810. EPMO Open Source Coordination Office Redaction File Detail Report

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810.1 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	374111_C32_20161201.xml	Thu Jan 12 19:48:08 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	374111_C32_20161201.xml	Wed Apr 5 15:38:18 2017 UTC

810.2 Comparison summary

Description	Between Files 1 and 2
Description	Text Blocks	Lines
Unchanged	55	11146
Changed	54	108
Inserted	0	0
Removed	0	0

810.3 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

810.4 Active regular expressions

No regular expressions were active.

810.5 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= "2.25.6648 8363905345 4715156169 1374411261 5856"
	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 6120115043 3-0600"
	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= "101258103 0V664492"
	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	1234 Howar d St.
	133	</streetAd dressLine>
	134
	135	<city>
	136	LA JOLLA
	137	</city>
	138
	139	<state>
	140	CA
	141	</state>
	142
	143	<postalCod e>
	144	92038
	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 :+1-760-33 3-4444"
	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	CHDRTWO
	167	</given>
	168
	169	<family>
	170	CHDRZZZTES TPATIENT
	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="F"
	202	codeSystem ="2.16.840 .1.113883. 5.1"
	203	codeSystem Name="Admi nistrative GenderCode "
	204	displayNam e="Female"
	205	>
	206
	207	<originalT ext>
	208	FEMALE
	209	</original Text>
	210
	211	</administ rativeGend erCode>
	212
	213	<!-- 1.07 PERSON DAT E OF BIRTH , REQUIRED -->
	214
	215	<birthTime
	216	value="196 10303"
	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="S"
	225	codeSystem ="2.16.840 .1.113883. 5.2"
	226	codeSystem Name="Mari talStatusC ode"
	227	displayNam e="Never M arried"
	228	>
	229
	230	<originalT ext>
	231	NEVER MARR IED
	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 6120115043 3-0600"
	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 6120115043 3-0600"
	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
	537	<!--
	538	****** ****** ****** ****** ****** **
	539	CC D CDA R2 D OCUMENTATI ON OF MODU LE - QUERY META DATA , Optional
	540	****** ****** ****** ****** ****** **
	541	-- >
	542
	543	<documenta tionOf>
	544
	545	<serviceEv ent
	546	classCode= "PCPR"
	547	>
	548
	549	<effective Time>
	550
	551	<!-- QUERY META DATA , SERVICE START TIME , Optional -->
	552
	553	<low
	554	value="196 10303"
	555	/>
	556
	557	<!-- QUERY META DATA , SERVICE STOP TIME, Optional -->
	558
	559	<high
	560	value="201 6120115043 3-0600"
	561	/>
	562
	563	</effectiv eTime>
	564
	565	<!--
	566	**** ****** ****** ****** ****** ********
	567	HEALTH CARE PROVI DER MODULE , OPTIONAL
	568	**** ****** ****** ****** ****** ********
	569	-->
	570
	571
	572
	573	<performer
	574	typeCode=" PRF"
	575	>
	576
	577	<!-- Provi der Templa te Id -->
	578
	579	<templateI d
	580	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	581	/>
	582
	583	<!-- 4.02- PROVIDER R OLE CODED, Optional- R2, Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	584
	585
	586	<!-- 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 -->
	587
	588	<!-- 4.01- DATE RANGE , Required , nullFlav or b/c dat a not yet available via VA Vis tA RPCs -- >
	589
	590	<time>
	591
	592	<high
	593	nullFlavor ="UNK"
	594	/>
	595
	596	</time>
	597
	598	<assignedE ntity>
	599
	600	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	601
	602	<id
	603	extension= "provider1 001"
	604	root="2.16 .840.1.113 883.4.349"
	605	/>
	606
	607	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	608
	609	<addr/>
	610
	611	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	612
	613	<telecom
	614	nullFlavor ="UNK"
	615	/>
	616
	617	<assignedP erson>
	618
	619	<name>
	620	INLOES,SON JA
	621	</name>
	622
	623	</assigned Person>
	624
	625	<represent edOrganiza tion>
	626
	627	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	628
	629	<id
	630	extension= "983"
	631	root="2.16 .840.1.113 883.4.349"
	632	/>
	633
	634	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	635
	636	<name>
	637	CHYSHR TES T LAB
	638	</name>
	639
	640	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	641
	642	<telecom/>
	643
	644	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	645
	646	<addr/>
	647
	648	</represen tedOrganiz ation>
	649
	650	</assigned Entity>
	651
	652	</performe r>
	653	<performer
	654	typeCode=" PRF"
	655	>
	656
	657	<!-- Provi der Templa te Id -->
	658
	659	<templateI d
	660	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	661	/>
	662
	663	<!-- 4.02- PROVIDER R OLE CODED, Optional- R2, Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	664
	665
	666	<!-- 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 -->
	667
	668	<!-- 4.01- DATE RANGE , Required , nullFlav or b/c dat a not yet available via VA Vis tA RPCs -- >
	669
	670	<time>
	671
	672	<high
	673	nullFlavor ="UNK"
	674	/>
	675
	676	</time>
	677
	678	<assignedE ntity>
	679
	680	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	681
	682	<id
	683	extension= "provider1 002"
	684	root="2.16 .840.1.113 883.4.349"
	685	/>
	686
	687	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	688
	689	<addr/>
	690
	691	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	692
	693	<telecom
	694	nullFlavor ="UNK"
	695	/>
	696
	697	<assignedP erson>
	698
	699	<name>
	700	NHINPROVID ER,DELTA
	701	</name>
	702
	703	</assigned Person>
	704
	705	<represent edOrganiza tion>
	706
	707	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	708
	709	<id
	710	extension= "983"
	711	root="2.16 .840.1.113 883.4.349"
	712	/>
	713
	714	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	715
	716	<name>
	717	CHYSHR TES T LAB
	718	</name>
	719
	720	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	721
	722	<telecom/>
	723
	724	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	725
	726	<addr/>
	727
	728	</represen tedOrganiz ation>
	729
	730	</assigned Entity>
	731
	732	</performe r>
	733	<performer
	734	typeCode=" PRF"
	735	>
	736
	737	<!-- Provi der Templa te Id -->
	738
	739	<templateI d
	740	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	741	/>
	742
	743	<!-- 4.02- PROVIDER R OLE CODED, Optional- R2, Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	744
	745
	746	<!-- 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 -->
	747
	748	<!-- 4.01- DATE RANGE , Required , nullFlav or b/c dat a not yet available via VA Vis tA RPCs -- >
	749
	750	<time>
	751
	752	<high
	753	nullFlavor ="UNK"
	754	/>
	755
	756	</time>
	757
	758	<assignedE ntity>
	759
	760	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	761
	762	<id
	763	extension= "provider1 003"
	764	root="2.16 .840.1.113 883.4.349"
	765	/>
	766
	767	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	768
	769	<addr/>
	770
	771	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	772
	773	<telecom
	774	nullFlavor ="UNK"
	775	/>
	776
	777	<assignedP erson>
	778
	779	<name>
	780	NHINPROVID ER,DELTA
	781	</name>
	782
	783	</assigned Person>
	784
	785	<represent edOrganiza tion>
	786
	787	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	788
	789	<id
	790	extension= "983"
	791	root="2.16 .840.1.113 883.4.349"
	792	/>
	793
	794	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	795
	796	<name>
	797	CHYSHR TES T LAB
	798	</name>
	799
	800	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	801
	802	<telecom/>
	803
	804	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	805
	806	<addr/>
	807
	808	</represen tedOrganiz ation>
	809
	810	</assigned Entity>
	811
	812	</performe r>
	813	<performer
	814	typeCode=" PRF"
	815	>
	816
	817	<!-- Provi der Templa te Id -->
	818
	819	<templateI d
	820	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	821	/>
	822
	823	<!-- 4.02- PROVIDER R OLE CODED, Optional- R2, Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	824
	825
	826	<!-- 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 -->
	827
	828	<!-- 4.01- DATE RANGE , Required , nullFlav or b/c dat a not yet available via VA Vis tA RPCs -- >
	829
	830	<time>
	831
	832	<high
	833	nullFlavor ="UNK"
	834	/>
	835
	836	</time>
	837
	838	<assignedE ntity>
	839
	840	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	841
	842	<id
	843	extension= "provider1 004"
	844	root="2.16 .840.1.113 883.4.349"
	845	/>
	846
	847	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	848
	849	<addr/>
	850
	851	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	852
	853	<telecom
	854	nullFlavor ="UNK"
	855	/>
	856
	857	<assignedP erson>
	858
	859	<name>
	860	NHINPROVID ER,DELTA
	861	</name>
	862
	863	</assigned Person>
	864
	865	<represent edOrganiza tion>
	866
	867	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	868
	869	<id
	870	extension= "983"
	871	root="2.16 .840.1.113 883.4.349"
	872	/>
	873
	874	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	875
	876	<name>
	877	CHYSHR TES T LAB
	878	</name>
	879
	880	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	881
	882	<telecom/>
	883
	884	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	885
	886	<addr/>
	887
	888	</represen tedOrganiz ation>
	889
	890	</assigned Entity>
	891
	892	</performe r>
	893
	894	</serviceE vent>
	895
	896	</document ationOf>
	897
	898	<!--
	899	****** ****** ****** ****** ****** **
	900	CD A BODY
	901	****** ****** ****** ****** ****** **
	902	-- >
	903
	904	<component >
	905
	906	<structure dBody>
	907
	908	<!--
	909	**** ****** ****** ****** ****** ********
	910	ALLERG Y/DRUG SEC TION SECTI ON
	911	**** ****** ****** ****** ****** ********
	912	-->
	913
	914	<component >
	915
	916	<section>
	917
	918	<!-- CCD A lert Secti on Templat e-->
	919
	920	<templateI d
	921	root="2.16 .840.1.113 883. IP "
	922	/>
	923
	924	<!-- HITSP C32 V2.5: Allergy and Advers e Reaction Section T emplate -- >
	925
	926	<templateI d
	927	root="2.16 .840.1.113 883.3.88.1 1.83.102"
	928	/>
	929
	930	<!-- HITSP C32 V2.5: IHE Alle rgies and Other Adve rse Reacti ons Secti on Templat e -->
	931
	932	<templateI d
	933	root="1.3. 6.1.4.1.19 376.1.5.3. 1.3.13"
	934	/>
	935
	936	<!-- HITSP C32 V2.5: CCD Sect ion Confor mance code value , s tatic -->
	937
	938	<code
	939	code="4876 5-2"
	940	codeSystem ="2.16.840 .1.113883. 6.1"
	941	displayNam e="Allergi es, advers e reaction s, alerts"
	942	/>
	943
	944	<title>
	945	Allergies
	946	</title>
	947
	948	<!-- ALLE RGIES NARR ATIVE BLOC K -->
	949
	950	<text>
	951
	952	<!-- VLER SEG 1B: Al lergies/Dr ug Busines s Rules fo r Medical Content - ->
	953
	954	<table
	955	border="1"
	956	width="100 %"
	957	>
	958
	959	<thead>
	960
	961	<tr>
	962
	963	<th>
	964	Department of Vetera ns Affairs
	965	</th>
	966
	967	<th>
	968	Business R ules for C onstructio n of Medic al Informa tion
	969	</th>
	970
	971	</tr>
	972
	973	</thead>
	974
	975	<tbody>
	976
	977	<tr>
	978
	979	<td>
	980	Allergies
	981	</td>
	982
	983	<td>
	984	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.
	985	</td>
	986
	987	</tr>
	988
	989	</tbody>
	990
	991	</table>
	992
	993	<table
	994	ID="allerg yNarritive "
	995	border="1"
	996	width="100 %"
	997	>
	998
	999	<thead>
	1000
	1001	<tr>
	1002
	1003	<th>
	1004	Allergy
	1005	</th>
	1006
	1007	<th>
	1008	Coded Alle rgy
	1009	</th>
	1010
	1011	<th>
	1012	Verificati on Date
	1013	</th>
	1014
	1015	<th>
	1016	Event Type
	1017	</th>
	1018
	1019	<th>
	1020	Reaction
	1021	</th>
	1022
	1023	<th>
	1024	Severity
	1025	</th>
	1026
	1027	<th>
	1028	Source
	1029	</th>
	1030
	1031	</tr>
	1032
	1033	</thead>
	1034
	1035	<tbody>
	1036
	1037	<tr>
	1038
	1039	<td>
	1040
	1041	<content
	1042	ID="andAll ergy1001"
	1043	>
	1044	PEPPERMINT
	1045	</content>
	1046
	1047	</td>
	1048
	1049	<td>
	1050
	1051	<content
	1052	ID="andCod edAllergyN ame1001"
	1053	>
	1054	Coded Alle rgy Name N ot Availab le
	1055	</content>
	1056
	1057	</td>
	1058
	1059	<td>
	1060
	1061	<content
	1062	ID="andVer ificationD ate1001"
	1063	>
	1064	2009092412 2142
	1065	</content>
	1066
	1067	</td>
	1068
	1069	<td>
	1070
	1071	<content
	1072	ID="andEve ntType1001 "
	1073	>
	1074	Propensity to advers e reaction s to subst ance
	1075	</content>
	1076
	1077	</td>
	1078
	1079	<td>
	1080
	1081	<list>
	1082
	1083	<item>
	1084
	1085	<content
	1086	ID="andRea ction1001- 1001"
	1087	>
	1088	WHEEZING
	1089	</content>
	1090
	1091	</item>
	1092
	1093	</list>
	1094
	1095	</td>
	1096
	1097	<td>
	1098
	1099	<content
	1100	ID="andSev erity1001"
	1101	/>
	1102
	1103	</td>
	1104
	1105	<td>
	1106
	1107	<content
	1108	ID="andSou rce1001"
	1109	>
	1110	CHYSHR TES T LAB
	1111	</content>
	1112
	1113	</td>
	1114
	1115	</tr>
	1116	<tr>
	1117
	1118	<td>
	1119
	1120	<content
	1121	ID="andAll ergy1002"
	1122	>
	1123	IODINE
	1124	</content>
	1125
	1126	</td>
	1127
	1128	<td>
	1129
	1130	<content
	1131	ID="andCod edAllergyN ame1002"
	1132	>
	1133	Coded Alle rgy Name N ot Availab le
	1134	</content>
	1135
	1136	</td>
	1137
	1138	<td>
	1139
	1140	<content
	1141	ID="andVer ificationD ate1002"
	1142	>
	1143	2009092412 2010
	1144	</content>
	1145
	1146	</td>
	1147
	1148	<td>
	1149
	1150	<content
	1151	ID="andEve ntType1002 "
	1152	>
	1153	Propensity to advers e reaction s to drug
	1154	</content>
	1155
	1156	</td>
	1157
	1158	<td>
	1159
	1160	<list>
	1161
	1162	<item>
	1163
	1164	<content
	1165	ID="andRea ction1002- 1002"
	1166	>
	1167	URTICARIA
	1168	</content>
	1169
	1170	</item>
	1171
	1172	</list>
	1173
	1174	</td>
	1175
	1176	<td>
	1177
	1178	<content
	1179	ID="andSev erity1002"
	1180	/>
	1181
	1182	</td>
	1183
	1184	<td>
	1185
	1186	<content
	1187	ID="andSou rce1002"
	1188	>
	1189	CHYSHR TES T LAB
	1190	</content>
	1191
	1192	</td>
	1193
	1194	</tr>
	1195	<tr>
	1196
	1197	<td>
	1198
	1199	<content
	1200	ID="andAll ergy1003"
	1201	>
	1202	PHENOL APP LICATOR
	1203	</content>
	1204
	1205	</td>
	1206
	1207	<td>
	1208
	1209	<content
	1210	ID="andCod edAllergyN ame1003"
	1211	>
	1212	Coded Alle rgy Name N ot Availab le
	1213	</content>
	1214
	1215	</td>
	1216
	1217	<td>
	1218
	1219	<content
	1220	ID="andVer ificationD ate1003"
	1221	>
	1222	2009092412 2126
	1223	</content>
	1224
	1225	</td>
	1226
	1227	<td>
	1228
	1229	<content
	1230	ID="andEve ntType1003 "
	1231	>
	1232	Propensity to advers e reaction s to drug
	1233	</content>
	1234
	1235	</td>
	1236
	1237	<td>
	1238
	1239	<list>
	1240
	1241	<item>
	1242
	1243	<content
	1244	ID="andRea ction1003- 1003"
	1245	>
	1246	DIARRHEA
	1247	</content>
	1248
	1249	</item>
	1250
	1251	</list>
	1252
	1253	</td>
	1254
	1255	<td>
	1256
	1257	<content
	1258	ID="andSev erity1003"
	1259	/>
	1260
	1261	</td>
	1262
	1263	<td>
	1264
	1265	<content
	1266	ID="andSou rce1003"
	1267	>
	1268	CHYSHR TES T LAB
	1269	</content>
	1270
	1271	</td>
	1272
	1273	</tr>
	1274	<tr>
	1275
	1276	<td>
	1277
	1278	<content
	1279	ID="andAll ergy1004"
	1280	>
	1281	PAINT
	1282	</content>
	1283
	1284	</td>
	1285
	1286	<td>
	1287
	1288	<content
	1289	ID="andCod edAllergyN ame1004"
	1290	>
	1291	Coded Alle rgy Name N ot Availab le
	1292	</content>
	1293
	1294	</td>
	1295
	1296	<td>
	1297
	1298	<content
	1299	ID="andVer ificationD ate1004"
	1300	/>
	1301
	1302	</td>
	1303
	1304	<td>
	1305
	1306	<content
	1307	ID="andEve ntType1004 "
	1308	>
	1309	Propensity to advers e reaction s
	1310	</content>
	1311
	1312	</td>
	1313
	1314	<td>
	1315
	1316	<list>
	1317
	1318	<item>
	1319
	1320	<content
	1321	ID="andRea ction1004- 1004"
	1322	>
	1323	ITCHING OF EYE
	1324	</content>
	1325
	1326	</item>
	1327
	1328	</list>
	1329
	1330	</td>
	1331
	1332	<td>
	1333
	1334	<content
	1335	ID="andSev erity1004"
	1336	>
	1337	MODERATE
	1338	</content>
	1339
	1340	</td>
	1341
	1342	<td>
	1343
	1344	<content
	1345	ID="andSou rce1004"
	1346	>
	1347	CHYSHR TES T LAB
	1348	</content>
	1349
	1350	</td>
	1351
	1352	</tr>
	1353	<tr>
	1354
	1355	<td>
	1356
	1357	<content
	1358	ID="andAll ergy1005"
	1359	>
	1360	MILK
	1361	</content>
	1362
	1363	</td>
	1364
	1365	<td>
	1366
	1367	<content
	1368	ID="andCod edAllergyN ame1005"
	1369	>
	1370	Coded Alle rgy Name N ot Availab le
	1371	</content>
	1372
	1373	</td>
	1374
	1375	<td>
	1376
	1377	<content
	1378	ID="andVer ificationD ate1005"
	1379	>
	1380	2011121316 2130
	1381	</content>
	1382
	1383	</td>
	1384
	1385	<td>
	1386
	1387	<content
	1388	ID="andEve ntType1005 "
	1389	>
	1390	Propensity to advers e reaction s to subst ance
	1391	</content>
	1392
	1393	</td>
	1394
	1395	<td>
	1396
	1397	<list>
	1398
	1399	<item>
	1400
	1401	<content
	1402	ID="andRea ction1005- 1005"
	1403	>
	1404	DIARRHEA
	1405	</content>
	1406
	1407	</item>
	1408
	1409	</list>
	1410
	1411	</td>
	1412
	1413	<td>
	1414
	1415	<content
	1416	ID="andSev erity1005"
	1417	>
	1418	SEVERE
	1419	</content>
	1420
	1421	</td>
	1422
	1423	<td>
	1424
	1425	<content
	1426	ID="andSou rce1005"
	1427	>
	1428	CHYSHR TES T LAB
	1429	</content>
	1430
	1431	</td>
	1432
	1433	</tr>
	1434
	1435	</tbody>
	1436
	1437	</table>
	1438
	1439	</text>
	1440
	1441	<entry
	1442	typeCode=" DRIV"
	1443	>
	1444
	1445	<act
	1446	classCode= "ACT"
	1447	moodCode=" EVN"
	1448	>
	1449
	1450	<templateI d
	1451	assigningA uthorityNa me="CCD"
	1452	root="2.16 .840.1.113 883. IP "
	1453	/>
	1454
	1455	<!-- HITSP C32 V2.5: Template s for Alle rgy/Drug M odule/Entr y -->
	1456
	1457	<templateI d
	1458	root="2.16 .840.1.113 883.3.88.1 1.83.6"
	1459	/>
	1460
	1461	<templateI d
	1462	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	1463	/>
	1464
	1465	<templateI d
	1466	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.3"
	1467	/>
	1468
	1469	<!-- CCD A llergy Act ID as nul lflavor -- >
	1470
	1471	<id
	1472	nullFlavor ="UNK"
	1473	/>
	1474
	1475	<code
	1476	nullFlavor ="NA"
	1477	/>
	1478
	1479	<!-- HITSP C32 V2.5: IHE Conc ern Templa te Require s statusCo de and eff ectiveTime -->
	1480
	1481	<statusCod e
	1482	code="acti ve"
	1483	/>
	1484
	1485	<effective Time>
	1486
	1487	<low
	1488	nullFlavor ="UNK"
	1489	/>
	1490
	1491	</effectiv eTime>
	1492
	1493	<!-- INFOR MATION SOU RCE FOR AL LERGIES/DR UG, Option al -->
	1494
	1495	<author>
	1496
	1497	<!-- ADD TIME TO IN FORMATION SOURCE FOR ALLERGIES /DRUG -->
	1498
	1499	<time
	1500	nullFlavor ="UNK"
	1501	/>
	1502
	1503	<assignedA uthor>
	1504
	1505	<id
	1506	nullFlavor ="NI"
	1507	/>
	1508
	1509	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	1510
	1511	<addr/>
	1512
	1513	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	1514
	1515	<telecom/>
	1516
	1517	<represent edOrganiza tion>
	1518
	1519	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	1520
	1521	<id
	1522	extension= "983"
	1523	root="2.16 .840.1.113 883.4.349"
	1524	/>
	1525
	1526	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	1527
	1528	<name>
	1529	CHYSHR TES T LAB
	1530	</name>
	1531
	1532	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	1533
	1534	<telecom/>
	1535
	1536	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	1537
	1538	<addr/>
	1539
	1540	</represen tedOrganiz ation>
	1541
	1542	</assigned Author>
	1543
	1544	</author>
	1545
	1546	<entryRela tionship
	1547	inversionI nd="false"
	1548	typeCode=" SUBJ"
	1549	>
	1550
	1551	<observati on
	1552	classCode= "OBS"
	1553	moodCode=" EVN"
	1554	>
	1555
	1556	<!-- HITSP C32 V2.5: Allerg y Template s -->
	1557
	1558	<templateI d
	1559	root="2.16 .840.1.113 883. IP "
	1560	/>
	1561
	1562	<!-- Alert observati on templat e -->
	1563
	1564	<templateI d
	1565	root="2.16 .840.1.113 883. IP "
	1566	/>
	1567
	1568	<templateI d
	1569	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	1570	/>
	1571
	1572	<templateI d
	1573	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	1574	/>
	1575
	1576	<!-- HITSP C32 V2.5: IHE Obser vation Tem plates Req uire Id -- >
	1577
	1578	<id
	1579	nullFlavor ="UNK"
	1580	/>
	1581
	1582	<!-- 6.02 ADVERSE EV ENT TYPE, REQUIRED; SNOMED CT -->
	1583
	1584	<!-- HITSP C32 V2.5: 6.02 ADV ERSE EVENT TYPE SNOM ED CT Term inology Re quired -->
	1585
	1586	<code
	1587	code="4180 38007"
	1588	codeSystem ="2.16.840 .1.113883. 6.96"
	1589	codeSystem Name="SNOM ED CT"
	1590	displayNam e="Propens ity to adv erse react ions to su bstance"
	1591	>
	1592
	1593	<originalT ext>
	1594	DRUG, FOOD
	1595	</original Text>
	1596
	1597	</code>
	1598
	1599	<!-- IHE Status Cod e fro Obse rvation -- >
	1600
	1601	<statusCod e
	1602	code="comp leted"
	1603	/>
	1604
	1605	<!-- 6.01 ADVERSE EV ENT DATE, Optional-R 2 -->
	1606
	1607	<effective Time>
	1608
	1609	<low
	1610	value="200 9092412214 2"
	1611	/>
	1612
	1613	</effectiv eTime>
	1614
	1615	<!-- HITSP C32 V2.5: IHE Alle rgy Concer n Template Requires value, Whe n uncoded only xsi:t ype=CD all owed -->
	1616
	1617	<value
	1618	xsi:type=" CD"
	1619	/>
	1620
	1621	<!-- HITSP C32 V2.5: Participa nt block f or 6.04-Pr oduct Code d -->
	1622
	1623	<participa nt
	1624	typeCode=" CSM"
	1625	>
	1626
	1627	<participa ntRole
	1628	classCode= "MANU"
	1629	>
	1630
	1631	<playingEn tity
	1632	classCode= "MMAT"
	1633	>
	1634
	1635	<!-- 6.04 PRODUCT C ODED, Opti onal-R2, R emoved b/c data not yet availa ble via VA VistA RPC s -->
	1636
	1637	<code
	1638	code="UNK"
	1639	nullFlavor ="UNK"
	1640	>
	1641
	1642	<originalT ext>
	1643
	1644	<reference
	1645	value="#an dCodedAlle rgyName100 1"
	1646	/>
	1647
	1648	</original Text>
	1649
	1650	</code>
	1651
	1652	<!-- 6.03 PRODUCT FR EE TEXT, R EQUIRED-->
	1653
	1654	<name>
	1655	PEPPERMINT
	1656	</name>
	1657
	1658	</playingE ntity>
	1659
	1660	</particip antRole>
	1661
	1662	</particip ant>
	1663
	1664	<!-- SEVE RITY ENTRY RELATIONS HIP BLOCK optional, 0 or 1 per Allergy - ->
	1665
	1666
	1667	<!-- REAC TION ENTRY RELATIONSH IP BLOCK o ptional, r epeatable -->
	1668
	1669	<entryRela tionship
	1670	inversionI nd="true"
	1671	typeCode=" MFST"
	1672	>
	1673
	1674	<observati on
	1675	classCode= "OBS"
	1676	moodCode=" EVN"
	1677	>
	1678
	1679	<!-- React ion Templa te ID -->
	1680
	1681	<templateI d
	1682	root="2.16 .840.1.113 883. IP "
	1683	/>
	1684
	1685	<!-- HITSP C32 V2.5: Allerg y Template s -->
	1686
	1687	<templateI d
	1688	root="2.16 .840.1.113 883. IP "
	1689	/>
	1690
	1691	<templateI d
	1692	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	1693	/>
	1694
	1695	<templateI d
	1696	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	1697	/>
	1698
	1699	<id
	1700	nullFlavor ="UNK"
	1701	/>
	1702
	1703	<code
	1704	code="ASSE RTION"
	1705	codeSystem ="2.16.840 .1.113883. 5.4"
	1706	codeSystem Name="HL7A ctCode"
	1707	/>
	1708
	1709	<!-- 6.05 REACTION-F REE TEXT, optional,- ->
	1710
	1711	<text>
	1712
	1713	<reference
	1714	value="#an dReaction1 001-1001"
	1715	/>
	1716
	1717	</text>
	1718
	1719	<statusCod e
	1720	code="comp leted"
	1721	/>
	1722
	1723	<effective Time>
	1724
	1725	<low
	1726	nullFlavor ="UNK"
	1727	/>
	1728
	1729	</effectiv eTime>
	1730
	1731	<!-- 6.06 REACTION C ODED optio nal, when uncoded on ly xsi:typ e=CD allow ed -->
	1732
	1733	<value
	1734	xsi:type=" CD"
	1735	/>
	1736
	1737	</observat ion>
	1738
	1739	</entryRel ationship>
	1740
	1741	</observat ion>
	1742
	1743	</entryRel ationship>
	1744
	1745	</act>
	1746
	1747	</entry>
	1748	<entry
	1749	typeCode=" DRIV"
	1750	>
	1751
	1752	<act
	1753	classCode= "ACT"
	1754	moodCode=" EVN"
	1755	>
	1756
	1757	<templateI d
	1758	assigningA uthorityNa me="CCD"
	1759	root="2.16 .840.1.113 883. IP "
	1760	/>
	1761
	1762	<!-- HITSP C32 V2.5: Template s for Alle rgy/Drug M odule/Entr y -->
	1763
	1764	<templateI d
	1765	root="2.16 .840.1.113 883.3.88.1 1.83.6"
	1766	/>
	1767
	1768	<templateI d
	1769	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	1770	/>
	1771
	1772	<templateI d
	1773	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.3"
	1774	/>
	1775
	1776	<!-- CCD A llergy Act ID as nul lflavor -- >
	1777
	1778	<id
	1779	nullFlavor ="UNK"
	1780	/>
	1781
	1782	<code
	1783	nullFlavor ="NA"
	1784	/>
	1785
	1786	<!-- HITSP C32 V2.5: IHE Conc ern Templa te Require s statusCo de and eff ectiveTime -->
	1787
	1788	<statusCod e
	1789	code="acti ve"
	1790	/>
	1791
	1792	<effective Time>
	1793
	1794	<low
	1795	nullFlavor ="UNK"
	1796	/>
	1797
	1798	</effectiv eTime>
	1799
	1800	<!-- INFOR MATION SOU RCE FOR AL LERGIES/DR UG, Option al -->
	1801
	1802	<author>
	1803
	1804	<!-- ADD TIME TO IN FORMATION SOURCE FOR ALLERGIES /DRUG -->
	1805
	1806	<time
	1807	nullFlavor ="UNK"
	1808	/>
	1809
	1810	<assignedA uthor>
	1811
	1812	<id
	1813	nullFlavor ="NI"
	1814	/>
	1815
	1816	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	1817
	1818	<addr/>
	1819
	1820	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	1821
	1822	<telecom/>
	1823
	1824	<represent edOrganiza tion>
	1825
	1826	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	1827
	1828	<id
	1829	extension= "983"
	1830	root="2.16 .840.1.113 883.4.349"
	1831	/>
	1832
	1833	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	1834
	1835	<name>
	1836	CHYSHR TES T LAB
	1837	</name>
	1838
	1839	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	1840
	1841	<telecom/>
	1842
	1843	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	1844
	1845	<addr/>
	1846
	1847	</represen tedOrganiz ation>
	1848
	1849	</assigned Author>
	1850
	1851	</author>
	1852
	1853	<entryRela tionship
	1854	inversionI nd="false"
	1855	typeCode=" SUBJ"
	1856	>
	1857
	1858	<observati on
	1859	classCode= "OBS"
	1860	moodCode=" EVN"
	1861	>
	1862
	1863	<!-- HITSP C32 V2.5: Allerg y Template s -->
	1864
	1865	<templateI d
	1866	root="2.16 .840.1.113 883. IP "
	1867	/>
	1868
	1869	<!-- Alert observati on templat e -->
	1870
	1871	<templateI d
	1872	root="2.16 .840.1.113 883. IP "
	1873	/>
	1874
	1875	<templateI d
	1876	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	1877	/>
	1878
	1879	<templateI d
	1880	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	1881	/>
	1882
	1883	<!-- HITSP C32 V2.5: IHE Obser vation Tem plates Req uire Id -- >
	1884
	1885	<id
	1886	nullFlavor ="UNK"
	1887	/>
	1888
	1889	<!-- 6.02 ADVERSE EV ENT TYPE, REQUIRED; SNOMED CT -->
	1890
	1891	<!-- HITSP C32 V2.5: 6.02 ADV ERSE EVENT TYPE SNOM ED CT Term inology Re quired -->
	1892
	1893	<code
	1894	code="4195 11003"
	1895	codeSystem ="2.16.840 .1.113883. 6.96"
	1896	codeSystem Name="SNOM ED CT"
	1897	displayNam e="Propens ity to adv erse react ions to dr ug"
	1898	>
	1899
	1900	<originalT ext>
	1901	DRUG
	1902	</original Text>
	1903
	1904	</code>
	1905
	1906	<!-- IHE Status Cod e fro Obse rvation -- >
	1907
	1908	<statusCod e
	1909	code="comp leted"
	1910	/>
	1911
	1912	<!-- 6.01 ADVERSE EV ENT DATE, Optional-R 2 -->
	1913
	1914	<effective Time>
	1915
	1916	<low
	1917	value="200 9092412201 0"
	1918	/>
	1919
	1920	</effectiv eTime>
	1921
	1922	<!-- HITSP C32 V2.5: IHE Alle rgy Concer n Template Requires value, Whe n uncoded only xsi:t ype=CD all owed -->
	1923
	1924	<value
	1925	xsi:type=" CD"
	1926	/>
	1927
	1928	<!-- HITSP C32 V2.5: Participa nt block f or 6.04-Pr oduct Code d -->
	1929
	1930	<participa nt
	1931	typeCode=" CSM"
	1932	>
	1933
	1934	<participa ntRole
	1935	classCode= "MANU"
	1936	>
	1937
	1938	<playingEn tity
	1939	classCode= "MMAT"
	1940	>
	1941
	1942	<!-- 6.04 PRODUCT C ODED, Opti onal-R2, R emoved b/c data not yet availa ble via VA VistA RPC s -->
	1943
	1944	<code
	1945	code="UNK"
	1946	nullFlavor ="UNK"
	1947	>
	1948
	1949	<originalT ext>
	1950
	1951	<reference
	1952	value="#an dCodedAlle rgyName100 2"
	1953	/>
	1954
	1955	</original Text>
	1956
	1957	</code>
	1958
	1959	<!-- 6.03 PRODUCT FR EE TEXT, R EQUIRED-->
	1960
	1961	<name>
	1962	IODINE
	1963	</name>
	1964
	1965	</playingE ntity>
	1966
	1967	</particip antRole>
	1968
	1969	</particip ant>
	1970
	1971	<!-- SEVE RITY ENTRY RELATIONS HIP BLOCK optional, 0 or 1 per Allergy - ->
	1972
	1973
	1974	<!-- REAC TION ENTRY RELATIONSH IP BLOCK o ptional, r epeatable -->
	1975
	1976	<entryRela tionship
	1977	inversionI nd="true"
	1978	typeCode=" MFST"
	1979	>
	1980
	1981	<observati on
	1982	classCode= "OBS"
	1983	moodCode=" EVN"
	1984	>
	1985
	1986	<!-- React ion Templa te ID -->
	1987
	1988	<templateI d
	1989	root="2.16 .840.1.113 883. IP "
	1990	/>
	1991
	1992	<!-- HITSP C32 V2.5: Allerg y Template s -->
	1993
	1994	<templateI d
	1995	root="2.16 .840.1.113 883. IP "
	1996	/>
	1997
	1998	<templateI d
	1999	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	2000	/>
	2001
	2002	<templateI d
	2003	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	2004	/>
	2005
	2006	<id
	2007	nullFlavor ="UNK"
	2008	/>
	2009
	2010	<code
	2011	code="ASSE RTION"
	2012	codeSystem ="2.16.840 .1.113883. 5.4"
	2013	codeSystem Name="HL7A ctCode"
	2014	/>
	2015
	2016	<!-- 6.05 REACTION-F REE TEXT, optional,- ->
	2017
	2018	<text>
	2019
	2020	<reference
	2021	value="#an dReaction1 002-1002"
	2022	/>
	2023
	2024	</text>
	2025
	2026	<statusCod e
	2027	code="comp leted"
	2028	/>
	2029
	2030	<effective Time>
	2031
	2032	<low
	2033	nullFlavor ="UNK"
	2034	/>
	2035
	2036	</effectiv eTime>
	2037
	2038	<!-- 6.06 REACTION C ODED optio nal, when uncoded on ly xsi:typ e=CD allow ed -->
	2039
	2040	<value
	2041	xsi:type=" CD"
	2042	/>
	2043
	2044	</observat ion>
	2045
	2046	</entryRel ationship>
	2047
	2048	</observat ion>
	2049
	2050	</entryRel ationship>
	2051
	2052	</act>
	2053
	2054	</entry>
	2055	<entry
	2056	typeCode=" DRIV"
	2057	>
	2058
	2059	<act
	2060	classCode= "ACT"
	2061	moodCode=" EVN"
	2062	>
	2063
	2064	<templateI d
	2065	assigningA uthorityNa me="CCD"
	2066	root="2.16 .840.1.113 883. IP "
	2067	/>
	2068
	2069	<!-- HITSP C32 V2.5: Template s for Alle rgy/Drug M odule/Entr y -->
	2070
	2071	<templateI d
	2072	root="2.16 .840.1.113 883.3.88.1 1.83.6"
	2073	/>
	2074
	2075	<templateI d
	2076	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	2077	/>
	2078
	2079	<templateI d
	2080	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.3"
	2081	/>
	2082
	2083	<!-- CCD A llergy Act ID as nul lflavor -- >
	2084
	2085	<id
	2086	nullFlavor ="UNK"
	2087	/>
	2088
	2089	<code
	2090	nullFlavor ="NA"
	2091	/>
	2092
	2093	<!-- HITSP C32 V2.5: IHE Conc ern Templa te Require s statusCo de and eff ectiveTime -->
	2094
	2095	<statusCod e
	2096	code="acti ve"
	2097	/>
	2098
	2099	<effective Time>
	2100
	2101	<low
	2102	nullFlavor ="UNK"
	2103	/>
	2104
	2105	</effectiv eTime>
	2106
	2107	<!-- INFOR MATION SOU RCE FOR AL LERGIES/DR UG, Option al -->
	2108
	2109	<author>
	2110
	2111	<!-- ADD TIME TO IN FORMATION SOURCE FOR ALLERGIES /DRUG -->
	2112
	2113	<time
	2114	nullFlavor ="UNK"
	2115	/>
	2116
	2117	<assignedA uthor>
	2118
	2119	<id
	2120	nullFlavor ="NI"
	2121	/>
	2122
	2123	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	2124
	2125	<addr/>
	2126
	2127	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	2128
	2129	<telecom/>
	2130
	2131	<represent edOrganiza tion>
	2132
	2133	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	2134
	2135	<id
	2136	extension= "983"
	2137	root="2.16 .840.1.113 883.4.349"
	2138	/>
	2139
	2140	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	2141
	2142	<name>
	2143	CHYSHR TES T LAB
	2144	</name>
	2145
	2146	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	2147
	2148	<telecom/>
	2149
	2150	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	2151
	2152	<addr/>
	2153
	2154	</represen tedOrganiz ation>
	2155
	2156	</assigned Author>
	2157
	2158	</author>
	2159
	2160	<entryRela tionship
	2161	inversionI nd="false"
	2162	typeCode=" SUBJ"
	2163	>
	2164
	2165	<observati on
	2166	classCode= "OBS"
	2167	moodCode=" EVN"
	2168	>
	2169
	2170	<!-- HITSP C32 V2.5: Allerg y Template s -->
	2171
	2172	<templateI d
	2173	root="2.16 .840.1.113 883. IP "
	2174	/>
	2175
	2176	<!-- Alert observati on templat e -->
	2177
	2178	<templateI d
	2179	root="2.16 .840.1.113 883. IP "
	2180	/>
	2181
	2182	<templateI d
	2183	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	2184	/>
	2185
	2186	<templateI d
	2187	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	2188	/>
	2189
	2190	<!-- HITSP C32 V2.5: IHE Obser vation Tem plates Req uire Id -- >
	2191
	2192	<id
	2193	nullFlavor ="UNK"
	2194	/>
	2195
	2196	<!-- 6.02 ADVERSE EV ENT TYPE, REQUIRED; SNOMED CT -->
	2197
	2198	<!-- HITSP C32 V2.5: 6.02 ADV ERSE EVENT TYPE SNOM ED CT Term inology Re quired -->
	2199
	2200	<code
	2201	code="4195 11003"
	2202	codeSystem ="2.16.840 .1.113883. 6.96"
	2203	codeSystem Name="SNOM ED CT"
	2204	displayNam e="Propens ity to adv erse react ions to dr ug"
	2205	>
	2206
	2207	<originalT ext>
	2208	DRUG
	2209	</original Text>
	2210
	2211	</code>
	2212
	2213	<!-- IHE Status Cod e fro Obse rvation -- >
	2214
	2215	<statusCod e
	2216	code="comp leted"
	2217	/>
	2218
	2219	<!-- 6.01 ADVERSE EV ENT DATE, Optional-R 2 -->
	2220
	2221	<effective Time>
	2222
	2223	<low
	2224	value="200 9092412212 6"
	2225	/>
	2226
	2227	</effectiv eTime>
	2228
	2229	<!-- HITSP C32 V2.5: IHE Alle rgy Concer n Template Requires value, Whe n uncoded only xsi:t ype=CD all owed -->
	2230
	2231	<value
	2232	xsi:type=" CD"
	2233	/>
	2234
	2235	<!-- HITSP C32 V2.5: Participa nt block f or 6.04-Pr oduct Code d -->
	2236
	2237	<participa nt
	2238	typeCode=" CSM"
	2239	>
	2240
	2241	<participa ntRole
	2242	classCode= "MANU"
	2243	>
	2244
	2245	<playingEn tity
	2246	classCode= "MMAT"
	2247	>
	2248
	2249	<!-- 6.04 PRODUCT C ODED, Opti onal-R2, R emoved b/c data not yet availa ble via VA VistA RPC s -->
	2250
	2251	<code
	2252	code="UNK"
	2253	nullFlavor ="UNK"
	2254	>
	2255
	2256	<originalT ext>
	2257
	2258	<reference
	2259	value="#an dCodedAlle rgyName100 3"
	2260	/>
	2261
	2262	</original Text>
	2263
	2264	</code>
	2265
	2266	<!-- 6.03 PRODUCT FR EE TEXT, R EQUIRED-->
	2267
	2268	<name>
	2269	PHENOL APP LICATOR
	2270	</name>
	2271
	2272	</playingE ntity>
	2273
	2274	</particip antRole>
	2275
	2276	</particip ant>
	2277
	2278	<!-- SEVE RITY ENTRY RELATIONS HIP BLOCK optional, 0 or 1 per Allergy - ->
	2279
	2280
	2281	<!-- REAC TION ENTRY RELATIONSH IP BLOCK o ptional, r epeatable -->
	2282
	2283	<entryRela tionship
	2284	inversionI nd="true"
	2285	typeCode=" MFST"
	2286	>
	2287
	2288	<observati on
	2289	classCode= "OBS"
	2290	moodCode=" EVN"
	2291	>
	2292
	2293	<!-- React ion Templa te ID -->
	2294
	2295	<templateI d
	2296	root="2.16 .840.1.113 883. IP "
	2297	/>
	2298
	2299	<!-- HITSP C32 V2.5: Allerg y Template s -->
	2300
	2301	<templateI d
	2302	root="2.16 .840.1.113 883. IP "
	2303	/>
	2304
	2305	<templateI d
	2306	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	2307	/>
	2308
	2309	<templateI d
	2310	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	2311	/>
	2312
	2313	<id
	2314	nullFlavor ="UNK"
	2315	/>
	2316
	2317	<code
	2318	code="ASSE RTION"
	2319	codeSystem ="2.16.840 .1.113883. 5.4"
	2320	codeSystem Name="HL7A ctCode"
	2321	/>
	2322
	2323	<!-- 6.05 REACTION-F REE TEXT, optional,- ->
	2324
	2325	<text>
	2326
	2327	<reference
	2328	value="#an dReaction1 003-1003"
	2329	/>
	2330
	2331	</text>
	2332
	2333	<statusCod e
	2334	code="comp leted"
	2335	/>
	2336
	2337	<effective Time>
	2338
	2339	<low
	2340	nullFlavor ="UNK"
	2341	/>
	2342
	2343	</effectiv eTime>
	2344
	2345	<!-- 6.06 REACTION C ODED optio nal, when uncoded on ly xsi:typ e=CD allow ed -->
	2346
	2347	<value
	2348	xsi:type=" CD"
	2349	/>
	2350
	2351	</observat ion>
	2352
	2353	</entryRel ationship>
	2354
	2355	</observat ion>
	2356
	2357	</entryRel ationship>
	2358
	2359	</act>
	2360
	2361	</entry>
	2362	<entry
	2363	typeCode=" DRIV"
	2364	>
	2365
	2366	<act
	2367	classCode= "ACT"
	2368	moodCode=" EVN"
	2369	>
	2370
	2371	<templateI d
	2372	assigningA uthorityNa me="CCD"
	2373	root="2.16 .840.1.113 883. IP "
	2374	/>
	2375
	2376	<!-- HITSP C32 V2.5: Template s for Alle rgy/Drug M odule/Entr y -->
	2377
	2378	<templateI d
	2379	root="2.16 .840.1.113 883.3.88.1 1.83.6"
	2380	/>
	2381
	2382	<templateI d
	2383	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	2384	/>
	2385
	2386	<templateI d
	2387	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.3"
	2388	/>
	2389
	2390	<!-- CCD A llergy Act ID as nul lflavor -- >
	2391
	2392	<id
	2393	nullFlavor ="UNK"
	2394	/>
	2395
	2396	<code
	2397	nullFlavor ="NA"
	2398	/>
	2399
	2400	<!-- HITSP C32 V2.5: IHE Conc ern Templa te Require s statusCo de and eff ectiveTime -->
	2401
	2402	<statusCod e
	2403	code="acti ve"
	2404	/>
	2405
	2406	<effective Time>
	2407
	2408	<low
	2409	nullFlavor ="UNK"
	2410	/>
	2411
	2412	</effectiv eTime>
	2413
	2414	<!-- INFOR MATION SOU RCE FOR AL LERGIES/DR UG, Option al -->
	2415
	2416	<author>
	2417
	2418	<!-- ADD TIME TO IN FORMATION SOURCE FOR ALLERGIES /DRUG -->
	2419
	2420	<time
	2421	nullFlavor ="UNK"
	2422	/>
	2423
	2424	<assignedA uthor>
	2425
	2426	<id
	2427	nullFlavor ="NI"
	2428	/>
	2429
	2430	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	2431
	2432	<addr/>
	2433
	2434	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	2435
	2436	<telecom/>
	2437
	2438	<represent edOrganiza tion>
	2439
	2440	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	2441
	2442	<id
	2443	extension= "983"
	2444	root="2.16 .840.1.113 883.4.349"
	2445	/>
	2446
	2447	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	2448
	2449	<name>
	2450	CHYSHR TES T LAB
	2451	</name>
	2452
	2453	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	2454
	2455	<telecom/>
	2456
	2457	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	2458
	2459	<addr/>
	2460
	2461	</represen tedOrganiz ation>
	2462
	2463	</assigned Author>
	2464
	2465	</author>
	2466
	2467	<entryRela tionship
	2468	inversionI nd="false"
	2469	typeCode=" SUBJ"
	2470	>
	2471
	2472	<observati on
	2473	classCode= "OBS"
	2474	moodCode=" EVN"
	2475	>
	2476
	2477	<!-- HITSP C32 V2.5: Allerg y Template s -->
	2478
	2479	<templateI d
	2480	root="2.16 .840.1.113 883. IP "
	2481	/>
	2482
	2483	<!-- Alert observati on templat e -->
	2484
	2485	<templateI d
	2486	root="2.16 .840.1.113 883. IP "
	2487	/>
	2488
	2489	<templateI d
	2490	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	2491	/>
	2492
	2493	<templateI d
	2494	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	2495	/>
	2496
	2497	<!-- HITSP C32 V2.5: IHE Obser vation Tem plates Req uire Id -- >
	2498
	2499	<id
	2500	nullFlavor ="UNK"
	2501	/>
	2502
	2503	<!-- 6.02 ADVERSE EV ENT TYPE, REQUIRED; SNOMED CT -->
	2504
	2505	<!-- HITSP C32 V2.5: 6.02 ADV ERSE EVENT TYPE SNOM ED CT Term inology Re quired -->
	2506
	2507	<code
	2508	code="4201 34006"
	2509	codeSystem ="2.16.840 .1.113883. 6.96"
	2510	codeSystem Name="SNOM ED CT"
	2511	displayNam e="Propens ity to adv erse react ions"
	2512	>
	2513
	2514	<originalT ext>
	2515	OTHER
	2516	</original Text>
	2517
	2518	</code>
	2519
	2520	<!-- IHE Status Cod e fro Obse rvation -- >
	2521
	2522	<statusCod e
	2523	code="comp leted"
	2524	/>
	2525
	2526	<!-- 6.01 ADVERSE EV ENT DATE, Optional-R 2 -->
	2527
	2528	<effective Time>
	2529
	2530	<low
	2531	value="201 112131611"
	2532	/>
	2533
	2534	</effectiv eTime>
	2535
	2536	<!-- HITSP C32 V2.5: IHE Alle rgy Concer n Template Requires value, Whe n uncoded only xsi:t ype=CD all owed -->
	2537
	2538	<value
	2539	xsi:type=" CD"
	2540	/>
	2541
	2542	<!-- HITSP C32 V2.5: Participa nt block f or 6.04-Pr oduct Code d -->
	2543
	2544	<participa nt
	2545	typeCode=" CSM"
	2546	>
	2547
	2548	<participa ntRole
	2549	classCode= "MANU"
	2550	>
	2551
	2552	<playingEn tity
	2553	classCode= "MMAT"
	2554	>
	2555
	2556	<!-- 6.04 PRODUCT C ODED, Opti onal-R2, R emoved b/c data not yet availa ble via VA VistA RPC s -->
	2557
	2558	<code
	2559	code="UNK"
	2560	nullFlavor ="UNK"
	2561	>
	2562
	2563	<originalT ext>
	2564
	2565	<reference
	2566	value="#an dCodedAlle rgyName100 4"
	2567	/>
	2568
	2569	</original Text>
	2570
	2571	</code>
	2572
	2573	<!-- 6.03 PRODUCT FR EE TEXT, R EQUIRED-->
	2574
	2575	<name>
	2576	PAINT
	2577	</name>
	2578
	2579	</playingE ntity>
	2580
	2581	</particip antRole>
	2582
	2583	</particip ant>
	2584
	2585	<!-- SEVE RITY ENTRY RELATIONS HIP BLOCK optional, 0 or 1 per Allergy - ->
	2586
	2587	<entryRela tionship
	2588	inversionI nd="true"
	2589	typeCode=" SUBJ"
	2590	>
	2591
	2592	<!--Templa te ID for Problem En try - Alle rgy Reacti on Uses Sa me Structu re -->
	2593
	2594	<templateI d
	2595	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6.1"
	2596	/>
	2597
	2598	<observati on
	2599	classCode= "OBS"
	2600	moodCode=" EVN"
	2601	>
	2602
	2603	<!-- Sever ityTemplat e ID -->
	2604
	2605	<templateI d
	2606	root="2.16 .840.1.113 883. IP "
	2607	/>
	2608
	2609	<!-- HITSP C32 V2.5: Allerg y Template s -->
	2610
	2611	<templateI d
	2612	root="2.16 .840.1.113 883. IP "
	2613	/>
	2614
	2615	<templateI d
	2616	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	2617	/>
	2618
	2619	<templateI d
	2620	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	2621	/>
	2622
	2623	<!-- CCD O bs ID as n ullFlavor -->
	2624
	2625	<id
	2626	nullFlavor ="UNK"
	2627	/>
	2628
	2629	<code
	2630	code="SEV"
	2631	codeSystem ="2.16.840 .1.113883. 5.4"
	2632	codeSystem Name="HL7A ctCode"
	2633	displayNam e="Severit y"
	2634	/>
	2635
	2636	<!-- 6.07 SEVERITY-F REE TEXT, optional, Pointer to Narrative Block-->
	2637
	2638	<text>
	2639
	2640	<reference
	2641	value="#an dSeverity1 004"
	2642	/>
	2643
	2644	</text>
	2645
	2646	<statusCod e
	2647	code="comp leted"
	2648	/>
	2649
	2650	<effective Time>
	2651
	2652	<low
	2653	nullFlavor ="UNK"
	2654	/>
	2655
	2656	</effectiv eTime>
	2657
	2658	<!-- 6.08 SEVERITY C ODED, opti onal, When uncoded o nly xsi:ty pe="CD" al lowed -->
	2659
	2660	<value
	2661	xsi:type=" CD"
	2662	/>
	2663
	2664	</observat ion>
	2665
	2666	</entryRel ationship>
	2667
	2668	<!-- REAC TION ENTRY RELATIONSH IP BLOCK o ptional, r epeatable -->
	2669
	2670	<entryRela tionship
	2671	inversionI nd="true"
	2672	typeCode=" MFST"
	2673	>
	2674
	2675	<observati on
	2676	classCode= "OBS"
	2677	moodCode=" EVN"
	2678	>
	2679
	2680	<!-- React ion Templa te ID -->
	2681
	2682	<templateI d
	2683	root="2.16 .840.1.113 883. IP "
	2684	/>
	2685
	2686	<!-- HITSP C32 V2.5: Allerg y Template s -->
	2687
	2688	<templateI d
	2689	root="2.16 .840.1.113 883. IP "
	2690	/>
	2691
	2692	<templateI d
	2693	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	2694	/>
	2695
	2696	<templateI d
	2697	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	2698	/>
	2699
	2700	<id
	2701	nullFlavor ="UNK"
	2702	/>
	2703
	2704	<code
	2705	code="ASSE RTION"
	2706	codeSystem ="2.16.840 .1.113883. 5.4"
	2707	codeSystem Name="HL7A ctCode"
	2708	/>
	2709
	2710	<!-- 6.05 REACTION-F REE TEXT, optional,- ->
	2711
	2712	<text>
	2713
	2714	<reference
	2715	value="#an dReaction1 004-1004"
	2716	/>
	2717
	2718	</text>
	2719
	2720	<statusCod e
	2721	code="comp leted"
	2722	/>
	2723
	2724	<effective Time>
	2725
	2726	<low
	2727	nullFlavor ="UNK"
	2728	/>
	2729
	2730	</effectiv eTime>
	2731
	2732	<!-- 6.06 REACTION C ODED optio nal, when uncoded on ly xsi:typ e=CD allow ed -->
	2733
	2734	<value
	2735	xsi:type=" CD"
	2736	/>
	2737
	2738	</observat ion>
	2739
	2740	</entryRel ationship>
	2741
	2742	</observat ion>
	2743
	2744	</entryRel ationship>
	2745
	2746	</act>
	2747
	2748	</entry>
	2749	<entry
	2750	typeCode=" DRIV"
	2751	>
	2752
	2753	<act
	2754	classCode= "ACT"
	2755	moodCode=" EVN"
	2756	>
	2757
	2758	<templateI d
	2759	assigningA uthorityNa me="CCD"
	2760	root="2.16 .840.1.113 883. IP "
	2761	/>
	2762
	2763	<!-- HITSP C32 V2.5: Template s for Alle rgy/Drug M odule/Entr y -->
	2764
	2765	<templateI d
	2766	root="2.16 .840.1.113 883.3.88.1 1.83.6"
	2767	/>
	2768
	2769	<templateI d
	2770	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	2771	/>
	2772
	2773	<templateI d
	2774	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.3"
	2775	/>
	2776
	2777	<!-- CCD A llergy Act ID as nul lflavor -- >
	2778
	2779	<id
	2780	nullFlavor ="UNK"
	2781	/>
	2782
	2783	<code
	2784	nullFlavor ="NA"
	2785	/>
	2786
	2787	<!-- HITSP C32 V2.5: IHE Conc ern Templa te Require s statusCo de and eff ectiveTime -->
	2788
	2789	<statusCod e
	2790	code="acti ve"
	2791	/>
	2792
	2793	<effective Time>
	2794
	2795	<low
	2796	nullFlavor ="UNK"
	2797	/>
	2798
	2799	</effectiv eTime>
	2800
	2801	<!-- INFOR MATION SOU RCE FOR AL LERGIES/DR UG, Option al -->
	2802
	2803	<author>
	2804
	2805	<!-- ADD TIME TO IN FORMATION SOURCE FOR ALLERGIES /DRUG -->
	2806
	2807	<time
	2808	nullFlavor ="UNK"
	2809	/>
	2810
	2811	<assignedA uthor>
	2812
	2813	<id
	2814	nullFlavor ="NI"
	2815	/>
	2816
	2817	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	2818
	2819	<addr/>
	2820
	2821	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	2822
	2823	<telecom/>
	2824
	2825	<represent edOrganiza tion>
	2826
	2827	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	2828
	2829	<id
	2830	extension= "983"
	2831	root="2.16 .840.1.113 883.4.349"
	2832	/>
	2833
	2834	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	2835
	2836	<name>
	2837	CHYSHR TES T LAB
	2838	</name>
	2839
	2840	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	2841
	2842	<telecom/>
	2843
	2844	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	2845
	2846	<addr/>
	2847
	2848	</represen tedOrganiz ation>
	2849
	2850	</assigned Author>
	2851
	2852	</author>
	2853
	2854	<entryRela tionship
	2855	inversionI nd="false"
	2856	typeCode=" SUBJ"
	2857	>
	2858
	2859	<observati on
	2860	classCode= "OBS"
	2861	moodCode=" EVN"
	2862	>
	2863
	2864	<!-- HITSP C32 V2.5: Allerg y Template s -->
	2865
	2866	<templateI d
	2867	root="2.16 .840.1.113 883. IP "
	2868	/>
	2869
	2870	<!-- Alert observati on templat e -->
	2871
	2872	<templateI d
	2873	root="2.16 .840.1.113 883. IP "
	2874	/>
	2875
	2876	<templateI d
	2877	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	2878	/>
	2879
	2880	<templateI d
	2881	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	2882	/>
	2883
	2884	<!-- HITSP C32 V2.5: IHE Obser vation Tem plates Req uire Id -- >
	2885
	2886	<id
	2887	nullFlavor ="UNK"
	2888	/>
	2889
	2890	<!-- 6.02 ADVERSE EV ENT TYPE, REQUIRED; SNOMED CT -->
	2891
	2892	<!-- HITSP C32 V2.5: 6.02 ADV ERSE EVENT TYPE SNOM ED CT Term inology Re quired -->
	2893
	2894	<code
	2895	code="4180 38007"
	2896	codeSystem ="2.16.840 .1.113883. 6.96"
	2897	codeSystem Name="SNOM ED CT"
	2898	displayNam e="Propens ity to adv erse react ions to su bstance"
	2899	>
	2900
	2901	<originalT ext>
	2902	DRUG, FOOD
	2903	</original Text>
	2904
	2905	</code>
	2906
	2907	<!-- IHE Status Cod e fro Obse rvation -- >
	2908
	2909	<statusCod e
	2910	code="comp leted"
	2911	/>
	2912
	2913	<!-- 6.01 ADVERSE EV ENT DATE, Optional-R 2 -->
	2914
	2915	<effective Time>
	2916
	2917	<low
	2918	value="201 1121316213 0"
	2919	/>
	2920
	2921	</effectiv eTime>
	2922
	2923	<!-- HITSP C32 V2.5: IHE Alle rgy Concer n Template Requires value, Whe n uncoded only xsi:t ype=CD all owed -->
	2924
	2925	<value
	2926	xsi:type=" CD"
	2927	/>
	2928
	2929	<!-- HITSP C32 V2.5: Participa nt block f or 6.04-Pr oduct Code d -->
	2930
	2931	<participa nt
	2932	typeCode=" CSM"
	2933	>
	2934
	2935	<participa ntRole
	2936	classCode= "MANU"
	2937	>
	2938
	2939	<playingEn tity
	2940	classCode= "MMAT"
	2941	>
	2942
	2943	<!-- 6.04 PRODUCT C ODED, Opti onal-R2, R emoved b/c data not yet availa ble via VA VistA RPC s -->
	2944
	2945	<code
	2946	code="UNK"
	2947	nullFlavor ="UNK"
	2948	>
	2949
	2950	<originalT ext>
	2951
	2952	<reference
	2953	value="#an dCodedAlle rgyName100 5"
	2954	/>
	2955
	2956	</original Text>
	2957
	2958	</code>
	2959
	2960	<!-- 6.03 PRODUCT FR EE TEXT, R EQUIRED-->
	2961
	2962	<name>
	2963	MILK
	2964	</name>
	2965
	2966	</playingE ntity>
	2967
	2968	</particip antRole>
	2969
	2970	</particip ant>
	2971
	2972	<!-- SEVE RITY ENTRY RELATIONS HIP BLOCK optional, 0 or 1 per Allergy - ->
	2973
	2974	<entryRela tionship
	2975	inversionI nd="true"
	2976	typeCode=" SUBJ"
	2977	>
	2978
	2979	<!--Templa te ID for Problem En try - Alle rgy Reacti on Uses Sa me Structu re -->
	2980
	2981	<templateI d
	2982	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6.1"
	2983	/>
	2984
	2985	<observati on
	2986	classCode= "OBS"
	2987	moodCode=" EVN"
	2988	>
	2989
	2990	<!-- Sever ityTemplat e ID -->
	2991
	2992	<templateI d
	2993	root="2.16 .840.1.113 883. IP "
	2994	/>
	2995
	2996	<!-- HITSP C32 V2.5: Allerg y Template s -->
	2997
	2998	<templateI d
	2999	root="2.16 .840.1.113 883. IP "
	3000	/>
	3001
	3002	<templateI d
	3003	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	3004	/>
	3005
	3006	<templateI d
	3007	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	3008	/>
	3009
	3010	<!-- CCD O bs ID as n ullFlavor -->
	3011
	3012	<id
	3013	nullFlavor ="UNK"
	3014	/>
	3015
	3016	<code
	3017	code="SEV"
	3018	codeSystem ="2.16.840 .1.113883. 5.4"
	3019	codeSystem Name="HL7A ctCode"
	3020	displayNam e="Severit y"
	3021	/>
	3022
	3023	<!-- 6.07 SEVERITY-F REE TEXT, optional, Pointer to Narrative Block-->
	3024
	3025	<text>
	3026
	3027	<reference
	3028	value="#an dSeverity1 005"
	3029	/>
	3030
	3031	</text>
	3032
	3033	<statusCod e
	3034	code="comp leted"
	3035	/>
	3036
	3037	<effective Time>
	3038
	3039	<low
	3040	nullFlavor ="UNK"
	3041	/>
	3042
	3043	</effectiv eTime>
	3044
	3045	<!-- 6.08 SEVERITY C ODED, opti onal, When uncoded o nly xsi:ty pe="CD" al lowed -->
	3046
	3047	<value
	3048	xsi:type=" CD"
	3049	/>
	3050
	3051	</observat ion>
	3052
	3053	</entryRel ationship>
	3054
	3055	<!-- REAC TION ENTRY RELATIONSH IP BLOCK o ptional, r epeatable -->
	3056
	3057	<entryRela tionship
	3058	inversionI nd="true"
	3059	typeCode=" MFST"
	3060	>
	3061
	3062	<observati on
	3063	classCode= "OBS"
	3064	moodCode=" EVN"
	3065	>
	3066
	3067	<!-- React ion Templa te ID -->
	3068
	3069	<templateI d
	3070	root="2.16 .840.1.113 883. IP "
	3071	/>
	3072
	3073	<!-- HITSP C32 V2.5: Allerg y Template s -->
	3074
	3075	<templateI d
	3076	root="2.16 .840.1.113 883. IP "
	3077	/>
	3078
	3079	<templateI d
	3080	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	3081	/>
	3082
	3083	<templateI d
	3084	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	3085	/>
	3086
	3087	<id
	3088	nullFlavor ="UNK"
	3089	/>
	3090
	3091	<code
	3092	code="ASSE RTION"
	3093	codeSystem ="2.16.840 .1.113883. 5.4"
	3094	codeSystem Name="HL7A ctCode"
	3095	/>
	3096
	3097	<!-- 6.05 REACTION-F REE TEXT, optional,- ->
	3098
	3099	<text>
	3100
	3101	<reference
	3102	value="#an dReaction1 005-1005"
	3103	/>
	3104
	3105	</text>
	3106
	3107	<statusCod e
	3108	code="comp leted"
	3109	/>
	3110
	3111	<effective Time>
	3112
	3113	<low
	3114	nullFlavor ="UNK"
	3115	/>
	3116
	3117	</effectiv eTime>
	3118
	3119	<!-- 6.06 REACTION C ODED optio nal, when uncoded on ly xsi:typ e=CD allow ed -->
	3120
	3121	<value
	3122	xsi:type=" CD"
	3123	/>
	3124
	3125	</observat ion>
	3126
	3127	</entryRel ationship>
	3128
	3129	</observat ion>
	3130
	3131	</entryRel ationship>
	3132
	3133	</act>
	3134
	3135	</entry>
	3136
	3137	</section>
	3138
	3139	</componen t>
	3140
	3141	<!--
	3142	**** ****** ****** ****** ****** ********
	3143	PROBLE M/CONDITIO N SECTION
	3144	**** ****** ****** ****** ****** ********
	3145	-->
	3146
	3147	<component >
	3148
	3149	<!-- Compo nent 2 -->
	3150
	3151	<section>
	3152
	3153	<!-- CCD P roblem Sec tion Templ ate -->
	3154
	3155	<templateI d
	3156	root="2.16 .840.1.113 883. IP "
	3157	/>
	3158
	3159	<!-- HITSP C32 V2.5: Problem Section Te mplate -->
	3160
	3161	<templateI d
	3162	root="2.16 .840.1.113 883.3.88.1 1.83.103"
	3163	/>
	3164
	3165	<!-- HITSP C32 V2.5: IHE Acti ve Problem s Section Template - ->
	3166
	3167	<templateI d
	3168	root="1.3. 6.1.4.1.19 376.1.5.3. 1.3.6"
	3169	/>
	3170
	3171	<!-- HITSP C32 V2.5: C83 - IH E Problem Concern Te mplates -- >
	3172
	3173	<!-- templ ateId root ="1.3.6.1. 4.1.19376. 1.5.3.1.4. 5.1"/
	3174	<templateI d root="1. 3.6.1.4.1. 19376.1.5. 3.1.4.5.2" / -->
	3175
	3176	<code
	3177	code="1145 0-4"
	3178	codeSystem ="2.16.840 .1.113883. 6.1"
	3179	codeSystem Name="LOIN C"
	3180	displayNam e="Problem s"
	3181	/>
	3182
	3183	<title>
	3184	Problems/C onditions
	3185	</title>
	3186
	3187	<!-- PROB LEMS NARRA TIVE BLOCK , Required -->
	3188
	3189	<text>
	3190
	3191	<!-- VLER SEG 1B: Pr oblem/Cond ition Busi ness Rules for Medic al Content -->
	3192
	3193	<table
	3194	border="1"
	3195	width="100 %"
	3196	>
	3197
	3198	<thead>
	3199
	3200	<tr>
	3201
	3202	<th>
	3203	Department of Vetera ns Affairs
	3204	</th>
	3205
	3206	<th>
	3207	Business R ules for C onstructio n of Medic al Informa tion
	3208	</th>
	3209
	3210	</tr>
	3211
	3212	</thead>
	3213
	3214	<tbody>
	3215
	3216	<tr>
	3217
	3218	<td>
	3219	Problems/C onditions
	3220	</td>
	3221
	3222	<td>
	3223	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.
	3224	</td>
	3225
	3226	</tr>
	3227
	3228	</tbody>
	3229
	3230	</table>
	3231
	3232	<table
	3233	ID="proble mNarritive "
	3234	border="1"
	3235	width="100 %"
	3236	>
	3237
	3238	<thead>
	3239
	3240	<tr>
	3241
	3242	<th>
	3243	Problem
	3244	</th>
	3245
	3246	<th>
	3247	Status
	3248	</th>
	3249
	3250	<th>
	3251	Problem Co de
	3252	</th>
	3253
	3254	<th>
	3255	Date of On set
	3256	</th>
	3257
	3258	<th>
	3259	Provider
	3260	</th>
	3261
	3262	<th>
	3263	Source
	3264	</th>
	3265
	3266	</tr>
	3267
	3268	</thead>
	3269
	3270	<tbody>
	3271
	3272	<tr>
	3273
	3274	<td>
	3275
	3276	<content
	3277	ID="pndPro blem1001"
	3278	>
	3279	Carcinoma in situ of esophagus (ICD-9-CM 230.1)
	3280	</content>
	3281
	3282	</td>
	3283
	3284	<td>
	3285
	3286	<content
	3287	ID="pndSta tus1001"
	3288	>
	3289	Active
	3290	</content>
	3291
	3292	</td>
	3293
	3294	<td>
	3295
	3296	<content
	3297	ID="pndPro blemCode10 01"
	3298	>
	3299	230.1
	3300	</content>
	3301
	3302	</td>
	3303
	3304	<td>
	3305
	3306	<content
	3307	ID="pndDat eOfOnset10 01"
	3308	>
	3309	20090612
	3310	</content>
	3311
	3312	</td>
	3313
	3314	<td>
	3315
	3316	<content
	3317	ID="pndPro vider1001"
	3318	>
	3319	INLOES,SON JA
	3320	</content>
	3321
	3322	</td>
	3323
	3324	<td>
	3325
	3326	<content
	3327	ID="pndSou rce1001"
	3328	>
	3329	CHYSHR TES T LAB
	3330	</content>
	3331
	3332	</td>
	3333
	3334	</tr>
	3335	<tr>
	3336
	3337	<td>
	3338
	3339	<content
	3340	ID="pndPro blem1002"
	3341	>
	3342	Intracrani al injury of other a nd unspeci fied natur e, without mention o f open int (ICD-9-CM 854.00)
	3343	</content>
	3344
	3345	</td>
	3346
	3347	<td>
	3348
	3349	<content
	3350	ID="pndSta tus1002"
	3351	>
	3352	Active
	3353	</content>
	3354
	3355	</td>
	3356
	3357	<td>
	3358
	3359	<content
	3360	ID="pndPro blemCode10 02"
	3361	>
	3362	854.00
	3363	</content>
	3364
	3365	</td>
	3366
	3367	<td>
	3368
	3369	<content
	3370	ID="pndDat eOfOnset10 02"
	3371	>
	3372	20090308
	3373	</content>
	3374
	3375	</td>
	3376
	3377	<td>
	3378
	3379	<content
	3380	ID="pndPro vider1002"
	3381	>
	3382	NHINPROVID ER,DELTA
	3383	</content>
	3384
	3385	</td>
	3386
	3387	<td>
	3388
	3389	<content
	3390	ID="pndSou rce1002"
	3391	>
	3392	CHYSHR TES T LAB
	3393	</content>
	3394
	3395	</td>
	3396
	3397	</tr>
	3398	<tr>
	3399
	3400	<td>
	3401
	3402	<content
	3403	ID="pndPro blem1003"
	3404	>
	3405	Cortex (ce rebral) co ntusion wi thout ment ion of ope n intracra nial wound , state of (ICD-9-CM 851.00)
	3406	</content>
	3407
	3408	</td>
	3409
	3410	<td>
	3411
	3412	<content
	3413	ID="pndSta tus1003"
	3414	>
	3415	Active
	3416	</content>
	3417
	3418	</td>
	3419
	3420	<td>
	3421
	3422	<content
	3423	ID="pndPro blemCode10 03"
	3424	>
	3425	851.00
	3426	</content>
	3427
	3428	</td>
	3429
	3430	<td>
	3431
	3432	<content
	3433	ID="pndDat eOfOnset10 03"
	3434	>
	3435	20090308
	3436	</content>
	3437
	3438	</td>
	3439
	3440	<td>
	3441
	3442	<content
	3443	ID="pndPro vider1003"
	3444	>
	3445	NHINPROVID ER,DELTA
	3446	</content>
	3447
	3448	</td>
	3449
	3450	<td>
	3451
	3452	<content
	3453	ID="pndSou rce1003"
	3454	>
	3455	CHYSHR TES T LAB
	3456	</content>
	3457
	3458	</td>
	3459
	3460	</tr>
	3461	<tr>
	3462
	3463	<td>
	3464
	3465	<content
	3466	ID="pndPro blem1004"
	3467	>
	3468	Open wound of larynx (ICD-9-CM 874.01)
	3469	</content>
	3470
	3471	</td>
	3472
	3473	<td>
	3474
	3475	<content
	3476	ID="pndSta tus1004"
	3477	>
	3478	Active
	3479	</content>
	3480
	3481	</td>
	3482
	3483	<td>
	3484
	3485	<content
	3486	ID="pndPro blemCode10 04"
	3487	>
	3488	874.01
	3489	</content>
	3490
	3491	</td>
	3492
	3493	<td>
	3494
	3495	<content
	3496	ID="pndDat eOfOnset10 04"
	3497	>
	3498	20090308
	3499	</content>
	3500
	3501	</td>
	3502
	3503	<td>
	3504
	3505	<content
	3506	ID="pndPro vider1004"
	3507	>
	3508	NHINPROVID ER,DELTA
	3509	</content>
	3510
	3511	</td>
	3512
	3513	<td>
	3514
	3515	<content
	3516	ID="pndSou rce1004"
	3517	>
	3518	CHYSHR TES T LAB
	3519	</content>
	3520
	3521	</td>
	3522
	3523	</tr>
	3524
	3525	</tbody>
	3526
	3527	</table>
	3528
	3529	</text>
	3530
	3531	<entry
	3532	typeCode=" DRIV"
	3533	>
	3534
	3535	<act
	3536	classCode= "ACT"
	3537	moodCode=" EVN"
	3538	>
	3539
	3540	<!-- CCD P roblem Act Template -->
	3541
	3542	<templateI d
	3543	root="2.16 .840.1.113 883. IP "
	3544	/>
	3545
	3546	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	3547
	3548	<templateI d
	3549	root="2.16 .840.1.113 883.3.88.1 1.83.7"
	3550	/>
	3551
	3552	<templateI d
	3553	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	3554	/>
	3555
	3556	<templateI d
	3557	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2"
	3558	/>
	3559
	3560	<!-- CCD P roblem Act ID as nul lFlavor - ->
	3561
	3562	<id
	3563	nullFlavor ="UNK"
	3564	/>
	3565
	3566	<code
	3567	nullFlavor ="NA"
	3568	/>
	3569
	3570	<!-- HITSP V2.5 IHE Problem Co ncern Temp lates Requ ires statu sCode -->
	3571
	3572	<statusCod e
	3573	code="comp leted"
	3574	/>
	3575
	3576	<!-- 7.01 PROBLEM D ATE (cda:l ow=Date of Onset, cd a:high=Dat e Resolved ), Optiona l R2 -->
	3577
	3578	<effective Time>
	3579
	3580	<low
	3581	value="200 90612"
	3582	/>
	3583
	3584	<high
	3585	nullFlavor ="UNK"
	3586	/>
	3587
	3588	</effectiv eTime>
	3589
	3590	<!-- 7.05 TREATING P ROVIDER id link to H ealthCare Provider E ntry-->
	3591
	3592	<performer
	3593	typeCode=" PRF"
	3594	>
	3595
	3596	<assignedE ntity>
	3597
	3598	<id
	3599	extension= "provider1 001"
	3600	root="2.16 .840.1.113 883.4.349"
	3601	/>
	3602
	3603	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	3604
	3605	<addr/>
	3606
	3607	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	3608
	3609	<telecom/>
	3610
	3611	</assigned Entity>
	3612
	3613	</performe r>
	3614
	3615	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	3616
	3617	<author>
	3618
	3619	<!-- HITSP C32 V2.5: Time a s nullFlav or because VA VistA data not y et availab le -->
	3620
	3621	<time
	3622	nullFlavor ="UNK"
	3623	/>
	3624
	3625	<assignedA uthor>
	3626
	3627	<id
	3628	nullFlavor ="NI"
	3629	/>
	3630
	3631	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	3632
	3633	<addr/>
	3634
	3635	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	3636
	3637	<telecom/>
	3638
	3639	<represent edOrganiza tion>
	3640
	3641	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	3642
	3643	<id
	3644	extension= "983"
	3645	root="2.16 .840.1.113 883.4.349"
	3646	/>
	3647
	3648	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	3649
	3650	<name>
	3651	CHYSHR TES T LAB
	3652	</name>
	3653
	3654	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	3655
	3656	<telecom/>
	3657
	3658	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	3659
	3660	<addr/>
	3661
	3662	</represen tedOrganiz ation>
	3663
	3664	</assigned Author>
	3665
	3666	</author>
	3667
	3668	<entryRela tionship
	3669	inversionI nd="false"
	3670	typeCode=" SUBJ"
	3671	>
	3672
	3673	<!-- CCD P roblem obs ervation - Required -->
	3674
	3675	<observati on
	3676	classCode= "OBS"
	3677	moodCode=" EVN"
	3678	>
	3679
	3680	<!-- Probl em observa tion templ ate -->
	3681
	3682	<templateI d
	3683	root="2.16 .840.1.113 883. IP "
	3684	/>
	3685
	3686	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	3687
	3688	<templateI d
	3689	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	3690	/>
	3691
	3692	<!-- CCD P roblem Obs ID as nul lFlavor - ->
	3693
	3694	<id
	3695	nullFlavor ="UNK"
	3696	/>
	3697
	3698	<!-- 7.02 PROBLEM TY PE, R2, SN OMED CT - ->
	3699
	3700	<!-- 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 - ->
	3701
	3702	<code
	3703	codeSystem ="2.16.840 .1.113883. 6.96"
	3704	codeSystem Name="SNOM ED CT"
	3705	nullFlavor ="UNK"
	3706	>
	3707
	3708	<originalT ext>
	3709	Problem Ty pe Not Ava ilable
	3710	</original Text>
	3711
	3712	</code>
	3713
	3714	<!-- 7.03 PROBLEM NA ME, REQUIR ED -->
	3715
	3716	<text>
	3717
	3718	<reference
	3719	value="#pn dProblem10 01"
	3720	/>
	3721
	3722	</text>
	3723
	3724	<statusCod e
	3725	code="comp leted"
	3726	/>
	3727
	3728	<!-- HITSP V2.5: IH E Problem Templates Require lo w value en try -->
	3729
	3730	<effective Time>
	3731
	3732	<low
	3733	nullFlavor ="UNK"
	3734	/>
	3735
	3736	</effectiv eTime>
	3737
	3738	<!-- 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, -->
	3739
	3740	<!-- HITSP V2.5: IH E Problem Templates Require va lue entry -->
	3741
	3742	<value
	3743	xsi:type=" CD"
	3744	>
	3745
	3746	<translati on
	3747	code="230. 1"
	3748	codeSystem ="2.16.840 .1.113883. 6.103"
	3749	codeSystem Name="ICD- 9-CM"
	3750	/>
	3751
	3752	</value>
	3753
	3754	<!-- 7.12 PROBLEM S TATUS entr yRelations hip block, Optional, -->
	3755
	3756	<entryRela tionship
	3757	typeCode=" REFR"
	3758	>
	3759
	3760	<observati on
	3761	classCode= "OBS"
	3762	moodCode=" EVN"
	3763	>
	3764
	3765	<!-- HITSP C32 V2.5: CCD Prob lem status observati on templat e -->
	3766
	3767	<templateI d
	3768	root="2.16 .840.1.113 883. IP "
	3769	/>
	3770
	3771	<code
	3772	code="3399 9-4"
	3773	codeSystem ="2.16.840 .1.113883. 6.1"
	3774	displayNam e="Status"
	3775	/>
	3776
	3777	<statusCod e
	3778	code="comp leted"
	3779	/>
	3780
	3781	<!-- HITS P C32 V2.5 : 7.12 PRO BLEM STATU S Optiona l, Transla ted ftom V istA value -->
	3782
	3783	<value
	3784	code="5556 1003"
	3785	codeSystem ="2.16.840 .1.113883. 6.96"
	3786	displayNam e="Active"
	3787	xsi:type=" CE"
	3788	>
	3789
	3790	<originalT ext>
	3791	ACTIVE
	3792	</original Text>
	3793
	3794	</value>
	3795
	3796	</observat ion>
	3797
	3798	</entryRel ationship>
	3799
	3800	</observat ion>
	3801
	3802	</entryRel ationship>
	3803
	3804	</act>
	3805
	3806	</entry>
	3807	<entry
	3808	typeCode=" DRIV"
	3809	>
	3810
	3811	<act
	3812	classCode= "ACT"
	3813	moodCode=" EVN"
	3814	>
	3815
	3816	<!-- CCD P roblem Act Template -->
	3817
	3818	<templateI d
	3819	root="2.16 .840.1.113 883. IP "
	3820	/>
	3821
	3822	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	3823
	3824	<templateI d
	3825	root="2.16 .840.1.113 883.3.88.1 1.83.7"
	3826	/>
	3827
	3828	<templateI d
	3829	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	3830	/>
	3831
	3832	<templateI d
	3833	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2"
	3834	/>
	3835
	3836	<!-- CCD P roblem Act ID as nul lFlavor - ->
	3837
	3838	<id
	3839	nullFlavor ="UNK"
	3840	/>
	3841
	3842	<code
	3843	nullFlavor ="NA"
	3844	/>
	3845
	3846	<!-- HITSP V2.5 IHE Problem Co ncern Temp lates Requ ires statu sCode -->
	3847
	3848	<statusCod e
	3849	code="comp leted"
	3850	/>
	3851
	3852	<!-- 7.01 PROBLEM D ATE (cda:l ow=Date of Onset, cd a:high=Dat e Resolved ), Optiona l R2 -->
	3853
	3854	<effective Time>
	3855
	3856	<low
	3857	value="200 90308"
	3858	/>
	3859
	3860	<high
	3861	nullFlavor ="UNK"
	3862	/>
	3863
	3864	</effectiv eTime>
	3865
	3866	<!-- 7.05 TREATING P ROVIDER id link to H ealthCare Provider E ntry-->
	3867
	3868	<performer
	3869	typeCode=" PRF"
	3870	>
	3871
	3872	<assignedE ntity>
	3873
	3874	<id
	3875	extension= "provider1 002"
	3876	root="2.16 .840.1.113 883.4.349"
	3877	/>
	3878
	3879	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	3880
	3881	<addr/>
	3882
	3883	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	3884
	3885	<telecom/>
	3886
	3887	</assigned Entity>
	3888
	3889	</performe r>
	3890
	3891	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	3892
	3893	<author>
	3894
	3895	<!-- HITSP C32 V2.5: Time a s nullFlav or because VA VistA data not y et availab le -->
	3896
	3897	<time
	3898	nullFlavor ="UNK"
	3899	/>
	3900
	3901	<assignedA uthor>
	3902
	3903	<id
	3904	nullFlavor ="NI"
	3905	/>
	3906
	3907	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	3908
	3909	<addr/>
	3910
	3911	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	3912
	3913	<telecom/>
	3914
	3915	<represent edOrganiza tion>
	3916
	3917	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	3918
	3919	<id
	3920	extension= "983"
	3921	root="2.16 .840.1.113 883.4.349"
	3922	/>
	3923
	3924	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	3925
	3926	<name>
	3927	CHYSHR TES T LAB
	3928	</name>
	3929
	3930	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	3931
	3932	<telecom/>
	3933
	3934	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	3935
	3936	<addr/>
	3937
	3938	</represen tedOrganiz ation>
	3939
	3940	</assigned Author>
	3941
	3942	</author>
	3943
	3944	<entryRela tionship
	3945	inversionI nd="false"
	3946	typeCode=" SUBJ"
	3947	>
	3948
	3949	<!-- CCD P roblem obs ervation - Required -->
	3950
	3951	<observati on
	3952	classCode= "OBS"
	3953	moodCode=" EVN"
	3954	>
	3955
	3956	<!-- Probl em observa tion templ ate -->
	3957
	3958	<templateI d
	3959	root="2.16 .840.1.113 883. IP "
	3960	/>
	3961
	3962	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	3963
	3964	<templateI d
	3965	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	3966	/>
	3967
	3968	<!-- CCD P roblem Obs ID as nul lFlavor - ->
	3969
	3970	<id
	3971	nullFlavor ="UNK"
	3972	/>
	3973
	3974	<!-- 7.02 PROBLEM TY PE, R2, SN OMED CT - ->
	3975
	3976	<!-- 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 - ->
	3977
	3978	<code
	3979	codeSystem ="2.16.840 .1.113883. 6.96"
	3980	codeSystem Name="SNOM ED CT"
	3981	nullFlavor ="UNK"
	3982	>
	3983
	3984	<originalT ext>
	3985	Problem Ty pe Not Ava ilable
	3986	</original Text>
	3987
	3988	</code>
	3989
	3990	<!-- 7.03 PROBLEM NA ME, REQUIR ED -->
	3991
	3992	<text>
	3993
	3994	<reference
	3995	value="#pn dProblem10 02"
	3996	/>
	3997
	3998	</text>
	3999
	4000	<statusCod e
	4001	code="comp leted"
	4002	/>
	4003
	4004	<!-- HITSP V2.5: IH E Problem Templates Require lo w value en try -->
	4005
	4006	<effective Time>
	4007
	4008	<low
	4009	nullFlavor ="UNK"
	4010	/>
	4011
	4012	</effectiv eTime>
	4013
	4014	<!-- 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, -->
	4015
	4016	<!-- HITSP V2.5: IH E Problem Templates Require va lue entry -->
	4017
	4018	<value
	4019	xsi:type=" CD"
	4020	>
	4021
	4022	<translati on
	4023	code="854. 00"
	4024	codeSystem ="2.16.840 .1.113883. 6.103"
	4025	codeSystem Name="ICD- 9-CM"
	4026	/>
	4027
	4028	</value>
	4029
	4030	<!-- 7.12 PROBLEM S TATUS entr yRelations hip block, Optional, -->
	4031
	4032	<entryRela tionship
	4033	typeCode=" REFR"
	4034	>
	4035
	4036	<observati on
	4037	classCode= "OBS"
	4038	moodCode=" EVN"
	4039	>
	4040
	4041	<!-- HITSP C32 V2.5: CCD Prob lem status observati on templat e -->
	4042
	4043	<templateI d
	4044	root="2.16 .840.1.113 883. IP "
	4045	/>
	4046
	4047	<code
	4048	code="3399 9-4"
	4049	codeSystem ="2.16.840 .1.113883. 6.1"
	4050	displayNam e="Status"
	4051	/>
	4052
	4053	<statusCod e
	4054	code="comp leted"
	4055	/>
	4056
	4057	<!-- HITS P C32 V2.5 : 7.12 PRO BLEM STATU S Optiona l, Transla ted ftom V istA value -->
	4058
	4059	<value
	4060	code="5556 1003"
	4061	codeSystem ="2.16.840 .1.113883. 6.96"
	4062	displayNam e="Active"
	4063	xsi:type=" CE"
	4064	>
	4065
	4066	<originalT ext>
	4067	ACTIVE
	4068	</original Text>
	4069
	4070	</value>
	4071
	4072	</observat ion>
	4073
	4074	</entryRel ationship>
	4075
	4076	</observat ion>
	4077
	4078	</entryRel ationship>
	4079
	4080	</act>
	4081
	4082	</entry>
	4083	<entry
	4084	typeCode=" DRIV"
	4085	>
	4086
	4087	<act
	4088	classCode= "ACT"
	4089	moodCode=" EVN"
	4090	>
	4091
	4092	<!-- CCD P roblem Act Template -->
	4093
	4094	<templateI d
	4095	root="2.16 .840.1.113 883. IP "
	4096	/>
	4097
	4098	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	4099
	4100	<templateI d
	4101	root="2.16 .840.1.113 883.3.88.1 1.83.7"
	4102	/>
	4103
	4104	<templateI d
	4105	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	4106	/>
	4107
	4108	<templateI d
	4109	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2"
	4110	/>
	4111
	4112	<!-- CCD P roblem Act ID as nul lFlavor - ->
	4113
	4114	<id
	4115	nullFlavor ="UNK"
	4116	/>
	4117
	4118	<code
	4119	nullFlavor ="NA"
	4120	/>
	4121
	4122	<!-- HITSP V2.5 IHE Problem Co ncern Temp lates Requ ires statu sCode -->
	4123
	4124	<statusCod e
	4125	code="comp leted"
	4126	/>
	4127
	4128	<!-- 7.01 PROBLEM D ATE (cda:l ow=Date of Onset, cd a:high=Dat e Resolved ), Optiona l R2 -->
	4129
	4130	<effective Time>
	4131
	4132	<low
	4133	value="200 90308"
	4134	/>
	4135
	4136	<high
	4137	nullFlavor ="UNK"
	4138	/>
	4139
	4140	</effectiv eTime>
	4141
	4142	<!-- 7.05 TREATING P ROVIDER id link to H ealthCare Provider E ntry-->
	4143
	4144	<performer
	4145	typeCode=" PRF"
	4146	>
	4147
	4148	<assignedE ntity>
	4149
	4150	<id
	4151	extension= "provider1 003"
	4152	root="2.16 .840.1.113 883.4.349"
	4153	/>
	4154
	4155	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	4156
	4157	<addr/>
	4158
	4159	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	4160
	4161	<telecom/>
	4162
	4163	</assigned Entity>
	4164
	4165	</performe r>
	4166
	4167	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	4168
	4169	<author>
	4170
	4171	<!-- HITSP C32 V2.5: Time a s nullFlav or because VA VistA data not y et availab le -->
	4172
	4173	<time
	4174	nullFlavor ="UNK"
	4175	/>
	4176
	4177	<assignedA uthor>
	4178
	4179	<id
	4180	nullFlavor ="NI"
	4181	/>
	4182
	4183	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	4184
	4185	<addr/>
	4186
	4187	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	4188
	4189	<telecom/>
	4190
	4191	<represent edOrganiza tion>
	4192
	4193	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	4194
	4195	<id
	4196	extension= "983"
	4197	root="2.16 .840.1.113 883.4.349"
	4198	/>
	4199
	4200	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	4201
	4202	<name>
	4203	CHYSHR TES T LAB
	4204	</name>
	4205
	4206	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	4207
	4208	<telecom/>
	4209
	4210	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	4211
	4212	<addr/>
	4213
	4214	</represen tedOrganiz ation>
	4215
	4216	</assigned Author>
	4217
	4218	</author>
	4219
	4220	<entryRela tionship
	4221	inversionI nd="false"
	4222	typeCode=" SUBJ"
	4223	>
	4224
	4225	<!-- CCD P roblem obs ervation - Required -->
	4226
	4227	<observati on
	4228	classCode= "OBS"
	4229	moodCode=" EVN"
	4230	>
	4231
	4232	<!-- Probl em observa tion templ ate -->
	4233
	4234	<templateI d
	4235	root="2.16 .840.1.113 883. IP "
	4236	/>
	4237
	4238	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	4239
	4240	<templateI d
	4241	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	4242	/>
	4243
	4244	<!-- CCD P roblem Obs ID as nul lFlavor - ->
	4245
	4246	<id
	4247	nullFlavor ="UNK"
	4248	/>
	4249
	4250	<!-- 7.02 PROBLEM TY PE, R2, SN OMED CT - ->
	4251
	4252	<!-- 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 - ->
	4253
	4254	<code
	4255	codeSystem ="2.16.840 .1.113883. 6.96"
	4256	codeSystem Name="SNOM ED CT"
	4257	nullFlavor ="UNK"
	4258	>
	4259
	4260	<originalT ext>
	4261	Problem Ty pe Not Ava ilable
	4262	</original Text>
	4263
	4264	</code>
	4265
	4266	<!-- 7.03 PROBLEM NA ME, REQUIR ED -->
	4267
	4268	<text>
	4269
	4270	<reference
	4271	value="#pn dProblem10 03"
	4272	/>
	4273
	4274	</text>
	4275
	4276	<statusCod e
	4277	code="comp leted"
	4278	/>
	4279
	4280	<!-- HITSP V2.5: IH E Problem Templates Require lo w value en try -->
	4281
	4282	<effective Time>
	4283
	4284	<low
	4285	nullFlavor ="UNK"
	4286	/>
	4287
	4288	</effectiv eTime>
	4289
	4290	<!-- 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, -->
	4291
	4292	<!-- HITSP V2.5: IH E Problem Templates Require va lue entry -->
	4293
	4294	<value
	4295	xsi:type=" CD"
	4296	>
	4297
	4298	<translati on
	4299	code="851. 00"
	4300	codeSystem ="2.16.840 .1.113883. 6.103"
	4301	codeSystem Name="ICD- 9-CM"
	4302	/>
	4303
	4304	</value>
	4305
	4306	<!-- 7.12 PROBLEM S TATUS entr yRelations hip block, Optional, -->
	4307
	4308	<entryRela tionship
	4309	typeCode=" REFR"
	4310	>
	4311
	4312	<observati on
	4313	classCode= "OBS"
	4314	moodCode=" EVN"
	4315	>
	4316
	4317	<!-- HITSP C32 V2.5: CCD Prob lem status observati on templat e -->
	4318
	4319	<templateI d
	4320	root="2.16 .840.1.113 883. IP "
	4321	/>
	4322
	4323	<code
	4324	code="3399 9-4"
	4325	codeSystem ="2.16.840 .1.113883. 6.1"
	4326	displayNam e="Status"
	4327	/>
	4328
	4329	<statusCod e
	4330	code="comp leted"
	4331	/>
	4332
	4333	<!-- HITS P C32 V2.5 : 7.12 PRO BLEM STATU S Optiona l, Transla ted ftom V istA value -->
	4334
	4335	<value
	4336	code="5556 1003"
	4337	codeSystem ="2.16.840 .1.113883. 6.96"
	4338	displayNam e="Active"
	4339	xsi:type=" CE"
	4340	>
	4341
	4342	<originalT ext>
	4343	ACTIVE
	4344	</original Text>
	4345
	4346	</value>
	4347
	4348	</observat ion>
	4349
	4350	</entryRel ationship>
	4351
	4352	</observat ion>
	4353
	4354	</entryRel ationship>
	4355
	4356	</act>
	4357
	4358	</entry>
	4359	<entry
	4360	typeCode=" DRIV"
	4361	>
	4362
	4363	<act
	4364	classCode= "ACT"
	4365	moodCode=" EVN"
	4366	>
	4367
	4368	<!-- CCD P roblem Act Template -->
	4369
	4370	<templateI d
	4371	root="2.16 .840.1.113 883. IP "
	4372	/>
	4373
	4374	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	4375
	4376	<templateI d
	4377	root="2.16 .840.1.113 883.3.88.1 1.83.7"
	4378	/>
	4379
	4380	<templateI d
	4381	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	4382	/>
	4383
	4384	<templateI d
	4385	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2"
	4386	/>
	4387
	4388	<!-- CCD P roblem Act ID as nul lFlavor - ->
	4389
	4390	<id
	4391	nullFlavor ="UNK"
	4392	/>
	4393
	4394	<code
	4395	nullFlavor ="NA"
	4396	/>
	4397
	4398	<!-- HITSP V2.5 IHE Problem Co ncern Temp lates Requ ires statu sCode -->
	4399
	4400	<statusCod e
	4401	code="comp leted"
	4402	/>
	4403
	4404	<!-- 7.01 PROBLEM D ATE (cda:l ow=Date of Onset, cd a:high=Dat e Resolved ), Optiona l R2 -->
	4405
	4406	<effective Time>
	4407
	4408	<low
	4409	value="200 90308"
	4410	/>
	4411
	4412	<high
	4413	nullFlavor ="UNK"
	4414	/>
	4415
	4416	</effectiv eTime>
	4417
	4418	<!-- 7.05 TREATING P ROVIDER id link to H ealthCare Provider E ntry-->
	4419
	4420	<performer
	4421	typeCode=" PRF"
	4422	>
	4423
	4424	<assignedE ntity>
	4425
	4426	<id
	4427	extension= "provider1 004"
	4428	root="2.16 .840.1.113 883.4.349"
	4429	/>
	4430
	4431	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	4432
	4433	<addr/>
	4434
	4435	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	4436
	4437	<telecom/>
	4438
	4439	</assigned Entity>
	4440
	4441	</performe r>
	4442
	4443	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	4444
	4445	<author>
	4446
	4447	<!-- HITSP C32 V2.5: Time a s nullFlav or because VA VistA data not y et availab le -->
	4448
	4449	<time
	4450	nullFlavor ="UNK"
	4451	/>
	4452
	4453	<assignedA uthor>
	4454
	4455	<id
	4456	nullFlavor ="NI"
	4457	/>
	4458
	4459	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	4460
	4461	<addr/>
	4462
	4463	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	4464
	4465	<telecom/>
	4466
	4467	<represent edOrganiza tion>
	4468
	4469	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	4470
	4471	<id
	4472	extension= "983"
	4473	root="2.16 .840.1.113 883.4.349"
	4474	/>
	4475
	4476	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	4477
	4478	<name>
	4479	CHYSHR TES T LAB
	4480	</name>
	4481
	4482	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	4483
	4484	<telecom/>
	4485
	4486	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	4487
	4488	<addr/>
	4489
	4490	</represen tedOrganiz ation>
	4491
	4492	</assigned Author>
	4493
	4494	</author>
	4495
	4496	<entryRela tionship
	4497	inversionI nd="false"
	4498	typeCode=" SUBJ"
	4499	>
	4500
	4501	<!-- CCD P roblem obs ervation - Required -->
	4502
	4503	<observati on
	4504	classCode= "OBS"
	4505	moodCode=" EVN"
	4506	>
	4507
	4508	<!-- Probl em observa tion templ ate -->
	4509
	4510	<templateI d
	4511	root="2.16 .840.1.113 883. IP "
	4512	/>
	4513
	4514	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	4515
	4516	<templateI d
	4517	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	4518	/>
	4519
	4520	<!-- CCD P roblem Obs ID as nul lFlavor - ->
	4521
	4522	<id
	4523	nullFlavor ="UNK"
	4524	/>
	4525
	4526	<!-- 7.02 PROBLEM TY PE, R2, SN OMED CT - ->
	4527
	4528	<!-- 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 - ->
	4529
	4530	<code
	4531	codeSystem ="2.16.840 .1.113883. 6.96"
	4532	codeSystem Name="SNOM ED CT"
	4533	nullFlavor ="UNK"
	4534	>
	4535
	4536	<originalT ext>
	4537	Problem Ty pe Not Ava ilable
	4538	</original Text>
	4539
	4540	</code>
	4541
	4542	<!-- 7.03 PROBLEM NA ME, REQUIR ED -->
	4543
	4544	<text>
	4545
	4546	<reference
	4547	value="#pn dProblem10 04"
	4548	/>
	4549
	4550	</text>
	4551
	4552	<statusCod e
	4553	code="comp leted"
	4554	/>
	4555
	4556	<!-- HITSP V2.5: IH E Problem Templates Require lo w value en try -->
	4557
	4558	<effective Time>
	4559
	4560	<low
	4561	nullFlavor ="UNK"
	4562	/>
	4563
	4564	</effectiv eTime>
	4565
	4566	<!-- 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, -->
	4567
	4568	<!-- HITSP V2.5: IH E Problem Templates Require va lue entry -->
	4569
	4570	<value
	4571	xsi:type=" CD"
	4572	>
	4573
	4574	<translati on
	4575	code="874. 01"
	4576	codeSystem ="2.16.840 .1.113883. 6.103"
	4577	codeSystem Name="ICD- 9-CM"
	4578	/>
	4579
	4580	</value>
	4581
	4582	<!-- 7.12 PROBLEM S TATUS entr yRelations hip block, Optional, -->
	4583
	4584	<entryRela tionship
	4585	typeCode=" REFR"
	4586	>
	4587
	4588	<observati on
	4589	classCode= "OBS"
	4590	moodCode=" EVN"
	4591	>
	4592
	4593	<!-- HITSP C32 V2.5: CCD Prob lem status observati on templat e -->
	4594
	4595	<templateI d
	4596	root="2.16 .840.1.113 883. IP "
	4597	/>
	4598
	4599	<code
	4600	code="3399 9-4"
	4601	codeSystem ="2.16.840 .1.113883. 6.1"
	4602	displayNam e="Status"
	4603	/>
	4604
	4605	<statusCod e
	4606	code="comp leted"
	4607	/>
	4608
	4609	<!-- HITS P C32 V2.5 : 7.12 PRO BLEM STATU S Optiona l, Transla ted ftom V istA value -->
	4610
	4611	<value
	4612	code="5556 1003"
	4613	codeSystem ="2.16.840 .1.113883. 6.96"
	4614	displayNam e="Active"
	4615	xsi:type=" CE"
	4616	>
	4617
	4618	<originalT ext>
	4619	ACTIVE
	4620	</original Text>
	4621
	4622	</value>
	4623
	4624	</observat ion>
	4625
	4626	</entryRel ationship>
	4627
	4628	</observat ion>
	4629
	4630	</entryRel ationship>
	4631
	4632	</act>
	4633
	4634	</entry>
	4635
	4636	</section>
	4637
	4638	</componen t>
	4639
	4640	<!--
	4641	**** ****** ****** ****** ****** ********
	4642	MEDICA TIONS (RX & Non-RX) SECTION
	4643	**** ****** ****** ****** ****** ********
	4644	-->
	4645
	4646
	4647	<!--
	4648	**** ****** ****** ****** ****** ********
	4649	VLER S EG 1B: VI TAL SIGNS SECTION
	4650	**** ****** ****** ****** ****** ********
	4651	-->
	4652
	4653
	4654	<!--
	4655	**** ****** ****** ****** ****** ********
	4656	VLER S EG 1B: LA B RESULTS SECTION (C hemistry/H ematology)
	4657	**** ****** ****** ****** ****** ********
	4658	-->
	4659
	4660
	4661	<!--
	4662	****** ****** ****** ****** ****** ******
	4663	VLER SEG MENT 1B: IMMUNIZATI ON SECTION
	4664	****** ****** ****** ****** ****** ******
	4665	-->
	4666
	4667	<component >
	4668
	4669	<!-- Compo nent 6 -->
	4670
	4671	<section>
	4672
	4673	<!-- Immun izations s ection tem plate -->
	4674
	4675	<templateI d
	4676	root="2.16 .840.1.113 883. IP "
	4677	/>
	4678
	4679	<templateI d
	4680	root="1.3. 6.1.4.1.19 376.1.5.3. 1.3.23"
	4681	/>
	4682
	4683	<templateI d
	4684	root="2.16 .840.1.113 883.3.88.1 1.83.117"
	4685	/>
	4686
	4687
	4688	<code
	4689	code="1136 9-6"
	4690	codeSystem ="2.16.840 .1.113883. 6.1"
	4691	codeSystem Name="LOIN C"
	4692	displayNam e=" Histor y of immun izations "
	4693	/>
	4694
	4695	<title>
	4696	Immunizati ons
	4697	</title>
	4698
	4699	<!-- IMMU NIZATIONS NARRATIVE BLOCK , RE QUIRED -->
	4700
	4701	<text>
	4702
	4703	<!-- VLER SEG 1B: Im munization Business Rules for Medical Co ntent -->
	4704
	4705	<table
	4706	border="1"
	4707	width="100 %"
	4708	>
	4709
	4710	<thead>
	4711
	4712	<tr>
	4713
	4714	<th>
	4715	Department of Vetera ns Affairs
	4716	</th>
	4717
	4718	<th>
	4719	Business R ules for C onstructio n of Medic al Informa tion
	4720	</th>
	4721
	4722	</tr>
	4723
	4724	</thead>
	4725
	4726	<tbody>
	4727
	4728	<tr>
	4729
	4730	<td>
	4731	Immunizati ons
	4732	</td>
	4733
	4734	<td>
	4735	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.
	4736	</td>
	4737
	4738	</tr>
	4739
	4740	</tbody>
	4741
	4742	</table>
	4743
	4744	<table
	4745	ID="immuni zationNarr itive"
	4746	border="1"
	4747	width="100 %"
	4748	>
	4749
	4750	<thead>
	4751
	4752	<tr>
	4753
	4754	<th>
	4755	Immunizati on
	4756	</th>
	4757
	4758	<th>
	4759	Series
	4760	</th>
	4761
	4762	<th>
	4763	Date Issue d
	4764	</th>
	4765
	4766	<th>
	4767	Reaction
	4768	</th>
	4769
	4770	<th>
	4771	Comments
	4772	</th>
	4773
	4774	</tr>
	4775
	4776	</thead>
	4777
	4778	<tbody>
	4779
	4780	<tr>
	4781
	4782	<td>
	4783
	4784	<content
	4785	ID="indImm unization1 001"
	4786	>
	4787	TYPHOID, P ARENTERAL, AKD (U.S. MILITARY)
	4788	</content>
	4789
	4790	</td>
	4791
	4792	<td>
	4793
	4794	<content
	4795	ID="indSer ies1001"
	4796	>
	4797	4
	4798	</content>
	4799
	4800	</td>
	4801
	4802	<td>
	4803
	4804	<content
	4805	ID="indDat eIssued100 1"
	4806	>
	4807	20100218
	4808	</content>
	4809
	4810	</td>
	4811
	4812	<td>
	4813
	4814	<content
	4815	ID="indRea ction1001"
	4816	>
	4817	NONE
	4818	</content>
	4819
	4820	</td>
	4821
	4822	<td>
	4823
	4824	<content
	4825	ID="indCom ments1001"
	4826	>
	4827	PATIENT DI D WELL DUR ING VISIT
	4828	</content>
	4829
	4830	</td>
	4831
	4832	</tr>
	4833	<tr>
	4834
	4835	<td>
	4836
	4837	<content
	4838	ID="indImm unization1 002"
	4839	>
	4840	INFLUENZA, WHOLE
	4841	</content>
	4842
	4843	</td>
	4844
	4845	<td>
	4846
	4847	<content
	4848	ID="indSer ies1002"
	4849	>
	4850	2
	4851	</content>
	4852
	4853	</td>
	4854
	4855	<td>
	4856
	4857	<content
	4858	ID="indDat eIssued100 2"
	4859	>
	4860	20100218
	4861	</content>
	4862
	4863	</td>
	4864
	4865	<td>
	4866
	4867	<content
	4868	ID="indRea ction1002"
	4869	>
	4870	RASH OR IT CHING
	4871	</content>
	4872
	4873	</td>
	4874
	4875	<td>
	4876
	4877	<content
	4878	ID="indCom ments1002"
	4879	>
	4880	TEST COMME NT
	4881	</content>
	4882
	4883	</td>
	4884
	4885	</tr>
	4886
	4887	</tbody>
	4888
	4889	</table>
	4890
	4891	</text>
	4892
	4893	<entry
	4894	typeCode=" DRIV"
	4895	>
	4896
	4897	<!-- Repea t entry/su bstanceAdm instration block for each Immu nization - ->
	4898
	4899	<!-- 13.01 -REFUSAL, REQUIRED, static val ue of "fal se" -->
	4900
	4901	<!-- HITSP C32 V2.5: HL7 CDA R2-If Immu nization w as adminis tered, @ne gationInd= false -->
	4902
	4903	<substance Administra tion
	4904	classCode= "SBADM"
	4905	moodCode=" EVN"
	4906	negationIn d="false"
	4907	>
	4908
	4909	<!-- HITSP C32 V2.5: Immuniza tion Templ ates -->
	4910
	4911	<templateI d
	4912	root="2.16 .840.1.113 883. IP "
	4913	/>
	4914
	4915	<templateI d
	4916	root="2.16 .840.1.113 883.3.88.1 1.83.13"
	4917	/>
	4918
	4919	<templateI d
	4920	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.12"
	4921	/>
	4922
	4923	<!-- HITSP C32 V2.5: Immunizat ion Id as nullFlavor -->
	4924
	4925	<id
	4926	nullFlavor ="UNK"
	4927	/>
	4928
	4929	<code
	4930	code="IMMU NIZ"
	4931	codeSystem ="2.16.840 .1.113883. 5.4"
	4932	codeSystem Name="ActC ode"
	4933	/>
	4934
	4935	<!-- COMME NT REFEREN CE points to Narrati ve Block - ->
	4936
	4937	<text>
	4938	<reference
	4939	value="#in dComments1 001"
	4940	/>
	4941	</text>
	4942
	4943	<statusCod e
	4944	code="comp leted"
	4945	/>
	4946
	4947	<!-- 13.02 -ADMINISTE RED DATE, REQUIRED, -->
	4948
	4949	<effective Time
	4950	value="201 00218"
	4951	/>
	4952
	4953	<consumabl e>
	4954
	4955	<!-- HITSP C32 V2.5: Immuniza tion Medic ation -->
	4956
	4957	<manufactu redProduct >
	4958
	4959	<!-- Produ ct templat e -->
	4960
	4961	<templateI d
	4962	root="2.16 .840.1.113 883. IP "
	4963	/>
	4964
	4965	<templateI d
	4966	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2"
	4967	/>
	4968
	4969	<id
	4970	nullFlavor ="UNK"
	4971	/>
	4972
	4973	<!--manufa cturedLabe ledDrug></ manufactur edLabeledD rug -->
	4974
	4975	<manufactu redMateria l>
	4976
	4977	<!-- 13.06 -CODED PRO DUCT NAME, Optional, nullFlavo r b/c data not yet a vailable t hru VistA RPCs -->
	4978
	4979	<!-- HITSP C32 V2.5: CODED PR ODUCT NAME , Optional , Requires CVX-Vacci nes Admins tered , VA provides CPT-4-->
	4980
	4981	<code
	4982	code="UNK"
	4983	codeSystem ="2.16.840 .1.113883. 6.59"
	4984	codeSystem Name="CVX"
	4985	nullFlavor ="UNK"
	4986	>
	4987
	4988	<!-- 13.07 -FREE TEXT PRODUCT NA ME, REQUIR ED, Pointe r to Narra tive Block -->
	4989
	4990	<originalT ext>
	4991
	4992	<reference
	4993	value="#in dImmunizat ion1001"
	4994	/>
	4995
	4996	</original Text>
	4997
	4998	<translati on
	4999	code="9069 3"
	5000	codeSystem ="2.16.840 .1.113883. 6.12"
	5001	codeSystem Name="Curr ent Proced ural Termi nology (CP T®) Fourth Edition ( CPT-4)"
	5002	displayNam e="TYPHOID VACCINE A KD SC"
	5003	/>
	5004
	5005	</code>
	5006
	5007	<!-- 13.09 -LOT NUMBE R, Optiona l, XML omi tted b/c n ot yet da ta availab le thru Vi stA RPCs - ->
	5008
	5009	</manufact uredMateri al>
	5010
	5011	<manufactu rerOrganiz ation>
	5012
	5013	<!-- 13.08 DRUG MANU FACTURER, Optional, XML omitte d b/c not yet data a vailable t hru VistA RPCs -->
	5014
	5015	</manufact urerOrgani zation>
	5016
	5017	</manufact uredProduc t>
	5018
	5019	</consumab le>
	5020
	5021	<!-- 13.05 -PERFORMER , Optional -->
	5022
	5023	<performer
	5024	typeCode=" PRF"
	5025	>
	5026
	5027	<!-- Provi der Templa te Id -->
	5028
	5029	<templateI d
	5030	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	5031	/>
	5032
	5033	<time>
	5034
	5035	<high
	5036	nullFlavor ="UNK"
	5037	/>
	5038
	5039	</time>
	5040
	5041	<assignedE ntity>
	5042
	5043	<!-- Provi der ID, ex tension = Provider I D, root=VA OID -->
	5044
	5045	<id
	5046	extension= "520646595 "
	5047	root="2.16 .840.1.113 883.4.349"
	5048	/>
	5049
	5050	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	5051
	5052	<addr/>
	5053
	5054	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	5055
	5056	<telecom/>
	5057
	5058	<assignedP erson>
	5059
	5060	<name>
	5061	INLOES,SON JA
	5062	</name>
	5063
	5064	</assigned Person>
	5065
	5066	</assigned Entity>
	5067
	5068	</performe r>
	5069
	5070	<!-- INFOR MATION SOU RCE FOR IM MUNIZATION , Optional -->
	5071
	5072	<author>
	5073
	5074	<time
	5075	nullFlavor ="UNK"
	5076	/>
	5077
	5078	<assignedA uthor>
	5079
	5080	<id
	5081	nullFlavor ="NI"
	5082	/>
	5083
	5084	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	5085
	5086	<addr/>
	5087
	5088	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	5089
	5090	<telecom/>
	5091
	5092	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	5093
	5094	<assignedP erson>
	5095
	5096	<name/>
	5097
	5098	</assigned Person>
	5099
	5100	<represent edOrganiza tion>
	5101
	5102	<!-- INFOR MATION SOU RCE FACILI TY OID (ID = VA OID, EXT = TRE ATING FACI LITY NBR) -->
	5103
	5104	<id
	5105	extension= "442"
	5106	root="2.16 .840.1.113 883.4.349"
	5107	/>
	5108
	5109	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	5110
	5111	<name>
	5112	CHEYENNE V AMC
	5113	</name>
	5114
	5115	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	5116
	5117	<telecom/>
	5118
	5119	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	5120
	5121	<addr/>
	5122
	5123	</represen tedOrganiz ation>
	5124
	5125	</assigned Author>
	5126
	5127	</author>
	5128
	5129	<!-- HITSP C32 V2.5: Immuniza tion Medic ation Seri es Nbr -->
	5130
	5131	<entryRela tionship
	5132	typeCode=" SUBJ"
	5133	>
	5134
	5135	<observati on
	5136	classCode= "OBS"
	5137	moodCode=" EVN"
	5138	>
	5139
	5140	<templateI d
	5141	root="2.16 .840.1.113 883. IP "
	5142	/>
	5143
	5144	<!-- HITSP C32 V2.5: Required Code unde r Observat ion -->
	5145
	5146	<code
	5147	code="3097 3-2"
	5148	codeSystem ="2.16.840 .1.113883. 6.1"
	5149	codeSystem Name="LOIN C"
	5150	displayNam e="Dose Nu mber"
	5151	/>
	5152
	5153	<!-- HITSP C32 V2.5: Required statusCod e under Ob servation -->
	5154
	5155	<statusCod e
	5156	code="comp leted"
	5157	/>
	5158
	5159	<!-- 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 -->
	5160
	5161	<value
	5162	value="4"
	5163	xsi:type=" INT"
	5164	/>
	5165
	5166	</observat ion>
	5167
	5168	</entryRel ationship>
	5169
	5170	<!-- HITSP C32 V2.5: Immuniza tion React ion -->
	5171
	5172	<entryRela tionship
	5173	inversionI nd="false"
	5174	typeCode=" CAUS"
	5175	>
	5176
	5177	<!-- Repea t entryRel ationship/ observatio n block fo r each imm uniz react ion -->
	5178
	5179	<observati on
	5180	classCode= "OBS"
	5181	moodCode=" EVN"
	5182	>
	5183
	5184	<templateI d
	5185	root="2.16 .840.1.113 883. IP "
	5186	/>
	5187
	5188	<templateI d
	5189	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	5190	/>
	5191
	5192	<templateI d
	5193	root="2.16 .840.1.113 883. IP "
	5194	/>
	5195
	5196	<!-- 13.04 -REACTION, Optional , Repeatab le -->
	5197
	5198	<id
	5199	nullFlavor ="UNK"
	5200	/>
	5201
	5202	<!-- HITSP C32 V2.5: Required Code unde r Observat ion -->
	5203
	5204	<code
	5205	nullFlavor ="UNK"
	5206	/>
	5207
	5208	<!-- HITSP C32 V2.5: Required statusCod e under Ob servation -->
	5209
	5210	<!-- 13.04 -REACTION, Pointer to IMMUNIZ ATION NARR ATIVE BLOC K not Alle rgy Entry per IHE Te mplate -->
	5211
	5212	<text>
	5213
	5214	<reference
	5215	value="#in dReaction1 001"
	5216	/>
	5217
	5218	</text>
	5219
	5220	<statusCod e
	5221	code="comp leted"
	5222	/>
	5223
	5224	<!-- HITSP C32 V2.5: IHE Temp late requi res low va lue entry -->
	5225
	5226	<effective Time>
	5227
	5228	<low
	5229	nullFlavor ="UNK"
	5230	/>
	5231
	5232	</effectiv eTime>
	5233
	5234	<!-- HITSP C32 V2.5: IHE Temp late requi res value entry -->
	5235
	5236	<value
	5237	nullFlavor ="UNK"
	5238	xsi:type=" CD"
	5239	/>
	5240
	5241	</observat ion>
	5242
	5243	</entryRel ationship>
	5244
	5245	</substanc eAdministr ation>
	5246
	5247	</entry>
	5248	<entry
	5249	typeCode=" DRIV"
	5250	>
	5251
	5252	<!-- Repea t entry/su bstanceAdm instration block for each Immu nization - ->
	5253
	5254	<!-- 13.01 -REFUSAL, REQUIRED, static val ue of "fal se" -->
	5255
	5256	<!-- HITSP C32 V2.5: HL7 CDA R2-If Immu nization w as adminis tered, @ne gationInd= false -->
	5257
	5258	<substance Administra tion
	5259	classCode= "SBADM"
	5260	moodCode=" EVN"
	5261	negationIn d="false"
	5262	>
	5263
	5264	<!-- HITSP C32 V2.5: Immuniza tion Templ ates -->
	5265
	5266	<templateI d
	5267	root="2.16 .840.1.113 883. IP "
	5268	/>
	5269
	5270	<templateI d
	5271	root="2.16 .840.1.113 883.3.88.1 1.83.13"
	5272	/>
	5273
	5274	<templateI d
	5275	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.12"
	5276	/>
	5277
	5278	<!-- HITSP C32 V2.5: Immunizat ion Id as nullFlavor -->
	5279
	5280	<id
	5281	nullFlavor ="UNK"
	5282	/>
	5283
	5284	<code
	5285	code="IMMU NIZ"
	5286	codeSystem ="2.16.840 .1.113883. 5.4"
	5287	codeSystem Name="ActC ode"
	5288	/>
	5289
	5290	<!-- COMME NT REFEREN CE points to Narrati ve Block - ->
	5291
	5292	<text>
	5293	<reference
	5294	value="#in dComments1 002"
	5295	/>
	5296	</text>
	5297
	5298	<statusCod e
	5299	code="comp leted"
	5300	/>
	5301
	5302	<!-- 13.02 -ADMINISTE RED DATE, REQUIRED, -->
	5303
	5304	<effective Time
	5305	value="201 00218"
	5306	/>
	5307
	5308	<consumabl e>
	5309
	5310	<!-- HITSP C32 V2.5: Immuniza tion Medic ation -->
	5311
	5312	<manufactu redProduct >
	5313
	5314	<!-- Produ ct templat e -->
	5315
	5316	<templateI d
	5317	root="2.16 .840.1.113 883. IP "
	5318	/>
	5319
	5320	<templateI d
	5321	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2"
	5322	/>
	5323
	5324	<id
	5325	nullFlavor ="UNK"
	5326	/>
	5327
	5328	<!--manufa cturedLabe ledDrug></ manufactur edLabeledD rug -->
	5329
	5330	<manufactu redMateria l>
	5331
	5332	<!-- 13.06 -CODED PRO DUCT NAME, Optional, nullFlavo r b/c data not yet a vailable t hru VistA RPCs -->
	5333
	5334	<!-- HITSP C32 V2.5: CODED PR ODUCT NAME , Optional , Requires CVX-Vacci nes Admins tered , VA provides CPT-4-->
	5335
	5336	<code
	5337	code="UNK"
	5338	codeSystem ="2.16.840 .1.113883. 6.59"
	5339	codeSystem Name="CVX"
	5340	nullFlavor ="UNK"
	5341	>
	5342
	5343	<!-- 13.07 -FREE TEXT PRODUCT NA ME, REQUIR ED, Pointe r to Narra tive Block -->
	5344
	5345	<originalT ext>
	5346
	5347	<reference
	5348	value="#in dImmunizat ion1002"
	5349	/>
	5350
	5351	</original Text>
	5352
	5353	<translati on
	5354	code="9065 9"
	5355	codeSystem ="2.16.840 .1.113883. 6.12"
	5356	codeSystem Name="Curr ent Proced ural Termi nology (CP T®) Fourth Edition ( CPT-4)"
	5357	displayNam e="FLU VAC CINE, WHOL E, IM"
	5358	/>
	5359
	5360	</code>
	5361
	5362	<!-- 13.09 -LOT NUMBE R, Optiona l, XML omi tted b/c n ot yet da ta availab le thru Vi stA RPCs - ->
	5363
	5364	</manufact uredMateri al>
	5365
	5366	<manufactu rerOrganiz ation>
	5367
	5368	<!-- 13.08 DRUG MANU FACTURER, Optional, XML omitte d b/c not yet data a vailable t hru VistA RPCs -->
	5369
	5370	</manufact urerOrgani zation>
	5371
	5372	</manufact uredProduc t>
	5373
	5374	</consumab le>
	5375
	5376	<!-- 13.05 -PERFORMER , Optional -->
	5377
	5378	<performer
	5379	typeCode=" PRF"
	5380	>
	5381
	5382	<!-- Provi der Templa te Id -->
	5383
	5384	<templateI d
	5385	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	5386	/>
	5387
	5388	<time>
	5389
	5390	<high
	5391	nullFlavor ="UNK"
	5392	/>
	5393
	5394	</time>
	5395
	5396	<assignedE ntity>
	5397
	5398	<!-- Provi der ID, ex tension = Provider I D, root=VA OID -->
	5399
	5400	<id
	5401	extension= "520646595 "
	5402	root="2.16 .840.1.113 883.4.349"
	5403	/>
	5404
	5405	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	5406
	5407	<addr/>
	5408
	5409	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	5410
	5411	<telecom/>
	5412
	5413	<assignedP erson>
	5414
	5415	<name>
	5416	INLOES,SON JA
	5417	</name>
	5418
	5419	</assigned Person>
	5420
	5421	</assigned Entity>
	5422
	5423	</performe r>
	5424
	5425	<!-- INFOR MATION SOU RCE FOR IM MUNIZATION , Optional -->
	5426
	5427	<author>
	5428
	5429	<time
	5430	nullFlavor ="UNK"
	5431	/>
	5432
	5433	<assignedA uthor>
	5434
	5435	<id
	5436	nullFlavor ="NI"
	5437	/>
	5438
	5439	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	5440
	5441	<addr/>
	5442
	5443	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	5444
	5445	<telecom/>
	5446
	5447	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	5448
	5449	<assignedP erson>
	5450
	5451	<name/>
	5452
	5453	</assigned Person>
	5454
	5455	<represent edOrganiza tion>
	5456
	5457	<!-- INFOR MATION SOU RCE FACILI TY OID (ID = VA OID, EXT = TRE ATING FACI LITY NBR) -->
	5458
	5459	<id
	5460	extension= "442"
	5461	root="2.16 .840.1.113 883.4.349"
	5462	/>
	5463
	5464	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	5465
	5466	<name>
	5467	CHEYENNE V AMC
	5468	</name>
	5469
	5470	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	5471
	5472	<telecom/>
	5473
	5474	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	5475
	5476	<addr/>
	5477
	5478	</represen tedOrganiz ation>
	5479
	5480	</assigned Author>
	5481
	5482	</author>
	5483
	5484	<!-- HITSP C32 V2.5: Immuniza tion Medic ation Seri es Nbr -->
	5485
	5486	<entryRela tionship
	5487	typeCode=" SUBJ"
	5488	>
	5489
	5490	<observati on
	5491	classCode= "OBS"
	5492	moodCode=" EVN"
	5493	>
	5494
	5495	<templateI d
	5496	root="2.16 .840.1.113 883. IP "
	5497	/>
	5498
	5499	<!-- HITSP C32 V2.5: Required Code unde r Observat ion -->
	5500
	5501	<code
	5502	code="3097 3-2"
	5503	codeSystem ="2.16.840 .1.113883. 6.1"
	5504	codeSystem Name="LOIN C"
	5505	displayNam e="Dose Nu mber"
	5506	/>
	5507
	5508	<!-- HITSP C32 V2.5: Required statusCod e under Ob servation -->
	5509
	5510	<statusCod e
	5511	code="comp leted"
	5512	/>
	5513
	5514	<!-- 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 -->
	5515
	5516	<value
	5517	value="2"
	5518	xsi:type=" INT"
	5519	/>
	5520
	5521	</observat ion>
	5522
	5523	</entryRel ationship>
	5524
	5525	<!-- HITSP C32 V2.5: Immuniza tion React ion -->
	5526
	5527	<entryRela tionship
	5528	inversionI nd="false"
	5529	typeCode=" CAUS"
	5530	>
	5531
	5532	<!-- Repea t entryRel ationship/ observatio n block fo r each imm uniz react ion -->
	5533
	5534	<observati on
	5535	classCode= "OBS"
	5536	moodCode=" EVN"
	5537	>
	5538
	5539	<templateI d
	5540	root="2.16 .840.1.113 883. IP "
	5541	/>
	5542
	5543	<templateI d
	5544	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	5545	/>
	5546
	5547	<templateI d
	5548	root="2.16 .840.1.113 883. IP "
	5549	/>
	5550
	5551	<!-- 13.04 -REACTION, Optional , Repeatab le -->
	5552
	5553	<id
	5554	nullFlavor ="UNK"
	5555	/>
	5556
	5557	<!-- HITSP C32 V2.5: Required Code unde r Observat ion -->
	5558
	5559	<code
	5560	nullFlavor ="UNK"
	5561	/>
	5562
	5563	<!-- HITSP C32 V2.5: Required statusCod e under Ob servation -->
	5564
	5565	<!-- 13.04 -REACTION, Pointer to IMMUNIZ ATION NARR ATIVE BLOC K not Alle rgy Entry per IHE Te mplate -->
	5566
	5567	<text>
	5568
	5569	<reference
	5570	value="#in dReaction1 002"
	5571	/>
	5572
	5573	</text>
	5574
	5575	<statusCod e
	5576	code="comp leted"
	5577	/>
	5578
	5579	<!-- HITSP C32 V2.5: IHE Temp late requi res low va lue entry -->
	5580
	5581	<effective Time>
	5582
	5583	<low
	5584	nullFlavor ="UNK"
	5585	/>
	5586
	5587	</effectiv eTime>
	5588
	5589	<!-- HITSP C32 V2.5: IHE Temp late requi res value entry -->
	5590
	5591	<value
	5592	nullFlavor ="UNK"
	5593	xsi:type=" CD"
	5594	/>
	5595
	5596	</observat ion>
	5597
	5598	</entryRel ationship>
	5599
	5600	</substanc eAdministr ation>
	5601
	5602	</entry>
	5603
	5604	</section>
	5605
	5606	</componen t>
	5607
	5608	<!--
	5609	**** ****** ****** ****** ****** ********
	5610	NHIN_C R_101, CR1 00
	5611	VLER S egment 1Bi i: ENCOUN TER SECTIO N
	5612	** ****** ****** ****** ****** ******
	5613	-->
	5614
	5615
	5616	<!--
	5617	**** ****** ****** ****** ****** ********
	5618	NHIN_C R95, CR94
	5619	VLER S egment 1Bi i: PROCED URE SECTIO N
	5620	**** ****** ****** ****** ****** ********
	5621	-->
	5622
	5623
	5624	</structur edBody>
	5625
	5626	</componen t>
	5627	</Clinical Document>