALLERG Y/DRUG SEC TION SECTI ON
	1327	**** ****** ****** ****** ****** ********
	1328	-->
	1329
	1330	<component >
	1331
	1332	<section>
	1333
	1334	<!-- CCD A lert Secti on Templat e-->
	1335
	1336	<templateI d
	1337	root="2.16 .840.1.113 883. IP "
	1338	/>
	1339
	1340	<!-- HITSP C32 V2.5: Allergy and Advers e Reaction Section T emplate -- >
	1341
	1342	<templateI d
	1343	root="2.16 .840.1.113 883.3.88.1 1.83.102"
	1344	/>
	1345
	1346	<!-- HITSP C32 V2.5: IHE Alle rgies and Other Adve rse Reacti ons Secti on Templat e -->
	1347
	1348	<templateI d
	1349	root="1.3. 6.1.4.1.19 376.1.5.3. 1.3.13"
	1350	/>
	1351
	1352	<!-- HITSP C32 V2.5: CCD Sect ion Confor mance code value , s tatic -->
	1353
	1354	<code
	1355	code="4876 5-2"
	1356	codeSystem ="2.16.840 .1.113883. 6.1"
	1357	displayNam e="Allergi es, advers e reaction s, alerts"
	1358	/>
	1359
	1360	<title>
	1361	Allergies
	1362	</title>
	1363
	1364	<!-- ALLE RGIES NARR ATIVE BLOC K -->
	1365
	1366	<text>
	1367
	1368	<!-- VLER SEG 1B: Al lergies/Dr ug Busines s Rules fo r Medical Content - ->
	1369
	1370	<table
	1371	border="1"
	1372	width="100 %"
	1373	>
	1374
	1375	<thead>
	1376
	1377	<tr>
	1378
	1379	<th>
	1380	Department of Vetera ns Affairs
	1381	</th>
	1382
	1383	<th>
	1384	Business R ules for C onstructio n of Medic al Informa tion
	1385	</th>
	1386
	1387	</tr>
	1388
	1389	</thead>
	1390
	1391	<tbody>
	1392
	1393	<tr>
	1394
	1395	<td>
	1396	Allergies
	1397	</td>
	1398
	1399	<td>
	1400	This secti on contain s all pati ent allerg y informat ion from a ll VA trea tment faci lities. It does not contain pa tient alle rgies that were dele ted or ent ered in er ror.
	1401	</td>
	1402
	1403	</tr>
	1404
	1405	</tbody>
	1406
	1407	</table>
	1408
	1409	<table
	1410	ID="allerg yNarritive "
	1411	border="1"
	1412	width="100 %"
	1413	>
	1414
	1415	<thead>
	1416
	1417	<tr>
	1418
	1419	<th>
	1420	Allergy
	1421	</th>
	1422
	1423	<th>
	1424	Coded Alle rgy
	1425	</th>
	1426
	1427	<th>
	1428	Verificati on Date
	1429	</th>
	1430
	1431	<th>
	1432	Event Type
	1433	</th>
	1434
	1435	<th>
	1436	Reaction
	1437	</th>
	1438
	1439	<th>
	1440	Severity
	1441	</th>
	1442
	1443	<th>
	1444	Source
	1445	</th>
	1446
	1447	</tr>
	1448
	1449	</thead>
	1450
	1451	<tbody>
	1452
	1453	<tr>
	1454
	1455	<td>
	1456
	1457	<content
	1458	ID="andAll ergy1001"
	1459	>
	1460	ABALONE
	1461	</content>
	1462
	1463	</td>
	1464
	1465	<td>
	1466
	1467	<content
	1468	ID="andCod edAllergyN ame1001"
	1469	>
	1470	Coded Alle rgy Name N ot Availab le
	1471	</content>
	1472
	1473	</td>
	1474
	1475	<td>
	1476
	1477	<content
	1478	ID="andVer ificationD ate1001"
	1479	/>
	1480
	1481	</td>
	1482
	1483	<td>
	1484
	1485	<content
	1486	ID="andEve ntType1001 "
	1487	>
	1488	Propensity to advers e reaction s to food
	1489	</content>
	1490
	1491	</td>
	1492
	1493	<td>
	1494
	1495	<list>
	1496
	1497	<item>
	1498
	1499	<content
	1500	ID="andRea ction1001- 1001"
	1501	>
	1502	RASH
	1503	</content>
	1504
	1505	</item>
	1506
	1507	</list>
	1508
	1509	</td>
	1510
	1511	<td>
	1512
	1513	<content
	1514	ID="andSev erity1001"
	1515	>
	1516	SEVERE
	1517	</content>
	1518
	1519	</td>
	1520
	1521	<td>
	1522
	1523	<content
	1524	ID="andSou rce1001"
	1525	>
	1526	CHYSHR TES T LAB
	1527	</content>
	1528
	1529	</td>
	1530
	1531	</tr>
	1532	<tr>
	1533
	1534	<td>
	1535
	1536	<content
	1537	ID="andAll ergy1002"
	1538	>
	1539	ZEBETA TAB LET
	1540	</content>
	1541
	1542	</td>
	1543
	1544	<td>
	1545
	1546	<content
	1547	ID="andCod edAllergyN ame1002"
	1548	>
	1549	Coded Alle rgy Name N ot Availab le
	1550	</content>
	1551
	1552	</td>
	1553
	1554	<td>
	1555
	1556	<content
	1557	ID="andVer ificationD ate1002"
	1558	/>
	1559
	1560	</td>
	1561
	1562	<td>
	1563
	1564	<content
	1565	ID="andEve ntType1002 "
	1566	>
	1567	Propensity to advers e reaction s to drug
	1568	</content>
	1569
	1570	</td>
	1571
	1572	<td>
	1573
	1574	<list>
	1575
	1576	<item>
	1577
	1578	<content
	1579	ID="andRea ction1002- 1002"
	1580	>
	1581	RASH
	1582	</content>
	1583
	1584	</item>
	1585
	1586	</list>
	1587
	1588	</td>
	1589
	1590	<td>
	1591
	1592	<content
	1593	ID="andSev erity1002"
	1594	>
	1595	MODERATE
	1596	</content>
	1597
	1598	</td>
	1599
	1600	<td>
	1601
	1602	<content
	1603	ID="andSou rce1002"
	1604	>
	1605	CHYSHR TES T LAB
	1606	</content>
	1607
	1608	</td>
	1609
	1610	</tr>
	1611
	1612	</tbody>
	1613
	1614	</table>
	1615
	1616	</text>
	1617
	1618	<entry
	1619	typeCode=" DRIV"
	1620	>
	1621
	1622	<act
	1623	classCode= "ACT"
	1624	moodCode=" EVN"
	1625	>
	1626
	1627	<templateI d
	1628	assigningA uthorityNa me="CCD"
	1629	root="2.16 .840.1.113 883. IP "
	1630	/>
	1631
	1632	<!-- HITSP C32 V2.5: Template s for Alle rgy/Drug M odule/Entr y -->
	1633
	1634	<templateI d
	1635	root="2.16 .840.1.113 883.3.88.1 1.83.6"
	1636	/>
	1637
	1638	<templateI d
	1639	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	1640	/>
	1641
	1642	<templateI d
	1643	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.3"
	1644	/>
	1645
	1646	<!-- CCD A llergy Act ID as nul lflavor -- >
	1647
	1648	<id
	1649	nullFlavor ="UNK"
	1650	/>
	1651
	1652	<code
	1653	nullFlavor ="NA"
	1654	/>
	1655
	1656	<!-- HITSP C32 V2.5: IHE Conc ern Templa te Require s statusCo de and eff ectiveTime -->
	1657
	1658	<statusCod e
	1659	code="acti ve"
	1660	/>
	1661
	1662	<effective Time>
	1663
	1664	<low
	1665	nullFlavor ="UNK"
	1666	/>
	1667
	1668	</effectiv eTime>
	1669
	1670	<!-- INFOR MATION SOU RCE FOR AL LERGIES/DR UG, Option al -->
	1671
	1672	<author>
	1673
	1674	<!-- ADD TIME TO IN FORMATION SOURCE FOR ALLERGIES /DRUG -->
	1675
	1676	<time
	1677	nullFlavor ="UNK"
	1678	/>
	1679
	1680	<assignedA uthor>
	1681
	1682	<id
	1683	nullFlavor ="NI"
	1684	/>
	1685
	1686	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	1687
	1688	<addr/>
	1689
	1690	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	1691
	1692	<telecom/>
	1693
	1694	<represent edOrganiza tion>
	1695
	1696	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	1697
	1698	<id
	1699	extension= "983"
	1700	root="2.16 .840.1.113 883.4.349"
	1701	/>
	1702
	1703	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	1704
	1705	<name>
	1706	CHYSHR TES T LAB
	1707	</name>
	1708
	1709	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	1710
	1711	<telecom/>
	1712
	1713	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	1714
	1715	<addr/>
	1716
	1717	</represen tedOrganiz ation>
	1718
	1719	</assigned Author>
	1720
	1721	</author>
	1722
	1723	<entryRela tionship
	1724	inversionI nd="false"
	1725	typeCode=" SUBJ"
	1726	>
	1727
	1728	<observati on
	1729	classCode= "OBS"
	1730	moodCode=" EVN"
	1731	>
	1732
	1733	<!-- HITSP C32 V2.5: Allerg y Template s -->
	1734
	1735	<templateI d
	1736	root="2.16 .840.1.113 883. IP "
	1737	/>
	1738
	1739	<!-- Alert observati on templat e -->
	1740
	1741	<templateI d
	1742	root="2.16 .840.1.113 883. IP "
	1743	/>
	1744
	1745	<templateI d
	1746	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	1747	/>
	1748
	1749	<templateI d
	1750	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	1751	/>
	1752
	1753	<!-- HITSP C32 V2.5: IHE Obser vation Tem plates Req uire Id -- >
	1754
	1755	<id
	1756	nullFlavor ="UNK"
	1757	/>
	1758
	1759	<!-- 6.02 ADVERSE EV ENT TYPE, REQUIRED; SNOMED CT -->
	1760
	1761	<!-- HITSP C32 V2.5: 6.02 ADV ERSE EVENT TYPE SNOM ED CT Term inology Re quired -->
	1762
	1763	<code
	1764	code="4184 71000"
	1765	codeSystem ="2.16.840 .1.113883. 6.96"
	1766	codeSystem Name="SNOM ED CT"
	1767	displayNam e="Propens ity to adv erse react ions to fo od"
	1768	>
	1769
	1770	<originalT ext>
	1771	FOOD
	1772	</original Text>
	1773
	1774	</code>
	1775
	1776	<!-- IHE Status Cod e fro Obse rvation -- >
	1777
	1778	<statusCod e
	1779	code="comp leted"
	1780	/>
	1781
	1782	<!-- 6.01 ADVERSE EV ENT DATE, Optional-R 2 -->
	1783
	1784	<effective Time>
	1785
	1786	<low
	1787	value="201 612021231"
	1788	/>
	1789
	1790	</effectiv eTime>
	1791
	1792	<!-- HITSP C32 V2.5: IHE Alle rgy Concer n Template Requires value, Whe n uncoded only xsi:t ype=CD all owed -->
	1793
	1794	<value
	1795	xsi:type=" CD"
	1796	/>
	1797
	1798	<!-- HITSP C32 V2.5: Participa nt block f or 6.04-Pr oduct Code d -->
	1799
	1800	<participa nt
	1801	typeCode=" CSM"
	1802	>
	1803
	1804	<participa ntRole
	1805	classCode= "MANU"
	1806	>
	1807
	1808	<playingEn tity
	1809	classCode= "MMAT"
	1810	>
	1811
	1812	<!-- 6.04 PRODUCT C ODED, Opti onal-R2, R emoved b/c data not yet availa ble via VA VistA RPC s -->
	1813
	1814	<code
	1815	code="UNK"
	1816	nullFlavor ="UNK"
	1817	>
	1818
	1819	<originalT ext>
	1820
	1821	<reference
	1822	value="#an dCodedAlle rgyName100 1"
	1823	/>
	1824
	1825	</original Text>
	1826
	1827	</code>
	1828
	1829	<!-- 6.03 PRODUCT FR EE TEXT, R EQUIRED-->
	1830
	1831	<name>
	1832	ABALONE
	1833	</name>
	1834
	1835	</playingE ntity>
	1836
	1837	</particip antRole>
	1838
	1839	</particip ant>
	1840
	1841	<!-- SEVE RITY ENTRY RELATIONS HIP BLOCK optional, 0 or 1 per Allergy - ->
	1842
	1843	<entryRela tionship
	1844	inversionI nd="true"
	1845	typeCode=" SUBJ"
	1846	>
	1847
	1848	<!--Templa te ID for Problem En try - Alle rgy Reacti on Uses Sa me Structu re -->
	1849
	1850	<templateI d
	1851	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6.1"
	1852	/>
	1853
	1854	<observati on
	1855	classCode= "OBS"
	1856	moodCode=" EVN"
	1857	>
	1858
	1859	<!-- Sever ityTemplat e ID -->
	1860
	1861	<templateI d
	1862	root="2.16 .840.1.113 883. IP "
	1863	/>
	1864
	1865	<!-- HITSP C32 V2.5: Allerg y Template s -->
	1866
	1867	<templateI d
	1868	root="2.16 .840.1.113 883. IP "
	1869	/>
	1870
	1871	<templateI d
	1872	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	1873	/>
	1874
	1875	<templateI d
	1876	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	1877	/>
	1878
	1879	<!-- CCD O bs ID as n ullFlavor -->
	1880
	1881	<id
	1882	nullFlavor ="UNK"
	1883	/>
	1884
	1885	<code
	1886	code="SEV"
	1887	codeSystem ="2.16.840 .1.113883. 5.4"
	1888	codeSystem Name="HL7A ctCode"
	1889	displayNam e="Severit y"
	1890	/>
	1891
	1892	<!-- 6.07 SEVERITY-F REE TEXT, optional, Pointer to Narrative Block-->
	1893
	1894	<text>
	1895
	1896	<reference
	1897	value="#an dSeverity1 001"
	1898	/>
	1899
	1900	</text>
	1901
	1902	<statusCod e
	1903	code="comp leted"
	1904	/>
	1905
	1906	<effective Time>
	1907
	1908	<low
	1909	nullFlavor ="UNK"
	1910	/>
	1911
	1912	</effectiv eTime>
	1913
	1914	<!-- 6.08 SEVERITY C ODED, opti onal, When uncoded o nly xsi:ty pe="CD" al lowed -->
	1915
	1916	<value
	1917	xsi:type=" CD"
	1918	/>
	1919
	1920	</observat ion>
	1921
	1922	</entryRel ationship>
	1923
	1924	<!-- REAC TION ENTRY RELATIONSH IP BLOCK o ptional, r epeatable -->
	1925
	1926	<entryRela tionship
	1927	inversionI nd="true"
	1928	typeCode=" MFST"
	1929	>
	1930
	1931	<observati on
	1932	classCode= "OBS"
	1933	moodCode=" EVN"
	1934	>
	1935
	1936	<!-- React ion Templa te ID -->
	1937
	1938	<templateI d
	1939	root="2.16 .840.1.113 883. IP "
	1940	/>
	1941
	1942	<!-- HITSP C32 V2.5: Allerg y Template s -->
	1943
	1944	<templateI d
	1945	root="2.16 .840.1.113 883. IP "
	1946	/>
	1947
	1948	<templateI d
	1949	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	1950	/>
	1951
	1952	<templateI d
	1953	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	1954	/>
	1955
	1956	<id
	1957	nullFlavor ="UNK"
	1958	/>
	1959
	1960	<code
	1961	code="ASSE RTION"
	1962	codeSystem ="2.16.840 .1.113883. 5.4"
	1963	codeSystem Name="HL7A ctCode"
	1964	/>
	1965
	1966	<!-- 6.05 REACTION-F REE TEXT, optional,- ->
	1967
	1968	<text>
	1969
	1970	<reference
	1971	value="#an dReaction1 001-1001"
	1972	/>
	1973
	1974	</text>
	1975
	1976	<statusCod e
	1977	code="comp leted"
	1978	/>
	1979
	1980	<effective Time>
	1981
	1982	<low
	1983	nullFlavor ="UNK"
	1984	/>
	1985
	1986	</effectiv eTime>
	1987
	1988	<!-- 6.06 REACTION C ODED optio nal, when uncoded on ly xsi:typ e=CD allow ed -->
	1989
	1990	<value
	1991	xsi:type=" CD"
	1992	/>
	1993
	1994	</observat ion>
	1995
	1996	</entryRel ationship>
	1997
	1998	</observat ion>
	1999
	2000	</entryRel ationship>
	2001
	2002	</act>
	2003
	2004	</entry>
	2005	<entry
	2006	typeCode=" DRIV"
	2007	>
	2008
	2009	<act
	2010	classCode= "ACT"
	2011	moodCode=" EVN"
	2012	>
	2013
	2014	<templateI d
	2015	assigningA uthorityNa me="CCD"
	2016	root="2.16 .840.1.113 883. IP "
	2017	/>
	2018
	2019	<!-- HITSP C32 V2.5: Template s for Alle rgy/Drug M odule/Entr y -->
	2020
	2021	<templateI d
	2022	root="2.16 .840.1.113 883.3.88.1 1.83.6"
	2023	/>
	2024
	2025	<templateI d
	2026	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	2027	/>
	2028
	2029	<templateI d
	2030	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.3"
	2031	/>
	2032
	2033	<!-- CCD A llergy Act ID as nul lflavor -- >
	2034
	2035	<id
	2036	nullFlavor ="UNK"
	2037	/>
	2038
	2039	<code
	2040	nullFlavor ="NA"
	2041	/>
	2042
	2043	<!-- HITSP C32 V2.5: IHE Conc ern Templa te Require s statusCo de and eff ectiveTime -->
	2044
	2045	<statusCod e
	2046	code="acti ve"
	2047	/>
	2048
	2049	<effective Time>
	2050
	2051	<low
	2052	nullFlavor ="UNK"
	2053	/>
	2054
	2055	</effectiv eTime>
	2056
	2057	<!-- INFOR MATION SOU RCE FOR AL LERGIES/DR UG, Option al -->
	2058
	2059	<author>
	2060
	2061	<!-- ADD TIME TO IN FORMATION SOURCE FOR ALLERGIES /DRUG -->
	2062
	2063	<time
	2064	nullFlavor ="UNK"
	2065	/>
	2066
	2067	<assignedA uthor>
	2068
	2069	<id
	2070	nullFlavor ="NI"
	2071	/>
	2072
	2073	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	2074
	2075	<addr/>
	2076
	2077	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	2078
	2079	<telecom/>
	2080
	2081	<represent edOrganiza tion>
	2082
	2083	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	2084
	2085	<id
	2086	extension= "983"
	2087	root="2.16 .840.1.113 883.4.349"
	2088	/>
	2089
	2090	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	2091
	2092	<name>
	2093	CHYSHR TES T LAB
	2094	</name>
	2095
	2096	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	2097
	2098	<telecom/>
	2099
	2100	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	2101
	2102	<addr/>
	2103
	2104	</represen tedOrganiz ation>
	2105
	2106	</assigned Author>
	2107
	2108	</author>
	2109
	2110	<entryRela tionship
	2111	inversionI nd="false"
	2112	typeCode=" SUBJ"
	2113	>
	2114
	2115	<observati on
	2116	classCode= "OBS"
	2117	moodCode=" EVN"
	2118	>
	2119
	2120	<!-- HITSP C32 V2.5: Allerg y Template s -->
	2121
	2122	<templateI d
	2123	root="2.16 .840.1.113 883. IP "
	2124	/>
	2125
	2126	<!-- Alert observati on templat e -->
	2127
	2128	<templateI d
	2129	root="2.16 .840.1.113 883. IP "
	2130	/>
	2131
	2132	<templateI d
	2133	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	2134	/>
	2135
	2136	<templateI d
	2137	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	2138	/>
	2139
	2140	<!-- HITSP C32 V2.5: IHE Obser vation Tem plates Req uire Id -- >
	2141
	2142	<id
	2143	nullFlavor ="UNK"
	2144	/>
	2145
	2146	<!-- 6.02 ADVERSE EV ENT TYPE, REQUIRED; SNOMED CT -->
	2147
	2148	<!-- HITSP C32 V2.5: 6.02 ADV ERSE EVENT TYPE SNOM ED CT Term inology Re quired -->
	2149
	2150	<code
	2151	code="4195 11003"
	2152	codeSystem ="2.16.840 .1.113883. 6.96"
	2153	codeSystem Name="SNOM ED CT"
	2154	displayNam e="Propens ity to adv erse react ions to dr ug"
	2155	>
	2156
	2157	<originalT ext>
	2158	DRUG
	2159	</original Text>
	2160
	2161	</code>
	2162
	2163	<!-- IHE Status Cod e fro Obse rvation -- >
	2164
	2165	<statusCod e
	2166	code="comp leted"
	2167	/>
	2168
	2169	<!-- 6.01 ADVERSE EV ENT DATE, Optional-R 2 -->
	2170
	2171	<effective Time>
	2172
	2173	<low
	2174	value="201 612021232"
	2175	/>
	2176
	2177	</effectiv eTime>
	2178
	2179	<!-- HITSP C32 V2.5: IHE Alle rgy Concer n Template Requires value, Whe n uncoded only xsi:t ype=CD all owed -->
	2180
	2181	<value
	2182	xsi:type=" CD"
	2183	/>
	2184
	2185	<!-- HITSP C32 V2.5: Participa nt block f or 6.04-Pr oduct Code d -->
	2186
	2187	<participa nt
	2188	typeCode=" CSM"
	2189	>
	2190
	2191	<participa ntRole
	2192	classCode= "MANU"
	2193	>
	2194
	2195	<playingEn tity
	2196	classCode= "MMAT"
	2197	>
	2198
	2199	<!-- 6.04 PRODUCT C ODED, Opti onal-R2, R emoved b/c data not yet availa ble via VA VistA RPC s -->
	2200
	2201	<code
	2202	code="UNK"
	2203	nullFlavor ="UNK"
	2204	>
	2205
	2206	<originalT ext>
	2207
	2208	<reference
	2209	value="#an dCodedAlle rgyName100 2"
	2210	/>
	2211
	2212	</original Text>
	2213
	2214	</code>
	2215
	2216	<!-- 6.03 PRODUCT FR EE TEXT, R EQUIRED-->
	2217
	2218	<name>
	2219	ZEBETA TAB LET
	2220	</name>
	2221
	2222	</playingE ntity>
	2223
	2224	</particip antRole>
	2225
	2226	</particip ant>
	2227
	2228	<!-- SEVE RITY ENTRY RELATIONS HIP BLOCK optional, 0 or 1 per Allergy - ->
	2229
	2230	<entryRela tionship
	2231	inversionI nd="true"
	2232	typeCode=" SUBJ"
	2233	>
	2234
	2235	<!--Templa te ID for Problem En try - Alle rgy Reacti on Uses Sa me Structu re -->
	2236
	2237	<templateI d
	2238	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6.1"
	2239	/>
	2240
	2241	<observati on
	2242	classCode= "OBS"
	2243	moodCode=" EVN"
	2244	>
	2245
	2246	<!-- Sever ityTemplat e ID -->
	2247
	2248	<templateI d
	2249	root="2.16 .840.1.113 883. IP "
	2250	/>
	2251
	2252	<!-- HITSP C32 V2.5: Allerg y Template s -->
	2253
	2254	<templateI d
	2255	root="2.16 .840.1.113 883. IP "
	2256	/>
	2257
	2258	<templateI d
	2259	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	2260	/>
	2261
	2262	<templateI d
	2263	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	2264	/>
	2265
	2266	<!-- CCD O bs ID as n ullFlavor -->
	2267
	2268	<id
	2269	nullFlavor ="UNK"
	2270	/>
	2271
	2272	<code
	2273	code="SEV"
	2274	codeSystem ="2.16.840 .1.113883. 5.4"
	2275	codeSystem Name="HL7A ctCode"
	2276	displayNam e="Severit y"
	2277	/>
	2278
	2279	<!-- 6.07 SEVERITY-F REE TEXT, optional, Pointer to Narrative Block-->
	2280
	2281	<text>
	2282
	2283	<reference
	2284	value="#an dSeverity1 002"
	2285	/>
	2286
	2287	</text>
	2288
	2289	<statusCod e
	2290	code="comp leted"
	2291	/>
	2292
	2293	<effective Time>
	2294
	2295	<low
	2296	nullFlavor ="UNK"
	2297	/>
	2298
	2299	</effectiv eTime>
	2300
	2301	<!-- 6.08 SEVERITY C ODED, opti onal, When uncoded o nly xsi:ty pe="CD" al lowed -->
	2302
	2303	<value
	2304	xsi:type=" CD"
	2305	/>
	2306
	2307	</observat ion>
	2308
	2309	</entryRel ationship>
	2310
	2311	<!-- REAC TION ENTRY RELATIONSH IP BLOCK o ptional, r epeatable -->
	2312
	2313	<entryRela tionship
	2314	inversionI nd="true"
	2315	typeCode=" MFST"
	2316	>
	2317
	2318	<observati on
	2319	classCode= "OBS"
	2320	moodCode=" EVN"
	2321	>
	2322
	2323	<!-- React ion Templa te ID -->
	2324
	2325	<templateI d
	2326	root="2.16 .840.1.113 883. IP "
	2327	/>
	2328
	2329	<!-- HITSP C32 V2.5: Allerg y Template s -->
	2330
	2331	<templateI d
	2332	root="2.16 .840.1.113 883. IP "
	2333	/>
	2334
	2335	<templateI d
	2336	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	2337	/>
	2338
	2339	<templateI d
	2340	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	2341	/>
	2342
	2343	<id
	2344	nullFlavor ="UNK"
	2345	/>
	2346
	2347	<code
	2348	code="ASSE RTION"
	2349	codeSystem ="2.16.840 .1.113883. 5.4"
	2350	codeSystem Name="HL7A ctCode"
	2351	/>
	2352
	2353	<!-- 6.05 REACTION-F REE TEXT, optional,- ->
	2354
	2355	<text>
	2356
	2357	<reference
	2358	value="#an dReaction1 002-1002"
	2359	/>
	2360
	2361	</text>
	2362
	2363	<statusCod e
	2364	code="comp leted"
	2365	/>
	2366
	2367	<effective Time>
	2368
	2369	<low
	2370	nullFlavor ="UNK"
	2371	/>
	2372
	2373	</effectiv eTime>
	2374
	2375	<!-- 6.06 REACTION C ODED optio nal, when uncoded on ly xsi:typ e=CD allow ed -->
	2376
	2377	<value
	2378	xsi:type=" CD"
	2379	/>
	2380
	2381	</observat ion>
	2382
	2383	</entryRel ationship>
	2384
	2385	</observat ion>
	2386
	2387	</entryRel ationship>
	2388
	2389	</act>
	2390
	2391	</entry>
	2392
	2393	</section>
	2394
	2395	</componen t>
	2396
	2397	<!--
	2398	**** ****** ****** ****** ****** ********
	2399	PROBLE M/CONDITIO N SECTION
	2400	**** ****** ****** ****** ****** ********
	2401	-->
	2402
	2403	<component >
	2404
	2405	<!-- Compo nent 2 -->
	2406
	2407	<section>
	2408
	2409	<!-- CCD P roblem Sec tion Templ ate -->
	2410
	2411	<templateI d
	2412	root="2.16 .840.1.113 883. IP "
	2413	/>
	2414
	2415	<!-- HITSP C32 V2.5: Problem Section Te mplate -->
	2416
	2417	<templateI d
	2418	root="2.16 .840.1.113 883.3.88.1 1.83.103"
	2419	/>
	2420
	2421	<!-- HITSP C32 V2.5: IHE Acti ve Problem s Section Template - ->
	2422
	2423	<templateI d
	2424	root="1.3. 6.1.4.1.19 376.1.5.3. 1.3.6"
	2425	/>
	2426
	2427	<!-- HITSP C32 V2.5: C83 - IH E Problem Concern Te mplates -- >
	2428
	2429	<!-- templ ateId root ="1.3.6.1. 4.1.19376. 1.5.3.1.4. 5.1"/
	2430	<templateI d root="1. 3.6.1.4.1. 19376.1.5. 3.1.4.5.2" / -->
	2431
	2432	<code
	2433	code="1145 0-4"
	2434	codeSystem ="2.16.840 .1.113883. 6.1"
	2435	codeSystem Name="LOIN C"
	2436	displayNam e="Problem s"
	2437	/>
	2438
	2439	<title>
	2440	Problems/C onditions
	2441	</title>
	2442
	2443	<!-- PROB LEMS NARRA TIVE BLOCK , Required -->
	2444
	2445	<text>
	2446
	2447	<!-- VLER SEG 1B: Pr oblem/Cond ition Busi ness Rules for Medic al Content -->
	2448
	2449	<table
	2450	border="1"
	2451	width="100 %"
	2452	>
	2453
	2454	<thead>
	2455
	2456	<tr>
	2457
	2458	<th>
	2459	Department of Vetera ns Affairs
	2460	</th>
	2461
	2462	<th>
	2463	Business R ules for C onstructio n of Medic al Informa tion
	2464	</th>
	2465
	2466	</tr>
	2467
	2468	</thead>
	2469
	2470	<tbody>
	2471
	2472	<tr>
	2473
	2474	<td>
	2475	Problems/C onditions
	2476	</td>
	2477
	2478	<td>
	2479	This secti on contain s patient conditions (active a nd inactiv e) informa tion from all VA tre atment fac ilities. I t does not contain p atient con ditions th at were de leted.
	2480	</td>
	2481
	2482	</tr>
	2483
	2484	</tbody>
	2485
	2486	</table>
	2487
	2488	<table
	2489	ID="proble mNarritive "
	2490	border="1"
	2491	width="100 %"
	2492	>
	2493
	2494	<thead>
	2495
	2496	<tr>
	2497
	2498	<th>
	2499	Problem
	2500	</th>
	2501
	2502	<th>
	2503	Status
	2504	</th>
	2505
	2506	<th>
	2507	Problem Co de
	2508	</th>
	2509
	2510	<th>
	2511	Date of On set
	2512	</th>
	2513
	2514	<th>
	2515	Provider
	2516	</th>
	2517
	2518	<th>
	2519	Source
	2520	</th>
	2521
	2522	</tr>
	2523
	2524	</thead>
	2525
	2526	<tbody>
	2527
	2528	<tr>
	2529
	2530	<td>
	2531
	2532	<content
	2533	ID="pndPro blem1001"
	2534	>
	2535	Abnormal d igestion ( SCT 615780 01)
	2536	</content>
	2537
	2538	</td>
	2539
	2540	<td>
	2541
	2542	<content
	2543	ID="pndSta tus1001"
	2544	>
	2545	Active
	2546	</content>
	2547
	2548	</td>
	2549
	2550	<td>
	2551
	2552	<content
	2553	ID="pndPro blemCode10 01"
	2554	>
	2555	R69.
	2556	</content>
	2557
	2558	</td>
	2559
	2560	<td>
	2561
	2562	<content
	2563	ID="pndDat eOfOnset10 01"
	2564	>
	2565	20161202
	2566	</content>
	2567
	2568	</td>
	2569
	2570	<td>
	2571
	2572	<content
	2573	ID="pndPro vider1001"
	2574	>
	2575	MANGUS,CHR ISTOPHER
	2576	</content>
	2577
	2578	</td>
	2579
	2580	<td>
	2581
	2582	<content
	2583	ID="pndSou rce1001"
	2584	>
	2585	CHYSHR TES T LAB
	2586	</content>
	2587
	2588	</td>
	2589
	2590	</tr>
	2591	<tr>
	2592
	2593	<td>
	2594
	2595	<content
	2596	ID="pndPro blem1002"
	2597	>
	2598	Hypocholes teremia (S CT 6133600 8)
	2599	</content>
	2600
	2601	</td>
	2602
	2603	<td>
	2604
	2605	<content
	2606	ID="pndSta tus1002"
	2607	>
	2608	Active
	2609	</content>
	2610
	2611	</td>
	2612
	2613	<td>
	2614
	2615	<content
	2616	ID="pndPro blemCode10 02"
	2617	>
	2618	R69.
	2619	</content>
	2620
	2621	</td>
	2622
	2623	<td>
	2624
	2625	<content
	2626	ID="pndDat eOfOnset10 02"
	2627	>
	2628	20161202
	2629	</content>
	2630
	2631	</td>
	2632
	2633	<td>
	2634
	2635	<content
	2636	ID="pndPro vider1002"
	2637	>
	2638	MANGUS,CHR ISTOPHER
	2639	</content>
	2640
	2641	</td>
	2642
	2643	<td>
	2644
	2645	<content
	2646	ID="pndSou rce1002"
	2647	>
	2648	CHYSHR TES T LAB
	2649	</content>
	2650
	2651	</td>
	2652
	2653	</tr>
	2654	<tr>
	2655
	2656	<td>
	2657
	2658	<content
	2659	ID="pndPro blem1003"
	2660	>
	2661	Chronic so re throat (SCT 14000 4)
	2662	</content>
	2663
	2664	</td>
	2665
	2666	<td>
	2667
	2668	<content
	2669	ID="pndSta tus1003"
	2670	>
	2671	Active
	2672	</content>
	2673
	2674	</td>
	2675
	2676	<td>
	2677
	2678	<content
	2679	ID="pndPro blemCode10 03"
	2680	>
	2681	R69.
	2682	</content>
	2683
	2684	</td>
	2685
	2686	<td>
	2687
	2688	<content
	2689	ID="pndDat eOfOnset10 03"
	2690	>
	2691	20161202
	2692	</content>
	2693
	2694	</td>
	2695
	2696	<td>
	2697
	2698	<content
	2699	ID="pndPro vider1003"
	2700	>
	2701	MANGUS,CHR ISTOPHER
	2702	</content>
	2703
	2704	</td>
	2705
	2706	<td>
	2707
	2708	<content
	2709	ID="pndSou rce1003"
	2710	>
	2711	CHYSHR TES T LAB
	2712	</content>
	2713
	2714	</td>
	2715
	2716	</tr>
	2717	<tr>
	2718
	2719	<td>
	2720
	2721	<content
	2722	ID="pndPro blem1004"
	2723	>
	2724	Asthma (IC D-9-CM 493 .90)
	2725	</content>
	2726
	2727	</td>
	2728
	2729	<td>
	2730
	2731	<content
	2732	ID="pndSta tus1004"
	2733	>
	2734	Active
	2735	</content>
	2736
	2737	</td>
	2738
	2739	<td>
	2740
	2741	<content
	2742	ID="pndPro blemCode10 04"
	2743	>
	2744	493.90
	2745	</content>
	2746
	2747	</td>
	2748
	2749	<td>
	2750
	2751	<content
	2752	ID="pndDat eOfOnset10 04"
	2753	>
	2754	19820102
	2755	</content>
	2756
	2757	</td>
	2758
	2759	<td>
	2760
	2761	<content
	2762	ID="pndPro vider1004"
	2763	>
	2764	TREEHORN,J ACKIE
	2765	</content>
	2766
	2767	</td>
	2768
	2769	<td>
	2770
	2771	<content
	2772	ID="pndSou rce1004"
	2773	>
	2774	CHYSHR TES T LAB
	2775	</content>
	2776
	2777	</td>
	2778
	2779	</tr>
	2780	<tr>
	2781
	2782	<td>
	2783
	2784	<content
	2785	ID="pndPro blem1005"
	2786	>
	2787	Hemangioma , any site (ICD-9-CM 228.09)
	2788	</content>
	2789
	2790	</td>
	2791
	2792	<td>
	2793
	2794	<content
	2795	ID="pndSta tus1005"
	2796	>
	2797	Active
	2798	</content>
	2799
	2800	</td>
	2801
	2802	<td>
	2803
	2804	<content
	2805	ID="pndPro blemCode10 05"
	2806	>
	2807	228.09
	2808	</content>
	2809
	2810	</td>
	2811
	2812	<td>
	2813
	2814	<content
	2815	ID="pndDat eOfOnset10 05"
	2816	>
	2817	19840202
	2818	</content>
	2819
	2820	</td>
	2821
	2822	<td>
	2823
	2824	<content
	2825	ID="pndPro vider1005"
	2826	>
	2827	TREEHORN,J ACKIE
	2828	</content>
	2829
	2830	</td>
	2831
	2832	<td>
	2833
	2834	<content
	2835	ID="pndSou rce1005"
	2836	>
	2837	CHYSHR TES T LAB
	2838	</content>
	2839
	2840	</td>
	2841
	2842	</tr>
	2843	<tr>
	2844
	2845	<td>
	2846
	2847	<content
	2848	ID="pndPro blem1006"
	2849	>
	2850	Monoamine oxidase in hibitor di et (SCT 22 6196004)
	2851	</content>
	2852
	2853	</td>
	2854
	2855	<td>
	2856
	2857	<content
	2858	ID="pndSta tus1006"
	2859	>
	2860	Inactive
	2861	</content>
	2862
	2863	</td>
	2864
	2865	<td>
	2866
	2867	<content
	2868	ID="pndPro blemCode10 06"
	2869	>
	2870	R69.
	2871	</content>
	2872
	2873	</td>
	2874
	2875	<td>
	2876
	2877	<content
	2878	ID="pndDat eOfOnset10 06"
	2879	>
	2880	20161202
	2881	</content>
	2882
	2883	</td>
	2884
	2885	<td>
	2886
	2887	<content
	2888	ID="pndPro vider1006"
	2889	>
	2890	MANGUS,CHR ISTOPHER
	2891	</content>
	2892
	2893	</td>
	2894
	2895	<td>
	2896
	2897	<content
	2898	ID="pndSou rce1006"
	2899	>
	2900	CHYSHR TES T LAB
	2901	</content>
	2902
	2903	</td>
	2904
	2905	</tr>
	2906	<tr>
	2907
	2908	<td>
	2909
	2910	<content
	2911	ID="pndPro blem1007"
	2912	>
	2913	Adverse re action to tetracycli ne (SCT 29 3056002)
	2914	</content>
	2915
	2916	</td>
	2917
	2918	<td>
	2919
	2920	<content
	2921	ID="pndSta tus1007"
	2922	>
	2923	Inactive
	2924	</content>
	2925
	2926	</td>
	2927
	2928	<td>
	2929
	2930	<content
	2931	ID="pndPro blemCode10 07"
	2932	>
	2933	R69.
	2934	</content>
	2935
	2936	</td>
	2937
	2938	<td>
	2939
	2940	<content
	2941	ID="pndDat eOfOnset10 07"
	2942	>
	2943	20161202
	2944	</content>
	2945
	2946	</td>
	2947
	2948	<td>
	2949
	2950	<content
	2951	ID="pndPro vider1007"
	2952	>
	2953	MANGUS,CHR ISTOPHER
	2954	</content>
	2955
	2956	</td>
	2957
	2958	<td>
	2959
	2960	<content
	2961	ID="pndSou rce1007"
	2962	>
	2963	CHYSHR TES T LAB
	2964	</content>
	2965
	2966	</td>
	2967
	2968	</tr>
	2969	<tr>
	2970
	2971	<td>
	2972
	2973	<content
	2974	ID="pndPro blem1008"
	2975	>
	2976	Contusion, shoulder area (SCT 40257000)
	2977	</content>
	2978
	2979	</td>
	2980
	2981	<td>
	2982
	2983	<content
	2984	ID="pndSta tus1008"
	2985	>
	2986	Inactive
	2987	</content>
	2988
	2989	</td>
	2990
	2991	<td>
	2992
	2993	<content
	2994	ID="pndPro blemCode10 08"
	2995	>
	2996	R69.
	2997	</content>
	2998
	2999	</td>
	3000
	3001	<td>
	3002
	3003	<content
	3004	ID="pndDat eOfOnset10 08"
	3005	>
	3006	20111111
	3007	</content>
	3008
	3009	</td>
	3010
	3011	<td>
	3012
	3013	<content
	3014	ID="pndPro vider1008"
	3015	>
	3016	MANGUS,CHR ISTOPHER
	3017	</content>
	3018
	3019	</td>
	3020
	3021	<td>
	3022
	3023	<content
	3024	ID="pndSou rce1008"
	3025	>
	3026	CHYSHR TES T LAB
	3027	</content>
	3028
	3029	</td>
	3030
	3031	</tr>
	3032
	3033	</tbody>
	3034
	3035	</table>
	3036
	3037	</text>
	3038
	3039	<entry
	3040	typeCode=" DRIV"
	3041	>
	3042
	3043	<act
	3044	classCode= "ACT"
	3045	moodCode=" EVN"
	3046	>
	3047
	3048	<!-- CCD P roblem Act Template -->
	3049
	3050	<templateI d
	3051	root="2.16 .840.1.113 883. IP "
	3052	/>
	3053
	3054	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	3055
	3056	<templateI d
	3057	root="2.16 .840.1.113 883.3.88.1 1.83.7"
	3058	/>
	3059
	3060	<templateI d
	3061	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	3062	/>
	3063
	3064	<templateI d
	3065	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2"
	3066	/>
	3067
	3068	<!-- CCD P roblem Act ID as nul lFlavor - ->
	3069
	3070	<id
	3071	nullFlavor ="UNK"
	3072	/>
	3073
	3074	<code
	3075	nullFlavor ="NA"
	3076	/>
	3077
	3078	<!-- HITSP V2.5 IHE Problem Co ncern Temp lates Requ ires statu sCode -->
	3079
	3080	<statusCod e
	3081	code="comp leted"
	3082	/>
	3083
	3084	<!-- 7.01 PROBLEM D ATE (cda:l ow=Date of Onset, cd a:high=Dat e Resolved ), Optiona l R2 -->
	3085
	3086	<effective Time>
	3087
	3088	<low
	3089	value="201 61202"
	3090	/>
	3091
	3092	<high
	3093	nullFlavor ="UNK"
	3094	/>
	3095
	3096	</effectiv eTime>
	3097
	3098	<!-- 7.05 TREATING P ROVIDER id link to H ealthCare Provider E ntry-->
	3099
	3100	<performer
	3101	typeCode=" PRF"
	3102	>
	3103
	3104	<assignedE ntity>
	3105
	3106	<id
	3107	extension= "provider1 001"
	3108	root="2.16 .840.1.113 883.4.349"
	3109	/>
	3110
	3111	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	3112
	3113	<addr/>
	3114
	3115	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	3116
	3117	<telecom/>
	3118
	3119	</assigned Entity>
	3120
	3121	</performe r>
	3122
	3123	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	3124
	3125	<author>
	3126
	3127	<!-- HITSP C32 V2.5: Time a s nullFlav or because VA VistA data not y et availab le -->
	3128
	3129	<time
	3130	nullFlavor ="UNK"
	3131	/>
	3132
	3133	<assignedA uthor>
	3134
	3135	<id
	3136	nullFlavor ="NI"
	3137	/>
	3138
	3139	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	3140
	3141	<addr/>
	3142
	3143	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	3144
	3145	<telecom/>
	3146
	3147	<represent edOrganiza tion>
	3148
	3149	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	3150
	3151	<id
	3152	extension= "983"
	3153	root="2.16 .840.1.113 883.4.349"
	3154	/>
	3155
	3156	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	3157
	3158	<name>
	3159	CHYSHR TES T LAB
	3160	</name>
	3161
	3162	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	3163
	3164	<telecom/>
	3165
	3166	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	3167
	3168	<addr/>
	3169
	3170	</represen tedOrganiz ation>
	3171
	3172	</assigned Author>
	3173
	3174	</author>
	3175
	3176	<entryRela tionship
	3177	inversionI nd="false"
	3178	typeCode=" SUBJ"
	3179	>
	3180
	3181	<!-- CCD P roblem obs ervation - Required -->
	3182
	3183	<observati on
	3184	classCode= "OBS"
	3185	moodCode=" EVN"
	3186	>
	3187
	3188	<!-- Probl em observa tion templ ate -->
	3189
	3190	<templateI d
	3191	root="2.16 .840.1.113 883. IP "
	3192	/>
	3193
	3194	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	3195
	3196	<templateI d
	3197	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	3198	/>
	3199
	3200	<!-- CCD P roblem Obs ID as nul lFlavor - ->
	3201
	3202	<id
	3203	nullFlavor ="UNK"
	3204	/>
	3205
	3206	<!-- 7.02 PROBLEM TY PE, R2, SN OMED CT - ->
	3207
	3208	<!-- HITSP C32 V2.5: 7.02 PRO BLEM TYPE, Optional SNOMED CT, provided as nullFal vor b/c da ta not yet available via VA Vi stA RPCs - ->
	3209
	3210	<code
	3211	codeSystem ="2.16.840 .1.113883. 6.96"
	3212	codeSystem Name="SNOM ED CT"
	3213	nullFlavor ="UNK"
	3214	>
	3215
	3216	<originalT ext>
	3217	Problem Ty pe Not Ava ilable
	3218	</original Text>
	3219
	3220	</code>
	3221
	3222	<!-- 7.03 PROBLEM NA ME, REQUIR ED -->
	3223
	3224	<text>
	3225
	3226	<reference
	3227	value="#pn dProblem10 01"
	3228	/>
	3229
	3230	</text>
	3231
	3232	<statusCod e
	3233	code="comp leted"
	3234	/>
	3235
	3236	<!-- HITSP V2.5: IH E Problem Templates Require lo w value en try -->
	3237
	3238	<effective Time>
	3239
	3240	<low
	3241	nullFlavor ="UNK"
	3242	/>
	3243
	3244	</effectiv eTime>
	3245
	3246	<!-- 7.04 PROBLEM C ODE, Optio nal, When uncoded on ly xsi:typ e="CD" all owed, Avai lable as I CD-9, not SNOMED CT, -->
	3247
	3248	<!-- HITSP V2.5: IH E Problem Templates Require va lue entry -->
	3249
	3250	<value
	3251	xsi:type=" CD"
	3252	>
	3253
	3254	<translati on
	3255	code="R69. "
	3256	codeSystem ="2.16.840 .1.113883. 6.103"
	3257	codeSystem Name="ICD- 9-CM"
	3258	/>
	3259
	3260	</value>
	3261
	3262	<!-- 7.12 PROBLEM S TATUS entr yRelations hip block, Optional, -->
	3263
	3264	<entryRela tionship
	3265	typeCode=" REFR"
	3266	>
	3267
	3268	<observati on
	3269	classCode= "OBS"
	3270	moodCode=" EVN"
	3271	>
	3272
	3273	<!-- HITSP C32 V2.5: CCD Prob lem status observati on templat e -->
	3274
	3275	<templateI d
	3276	root="2.16 .840.1.113 883. IP "
	3277	/>
	3278
	3279	<code
	3280	code="3399 9-4"
	3281	codeSystem ="2.16.840 .1.113883. 6.1"
	3282	displayNam e="Status"
	3283	/>
	3284
	3285	<statusCod e
	3286	code="comp leted"
	3287	/>
	3288
	3289	<!-- HITS P C32 V2.5 : 7.12 PRO BLEM STATU S Optiona l, Transla ted ftom V istA value -->
	3290
	3291	<value
	3292	code="5556 1003"
	3293	codeSystem ="2.16.840 .1.113883. 6.96"
	3294	displayNam e="Active"
	3295	xsi:type=" CE"
	3296	>
	3297
	3298	<originalT ext>
	3299	ACTIVE
	3300	</original Text>
	3301
	3302	</value>
	3303
	3304	</observat ion>
	3305
	3306	</entryRel ationship>
	3307
	3308	</observat ion>
	3309
	3310	</entryRel ationship>
	3311
	3312	</act>
	3313
	3314	</entry>
	3315	<entry
	3316	typeCode=" DRIV"
	3317	>
	3318
	3319	<act
	3320	classCode= "ACT"
	3321	moodCode=" EVN"
	3322	>
	3323
	3324	<!-- CCD P roblem Act Template -->
	3325
	3326	<templateI d
	3327	root="2.16 .840.1.113 883. IP "
	3328	/>
	3329
	3330	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	3331
	3332	<templateI d
	3333	root="2.16 .840.1.113 883.3.88.1 1.83.7"
	3334	/>
	3335
	3336	<templateI d
	3337	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	3338	/>
	3339
	3340	<templateI d
	3341	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2"
	3342	/>
	3343
	3344	<!-- CCD P roblem Act ID as nul lFlavor - ->
	3345
	3346	<id
	3347	nullFlavor ="UNK"
	3348	/>
	3349
	3350	<code
	3351	nullFlavor ="NA"
	3352	/>
	3353
	3354	<!-- HITSP V2.5 IHE Problem Co ncern Temp lates Requ ires statu sCode -->
	3355
	3356	<statusCod e
	3357	code="comp leted"
	3358	/>
	3359
	3360	<!-- 7.01 PROBLEM D ATE (cda:l ow=Date of Onset, cd a:high=Dat e Resolved ), Optiona l R2 -->
	3361
	3362	<effective Time>
	3363
	3364	<low
	3365	value="201 61202"
	3366	/>
	3367
	3368	<high
	3369	nullFlavor ="UNK"
	3370	/>
	3371
	3372	</effectiv eTime>
	3373
	3374	<!-- 7.05 TREATING P ROVIDER id link to H ealthCare Provider E ntry-->
	3375
	3376	<performer
	3377	typeCode=" PRF"
	3378	>
	3379
	3380	<assignedE ntity>
	3381
	3382	<id
	3383	extension= "provider1 002"
	3384	root="2.16 .840.1.113 883.4.349"
	3385	/>
	3386
	3387	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	3388
	3389	<addr/>
	3390
	3391	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	3392
	3393	<telecom/>
	3394
	3395	</assigned Entity>
	3396
	3397	</performe r>
	3398
	3399	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	3400
	3401	<author>
	3402
	3403	<!-- HITSP C32 V2.5: Time a s nullFlav or because VA VistA data not y et availab le -->
	3404
	3405	<time
	3406	nullFlavor ="UNK"
	3407	/>
	3408
	3409	<assignedA uthor>
	3410
	3411	<id
	3412	nullFlavor ="NI"
	3413	/>
	3414
	3415	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	3416
	3417	<addr/>
	3418
	3419	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	3420
	3421	<telecom/>
	3422
	3423	<represent edOrganiza tion>
	3424
	3425	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	3426
	3427	<id
	3428	extension= "983"
	3429	root="2.16 .840.1.113 883.4.349"
	3430	/>
	3431
	3432	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	3433
	3434	<name>
	3435	CHYSHR TES T LAB
	3436	</name>
	3437
	3438	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	3439
	3440	<telecom/>
	3441
	3442	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	3443
	3444	<addr/>
	3445
	3446	</represen tedOrganiz ation>
	3447
	3448	</assigned Author>
	3449
	3450	</author>
	3451
	3452	<entryRela tionship
	3453	inversionI nd="false"
	3454	typeCode=" SUBJ"
	3455	>
	3456
	3457	<!-- CCD P roblem obs ervation - Required -->
	3458
	3459	<observati on
	3460	classCode= "OBS"
	3461	moodCode=" EVN"
	3462	>
	3463
	3464	<!-- Probl em observa tion templ ate -->
	3465
	3466	<templateI d
	3467	root="2.16 .840.1.113 883. IP "
	3468	/>
	3469
	3470	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	3471
	3472	<templateI d
	3473	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	3474	/>
	3475
	3476	<!-- CCD P roblem Obs ID as nul lFlavor - ->
	3477
	3478	<id
	3479	nullFlavor ="UNK"
	3480	/>
	3481
	3482	<!-- 7.02 PROBLEM TY PE, R2, SN OMED CT - ->
	3483
	3484	<!-- HITSP C32 V2.5: 7.02 PRO BLEM TYPE, Optional SNOMED CT, provided as nullFal vor b/c da ta not yet available via VA Vi stA RPCs - ->
	3485
	3486	<code
	3487	codeSystem ="2.16.840 .1.113883. 6.96"
	3488	codeSystem Name="SNOM ED CT"
	3489	nullFlavor ="UNK"
	3490	>
	3491
	3492	<originalT ext>
	3493	Problem Ty pe Not Ava ilable
	3494	</original Text>
	3495
	3496	</code>
	3497
	3498	<!-- 7.03 PROBLEM NA ME, REQUIR ED -->
	3499
	3500	<text>
	3501
	3502	<reference
	3503	value="#pn dProblem10 02"
	3504	/>
	3505
	3506	</text>
	3507
	3508	<statusCod e
	3509	code="comp leted"
	3510	/>
	3511
	3512	<!-- HITSP V2.5: IH E Problem Templates Require lo w value en try -->
	3513
	3514	<effective Time>
	3515
	3516	<low
	3517	nullFlavor ="UNK"
	3518	/>
	3519
	3520	</effectiv eTime>
	3521
	3522	<!-- 7.04 PROBLEM C ODE, Optio nal, When uncoded on ly xsi:typ e="CD" all owed, Avai lable as I CD-9, not SNOMED CT, -->
	3523
	3524	<!-- HITSP V2.5: IH E Problem Templates Require va lue entry -->
	3525
	3526	<value
	3527	xsi:type=" CD"
	3528	>
	3529
	3530	<translati on
	3531	code="R69. "
	3532	codeSystem ="2.16.840 .1.113883. 6.103"
	3533	codeSystem Name="ICD- 9-CM"
	3534	/>
	3535
	3536	</value>
	3537
	3538	<!-- 7.12 PROBLEM S TATUS entr yRelations hip block, Optional, -->
	3539
	3540	<entryRela tionship
	3541	typeCode=" REFR"
	3542	>
	3543
	3544	<observati on
	3545	classCode= "OBS"
	3546	moodCode=" EVN"
	3547	>
	3548
	3549	<!-- HITSP C32 V2.5: CCD Prob lem status observati on templat e -->
	3550
	3551	<templateI d
	3552	root="2.16 .840.1.113 883. IP "
	3553	/>
	3554
	3555	<code
	3556	code="3399 9-4"
	3557	codeSystem ="2.16.840 .1.113883. 6.1"
	3558	displayNam e="Status"
	3559	/>
	3560
	3561	<statusCod e
	3562	code="comp leted"
	3563	/>
	3564
	3565	<!-- HITS P C32 V2.5 : 7.12 PRO BLEM STATU S Optiona l, Transla ted ftom V istA value -->
	3566
	3567	<value
	3568	code="5556 1003"
	3569	codeSystem ="2.16.840 .1.113883. 6.96"
	3570	displayNam e="Active"
	3571	xsi:type=" CE"
	3572	>
	3573
	3574	<originalT ext>
	3575	ACTIVE
	3576	</original Text>
	3577
	3578	</value>
	3579
	3580	</observat ion>
	3581
	3582	</entryRel ationship>
	3583
	3584	</observat ion>
	3585
	3586	</entryRel ationship>
	3587
	3588	</act>
	3589
	3590	</entry>
	3591	<entry
	3592	typeCode=" DRIV"
	3593	>
	3594
	3595	<act
	3596	classCode= "ACT"
	3597	moodCode=" EVN"
	3598	>
	3599
	3600	<!-- CCD P roblem Act Template -->
	3601
	3602	<templateI d
	3603	root="2.16 .840.1.113 883. IP "
	3604	/>
	3605
	3606	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	3607
	3608	<templateI d
	3609	root="2.16 .840.1.113 883.3.88.1 1.83.7"
	3610	/>
	3611
	3612	<templateI d
	3613	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	3614	/>
	3615
	3616	<templateI d
	3617	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2"
	3618	/>
	3619
	3620	<!-- CCD P roblem Act ID as nul lFlavor - ->
	3621
	3622	<id
	3623	nullFlavor ="UNK"
	3624	/>
	3625
	3626	<code
	3627	nullFlavor ="NA"
	3628	/>
	3629
	3630	<!-- HITSP V2.5 IHE Problem Co ncern Temp lates Requ ires statu sCode -->
	3631
	3632	<statusCod e
	3633	code="comp leted"
	3634	/>
	3635
	3636	<!-- 7.01 PROBLEM D ATE (cda:l ow=Date of Onset, cd a:high=Dat e Resolved ), Optiona l R2 -->
	3637
	3638	<effective Time>
	3639
	3640	<low
	3641	value="201 61202"
	3642	/>
	3643
	3644	<high
	3645	nullFlavor ="UNK"
	3646	/>
	3647
	3648	</effectiv eTime>
	3649
	3650	<!-- 7.05 TREATING P ROVIDER id link to H ealthCare Provider E ntry-->
	3651
	3652	<performer
	3653	typeCode=" PRF"
	3654	>
	3655
	3656	<assignedE ntity>
	3657
	3658	<id
	3659	extension= "provider1 003"
	3660	root="2.16 .840.1.113 883.4.349"
	3661	/>
	3662
	3663	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	3664
	3665	<addr/>
	3666
	3667	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	3668
	3669	<telecom/>
	3670
	3671	</assigned Entity>
	3672
	3673	</performe r>
	3674
	3675	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	3676
	3677	<author>
	3678
	3679	<!-- HITSP C32 V2.5: Time a s nullFlav or because VA VistA data not y et availab le -->
	3680
	3681	<time
	3682	nullFlavor ="UNK"
	3683	/>
	3684
	3685	<assignedA uthor>
	3686
	3687	<id
	3688	nullFlavor ="NI"
	3689	/>
	3690
	3691	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	3692
	3693	<addr/>
	3694
	3695	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	3696
	3697	<telecom/>
	3698
	3699	<represent edOrganiza tion>
	3700
	3701	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	3702
	3703	<id
	3704	extension= "983"
	3705	root="2.16 .840.1.113 883.4.349"
	3706	/>
	3707
	3708	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	3709
	3710	<name>
	3711	CHYSHR TES T LAB
	3712	</name>
	3713
	3714	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	3715
	3716	<telecom/>
	3717
	3718	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	3719
	3720	<addr/>
	3721
	3722	</represen tedOrganiz ation>
	3723
	3724	</assigned Author>
	3725
	3726	</author>
	3727
	3728	<entryRela tionship
	3729	inversionI nd="false"
	3730	typeCode=" SUBJ"
	3731	>
	3732
	3733	<!-- CCD P roblem obs ervation - Required -->
	3734
	3735	<observati on
	3736	classCode= "OBS"
	3737	moodCode=" EVN"
	3738	>
	3739
	3740	<!-- Probl em observa tion templ ate -->
	3741
	3742	<templateI d
	3743	root="2.16 .840.1.113 883. IP "
	3744	/>
	3745
	3746	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	3747
	3748	<templateI d
	3749	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	3750	/>
	3751
	3752	<!-- CCD P roblem Obs ID as nul lFlavor - ->
	3753
	3754	<id
	3755	nullFlavor ="UNK"
	3756	/>
	3757
	3758	<!-- 7.02 PROBLEM TY PE, R2, SN OMED CT - ->
	3759
	3760	<!-- HITSP C32 V2.5: 7.02 PRO BLEM TYPE, Optional SNOMED CT, provided as nullFal vor b/c da ta not yet available via VA Vi stA RPCs - ->
	3761
	3762	<code
	3763	codeSystem ="2.16.840 .1.113883. 6.96"
	3764	codeSystem Name="SNOM ED CT"
	3765	nullFlavor ="UNK"
	3766	>
	3767
	3768	<originalT ext>
	3769	Problem Ty pe Not Ava ilable
	3770	</original Text>
	3771
	3772	</code>
	3773
	3774	<!-- 7.03 PROBLEM NA ME, REQUIR ED -->
	3775
	3776	<text>
	3777
	3778	<reference
	3779	value="#pn dProblem10 03"
	3780	/>
	3781
	3782	</text>
	3783
	3784	<statusCod e
	3785	code="comp leted"
	3786	/>
	3787
	3788	<!-- HITSP V2.5: IH E Problem Templates Require lo w value en try -->
	3789
	3790	<effective Time>
	3791
	3792	<low
	3793	nullFlavor ="UNK"
	3794	/>
	3795
	3796	</effectiv eTime>
	3797
	3798	<!-- 7.04 PROBLEM C ODE, Optio nal, When uncoded on ly xsi:typ e="CD" all owed, Avai lable as I CD-9, not SNOMED CT, -->
	3799
	3800	<!-- HITSP V2.5: IH E Problem Templates Require va lue entry -->
	3801
	3802	<value
	3803	xsi:type=" CD"
	3804	>
	3805
	3806	<translati on
	3807	code="R69. "
	3808	codeSystem ="2.16.840 .1.113883. 6.103"
	3809	codeSystem Name="ICD- 9-CM"
	3810	/>
	3811
	3812	</value>
	3813
	3814	<!-- 7.12 PROBLEM S TATUS entr yRelations hip block, Optional, -->
	3815
	3816	<entryRela tionship
	3817	typeCode=" REFR"
	3818	>
	3819
	3820	<observati on
	3821	classCode= "OBS"
	3822	moodCode=" EVN"
	3823	>
	3824
	3825	<!-- HITSP C32 V2.5: CCD Prob lem status observati on templat e -->
	3826
	3827	<templateI d
	3828	root="2.16 .840.1.113 883. IP "
	3829	/>
	3830
	3831	<code
	3832	code="3399 9-4"
	3833	codeSystem ="2.16.840 .1.113883. 6.1"
	3834	displayNam e="Status"
	3835	/>
	3836
	3837	<statusCod e
	3838	code="comp leted"
	3839	/>
	3840
	3841	<!-- HITS P C32 V2.5 : 7.12 PRO BLEM STATU S Optiona l, Transla ted ftom V istA value -->
	3842
	3843	<value
	3844	code="5556 1003"
	3845	codeSystem ="2.16.840 .1.113883. 6.96"
	3846	displayNam e="Active"
	3847	xsi:type=" CE"
	3848	>
	3849
	3850	<originalT ext>
	3851	ACTIVE
	3852	</original Text>
	3853
	3854	</value>
	3855
	3856	</observat ion>
	3857
	3858	</entryRel ationship>
	3859
	3860	</observat ion>
	3861
	3862	</entryRel ationship>
	3863
	3864	</act>
	3865
	3866	</entry>
	3867	<entry
	3868	typeCode=" DRIV"
	3869	>
	3870
	3871	<act
	3872	classCode= "ACT"
	3873	moodCode=" EVN"
	3874	>
	3875
	3876	<!-- CCD P roblem Act Template -->
	3877
	3878	<templateI d
	3879	root="2.16 .840.1.113 883. IP "
	3880	/>
	3881
	3882	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	3883
	3884	<templateI d
	3885	root="2.16 .840.1.113 883.3.88.1 1.83.7"
	3886	/>
	3887
	3888	<templateI d
	3889	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	3890	/>
	3891
	3892	<templateI d
	3893	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2"
	3894	/>
	3895
	3896	<!-- CCD P roblem Act ID as nul lFlavor - ->
	3897
	3898	<id
	3899	nullFlavor ="UNK"
	3900	/>
	3901
	3902	<code
	3903	nullFlavor ="NA"
	3904	/>
	3905
	3906	<!-- HITSP V2.5 IHE Problem Co ncern Temp lates Requ ires statu sCode -->
	3907
	3908	<statusCod e
	3909	code="comp leted"
	3910	/>
	3911
	3912	<!-- 7.01 PROBLEM D ATE (cda:l ow=Date of Onset, cd a:high=Dat e Resolved ), Optiona l R2 -->
	3913
	3914	<effective Time>
	3915
	3916	<low
	3917	value="198 20102"
	3918	/>
	3919
	3920	<high
	3921	nullFlavor ="UNK"
	3922	/>
	3923
	3924	</effectiv eTime>
	3925
	3926	<!-- 7.05 TREATING P ROVIDER id link to H ealthCare Provider E ntry-->
	3927
	3928	<performer
	3929	typeCode=" PRF"
	3930	>
	3931
	3932	<assignedE ntity>
	3933
	3934	<id
	3935	extension= "provider1 004"
	3936	root="2.16 .840.1.113 883.4.349"
	3937	/>
	3938
	3939	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	3940
	3941	<addr/>
	3942
	3943	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	3944
	3945	<telecom/>
	3946
	3947	</assigned Entity>
	3948
	3949	</performe r>
	3950
	3951	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	3952
	3953	<author>
	3954
	3955	<!-- HITSP C32 V2.5: Time a s nullFlav or because VA VistA data not y et availab le -->
	3956
	3957	<time
	3958	nullFlavor ="UNK"
	3959	/>
	3960
	3961	<assignedA uthor>
	3962
	3963	<id
	3964	nullFlavor ="NI"
	3965	/>
	3966
	3967	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	3968
	3969	<addr/>
	3970
	3971	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	3972
	3973	<telecom/>
	3974
	3975	<represent edOrganiza tion>
	3976
	3977	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	3978
	3979	<id
	3980	extension= "983"
	3981	root="2.16 .840.1.113 883.4.349"
	3982	/>
	3983
	3984	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	3985
	3986	<name>
	3987	CHYSHR TES T LAB
	3988	</name>
	3989
	3990	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	3991
	3992	<telecom/>
	3993
	3994	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	3995
	3996	<addr/>
	3997
	3998	</represen tedOrganiz ation>
	3999
	4000	</assigned Author>
	4001
	4002	</author>
	4003
	4004	<entryRela tionship
	4005	inversionI nd="false"
	4006	typeCode=" SUBJ"
	4007	>
	4008
	4009	<!-- CCD P roblem obs ervation - Required -->
	4010
	4011	<observati on
	4012	classCode= "OBS"
	4013	moodCode=" EVN"
	4014	>
	4015
	4016	<!-- Probl em observa tion templ ate -->
	4017
	4018	<templateI d
	4019	root="2.16 .840.1.113 883. IP "
	4020	/>
	4021
	4022	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	4023
	4024	<templateI d
	4025	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	4026	/>
	4027
	4028	<!-- CCD P roblem Obs ID as nul lFlavor - ->
	4029
	4030	<id
	4031	nullFlavor ="UNK"
	4032	/>
	4033
	4034	<!-- 7.02 PROBLEM TY PE, R2, SN OMED CT - ->
	4035
	4036	<!-- HITSP C32 V2.5: 7.02 PRO BLEM TYPE, Optional SNOMED CT, provided as nullFal vor b/c da ta not yet available via VA Vi stA RPCs - ->
	4037
	4038	<code
	4039	codeSystem ="2.16.840 .1.113883. 6.96"
	4040	codeSystem Name="SNOM ED CT"
	4041	nullFlavor ="UNK"
	4042	>
	4043
	4044	<originalT ext>
	4045	Problem Ty pe Not Ava ilable
	4046	</original Text>
	4047
	4048	</code>
	4049
	4050	<!-- 7.03 PROBLEM NA ME, REQUIR ED -->
	4051
	4052	<text>
	4053
	4054	<reference
	4055	value="#pn dProblem10 04"
	4056	/>
	4057
	4058	</text>
	4059
	4060	<statusCod e
	4061	code="comp leted"
	4062	/>
	4063
	4064	<!-- HITSP V2.5: IH E Problem Templates Require lo w value en try -->
	4065
	4066	<effective Time>
	4067
	4068	<low
	4069	nullFlavor ="UNK"
	4070	/>
	4071
	4072	</effectiv eTime>
	4073
	4074	<!-- 7.04 PROBLEM C ODE, Optio nal, When uncoded on ly xsi:typ e="CD" all owed, Avai lable as I CD-9, not SNOMED CT, -->
	4075
	4076	<!-- HITSP V2.5: IH E Problem Templates Require va lue entry -->
	4077
	4078	<value
	4079	xsi:type=" CD"
	4080	>
	4081
	4082	<translati on
	4083	code="493. 90"
	4084	codeSystem ="2.16.840 .1.113883. 6.103"
	4085	codeSystem Name="ICD- 9-CM"
	4086	/>
	4087
	4088	</value>
	4089
	4090	<!-- 7.12 PROBLEM S TATUS entr yRelations hip block, Optional, -->
	4091
	4092	<entryRela tionship
	4093	typeCode=" REFR"
	4094	>
	4095
	4096	<observati on
	4097	classCode= "OBS"
	4098	moodCode=" EVN"
	4099	>
	4100
	4101	<!-- HITSP C32 V2.5: CCD Prob lem status observati on templat e -->
	4102
	4103	<templateI d
	4104	root="2.16 .840.1.113 883. IP "
	4105	/>
	4106
	4107	<code
	4108	code="3399 9-4"
	4109	codeSystem ="2.16.840 .1.113883. 6.1"
	4110	displayNam e="Status"
	4111	/>
	4112
	4113	<statusCod e
	4114	code="comp leted"
	4115	/>
	4116
	4117	<!-- HITS P C32 V2.5 : 7.12 PRO BLEM STATU S Optiona l, Transla ted ftom V istA value -->
	4118
	4119	<value
	4120	code="5556 1003"
	4121	codeSystem ="2.16.840 .1.113883. 6.96"
	4122	displayNam e="Active"
	4123	xsi:type=" CE"
	4124	>
	4125
	4126	<originalT ext>
	4127	ACTIVE
	4128	</original Text>
	4129
	4130	</value>
	4131
	4132	</observat ion>
	4133
	4134	</entryRel ationship>
	4135
	4136	</observat ion>
	4137
	4138	</entryRel ationship>
	4139
	4140	</act>
	4141
	4142	</entry>
	4143	<entry
	4144	typeCode=" DRIV"
	4145	>
	4146
	4147	<act
	4148	classCode= "ACT"
	4149	moodCode=" EVN"
	4150	>
	4151
	4152	<!-- CCD P roblem Act Template -->
	4153
	4154	<templateI d
	4155	root="2.16 .840.1.113 883. IP "
	4156	/>
	4157
	4158	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	4159
	4160	<templateI d
	4161	root="2.16 .840.1.113 883.3.88.1 1.83.7"
	4162	/>
	4163
	4164	<templateI d
	4165	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	4166	/>
	4167
	4168	<templateI d
	4169	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2"
	4170	/>
	4171
	4172	<!-- CCD P roblem Act ID as nul lFlavor - ->
	4173
	4174	<id
	4175	nullFlavor ="UNK"
	4176	/>
	4177
	4178	<code
	4179	nullFlavor ="NA"
	4180	/>
	4181
	4182	<!-- HITSP V2.5 IHE Problem Co ncern Temp lates Requ ires statu sCode -->
	4183
	4184	<statusCod e
	4185	code="comp leted"
	4186	/>
	4187
	4188	<!-- 7.01 PROBLEM D ATE (cda:l ow=Date of Onset, cd a:high=Dat e Resolved ), Optiona l R2 -->
	4189
	4190	<effective Time>
	4191
	4192	<low
	4193	value="198 40202"
	4194	/>
	4195
	4196	<high
	4197	nullFlavor ="UNK"
	4198	/>
	4199
	4200	</effectiv eTime>
	4201
	4202	<!-- 7.05 TREATING P ROVIDER id link to H ealthCare Provider E ntry-->
	4203
	4204	<performer
	4205	typeCode=" PRF"
	4206	>
	4207
	4208	<assignedE ntity>
	4209
	4210	<id
	4211	extension= "provider1 005"
	4212	root="2.16 .840.1.113 883.4.349"
	4213	/>
	4214
	4215	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	4216
	4217	<addr/>
	4218
	4219	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	4220
	4221	<telecom/>
	4222
	4223	</assigned Entity>
	4224
	4225	</performe r>
	4226
	4227	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	4228
	4229	<author>
	4230
	4231	<!-- HITSP C32 V2.5: Time a s nullFlav or because VA VistA data not y et availab le -->
	4232
	4233	<time
	4234	nullFlavor ="UNK"
	4235	/>
	4236
	4237	<assignedA uthor>
	4238
	4239	<id
	4240	nullFlavor ="NI"
	4241	/>
	4242
	4243	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	4244
	4245	<addr/>
	4246
	4247	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	4248
	4249	<telecom/>
	4250
	4251	<represent edOrganiza tion>
	4252
	4253	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	4254
	4255	<id
	4256	extension= "983"
	4257	root="2.16 .840.1.113 883.4.349"
	4258	/>
	4259
	4260	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	4261
	4262	<name>
	4263	CHYSHR TES T LAB
	4264	</name>
	4265
	4266	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	4267
	4268	<telecom/>
	4269
	4270	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	4271
	4272	<addr/>
	4273
	4274	</represen tedOrganiz ation>
	4275
	4276	</assigned Author>
	4277
	4278	</author>
	4279
	4280	<entryRela tionship
	4281	inversionI nd="false"
	4282	typeCode=" SUBJ"
	4283	>
	4284
	4285	<!-- CCD P roblem obs ervation - Required -->
	4286
	4287	<observati on
	4288	classCode= "OBS"
	4289	moodCode=" EVN"
	4290	>
	4291
	4292	<!-- Probl em observa tion templ ate -->
	4293
	4294	<templateI d
	4295	root="2.16 .840.1.113 883. IP "
	4296	/>
	4297
	4298	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	4299
	4300	<templateI d
	4301	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	4302	/>
	4303
	4304	<!-- CCD P roblem Obs ID as nul lFlavor - ->
	4305
	4306	<id
	4307	nullFlavor ="UNK"
	4308	/>
	4309
	4310	<!-- 7.02 PROBLEM TY PE, R2, SN OMED CT - ->
	4311
	4312	<!-- HITSP C32 V2.5: 7.02 PRO BLEM TYPE, Optional SNOMED CT, provided as nullFal vor b/c da ta not yet available via VA Vi stA RPCs - ->
	4313
	4314	<code
	4315	codeSystem ="2.16.840 .1.113883. 6.96"
	4316	codeSystem Name="SNOM ED CT"
	4317	nullFlavor ="UNK"
	4318	>
	4319
	4320	<originalT ext>
	4321	Problem Ty pe Not Ava ilable
	4322	</original Text>
	4323
	4324	</code>
	4325
	4326	<!-- 7.03 PROBLEM NA ME, REQUIR ED -->
	4327
	4328	<text>
	4329
	4330	<reference
	4331	value="#pn dProblem10 05"
	4332	/>
	4333
	4334	</text>
	4335
	4336	<statusCod e
	4337	code="comp leted"
	4338	/>
	4339
	4340	<!-- HITSP V2.5: IH E Problem Templates Require lo w value en try -->
	4341
	4342	<effective Time>
	4343
	4344	<low
	4345	nullFlavor ="UNK"
	4346	/>
	4347
	4348	</effectiv eTime>
	4349
	4350	<!-- 7.04 PROBLEM C ODE, Optio nal, When uncoded on ly xsi:typ e="CD" all owed, Avai lable as I CD-9, not SNOMED CT, -->
	4351
	4352	<!-- HITSP V2.5: IH E Problem Templates Require va lue entry -->
	4353
	4354	<value
	4355	xsi:type=" CD"
	4356	>
	4357
	4358	<translati on
	4359	code="228. 09"
	4360	codeSystem ="2.16.840 .1.113883. 6.103"
	4361	codeSystem Name="ICD- 9-CM"
	4362	/>
	4363
	4364	</value>
	4365
	4366	<!-- 7.12 PROBLEM S TATUS entr yRelations hip block, Optional, -->
	4367
	4368	<entryRela tionship
	4369	typeCode=" REFR"
	4370	>
	4371
	4372	<observati on
	4373	classCode= "OBS"
	4374	moodCode=" EVN"
	4375	>
	4376
	4377	<!-- HITSP C32 V2.5: CCD Prob lem status observati on templat e -->
	4378
	4379	<templateI d
	4380	root="2.16 .840.1.113 883. IP "
	4381	/>
	4382
	4383	<code
	4384	code="3399 9-4"
	4385	codeSystem ="2.16.840 .1.113883. 6.1"
	4386	displayNam e="Status"
	4387	/>
	4388
	4389	<statusCod e
	4390	code="comp leted"
	4391	/>
	4392
	4393	<!-- HITS P C32 V2.5 : 7.12 PRO BLEM STATU S Optiona l, Transla ted ftom V istA value -->
	4394
	4395	<value
	4396	code="5556 1003"
	4397	codeSystem ="2.16.840 .1.113883. 6.96"
	4398	displayNam e="Active"
	4399	xsi:type=" CE"
	4400	>
	4401
	4402	<originalT ext>
	4403	ACTIVE
	4404	</original Text>
	4405
	4406	</value>
	4407
	4408	</observat ion>
	4409
	4410	</entryRel ationship>
	4411
	4412	</observat ion>
	4413
	4414	</entryRel ationship>
	4415
	4416	</act>
	4417
	4418	</entry>
	4419	<entry
	4420	typeCode=" DRIV"
	4421	>
	4422
	4423	<act
	4424	classCode= "ACT"
	4425	moodCode=" EVN"
	4426	>
	4427
	4428	<!-- CCD P roblem Act Template -->
	4429
	4430	<templateI d
	4431	root="2.16 .840.1.113 883. IP "
	4432	/>
	4433
	4434	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	4435
	4436	<templateI d
	4437	root="2.16 .840.1.113 883.3.88.1 1.83.7"
	4438	/>
	4439
	4440	<templateI d
	4441	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	4442	/>
	4443
	4444	<templateI d
	4445	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2"
	4446	/>
	4447
	4448	<!-- CCD P roblem Act ID as nul lFlavor - ->
	4449
	4450	<id
	4451	nullFlavor ="UNK"
	4452	/>
	4453
	4454	<code
	4455	nullFlavor ="NA"
	4456	/>
	4457
	4458	<!-- HITSP V2.5 IHE Problem Co ncern Temp lates Requ ires statu sCode -->
	4459
	4460	<statusCod e
	4461	code="comp leted"
	4462	/>
	4463
	4464	<!-- 7.01 PROBLEM D ATE (cda:l ow=Date of Onset, cd a:high=Dat e Resolved ), Optiona l R2 -->
	4465
	4466	<effective Time>
	4467
	4468	<low
	4469	value="201 61202"
	4470	/>
	4471
	4472	<high
	4473	value="201 61202"
	4474	/>
	4475
	4476	</effectiv eTime>
	4477
	4478	<!-- 7.05 TREATING P ROVIDER id link to H ealthCare Provider E ntry-->
	4479
	4480	<performer
	4481	typeCode=" PRF"
	4482	>
	4483
	4484	<assignedE ntity>
	4485
	4486	<id
	4487	extension= "provider1 006"
	4488	root="2.16 .840.1.113 883.4.349"
	4489	/>
	4490
	4491	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	4492
	4493	<addr/>
	4494
	4495	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	4496
	4497	<telecom/>
	4498
	4499	</assigned Entity>
	4500
	4501	</performe r>
	4502
	4503	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	4504
	4505	<author>
	4506
	4507	<!-- HITSP C32 V2.5: Time a s nullFlav or because VA VistA data not y et availab le -->
	4508
	4509	<time
	4510	nullFlavor ="UNK"
	4511	/>
	4512
	4513	<assignedA uthor>
	4514
	4515	<id
	4516	nullFlavor ="NI"
	4517	/>
	4518
	4519	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	4520
	4521	<addr/>
	4522
	4523	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	4524
	4525	<telecom/>
	4526
	4527	<represent edOrganiza tion>
	4528
	4529	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	4530
	4531	<id
	4532	extension= "983"
	4533	root="2.16 .840.1.113 883.4.349"
	4534	/>
	4535
	4536	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	4537
	4538	<name>
	4539	CHYSHR TES T LAB
	4540	</name>
	4541
	4542	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	4543
	4544	<telecom/>
	4545
	4546	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	4547
	4548	<addr/>
	4549
	4550	</represen tedOrganiz ation>
	4551
	4552	</assigned Author>
	4553
	4554	</author>
	4555
	4556	<entryRela tionship
	4557	inversionI nd="false"
	4558	typeCode=" SUBJ"
	4559	>
	4560
	4561	<!-- CCD P roblem obs ervation - Required -->
	4562
	4563	<observati on
	4564	classCode= "OBS"
	4565	moodCode=" EVN"
	4566	>
	4567
	4568	<!-- Probl em observa tion templ ate -->
	4569
	4570	<templateI d
	4571	root="2.16 .840.1.113 883. IP "
	4572	/>
	4573
	4574	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	4575
	4576	<templateI d
	4577	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	4578	/>
	4579
	4580	<!-- CCD P roblem Obs ID as nul lFlavor - ->
	4581
	4582	<id
	4583	nullFlavor ="UNK"
	4584	/>
	4585
	4586	<!-- 7.02 PROBLEM TY PE, R2, SN OMED CT - ->
	4587
	4588	<!-- HITSP C32 V2.5: 7.02 PRO BLEM TYPE, Optional SNOMED CT, provided as nullFal vor b/c da ta not yet available via VA Vi stA RPCs - ->
	4589
	4590	<code
	4591	codeSystem ="2.16.840 .1.113883. 6.96"
	4592	codeSystem Name="SNOM ED CT"
	4593	nullFlavor ="UNK"
	4594	>
	4595
	4596	<originalT ext>
	4597	Problem Ty pe Not Ava ilable
	4598	</original Text>
	4599
	4600	</code>
	4601
	4602	<!-- 7.03 PROBLEM NA ME, REQUIR ED -->
	4603
	4604	<text>
	4605
	4606	<reference
	4607	value="#pn dProblem10 06"
	4608	/>
	4609
	4610	</text>
	4611
	4612	<statusCod e
	4613	code="comp leted"
	4614	/>
	4615
	4616	<!-- HITSP V2.5: IH E Problem Templates Require lo w value en try -->
	4617
	4618	<effective Time>
	4619
	4620	<low
	4621	nullFlavor ="UNK"
	4622	/>
	4623
	4624	</effectiv eTime>
	4625
	4626	<!-- 7.04 PROBLEM C ODE, Optio nal, When uncoded on ly xsi:typ e="CD" all owed, Avai lable as I CD-9, not SNOMED CT, -->
	4627
	4628	<!-- HITSP V2.5: IH E Problem Templates Require va lue entry -->
	4629
	4630	<value
	4631	xsi:type=" CD"
	4632	>
	4633
	4634	<translati on
	4635	code="R69. "
	4636	codeSystem ="2.16.840 .1.113883. 6.103"
	4637	codeSystem Name="ICD- 9-CM"
	4638	/>
	4639
	4640	</value>
	4641
	4642	<!-- 7.12 PROBLEM S TATUS entr yRelations hip block, Optional, -->
	4643
	4644	<entryRela tionship
	4645	typeCode=" REFR"
	4646	>
	4647
	4648	<observati on
	4649	classCode= "OBS"
	4650	moodCode=" EVN"
	4651	>
	4652
	4653	<!-- HITSP C32 V2.5: CCD Prob lem status observati on templat e -->
	4654
	4655	<templateI d
	4656	root="2.16 .840.1.113 883. IP "
	4657	/>
	4658
	4659	<code
	4660	code="3399 9-4"
	4661	codeSystem ="2.16.840 .1.113883. 6.1"
	4662	displayNam e="Status"
	4663	/>
	4664
	4665	<statusCod e
	4666	code="comp leted"
	4667	/>
	4668
	4669	<!-- HITS P C32 V2.5 : 7.12 PRO BLEM STATU S Optiona l, Transla ted ftom V istA value -->
	4670
	4671	<value
	4672	code="7342 5007"
	4673	codeSystem ="2.16.840 .1.113883. 6.96"
	4674	displayNam e="Inactiv e"
	4675	xsi:type=" CE"
	4676	>
	4677
	4678	<originalT ext>
	4679	INACTIVE
	4680	</original Text>
	4681
	4682	</value>
	4683
	4684	</observat ion>
	4685
	4686	</entryRel ationship>
	4687
	4688	</observat ion>
	4689
	4690	</entryRel ationship>
	4691
	4692	</act>
	4693
	4694	</entry>
	4695	<entry
	4696	typeCode=" DRIV"
	4697	>
	4698
	4699	<act
	4700	classCode= "ACT"
	4701	moodCode=" EVN"
	4702	>
	4703
	4704	<!-- CCD P roblem Act Template -->
	4705
	4706	<templateI d
	4707	root="2.16 .840.1.113 883. IP "
	4708	/>
	4709
	4710	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	4711
	4712	<templateI d
	4713	root="2.16 .840.1.113 883.3.88.1 1.83.7"
	4714	/>
	4715
	4716	<templateI d
	4717	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	4718	/>
	4719
	4720	<templateI d
	4721	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2"
	4722	/>
	4723
	4724	<!-- CCD P roblem Act ID as nul lFlavor - ->
	4725
	4726	<id
	4727	nullFlavor ="UNK"
	4728	/>
	4729
	4730	<code
	4731	nullFlavor ="NA"
	4732	/>
	4733
	4734	<!-- HITSP V2.5 IHE Problem Co ncern Temp lates Requ ires statu sCode -->
	4735
	4736	<statusCod e
	4737	code="comp leted"
	4738	/>
	4739
	4740	<!-- 7.01 PROBLEM D ATE (cda:l ow=Date of Onset, cd a:high=Dat e Resolved ), Optiona l R2 -->
	4741
	4742	<effective Time>
	4743
	4744	<low
	4745	value="201 61202"
	4746	/>
	4747
	4748	<high
	4749	value="201 61202"
	4750	/>
	4751
	4752	</effectiv eTime>
	4753
	4754	<!-- 7.05 TREATING P ROVIDER id link to H ealthCare Provider E ntry-->
	4755
	4756	<performer
	4757	typeCode=" PRF"
	4758	>
	4759
	4760	<assignedE ntity>
	4761
	4762	<id
	4763	extension= "provider1 007"
	4764	root="2.16 .840.1.113 883.4.349"
	4765	/>
	4766
	4767	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	4768
	4769	<addr/>
	4770
	4771	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	4772
	4773	<telecom/>
	4774
	4775	</assigned Entity>
	4776
	4777	</performe r>
	4778
	4779	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	4780
	4781	<author>
	4782
	4783	<!-- HITSP C32 V2.5: Time a s nullFlav or because VA VistA data not y et availab le -->
	4784
	4785	<time
	4786	nullFlavor ="UNK"
	4787	/>
	4788
	4789	<assignedA uthor>
	4790
	4791	<id
	4792	nullFlavor ="NI"
	4793	/>
	4794
	4795	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	4796
	4797	<addr/>
	4798
	4799	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	4800
	4801	<telecom/>
	4802
	4803	<represent edOrganiza tion>
	4804
	4805	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	4806
	4807	<id
	4808	extension= "983"
	4809	root="2.16 .840.1.113 883.4.349"
	4810	/>
	4811
	4812	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	4813
	4814	<name>
	4815	CHYSHR TES T LAB
	4816	</name>
	4817
	4818	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	4819
	4820	<telecom/>
	4821
	4822	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	4823
	4824	<addr/>
	4825
	4826	</represen tedOrganiz ation>
	4827
	4828	</assigned Author>
	4829
	4830	</author>
	4831
	4832	<entryRela tionship
	4833	inversionI nd="false"
	4834	typeCode=" SUBJ"
	4835	>
	4836
	4837	<!-- CCD P roblem obs ervation - Required -->
	4838
	4839	<observati on
	4840	classCode= "OBS"
	4841	moodCode=" EVN"
	4842	>
	4843
	4844	<!-- Probl em observa tion templ ate -->
	4845
	4846	<templateI d
	4847	root="2.16 .840.1.113 883. IP "
	4848	/>
	4849
	4850	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	4851
	4852	<templateI d
	4853	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	4854	/>
	4855
	4856	<!-- CCD P roblem Obs ID as nul lFlavor - ->
	4857
	4858	<id
	4859	nullFlavor ="UNK"
	4860	/>
	4861
	4862	<!-- 7.02 PROBLEM TY PE, R2, SN OMED CT - ->
	4863
	4864	<!-- HITSP C32 V2.5: 7.02 PRO BLEM TYPE, Optional SNOMED CT, provided as nullFal vor b/c da ta not yet available via VA Vi stA RPCs - ->
	4865
	4866	<code
	4867	codeSystem ="2.16.840 .1.113883. 6.96"
	4868	codeSystem Name="SNOM ED CT"
	4869	nullFlavor ="UNK"
	4870	>
	4871
	4872	<originalT ext>
	4873	Problem Ty pe Not Ava ilable
	4874	</original Text>
	4875
	4876	</code>
	4877
	4878	<!-- 7.03 PROBLEM NA ME, REQUIR ED -->
	4879
	4880	<text>
	4881
	4882	<reference
	4883	value="#pn dProblem10 07"
	4884	/>
	4885
	4886	</text>
	4887
	4888	<statusCod e
	4889	code="comp leted"
	4890	/>
	4891
	4892	<!-- HITSP V2.5: IH E Problem Templates Require lo w value en try -->
	4893
	4894	<effective Time>
	4895
	4896	<low
	4897	nullFlavor ="UNK"
	4898	/>
	4899
	4900	</effectiv eTime>
	4901
	4902	<!-- 7.04 PROBLEM C ODE, Optio nal, When uncoded on ly xsi:typ e="CD" all owed, Avai lable as I CD-9, not SNOMED CT, -->
	4903
	4904	<!-- HITSP V2.5: IH E Problem Templates Require va lue entry -->
	4905
	4906	<value
	4907	xsi:type=" CD"
	4908	>
	4909
	4910	<translati on
	4911	code="R69. "
	4912	codeSystem ="2.16.840 .1.113883. 6.103"
	4913	codeSystem Name="ICD- 9-CM"
	4914	/>
	4915
	4916	</value>
	4917
	4918	<!-- 7.12 PROBLEM S TATUS entr yRelations hip block, Optional, -->
	4919
	4920	<entryRela tionship
	4921	typeCode=" REFR"
	4922	>
	4923
	4924	<observati on
	4925	classCode= "OBS"
	4926	moodCode=" EVN"
	4927	>
	4928
	4929	<!-- HITSP C32 V2.5: CCD Prob lem status observati on templat e -->
	4930
	4931	<templateI d
	4932	root="2.16 .840.1.113 883. IP "
	4933	/>
	4934
	4935	<code
	4936	code="3399 9-4"
	4937	codeSystem ="2.16.840 .1.113883. 6.1"
	4938	displayNam e="Status"
	4939	/>
	4940
	4941	<statusCod e
	4942	code="comp leted"
	4943	/>
	4944
	4945	<!-- HITS P C32 V2.5 : 7.12 PRO BLEM STATU S Optiona l, Transla ted ftom V istA value -->
	4946
	4947	<value
	4948	code="7342 5007"
	4949	codeSystem ="2.16.840 .1.113883. 6.96"
	4950	displayNam e="Inactiv e"
	4951	xsi:type=" CE"
	4952	>
	4953
	4954	<originalT ext>
	4955	INACTIVE
	4956	</original Text>
	4957
	4958	</value>
	4959
	4960	</observat ion>
	4961
	4962	</entryRel ationship>
	4963
	4964	</observat ion>
	4965
	4966	</entryRel ationship>
	4967
	4968	</act>
	4969
	4970	</entry>
	4971	<entry
	4972	typeCode=" DRIV"
	4973	>
	4974
	4975	<act
	4976	classCode= "ACT"
	4977	moodCode=" EVN"
	4978	>
	4979
	4980	<!-- CCD P roblem Act Template -->
	4981
	4982	<templateI d
	4983	root="2.16 .840.1.113 883. IP "
	4984	/>
	4985
	4986	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	4987
	4988	<templateI d
	4989	root="2.16 .840.1.113 883.3.88.1 1.83.7"
	4990	/>
	4991
	4992	<templateI d
	4993	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	4994	/>
	4995
	4996	<templateI d
	4997	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2"
	4998	/>
	4999
	5000	<!-- CCD P roblem Act ID as nul lFlavor - ->
	5001
	5002	<id
	5003	nullFlavor ="UNK"
	5004	/>
	5005
	5006	<code
	5007	nullFlavor ="NA"
	5008	/>
	5009
	5010	<!-- HITSP V2.5 IHE Problem Co ncern Temp lates Requ ires statu sCode -->
	5011
	5012	<statusCod e
	5013	code="comp leted"
	5014	/>
	5015
	5016	<!-- 7.01 PROBLEM D ATE (cda:l ow=Date of Onset, cd a:high=Dat e Resolved ), Optiona l R2 -->
	5017
	5018	<effective Time>
	5019
	5020	<low
	5021	value="201 11111"
	5022	/>
	5023
	5024	<high
	5025	value="201 61201"
	5026	/>
	5027
	5028	</effectiv eTime>
	5029
	5030	<!-- 7.05 TREATING P ROVIDER id link to H ealthCare Provider E ntry-->
	5031
	5032	<performer
	5033	typeCode=" PRF"
	5034	>
	5035
	5036	<assignedE ntity>
	5037
	5038	<id
	5039	extension= "provider1 008"
	5040	root="2.16 .840.1.113 883.4.349"
	5041	/>
	5042
	5043	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	5044
	5045	<addr/>
	5046
	5047	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	5048
	5049	<telecom/>
	5050
	5051	</assigned Entity>
	5052
	5053	</performe r>
	5054
	5055	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	5056
	5057	<author>
	5058
	5059	<!-- HITSP C32 V2.5: Time a s nullFlav or because VA VistA data not y et availab le -->
	5060
	5061	<time
	5062	nullFlavor ="UNK"
	5063	/>
	5064
	5065	<assignedA uthor>
	5066
	5067	<id
	5068	nullFlavor ="NI"
	5069	/>
	5070
	5071	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	5072
	5073	<addr/>
	5074
	5075	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	5076
	5077	<telecom/>
	5078
	5079	<represent edOrganiza tion>
	5080
	5081	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	5082
	5083	<id
	5084	extension= "983"
	5085	root="2.16 .840.1.113 883.4.349"
	5086	/>
	5087
	5088	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	5089
	5090	<name>
	5091	CHYSHR TES T LAB
	5092	</name>
	5093
	5094	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	5095
	5096	<telecom/>
	5097
	5098	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	5099
	5100	<addr/>
	5101
	5102	</represen tedOrganiz ation>
	5103
	5104	</assigned Author>
	5105
	5106	</author>
	5107
	5108	<entryRela tionship
	5109	inversionI nd="false"
	5110	typeCode=" SUBJ"
	5111	>
	5112
	5113	<!-- CCD P roblem obs ervation - Required -->
	5114
	5115	<observati on
	5116	classCode= "OBS"
	5117	moodCode=" EVN"
	5118	>
	5119
	5120	<!-- Probl em observa tion templ ate -->
	5121
	5122	<templateI d
	5123	root="2.16 .840.1.113 883. IP "
	5124	/>
	5125
	5126	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	5127
	5128	<templateI d
	5129	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	5130	/>
	5131
	5132	<!-- CCD P roblem Obs ID as nul lFlavor - ->
	5133
	5134	<id
	5135	nullFlavor ="UNK"
	5136	/>
	5137
	5138	<!-- 7.02 PROBLEM TY PE, R2, SN OMED CT - ->
	5139
	5140	<!-- HITSP C32 V2.5: 7.02 PRO BLEM TYPE, Optional SNOMED CT, provided as nullFal vor b/c da ta not yet available via VA Vi stA RPCs - ->
	5141
	5142	<code
	5143	codeSystem ="2.16.840 .1.113883. 6.96"
	5144	codeSystem Name="SNOM ED CT"
	5145	nullFlavor ="UNK"
	5146	>
	5147
	5148	<originalT ext>
	5149	Problem Ty pe Not Ava ilable
	5150	</original Text>
	5151
	5152	</code>
	5153
	5154	<!-- 7.03 PROBLEM NA ME, REQUIR ED -->
	5155
	5156	<text>
	5157
	5158	<reference
	5159	value="#pn dProblem10 08"
	5160	/>
	5161
	5162	</text>
	5163
	5164	<statusCod e
	5165	code="comp leted"
	5166	/>
	5167
	5168	<!-- HITSP V2.5: IH E Problem Templates Require lo w value en try -->
	5169
	5170	<effective Time>
	5171
	5172	<low
	5173	nullFlavor ="UNK"
	5174	/>
	5175
	5176	</effectiv eTime>
	5177
	5178	<!-- 7.04 PROBLEM C ODE, Optio nal, When uncoded on ly xsi:typ e="CD" all owed, Avai lable as I CD-9, not SNOMED CT, -->
	5179
	5180	<!-- HITSP V2.5: IH E Problem Templates Require va lue entry -->
	5181
	5182	<value
	5183	xsi:type=" CD"
	5184	>
	5185
	5186	<translati on
	5187	code="R69. "
	5188	codeSystem ="2.16.840 .1.113883. 6.103"
	5189	codeSystem Name="ICD- 9-CM"
	5190	/>
	5191
	5192	</value>
	5193
	5194	<!-- 7.12 PROBLEM S TATUS entr yRelations hip block, Optional, -->
	5195
	5196	<entryRela tionship
	5197	typeCode=" REFR"
	5198	>
	5199
	5200	<observati on
	5201	classCode= "OBS"
	5202	moodCode=" EVN"
	5203	>
	5204
	5205	<!-- HITSP C32 V2.5: CCD Prob lem status observati on templat e -->
	5206
	5207	<templateI d
	5208	root="2.16 .840.1.113 883. IP "
	5209	/>
	5210
	5211	<code
	5212	code="3399 9-4"
	5213	codeSystem ="2.16.840 .1.113883. 6.1"
	5214	displayNam e="Status"
	5215	/>
	5216
	5217	<statusCod e
	5218	code="comp leted"
	5219	/>
	5220
	5221	<!-- HITS P C32 V2.5 : 7.12 PRO BLEM STATU S Optiona l, Transla ted ftom V istA value -->
	5222
	5223	<value
	5224	code="7342 5007"
	5225	codeSystem ="2.16.840 .1.113883. 6.96"
	5226	displayNam e="Inactiv e"
	5227	xsi:type=" CE"
	5228	>
	5229
	5230	<originalT ext>
	5231	INACTIVE
	5232	</original Text>
	5233
	5234	</value>
	5235
	5236	</observat ion>
	5237
	5238	</entryRel ationship>
	5239
	5240	</observat ion>
	5241
	5242	</entryRel ationship>
	5243
	5244	</act>
	5245
	5246	</entry>
	5247
	5248	</section>
	5249
	5250	</componen t>
	5251
	5252	<!--
	5253	**** ****** ****** ****** ****** ********
	5254	MEDICA TIONS (RX & Non-RX) SECTION
	5255	**** ****** ****** ****** ****** ********
	5256	-->
	5257
	5258
	5259	<!--
	5260	**** ****** ****** ****** ****** ********
	5261	VLER S EG 1B: VI TAL SIGNS SECTION
	5262	**** ****** ****** ****** ****** ********
	5263	-->
	5264
	5265
	5266	<!--
	5267	**** ****** ****** ****** ****** ********
	5268	VLER S EG 1B: LA B RESULTS SECTION (C hemistry/H ematology)
	5269	**** ****** ****** ****** ****** ********
	5270	-->
	5271
	5272
	5273	<!--
	5274	****** ****** ****** ****** ****** ******
	5275	VLER SEG MENT 1B: IMMUNIZATI ON SECTION
	5276	****** ****** ****** ****** ****** ******
	5277	-->
	5278
	5279	<component >
	5280
	5281	<!-- Compo nent 6 -->
	5282
	5283	<section>
	5284
	5285	<!-- Immun izations s ection tem plate -->
	5286
	5287	<templateI d
	5288	root="2.16 .840.1.113 883. IP "
	5289	/>
	5290
	5291	<templateI d
	5292	root="1.3. 6.1.4.1.19 376.1.5.3. 1.3.23"
	5293	/>
	5294
	5295	<templateI d
	5296	root="2.16 .840.1.113 883.3.88.1 1.83.117"
	5297	/>
	5298
	5299
	5300	<code
	5301	code="1136 9-6"
	5302	codeSystem ="2.16.840 .1.113883. 6.1"
	5303	codeSystem Name="LOIN C"
	5304	displayNam e=" Histor y of immun izations "
	5305	/>
	5306
	5307	<title>
	5308	Immunizati ons
	5309	</title>
	5310
	5311	<!-- IMMU NIZATIONS NARRATIVE BLOCK , RE QUIRED -->
	5312
	5313	<text>
	5314
	5315	<!-- VLER SEG 1B: Im munization Business Rules for Medical Co ntent -->
	5316
	5317	<table
	5318	border="1"
	5319	width="100 %"
	5320	>
	5321
	5322	<thead>
	5323
	5324	<tr>
	5325
	5326	<th>
	5327	Department of Vetera ns Affairs
	5328	</th>
	5329
	5330	<th>
	5331	Business R ules for C onstructio n of Medic al Informa tion
	5332	</th>
	5333
	5334	</tr>
	5335
	5336	</thead>
	5337
	5338	<tbody>
	5339
	5340	<tr>
	5341
	5342	<td>
	5343	Immunizati ons
	5344	</td>
	5345
	5346	<td>
	5347	This secti on contain s patient immunizati ons inform ation from all VA tr eatment fa cilities. Only admin istred (i. e., not re fused) imm unizations are inclu ded.
	5348	</td>
	5349
	5350	</tr>
	5351
	5352	</tbody>
	5353
	5354	</table>
	5355
	5356	<table
	5357	ID="immuni zationNarr itive"
	5358	border="1"
	5359	width="100 %"
	5360	>
	5361
	5362	<thead>
	5363
	5364	<tr>
	5365
	5366	<th>
	5367	Immunizati on
	5368	</th>
	5369
	5370	<th>
	5371	Series
	5372	</th>
	5373
	5374	<th>
	5375	Date Issue d
	5376	</th>
	5377
	5378	<th>
	5379	Reaction
	5380	</th>
	5381
	5382	<th>
	5383	Comments
	5384	</th>
	5385
	5386	</tr>
	5387
	5388	</thead>
	5389
	5390	<tbody>
	5391
	5392	<tr>
	5393
	5394	<td>
	5395
	5396	<content
	5397	ID="indImm unization1 001"
	5398	>
	5399	PNEUMOCOCC AL POLYSAC CHARIDE PP V23
	5400	</content>
	5401
	5402	</td>
	5403
	5404	<td>
	5405
	5406	<content
	5407	ID="indSer ies1001"
	5408	/>
	5409
	5410	</td>
	5411
	5412	<td>
	5413
	5414	<content
	5415	ID="indDat eIssued100 1"
	5416	>
	5417	20150427
	5418	</content>
	5419
	5420	</td>
	5421
	5422	<td>
	5423
	5424	<content
	5425	ID="indRea ction1001"
	5426	/>
	5427
	5428	</td>
	5429
	5430	<td>
	5431
	5432	<content
	5433	ID="indCom ments1001"
	5434	>
	5435	Partner: W algreens. Administer ed by: Wal greens Cli nician (NP I=99876543 21). Partn er Patient ID: 59910 903087 Lot #: 1122336 6 Mfr: Mer ck
	5436	</content>
	5437
	5438	</td>
	5439
	5440	</tr>
	5441	<tr>
	5442
	5443	<td>
	5444
	5445	<content
	5446	ID="indImm unization1 002"
	5447	>
	5448	BCG
	5449	</content>
	5450
	5451	</td>
	5452
	5453	<td>
	5454
	5455	<content
	5456	ID="indSer ies1002"
	5457	/>
	5458
	5459	</td>
	5460
	5461	<td>
	5462
	5463	<content
	5464	ID="indDat eIssued100 2"
	5465	>
	5466	20161201
	5467	</content>
	5468
	5469	</td>
	5470
	5471	<td>
	5472
	5473	<content
	5474	ID="indRea ction1002"
	5475	/>
	5476
	5477	</td>
	5478
	5479	<td>
	5480
	5481	<content
	5482	ID="indCom ments1002"
	5483	/>
	5484
	5485	</td>
	5486
	5487	</tr>
	5488	<tr>
	5489
	5490	<td>
	5491
	5492	<content
	5493	ID="indImm unization1 003"
	5494	>
	5495	PNEUMOCOCC AL POLYSAC CHARIDE PP V23
	5496	</content>
	5497
	5498	</td>
	5499
	5500	<td>
	5501
	5502	<content
	5503	ID="indSer ies1003"
	5504	/>
	5505
	5506	</td>
	5507
	5508	<td>
	5509
	5510	<content
	5511	ID="indDat eIssued100 3"
	5512	>
	5513	20150427
	5514	</content>
	5515
	5516	</td>
	5517
	5518	<td>
	5519
	5520	<content
	5521	ID="indRea ction1003"
	5522	/>
	5523
	5524	</td>
	5525
	5526	<td>
	5527
	5528	<content
	5529	ID="indCom ments1003"
	5530	>
	5531	Partner: W algreens. Administer ed by: Wal greens Cli nician (NP I=99876543 21). Partn er Patient ID: 59910 903087 Lot #: 1122336 6 Mfr: Mer ck
	5532	</content>
	5533
	5534	</td>
	5535
	5536	</tr>
	5537
	5538	</tbody>
	5539
	5540	</table>
	5541
	5542	</text>
	5543
	5544	<entry
	5545	typeCode=" DRIV"
	5546	>
	5547
	5548	<!-- Repea t entry/su bstanceAdm instration block for each Immu nization - ->
	5549
	5550	<!-- 13.01 -REFUSAL, REQUIRED, static val ue of "fal se" -->
	5551
	5552	<!-- HITSP C32 V2.5: HL7 CDA R2-If Immu nization w as adminis tered, @ne gationInd= false -->
	5553
	5554	<substance Administra tion
	5555	classCode= "SBADM"
	5556	moodCode=" EVN"
	5557	negationIn d="false"
	5558	>
	5559
	5560	<!-- HITSP C32 V2.5: Immuniza tion Templ ates -->
	5561
	5562	<templateI d
	5563	root="2.16 .840.1.113 883. IP "
	5564	/>
	5565
	5566	<templateI d
	5567	root="2.16 .840.1.113 883.3.88.1 1.83.13"
	5568	/>
	5569
	5570	<templateI d
	5571	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.12"
	5572	/>
	5573
	5574	<!-- HITSP C32 V2.5: Immunizat ion Id as nullFlavor -->
	5575
	5576	<id
	5577	nullFlavor ="UNK"
	5578	/>
	5579
	5580	<code
	5581	code="IMMU NIZ"
	5582	codeSystem ="2.16.840 .1.113883. 5.4"
	5583	codeSystem Name="ActC ode"
	5584	/>
	5585
	5586	<!-- COMME NT REFEREN CE points to Narrati ve Block - ->
	5587
	5588	<text>
	5589	<reference
	5590	value="#in dComments1 001"
	5591	/>
	5592	</text>
	5593
	5594	<statusCod e
	5595	code="comp leted"
	5596	/>
	5597
	5598	<!-- 13.02 -ADMINISTE RED DATE, REQUIRED, -->
	5599
	5600	<effective Time
	5601	value="201 50427"
	5602	/>
	5603
	5604	<consumabl e>
	5605
	5606	<!-- HITSP C32 V2.5: Immuniza tion Medic ation -->
	5607
	5608	<manufactu redProduct >
	5609
	5610	<!-- Produ ct templat e -->
	5611
	5612	<templateI d
	5613	root="2.16 .840.1.113 883. IP "
	5614	/>
	5615
	5616	<templateI d
	5617	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2"
	5618	/>
	5619
	5620	<id
	5621	nullFlavor ="UNK"
	5622	/>
	5623
	5624	<!--manufa cturedLabe ledDrug></ manufactur edLabeledD rug -->
	5625
	5626	<manufactu redMateria l>
	5627
	5628	<!-- 13.06 -CODED PRO DUCT NAME, Optional, nullFlavo r b/c data not yet a vailable t hru VistA RPCs -->
	5629
	5630	<!-- HITSP C32 V2.5: CODED PR ODUCT NAME , Optional , Requires CVX-Vacci nes Admins tered , VA provides CPT-4-->
	5631
	5632	<code
	5633	code="UNK"
	5634	codeSystem ="2.16.840 .1.113883. 6.59"
	5635	codeSystem Name="CVX"
	5636	nullFlavor ="UNK"
	5637	>
	5638
	5639	<!-- 13.07 -FREE TEXT PRODUCT NA ME, REQUIR ED, Pointe r to Narra tive Block -->
	5640
	5641	<originalT ext>
	5642
	5643	<reference
	5644	value="#in dImmunizat ion1001"
	5645	/>
	5646
	5647	</original Text>
	5648
	5649	<translati on
	5650	code="9073 2"
	5651	codeSystem ="2.16.840 .1.113883. 6.12"
	5652	codeSystem Name="Curr ent Proced ural Termi nology (CP T®) Fourth Edition ( CPT-4)"
	5653	displayNam e="PNEUMOC OCCAL VACC INE"
	5654	/>
	5655
	5656	</code>
	5657
	5658	<!-- 13.09 -LOT NUMBE R, Optiona l, XML omi tted b/c n ot yet da ta availab le thru Vi stA RPCs - ->
	5659
	5660	</manufact uredMateri al>
	5661
	5662	<manufactu rerOrganiz ation>
	5663
	5664	<!-- 13.08 DRUG MANU FACTURER, Optional, XML omitte d b/c not yet data a vailable t hru VistA RPCs -->
	5665
	5666	</manufact urerOrgani zation>
	5667
	5668	</manufact uredProduc t>
	5669
	5670	</consumab le>
	5671
	5672	<!-- 13.05 -PERFORMER , Optional -->
	5673
	5674	<performer
	5675	typeCode=" PRF"
	5676	>
	5677
	5678	<!-- Provi der Templa te Id -->
	5679
	5680	<templateI d
	5681	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	5682	/>
	5683
	5684	<time>
	5685
	5686	<high
	5687	nullFlavor ="UNK"
	5688	/>
	5689
	5690	</time>
	5691
	5692	<assignedE ntity>
	5693
	5694	<!-- Provi der ID, ex tension = Provider I D, root=VA OID -->
	5695
	5696	<id
	5697	extension= "providerI D"
	5698	root="2.16 .840.1.113 883.4.349"
	5699	/>
	5700
	5701	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	5702
	5703	<addr/>
	5704
	5705	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	5706
	5707	<telecom/>
	5708
	5709	<assignedP erson>
	5710
	5711	<name/>
	5712
	5713	</assigned Person>
	5714
	5715	</assigned Entity>
	5716
	5717	</performe r>
	5718
	5719	<!-- INFOR MATION SOU RCE FOR IM MUNIZATION , Optional -->
	5720
	5721	<author>
	5722
	5723	<time
	5724	nullFlavor ="UNK"
	5725	/>
	5726
	5727	<assignedA uthor>
	5728
	5729	<id
	5730	nullFlavor ="NI"
	5731	/>
	5732
	5733	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	5734
	5735	<addr/>
	5736
	5737	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	5738
	5739	<telecom/>
	5740
	5741	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	5742
	5743	<assignedP erson>
	5744
	5745	<name/>
	5746
	5747	</assigned Person>
	5748
	5749	<represent edOrganiza tion>
	5750
	5751	<!-- INFOR MATION SOU RCE FACILI TY OID (ID = VA OID, EXT = TRE ATING FACI LITY NBR) -->
	5752
	5753	<id
	5754	extension= "984"
	5755	root="2.16 .840.1.113 883.4.349"
	5756	/>
	5757
	5758	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	5759
	5760	<name>
	5761	DAYTSHR TE ST LAB
	5762	</name>
	5763
	5764	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	5765
	5766	<telecom/>
	5767
	5768	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	5769
	5770	<addr/>
	5771
	5772	</represen tedOrganiz ation>
	5773
	5774	</assigned Author>
	5775
	5776	</author>
	5777
	5778	<!-- HITSP C32 V2.5: Immuniza tion Medic ation Seri es Nbr -->
	5779
	5780	<entryRela tionship
	5781	typeCode=" SUBJ"
	5782	>
	5783
	5784	<observati on
	5785	classCode= "OBS"
	5786	moodCode=" EVN"
	5787	>
	5788
	5789	<templateI d
	5790	root="2.16 .840.1.113 883. IP "
	5791	/>
	5792
	5793	<!-- HITSP C32 V2.5: Required Code unde r Observat ion -->
	5794
	5795	<code
	5796	code="3097 3-2"
	5797	codeSystem ="2.16.840 .1.113883. 6.1"
	5798	codeSystem Name="LOIN C"
	5799	displayNam e="Dose Nu mber"
	5800	/>
	5801
	5802	<!-- HITSP C32 V2.5: Required statusCod e under Ob servation -->
	5803
	5804	<statusCod e
	5805	code="comp leted"
	5806	/>
	5807
	5808	<!-- 13.03 -MEDICATIO N SERIES N UMBER, Op tional, Se nt as STri ng not INT eger to a ccommodate VA VistA data such as P-Parti al, B-Boos ter, C-Com plete -->
	5809
	5810	<value
	5811	nullFlavor ="UNK"
	5812	xsi:type=" INT"
	5813	/>
	5814
	5815	</observat ion>
	5816
	5817	</entryRel ationship>
	5818
	5819	<!-- HITSP C32 V2.5: Immuniza tion React ion -->
	5820
	5821
	5822	</substanc eAdministr ation>
	5823
	5824	</entry>
	5825	<entry
	5826	typeCode=" DRIV"
	5827	>
	5828
	5829	<!-- Repea t entry/su bstanceAdm instration block for each Immu nization - ->
	5830
	5831	<!-- 13.01 -REFUSAL, REQUIRED, static val ue of "fal se" -->
	5832
	5833	<!-- HITSP C32 V2.5: HL7 CDA R2-If Immu nization w as adminis tered, @ne gationInd= false -->
	5834
	5835	<substance Administra tion
	5836	classCode= "SBADM"
	5837	moodCode=" EVN"
	5838	negationIn d="false"
	5839	>
	5840
	5841	<!-- HITSP C32 V2.5: Immuniza tion Templ ates -->
	5842
	5843	<templateI d
	5844	root="2.16 .840.1.113 883. IP "
	5845	/>
	5846
	5847	<templateI d
	5848	root="2.16 .840.1.113 883.3.88.1 1.83.13"
	5849	/>
	5850
	5851	<templateI d
	5852	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.12"
	5853	/>
	5854
	5855	<!-- HITSP C32 V2.5: Immunizat ion Id as nullFlavor -->
	5856
	5857	<id
	5858	nullFlavor ="UNK"
	5859	/>
	5860
	5861	<code
	5862	code="IMMU NIZ"
	5863	codeSystem ="2.16.840 .1.113883. 5.4"
	5864	codeSystem Name="ActC ode"
	5865	/>
	5866
	5867	<!-- COMME NT REFEREN CE points to Narrati ve Block - ->
	5868
	5869	<text>
	5870	<reference
	5871	value="#in dComments1 002"
	5872	/>
	5873	</text>
	5874
	5875	<statusCod e
	5876	code="comp leted"
	5877	/>
	5878
	5879	<!-- 13.02 -ADMINISTE RED DATE, REQUIRED, -->
	5880
	5881	<effective Time
	5882	value="201 61201"
	5883	/>
	5884
	5885	<consumabl e>
	5886
	5887	<!-- HITSP C32 V2.5: Immuniza tion Medic ation -->
	5888
	5889	<manufactu redProduct >
	5890
	5891	<!-- Produ ct templat e -->
	5892
	5893	<templateI d
	5894	root="2.16 .840.1.113 883. IP "
	5895	/>
	5896
	5897	<templateI d
	5898	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2"
	5899	/>
	5900
	5901	<id
	5902	nullFlavor ="UNK"
	5903	/>
	5904
	5905	<!--manufa cturedLabe ledDrug></ manufactur edLabeledD rug -->
	5906
	5907	<manufactu redMateria l>
	5908
	5909	<!-- 13.06 -CODED PRO DUCT NAME, Optional, nullFlavo r b/c data not yet a vailable t hru VistA RPCs -->
	5910
	5911	<!-- HITSP C32 V2.5: CODED PR ODUCT NAME , Optional , Requires CVX-Vacci nes Admins tered , VA provides CPT-4-->
	5912
	5913	<code
	5914	code="UNK"
	5915	codeSystem ="2.16.840 .1.113883. 6.59"
	5916	codeSystem Name="CVX"
	5917	nullFlavor ="UNK"
	5918	>
	5919
	5920	<!-- 13.07 -FREE TEXT PRODUCT NA ME, REQUIR ED, Pointe r to Narra tive Block -->
	5921
	5922	<originalT ext>
	5923
	5924	<reference
	5925	value="#in dImmunizat ion1002"
	5926	/>
	5927
	5928	</original Text>
	5929
	5930	<translati on
	5931	code="9058 5"
	5932	codeSystem ="2.16.840 .1.113883. 6.12"
	5933	codeSystem Name="Curr ent Proced ural Termi nology (CP T®) Fourth Edition ( CPT-4)"
	5934	displayNam e="BCG VAC CINE PERCU T"
	5935	/>
	5936
	5937	</code>
	5938
	5939	<!-- 13.09 -LOT NUMBE R, Optiona l, XML omi tted b/c n ot yet da ta availab le thru Vi stA RPCs - ->
	5940
	5941	</manufact uredMateri al>
	5942
	5943	<manufactu rerOrganiz ation>
	5944
	5945	<!-- 13.08 DRUG MANU FACTURER, Optional, XML omitte d b/c not yet data a vailable t hru VistA RPCs -->
	5946
	5947	</manufact urerOrgani zation>
	5948
	5949	</manufact uredProduc t>
	5950
	5951	</consumab le>
	5952
	5953	<!-- 13.05 -PERFORMER , Optional -->
	5954
	5955	<performer
	5956	typeCode=" PRF"
	5957	>
	5958
	5959	<!-- Provi der Templa te Id -->
	5960
	5961	<templateI d
	5962	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	5963	/>
	5964
	5965	<time>
	5966
	5967	<high
	5968	nullFlavor ="UNK"
	5969	/>
	5970
	5971	</time>
	5972
	5973	<assignedE ntity>
	5974
	5975	<!-- Provi der ID, ex tension = Provider I D, root=VA OID -->
	5976
	5977	<id
	5978	extension= "providerI D"
	5979	root="2.16 .840.1.113 883.4.349"
	5980	/>
	5981
	5982	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	5983
	5984	<addr/>
	5985
	5986	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	5987
	5988	<telecom/>
	5989
	5990	<assignedP erson>
	5991
	5992	<name/>
	5993
	5994	</assigned Person>
	5995
	5996	</assigned Entity>
	5997
	5998	</performe r>
	5999
	6000	<!-- INFOR MATION SOU RCE FOR IM MUNIZATION , Optional -->
	6001
	6002	<author>
	6003
	6004	<time
	6005	nullFlavor ="UNK"
	6006	/>
	6007
	6008	<assignedA uthor>
	6009
	6010	<id
	6011	nullFlavor ="NI"
	6012	/>
	6013
	6014	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	6015
	6016	<addr/>
	6017
	6018	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	6019
	6020	<telecom/>
	6021
	6022	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	6023
	6024	<assignedP erson>
	6025
	6026	<name/>
	6027
	6028	</assigned Person>
	6029
	6030	<represent edOrganiza tion>
	6031
	6032	<!-- INFOR MATION SOU RCE FACILI TY OID (ID = VA OID, EXT = TRE ATING FACI LITY NBR) -->
	6033
	6034	<id
	6035	extension= "442"
	6036	root="2.16 .840.1.113 883.4.349"
	6037	/>
	6038
	6039	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	6040
	6041	<name>
	6042	DNS ENNE VAMC
	6043	</name>
	6044
	6045	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	6046
	6047	<telecom/>
	6048
	6049	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	6050
	6051	<addr/>
	6052
	6053	</represen tedOrganiz ation>
	6054
	6055	</assigned Author>
	6056
	6057	</author>
	6058
	6059	<!-- HITSP C32 V2.5: Immuniza tion Medic ation Seri es Nbr -->
	6060
	6061	<entryRela tionship
	6062	typeCode=" SUBJ"
	6063	>
	6064
	6065	<observati on
	6066	classCode= "OBS"
	6067	moodCode=" EVN"
	6068	>
	6069
	6070	<templateI d
	6071	root="2.16 .840.1.113 883. IP "
	6072	/>
	6073
	6074	<!-- HITSP C32 V2.5: Required Code unde r Observat ion -->
	6075
	6076	<code
	6077	code="3097 3-2"
	6078	codeSystem ="2.16.840 .1.113883. 6.1"
	6079	codeSystem Name="LOIN C"
	6080	displayNam e="Dose Nu mber"
	6081	/>
	6082
	6083	<!-- HITSP C32 V2.5: Required statusCod e under Ob servation -->
	6084
	6085	<statusCod e
	6086	code="comp leted"
	6087	/>
	6088
	6089	<!-- 13.03 -MEDICATIO N SERIES N UMBER, Op tional, Se nt as STri ng not INT eger to a ccommodate VA VistA data such as P-Parti al, B-Boos ter, C-Com plete -->
	6090
	6091	<value
	6092	nullFlavor ="UNK"
	6093	xsi:type=" INT"
	6094	/>
	6095
	6096	</observat ion>
	6097
	6098	</entryRel ationship>
	6099
	6100	<!-- HITSP C32 V2.5: Immuniza tion React ion -->
	6101
	6102
	6103	</substanc eAdministr ation>
	6104
	6105	</entry>
	6106	<entry
	6107	typeCode=" DRIV"
	6108	>
	6109
	6110	<!-- Repea t entry/su bstanceAdm instration block for each Immu nization - ->
	6111
	6112	<!-- 13.01 -REFUSAL, REQUIRED, static val ue of "fal se" -->
	6113
	6114	<!-- HITSP C32 V2.5: HL7 CDA R2-If Immu nization w as adminis tered, @ne gationInd= false -->
	6115
	6116	<substance Administra tion
	6117	classCode= "SBADM"
	6118	moodCode=" EVN"
	6119	negationIn d="false"
	6120	>
	6121
	6122	<!-- HITSP C32 V2.5: Immuniza tion Templ ates -->
	6123
	6124	<templateI d
	6125	root="2.16 .840.1.113 883. IP "
	6126	/>
	6127
	6128	<templateI d
	6129	root="2.16 .840.1.113 883.3.88.1 1.83.13"
	6130	/>
	6131
	6132	<templateI d
	6133	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.12"
	6134	/>
	6135
	6136	<!-- HITSP C32 V2.5: Immunizat ion Id as nullFlavor -->
	6137
	6138	<id
	6139	nullFlavor ="UNK"
	6140	/>
	6141
	6142	<code
	6143	code="IMMU NIZ"
	6144	codeSystem ="2.16.840 .1.113883. 5.4"
	6145	codeSystem Name="ActC ode"
	6146	/>
	6147
	6148	<!-- COMME NT REFEREN CE points to Narrati ve Block - ->
	6149
	6150	<text>
	6151	<reference
	6152	value="#in dComments1 003"
	6153	/>
	6154	</text>
	6155
	6156	<statusCod e
	6157	code="comp leted"
	6158	/>
	6159
	6160	<!-- 13.02 -ADMINISTE RED DATE, REQUIRED, -->
	6161
	6162	<effective Time
	6163	value="201 50427"
	6164	/>
	6165
	6166	<consumabl e>
	6167
	6168	<!-- HITSP C32 V2.5: Immuniza tion Medic ation -->
	6169
	6170	<manufactu redProduct >
	6171
	6172	<!-- Produ ct templat e -->
	6173
	6174	<templateI d
	6175	root="2.16 .840.1.113 883. IP "
	6176	/>
	6177
	6178	<templateI d
	6179	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2"
	6180	/>
	6181
	6182	<id
	6183	nullFlavor ="UNK"
	6184	/>
	6185
	6186	<!--manufa cturedLabe ledDrug></ manufactur edLabeledD rug -->
	6187
	6188	<manufactu redMateria l>
	6189
	6190	<!-- 13.06 -CODED PRO DUCT NAME, Optional, nullFlavo r b/c data not yet a vailable t hru VistA RPCs -->
	6191
	6192	<!-- HITSP C32 V2.5: CODED PR ODUCT NAME , Optional , Requires CVX-Vacci nes Admins tered , VA provides CPT-4-->
	6193
	6194	<code
	6195	code="UNK"
	6196	codeSystem ="2.16.840 .1.113883. 6.59"
	6197	codeSystem Name="CVX"
	6198	nullFlavor ="UNK"
	6199	>
	6200
	6201	<!-- 13.07 -FREE TEXT PRODUCT NA ME, REQUIR ED, Pointe r to Narra tive Block -->
	6202
	6203	<originalT ext>
	6204
	6205	<reference
	6206	value="#in dImmunizat ion1003"
	6207	/>
	6208
	6209	</original Text>
	6210
	6211	<translati on
	6212	code="9073 2"
	6213	codeSystem ="2.16.840 .1.113883. 6.12"
	6214	codeSystem Name="Curr ent Proced ural Termi nology (CP T®) Fourth Edition ( CPT-4)"
	6215	displayNam e="PNEUMOC OCCAL VACC INE"
	6216	/>
	6217
	6218	</code>
	6219
	6220	<!-- 13.09 -LOT NUMBE R, Optiona l, XML omi tted b/c n ot yet da ta availab le thru Vi stA RPCs - ->
	6221
	6222	</manufact uredMateri al>
	6223
	6224	<manufactu rerOrganiz ation>
	6225
	6226	<!-- 13.08 DRUG MANU FACTURER, Optional, XML omitte d b/c not yet data a vailable t hru VistA RPCs -->
	6227
	6228	</manufact urerOrgani zation>
	6229
	6230	</manufact uredProduc t>
	6231
	6232	</consumab le>
	6233
	6234	<!-- 13.05 -PERFORMER , Optional -->
	6235
	6236	<performer
	6237	typeCode=" PRF"
	6238	>
	6239
	6240	<!-- Provi der Templa te Id -->
	6241
	6242	<templateI d
	6243	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	6244	/>
	6245
	6246	<time>
	6247
	6248	<high
	6249	nullFlavor ="UNK"
	6250	/>
	6251
	6252	</time>
	6253
	6254	<assignedE ntity>
	6255
	6256	<!-- Provi der ID, ex tension = Provider I D, root=VA OID -->
	6257
	6258	<id
	6259	extension= "providerI D"
	6260	root="2.16 .840.1.113 883.4.349"
	6261	/>
	6262
	6263	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	6264
	6265	<addr/>
	6266
	6267	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	6268
	6269	<telecom/>
	6270
	6271	<assignedP erson>
	6272
	6273	<name/>
	6274
	6275	</assigned Person>
	6276
	6277	</assigned Entity>
	6278
	6279	</performe r>
	6280
	6281	<!-- INFOR MATION SOU RCE FOR IM MUNIZATION , Optional -->
	6282
	6283	<author>
	6284
	6285	<time
	6286	nullFlavor ="UNK"
	6287	/>
	6288
	6289	<assignedA uthor>
	6290
	6291	<id
	6292	nullFlavor ="NI"
	6293	/>
	6294
	6295	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	6296
	6297	<addr/>
	6298
	6299	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	6300
	6301	<telecom/>
	6302
	6303	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	6304
	6305	<assignedP erson>
	6306
	6307	<name/>
	6308
	6309	</assigned Person>
	6310
	6311	<represent edOrganiza tion>
	6312
	6313	<!-- INFOR MATION SOU RCE FACILI TY OID (ID = VA OID, EXT = TRE ATING FACI LITY NBR) -->
	6314
	6315	<id
	6316	extension= "983"
	6317	root="2.16 .840.1.113 883.4.349"
	6318	/>
	6319
	6320	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	6321
	6322	<name>
	6323	CHYSHR TES T LAB
	6324	</name>
	6325
	6326	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	6327
	6328	<telecom/>
	6329
	6330	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	6331
	6332	<addr/>
	6333
	6334	</represen tedOrganiz ation>
	6335
	6336	</assigned Author>
	6337
	6338	</author>
	6339
	6340	<!-- HITSP C32 V2.5: Immuniza tion Medic ation Seri es Nbr -->
	6341
	6342	<entryRela tionship
	6343	typeCode=" SUBJ"
	6344	>
	6345
	6346	<observati on
	6347	classCode= "OBS"
	6348	moodCode=" EVN"
	6349	>
	6350
	6351	<templateI d
	6352	root="2.16 .840.1.113 883. IP "
	6353	/>
	6354
	6355	<!-- HITSP C32 V2.5: Required Code unde r Observat ion -->
	6356
	6357	<code
	6358	code="3097 3-2"
	6359	codeSystem ="2.16.840 .1.113883. 6.1"
	6360	codeSystem Name="LOIN C"
	6361	displayNam e="Dose Nu mber"
	6362	/>
	6363
	6364	<!-- HITSP C32 V2.5: Required statusCod e under Ob servation -->
	6365
	6366	<statusCod e
	6367	code="comp leted"
	6368	/>
	6369
	6370	<!-- 13.03 -MEDICATIO N SERIES N UMBER, Op tional, Se nt as STri ng not INT eger to a ccommodate VA VistA data such as P-Parti al, B-Boos ter, C-Com plete -->
	6371
	6372	<value
	6373	nullFlavor ="UNK"
	6374	xsi:type=" INT"
	6375	/>
	6376
	6377	</observat ion>
	6378
	6379	</entryRel ationship>
	6380
	6381	<!-- HITSP C32 V2.5: Immuniza tion React ion -->
	6382
	6383
	6384	</substanc eAdministr ation>
	6385
	6386	</entry>
	6387
	6388	</section>
	6389
	6390	</componen t>
	6391
	6392	<!--
	6393	**** ****** ****** ****** ****** ********
	6394	NHIN_C R_101, CR1 00
	6395	VLER S egment 1Bi i: ENCOUN TER SECTIO N
	6396	** ****** ****** ****** ****** ******
	6397	-->
	6398
	6399	<component >
	6400
	6401	<!-- Compo nent 7 -->
	6402
	6403	<section>
	6404
	6405	<!--CCD En counters S ection Con formance I dentifier- ->
	6406
	6407	<templateI d
	6408	root="2.16 .840.1.113 883. IP "
	6409	/>
	6410
	6411	<!--C83 En counters S ection Con formance I dentifier- ->
	6412
	6413	<templateI d
	6414	root="2.16 .840.1.113 883.3.88.1 1.83.127"
	6415	/>
	6416
	6417	<!--IHE En counters H istory Sec tion Confo rmance Ide ntifier-->
	6418
	6419	<templateI d
	6420	root="1.3. 6.1.4.1.19 376.1.5.3. 1.1.5.3.3"
	6421	/>
	6422
	6423	<code
	6424	code="4624 0-8"
	6425	codeSystem ="2.16.840 .1.113883. 6.1"
	6426	codeSystem Name="LOIN C"
	6427	displayNam e="History of Encoun ters"
	6428	/>
	6429
	6430	<title>
	6431	History of Encounter s
	6432	</title>
	6433
	6434	<!-- ENCO UNTER NARR ATIVE BLOC K -->
	6435
	6436	<text>
	6437
	6438	<!-- VLER SEG 1B: En counter Bu siness Rul es for Med ical Conte nt -->
	6439
	6440	<table
	6441	border="1"
	6442	width="100 %"
	6443	>
	6444
	6445	<thead>
	6446
	6447	<tr>
	6448
	6449	<th>
	6450	Department of Vetera ns Affairs
	6451	</th>
	6452
	6453	<th>
	6454	Business R ules for C onstructio n of Encou nter Infor mation
	6455	</th>
	6456
	6457	</tr>
	6458
	6459	</thead>
	6460
	6461	<tbody>
	6462
	6463	<tr>
	6464
	6465	<td>
	6466	Encounters
	6467	</td>
	6468
	6469	<td>
	6470	This secti on contain s informat ion for th e 25 most recent his torical ou tpatient e ncounters (completed ) for the patient fr om all VA treatment facilities for which the encou nter date was within the last 36 months. Note: Anc illary vis its are no t included . Lists of associate d note tit les for ea ch encount er are lim ited to a maximum of 10.
	6471	</td>
	6472
	6473	</tr>
	6474
	6475	</tbody>
	6476
	6477	</table>
	6478
	6479	<table
	6480	ID="encoun terNarriti ve"
	6481	border="1"
	6482	width="100 %"
	6483	>
	6484
	6485	<thead>
	6486
	6487	<tr>
	6488
	6489	<th>
	6490	Date Time
	6491	</th>
	6492
	6493	<th>
	6494	Encounter Type
	6495	</th>
	6496
	6497	<th>
	6498	Encounter Descriptio n
	6499	</th>
	6500
	6501	<th>
	6502	Reason
	6503	</th>
	6504
	6505	<th>
	6506	Arrival
	6507	</th>
	6508
	6509	<th>
	6510	Departure
	6511	</th>
	6512
	6513	<th>
	6514	Provider
	6515	</th>
	6516
	6517	<th>
	6518	Source
	6519	</th>
	6520
	6521	</tr>
	6522
	6523	</thead>
	6524
	6525	<tbody>
	6526
	6527	<tr>
	6528
	6529	<td>
	6530
	6531	<content
	6532	ID="endDat eTime1001"
	6533	>
	6534	2016120610
	6535	</content>
	6536
	6537	</td>
	6538
	6539	<td>
	6540
	6541	<content
	6542	ID="endEnc ounterType 1001"
	6543	/>
	6544
	6545	</td>
	6546
	6547	<td>
	6548
	6549	<content
	6550	ID="endEnc ounterDesc ription100 1"
	6551	>
	6552	GENERAL ME DICAL
	6553	</content>
	6554
	6555	</td>
	6556
	6557	<td>
	6558
	6559	<content
	6560	ID="endRea son1001"
	6561	/>
	6562
	6563	</td>
	6564
	6565	<td>
	6566
	6567	<content
	6568	ID="endArr ival1001"
	6569	/>
	6570
	6571	</td>
	6572
	6573	<td>
	6574
	6575	<content
	6576	ID="endDep ature1001"
	6577	/>
	6578
	6579	</td>
	6580
	6581	<td>
	6582
	6583	<content
	6584	ID="endPro vider1001"
	6585	/>
	6586
	6587	</td>
	6588
	6589	<td>
	6590
	6591	<content
	6592	ID="endSou rce1001"
	6593	>
	6594	DNS ENNE VAMC
	6595	</content>
	6596
	6597	</td>
	6598
	6599	</tr>
	6600	<tr>
	6601
	6602	<td>
	6603
	6604	<content
	6605	ID="endDat eTime1002"
	6606	>
	6607	2016120516 5819
	6608	</content>
	6609
	6610	</td>
	6611
	6612	<td>
	6613
	6614	<content
	6615	ID="endEnc ounterType 1002"
	6616	/>
	6617
	6618	</td>
	6619
	6620	<td>
	6621
	6622	<content
	6623	ID="endEnc ounterDesc ription100 2"
	6624	>
	6625	AUDIOLOGY with assoc iated note s MENTAL H EALTH OUTP ATIENT E & amp; M NOT E
	6626	</content>
	6627
	6628	</td>
	6629
	6630	<td>
	6631
	6632	<content
	6633	ID="endRea son1002"
	6634	>
	6635	PRESENCE O F OTHER OT OLOGICAL A ND AUDIOLO GICAL IMPL ANTS ICD9 Z96.29 wit h Provider Comments Presence o f other Ot ological a nd Audiolo gical Impl ants
	6636	</content>
	6637
	6638	</td>
	6639
	6640	<td>
	6641
	6642	<content
	6643	ID="endArr ival1002"
	6644	/>
	6645
	6646	</td>
	6647
	6648	<td>
	6649
	6650	<content
	6651	ID="endDep ature1002"
	6652	/>
	6653
	6654	</td>
	6655
	6656	<td>
	6657
	6658	<content
	6659	ID="endPro vider1002"
	6660	>
	6661	MANGUS,CHR ISTOPHER
	6662	</content>
	6663
	6664	</td>
	6665
	6666	<td>
	6667
	6668	<content
	6669	ID="endSou rce1002"
	6670	>
	6671	DNS ENNE VAMC
	6672	</content>
	6673
	6674	</td>
	6675
	6676	</tr>
	6677	<tr>
	6678
	6679	<td>
	6680
	6681	<content
	6682	ID="endDat eTime1003"
	6683	>
	6684	2016120516
	6685	</content>
	6686
	6687	</td>
	6688
	6689	<td>
	6690
	6691	<content
	6692	ID="endEnc ounterType 1003"
	6693	/>
	6694
	6695	</td>
	6696
	6697	<td>
	6698
	6699	<content
	6700	ID="endEnc ounterDesc ription100 3"
	6701	>
	6702	GENERAL ME DICAL
	6703	</content>
	6704
	6705	</td>
	6706
	6707	<td>
	6708
	6709	<content
	6710	ID="endRea son1003"
	6711	/>
	6712
	6713	</td>
	6714
	6715	<td>
	6716
	6717	<content
	6718	ID="endArr ival1003"
	6719	/>
	6720
	6721	</td>
	6722
	6723	<td>
	6724
	6725	<content
	6726	ID="endDep ature1003"
	6727	/>
	6728
	6729	</td>
	6730
	6731	<td>
	6732
	6733	<content
	6734	ID="endPro vider1003"
	6735	/>
	6736
	6737	</td>
	6738
	6739	<td>
	6740
	6741	<content
	6742	ID="endSou rce1003"
	6743	>
	6744	DNS ENNE VAMC
	6745	</content>
	6746
	6747	</td>
	6748
	6749	</tr>
	6750	<tr>
	6751
	6752	<td>
	6753
	6754	<content
	6755	ID="endDat eTime1004"
	6756	>
	6757	2016120510
	6758	</content>
	6759
	6760	</td>
	6761
	6762	<td>
	6763
	6764	<content
	6765	ID="endEnc ounterType 1004"
	6766	/>
	6767
	6768	</td>
	6769
	6770	<td>
	6771
	6772	<content
	6773	ID="endEnc ounterDesc ription100 4"
	6774	>
	6775	GENERAL ME DICAL
	6776	</content>
	6777
	6778	</td>
	6779
	6780	<td>
	6781
	6782	<content
	6783	ID="endRea son1004"
	6784	/>
	6785
	6786	</td>
	6787
	6788	<td>
	6789
	6790	<content
	6791	ID="endArr ival1004"
	6792	/>
	6793
	6794	</td>
	6795
	6796	<td>
	6797
	6798	<content
	6799	ID="endDep ature1004"
	6800	/>
	6801
	6802	</td>
	6803
	6804	<td>
	6805
	6806	<content
	6807	ID="endPro vider1004"
	6808	/>
	6809
	6810	</td>
	6811
	6812	<td>
	6813
	6814	<content
	6815	ID="endSou rce1004"
	6816	>
	6817	DNS ENNE VAMC
	6818	</content>
	6819
	6820	</td>
	6821
	6822	</tr>
	6823	<tr>
	6824
	6825	<td>
	6826
	6827	<content
	6828	ID="endDat eTime1005"
	6829	>
	6830	2016120110
	6831	</content>
	6832
	6833	</td>
	6834
	6835	<td>
	6836
	6837	<content
	6838	ID="endEnc ounterType 1005"
	6839	/>
	6840
	6841	</td>
	6842
	6843	<td>
	6844
	6845	<content
	6846	ID="endEnc ounterDesc ription100 5"
	6847	>
	6848	AUDIOLOGY
	6849	</content>
	6850
	6851	</td>
	6852
	6853	<td>
	6854
	6855	<content
	6856	ID="endRea son1005"
	6857	/>
	6858
	6859	</td>
	6860
	6861	<td>
	6862
	6863	<content
	6864	ID="endArr ival1005"
	6865	/>
	6866
	6867	</td>
	6868
	6869	<td>
	6870
	6871	<content
	6872	ID="endDep ature1005"
	6873	/>
	6874
	6875	</td>
	6876
	6877	<td>
	6878
	6879	<content
	6880	ID="endPro vider1005"
	6881	/>
	6882
	6883	</td>
	6884
	6885	<td>
	6886
	6887	<content
	6888	ID="endSou rce1005"
	6889	>
	6890	DNS ENNE VAMC
	6891	</content>
	6892
	6893	</td>
	6894
	6895	</tr>
	6896	<tr>
	6897
	6898	<td>
	6899
	6900	<content
	6901	ID="endDat eTime1006"
	6902	>
	6903	2016120110
	6904	</content>
	6905
	6906	</td>
	6907
	6908	<td>
	6909
	6910	<content
	6911	ID="endEnc ounterType 1006"
	6912	/>
	6913
	6914	</td>
	6915
	6916	<td>
	6917
	6918	<content
	6919	ID="endEnc ounterDesc ription100 6"
	6920	>
	6921	AUDIOLOGY
	6922	</content>
	6923
	6924	</td>
	6925
	6926	<td>
	6927
	6928	<content
	6929	ID="endRea son1006"
	6930	/>
	6931
	6932	</td>
	6933
	6934	<td>
	6935
	6936	<content
	6937	ID="endArr ival1006"
	6938	/>
	6939
	6940	</td>
	6941
	6942	<td>
	6943
	6944	<content
	6945	ID="endDep ature1006"
	6946	/>
	6947
	6948	</td>
	6949
	6950	<td>
	6951
	6952	<content
	6953	ID="endPro vider1006"
	6954	/>
	6955
	6956	</td>
	6957
	6958	<td>
	6959
	6960	<content
	6961	ID="endSou rce1006"
	6962	>
	6963	DNS ENNE VAMC
	6964	</content>
	6965
	6966	</td>
	6967
	6968	</tr>
	6969	<tr>
	6970
	6971	<td>
	6972
	6973	<content
	6974	ID="endDat eTime1007"
	6975	>
	6976	2016082810
	6977	</content>
	6978
	6979	</td>
	6980
	6981	<td>
	6982
	6983	<content
	6984	ID="endEnc ounterType 1007"
	6985	/>
	6986
	6987	</td>
	6988
	6989	<td>
	6990
	6991	<content
	6992	ID="endEnc ounterDesc ription100 7"
	6993	>
	6994	GENERAL ME DICAL
	6995	</content>
	6996
	6997	</td>
	6998
	6999	<td>
	7000
	7001	<content
	7002	ID="endRea son1007"
	7003	/>
	7004
	7005	</td>
	7006
	7007	<td>
	7008
	7009	<content
	7010	ID="endArr ival1007"
	7011	/>
	7012
	7013	</td>
	7014
	7015	<td>
	7016
	7017	<content
	7018	ID="endDep ature1007"
	7019	/>
	7020
	7021	</td>
	7022
	7023	<td>
	7024
	7025	<content
	7026	ID="endPro vider1007"
	7027	/>
	7028
	7029	</td>
	7030
	7031	<td>
	7032
	7033	<content
	7034	ID="endSou rce1007"
	7035	>
	7036	DNS ENNE VAMC
	7037	</content>
	7038
	7039	</td>
	7040
	7041	</tr>
	7042	<tr>
	7043
	7044	<td>
	7045
	7046	<content
	7047	ID="endDat eTime1008"
	7048	>
	7049	2016052016
	7050	</content>
	7051
	7052	</td>
	7053
	7054	<td>
	7055
	7056	<content
	7057	ID="endEnc ounterType 1008"
	7058	/>
	7059
	7060	</td>
	7061
	7062	<td>
	7063
	7064	<content
	7065	ID="endEnc ounterDesc ription100 8"
	7066	>
	7067	GENERAL ME DICAL
	7068	</content>
	7069
	7070	</td>
	7071
	7072	<td>
	7073
	7074	<content
	7075	ID="endRea son1008"
	7076	/>
	7077
	7078	</td>
	7079
	7080	<td>
	7081
	7082	<content
	7083	ID="endArr ival1008"
	7084	/>
	7085
	7086	</td>
	7087
	7088	<td>
	7089
	7090	<content
	7091	ID="endDep ature1008"
	7092	/>
	7093
	7094	</td>
	7095
	7096	<td>
	7097
	7098	<content
	7099	ID="endPro vider1008"
	7100	/>
	7101
	7102	</td>
	7103
	7104	<td>
	7105
	7106	<content
	7107	ID="endSou rce1008"
	7108	>
	7109	DNS ENNE VAMC
	7110	</content>
	7111
	7112	</td>
	7113
	7114	</tr>
	7115	<tr>
	7116
	7117	<td>
	7118
	7119	<content
	7120	ID="endDat eTime1009"
	7121	>
	7122	2016052010
	7123	</content>
	7124
	7125	</td>
	7126
	7127	<td>
	7128
	7129	<content
	7130	ID="endEnc ounterType 1009"
	7131	/>
	7132
	7133	</td>
	7134
	7135	<td>
	7136
	7137	<content
	7138	ID="endEnc ounterDesc ription100 9"
	7139	>
	7140	GENERAL ME DICAL
	7141	</content>
	7142
	7143	</td>
	7144
	7145	<td>
	7146
	7147	<content
	7148	ID="endRea son1009"
	7149	/>
	7150
	7151	</td>
	7152
	7153	<td>
	7154
	7155	<content
	7156	ID="endArr ival1009"
	7157	/>
	7158
	7159	</td>
	7160
	7161	<td>
	7162
	7163	<content
	7164	ID="endDep ature1009"
	7165	/>
	7166
	7167	</td>
	7168
	7169	<td>
	7170
	7171	<content
	7172	ID="endPro vider1009"
	7173	/>
	7174
	7175	</td>
	7176
	7177	<td>
	7178
	7179	<content
	7180	ID="endSou rce1009"
	7181	>
	7182	DNS ENNE VAMC
	7183	</content>
	7184
	7185	</td>
	7186
	7187	</tr>
	7188	<tr>
	7189
	7190	<td>
	7191
	7192	<content
	7193	ID="endDat eTime1010"
	7194	>
	7195	2016051916
	7196	</content>
	7197
	7198	</td>
	7199
	7200	<td>
	7201
	7202	<content
	7203	ID="endEnc ounterType 1010"
	7204	/>
	7205
	7206	</td>
	7207
	7208	<td>
	7209
	7210	<content
	7211	ID="endEnc ounterDesc ription101 0"
	7212	>
	7213	GENERAL ME DICAL
	7214	</content>
	7215
	7216	</td>
	7217
	7218	<td>
	7219
	7220	<content
	7221	ID="endRea son1010"
	7222	/>
	7223
	7224	</td>
	7225
	7226	<td>
	7227
	7228	<content
	7229	ID="endArr ival1010"
	7230	/>
	7231
	7232	</td>
	7233
	7234	<td>
	7235
	7236	<content
	7237	ID="endDep ature1010"
	7238	/>
	7239
	7240	</td>
	7241
	7242	<td>
	7243
	7244	<content
	7245	ID="endPro vider1010"
	7246	/>
	7247
	7248	</td>
	7249
	7250	<td>
	7251
	7252	<content
	7253	ID="endSou rce1010"
	7254	>
	7255	DNS ENNE VAMC
	7256	</content>
	7257
	7258	</td>
	7259
	7260	</tr>
	7261
	7262	</tbody>
	7263
	7264	</table>
	7265
	7266	<!-- CDA Observatio n Text as a Referenc e tag -->
	7267
	7268	<content
	7269	ID="encNot e-1"
	7270	revised="d elete"
	7271	>
	7272	IHE Encoun ter Templa te Text no t used by VA
	7273	</content>
	7274
	7275	</text>
	7276
	7277	<entry>
	7278
	7279	<!-- Entry block rep eats for e ach Encoun ter -->
	7280
	7281	<encounter
	7282	classCode= "ENC"
	7283	moodCode=" EVN"
	7284	>
	7285
	7286	<!--CCD En counter Ac tivity-->
	7287
	7288	<templateI d
	7289	root="2.16 .840.1.113 883. IP "
	7290	/>
	7291
	7292	<!--C83 En counter En try-->
	7293
	7294	<templateI d
	7295	root="2.16 .840.1.113 883.3.88.1 1.83.16"
	7296	/>
	7297
	7298	<!--IHE En counter En try-->
	7299
	7300	<templateI d
	7301	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.14"
	7302	/>
	7303
	7304	<!--16.01 - ENCOUNTE R ID, REQ UIRED -->
	7305
	7306	<id
	7307	nullFlavor ="UNK"
	7308	/>
	7309
	7310	<!-- <id root="2.16 .840.1.113 883.4.349" extension ="enc1234" />-->
	7311
	7312	<!--16.02 - ENCOUNTE R TYPE, R2 -Optional, VA Provi des CPT -- >
	7313
	7314	<!--16.02 - When CPT code not present, t hen code n ullFlavor= "UNK" -->
	7315
	7316	<code
	7317	nullFlavor ="UNK"
	7318	>
	7319
	7320	<!--16.03 - ENCOUNTE R FREE TEX T TYPE, RE QUIRED-->
	7321
	7322	<originalT ext>
	7323
	7324	<reference
	7325	value="#en dEncounter Descriptio n1001"
	7326	/>
	7327
	7328	</original Text>
	7329
	7330	</code>
	7331
	7332	<!-- Requi red per IH E Template , not use by VA -->
	7333
	7334	<text>
	7335
	7336	<reference
	7337	value="#en cNote-1"
	7338	/>
	7339
	7340	</text>
	7341
	7342	<!--16.04 - ENCOUNTE R DATE / T IME, REQUI RED-->
	7343
	7344	<effective Time>
	7345
	7346	<low
	7347	value="201 6120610"
	7348	/>
	7349
	7350	</effectiv eTime>
	7351
	7352	<!--16.07 - ADMISSIO N TYPE, Op tional, V A VistA Da ta not yet available -->
	7353
	7354	<priorityC ode
	7355	nullFlavor ="UNK"
	7356	/>
	7357
	7358	<!--16.05 - ENCOUNTE R PROVIDER , R2-Optio nal -->
	7359
	7360
	7361	<!-- INFOR MATION SOU RCE FOR EN COUNTER, O ptional -- >
	7362
	7363	<author>
	7364
	7365	<!-- ADD TIME TO IN FORMATION SOURCE FOR ENCOUNTER -->
	7366
	7367	<time
	7368	nullFlavor ="UNK"
	7369	/>
	7370
	7371	<assignedA uthor>
	7372
	7373	<id
	7374	nullFlavor ="NI"
	7375	/>
	7376
	7377	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	7378
	7379	<addr/>
	7380
	7381	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	7382
	7383	<telecom/>
	7384
	7385	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	7386
	7387	<assignedP erson>
	7388
	7389	<name/>
	7390
	7391	</assigned Person>
	7392
	7393	<represent edOrganiza tion>
	7394
	7395	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	7396
	7397	<id
	7398	extension= "442"
	7399	root="2.16 .840.1.113 883.4.349"
	7400	/>
	7401
	7402	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	7403
	7404	<name>
	7405	DNS ENNE VAMC
	7406	</name>
	7407
	7408	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	7409
	7410	<telecom/>
	7411
	7412	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	7413
	7414	<addr/>
	7415
	7416	</represen tedOrganiz ation>
	7417
	7418	</assigned Author>
	7419
	7420	</author>
	7421
	7422	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA Vist A -->
	7423
	7424	<!--16.11 - FACILITY LOCATION, Optional -->
	7425
	7426	<participa nt
	7427	typeCode=" LOC"
	7428	>
	7429
	7430	<templateI d
	7431	root="2.16 .840.1.113 883. IP "
	7432	/>
	7433
	7434	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	7435
	7436	<time>
	7437
	7438	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	7439
	7440	<low
	7441	nullFlavor ="UNK"
	7442	/>
	7443
	7444	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	7445
	7446	<high
	7447	nullFlavor ="UNK"
	7448	/>
	7449
	7450	</time>
	7451
	7452	<participa ntRole
	7453	classCode= "SDLOC"
	7454	>
	7455
	7456	<playingEn tity
	7457	classCode= "PLC"
	7458	/>
	7459
	7460	</particip antRole>
	7461
	7462	</particip ant>
	7463
	7464	<entryRela tionship
	7465	typeCode=" RSON"
	7466	>
	7467
	7468	<observati on
	7469	classCode= "OBS"
	7470	moodCode=" EVN"
	7471	>
	7472
	7473	<templateI d
	7474	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	7475	/>
	7476
	7477	<templateI d
	7478	root="2.16 .840.1.113 883. IP "
	7479	/>
	7480
	7481	<id
	7482	nullFlavor ="UNK"
	7483	/>
	7484
	7485	<code
	7486	nullFlavor ="UNK"
	7487	/>
	7488
	7489	<!--16.13 - REASON F OR VISIT, Optional - ->
	7490
	7491	<text>
	7492
	7493	<reference
	7494	value="#en dReason100 1"
	7495	/>
	7496
	7497	</text>
	7498
	7499	<statusCod e
	7500	code="comp leted"
	7501	/>
	7502
	7503	<effective Time>
	7504
	7505	<low
	7506	nullFlavor ="UNK"
	7507	/>
	7508
	7509	</effectiv eTime>
	7510
	7511	<value
	7512	xsi:type=" CD"
	7513	/>
	7514
	7515	</observat ion>
	7516
	7517	</entryRel ationship>
	7518
	7519	</encounte r>
	7520
	7521	</entry>
	7522	<entry>
	7523
	7524	<!-- Entry block rep eats for e ach Encoun ter -->
	7525
	7526	<encounter
	7527	classCode= "ENC"
	7528	moodCode=" EVN"
	7529	>
	7530
	7531	<!--CCD En counter Ac tivity-->
	7532
	7533	<templateI d
	7534	root="2.16 .840.1.113 883. IP "
	7535	/>
	7536
	7537	<!--C83 En counter En try-->
	7538
	7539	<templateI d
	7540	root="2.16 .840.1.113 883.3.88.1 1.83.16"
	7541	/>
	7542
	7543	<!--IHE En counter En try-->
	7544
	7545	<templateI d
	7546	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.14"
	7547	/>
	7548
	7549	<!--16.01 - ENCOUNTE R ID, REQ UIRED -->
	7550
	7551	<id
	7552	nullFlavor ="UNK"
	7553	/>
	7554
	7555	<!-- <id root="2.16 .840.1.113 883.4.349" extension ="enc1234" />-->
	7556
	7557	<!--16.02 - ENCOUNTE R TYPE, R2 -Optional, VA Provi des CPT -- >
	7558
	7559	<!--16.02 - When CPT code not present, t hen code n ullFlavor= "UNK" -->
	7560
	7561	<code
	7562	nullFlavor ="UNK"
	7563	>
	7564
	7565	<!--16.03 - ENCOUNTE R FREE TEX T TYPE, RE QUIRED-->
	7566
	7567	<originalT ext>
	7568
	7569	<reference
	7570	value="#en dEncounter Descriptio n1002"
	7571	/>
	7572
	7573	</original Text>
	7574
	7575	</code>
	7576
	7577	<!-- Requi red per IH E Template , not use by VA -->
	7578
	7579	<text>
	7580
	7581	<reference
	7582	value="#en cNote-1"
	7583	/>
	7584
	7585	</text>
	7586
	7587	<!--16.04 - ENCOUNTE R DATE / T IME, REQUI RED-->
	7588
	7589	<effective Time>
	7590
	7591	<low
	7592	value="201 6120516581 9"
	7593	/>
	7594
	7595	</effectiv eTime>
	7596
	7597	<!--16.07 - ADMISSIO N TYPE, Op tional, V A VistA Da ta not yet available -->
	7598
	7599	<priorityC ode
	7600	nullFlavor ="UNK"
	7601	/>
	7602
	7603	<!--16.05 - ENCOUNTE R PROVIDER , R2-Optio nal -->
	7604
	7605	<performer
	7606	typeCode=" PRF"
	7607	>
	7608
	7609	<!-- Provi der Templa te Id -->
	7610
	7611	<templateI d
	7612	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	7613	/>
	7614
	7615	<time>
	7616
	7617	<high
	7618	nullFlavor ="UNK"
	7619	/>
	7620
	7621	</time>
	7622
	7623	<assignedE ntity>
	7624
	7625	<!-- Provi der ID nul lFlavor="U NK" b/c VA VistA dat a not yet available -->
	7626
	7627	<id
	7628	nullFlavor ="UNK"
	7629	/>
	7630
	7631	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	7632
	7633	<addr/>
	7634
	7635	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	7636
	7637	<telecom/>
	7638
	7639	<assignedP erson>
	7640
	7641	<name>
	7642	MANGUS,CHR ISTOPHER
	7643	</name>
	7644
	7645	</assigned Person>
	7646
	7647	</assigned Entity>
	7648
	7649	</performe r>
	7650
	7651	<!-- INFOR MATION SOU RCE FOR EN COUNTER, O ptional -- >
	7652
	7653	<author>
	7654
	7655	<!-- ADD TIME TO IN FORMATION SOURCE FOR ENCOUNTER -->
	7656
	7657	<time
	7658	nullFlavor ="UNK"
	7659	/>
	7660
	7661	<assignedA uthor>
	7662
	7663	<id
	7664	nullFlavor ="NI"
	7665	/>
	7666
	7667	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	7668
	7669	<addr/>
	7670
	7671	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	7672
	7673	<telecom/>
	7674
	7675	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	7676
	7677	<assignedP erson>
	7678
	7679	<name/>
	7680
	7681	</assigned Person>
	7682
	7683	<represent edOrganiza tion>
	7684
	7685	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	7686
	7687	<id
	7688	extension= "442"
	7689	root="2.16 .840.1.113 883.4.349"
	7690	/>
	7691
	7692	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	7693
	7694	<name>
	7695	DNS ENNE VAMC
	7696	</name>
	7697
	7698	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	7699
	7700	<telecom/>
	7701
	7702	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	7703
	7704	<addr/>
	7705
	7706	</represen tedOrganiz ation>
	7707
	7708	</assigned Author>
	7709
	7710	</author>
	7711
	7712	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA Vist A -->
	7713
	7714	<!--16.11 - FACILITY LOCATION, Optional -->
	7715
	7716	<participa nt
	7717	typeCode=" LOC"
	7718	>
	7719
	7720	<templateI d
	7721	root="2.16 .840.1.113 883. IP "
	7722	/>
	7723
	7724	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	7725
	7726	<time>
	7727
	7728	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	7729
	7730	<low
	7731	nullFlavor ="UNK"
	7732	/>
	7733
	7734	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	7735
	7736	<high
	7737	nullFlavor ="UNK"
	7738	/>
	7739
	7740	</time>
	7741
	7742	<participa ntRole
	7743	classCode= "SDLOC"
	7744	>
	7745
	7746	<playingEn tity
	7747	classCode= "PLC"
	7748	/>
	7749
	7750	</particip antRole>
	7751
	7752	</particip ant>
	7753
	7754	<entryRela tionship
	7755	typeCode=" RSON"
	7756	>
	7757
	7758	<observati on
	7759	classCode= "OBS"
	7760	moodCode=" EVN"
	7761	>
	7762
	7763	<templateI d
	7764	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	7765	/>
	7766
	7767	<templateI d
	7768	root="2.16 .840.1.113 883. IP "
	7769	/>
	7770
	7771	<id
	7772	nullFlavor ="UNK"
	7773	/>
	7774
	7775	<code
	7776	nullFlavor ="UNK"
	7777	/>
	7778
	7779	<!--16.13 - REASON F OR VISIT, Optional - ->
	7780
	7781	<text>
	7782
	7783	<reference
	7784	value="#en dReason100 2"
	7785	/>
	7786
	7787	</text>
	7788
	7789	<statusCod e
	7790	code="comp leted"
	7791	/>
	7792
	7793	<effective Time>
	7794
	7795	<low
	7796	nullFlavor ="UNK"
	7797	/>
	7798
	7799	</effectiv eTime>
	7800
	7801	<value
	7802	xsi:type=" CD"
	7803	/>
	7804
	7805	</observat ion>
	7806
	7807	</entryRel ationship>
	7808
	7809	</encounte r>
	7810
	7811	</entry>
	7812	<entry>
	7813
	7814	<!-- Entry block rep eats for e ach Encoun ter -->
	7815
	7816	<encounter
	7817	classCode= "ENC"
	7818	moodCode=" EVN"
	7819	>
	7820
	7821	<!--CCD En counter Ac tivity-->
	7822
	7823	<templateI d
	7824	root="2.16 .840.1.113 883. IP "
	7825	/>
	7826
	7827	<!--C83 En counter En try-->
	7828
	7829	<templateI d
	7830	root="2.16 .840.1.113 883.3.88.1 1.83.16"
	7831	/>
	7832
	7833	<!--IHE En counter En try-->
	7834
	7835	<templateI d
	7836	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.14"
	7837	/>
	7838
	7839	<!--16.01 - ENCOUNTE R ID, REQ UIRED -->
	7840
	7841	<id
	7842	nullFlavor ="UNK"
	7843	/>
	7844
	7845	<!-- <id root="2.16 .840.1.113 883.4.349" extension ="enc1234" />-->
	7846
	7847	<!--16.02 - ENCOUNTE R TYPE, R2 -Optional, VA Provi des CPT -- >
	7848
	7849	<!--16.02 - When CPT code not present, t hen code n ullFlavor= "UNK" -->
	7850
	7851	<code
	7852	nullFlavor ="UNK"
	7853	>
	7854
	7855	<!--16.03 - ENCOUNTE R FREE TEX T TYPE, RE QUIRED-->
	7856
	7857	<originalT ext>
	7858
	7859	<reference
	7860	value="#en dEncounter Descriptio n1003"
	7861	/>
	7862
	7863	</original Text>
	7864
	7865	</code>
	7866
	7867	<!-- Requi red per IH E Template , not use by VA -->
	7868
	7869	<text>
	7870
	7871	<reference
	7872	value="#en cNote-1"
	7873	/>
	7874
	7875	</text>
	7876
	7877	<!--16.04 - ENCOUNTE R DATE / T IME, REQUI RED-->
	7878
	7879	<effective Time>
	7880
	7881	<low
	7882	value="201 6120516"
	7883	/>
	7884
	7885	</effectiv eTime>
	7886
	7887	<!--16.07 - ADMISSIO N TYPE, Op tional, V A VistA Da ta not yet available -->
	7888
	7889	<priorityC ode
	7890	nullFlavor ="UNK"
	7891	/>
	7892
	7893	<!--16.05 - ENCOUNTE R PROVIDER , R2-Optio nal -->
	7894
	7895
	7896	<!-- INFOR MATION SOU RCE FOR EN COUNTER, O ptional -- >
	7897
	7898	<author>
	7899
	7900	<!-- ADD TIME TO IN FORMATION SOURCE FOR ENCOUNTER -->
	7901
	7902	<time
	7903	nullFlavor ="UNK"
	7904	/>
	7905
	7906	<assignedA uthor>
	7907
	7908	<id
	7909	nullFlavor ="NI"
	7910	/>
	7911
	7912	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	7913
	7914	<addr/>
	7915
	7916	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	7917
	7918	<telecom/>
	7919
	7920	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	7921
	7922	<assignedP erson>
	7923
	7924	<name/>
	7925
	7926	</assigned Person>
	7927
	7928	<represent edOrganiza tion>
	7929
	7930	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	7931
	7932	<id
	7933	extension= "442"
	7934	root="2.16 .840.1.113 883.4.349"
	7935	/>
	7936
	7937	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	7938
	7939	<name>
	7940	DNS ENNE VAMC
	7941	</name>
	7942
	7943	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	7944
	7945	<telecom/>
	7946
	7947	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	7948
	7949	<addr/>
	7950
	7951	</represen tedOrganiz ation>
	7952
	7953	</assigned Author>
	7954
	7955	</author>
	7956
	7957	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA Vist A -->
	7958
	7959	<!--16.11 - FACILITY LOCATION, Optional -->
	7960
	7961	<participa nt
	7962	typeCode=" LOC"
	7963	>
	7964
	7965	<templateI d
	7966	root="2.16 .840.1.113 883. IP "
	7967	/>
	7968
	7969	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	7970
	7971	<time>
	7972
	7973	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	7974
	7975	<low
	7976	nullFlavor ="UNK"
	7977	/>
	7978
	7979	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	7980
	7981	<high
	7982	nullFlavor ="UNK"
	7983	/>
	7984
	7985	</time>
	7986
	7987	<participa ntRole
	7988	classCode= "SDLOC"
	7989	>
	7990
	7991	<playingEn tity
	7992	classCode= "PLC"
	7993	/>
	7994
	7995	</particip antRole>
	7996
	7997	</particip ant>
	7998
	7999	<entryRela tionship
	8000	typeCode=" RSON"
	8001	>
	8002
	8003	<observati on
	8004	classCode= "OBS"
	8005	moodCode=" EVN"
	8006	>
	8007
	8008	<templateI d
	8009	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	8010	/>
	8011
	8012	<templateI d
	8013	root="2.16 .840.1.113 883. IP "
	8014	/>
	8015
	8016	<id
	8017	nullFlavor ="UNK"
	8018	/>
	8019
	8020	<code
	8021	nullFlavor ="UNK"
	8022	/>
	8023
	8024	<!--16.13 - REASON F OR VISIT, Optional - ->
	8025
	8026	<text>
	8027
	8028	<reference
	8029	value="#en dReason100 3"
	8030	/>
	8031
	8032	</text>
	8033
	8034	<statusCod e
	8035	code="comp leted"
	8036	/>
	8037
	8038	<effective Time>
	8039
	8040	<low
	8041	nullFlavor ="UNK"
	8042	/>
	8043
	8044	</effectiv eTime>
	8045
	8046	<value
	8047	xsi:type=" CD"
	8048	/>
	8049
	8050	</observat ion>
	8051
	8052	</entryRel ationship>
	8053
	8054	</encounte r>
	8055
	8056	</entry>
	8057	<entry>
	8058
	8059	<!-- Entry block rep eats for e ach Encoun ter -->
	8060
	8061	<encounter
	8062	classCode= "ENC"
	8063	moodCode=" EVN"
	8064	>
	8065
	8066	<!--CCD En counter Ac tivity-->
	8067
	8068	<templateI d
	8069	root="2.16 .840.1.113 883. IP "
	8070	/>
	8071
	8072	<!--C83 En counter En try-->
	8073
	8074	<templateI d
	8075	root="2.16 .840.1.113 883.3.88.1 1.83.16"
	8076	/>
	8077
	8078	<!--IHE En counter En try-->
	8079
	8080	<templateI d
	8081	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.14"
	8082	/>
	8083
	8084	<!--16.01 - ENCOUNTE R ID, REQ UIRED -->
	8085
	8086	<id
	8087	nullFlavor ="UNK"
	8088	/>
	8089
	8090	<!-- <id root="2.16 .840.1.113 883.4.349" extension ="enc1234" />-->
	8091
	8092	<!--16.02 - ENCOUNTE R TYPE, R2 -Optional, VA Provi des CPT -- >
	8093
	8094	<!--16.02 - When CPT code not present, t hen code n ullFlavor= "UNK" -->
	8095
	8096	<code
	8097	nullFlavor ="UNK"
	8098	>
	8099
	8100	<!--16.03 - ENCOUNTE R FREE TEX T TYPE, RE QUIRED-->
	8101
	8102	<originalT ext>
	8103
	8104	<reference
	8105	value="#en dEncounter Descriptio n1004"
	8106	/>
	8107
	8108	</original Text>
	8109
	8110	</code>
	8111
	8112	<!-- Requi red per IH E Template , not use by VA -->
	8113
	8114	<text>
	8115
	8116	<reference
	8117	value="#en cNote-1"
	8118	/>
	8119
	8120	</text>
	8121
	8122	<!--16.04 - ENCOUNTE R DATE / T IME, REQUI RED-->
	8123
	8124	<effective Time>
	8125
	8126	<low
	8127	value="201 6120510"
	8128	/>
	8129
	8130	</effectiv eTime>
	8131
	8132	<!--16.07 - ADMISSIO N TYPE, Op tional, V A VistA Da ta not yet available -->
	8133
	8134	<priorityC ode
	8135	nullFlavor ="UNK"
	8136	/>
	8137
	8138	<!--16.05 - ENCOUNTE R PROVIDER , R2-Optio nal -->
	8139
	8140
	8141	<!-- INFOR MATION SOU RCE FOR EN COUNTER, O ptional -- >
	8142
	8143	<author>
	8144
	8145	<!-- ADD TIME TO IN FORMATION SOURCE FOR ENCOUNTER -->
	8146
	8147	<time
	8148	nullFlavor ="UNK"
	8149	/>
	8150
	8151	<assignedA uthor>
	8152
	8153	<id
	8154	nullFlavor ="NI"
	8155	/>
	8156
	8157	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	8158
	8159	<addr/>
	8160
	8161	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	8162
	8163	<telecom/>
	8164
	8165	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	8166
	8167	<assignedP erson>
	8168
	8169	<name/>
	8170
	8171	</assigned Person>
	8172
	8173	<represent edOrganiza tion>
	8174
	8175	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	8176
	8177	<id
	8178	extension= "442"
	8179	root="2.16 .840.1.113 883.4.349"
	8180	/>
	8181
	8182	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	8183
	8184	<name>
	8185	DNS ENNE VAMC
	8186	</name>
	8187
	8188	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	8189
	8190	<telecom/>
	8191
	8192	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	8193
	8194	<addr/>
	8195
	8196	</represen tedOrganiz ation>
	8197
	8198	</assigned Author>
	8199
	8200	</author>
	8201
	8202	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA Vist A -->
	8203
	8204	<!--16.11 - FACILITY LOCATION, Optional -->
	8205
	8206	<participa nt
	8207	typeCode=" LOC"
	8208	>
	8209
	8210	<templateI d
	8211	root="2.16 .840.1.113 883. IP "
	8212	/>
	8213
	8214	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	8215
	8216	<time>
	8217
	8218	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	8219
	8220	<low
	8221	nullFlavor ="UNK"
	8222	/>
	8223
	8224	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	8225
	8226	<high
	8227	nullFlavor ="UNK"
	8228	/>
	8229
	8230	</time>
	8231
	8232	<participa ntRole
	8233	classCode= "SDLOC"
	8234	>
	8235
	8236	<playingEn tity
	8237	classCode= "PLC"
	8238	/>
	8239
	8240	</particip antRole>
	8241
	8242	</particip ant>
	8243
	8244	<entryRela tionship
	8245	typeCode=" RSON"
	8246	>
	8247
	8248	<observati on
	8249	classCode= "OBS"
	8250	moodCode=" EVN"
	8251	>
	8252
	8253	<templateI d
	8254	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	8255	/>
	8256
	8257	<templateI d
	8258	root="2.16 .840.1.113 883. IP "
	8259	/>
	8260
	8261	<id
	8262	nullFlavor ="UNK"
	8263	/>
	8264
	8265	<code
	8266	nullFlavor ="UNK"
	8267	/>
	8268
	8269	<!--16.13 - REASON F OR VISIT, Optional - ->
	8270
	8271	<text>
	8272
	8273	<reference
	8274	value="#en dReason100 4"
	8275	/>
	8276
	8277	</text>
	8278
	8279	<statusCod e
	8280	code="comp leted"
	8281	/>
	8282
	8283	<effective Time>
	8284
	8285	<low
	8286	nullFlavor ="UNK"
	8287	/>
	8288
	8289	</effectiv eTime>
	8290
	8291	<value
	8292	xsi:type=" CD"
	8293	/>
	8294
	8295	</observat ion>
	8296
	8297	</entryRel ationship>
	8298
	8299	</encounte r>
	8300
	8301	</entry>
	8302	<entry>
	8303
	8304	<!-- Entry block rep eats for e ach Encoun ter -->
	8305
	8306	<encounter
	8307	classCode= "ENC"
	8308	moodCode=" EVN"
	8309	>
	8310
	8311	<!--CCD En counter Ac tivity-->
	8312
	8313	<templateI d
	8314	root="2.16 .840.1.113 883. IP "
	8315	/>
	8316
	8317	<!--C83 En counter En try-->
	8318
	8319	<templateI d
	8320	root="2.16 .840.1.113 883.3.88.1 1.83.16"
	8321	/>
	8322
	8323	<!--IHE En counter En try-->
	8324
	8325	<templateI d
	8326	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.14"
	8327	/>
	8328
	8329	<!--16.01 - ENCOUNTE R ID, REQ UIRED -->
	8330
	8331	<id
	8332	nullFlavor ="UNK"
	8333	/>
	8334
	8335	<!-- <id root="2.16 .840.1.113 883.4.349" extension ="enc1234" />-->
	8336
	8337	<!--16.02 - ENCOUNTE R TYPE, R2 -Optional, VA Provi des CPT -- >
	8338
	8339	<!--16.02 - When CPT code not present, t hen code n ullFlavor= "UNK" -->
	8340
	8341	<code
	8342	nullFlavor ="UNK"
	8343	>
	8344
	8345	<!--16.03 - ENCOUNTE R FREE TEX T TYPE, RE QUIRED-->
	8346
	8347	<originalT ext>
	8348
	8349	<reference
	8350	value="#en dEncounter Descriptio n1005"
	8351	/>
	8352
	8353	</original Text>
	8354
	8355	</code>
	8356
	8357	<!-- Requi red per IH E Template , not use by VA -->
	8358
	8359	<text>
	8360
	8361	<reference
	8362	value="#en cNote-1"
	8363	/>
	8364
	8365	</text>
	8366
	8367	<!--16.04 - ENCOUNTE R DATE / T IME, REQUI RED-->
	8368
	8369	<effective Time>
	8370
	8371	<low
	8372	value="201 6120110"
	8373	/>
	8374
	8375	</effectiv eTime>
	8376
	8377	<!--16.07 - ADMISSIO N TYPE, Op tional, V A VistA Da ta not yet available -->
	8378
	8379	<priorityC ode
	8380	nullFlavor ="UNK"
	8381	/>
	8382
	8383	<!--16.05 - ENCOUNTE R PROVIDER , R2-Optio nal -->
	8384
	8385
	8386	<!-- INFOR MATION SOU RCE FOR EN COUNTER, O ptional -- >
	8387
	8388	<author>
	8389
	8390	<!-- ADD TIME TO IN FORMATION SOURCE FOR ENCOUNTER -->
	8391
	8392	<time
	8393	nullFlavor ="UNK"
	8394	/>
	8395
	8396	<assignedA uthor>
	8397
	8398	<id
	8399	nullFlavor ="NI"
	8400	/>
	8401
	8402	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	8403
	8404	<addr/>
	8405
	8406	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	8407
	8408	<telecom/>
	8409
	8410	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	8411
	8412	<assignedP erson>
	8413
	8414	<name/>
	8415
	8416	</assigned Person>
	8417
	8418	<represent edOrganiza tion>
	8419
	8420	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	8421
	8422	<id
	8423	extension= "442"
	8424	root="2.16 .840.1.113 883.4.349"
	8425	/>
	8426
	8427	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	8428
	8429	<name>
	8430	DNS ENNE VAMC
	8431	</name>
	8432
	8433	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	8434
	8435	<telecom/>
	8436
	8437	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	8438
	8439	<addr/>
	8440
	8441	</represen tedOrganiz ation>
	8442
	8443	</assigned Author>
	8444
	8445	</author>
	8446
	8447	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA Vist A -->
	8448
	8449	<!--16.11 - FACILITY LOCATION, Optional -->
	8450
	8451	<participa nt
	8452	typeCode=" LOC"
	8453	>
	8454
	8455	<templateI d
	8456	root="2.16 .840.1.113 883. IP "
	8457	/>
	8458
	8459	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	8460
	8461	<time>
	8462
	8463	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	8464
	8465	<low
	8466	nullFlavor ="UNK"
	8467	/>
	8468
	8469	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	8470
	8471	<high
	8472	nullFlavor ="UNK"
	8473	/>
	8474
	8475	</time>
	8476
	8477	<participa ntRole
	8478	classCode= "SDLOC"
	8479	>
	8480
	8481	<playingEn tity
	8482	classCode= "PLC"
	8483	/>
	8484
	8485	</particip antRole>
	8486
	8487	</particip ant>
	8488
	8489	<entryRela tionship
	8490	typeCode=" RSON"
	8491	>
	8492
	8493	<observati on
	8494	classCode= "OBS"
	8495	moodCode=" EVN"
	8496	>
	8497
	8498	<templateI d
	8499	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	8500	/>
	8501
	8502	<templateI d
	8503	root="2.16 .840.1.113 883. IP "
	8504	/>
	8505
	8506	<id
	8507	nullFlavor ="UNK"
	8508	/>
	8509
	8510	<code
	8511	nullFlavor ="UNK"
	8512	/>
	8513
	8514	<!--16.13 - REASON F OR VISIT, Optional - ->
	8515
	8516	<text>
	8517
	8518	<reference
	8519	value="#en dReason100 5"
	8520	/>
	8521
	8522	</text>
	8523
	8524	<statusCod e
	8525	code="comp leted"
	8526	/>
	8527
	8528	<effective Time>
	8529
	8530	<low
	8531	nullFlavor ="UNK"
	8532	/>
	8533
	8534	</effectiv eTime>
	8535
	8536	<value
	8537	xsi:type=" CD"
	8538	/>
	8539
	8540	</observat ion>
	8541
	8542	</entryRel ationship>
	8543
	8544	</encounte r>
	8545
	8546	</entry>
	8547	<entry>
	8548
	8549	<!-- Entry block rep eats for e ach Encoun ter -->
	8550
	8551	<encounter
	8552	classCode= "ENC"
	8553	moodCode=" EVN"
	8554	>
	8555
	8556	<!--CCD En counter Ac tivity-->
	8557
	8558	<templateI d
	8559	root="2.16 .840.1.113 883. IP "
	8560	/>
	8561
	8562	<!--C83 En counter En try-->
	8563
	8564	<templateI d
	8565	root="2.16 .840.1.113 883.3.88.1 1.83.16"
	8566	/>
	8567
	8568	<!--IHE En counter En try-->
	8569
	8570	<templateI d
	8571	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.14"
	8572	/>
	8573
	8574	<!--16.01 - ENCOUNTE R ID, REQ UIRED -->
	8575
	8576	<id
	8577	nullFlavor ="UNK"
	8578	/>
	8579
	8580	<!-- <id root="2.16 .840.1.113 883.4.349" extension ="enc1234" />-->
	8581
	8582	<!--16.02 - ENCOUNTE R TYPE, R2 -Optional, VA Provi des CPT -- >
	8583
	8584	<!--16.02 - When CPT code not present, t hen code n ullFlavor= "UNK" -->
	8585
	8586	<code
	8587	nullFlavor ="UNK"
	8588	>
	8589
	8590	<!--16.03 - ENCOUNTE R FREE TEX T TYPE, RE QUIRED-->
	8591
	8592	<originalT ext>
	8593
	8594	<reference
	8595	value="#en dEncounter Descriptio n1006"
	8596	/>
	8597
	8598	</original Text>
	8599
	8600	</code>
	8601
	8602	<!-- Requi red per IH E Template , not use by VA -->
	8603
	8604	<text>
	8605
	8606	<reference
	8607	value="#en cNote-1"
	8608	/>
	8609
	8610	</text>
	8611
	8612	<!--16.04 - ENCOUNTE R DATE / T IME, REQUI RED-->
	8613
	8614	<effective Time>
	8615
	8616	<low
	8617	value="201 6120110"
	8618	/>
	8619
	8620	</effectiv eTime>
	8621
	8622	<!--16.07 - ADMISSIO N TYPE, Op tional, V A VistA Da ta not yet available -->
	8623
	8624	<priorityC ode
	8625	nullFlavor ="UNK"
	8626	/>
	8627
	8628	<!--16.05 - ENCOUNTE R PROVIDER , R2-Optio nal -->
	8629
	8630
	8631	<!-- INFOR MATION SOU RCE FOR EN COUNTER, O ptional -- >
	8632
	8633	<author>
	8634
	8635	<!-- ADD TIME TO IN FORMATION SOURCE FOR ENCOUNTER -->
	8636
	8637	<time
	8638	nullFlavor ="UNK"
	8639	/>
	8640
	8641	<assignedA uthor>
	8642
	8643	<id
	8644	nullFlavor ="NI"
	8645	/>
	8646
	8647	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	8648
	8649	<addr/>
	8650
	8651	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	8652
	8653	<telecom/>
	8654
	8655	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	8656
	8657	<assignedP erson>
	8658
	8659	<name/>
	8660
	8661	</assigned Person>
	8662
	8663	<represent edOrganiza tion>
	8664
	8665	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	8666
	8667	<id
	8668	extension= "442"
	8669	root="2.16 .840.1.113 883.4.349"
	8670	/>
	8671
	8672	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	8673
	8674	<name>
	8675	DNS ENNE VAMC
	8676	</name>
	8677
	8678	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	8679
	8680	<telecom/>
	8681
	8682	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	8683
	8684	<addr/>
	8685
	8686	</represen tedOrganiz ation>
	8687
	8688	</assigned Author>
	8689
	8690	</author>
	8691
	8692	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA Vist A -->
	8693
	8694	<!--16.11 - FACILITY LOCATION, Optional -->
	8695
	8696	<participa nt
	8697	typeCode=" LOC"
	8698	>
	8699
	8700	<templateI d
	8701	root="2.16 .840.1.113 883. IP "
	8702	/>
	8703
	8704	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	8705
	8706	<time>
	8707
	8708	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	8709
	8710	<low
	8711	nullFlavor ="UNK"
	8712	/>
	8713
	8714	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	8715
	8716	<high
	8717	nullFlavor ="UNK"
	8718	/>
	8719
	8720	</time>
	8721
	8722	<participa ntRole
	8723	classCode= "SDLOC"
	8724	>
	8725
	8726	<playingEn tity
	8727	classCode= "PLC"
	8728	/>
	8729
	8730	</particip antRole>
	8731
	8732	</particip ant>
	8733
	8734	<entryRela tionship
	8735	typeCode=" RSON"
	8736	>
	8737
	8738	<observati on
	8739	classCode= "OBS"
	8740	moodCode=" EVN"
	8741	>
	8742
	8743	<templateI d
	8744	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	8745	/>
	8746
	8747	<templateI d
	8748	root="2.16 .840.1.113 883. IP "
	8749	/>
	8750
	8751	<id
	8752	nullFlavor ="UNK"
	8753	/>
	8754
	8755	<code
	8756	nullFlavor ="UNK"
	8757	/>
	8758
	8759	<!--16.13 - REASON F OR VISIT, Optional - ->
	8760
	8761	<text>
	8762
	8763	<reference
	8764	value="#en dReason100 6"
	8765	/>
	8766
	8767	</text>
	8768
	8769	<statusCod e
	8770	code="comp leted"
	8771	/>
	8772
	8773	<effective Time>
	8774
	8775	<low
	8776	nullFlavor ="UNK"
	8777	/>
	8778
	8779	</effectiv eTime>
	8780
	8781	<value
	8782	xsi:type=" CD"
	8783	/>
	8784
	8785	</observat ion>
	8786
	8787	</entryRel ationship>
	8788
	8789	</encounte r>
	8790
	8791	</entry>
	8792	<entry>
	8793
	8794	<!-- Entry block rep eats for e ach Encoun ter -->
	8795
	8796	<encounter
	8797	classCode= "ENC"
	8798	moodCode=" EVN"
	8799	>
	8800
	8801	<!--CCD En counter Ac tivity-->
	8802
	8803	<templateI d
	8804	root="2.16 .840.1.113 883. IP "
	8805	/>
	8806
	8807	<!--C83 En counter En try-->
	8808
	8809	<templateI d
	8810	root="2.16 .840.1.113 883.3.88.1 1.83.16"
	8811	/>
	8812
	8813	<!--IHE En counter En try-->
	8814
	8815	<templateI d
	8816	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.14"
	8817	/>
	8818
	8819	<!--16.01 - ENCOUNTE R ID, REQ UIRED -->
	8820
	8821	<id
	8822	nullFlavor ="UNK"
	8823	/>
	8824
	8825	<!-- <id root="2.16 .840.1.113 883.4.349" extension ="enc1234" />-->
	8826
	8827	<!--16.02 - ENCOUNTE R TYPE, R2 -Optional, VA Provi des CPT -- >
	8828
	8829	<!--16.02 - When CPT code not present, t hen code n ullFlavor= "UNK" -->
	8830
	8831	<code
	8832	nullFlavor ="UNK"
	8833	>
	8834
	8835	<!--16.03 - ENCOUNTE R FREE TEX T TYPE, RE QUIRED-->
	8836
	8837	<originalT ext>
	8838
	8839	<reference
	8840	value="#en dEncounter Descriptio n1007"
	8841	/>
	8842
	8843	</original Text>
	8844
	8845	</code>
	8846
	8847	<!-- Requi red per IH E Template , not use by VA -->
	8848
	8849	<text>
	8850
	8851	<reference
	8852	value="#en cNote-1"
	8853	/>
	8854
	8855	</text>
	8856
	8857	<!--16.04 - ENCOUNTE R DATE / T IME, REQUI RED-->
	8858
	8859	<effective Time>
	8860
	8861	<low
	8862	value="201 6082810"
	8863	/>
	8864
	8865	</effectiv eTime>
	8866
	8867	<!--16.07 - ADMISSIO N TYPE, Op tional, V A VistA Da ta not yet available -->
	8868
	8869	<priorityC ode
	8870	nullFlavor ="UNK"
	8871	/>
	8872
	8873	<!--16.05 - ENCOUNTE R PROVIDER , R2-Optio nal -->
	8874
	8875
	8876	<!-- INFOR MATION SOU RCE FOR EN COUNTER, O ptional -- >
	8877
	8878	<author>
	8879
	8880	<!-- ADD TIME TO IN FORMATION SOURCE FOR ENCOUNTER -->
	8881
	8882	<time
	8883	nullFlavor ="UNK"
	8884	/>
	8885
	8886	<assignedA uthor>
	8887
	8888	<id
	8889	nullFlavor ="NI"
	8890	/>
	8891
	8892	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	8893
	8894	<addr/>
	8895
	8896	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	8897
	8898	<telecom/>
	8899
	8900	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	8901
	8902	<assignedP erson>
	8903
	8904	<name/>
	8905
	8906	</assigned Person>
	8907
	8908	<represent edOrganiza tion>
	8909
	8910	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	8911
	8912	<id
	8913	extension= "442"
	8914	root="2.16 .840.1.113 883.4.349"
	8915	/>
	8916
	8917	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	8918
	8919	<name>
	8920	DNS ENNE VAMC
	8921	</name>
	8922
	8923	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	8924
	8925	<telecom/>
	8926
	8927	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	8928
	8929	<addr/>
	8930
	8931	</represen tedOrganiz ation>
	8932
	8933	</assigned Author>
	8934
	8935	</author>
	8936
	8937	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA Vist A -->
	8938
	8939	<!--16.11 - FACILITY LOCATION, Optional -->
	8940
	8941	<participa nt
	8942	typeCode=" LOC"
	8943	>
	8944
	8945	<templateI d
	8946	root="2.16 .840.1.113 883. IP "
	8947	/>
	8948
	8949	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	8950
	8951	<time>
	8952
	8953	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	8954
	8955	<low
	8956	nullFlavor ="UNK"
	8957	/>
	8958
	8959	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	8960
	8961	<high
	8962	nullFlavor ="UNK"
	8963	/>
	8964
	8965	</time>
	8966
	8967	<participa ntRole
	8968	classCode= "SDLOC"
	8969	>
	8970
	8971	<playingEn tity
	8972	classCode= "PLC"
	8973	/>
	8974
	8975	</particip antRole>
	8976
	8977	</particip ant>
	8978
	8979	<entryRela tionship
	8980	typeCode=" RSON"
	8981	>
	8982
	8983	<observati on
	8984	classCode= "OBS"
	8985	moodCode=" EVN"
	8986	>
	8987
	8988	<templateI d
	8989	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	8990	/>
	8991
	8992	<templateI d
	8993	root="2.16 .840.1.113 883. IP "
	8994	/>
	8995
	8996	<id
	8997	nullFlavor ="UNK"
	8998	/>
	8999
	9000	<code
	9001	nullFlavor ="UNK"
	9002	/>
	9003
	9004	<!--16.13 - REASON F OR VISIT, Optional - ->
	9005
	9006	<text>
	9007
	9008	<reference
	9009	value="#en dReason100 7"
	9010	/>
	9011
	9012	</text>
	9013
	9014	<statusCod e
	9015	code="comp leted"
	9016	/>
	9017
	9018	<effective Time>
	9019
	9020	<low
	9021	nullFlavor ="UNK"
	9022	/>
	9023
	9024	</effectiv eTime>
	9025
	9026	<value
	9027	xsi:type=" CD"
	9028	/>
	9029
	9030	</observat ion>
	9031
	9032	</entryRel ationship>
	9033
	9034	</encounte r>
	9035
	9036	</entry>
	9037	<entry>
	9038
	9039	<!-- Entry block rep eats for e ach Encoun ter -->
	9040
	9041	<encounter
	9042	classCode= "ENC"
	9043	moodCode=" EVN"
	9044	>
	9045
	9046	<!--CCD En counter Ac tivity-->
	9047
	9048	<templateI d
	9049	root="2.16 .840.1.113 883. IP "
	9050	/>
	9051
	9052	<!--C83 En counter En try-->
	9053
	9054	<templateI d
	9055	root="2.16 .840.1.113 883.3.88.1 1.83.16"
	9056	/>
	9057
	9058	<!--IHE En counter En try-->
	9059
	9060	<templateI d
	9061	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.14"
	9062	/>
	9063
	9064	<!--16.01 - ENCOUNTE R ID, REQ UIRED -->
	9065
	9066	<id
	9067	nullFlavor ="UNK"
	9068	/>
	9069
	9070	<!-- <id root="2.16 .840.1.113 883.4.349" extension ="enc1234" />-->
	9071
	9072	<!--16.02 - ENCOUNTE R TYPE, R2 -Optional, VA Provi des CPT -- >
	9073
	9074	<!--16.02 - When CPT code not present, t hen code n ullFlavor= "UNK" -->
	9075
	9076	<code
	9077	nullFlavor ="UNK"
	9078	>
	9079
	9080	<!--16.03 - ENCOUNTE R FREE TEX T TYPE, RE QUIRED-->
	9081
	9082	<originalT ext>
	9083
	9084	<reference
	9085	value="#en dEncounter Descriptio n1008"
	9086	/>
	9087
	9088	</original Text>
	9089
	9090	</code>
	9091
	9092	<!-- Requi red per IH E Template , not use by VA -->
	9093
	9094	<text>
	9095
	9096	<reference
	9097	value="#en cNote-1"
	9098	/>
	9099
	9100	</text>
	9101
	9102	<!--16.04 - ENCOUNTE R DATE / T IME, REQUI RED-->
	9103
	9104	<effective Time>
	9105
	9106	<low
	9107	value="201 6052016"
	9108	/>
	9109
	9110	</effectiv eTime>
	9111
	9112	<!--16.07 - ADMISSIO N TYPE, Op tional, V A VistA Da ta not yet available -->
	9113
	9114	<priorityC ode
	9115	nullFlavor ="UNK"
	9116	/>
	9117
	9118	<!--16.05 - ENCOUNTE R PROVIDER , R2-Optio nal -->
	9119
	9120
	9121	<!-- INFOR MATION SOU RCE FOR EN COUNTER, O ptional -- >
	9122
	9123	<author>
	9124
	9125	<!-- ADD TIME TO IN FORMATION SOURCE FOR ENCOUNTER -->
	9126
	9127	<time
	9128	nullFlavor ="UNK"
	9129	/>
	9130
	9131	<assignedA uthor>
	9132
	9133	<id
	9134	nullFlavor ="NI"
	9135	/>
	9136
	9137	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	9138
	9139	<addr/>
	9140
	9141	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	9142
	9143	<telecom/>
	9144
	9145	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	9146
	9147	<assignedP erson>
	9148
	9149	<name/>
	9150
	9151	</assigned Person>
	9152
	9153	<represent edOrganiza tion>
	9154
	9155	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	9156
	9157	<id
	9158	extension= "442"
	9159	root="2.16 .840.1.113 883.4.349"
	9160	/>
	9161
	9162	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	9163
	9164	<name>
	9165	DNS ENNE VAMC
	9166	</name>
	9167
	9168	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	9169
	9170	<telecom/>
	9171
	9172	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	9173
	9174	<addr/>
	9175
	9176	</represen tedOrganiz ation>
	9177
	9178	</assigned Author>
	9179
	9180	</author>
	9181
	9182	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA Vist A -->
	9183
	9184	<!--16.11 - FACILITY LOCATION, Optional -->
	9185
	9186	<participa nt
	9187	typeCode=" LOC"
	9188	>
	9189
	9190	<templateI d
	9191	root="2.16 .840.1.113 883. IP "
	9192	/>
	9193
	9194	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	9195
	9196	<time>
	9197
	9198	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	9199
	9200	<low
	9201	nullFlavor ="UNK"
	9202	/>
	9203
	9204	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	9205
	9206	<high
	9207	nullFlavor ="UNK"
	9208	/>
	9209
	9210	</time>
	9211
	9212	<participa ntRole
	9213	classCode= "SDLOC"
	9214	>
	9215
	9216	<playingEn tity
	9217	classCode= "PLC"
	9218	/>
	9219
	9220	</particip antRole>
	9221
	9222	</particip ant>
	9223
	9224	<entryRela tionship
	9225	typeCode=" RSON"
	9226	>
	9227
	9228	<observati on
	9229	classCode= "OBS"
	9230	moodCode=" EVN"
	9231	>
	9232
	9233	<templateI d
	9234	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	9235	/>
	9236
	9237	<templateI d
	9238	root="2.16 .840.1.113 883. IP "
	9239	/>
	9240
	9241	<id
	9242	nullFlavor ="UNK"
	9243	/>
	9244
	9245	<code
	9246	nullFlavor ="UNK"
	9247	/>
	9248
	9249	<!--16.13 - REASON F OR VISIT, Optional - ->
	9250
	9251	<text>
	9252
	9253	<reference
	9254	value="#en dReason100 8"
	9255	/>
	9256
	9257	</text>
	9258
	9259	<statusCod e
	9260	code="comp leted"
	9261	/>
	9262
	9263	<effective Time>
	9264
	9265	<low
	9266	nullFlavor ="UNK"
	9267	/>
	9268
	9269	</effectiv eTime>
	9270
	9271	<value
	9272	xsi:type=" CD"
	9273	/>
	9274
	9275	</observat ion>
	9276
	9277	</entryRel ationship>
	9278
	9279	</encounte r>
	9280
	9281	</entry>
	9282	<entry>
	9283
	9284	<!-- Entry block rep eats for e ach Encoun ter -->
	9285
	9286	<encounter
	9287	classCode= "ENC"
	9288	moodCode=" EVN"
	9289	>
	9290
	9291	<!--CCD En counter Ac tivity-->
	9292
	9293	<templateI d
	9294	root="2.16 .840.1.113 883. IP "
	9295	/>
	9296
	9297	<!--C83 En counter En try-->
	9298
	9299	<templateI d
	9300	root="2.16 .840.1.113 883.3.88.1 1.83.16"
	9301	/>
	9302
	9303	<!--IHE En counter En try-->
	9304
	9305	<templateI d
	9306	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.14"
	9307	/>
	9308
	9309	<!--16.01 - ENCOUNTE R ID, REQ UIRED -->
	9310
	9311	<id
	9312	nullFlavor ="UNK"
	9313	/>
	9314
	9315	<!-- <id root="2.16 .840.1.113 883.4.349" extension ="enc1234" />-->
	9316
	9317	<!--16.02 - ENCOUNTE R TYPE, R2 -Optional, VA Provi des CPT -- >
	9318
	9319	<!--16.02 - When CPT code not present, t hen code n ullFlavor= "UNK" -->
	9320
	9321	<code
	9322	nullFlavor ="UNK"
	9323	>
	9324
	9325	<!--16.03 - ENCOUNTE R FREE TEX T TYPE, RE QUIRED-->
	9326
	9327	<originalT ext>
	9328
	9329	<reference
	9330	value="#en dEncounter Descriptio n1009"
	9331	/>
	9332
	9333	</original Text>
	9334
	9335	</code>
	9336
	9337	<!-- Requi red per IH E Template , not use by VA -->
	9338
	9339	<text>
	9340
	9341	<reference
	9342	value="#en cNote-1"
	9343	/>
	9344
	9345	</text>
	9346
	9347	<!--16.04 - ENCOUNTE R DATE / T IME, REQUI RED-->
	9348
	9349	<effective Time>
	9350
	9351	<low
	9352	value="201 6052010"
	9353	/>
	9354
	9355	</effectiv eTime>
	9356
	9357	<!--16.07 - ADMISSIO N TYPE, Op tional, V A VistA Da ta not yet available -->
	9358
	9359	<priorityC ode
	9360	nullFlavor ="UNK"
	9361	/>
	9362
	9363	<!--16.05 - ENCOUNTE R PROVIDER , R2-Optio nal -->
	9364
	9365
	9366	<!-- INFOR MATION SOU RCE FOR EN COUNTER, O ptional -- >
	9367
	9368	<author>
	9369
	9370	<!-- ADD TIME TO IN FORMATION SOURCE FOR ENCOUNTER -->
	9371
	9372	<time
	9373	nullFlavor ="UNK"
	9374	/>
	9375
	9376	<assignedA uthor>
	9377
	9378	<id
	9379	nullFlavor ="NI"
	9380	/>
	9381
	9382	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	9383
	9384	<addr/>
	9385
	9386	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	9387
	9388	<telecom/>
	9389
	9390	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	9391
	9392	<assignedP erson>
	9393
	9394	<name/>
	9395
	9396	</assigned Person>
	9397
	9398	<represent edOrganiza tion>
	9399
	9400	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	9401
	9402	<id
	9403	extension= "442"
	9404	root="2.16 .840.1.113 883.4.349"
	9405	/>
	9406
	9407	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	9408
	9409	<name>
	9410	DNS ENNE VAMC
	9411	</name>
	9412
	9413	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	9414
	9415	<telecom/>
	9416
	9417	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	9418
	9419	<addr/>
	9420
	9421	</represen tedOrganiz ation>
	9422
	9423	</assigned Author>
	9424
	9425	</author>
	9426
	9427	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA Vist A -->
	9428
	9429	<!--16.11 - FACILITY LOCATION, Optional -->
	9430
	9431	<participa nt
	9432	typeCode=" LOC"
	9433	>
	9434
	9435	<templateI d
	9436	root="2.16 .840.1.113 883. IP "
	9437	/>
	9438
	9439	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	9440
	9441	<time>
	9442
	9443	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	9444
	9445	<low
	9446	nullFlavor ="UNK"
	9447	/>
	9448
	9449	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	9450
	9451	<high
	9452	nullFlavor ="UNK"
	9453	/>
	9454
	9455	</time>
	9456
	9457	<participa ntRole
	9458	classCode= "SDLOC"
	9459	>
	9460
	9461	<playingEn tity
	9462	classCode= "PLC"
	9463	/>
	9464
	9465	</particip antRole>
	9466
	9467	</particip ant>
	9468
	9469	<entryRela tionship
	9470	typeCode=" RSON"
	9471	>
	9472
	9473	<observati on
	9474	classCode= "OBS"
	9475	moodCode=" EVN"
	9476	>
	9477
	9478	<templateI d
	9479	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	9480	/>
	9481
	9482	<templateI d
	9483	root="2.16 .840.1.113 883. IP "
	9484	/>
	9485
	9486	<id
	9487	nullFlavor ="UNK"
	9488	/>
	9489
	9490	<code
	9491	nullFlavor ="UNK"
	9492	/>
	9493
	9494	<!--16.13 - REASON F OR VISIT, Optional - ->
	9495
	9496	<text>
	9497
	9498	<reference
	9499	value="#en dReason100 9"
	9500	/>
	9501
	9502	</text>
	9503
	9504	<statusCod e
	9505	code="comp leted"
	9506	/>
	9507
	9508	<effective Time>
	9509
	9510	<low
	9511	nullFlavor ="UNK"
	9512	/>
	9513
	9514	</effectiv eTime>
	9515
	9516	<value
	9517	xsi:type=" CD"
	9518	/>
	9519
	9520	</observat ion>
	9521
	9522	</entryRel ationship>
	9523
	9524	</encounte r>
	9525
	9526	</entry>
	9527	<entry>
	9528
	9529	<!-- Entry block rep eats for e ach Encoun ter -->
	9530
	9531	<encounter
	9532	classCode= "ENC"
	9533	moodCode=" EVN"
	9534	>
	9535
	9536	<!--CCD En counter Ac tivity-->
	9537
	9538	<templateI d
	9539	root="2.16 .840.1.113 883. IP "
	9540	/>
	9541
	9542	<!--C83 En counter En try-->
	9543
	9544	<templateI d
	9545	root="2.16 .840.1.113 883.3.88.1 1.83.16"
	9546	/>
	9547
	9548	<!--IHE En counter En try-->
	9549
	9550	<templateI d
	9551	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.14"
	9552	/>
	9553
	9554	<!--16.01 - ENCOUNTE R ID, REQ UIRED -->
	9555
	9556	<id
	9557	nullFlavor ="UNK"
	9558	/>
	9559
	9560	<!-- <id root="2.16 .840.1.113 883.4.349" extension ="enc1234" />-->
	9561
	9562	<!--16.02 - ENCOUNTE R TYPE, R2 -Optional, VA Provi des CPT -- >
	9563
	9564	<!--16.02 - When CPT code not present, t hen code n ullFlavor= "UNK" -->
	9565
	9566	<code
	9567	nullFlavor ="UNK"
	9568	>
	9569
	9570	<!--16.03 - ENCOUNTE R FREE TEX T TYPE, RE QUIRED-->
	9571
	9572	<originalT ext>
	9573
	9574	<reference
	9575	value="#en dEncounter Descriptio n1010"
	9576	/>
	9577
	9578	</original Text>
	9579
	9580	</code>
	9581
	9582	<!-- Requi red per IH E Template , not use by VA -->
	9583
	9584	<text>
	9585
	9586	<reference
	9587	value="#en cNote-1"
	9588	/>
	9589
	9590	</text>
	9591
	9592	<!--16.04 - ENCOUNTE R DATE / T IME, REQUI RED-->
	9593
	9594	<effective Time>
	9595
	9596	<low
	9597	value="201 6051916"
	9598	/>
	9599
	9600	</effectiv eTime>
	9601
	9602	<!--16.07 - ADMISSIO N TYPE, Op tional, V A VistA Da ta not yet available -->
	9603
	9604	<priorityC ode
	9605	nullFlavor ="UNK"
	9606	/>
	9607
	9608	<!--16.05 - ENCOUNTE R PROVIDER , R2-Optio nal -->
	9609
	9610
	9611	<!-- INFOR MATION SOU RCE FOR EN COUNTER, O ptional -- >
	9612
	9613	<author>
	9614
	9615	<!-- ADD TIME TO IN FORMATION SOURCE FOR ENCOUNTER -->
	9616
	9617	<time
	9618	nullFlavor ="UNK"
	9619	/>
	9620
	9621	<assignedA uthor>
	9622
	9623	<id
	9624	nullFlavor ="NI"
	9625	/>
	9626
	9627	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	9628
	9629	<addr/>
	9630
	9631	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	9632
	9633	<telecom/>
	9634
	9635	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	9636
	9637	<assignedP erson>
	9638
	9639	<name/>
	9640
	9641	</assigned Person>
	9642
	9643	<represent edOrganiza tion>
	9644
	9645	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	9646
	9647	<id
	9648	extension= "442"
	9649	root="2.16 .840.1.113 883.4.349"
	9650	/>
	9651
	9652	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	9653
	9654	<name>
	9655	DNS ENNE VAMC
	9656	</name>
	9657
	9658	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	9659
	9660	<telecom/>
	9661
	9662	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	9663
	9664	<addr/>
	9665
	9666	</represen tedOrganiz ation>
	9667
	9668	</assigned Author>
	9669
	9670	</author>
	9671
	9672	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA Vist A -->
	9673
	9674	<!--16.11 - FACILITY LOCATION, Optional -->
	9675
	9676	<participa nt
	9677	typeCode=" LOC"
	9678	>
	9679
	9680	<templateI d
	9681	root="2.16 .840.1.113 883. IP "
	9682	/>
	9683
	9684	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	9685
	9686	<time>
	9687
	9688	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	9689
	9690	<low
	9691	nullFlavor ="UNK"
	9692	/>
	9693
	9694	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	9695
	9696	<high
	9697	nullFlavor ="UNK"
	9698	/>
	9699
	9700	</time>
	9701
	9702	<participa ntRole
	9703	classCode= "SDLOC"
	9704	>
	9705
	9706	<playingEn tity
	9707	classCode= "PLC"
	9708	/>
	9709
	9710	</particip antRole>
	9711
	9712	</particip ant>
	9713
	9714	<entryRela tionship
	9715	typeCode=" RSON"
	9716	>
	9717
	9718	<observati on
	9719	classCode= "OBS"
	9720	moodCode=" EVN"
	9721	>
	9722
	9723	<templateI d
	9724	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	9725	/>
	9726
	9727	<templateI d
	9728	root="2.16 .840.1.113 883. IP "
	9729	/>
	9730
	9731	<id
	9732	nullFlavor ="UNK"
	9733	/>
	9734
	9735	<code
	9736	nullFlavor ="UNK"
	9737	/>
	9738
	9739	<!--16.13 - REASON F OR VISIT, Optional - ->
	9740
	9741	<text>
	9742
	9743	<reference
	9744	value="#en dReason101 0"
	9745	/>
	9746
	9747	</text>
	9748
	9749	<statusCod e
	9750	code="comp leted"
	9751	/>
	9752
	9753	<effective Time>
	9754
	9755	<low
	9756	nullFlavor ="UNK"
	9757	/>
	9758
	9759	</effectiv eTime>
	9760
	9761	<value
	9762	xsi:type=" CD"
	9763	/>
	9764
	9765	</observat ion>
	9766
	9767	</entryRel ationship>
	9768
	9769	</encounte r>
	9770
	9771	</entry>
	9772
	9773	</section>
	9774
	9775	</componen t>
	9776
	9777	<!--
	9778	**** ****** ****** ****** ****** ********
	9779	NHIN_C R95, CR94
	9780	VLER S egment 1Bi i: PROCED URE SECTIO N
	9781	**** ****** ****** ****** ****** ********
	9782	-->
	9783
	9784
	9785	</structur edBody>
	9786
	9787	</componen t>
	9788	</Clinical Document>