801. EPMO Open Source Coordination Office Redaction File Detail Report

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801.1 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	374102_C32_20161202.xml	Thu Jan 12 19:48:38 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	374102_C32_20161202.xml	Wed Apr 5 15:35:46 2017 UTC

801.2 Comparison summary

Description	Between Files 1 and 2
Description	Text Blocks	Lines
Unchanged	27	6654
Changed	26	52
Inserted	0	0
Removed	0	0

801.3 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

801.4 Active regular expressions

No regular expressions were active.

801.5 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= "2.25.4396 9537857254 4894141361 9739962761 9591"
	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 6120211584 9-0600"
	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= "101278723 1V666445"
	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	PO BOX 14
	133	</streetAd dressLine>
	134
	135	<city>
	136	CLARKSBURG
	137	</city>
	138
	139	<state>
	140	PA
	141	</state>
	142
	143	<postalCod e>
	144	15725
	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 :+1-555-55 5-5555"
	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	DARLA
	167	</given>
	168	<given>
	169	C
	170	</given>
	171
	172	<family>
	173	DANNY
	174	</family>
	175
	176
	177	</name>
	178
	179	<!-- 1.05 PERSON NA ME Alias N ame, Optio nal -->
	180
	181	<name
	182	use="P"
	183	>
	184
	185
	186	<given>
	187	DARLA
	188	</given>
	189
	190	<family>
	191	KERCHEFF
	192	</family>
	193
	194
	195	</name>
	196
	197	<!-- HITSP C32 V2.5: 1.06 GEND ER, REQUIR ED AND REQ UIRED Term inology -- >
	198
	199	<!-- HITSP C32 V2.5: When Vist a value is M, F, sen d as HL7Ad minGenderC ode -->
	200
	201	<!-- HITSP C32 V2.5: When Vist a value is "Unknown" , send as genderCode nullFlavo r=UNK" -- >
	202
	203	<administr ativeGende rCode
	204	code="F"
	205	codeSystem ="2.16.840 .1.113883. 5.1"
	206	codeSystem Name="Admi nistrative GenderCode "
	207	displayNam e="Female"
	208	>
	209
	210	<originalT ext>
	211	FEMALE
	212	</original Text>
	213
	214	</administ rativeGend erCode>
	215
	216	<!-- 1.07 PERSON DAT E OF BIRTH , REQUIRED -->
	217
	218	<birthTime
	219	value="195 60506"
	220	/>
	221
	222	<!-- 1.08 MARITAL S TATUS, Opt ional-R2 - ->
	223
	224	<!-- VLER SEG 1B: S end as HL7 MaritalSt atus -->
	225
	226	<maritalSt atusCode
	227	code="M"
	228	codeSystem ="2.16.840 .1.113883. 5.2"
	229	codeSystem Name="Mari talStatusC ode"
	230	displayNam e="Married "
	231	>
	232
	233	<originalT ext>
	234	MARRIED
	235	</original Text>
	236
	237	</maritalS tatusCode>
	238
	239	<!-- 1.09 RELIGIOUS AFFILIATI ON, Option al, Remove d b/c data not yet a vailable v ia VA VIst A RPCs-->
	240
	241	<!-- 1.10 RACE, Opt ional -->
	242
	243	<!-- 1.10 RACE as o riginalTex t per NHIN Core Cont ent Specif ication b/ c VA code translatio n not yet available -->
	244
	245	<raceCode
	246	codeSystem ="2.16.840 .1.113883. 6.238"
	247	codeSystem Name="CDC Race and E thnicity"
	248	nullFlavor ="UNK"
	249	>
	250
	251
	252	</raceCode >
	253
	254	<!-- 1.11 ETHNICITY, Optional -->
	255
	256	<!-- 1.11 ETHNICITY as origina lText per NHIN Core Content Sp ecificatio n b/c VA c ode transl ation not yet availa ble -->
	257
	258	<ethnicGro upCode
	259	codeSystem ="2.16.840 .1.113883. 6.238"
	260	codeSystem Name="CDC Race and E thnicity"
	261	nullFlavor ="UNK"
	262	>
	263
	264
	265	</ethnicGr oupCode>
	266
	267	<!--
	268	****** ****** ****** ****** ****** ******
	269	LANGUAGE SPOKEN CO NTENT MODU LE
	270	****** ****** ****** ****** ****** ******
	271	-->
	272
	273	<languageC ommunicati on>
	274
	275	<templateI d
	276	root="2.16 .840.1.113 883.3.88.1 1.32.2"
	277	/>
	278
	279	<!-- 2.01 LANGUAGE, REQUIRED, languageC ode as nul lFlavor b/ c data not yet avail able via V A VistA RP Cs -->
	280
	281	<languageC ode
	282	nullFlavor ="UNK"
	283	/>
	284
	285	</language Communicat ion>
	286
	287	</patient>
	288
	289	</patientR ole>
	290
	291	</recordTa rget>
	292
	293	<!--
	294	****** ****** ****** ****** ****** **
	295	IN FORMATION SOURCE CON TENT MODUL E, REQUIRE D
	296	****** ****** ****** ****** ****** **
	297	-- >
	298
	299	<!-- AUTHO R SECTION (REQUIRED) OF INFORM ATION SOUR CE CONTENT MODULE -- >
	300
	301	<author>
	302
	303	<!-- 10.01 AUTHOR TI ME (=Docum ent Creati on Date), REQUIRED - ->
	304
	305	<time
	306	value="201 6120211584 9-0600"
	307	/>
	308
	309	<assignedA uthor>
	310
	311	<!-- 10.02 AUTHOR ID (VA OID) (authorOID ), REQUIIR ED -->
	312
	313	<id
	314	root="2.16 .840.1.113 883.4.349"
	315	/>
	316
	317	<!-- HITSP C32 V2.5: Assigned Author Ad dress Requ ired, but VA VistA d ata not ye t availabl e -->
	318
	319	<addr/>
	320
	321	<!-- HITSP C32 V2.5: Assigned Author T elecom Req uired, but VA VistA data not y et availab le -->
	322
	323	<telecom/>
	324
	325	<!-- 10.02 AUTHOR NA ME REQUIRE D -->
	326
	327	<!-- HITSP C32 V2.5: C83 ass ignedPerso n/Author N ame REQUIR ED but pro vided as r epresented Organizati on-->
	328
	329	<assignedP erson>
	330
	331	<name/>
	332
	333	</assigned Person>
	334
	335	<!-- 10.02 AUTHOR NA ME REQUIRE D as repre sentedOrga nization-- >
	336
	337	<represent edOrganiza tion>
	338
	339	<!-- 10.02 AUTHORING DEVICE OR GANIZATION OID (VA O ID) (devic eOrgOID), REQUIIRED -->
	340
	341	<id
	342	root="2.16 .840.1.113 883.4.349"
	343	/>
	344
	345	<!-- 10.02 AUTHORING DEVICE OR GANIZATION NAME (dev iceOrgName ), REQUIIR ED -->
	346
	347	<name>
	348	Department of Vetera ns Affairs
	349	</name>
	350
	351	<!-- HITSP C32 V2.5: Assigned Author T elecom Req uired, but VA VistA data not y et availab le -->
	352
	353	<telecom/>
	354
	355	<!-- HITSP C32 V2.5: Assigned Author Ad dress Requ ired, but VA VistA d ata not ye t availabl e -->
	356
	357	<addr/>
	358
	359	</represen tedOrganiz ation>
	360
	361	</assigned Author>
	362
	363	</author>
	364
	365	<!-- INFOR MATION SOU RCE SECTIO N (OPTIONA L)OF INFOR MATION SOU RCE CONTEN T MODULE - ->
	366
	367	<!-- 10.06 INFORMATI ON SOURCE AS AN ORGA NIZATION, REQUIRED - ->
	368
	369	<informant >
	370
	371	<assignedE ntity>
	372
	373	<id
	374	nullFlavor ="NI"
	375	/>
	376
	377	<!-- HITSP C32 V2.5: Address Required for inform ant/assign edEntity, but VA Vis tA data no t yet avai lable -->
	378
	379	<addr/>
	380
	381	<!-- HITSP C32 V2.5: Teleco m Required for infor mant/assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	382
	383	<telecom/>
	384
	385	<!-- HITSP C32 V2.5: assigned Person Req uired for informant/ assignedEn tity, but VA VistA d ata not ye t availabl e -->
	386
	387	<assignedP erson>
	388
	389	<!-- HITSP C32 V2.5: Name Req uired for informant/ assignedEn tity/assig nedPerson -->
	390
	391	<name>
	392	Department of Vetera ns Affairs
	393	</name>
	394
	395	</assigned Person>
	396
	397	<represent edOrganiza tion>
	398
	399	<!-- 10.06 INFORMATI ON SOURCE ORGANIZATI ON OID (VA OID) (sou rceOrgOID) , REQUIRED -->
	400
	401	<id
	402	root="2.16 .840.1.113 883.4.349"
	403	/>
	404
	405	<!-- 10.06 INFORMATI ON SOURCE ORGANIZATI ON NAME (s ourceOrgNa me), REQUI RED -->
	406
	407	<name>
	408	Department of Vetera ns Affairs
	409	</name>
	410
	411	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	412
	413	<telecom/>
	414
	415	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	416
	417	<addr/>
	418
	419	</represen tedOrganiz ation>
	420
	421	</assigned Entity>
	422
	423	</informan t>
	424
	425	<!--
	426	****** ****** ****** ****** ****** **
	427	CC D CDA R2 C USTODIAN A S AN ORGAN IZATION, R EQUIRED
	428	****** ****** ****** ****** ****** **
	429	-- >
	430
	431	<custodian >
	432
	433	<assignedC ustodian>
	434
	435	<represent edCustodia nOrganizat ion>
	436
	437	<!-- CCD C DA R2 CUST ODIAN OID (VA) (cust odianOID) -->
	438
	439	<id
	440	root="2.16 .840.1.113 883.4.349"
	441	/>
	442
	443	<!-- CCD C DA R2 CUST ODIAN NAME (custodia nName) -->
	444
	445	<name>
	446	Department of Vetera ns Affairs
	447	</name>
	448
	449	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	450
	451	<telecom/>
	452
	453	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	454
	455	<addr/>
	456
	457	</represen tedCustodi anOrganiza tion>
	458
	459	</assigned Custodian>
	460
	461	</custodia n>
	462
	463	<!--
	464	****** ****** ****** ****** ****** **
	465	CC D CDA R2 L EGAL AUTHE NTICATOR A S AN ORGAN IZATION, R EQUIRED
	466	****** ****** ****** ****** ****** **
	467	-- >
	468
	469	<legalAuth enticator>
	470
	471	<!-- CCD C DA R2 TIME OF AUTHEN TICATION - ->
	472
	473	<time
	474	value="201 6120211584 9-0600"
	475	/>
	476
	477	<signature Code
	478	code="S"
	479	/>
	480
	481	<assignedE ntity>
	482
	483	<id
	484	nullFlavor ="NI"
	485	/>
	486
	487	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	488
	489	<addr/>
	490
	491	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	492
	493	<telecom/>
	494
	495	<!-- HITSP C32 V2.5: assigne d Person R equired fo r legalAut henticator /assignedE ntity -->
	496
	497	<assignedP erson>
	498
	499	<name>
	500	Department of Vetera ns Affairs
	501	</name>
	502
	503	</assigned Person>
	504
	505	<represent edOrganiza tion>
	506
	507	<!-- CCD C DA R2 LEGA L AUTHENTI CATOR OID (VA) -->
	508
	509	<id
	510	root="2.16 .840.1.113 883.4.349"
	511	/>
	512
	513	<!-- CCD C DA R2 LEGA L AUTHENTI CATOR NAME (authenti catorName) -->
	514
	515	<name>
	516	Department of Vetera ns Affairs
	517	</name>
	518
	519	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	520
	521	<telecom/>
	522
	523	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	524
	525	<addr/>
	526
	527	</represen tedOrganiz ation>
	528
	529	</assigned Entity>
	530
	531	</legalAut henticator >
	532
	533	<!--
	534	**** ****** ****** ****** ****** ********
	535	SUPPOR T CONTENT MODULE, RE QUIRED
	536	**** ****** ****** ****** ****** ********
	537	-->
	538
	539
	540	<!--
	541	****** ****** ****** ****** ****** **
	542	CC D CDA R2 D OCUMENTATI ON OF MODU LE - QUERY META DATA , Optional
	543	****** ****** ****** ****** ****** **
	544	-- >
	545
	546	<documenta tionOf>
	547
	548	<serviceEv ent
	549	classCode= "PCPR"
	550	>
	551
	552	<effective Time>
	553
	554	<!-- QUERY META DATA , SERVICE START TIME , Optional -->
	555
	556	<low
	557	value="195 60506"
	558	/>
	559
	560	<!-- QUERY META DATA , SERVICE STOP TIME, Optional -->
	561
	562	<high
	563	value="201 6120211584 9-0600"
	564	/>
	565
	566	</effectiv eTime>
	567
	568	<!--
	569	**** ****** ****** ****** ****** ********
	570	HEALTH CARE PROVI DER MODULE , OPTIONAL
	571	**** ****** ****** ****** ****** ********
	572	-->
	573
	574
	575
	576	<performer
	577	typeCode=" PRF"
	578	>
	579
	580	<!-- Provi der Templa te Id -->
	581
	582	<templateI d
	583	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	584	/>
	585
	586	<!-- 4.02- PROVIDER R OLE CODED, Optional- R2, Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	587
	588
	589	<!-- 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 -->
	590
	591	<!-- 4.01- DATE RANGE , Required , nullFlav or b/c dat a not yet available via VA Vis tA RPCs -- >
	592
	593	<time>
	594
	595	<high
	596	nullFlavor ="UNK"
	597	/>
	598
	599	</time>
	600
	601	<assignedE ntity>
	602
	603	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	604
	605	<id
	606	extension= "provider1 001"
	607	root="2.16 .840.1.113 883.4.349"
	608	/>
	609
	610	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	611
	612	<addr/>
	613
	614	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	615
	616	<telecom
	617	nullFlavor ="UNK"
	618	/>
	619
	620	<assignedP erson>
	621
	622	<name>
	623	BURROWS,MA RGO M
	624	</name>
	625
	626	</assigned Person>
	627
	628	<represent edOrganiza tion>
	629
	630	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	631
	632	<id
	633	extension= "983"
	634	root="2.16 .840.1.113 883.4.349"
	635	/>
	636
	637	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	638
	639	<name>
	640	CHYSHR TES T LAB
	641	</name>
	642
	643	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	644
	645	<telecom/>
	646
	647	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	648
	649	<addr/>
	650
	651	</represen tedOrganiz ation>
	652
	653	</assigned Entity>
	654
	655	</performe r>
	656
	657	</serviceE vent>
	658
	659	</document ationOf>
	660
	661	<!--
	662	****** ****** ****** ****** ****** **
	663	CD A BODY
	664	****** ****** ****** ****** ****** **
	665	-- >
	666
	667	<component >
	668
	669	<structure dBody>
	670
	671	<!--
	672	**** ****** ****** ****** ****** ********
	673	ALLERG Y/DRUG SEC TION SECTI ON
	674	**** ****** ****** ****** ****** ********
	675	-->
	676
	677	<component >
	678
	679	<section>
	680
	681	<!-- CCD A lert Secti on Templat e-->
	682
	683	<templateI d
	684	root="2.16 .840.1.113 883. IP "
	685	/>
	686
	687	<!-- HITSP C32 V2.5: Allergy and Advers e Reaction Section T emplate -- >
	688
	689	<templateI d
	690	root="2.16 .840.1.113 883.3.88.1 1.83.102"
	691	/>
	692
	693	<!-- HITSP C32 V2.5: IHE Alle rgies and Other Adve rse Reacti ons Secti on Templat e -->
	694
	695	<templateI d
	696	root="1.3. 6.1.4.1.19 376.1.5.3. 1.3.13"
	697	/>
	698
	699	<!-- HITSP C32 V2.5: CCD Sect ion Confor mance code value , s tatic -->
	700
	701	<code
	702	code="4876 5-2"
	703	codeSystem ="2.16.840 .1.113883. 6.1"
	704	displayNam e="Allergi es, advers e reaction s, alerts"
	705	/>
	706
	707	<title>
	708	Allergies
	709	</title>
	710
	711	<!-- ALLE RGIES NARR ATIVE BLOC K -->
	712
	713	<text>
	714
	715	<!-- VLER SEG 1B: Al lergies/Dr ug Busines s Rules fo r Medical Content - ->
	716
	717	<table
	718	border="1"
	719	width="100 %"
	720	>
	721
	722	<thead>
	723
	724	<tr>
	725
	726	<th>
	727	Department of Vetera ns Affairs
	728	</th>
	729
	730	<th>
	731	Business R ules for C onstructio n of Medic al Informa tion
	732	</th>
	733
	734	</tr>
	735
	736	</thead>
	737
	738	<tbody>
	739
	740	<tr>
	741
	742	<td>
	743	Allergies
	744	</td>
	745
	746	<td>
	747	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.
	748	</td>
	749
	750	</tr>
	751
	752	</tbody>
	753
	754	</table>
	755
	756	<table
	757	ID="allerg yNarritive "
	758	border="1"
	759	width="100 %"
	760	>
	761
	762	<thead>
	763
	764	<tr>
	765
	766	<th>
	767	Allergy
	768	</th>
	769
	770	<th>
	771	Coded Alle rgy
	772	</th>
	773
	774	<th>
	775	Verificati on Date
	776	</th>
	777
	778	<th>
	779	Event Type
	780	</th>
	781
	782	<th>
	783	Reaction
	784	</th>
	785
	786	<th>
	787	Severity
	788	</th>
	789
	790	<th>
	791	Source
	792	</th>
	793
	794	</tr>
	795
	796	</thead>
	797
	798	<tbody>
	799
	800	<tr>
	801
	802	<td>
	803
	804	<content
	805	ID="andAll ergy1001"
	806	>
	807	SHELLFISH
	808	</content>
	809
	810	</td>
	811
	812	<td>
	813
	814	<content
	815	ID="andCod edAllergyN ame1001"
	816	>
	817	Coded Alle rgy Name N ot Availab le
	818	</content>
	819
	820	</td>
	821
	822	<td>
	823
	824	<content
	825	ID="andVer ificationD ate1001"
	826	/>
	827
	828	</td>
	829
	830	<td>
	831
	832	<content
	833	ID="andEve ntType1001 "
	834	>
	835	Propensity to advers e reaction s to food
	836	</content>
	837
	838	</td>
	839
	840	<td>
	841
	842	<list>
	843
	844	<item>
	845
	846	<content
	847	ID="andRea ction1001- 1001"
	848	>
	849	ABDOMINAL BLOATING
	850	</content>
	851
	852	</item>
	853	<item>
	854
	855	<content
	856	ID="andRea ction1001- 1002"
	857	>
	858	ABDOMINAL CRAMPS
	859	</content>
	860
	861	</item>
	862	<item>
	863
	864	<content
	865	ID="andRea ction1001- 1003"
	866	>
	867	ABDOMINAL DISCOMFORT
	868	</content>
	869
	870	</item>
	871
	872	</list>
	873
	874	</td>
	875
	876	<td>
	877
	878	<content
	879	ID="andSev erity1001"
	880	/>
	881
	882	</td>
	883
	884	<td>
	885
	886	<content
	887	ID="andSou rce1001"
	888	>
	889	CHYSHR TES T LAB
	890	</content>
	891
	892	</td>
	893
	894	</tr>
	895
	896	</tbody>
	897
	898	</table>
	899
	900	</text>
	901
	902	<entry
	903	typeCode=" DRIV"
	904	>
	905
	906	<act
	907	classCode= "ACT"
	908	moodCode=" EVN"
	909	>
	910
	911	<templateI d
	912	assigningA uthorityNa me="CCD"
	913	root="2.16 .840.1.113 883. IP "
	914	/>
	915
	916	<!-- HITSP C32 V2.5: Template s for Alle rgy/Drug M odule/Entr y -->
	917
	918	<templateI d
	919	root="2.16 .840.1.113 883.3.88.1 1.83.6"
	920	/>
	921
	922	<templateI d
	923	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	924	/>
	925
	926	<templateI d
	927	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.3"
	928	/>
	929
	930	<!-- CCD A llergy Act ID as nul lflavor -- >
	931
	932	<id
	933	nullFlavor ="UNK"
	934	/>
	935
	936	<code
	937	nullFlavor ="NA"
	938	/>
	939
	940	<!-- HITSP C32 V2.5: IHE Conc ern Templa te Require s statusCo de and eff ectiveTime -->
	941
	942	<statusCod e
	943	code="acti ve"
	944	/>
	945
	946	<effective Time>
	947
	948	<low
	949	nullFlavor ="UNK"
	950	/>
	951
	952	</effectiv eTime>
	953
	954	<!-- INFOR MATION SOU RCE FOR AL LERGIES/DR UG, Option al -->
	955
	956	<author>
	957
	958	<!-- ADD TIME TO IN FORMATION SOURCE FOR ALLERGIES /DRUG -->
	959
	960	<time
	961	nullFlavor ="UNK"
	962	/>
	963
	964	<assignedA uthor>
	965
	966	<id
	967	nullFlavor ="NI"
	968	/>
	969
	970	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	971
	972	<addr/>
	973
	974	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	975
	976	<telecom/>
	977
	978	<represent edOrganiza tion>
	979
	980	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	981
	982	<id
	983	extension= "983"
	984	root="2.16 .840.1.113 883.4.349"
	985	/>
	986
	987	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	988
	989	<name>
	990	CHYSHR TES T LAB
	991	</name>
	992
	993	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	994
	995	<telecom/>
	996
	997	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	998
	999	<addr/>
	1000
	1001	</represen tedOrganiz ation>
	1002
	1003	</assigned Author>
	1004
	1005	</author>
	1006
	1007	<entryRela tionship
	1008	inversionI nd="false"
	1009	typeCode=" SUBJ"
	1010	>
	1011
	1012	<observati on
	1013	classCode= "OBS"
	1014	moodCode=" EVN"
	1015	>
	1016
	1017	<!-- HITSP C32 V2.5: Allerg y Template s -->
	1018
	1019	<templateI d
	1020	root="2.16 .840.1.113 883. IP "
	1021	/>
	1022
	1023	<!-- Alert observati on templat e -->
	1024
	1025	<templateI d
	1026	root="2.16 .840.1.113 883. IP "
	1027	/>
	1028
	1029	<templateI d
	1030	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	1031	/>
	1032
	1033	<templateI d
	1034	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	1035	/>
	1036
	1037	<!-- HITSP C32 V2.5: IHE Obser vation Tem plates Req uire Id -- >
	1038
	1039	<id
	1040	nullFlavor ="UNK"
	1041	/>
	1042
	1043	<!-- 6.02 ADVERSE EV ENT TYPE, REQUIRED; SNOMED CT -->
	1044
	1045	<!-- HITSP C32 V2.5: 6.02 ADV ERSE EVENT TYPE SNOM ED CT Term inology Re quired -->
	1046
	1047	<code
	1048	code="4184 71000"
	1049	codeSystem ="2.16.840 .1.113883. 6.96"
	1050	codeSystem Name="SNOM ED CT"
	1051	displayNam e="Propens ity to adv erse react ions to fo od"
	1052	>
	1053
	1054	<originalT ext>
	1055	FOOD
	1056	</original Text>
	1057
	1058	</code>
	1059
	1060	<!-- IHE Status Cod e fro Obse rvation -- >
	1061
	1062	<statusCod e
	1063	code="comp leted"
	1064	/>
	1065
	1066	<!-- 6.01 ADVERSE EV ENT DATE, Optional-R 2 -->
	1067
	1068	<effective Time>
	1069
	1070	<low
	1071	value="201 606141644"
	1072	/>
	1073
	1074	</effectiv eTime>
	1075
	1076	<!-- HITSP C32 V2.5: IHE Alle rgy Concer n Template Requires value, Whe n uncoded only xsi:t ype=CD all owed -->
	1077
	1078	<value
	1079	xsi:type=" CD"
	1080	/>
	1081
	1082	<!-- HITSP C32 V2.5: Participa nt block f or 6.04-Pr oduct Code d -->
	1083
	1084	<participa nt
	1085	typeCode=" CSM"
	1086	>
	1087
	1088	<participa ntRole
	1089	classCode= "MANU"
	1090	>
	1091
	1092	<playingEn tity
	1093	classCode= "MMAT"
	1094	>
	1095
	1096	<!-- 6.04 PRODUCT C ODED, Opti onal-R2, R emoved b/c data not yet availa ble via VA VistA RPC s -->
	1097
	1098	<code
	1099	code="UNK"
	1100	nullFlavor ="UNK"
	1101	>
	1102
	1103	<originalT ext>
	1104
	1105	<reference
	1106	value="#an dCodedAlle rgyName100 1"
	1107	/>
	1108
	1109	</original Text>
	1110
	1111	</code>
	1112
	1113	<!-- 6.03 PRODUCT FR EE TEXT, R EQUIRED-->
	1114
	1115	<name>
	1116	SHELLFISH
	1117	</name>
	1118
	1119	</playingE ntity>
	1120
	1121	</particip antRole>
	1122
	1123	</particip ant>
	1124
	1125	<!-- SEVE RITY ENTRY RELATIONS HIP BLOCK optional, 0 or 1 per Allergy - ->
	1126
	1127
	1128	<!-- REAC TION ENTRY RELATIONSH IP BLOCK o ptional, r epeatable -->
	1129
	1130	<entryRela tionship
	1131	inversionI nd="true"
	1132	typeCode=" MFST"
	1133	>
	1134
	1135	<observati on
	1136	classCode= "OBS"
	1137	moodCode=" EVN"
	1138	>
	1139
	1140	<!-- React ion Templa te ID -->
	1141
	1142	<templateI d
	1143	root="2.16 .840.1.113 883. IP "
	1144	/>
	1145
	1146	<!-- HITSP C32 V2.5: Allerg y Template s -->
	1147
	1148	<templateI d
	1149	root="2.16 .840.1.113 883. IP "
	1150	/>
	1151
	1152	<templateI d
	1153	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	1154	/>
	1155
	1156	<templateI d
	1157	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	1158	/>
	1159
	1160	<id
	1161	nullFlavor ="UNK"
	1162	/>
	1163
	1164	<code
	1165	code="ASSE RTION"
	1166	codeSystem ="2.16.840 .1.113883. 5.4"
	1167	codeSystem Name="HL7A ctCode"
	1168	/>
	1169
	1170	<!-- 6.05 REACTION-F REE TEXT, optional,- ->
	1171
	1172	<text>
	1173
	1174	<reference
	1175	value="#an dReaction1 001-1001"
	1176	/>
	1177
	1178	</text>
	1179
	1180	<statusCod e
	1181	code="comp leted"
	1182	/>
	1183
	1184	<effective Time>
	1185
	1186	<low
	1187	nullFlavor ="UNK"
	1188	/>
	1189
	1190	</effectiv eTime>
	1191
	1192	<!-- 6.06 REACTION C ODED optio nal, when uncoded on ly xsi:typ e=CD allow ed -->
	1193
	1194	<value
	1195	xsi:type=" CD"
	1196	/>
	1197
	1198	</observat ion>
	1199
	1200	</entryRel ationship>
	1201	<entryRela tionship
	1202	inversionI nd="true"
	1203	typeCode=" MFST"
	1204	>
	1205
	1206	<observati on
	1207	classCode= "OBS"
	1208	moodCode=" EVN"
	1209	>
	1210
	1211	<!-- React ion Templa te ID -->
	1212
	1213	<templateI d
	1214	root="2.16 .840.1.113 883. IP "
	1215	/>
	1216
	1217	<!-- HITSP C32 V2.5: Allerg y Template s -->
	1218
	1219	<templateI d
	1220	root="2.16 .840.1.113 883. IP "
	1221	/>
	1222
	1223	<templateI d
	1224	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	1225	/>
	1226
	1227	<templateI d
	1228	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	1229	/>
	1230
	1231	<id
	1232	nullFlavor ="UNK"
	1233	/>
	1234
	1235	<code
	1236	code="ASSE RTION"
	1237	codeSystem ="2.16.840 .1.113883. 5.4"
	1238	codeSystem Name="HL7A ctCode"
	1239	/>
	1240
	1241	<!-- 6.05 REACTION-F REE TEXT, optional,- ->
	1242
	1243	<text>
	1244
	1245	<reference
	1246	value="#an dReaction1 001-1002"
	1247	/>
	1248
	1249	</text>
	1250
	1251	<statusCod e
	1252	code="comp leted"
	1253	/>
	1254
	1255	<effective Time>
	1256
	1257	<low
	1258	nullFlavor ="UNK"
	1259	/>
	1260
	1261	</effectiv eTime>
	1262
	1263	<!-- 6.06 REACTION C ODED optio nal, when uncoded on ly xsi:typ e=CD allow ed -->
	1264
	1265	<value
	1266	xsi:type=" CD"
	1267	/>
	1268
	1269	</observat ion>
	1270
	1271	</entryRel ationship>
	1272	<entryRela tionship
	1273	inversionI nd="true"
	1274	typeCode=" MFST"
	1275	>
	1276
	1277	<observati on
	1278	classCode= "OBS"
	1279	moodCode=" EVN"
	1280	>
	1281
	1282	<!-- React ion Templa te ID -->
	1283
	1284	<templateI d
	1285	root="2.16 .840.1.113 883. IP "
	1286	/>
	1287
	1288	<!-- HITSP C32 V2.5: Allerg y Template s -->
	1289
	1290	<templateI d
	1291	root="2.16 .840.1.113 883. IP "
	1292	/>
	1293
	1294	<templateI d
	1295	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	1296	/>
	1297
	1298	<templateI d
	1299	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	1300	/>
	1301
	1302	<id
	1303	nullFlavor ="UNK"
	1304	/>
	1305
	1306	<code
	1307	code="ASSE RTION"
	1308	codeSystem ="2.16.840 .1.113883. 5.4"
	1309	codeSystem Name="HL7A ctCode"
	1310	/>
	1311
	1312	<!-- 6.05 REACTION-F REE TEXT, optional,- ->
	1313
	1314	<text>
	1315
	1316	<reference
	1317	value="#an dReaction1 001-1003"
	1318	/>
	1319
	1320	</text>
	1321
	1322	<statusCod e
	1323	code="comp leted"
	1324	/>
	1325
	1326	<effective Time>
	1327
	1328	<low
	1329	nullFlavor ="UNK"
	1330	/>
	1331
	1332	</effectiv eTime>
	1333
	1334	<!-- 6.06 REACTION C ODED optio nal, when uncoded on ly xsi:typ e=CD allow ed -->
	1335
	1336	<value
	1337	xsi:type=" CD"
	1338	/>
	1339
	1340	</observat ion>
	1341
	1342	</entryRel ationship>
	1343
	1344	</observat ion>
	1345
	1346	</entryRel ationship>
	1347
	1348	</act>
	1349
	1350	</entry>
	1351
	1352	</section>
	1353
	1354	</componen t>
	1355
	1356	<!--
	1357	**** ****** ****** ****** ****** ********
	1358	PROBLE M/CONDITIO N SECTION
	1359	**** ****** ****** ****** ****** ********
	1360	-->
	1361
	1362	<component >
	1363
	1364	<!-- Compo nent 2 -->
	1365
	1366	<section>
	1367
	1368	<!-- CCD P roblem Sec tion Templ ate -->
	1369
	1370	<templateI d
	1371	root="2.16 .840.1.113 883. IP "
	1372	/>
	1373
	1374	<!-- HITSP C32 V2.5: Problem Section Te mplate -->
	1375
	1376	<templateI d
	1377	root="2.16 .840.1.113 883.3.88.1 1.83.103"
	1378	/>
	1379
	1380	<!-- HITSP C32 V2.5: IHE Acti ve Problem s Section Template - ->
	1381
	1382	<templateI d
	1383	root="1.3. 6.1.4.1.19 376.1.5.3. 1.3.6"
	1384	/>
	1385
	1386	<!-- HITSP C32 V2.5: C83 - IH E Problem Concern Te mplates -- >
	1387
	1388	<!-- templ ateId root ="1.3.6.1. 4.1.19376. 1.5.3.1.4. 5.1"/
	1389	<templateI d root="1. 3.6.1.4.1. 19376.1.5. 3.1.4.5.2" / -->
	1390
	1391	<code
	1392	code="1145 0-4"
	1393	codeSystem ="2.16.840 .1.113883. 6.1"
	1394	codeSystem Name="LOIN C"
	1395	displayNam e="Problem s"
	1396	/>
	1397
	1398	<title>
	1399	Problems/C onditions
	1400	</title>
	1401
	1402	<!-- PROB LEMS NARRA TIVE BLOCK , Required -->
	1403
	1404	<text>
	1405
	1406	<!-- VLER SEG 1B: Pr oblem/Cond ition Busi ness Rules for Medic al Content -->
	1407
	1408	<table
	1409	border="1"
	1410	width="100 %"
	1411	>
	1412
	1413	<thead>
	1414
	1415	<tr>
	1416
	1417	<th>
	1418	Department of Vetera ns Affairs
	1419	</th>
	1420
	1421	<th>
	1422	Business R ules for C onstructio n of Medic al Informa tion
	1423	</th>
	1424
	1425	</tr>
	1426
	1427	</thead>
	1428
	1429	<tbody>
	1430
	1431	<tr>
	1432
	1433	<td>
	1434	Problems/C onditions
	1435	</td>
	1436
	1437	<td>
	1438	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.
	1439	</td>
	1440
	1441	</tr>
	1442
	1443	</tbody>
	1444
	1445	</table>
	1446
	1447	<table
	1448	ID="proble mNarritive "
	1449	border="1"
	1450	width="100 %"
	1451	>
	1452
	1453	<thead>
	1454
	1455	<tr>
	1456
	1457	<th>
	1458	Problem
	1459	</th>
	1460
	1461	<th>
	1462	Status
	1463	</th>
	1464
	1465	<th>
	1466	Problem Co de
	1467	</th>
	1468
	1469	<th>
	1470	Date of On set
	1471	</th>
	1472
	1473	<th>
	1474	Provider
	1475	</th>
	1476
	1477	<th>
	1478	Source
	1479	</th>
	1480
	1481	</tr>
	1482
	1483	</thead>
	1484
	1485	<tbody>
	1486
	1487	<tr>
	1488
	1489	<td>
	1490
	1491	<content
	1492	ID="pndPro blem1001"
	1493	>
	1494	Open fract ure of upp er end of tibia AND fibula (SC T 9344009)
	1495	</content>
	1496
	1497	</td>
	1498
	1499	<td>
	1500
	1501	<content
	1502	ID="pndSta tus1001"
	1503	>
	1504	Active
	1505	</content>
	1506
	1507	</td>
	1508
	1509	<td>
	1510
	1511	<content
	1512	ID="pndPro blemCode10 01"
	1513	>
	1514	R69.
	1515	</content>
	1516
	1517	</td>
	1518
	1519	<td>
	1520
	1521	<content
	1522	ID="pndDat eOfOnset10 01"
	1523	>
	1524	20160614
	1525	</content>
	1526
	1527	</td>
	1528
	1529	<td>
	1530
	1531	<content
	1532	ID="pndPro vider1001"
	1533	>
	1534	BURROWS,MA RGO M
	1535	</content>
	1536
	1537	</td>
	1538
	1539	<td>
	1540
	1541	<content
	1542	ID="pndSou rce1001"
	1543	>
	1544	CHYSHR TES T LAB
	1545	</content>
	1546
	1547	</td>
	1548
	1549	</tr>
	1550
	1551	</tbody>
	1552
	1553	</table>
	1554
	1555	</text>
	1556
	1557	<entry
	1558	typeCode=" DRIV"
	1559	>
	1560
	1561	<act
	1562	classCode= "ACT"
	1563	moodCode=" EVN"
	1564	>
	1565
	1566	<!-- CCD P roblem Act Template -->
	1567
	1568	<templateI d
	1569	root="2.16 .840.1.113 883. IP "
	1570	/>
	1571
	1572	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	1573
	1574	<templateI d
	1575	root="2.16 .840.1.113 883.3.88.1 1.83.7"
	1576	/>
	1577
	1578	<templateI d
	1579	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	1580	/>
	1581
	1582	<templateI d
	1583	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2"
	1584	/>
	1585
	1586	<!-- CCD P roblem Act ID as nul lFlavor - ->
	1587
	1588	<id
	1589	nullFlavor ="UNK"
	1590	/>
	1591
	1592	<code
	1593	nullFlavor ="NA"
	1594	/>
	1595
	1596	<!-- HITSP V2.5 IHE Problem Co ncern Temp lates Requ ires statu sCode -->
	1597
	1598	<statusCod e
	1599	code="comp leted"
	1600	/>
	1601
	1602	<!-- 7.01 PROBLEM D ATE (cda:l ow=Date of Onset, cd a:high=Dat e Resolved ), Optiona l R2 -->
	1603
	1604	<effective Time>
	1605
	1606	<low
	1607	value="201 60614"
	1608	/>
	1609
	1610	<high
	1611	nullFlavor ="UNK"
	1612	/>
	1613
	1614	</effectiv eTime>
	1615
	1616	<!-- 7.05 TREATING P ROVIDER id link to H ealthCare Provider E ntry-->
	1617
	1618	<performer
	1619	typeCode=" PRF"
	1620	>
	1621
	1622	<assignedE ntity>
	1623
	1624	<id
	1625	extension= "provider1 001"
	1626	root="2.16 .840.1.113 883.4.349"
	1627	/>
	1628
	1629	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	1630
	1631	<addr/>
	1632
	1633	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	1634
	1635	<telecom/>
	1636
	1637	</assigned Entity>
	1638
	1639	</performe r>
	1640
	1641	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	1642
	1643	<author>
	1644
	1645	<!-- HITSP C32 V2.5: Time a s nullFlav or because VA VistA data not y et availab le -->
	1646
	1647	<time
	1648	nullFlavor ="UNK"
	1649	/>
	1650
	1651	<assignedA uthor>
	1652
	1653	<id
	1654	nullFlavor ="NI"
	1655	/>
	1656
	1657	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	1658
	1659	<addr/>
	1660
	1661	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	1662
	1663	<telecom/>
	1664
	1665	<represent edOrganiza tion>
	1666
	1667	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	1668
	1669	<id
	1670	extension= "983"
	1671	root="2.16 .840.1.113 883.4.349"
	1672	/>
	1673
	1674	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	1675
	1676	<name>
	1677	CHYSHR TES T LAB
	1678	</name>
	1679
	1680	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	1681
	1682	<telecom/>
	1683
	1684	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	1685
	1686	<addr/>
	1687
	1688	</represen tedOrganiz ation>
	1689
	1690	</assigned Author>
	1691
	1692	</author>
	1693
	1694	<entryRela tionship
	1695	inversionI nd="false"
	1696	typeCode=" SUBJ"
	1697	>
	1698
	1699	<!-- CCD P roblem obs ervation - Required -->
	1700
	1701	<observati on
	1702	classCode= "OBS"
	1703	moodCode=" EVN"
	1704	>
	1705
	1706	<!-- Probl em observa tion templ ate -->
	1707
	1708	<templateI d
	1709	root="2.16 .840.1.113 883. IP "
	1710	/>
	1711
	1712	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	1713
	1714	<templateI d
	1715	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	1716	/>
	1717
	1718	<!-- CCD P roblem Obs ID as nul lFlavor - ->
	1719
	1720	<id
	1721	nullFlavor ="UNK"
	1722	/>
	1723
	1724	<!-- 7.02 PROBLEM TY PE, R2, SN OMED CT - ->
	1725
	1726	<!-- 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 - ->
	1727
	1728	<code
	1729	codeSystem ="2.16.840 .1.113883. 6.96"
	1730	codeSystem Name="SNOM ED CT"
	1731	nullFlavor ="UNK"
	1732	>
	1733
	1734	<originalT ext>
	1735	Problem Ty pe Not Ava ilable
	1736	</original Text>
	1737
	1738	</code>
	1739
	1740	<!-- 7.03 PROBLEM NA ME, REQUIR ED -->
	1741
	1742	<text>
	1743
	1744	<reference
	1745	value="#pn dProblem10 01"
	1746	/>
	1747
	1748	</text>
	1749
	1750	<statusCod e
	1751	code="comp leted"
	1752	/>
	1753
	1754	<!-- HITSP V2.5: IH E Problem Templates Require lo w value en try -->
	1755
	1756	<effective Time>
	1757
	1758	<low
	1759	nullFlavor ="UNK"
	1760	/>
	1761
	1762	</effectiv eTime>
	1763
	1764	<!-- 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, -->
	1765
	1766	<!-- HITSP V2.5: IH E Problem Templates Require va lue entry -->
	1767
	1768	<value
	1769	xsi:type=" CD"
	1770	>
	1771
	1772	<translati on
	1773	code="R69. "
	1774	codeSystem ="2.16.840 .1.113883. 6.103"
	1775	codeSystem Name="ICD- 9-CM"
	1776	/>
	1777
	1778	</value>
	1779
	1780	<!-- 7.12 PROBLEM S TATUS entr yRelations hip block, Optional, -->
	1781
	1782	<entryRela tionship
	1783	typeCode=" REFR"
	1784	>
	1785
	1786	<observati on
	1787	classCode= "OBS"
	1788	moodCode=" EVN"
	1789	>
	1790
	1791	<!-- HITSP C32 V2.5: CCD Prob lem status observati on templat e -->
	1792
	1793	<templateI d
	1794	root="2.16 .840.1.113 883. IP "
	1795	/>
	1796
	1797	<code
	1798	code="3399 9-4"
	1799	codeSystem ="2.16.840 .1.113883. 6.1"
	1800	displayNam e="Status"
	1801	/>
	1802
	1803	<statusCod e
	1804	code="comp leted"
	1805	/>
	1806
	1807	<!-- HITS P C32 V2.5 : 7.12 PRO BLEM STATU S Optiona l, Transla ted ftom V istA value -->
	1808
	1809	<value
	1810	code="5556 1003"
	1811	codeSystem ="2.16.840 .1.113883. 6.96"
	1812	displayNam e="Active"
	1813	xsi:type=" CE"
	1814	>
	1815
	1816	<originalT ext>
	1817	ACTIVE
	1818	</original Text>
	1819
	1820	</value>
	1821
	1822	</observat ion>
	1823
	1824	</entryRel ationship>
	1825
	1826	</observat ion>
	1827
	1828	</entryRel ationship>
	1829
	1830	</act>
	1831
	1832	</entry>
	1833
	1834	</section>
	1835
	1836	</componen t>
	1837
	1838	<!--
	1839	**** ****** ****** ****** ****** ********
	1840	MEDICA TIONS (RX & Non-RX) SECTION
	1841	**** ****** ****** ****** ****** ********
	1842	-->
	1843
	1844	<component >
	1845
	1846	<!-- Compo nent 3 -->
	1847
	1848	<section>
	1849
	1850	<!-- CCD M edication Template I d-->
	1851
	1852	<templateI d
	1853	root="2.16 .840.1.113 883. IP "
	1854	/>
	1855
	1856	<!-- HITSP C32 V2.5: Medicati ons Sectio n Template -->
	1857
	1858	<templateI d
	1859	root="2.16 .840.1.113 883.3.88.1 1.83.112"
	1860	/>
	1861
	1862	<!-- HITSP C32 V2.5: IHE Medi cations Se ction Temp late -->
	1863
	1864	<templateI d
	1865	root="1.3. 6.1.4.1.19 376.1.5.3. 1.3.19"
	1866	/>
	1867
	1868	<code
	1869	code="1016 0-0"
	1870	codeSystem ="2.16.840 .1.113883. 6.1"
	1871	/>
	1872
	1873	<title>
	1874	Medication s - Prescr iption and Non-Presc ription
	1875	</title>
	1876
	1877	<!-- MEDI CATIONS NA RRATIVE BL OCK, REQUI RED -->
	1878
	1879	<text>
	1880
	1881	<!-- VLER SEG 1B: Me dication B usiness Ru les for Me dical Cont ent -->
	1882
	1883	<table
	1884	border="1"
	1885	width="100 %"
	1886	>
	1887
	1888	<thead>
	1889
	1890	<tr>
	1891
	1892	<th>
	1893	Department of Vetera ns Affairs
	1894	</th>
	1895
	1896	<th>
	1897	Business R ules for C onstructio n of Medic al Informa tion
	1898	</th>
	1899
	1900	</tr>
	1901
	1902	</thead>
	1903
	1904	<tbody>
	1905
	1906	<tr>
	1907
	1908	<td>
	1909	Medication s
	1910	</td>
	1911
	1912	<td>
	1913	This secti on contain s patient medication s (outpati ent and se lf-reporte d) informa tion from all VA tre atment fac ilities fo r which th e dispense date was within the last 15 m onths. Onl y medicati ons that h ave an act ive or non -active pr escription status ar e listed.
	1914	</td>
	1915
	1916	</tr>
	1917
	1918	</tbody>
	1919
	1920	</table>
	1921
	1922	<table
	1923	ID="medica tionNarrit ive"
	1924	border="1"
	1925	width="100 %"
	1926	>
	1927
	1928	<thead>
	1929
	1930	<tr>
	1931
	1932	<th>
	1933	Medication
	1934	</th>
	1935
	1936	<th>
	1937	Status
	1938	</th>
	1939
	1940	<th>
	1941	Quantity
	1942	</th>
	1943
	1944	<th>
	1945	Order Expi ration
	1946	</th>
	1947
	1948	<th>
	1949	Provider
	1950	</th>
	1951
	1952	<th>
	1953	Prescripti on
	1954	</th>
	1955
	1956	<th>
	1957	Dispense D ate
	1958	</th>
	1959
	1960	<th>
	1961	Sig
	1962	</th>
	1963
	1964	<th>
	1965	Source
	1966	</th>
	1967
	1968	</tr>
	1969
	1970	</thead>
	1971
	1972	<tbody>
	1973
	1974	<tr>
	1975
	1976	<td>
	1977
	1978	<content
	1979	ID="mndMed ication100 1"
	1980	>
	1981	HYDROCODON E/ACETAMIN OPHEN TAB
	1982	</content>
	1983
	1984	</td>
	1985
	1986	<td>
	1987
	1988	<content
	1989	ID="mndSta tus1001"
	1990	>
	1991	Active
	1992	</content>
	1993
	1994	</td>
	1995
	1996	<td>
	1997
	1998	<content
	1999	ID="mndQua ntity1001"
	2000	/>
	2001
	2002	</td>
	2003
	2004	<td>
	2005
	2006	<content
	2007	ID="mndOrd erExpirati on1001"
	2008	/>
	2009
	2010	</td>
	2011
	2012	<td>
	2013
	2014	<content
	2015	ID="mndPro vider1001"
	2016	>
	2017	BURROWS,MA RGO M
	2018	</content>
	2019
	2020	</td>
	2021
	2022	<td>
	2023
	2024	<content
	2025	ID="mndPre scription1 001"
	2026	/>
	2027
	2028	</td>
	2029
	2030	<td>
	2031
	2032	<content
	2033	ID="mndDis penseDate1 001"
	2034	/>
	2035
	2036	</td>
	2037
	2038	<td>
	2039
	2040	<content
	2041	ID="mndSig 1001"
	2042	>
	2043	TAKE BY M OUTH EVERY 21 DAYS
	2044	</content>
	2045
	2046	</td>
	2047
	2048	<td>
	2049
	2050	<content
	2051	ID="mndSou rce1001"
	2052	>
	2053	CHEYENNE V AMC
	2054	</content>
	2055
	2056	</td>
	2057
	2058	</tr>
	2059
	2060	</tbody>
	2061
	2062	</table>
	2063
	2064	</text>
	2065
	2066	<entry
	2067	typeCode=" DRIV"
	2068	>
	2069
	2070	<substance Administra tion
	2071	classCode= "SBADM"
	2072	moodCode=" EVN"
	2073	>
	2074
	2075	<!-- CCD M edication Act Templa te Id -->
	2076
	2077	<templateI d
	2078	root="2.16 .840.1.113 883. IP "
	2079	/>
	2080
	2081	<!-- HITSP V2.5: Te mplates fo r Medicati ons Module /Entry -->
	2082
	2083	<templateI d
	2084	root="2.16 .840.1.113 883.3.88.1 1.83.8"
	2085	/>
	2086
	2087	<templateI d
	2088	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7"
	2089	/>
	2090
	2091	<templateI d
	2092	assigningA uthorityNa me="IHE PC C"
	2093	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1"
	2094	/>
	2095
	2096	<!-- CCD M edication Act ID as nullflavor -->
	2097
	2098	<id
	2099	nullFlavor ="UNK"
	2100	/>
	2101
	2102	<!-- 8.0 1 FREE TEX T SIG REFE RENCE, Opt ional -->
	2103
	2104	<id
	2105	assigningA uthorityNa me="Depart ment of Ve terans Aff airs"
	2106	extension= "nullFlavo r"
	2107	root="2.16 .840.1.113 883.4.349"
	2108	/>
	2109
	2110	<text>
	2111
	2112	<reference
	2113	value="#mn dSig1001"
	2114	/>
	2115
	2116	</text>
	2117
	2118	<statusCod e
	2119	code="comp leted"
	2120	/>
	2121
	2122	<!-- 8.02 INDICATE M EDICATION STOPPPED, Optional, Removed b/ c data not yet avail able via V A VistA RP Cs -->
	2123
	2124	<!-- 8.03 ADMINISTRA TION TIMIN G, Optiona l, Removed b/c data not yet av ailable vi a VA VistA RPCs -->
	2125
	2126	<!-- 8.04 FREQUENCY, Optional, Removed b /c data no t yet avai lable via VA VistA R PCs -->
	2127
	2128	<!-- 8.05 INTERVAL, Optional,R emoved b/c data not yet availa ble via VA VistA RPC s -->
	2129
	2130	<!-- 8.06 DURATION, Optional, Removed b/ c data not yet avail able via V A VistA RP Cs -->
	2131
	2132	<!-- 8.07 ROUTE, Opt ional, Rem oved b/c d ata not ye t availabl e via VA V istA RPCs -->
	2133
	2134	<!-- 8.08 DOSE, Opti onal, Remo ved b/c da ta not yet available via VA Vi stA RPCs - ->
	2135
	2136	<consumabl e>
	2137
	2138	<manufactu redProduct >
	2139
	2140	<templateI d
	2141	root="2.16 .840.1.113 883. IP "
	2142	/>
	2143
	2144	<!-- HITSP C32 V2.5: C83 Medi cation Tem plates -->
	2145
	2146	<templateI d
	2147	root="2.16 .840.1.113 883.3.88.1 1.83.8.2"
	2148	/>
	2149
	2150	<templateI d
	2151	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2"
	2152	/>
	2153
	2154	<!-- Adde d medicati ons templa te -->
	2155
	2156	<templateI d
	2157	root="2.16 .840.1.113 883.3.88.1 1.32.9"
	2158	/>
	2159
	2160	<!-- HITSP C32 V2.5: C83 Manu factured M aterial At tributes - ->
	2161
	2162	<manufactu redMateria l
	2163	classCode= "MMAT"
	2164	determiner Code="KIND "
	2165	>
	2166
	2167	<!-- 8.13 CODED PRO DUCT NAME, Optional- R2, UNII, RXNorm, ND F-RT, NDC Removed b/ c data not yet avail able via V A VistA RP Cs -->
	2168
	2169	<!-- 8.14 CODED BRAN D NAME, Op tional-R2, UNII, RXN orm, NDF-R T, NDC, Re moved b/c data not y et availab le via VA VistA RPCs -->
	2170
	2171	<!-- 8.15 FREE TEXT PRODUCT NA ME, REQUIR ED -->
	2172
	2173	<code
	2174	code="UNK"
	2175	nullFlavor ="UNK"
	2176	>
	2177
	2178	<originalT ext>
	2179
	2180	<reference
	2181	value="#mn dMedicatio n1001"
	2182	/>
	2183
	2184	</original Text>
	2185
	2186	</code>
	2187
	2188	<!-- 8.16 FREE TEXT BRAND NAME , Optional R2, Remov ed b/c dat a not yet available via VA Vis tA RPCs -- >
	2189
	2190	</manufact uredMateri al>
	2191
	2192	</manufact uredProduc t>
	2193
	2194	</consumab le>
	2195
	2196	<!-- INFOR MATION SOU RCE FOR ME DICATIONS, Optional -->
	2197
	2198	<author>
	2199
	2200	<time
	2201	nullFlavor ="UNK"
	2202	/>
	2203
	2204	<assignedA uthor>
	2205
	2206	<id
	2207	nullFlavor ="NI"
	2208	/>
	2209
	2210	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	2211
	2212	<addr/>
	2213
	2214	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	2215
	2216	<telecom/>
	2217
	2218	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	2219
	2220	<assignedP erson>
	2221
	2222	<name/>
	2223
	2224	</assigned Person>
	2225
	2226	<represent edOrganiza tion>
	2227
	2228	<!-- INFOR MATION SOU RCE FACILI TY OID (ID = VA OID, EXT = TRE ATING FACI LITY NBR) -->
	2229
	2230	<id
	2231	extension= "442"
	2232	root="2.16 .840.1.113 883.4.349"
	2233	/>
	2234
	2235	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	2236
	2237	<name>
	2238	CHEYENNE V AMC
	2239	</name>
	2240
	2241	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	2242
	2243	<telecom/>
	2244
	2245	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	2246
	2247	<addr/>
	2248
	2249	</represen tedOrganiz ation>
	2250
	2251	</assigned Author>
	2252
	2253	</author>
	2254
	2255	<entryRela tionship
	2256	typeCode=" SUBJ"
	2257	>
	2258
	2259	<observati on
	2260	classCode= "OBS"
	2261	moodCode=" EVN"
	2262	>
	2263
	2264	<templateI d
	2265	root="2.16 .840.1.113 883.3.88.1 1.83.8.1"
	2266	/>
	2267
	2268	<!-- VLER SEG 1B: 8 .19-TYPE O F MEDICATI ON, Option al-R2, SNO MED CT -->
	2269
	2270	<code
	2271	code="3295 05003"
	2272	codeSystem ="2.16.840 .1.113883. 6.96"
	2273	codeSystem Name="SNOM ED CT"
	2274	displayNam e="Over th e counter products"
	2275	>
	2276
	2277	<originalT ext>
	2278	OTC
	2279	</original Text>
	2280
	2281	</code>
	2282
	2283	<statusCod e
	2284	code="comp leted"
	2285	/>
	2286
	2287	</observat ion>
	2288
	2289	</entryRel ationship>
	2290
	2291	<entryRela tionship
	2292	typeCode=" REFR"
	2293	>
	2294
	2295	<observati on
	2296	classCode= "OBS"
	2297	moodCode=" EVN"
	2298	>
	2299
	2300	<templateI d
	2301	root="2.16 .840.1.113 883. IP "
	2302	/>
	2303
	2304	<code
	2305	code="3399 9-4"
	2306	codeSystem ="2.16.840 .1.113883. 6.1"
	2307	codeSystem Name="LOIN C"
	2308	/>
	2309
	2310	<statusCod e
	2311	code="comp leted"
	2312	/>
	2313
	2314	<!-- VLER SEG 1B: 8. 20 STATUS OF MEDICAT ION, Optio nal-R2, SN OMED CT -- >
	2315
	2316	<!-- 8.20 STATUS OF MEDICATIO N as origi nalText b/ c SNOMED C T translat ion not ye t availabl e -->
	2317
	2318	<value
	2319	code="5556 1003"
	2320	codeSystem ="2.16.840 .1.113883. 6.96"
	2321	codeSystem Name="SNOM ED CT"
	2322	displayNam e="Active"
	2323	xsi:type=" CE"
	2324	>
	2325
	2326	<originalT ext>
	2327	ACTIVE
	2328	</original Text>
	2329
	2330	</value>
	2331
	2332	</observat ion>
	2333
	2334	</entryRel ationship>
	2335
	2336	<!-- 8.22 PATIENT IN STRUCTIONS , Optional , Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	2337
	2338	<!-- ORDER INFORMATI ON -->
	2339
	2340	<entryRela tionship
	2341	typeCode=" REFR"
	2342	>
	2343
	2344	<supply
	2345	classCode= "SPLY"
	2346	moodCode=" INT"
	2347	>
	2348
	2349	<templateI d
	2350	root="2.16 .840.1.113 883. IP "
	2351	/>
	2352
	2353	<templateI d
	2354	root="2.16 .840.1.113 883.3.88.1 1.83.8.3"
	2355	/>
	2356
	2357	<templateI d
	2358	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.3"
	2359	/>
	2360
	2361	<!-- VLER SEG 1B: 8 .26 ORDER NUMBER, Op tional-R2 -->
	2362
	2363	<id
	2364	extension= "2676152"
	2365	root="2.16 .840.1.113 883.4.349"
	2366	/>
	2367
	2368	<!-- 8.29 ORDER EXPI RATION DAT E/TIME, Op tional-R2 -->
	2369
	2370	<effective Time
	2371	nullFlavor ="UNK"
	2372	/>
	2373
	2374	<!-- VLER SEG 1B: 8 .27 FILLS, Optional -->
	2375
	2376	<repeatNum ber
	2377	nullFlavor ="UNK"
	2378	/>
	2379
	2380	<!-- VLER SEG 8.28 Q uantity Or dered omit ted until unit of me asure avai lable in V istA -->
	2381
	2382	<!-- 8.31 ORDERING PROVIDER a s author/a ssignedAut hor-->
	2383
	2384	<author>
	2385
	2386	<!-- VLER SEG 1B: 8.30 ORDER DATE/TIME , Optional -R2 -->
	2387
	2388	<time
	2389	value="201 606141557"
	2390	/>
	2391
	2392	<assignedA uthor>
	2393
	2394	<id
	2395	nullFlavor ="UNK"
	2396	/>
	2397
	2398	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	2399
	2400	<addr/>
	2401
	2402	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	2403
	2404	<telecom/>
	2405
	2406	<assignedP erson>
	2407
	2408	<!-- 8.31 ORDERING PROVIDER, Optional - ->
	2409
	2410	<name>
	2411	BURROWS,MA RGO M
	2412	</name>
	2413
	2414	</assigned Person>
	2415
	2416	</assigned Author>
	2417
	2418	</author>
	2419
	2420	</supply>
	2421
	2422	</entryRel ationship>
	2423
	2424	<!-- FULFI LLMENT HIS TORY INFOR MATION -->
	2425
	2426
	2427	</substanc eAdministr ation>
	2428
	2429	</entry>
	2430
	2431	</section>
	2432
	2433	</componen t>
	2434
	2435	<!--
	2436	**** ****** ****** ****** ****** ********
	2437	VLER S EG 1B: VI TAL SIGNS SECTION
	2438	**** ****** ****** ****** ****** ********
	2439	-->
	2440
	2441
	2442	<!--
	2443	**** ****** ****** ****** ****** ********
	2444	VLER S EG 1B: LA B RESULTS SECTION (C hemistry/H ematology)
	2445	**** ****** ****** ****** ****** ********
	2446	-->
	2447
	2448
	2449	<!--
	2450	****** ****** ****** ****** ****** ******
	2451	VLER SEG MENT 1B: IMMUNIZATI ON SECTION
	2452	****** ****** ****** ****** ****** ******
	2453	-->
	2454
	2455
	2456	<!--
	2457	**** ****** ****** ****** ****** ********
	2458	NHIN_C R_101, CR1 00
	2459	VLER S egment 1Bi i: ENCOUN TER SECTIO N
	2460	** ****** ****** ****** ****** ******
	2461	-->
	2462
	2463	<component >
	2464
	2465	<!-- Compo nent 7 -->
	2466
	2467	<section>
	2468
	2469	<!--CCD En counters S ection Con formance I dentifier- ->
	2470
	2471	<templateI d
	2472	root="2.16 .840.1.113 883. IP "
	2473	/>
	2474
	2475	<!--C83 En counters S ection Con formance I dentifier- ->
	2476
	2477	<templateI d
	2478	root="2.16 .840.1.113 883.3.88.1 1.83.127"
	2479	/>
	2480
	2481	<!--IHE En counters H istory Sec tion Confo rmance Ide ntifier-->
	2482
	2483	<templateI d
	2484	root="1.3. 6.1.4.1.19 376.1.5.3. 1.1.5.3.3"
	2485	/>
	2486
	2487	<code
	2488	code="4624 0-8"
	2489	codeSystem ="2.16.840 .1.113883. 6.1"
	2490	codeSystem Name="LOIN C"
	2491	displayNam e="History of Encoun ters"
	2492	/>
	2493
	2494	<title>
	2495	History of Encounter s
	2496	</title>
	2497
	2498	<!-- ENCO UNTER NARR ATIVE BLOC K -->
	2499
	2500	<text>
	2501
	2502	<!-- VLER SEG 1B: En counter Bu siness Rul es for Med ical Conte nt -->
	2503
	2504	<table
	2505	border="1"
	2506	width="100 %"
	2507	>
	2508
	2509	<thead>
	2510
	2511	<tr>
	2512
	2513	<th>
	2514	Department of Vetera ns Affairs
	2515	</th>
	2516
	2517	<th>
	2518	Business R ules for C onstructio n of Encou nter Infor mation
	2519	</th>
	2520
	2521	</tr>
	2522
	2523	</thead>
	2524
	2525	<tbody>
	2526
	2527	<tr>
	2528
	2529	<td>
	2530	Encounters
	2531	</td>
	2532
	2533	<td>
	2534	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.
	2535	</td>
	2536
	2537	</tr>
	2538
	2539	</tbody>
	2540
	2541	</table>
	2542
	2543	<table
	2544	ID="encoun terNarriti ve"
	2545	border="1"
	2546	width="100 %"
	2547	>
	2548
	2549	<thead>
	2550
	2551	<tr>
	2552
	2553	<th>
	2554	Date Time
	2555	</th>
	2556
	2557	<th>
	2558	Encounter Type
	2559	</th>
	2560
	2561	<th>
	2562	Encounter Descriptio n
	2563	</th>
	2564
	2565	<th>
	2566	Reason
	2567	</th>
	2568
	2569	<th>
	2570	Arrival
	2571	</th>
	2572
	2573	<th>
	2574	Departure
	2575	</th>
	2576
	2577	<th>
	2578	Provider
	2579	</th>
	2580
	2581	<th>
	2582	Source
	2583	</th>
	2584
	2585	</tr>
	2586
	2587	</thead>
	2588
	2589	<tbody>
	2590
	2591	<tr>
	2592
	2593	<td>
	2594
	2595	<content
	2596	ID="endDat eTime1001"
	2597	>
	2598	2016061416 2724
	2599	</content>
	2600
	2601	</td>
	2602
	2603	<td>
	2604
	2605	<content
	2606	ID="endEnc ounterType 1001"
	2607	/>
	2608
	2609	</td>
	2610
	2611	<td>
	2612
	2613	<content
	2614	ID="endEnc ounterDesc ription100 1"
	2615	>
	2616	COMP WOMEN 'S HLTH
	2617	</content>
	2618
	2619	</td>
	2620
	2621	<td>
	2622
	2623	<content
	2624	ID="endRea son1001"
	2625	/>
	2626
	2627	</td>
	2628
	2629	<td>
	2630
	2631	<content
	2632	ID="endArr ival1001"
	2633	/>
	2634
	2635	</td>
	2636
	2637	<td>
	2638
	2639	<content
	2640	ID="endDep ature1001"
	2641	/>
	2642
	2643	</td>
	2644
	2645	<td>
	2646
	2647	<content
	2648	ID="endPro vider1001"
	2649	>
	2650	BURROWS,MA RGO M
	2651	</content>
	2652
	2653	</td>
	2654
	2655	<td>
	2656
	2657	<content
	2658	ID="endSou rce1001"
	2659	>
	2660	CHEYENNE V AMC
	2661	</content>
	2662
	2663	</td>
	2664
	2665	</tr>
	2666	<tr>
	2667
	2668	<td>
	2669
	2670	<content
	2671	ID="endDat eTime1002"
	2672	>
	2673	2016061415 5113
	2674	</content>
	2675
	2676	</td>
	2677
	2678	<td>
	2679
	2680	<content
	2681	ID="endEnc ounterType 1002"
	2682	/>
	2683
	2684	</td>
	2685
	2686	<td>
	2687
	2688	<content
	2689	ID="endEnc ounterDesc ription100 2"
	2690	>
	2691	COMP WOMEN 'S HLTH
	2692	</content>
	2693
	2694	</td>
	2695
	2696	<td>
	2697
	2698	<content
	2699	ID="endRea son1002"
	2700	/>
	2701
	2702	</td>
	2703
	2704	<td>
	2705
	2706	<content
	2707	ID="endArr ival1002"
	2708	/>
	2709
	2710	</td>
	2711
	2712	<td>
	2713
	2714	<content
	2715	ID="endDep ature1002"
	2716	/>
	2717
	2718	</td>
	2719
	2720	<td>
	2721
	2722	<content
	2723	ID="endPro vider1002"
	2724	>
	2725	BURROWS,MA RGO M
	2726	</content>
	2727
	2728	</td>
	2729
	2730	<td>
	2731
	2732	<content
	2733	ID="endSou rce1002"
	2734	>
	2735	CHEYENNE V AMC
	2736	</content>
	2737
	2738	</td>
	2739
	2740	</tr>
	2741
	2742	</tbody>
	2743
	2744	</table>
	2745
	2746	<!-- CDA Observatio n Text as a Referenc e tag -->
	2747
	2748	<content
	2749	ID="encNot e-1"
	2750	revised="d elete"
	2751	>
	2752	IHE Encoun ter Templa te Text no t used by VA
	2753	</content>
	2754
	2755	</text>
	2756
	2757	<entry>
	2758
	2759	<!-- Entry block rep eats for e ach Encoun ter -->
	2760
	2761	<encounter
	2762	classCode= "ENC"
	2763	moodCode=" EVN"
	2764	>
	2765
	2766	<!--CCD En counter Ac tivity-->
	2767
	2768	<templateI d
	2769	root="2.16 .840.1.113 883. IP "
	2770	/>
	2771
	2772	<!--C83 En counter En try-->
	2773
	2774	<templateI d
	2775	root="2.16 .840.1.113 883.3.88.1 1.83.16"
	2776	/>
	2777
	2778	<!--IHE En counter En try-->
	2779
	2780	<templateI d
	2781	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.14"
	2782	/>
	2783
	2784	<!--16.01 - ENCOUNTE R ID, REQ UIRED -->
	2785
	2786	<id
	2787	nullFlavor ="UNK"
	2788	/>
	2789
	2790	<!-- <id root="2.16 .840.1.113 883.4.349" extension ="enc1234" />-->
	2791
	2792	<!--16.02 - ENCOUNTE R TYPE, R2 -Optional, VA Provi des CPT -- >
	2793
	2794	<!--16.02 - When CPT code not present, t hen code n ullFlavor= "UNK" -->
	2795
	2796	<code
	2797	nullFlavor ="UNK"
	2798	>
	2799
	2800	<!--16.03 - ENCOUNTE R FREE TEX T TYPE, RE QUIRED-->
	2801
	2802	<originalT ext>
	2803
	2804	<reference
	2805	value="#en dEncounter Descriptio n1001"
	2806	/>
	2807
	2808	</original Text>
	2809
	2810	</code>
	2811
	2812	<!-- Requi red per IH E Template , not use by VA -->
	2813
	2814	<text>
	2815
	2816	<reference
	2817	value="#en cNote-1"
	2818	/>
	2819
	2820	</text>
	2821
	2822	<!--16.04 - ENCOUNTE R DATE / T IME, REQUI RED-->
	2823
	2824	<effective Time>
	2825
	2826	<low
	2827	value="201 6061416272 4"
	2828	/>
	2829
	2830	</effectiv eTime>
	2831
	2832	<!--16.07 - ADMISSIO N TYPE, Op tional, V A VistA Da ta not yet available -->
	2833
	2834	<priorityC ode
	2835	nullFlavor ="UNK"
	2836	/>
	2837
	2838	<!--16.05 - ENCOUNTE R PROVIDER , R2-Optio nal -->
	2839
	2840	<performer
	2841	typeCode=" PRF"
	2842	>
	2843
	2844	<!-- Provi der Templa te Id -->
	2845
	2846	<templateI d
	2847	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	2848	/>
	2849
	2850	<time>
	2851
	2852	<high
	2853	nullFlavor ="UNK"
	2854	/>
	2855
	2856	</time>
	2857
	2858	<assignedE ntity>
	2859
	2860	<!-- Provi der ID nul lFlavor="U NK" b/c VA VistA dat a not yet available -->
	2861
	2862	<id
	2863	nullFlavor ="UNK"
	2864	/>
	2865
	2866	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	2867
	2868	<addr/>
	2869
	2870	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	2871
	2872	<telecom/>
	2873
	2874	<assignedP erson>
	2875
	2876	<name>
	2877	BURROWS,MA RGO M
	2878	</name>
	2879
	2880	</assigned Person>
	2881
	2882	</assigned Entity>
	2883
	2884	</performe r>
	2885
	2886	<!-- INFOR MATION SOU RCE FOR EN COUNTER, O ptional -- >
	2887
	2888	<author>
	2889
	2890	<!-- ADD TIME TO IN FORMATION SOURCE FOR ENCOUNTER -->
	2891
	2892	<time
	2893	nullFlavor ="UNK"
	2894	/>
	2895
	2896	<assignedA uthor>
	2897
	2898	<id
	2899	nullFlavor ="NI"
	2900	/>
	2901
	2902	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	2903
	2904	<addr/>
	2905
	2906	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	2907
	2908	<telecom/>
	2909
	2910	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	2911
	2912	<assignedP erson>
	2913
	2914	<name/>
	2915
	2916	</assigned Person>
	2917
	2918	<represent edOrganiza tion>
	2919
	2920	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	2921
	2922	<id
	2923	extension= "442"
	2924	root="2.16 .840.1.113 883.4.349"
	2925	/>
	2926
	2927	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	2928
	2929	<name>
	2930	CHEYENNE V AMC
	2931	</name>
	2932
	2933	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	2934
	2935	<telecom/>
	2936
	2937	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	2938
	2939	<addr/>
	2940
	2941	</represen tedOrganiz ation>
	2942
	2943	</assigned Author>
	2944
	2945	</author>
	2946
	2947	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA Vist A -->
	2948
	2949	<!--16.11 - FACILITY LOCATION, Optional -->
	2950
	2951	<participa nt
	2952	typeCode=" LOC"
	2953	>
	2954
	2955	<templateI d
	2956	root="2.16 .840.1.113 883. IP "
	2957	/>
	2958
	2959	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	2960
	2961	<time>
	2962
	2963	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	2964
	2965	<low
	2966	nullFlavor ="UNK"
	2967	/>
	2968
	2969	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	2970
	2971	<high
	2972	nullFlavor ="UNK"
	2973	/>
	2974
	2975	</time>
	2976
	2977	<participa ntRole
	2978	classCode= "SDLOC"
	2979	>
	2980
	2981	<playingEn tity
	2982	classCode= "PLC"
	2983	/>
	2984
	2985	</particip antRole>
	2986
	2987	</particip ant>
	2988
	2989	<entryRela tionship
	2990	typeCode=" RSON"
	2991	>
	2992
	2993	<observati on
	2994	classCode= "OBS"
	2995	moodCode=" EVN"
	2996	>
	2997
	2998	<templateI d
	2999	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	3000	/>
	3001
	3002	<templateI d
	3003	root="2.16 .840.1.113 883. IP "
	3004	/>
	3005
	3006	<id
	3007	nullFlavor ="UNK"
	3008	/>
	3009
	3010	<code
	3011	nullFlavor ="UNK"
	3012	/>
	3013
	3014	<!--16.13 - REASON F OR VISIT, Optional - ->
	3015
	3016	<text>
	3017
	3018	<reference
	3019	value="#en dReason100 1"
	3020	/>
	3021
	3022	</text>
	3023
	3024	<statusCod e
	3025	code="comp leted"
	3026	/>
	3027
	3028	<effective Time>
	3029
	3030	<low
	3031	nullFlavor ="UNK"
	3032	/>
	3033
	3034	</effectiv eTime>
	3035
	3036	<value
	3037	xsi:type=" CD"
	3038	/>
	3039
	3040	</observat ion>
	3041
	3042	</entryRel ationship>
	3043
	3044	</encounte r>
	3045
	3046	</entry>
	3047	<entry>
	3048
	3049	<!-- Entry block rep eats for e ach Encoun ter -->
	3050
	3051	<encounter
	3052	classCode= "ENC"
	3053	moodCode=" EVN"
	3054	>
	3055
	3056	<!--CCD En counter Ac tivity-->
	3057
	3058	<templateI d
	3059	root="2.16 .840.1.113 883. IP "
	3060	/>
	3061
	3062	<!--C83 En counter En try-->
	3063
	3064	<templateI d
	3065	root="2.16 .840.1.113 883.3.88.1 1.83.16"
	3066	/>
	3067
	3068	<!--IHE En counter En try-->
	3069
	3070	<templateI d
	3071	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.14"
	3072	/>
	3073
	3074	<!--16.01 - ENCOUNTE R ID, REQ UIRED -->
	3075
	3076	<id
	3077	nullFlavor ="UNK"
	3078	/>
	3079
	3080	<!-- <id root="2.16 .840.1.113 883.4.349" extension ="enc1234" />-->
	3081
	3082	<!--16.02 - ENCOUNTE R TYPE, R2 -Optional, VA Provi des CPT -- >
	3083
	3084	<!--16.02 - When CPT code not present, t hen code n ullFlavor= "UNK" -->
	3085
	3086	<code
	3087	nullFlavor ="UNK"
	3088	>
	3089
	3090	<!--16.03 - ENCOUNTE R FREE TEX T TYPE, RE QUIRED-->
	3091
	3092	<originalT ext>
	3093
	3094	<reference
	3095	value="#en dEncounter Descriptio n1002"
	3096	/>
	3097
	3098	</original Text>
	3099
	3100	</code>
	3101
	3102	<!-- Requi red per IH E Template , not use by VA -->
	3103
	3104	<text>
	3105
	3106	<reference
	3107	value="#en cNote-1"
	3108	/>
	3109
	3110	</text>
	3111
	3112	<!--16.04 - ENCOUNTE R DATE / T IME, REQUI RED-->
	3113
	3114	<effective Time>
	3115
	3116	<low
	3117	value="201 6061415511 3"
	3118	/>
	3119
	3120	</effectiv eTime>
	3121
	3122	<!--16.07 - ADMISSIO N TYPE, Op tional, V A VistA Da ta not yet available -->
	3123
	3124	<priorityC ode
	3125	nullFlavor ="UNK"
	3126	/>
	3127
	3128	<!--16.05 - ENCOUNTE R PROVIDER , R2-Optio nal -->
	3129
	3130	<performer
	3131	typeCode=" PRF"
	3132	>
	3133
	3134	<!-- Provi der Templa te Id -->
	3135
	3136	<templateI d
	3137	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	3138	/>
	3139
	3140	<time>
	3141
	3142	<high
	3143	nullFlavor ="UNK"
	3144	/>
	3145
	3146	</time>
	3147
	3148	<assignedE ntity>
	3149
	3150	<!-- Provi der ID nul lFlavor="U NK" b/c VA VistA dat a not yet available -->
	3151
	3152	<id
	3153	nullFlavor ="UNK"
	3154	/>
	3155
	3156	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	3157
	3158	<addr/>
	3159
	3160	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	3161
	3162	<telecom/>
	3163
	3164	<assignedP erson>
	3165
	3166	<name>
	3167	BURROWS,MA RGO M
	3168	</name>
	3169
	3170	</assigned Person>
	3171
	3172	</assigned Entity>
	3173
	3174	</performe r>
	3175
	3176	<!-- INFOR MATION SOU RCE FOR EN COUNTER, O ptional -- >
	3177
	3178	<author>
	3179
	3180	<!-- ADD TIME TO IN FORMATION SOURCE FOR ENCOUNTER -->
	3181
	3182	<time
	3183	nullFlavor ="UNK"
	3184	/>
	3185
	3186	<assignedA uthor>
	3187
	3188	<id
	3189	nullFlavor ="NI"
	3190	/>
	3191
	3192	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	3193
	3194	<addr/>
	3195
	3196	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	3197
	3198	<telecom/>
	3199
	3200	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	3201
	3202	<assignedP erson>
	3203
	3204	<name/>
	3205
	3206	</assigned Person>
	3207
	3208	<represent edOrganiza tion>
	3209
	3210	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	3211
	3212	<id
	3213	extension= "442"
	3214	root="2.16 .840.1.113 883.4.349"
	3215	/>
	3216
	3217	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	3218
	3219	<name>
	3220	CHEYENNE V AMC
	3221	</name>
	3222
	3223	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	3224
	3225	<telecom/>
	3226
	3227	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	3228
	3229	<addr/>
	3230
	3231	</represen tedOrganiz ation>
	3232
	3233	</assigned Author>
	3234
	3235	</author>
	3236
	3237	<!--16.06 - ADMISSIO N SOURCE, Optional, Not Yet Av ailable fr om VA Vist A -->
	3238
	3239	<!--16.11 - FACILITY LOCATION, Optional -->
	3240
	3241	<participa nt
	3242	typeCode=" LOC"
	3243	>
	3244
	3245	<templateI d
	3246	root="2.16 .840.1.113 883. IP "
	3247	/>
	3248
	3249	<!--16.20 - IN FACIL ITY LOCATI ON DURATIO N, Optiona l -->
	3250
	3251	<time>
	3252
	3253	<!--16.12 - ARRIVAL DATE/TIME, Optional -->
	3254
	3255	<low
	3256	nullFlavor ="UNK"
	3257	/>
	3258
	3259	<!-- 16.12 - DEPARTU RE DATE/TI ME, Option al -->
	3260
	3261	<high
	3262	nullFlavor ="UNK"
	3263	/>
	3264
	3265	</time>
	3266
	3267	<participa ntRole
	3268	classCode= "SDLOC"
	3269	>
	3270
	3271	<playingEn tity
	3272	classCode= "PLC"
	3273	/>
	3274
	3275	</particip antRole>
	3276
	3277	</particip ant>
	3278
	3279	<entryRela tionship
	3280	typeCode=" RSON"
	3281	>
	3282
	3283	<observati on
	3284	classCode= "OBS"
	3285	moodCode=" EVN"
	3286	>
	3287
	3288	<templateI d
	3289	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	3290	/>
	3291
	3292	<templateI d
	3293	root="2.16 .840.1.113 883. IP "
	3294	/>
	3295
	3296	<id
	3297	nullFlavor ="UNK"
	3298	/>
	3299
	3300	<code
	3301	nullFlavor ="UNK"
	3302	/>
	3303
	3304	<!--16.13 - REASON F OR VISIT, Optional - ->
	3305
	3306	<text>
	3307
	3308	<reference
	3309	value="#en dReason100 2"
	3310	/>
	3311
	3312	</text>
	3313
	3314	<statusCod e
	3315	code="comp leted"
	3316	/>
	3317
	3318	<effective Time>
	3319
	3320	<low
	3321	nullFlavor ="UNK"
	3322	/>
	3323
	3324	</effectiv eTime>
	3325
	3326	<value
	3327	xsi:type=" CD"
	3328	/>
	3329
	3330	</observat ion>
	3331
	3332	</entryRel ationship>
	3333
	3334	</encounte r>
	3335
	3336	</entry>
	3337
	3338	</section>
	3339
	3340	</componen t>
	3341
	3342	<!--
	3343	**** ****** ****** ****** ****** ********
	3344	NHIN_C R95, CR94
	3345	VLER S egment 1Bi i: PROCED URE SECTIO N
	3346	**** ****** ****** ****** ****** ********
	3347	-->
	3348
	3349
	3350	</structur edBody>
	3351
	3352	</componen t>
	3353	</Clinical Document>