843. EPMO Open Source Coordination Office Redaction File Detail Report

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843.1 Files compared

# Location File Last Modified
1 eHealth_Exch (eHealth Exchange Enhancements) Build 3 docs & code_May_2017.zip\eHXE_Build3_2017-05-04.zip\NHIN_adapter\SpecProcessor\src\test\resources\NewStyleSheets All_Partner_xPath_2_10_2012.xlsx Mon Feb 13 21:09:34 2017 UTC
2 eHealth_Exch (eHealth Exchange Enhancements) Build 3 docs & code_May_2017.zip\eHXE_Build3_2017-05-04.zip\NHIN_adapter\SpecProcessor\src\test\resources\NewStyleSheets All_Partner_xPath_2_10_2012.xlsx Tue May 30 19:33:18 2017 UTC

843.2 Comparison summary

Description Between
Files 1 and 2
Text Blocks Lines
Unchanged 102 4164
Changed 101 344
Inserted 0 0
Removed 0 0

843.3 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

843.4 Active regular expressions

No regular expressions were active.

843.5 Comparison detail

  1   SHEET: Ove rview
  2   CDA Header ,Partner,x Path,
  3   VA,<Clinic alDocument  xmlns="ur n:hl7-org: v3" xmlns: voc="urn:h l7-org:v3/ voc" xmlns :xsi="http ://www.w3. org/2001/X MLSchema-i nstance" x si:schemaL ocation="u rn:hl7-org :v3 http:/ /xreg2.nis t.gov: PORT /hitspVali dation/sch ema/cdar2c 32/infrast ructure/cd a/C32_CDA. xsd">
  4   <ClinicalD ocument xm lns="urn:h l7-org:v3"  xmlns:voc ="urn:hl7- org:v3/voc " xmlns:xs i="http:// www.w3.org /2001/XMLS chema-inst ance" xsi: schemaLoca tion="urn: hl7-org:v3  http://xr eg2.nist.g ov: PORT /hitspVali dation/sch ema/cdar2c 32/infrast ructure/cd a/C32_CDA. xsd">,
  5   KP,
  6   DoD,
  7   MV,
  8   INHS,
  9   MC,
  10   NCHICA,
  11   RI,
  12   OI,
  13   CHIC,
  14   SCHIEx,
  15   CON,
  16  
  17  
  18   Abbreviati on,Technic al Partner  / NwHIN P artner,
  19   VA,Dept. o f Veterans  Affairs,
  20   KP,Kaiser  Permanente  - San Die go,
  21   DoD,Dept.  of Defense ,
  22   MV,Med VA  - Richmond  / Hampton ,
  23   INHS,INHS  - Spokane,
  24   KP2012,Kai ser Perman ente 2012  Spec (Mult icare),
  25   MC,Multica re - Puget  Sound / E pic,
  26   NCHICA,NCH ICA - Ashe ville / Mi rth,
  27   RI,Regenst rief - Ind iana / IHI E,
  28   OI (was AX OLOTL),Opt umInsight  - Utah - U HIN / Buff alo - WNYC IE / San D iego Beaco n UCSD - H IE / Quali ty Health  Network -  HIE,
  29   CHIC,CHIC  - Minnesot a / Apenim ed,
  30   SCHIEx,SCH IEx - Sout h Carolina  /  CareEv olution,
  31   CON,Conema ugh Health  System,
  32  
  33  
  34   Empty cell s mean the  xpath is  unknown.   Data that  is not pro vided by t he partner  is marked  N/A.,
  35  
  36  
  37   C32 Module s,
  38   Module #1- Person Inf ormation,
  39   Module #2- Language S poken,
  40   Module #3- Support (C ontact Inf o),
  41   Module #4- Healthcare  Provider,
  42   Module #6- Allergy/Dr ug Sensiti vities,
  43   Module #7- Conditions /Problems,
  44   Module #8- Medication s,
  45   Module #10 -Informati on Source  (document  level),
  46   Module #13 -Immunizat ions,
  47   Module #14 -Vital Sig n,
  48   Module #15 -Results ( Chemistry  & Hematolo gy),
  49   Module #16 -Encounter s historic al outpati ent,
  50   Module #17 -Procedure s historic al surgica l & radiol ogical,
  51  
  52   O/R,Option ality Lege nd: “R” fo r Required , “R2” for  Required  if known,  “O” for Op tional and  Repeat =  “Y” for Ye s or “N” f or No,
  53  
  54  
  55   SHEET: Mod ule1 - Per son Inform ation
  56   Section,Fi eld,O/R,Pa rtner,xPat h,Comments ,
  57   Person Inf ormation,P atient Nam e,R/Y,VA,/ ClinicalDo cument/rec ordTarget/ patientRol e/patient/ name@use=" L",
  58   KP,/Clinic alDocument /recordTar get/patien tRole/pati ent/name,
  59   DoD,/Clini calDocumen t/recordTa rget/patie ntRole/pat ient/name,
  60   MV,/Clinic alDocument /recordTar get/patien tRole/pati ent/name,
  61   INHS,/Clin icalDocume nt/recordT arget/pati entRole/pa tient/name ,
  62   MC,/Clinic alDocument /recordTar get/patien tRole/pati ent/name,
  63   KP2012,/Cl inicalDocu ment/recor dTarget/pa tientRole/ patient/na me,
  64   NCHICA,/Cl inicalDocu ment/recor dTarget/pa tientRole/ patient/na me,
  65   RI,/Clinic alDocument /recordTar get/patien tRole/pati ent/name,
  66   OI,/Clinic alDocument /recordTar get/patien tRole/pati ent/name,
  67   CHIC,
  68   SCHIEx,/Cl inicalDocu ment/recor dTarget/pa tientRole/ patient/na me,
  69   CON,/Clini calDocumen t/recordTa rget/patie ntRole/pat ient/name,
  70  
  71   Address,R/ Y,VA,/Clin icalDocume nt/recordT arget/pati entRole/ad dr@use="HP ",
  72   KP,/Clinic alDocument /recordTar get/patien tRole/addr ,
  73   DoD,/Clini calDocumen t/recordTa rget/patie ntRole/add r,
  74   MV,/Clinic alDocument /recordTar get/patien tRole/addr ,
  75   INHS,/Clin icalDocume nt/recordT arget/pati entRole/ad dr,
  76   KP2012,/Cl inicalDocu ment/recor dTarget/pa tientRole/ addr,
  77   MC,/Clinic alDocument /recordTar get/patien tRole/addr ,
  78   NCHICA,/Cl inicalDocu ment/recor dTarget/pa tientRole/ addr,
  79   RI,/Clinic alDocument /recordTar get/patien tRole/addr ,
  80   OI,/Clinic alDocument /recordTar get/patien tRole/addr ,
  81   CHIC,
  82   SCHIEx,/Cl inicalDocu ment/recor dTarget/pa tientRole/ addr,
  83   CON,/Clini calDocumen t/recordTa rget/patie ntRole/add r,
  84  
  85   Telephone, R/Y,VA,/Cl inicalDocu ment/recor dTarget/pa tientRole/ telecom@us e="HP",
  86   KP,/Clinic alDocument /recordTar get/patien tRole/tele com@value,  @use="HP" ,
  87   DoD,/Clini calDocumen t/recordTa rget/patie ntRole/tel ecom,
  88   MV,/Clinic alDocument /recordTar get/patien tRole/tele com,
  89   INHS,/Clin icalDocume nt/recordT arget/pati entRole/te lecom,
  90   KP2012,/Cl inicalDocu ment/recor dTarget/pa tientRole/ telecom,
  91   MC,/Clinic alDocument /recordTar get/patien tRole/tele com,
  92   NCHICA,/Cl inicalDocu ment/recor dTarget/pa tientRole/ telecom,
  93   RI,/Clinic alDocument /recordTar get/patien tRole/tele com,
  94   OI,/Clinic alDocument /recordTar get/patien tRole/tele com,
  95   CHIC,
  96   SCHIEx,/Cl inicalDocu ment/recor dTarget/pa tientRole/ telecom,
  97   CON,/Clini calDocumen t/recordTa rget/patie ntRole/tel ecom,
  98  
  99   Patient ID ,R/N,VA,/C linicalDoc ument/reco rdTarget/p atientRole /id/@exten sion,
  100   KP,/Clinic alDocument /recordTar get/patien tRole/id/@ extension,
  101   DoD,/Clini calDocumen t/recordTa rget/patie ntRole/id/ @extension ,
  102   MV,/Clinic alDocument /recordTar get/patien tRole/id/@ extension,
  103   INHS,/Clin icalDocume nt/recordT arget/pati entRole/id /@extensio n,
  104   KP2012,/Cl inicalDocu ment/recor dTarget/pa tientRole/ id/@extens ion,
  105   MC,/Clinic alDocument /recordTar get/patien tRole/id/@ extension,
  106   NCHICA,/Cl inicalDocu ment/recor dTarget/pa tientRole/ id/@extens ion,
  107   RI,/Clinic alDocument /recordTar get/patien tRole/id/@ extension,
  108   OI,/Clinic alDocument /recordTar get/patien tRole/id,
  109   CHIC,
  110   SCHIEx,/Cl inicalDocu ment/recor dTarget/pa tientRole/ id/@extens ion,
  111   CON,/Clini calDocumen t/recordTa rget/patie ntRole/id/ @extension ,
  112  
  113   BirthDate, R/N,VA,/Cl inicalDocu ment/recor dTarget/pa tientRole/ patient/bi rthTime/@v alue,
  114   KP,/Clinic alDocument /recordTar get/patien tRole/pati ent/birthT ime/@value ,
  115   DoD,/Clini calDocumen t/recordTa rget/patie ntRole/pat ient/birth Time/@valu e,
  116   MV,/Clinic alDocument /recordTar get/patien tRole/pati ent/birthT ime/@value ,
  117   INHS,/Clin icalDocume nt/recordT arget/pati entRole/pa tient/birt hTime/@val ue,
  118   KP2012,/Cl inicalDocu ment/recor dTarget/pa tientRole/ patient/bi rthTime/@v alue,
  119   MC,/Clinic alDocument /recordTar get/patien tRole/pati ent/birthT ime/@value ,
  120   NCHICA,/Cl inicalDocu ment/recor dTarget/pa tientRole/ patient/bi rthTime/@v alue,
  121   RI,/Clinic alDocument /recordTar get/patien tRole/pati ent/birthT ime/@value ,
  122   OI,/Clinic alDocument /recordTar get/patien tRole/pati ent/birthT ime/@value ,
  123   CHIC,
  124   SCHIEx,/Cl inicalDocu ment/recor dTarget/pa tientRole/ patient/bi rthTime/@v alue,
  125   CON,/Clini calDocumen t/recordTa rget/patie ntRole/pat ient/birth Time/@valu e,
  126  
  127   Gender,R/N ,VA,/Clini calDocumen t/recordTa rget/patie ntRole/pat ient/admin istrativeG enderCode/ @displayNa me,
  128   KP,/Clinic alDocument /recordTar get/patien tRole/pati ent/admini strativeGe nderCode/o riginalTex t,
  129   DoD,/Clini calDocumen t/recordTa rget/patie ntRole/pat ient/admin istrativeG enderCode/ @displayNa me,
  130   MV,/Clinic alDocument /recordTar get/patien tRole/pati ent/admini strativeGe nderCode/o riginalTex t,
  131   INHS,/Clin icalDocume nt/recordT arget/pati entRole/pa tient/admi nistrative GenderCode /@displayN ame,
  132   KP2012,/Cl inicalDocu ment/recor dTarget/pa tientRole/ patient/ad ministrati veGenderCo de/@displa yName,
  133   MC,/Clinic alDocument /recordTar get/patien tRole/pati ent/admini strativeGe nderCode/@ displayNam e,
  134   NCHICA,/Cl inicalDocu ment/recor dTarget/pa tientRole/ patient/ad ministrati veGenderCo de/origina lText,
  135   RI,/Clinic alDocument /recordTar get/patien tRole/pati ent/admini strativeGe nderCode/@ displayNam e,
  136   OI,/Clinic alDocument /recordTar get/patien tRole/pati ent/admini strativeGe nderCode[@ displayNam e],
  137   CHIC,
  138   SCHIEx,/Cl inicalDocu ment/recor dTarget/pa tientRole/ patient/ad ministrati veGenderCo de/@displa yName,
  139   CON,/Clini calDocumen t/recordTa rget/patie ntRole/pat ient/admin istrativeG enderCode/ @displayNa me,
  140  
  141   Marital St atus,R2/Y, VA,/Clinic alDocument /recordTar get/patien tRole/pati ent/marita lStatusCod e/@display Name,
  142   KP,/Clinic alDocument /recordTar get/patien tRole/pati ent/marita lStatusCod e/original Text,
  143   DoD,Clinic alDocument /recordTar get/patien tRole/pati ent/marita lStatusCod e/@display Name,
  144   MV,/Clinic alDocument /recordTar get/patien tRole/pati ent/marita lStatusCod e/@code,
  145   INHS,/Clin icalDocume nt/recordT arget/pati entRole/pa tient/mari talStatusC ode/@code,
  146   KP2012,/Cl inicalDocu ment/recor dTarget/pa tientRole/ patient/ma ritalStatu sCode/@cod e,
  147   MC,/Clinic alDocument /recordTar get/patien tRole/pati ent/marita lStatusCod e/@code,
  148   NCHICA,/Cl inicalDocu ment/recor dTarget/pa tientRole/ patient/ma ritalStatu sCode/orig inalText,
  149   RI,/Clinic alDocument /recordTar get/patien tRole/pati ent/marita lStatusCod e/@display Name,
  150   OI,/Clinic alDocument /recordTar get/patien tRole/pati ent/marita lStatusCod e[@display Name],
  151   CHIC,
  152   SCHIEx,N/A ,
  153   CON,/Clini calDocumen t/recordTa rget/patie ntRole/pat ient/marit alStatusCo de/@displa yName,
  154  
  155   Language,R /Y,VA,/Cli nicalDocum ent/record Target/pat ientRole/p atient/lan guageCommu nication/l anguageCod e/@nullFla vor,
  156   KP,/Clinic alDocument /recordTar get/patien tRole/pati ent/langua geCommunic ation/lang uageCode/@ code,
  157   DoD,/Clini calDocumen t/recordTa rget/patie ntRole/pat ient/langu ageCommuni cation/lan guageCode/ @nullFlavo r,
  158   MV,/Clinic alDocument /recordTar get/patien tRole/pati ent/langua geCommunic ation/lang uageCode/@ code,
  159   INHS,/Clin icalDocume nt/recordT arget/pati entRole/pa tient/lang uageCommun ication/la nguageCode /@code,
  160   KP2012,/Cl inicalDocu ment/recor dTarget/pa tientRole/ patient/la nguageComm unication/ languageCo de/@code,
  161   MC,/Clinic alDocument /recordTar get/patien tRole/pati ent/langua geCommunic ation/lang uageCode/@ code,
  162   NCHICA,/Cl inicalDocu ment/recor dTarget/pa tientRole/ patient/la nguageComm unication/ languageCo de/@code,
  163   RI,/Clinic alDocument /recordTar get/patien tRole/pati ent/langua geCommunic ation/lang uageCode/@ code,
  164   OI,/Clinic alDocument /recordTar get/patien tRole/pati ent/langua geCommunic ation,
  165   CHIC,
  166   SCHIEx,N/A ,
  167   CON,/Clini calDocumen t/language Code/@code ,
  168  
  169   Source,R/N ,VA,/Clini calDocumen t/author/a ssignedAut hor/repres entedOrgan ization/na me,
  170   KP,N/A,
  171   DoD,/Clini calDocumen t/author/a ssignedAut hor/repres entedOrgan ization/na me,
  172   MV,/Clinic alDocument /author/as signedAuth or/represe ntedOrgani zation/nam e,
  173   INHS,/Clin icalDocume nt/author/ assignedAu thor/repre sentedOrga nization/n ame,
  174   KP2012,/Cl inicalDocu ment/autho r/assigned Author/rep resentedOr ganization /name,
  175   MC,/Clinic alDocument /author/as signedAuth or/represe ntedOrgani zation/nam e,
  176   NCHICA,/Cl inicalDocu ment/autho r/assigned Author/rep resentedOr ganization /name,
  177   RI,/Clinic alDocument /author/as signedAuth or/represe ntedOrgani zation/nam e,
  178   OI,/Clinic alDocument /author/as signedAuth or/assigne dPerson,
  179   /ClinicalD ocument/au thor/assig nedAuthor/ represente dOrganizat ion,
  180   /ClinicalD ocument/au thor/assig nedAuthor/ assignedAu thoringDev ice,
  181   CHIC,
  182   SCHIEx,/Cl inicalDocu ment/autho r/assigned Author/rep resentedOr ganization /name,
  183   CON,/Clini calDocumen t/author/a ssignedAut hor/repres entedOrgan ization/na me,
  184  
  185   Next of Ki n,R2/Y,VA, /ClinicalD ocument/pa rticipant[ @typeCode= 'IND']/ass ociatedEnt ity[@class Code='NOK' ],
  186   KP,/Clinic alDocument /participa nt[@typeCo de='IND']/ associated Entity[@cl assCode='N OK'],
  187   DoD,/Clini calDocumen t/particip ant[@typeC ode='IND'] /associate dEntity[@c lassCode=' NOK'],
  188   MV,N/A,
  189   INHS,N/A,
  190   KP2012,N/A ,
  191   MC,N/A,
  192   NCHICA,/Cl inicalDocu ment/parti cipant[@ty peCode='IN D']/associ atedEntity [@classCod e='NOK']),
  193   RI,/Clinic alDocument /participa nt[@typeCo de='IND']/ associated Entity[@cl assCode='N OK'],
  194   OI,N/A,
  195   CHIC,
  196   SCHIEx,N/A ,
  197   CON,N/A,
  198  
  199   Emergency  Contact,R2 /Y,VA,/Cli nicalDocum ent/partic ipant[@typ eCode='IND ']/associa tedEntity[ @classCode ='ECON'],
  200   KP,/Clinic alDocument /participa nt[@typeCo de='IND']/ associated Entity[@cl assCode='E CON'],
  201   DoD,N/A,
  202   MV,N/A,
  203   INHS,N/A,
  204   KP2012,N/A ,
  205   MC,N/A,
  206   NCHICA,/Cl inicalDocu ment/parti cipant[@ty peCode='IN D']/associ atedEntity [@classCod e='ECON']) ,
  207   RI,N/A,
  208   OI,N/A,
  209   CHIC,
  210   SCHIEx,N/A ,
  211   CON,/Clini calDocumen t/particip ant[@typeC ode='IND'] /associate dEntity[@c lassCode=' ECON'],
  212  
  213   Created On ,R/N,VA,/C linicalDoc ument/effe ctiveTime/ @value,
  214   KP,/Clinic alDocument /effective Time/@valu e,
  215   DoD,/Clini calDocumen t/effectiv eTime/@val ue,
  216   MV,/Clinic alDocument /effective Time/@valu e,
  217   INHS,/Clin icalDocume nt/effecti veTime/@va lue,
  218   KP2012,/Cl inicalDocu ment/effec tiveTime/@ value,
  219   MC,/Clinic alDocument /effective Time/@valu e,
  220   NCHICA,/Cl inicalDocu ment/effec tiveTime/@ value,
  221   RI,/Clinic alDocument /effective Time/@valu e,
  222   OI,/Clinic alDocument /effective Time/@valu e,
  223   CHIC,
  224   SCHIEx,/Cl inicalDocu ment/effec tiveTime/@ value,
  225   CON,/Clini calDocumen t/effectiv eTime/@val ue,
  226  
  227  
  228  
  229  
  230   SHEET: Mod ule6 - All ergy - Dru g Sensi.
  231   Section,Fi eld,O/R,Pa rtner,xPat h,Comments ,
  232   Allergies, VA,/Clinic alDocument /component /structure dBody/comp onent/sect ion/act/en tryRelatio nship/obse rvation/te mplateId/@ root='2.16 .840.1.113 8 IP .18',
  233   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/act/en tryRelatio nship/obse rvation/te mplateId/@ root='2.16 .840.1.113 8 IP .18',
  234   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/templ ateId/@roo t='2.16.84 0.1.1138 IP .18',
  235   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion[@templ ateId='2.1 6.840.1.11 38 IP .2'],
  236   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/act/entr yRelations hip/observ ation/temp lateId/@ro ot='2.16.8 40.1.1138 IP .18',
  237   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/te mplateId/@ root='2.16 .840.1.113 8 IP .83.102',
  238   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/templa teId/@root ='2.16.840 .1.1138 IP .83.102',
  239   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section[@t emplateId= '2.16.840. 1.1138 IP .2'],
  240   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .2"],
  241   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .83.102"]/ entry/act[ templateId /@root="2. 16.840.1.1 138 IP .27"],
  242   CHIC,
  243   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/te mplateId/@ root='2.16 .840.1.113 8 IP .18',
  244   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/templ ateId/@roo t='2.16.84 0.1.1138 IP .18',
  245  
  246   Narrative  Block,VA,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section[ templateId @root=" IP .4.1.193 IP .1.3.13"]/ text,
  247   KP,
  248   DoD,
  249   MV,
  250   INHS,
  251   KP2012,
  252   MC,
  253   NCHICA,
  254   RI,
  255   OI,
  256   CHIC,
  257   SCHIEx,
  258   CON,
  259  
  260   Comments,O /Y,VA,/Cli nicalDocum ent/compon ent/struct uredBody/c omponent[1 ]/section/ text/table [1]/tbody/ tr/td[2],
  261   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/text/r eference/@  value="#a llergycomm ents",
  262   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/text/ reference/ @value="#a llergycomm ent",
  263   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt//text/c ontent/@ID ="allergyc omment",
  264   MV,N/A,
  265   INHS,N/A,
  266   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship[@inv ersionInd= "true" & @ typeCode=" SUBJ"]/act /text/refe rence/@val ue,
  267   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p[@inversi onInd="tru e" & @type Code="SUBJ "]/act/tex t/referenc e/@value,
  268   NCHICA,N/A ,
  269   RI,N/A,
  270   OI,N/A,
  271   CHIC,
  272   SCHIEx,N/A ,
  273   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/text/ content/@I D="allergy comment"
  274   or
  275   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/act /entryRela tionship/o bservation /entryRela tionship/o bservation /text/refe rence/@val ue=”#aller gycomment” ,
  276  
  277   Allergens
  278   (6.03-Prod uct Free-T ext),R/N,V A,Clinical Document/c omponent/s tructuredB ody/compon ent/sectio n/entry/ac t/entryRel ationship/ observatio n/particip ant/partic ipantRole/ playingEnt ity/name
  279   ,(6.03-Pro duct Free- Text),
  280   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/act /entryRela tionship/o bservation /participa nt/partici pantRole/p layingEnti ty/code/or iginalText /reference /@value [# codedAller gyName]
  281   +
  282   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /text/tabl e/tbody/tr /td/conten t@ID,(6.04 -Product C oded),
  283   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/partic ipant/part icipantRol e/playingE ntity/name ,
  284   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/parti cipant/par ticipantRo le/playing Entity/nam e/referenc e/@value
  285   or
  286   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/act /entryRela tionship/o bservation /participa nt/partici pantRole/p layingEnti ty/code/or iginalText /reference /@value,
  287   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/partic ipant/part icipantRol e/playingE ntity/name ,
  288   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/act/entr yRelations hip/observ ation/part icipant/pa rticipantR ole/playin gEntity/na me,
  289   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/pa rticipant/ participan tRole/play ingEntity/ name
  290   or
  291   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/act /entryRela tionship/o bservation /participa nt/partici pantRole/p layingEnti ty/code/or iginalText /reference /@value,
  292   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/partic ipant/part icipantRol e/playingE ntity/name
  293   or
  294   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/act /entryRela tionship/o bservation /participa nt/partici pantRole/p layingEnti ty/code/or iginalText /reference /@value,
  295   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/pa rticipant/ participan tRole/play ingEntity/ name,
  296   RI,N/A,
  297   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p[@typeCod e="SUBJ"]/ observatio n[@classCo de="OBS"]/ participan t[@typeCod e="CSM"]/p articipant Role[@clas sCode="MAN U"]/playin gEntity[@c lassCode=" MMAT"]/cod e,coded va lue (if av ailable),
  298   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/act /entryRela tionship[@ typeCode=" SUBJ"]/obs ervation[@ classCode= "OBS"]/par ticipant[@ typeCode=" CSM"]/part icipantRol e[@classCo de="MANU"] /playingEn tity[@clas sCode="MMA T"]/name,u ncoded,
  299   CHIC,
  300   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/pa rticipant/ participan tRole/play ingEntity/ name,
  301   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/parti cipant/par ticipantRo le/playing Entity/nam e,
  302  
  303   Event Type ,R2/N,VA,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section/ entry/act/ entryRelat ionship/ob servation/ code/@disp layName,
  304   KP,N/A,
  305   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/code/ @displayNa me,
  306   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/code/@ displayNam e,
  307   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/act/entr yRelations hip/observ ation/code /@displayN ame,
  308   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/co de/@displa yName,
  309   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/code/@ displayNam e,
  310   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/co de/@displa yName,
  311   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .2"]/entry /act/entry Relationsh ip/observa tion/code/ @displayNa me,
  312   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p[@typeCod e="SUBJ"]/ observatio n[@classCo de="OBS"]/ code,
  313   CHIC,
  314   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/co de/@displa yName,
  315   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/code/ @displayNa me,
  316  
  317   Reaction,O /Y,VA,/Cli nicalDocum ent/compon ent/struct uredBody/c omponent/s ection/ent ry/act/ent ryRelation ship/obser vation/ent ryRelation ship/obser vation/tex t/referenc e/@value [ #andReacti onn-n]
  318   +
  319   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt[1]/sect ion/text/t able[2]/tb ody/tr[4]/ td[5]/list /item/cont ent@ID,
  320   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/entryR elationshi p/observat ion/text/r eference/@ value [#Re ference],
  321   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/entry Relationsh ip/observa tion/text/ reference/ @value [#R eference],
  322   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/entryR elationshi p/observat ion/text/r eference/@ value [#Re ference],
  323   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/act/entr yRelations hip/observ ation/entr yRelations hip/observ ation/text /reference /@value [# Reference] ,
  324   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/en tryRelatio nship[@typ eCode="MFS T"]/observ ation/text /reference /@value,
  325   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/entryR elationshi p[@typeCod e="MFST"]/ observatio n/text/ref erence/@va lue,
  326   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/en tryRelatio nship/obse rvation/te xt/referen ce/@value  [#Referenc e],
  327   RI,N/A,
  328   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p[@typeCod e="SUBJ"]/ observatio n[@classCo de="OBS"]/ entryRelat ionship[@t ypeCode="M FST"]/obse rvation[@c lassCode=" OBS"]/valu e/code,cod ed value ( if availab le),
  329   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/act /entryRela tionship[@ typeCode=" SUBJ"]/obs ervation[@ classCode= "OBS"]/ent ryRelation ship[@type Code="MFST "]/observa tion[@clas sCode="OBS "]/text,un coded,
  330   CHIC,
  331   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/en tryRelatio nship[@typ eCode='MFS T']/observ ation/text /reference /@value[#R eference],
  332   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/entry Relationsh ip/observa tion/text/ reference/ @value [#R eference],
  333  
  334   Severity,R 2/N,VA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/en tryRelatio nship[@typ eCode='SUB J']/observ ation/text /reference /@value [# andSeverit yn-n]
  335   +
  336   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /text/tabl e[2]/tbody /tr[4]/td[ 6]/content @ID,
  337   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/entryR elationshi p[@typeCod e='SUBJ']/ observatio n/text/ref erence/@va lue,
  338   DoD,N/A,
  339   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/entryR elationshi p/observat ion/entryR elationshi p[typeCode ='SUBJ']/o bservation /text/refe rence/@val ue[#Refere nce},
  340   INHS,N/A,
  341   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/en tryRelatio nship[@typ eCode="MFS T"]/observ ation/entr yRelations hip[typeCo de='SUBJ'] /observati on/text/re ference/@v alue
  342   or
  343   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/act /entryRela tionship/o bservation /entryRela tionship[t ypeCode='S UBJ']/obse rvation/te xt/referen ce/@value,
  344   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/entryR elationshi p[@typeCod e="MFST"]/ observatio n/entryRel ationship[ typeCode=' SUBJ']/obs ervation/t ext/refere nce/@value
  345   or
  346   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/act /entryRela tionship/o bservation /entryRela tionship[t ypeCode='S UBJ']/obse rvation/te xt/referen ce/@value,
  347   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/en tryRelatio nship/obse rvation/en tryRelatio nship[type Code='SUBJ ']/observa tion/text/ reference/ @value[#Re ference},
  348   RI,N/A,
  349   OI,N/A,
  350   CHIC,
  351   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/en tryRelatio nship[@typ eCode='SUB J']/observ ation/text /reference /@value[#R eference],
  352   CON,N/A,
  353  
  354   Verificati on Date,R2 /N,VA,/Cli nicalDocum ent/compon ent/struct uredBody/c omponent/s ection/ent ry/act/ent ryRelation ship/obser vation/eff ectiveTime /low/@valu e,
  355   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/effect iveTime/lo w/@value,
  356   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/effec tiveTime/l ow/@value,
  357   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/effect iveTime/lo w/@value,
  358   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/act/entr yRelations hip/observ ation/effe ctiveTime/ low/@value ,
  359   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/ef fectiveTim e/low/@val ue,
  360   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/effect iveTime/lo w/@value,
  361   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/ef fectiveTim e/low/@val ue,
  362   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .2"]/entry /act/entry Relationsh ip/observa tion/effec tiveTime/l ow/@value,
  363   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p[@typeCod e="SUBJ"]/ observatio n[@classCo de="OBS"]/ effectiveT ime/low[@v alue],corr ected,
  364   CHIC,
  365   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/ef fectiveTim e/low/@val ue,
  366   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/effec tiveTime/l ow/@value,
  367  
  368   Source ,R/ N,VA,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/act/auth or/assigne dAuthor/re presentedO rganizatio n/name,
  369   KP,N/A,
  370   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/autho r/assigned Author/rep resentedOr ganization /name,
  371   MV,N/A,
  372   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/act/auth or/assigne dAuthor/re presentedO rganizatio n/name,
  373   KP2012,/Cl inicalDocu ment/autho r/assigned Author/rep resentedOr ganization /name,
  374   MC,/Clinic alDocument /author/as signedAuth or/represe ntedOrgani zation/nam e,
  375   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/au thor/assig nedAuthor/ represente dOrganizat ion/name,
  376   RI,N/A,
  377   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p[@typeCod e="SUBJ"]/ observatio n[@classCo de="OBS"]/ entryRelat ionship[@t ypeCode="R EFR"]/obse rvation[@c lassCode=" OBS"]/info rmant/assi gnedEntity ,
  378   CHIC,
  379   SCHIEx,N/A ,
  380   CON,N/A,
  381  
  382  
  383  
  384  
  385  
  386  
  387  
  388  
  389  
  390  
  391  
  392  
  393  
  394  
  395  
  396  
  397  
  398  
  399  
  400  
  401  
  402  
  403  
  404  
  405  
  406  
  407  
  408  
  409  
  410  
  411  
  412  
  413  
  414  
  415  
  416  
  417  
  418  
  419   SHEET: Mod ule7 - Con ditions-Pr oblems
  420   Section,Fi eld,O/R,Pa rtner,xPat h,Comments ,
  421   Problems,V A,/Clinica lDocument/ component/ structured Body/compo nent[2]/se ction/entr y[1]/act/e ntryRelati onship/obs ervation/t emplateId@ root="2.16 .840.1.113 8 IP .28",Probl em Observa tion,
  422   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/act /entryRela tionship/o bservation /templateI d/@root='2 .16.840.1. 1138 IP .27',Probl em Entry,
  423   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/templa teId/@root '2.16.840. 1.1138 IP .28',Probl em Observa tion,
  424   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt[2]/sect ion/entry[ 1]/act/tem plateId@ro ot="2.16.8 40.1.1138 IP .27",Probl em Entry,
  425   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/templ ateId/@roo t'2.16.840 .1.1138 IP .28',Probl em Observa tion,
  426   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion[@templ ateId='2.1 6.840.1.11 38 IP .11'],
  427   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/act/entr yRelations hip/observ ation/temp lateId/@ro ot'2.16.84 0.1.1138 IP .28',Probl em Observa tion,
  428   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/te mplateId/@ root='2.16 .840.1.113 8 IP .83.103',
  429   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/templa teId/@root ='2.16.840 .1.1138 IP .83.103',
  430   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section[@t emplateId= '2.16.840. 1.1138 IP .11'],
  431   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .11"],
  432   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .83.103"]/ entry,
  433   CHIC,
  434   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/te mplateId/@ root'2.16. 840.1.1138 IP .28',
  435   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/templ ateId/@roo t'2.16.840 .1.1138 IP .28',
  436  
  437   Narrative  Block,VA,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section[ templateId @root="" IP .4.1.193 IP .1.3.6"/]/ text,
  438   KP,
  439   DoD,
  440   MV,
  441   INHS,
  442   KP2012,
  443   MC,
  444   NCHICA,
  445   RI,
  446   OI,
  447   CHIC,
  448   SCHIEx,
  449   CON,
  450  
  451   Comments,O /Y,VA,/Cli nicalDocum ent/compon ent/struct uredBody/c omponent/s ection/tex t/table/tb ody/tr/td,
  452   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/text/r eference/@  value="#p roblemcomm ents",
  453   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/text/ reference/ @value="#p roblemcomm ent",
  454   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /text/cont ent/@ID="p roblemcomm ent",
  455   MV,N/A,
  456   INHS,N/A,
  457   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship[@inv ersionInd= "true" & @ typeCode=" SUBJ"]/act /text/refe rence/@val ue,
  458   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p[@inversi onInd="tru e" & @type Code="SUBJ "]/act/tex t/referenc e/@value,
  459   NCHICA,N/A ,
  460   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .11"]/text /table/tbo dy/tr/td,
  461   OI,N/A,
  462   CHIC,
  463   SCHIEx,N/A ,
  464   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/text/ reference/ @value="#p roblemcomm ent",
  465   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /text/para graph/@ID= "problemco mment",
  466  
  467    ,Problem  Name,R/N,V A,/Clinica lDocument/ component/ structured Body/compo nent/secti on/entry/a ct/entryRe lationship /observati on/text/re ference/@v alue [#pnd Problemn]
  468   +
  469   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /text/tabl e/tbody/tr /td/conten t@ID,
  470   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/text/r eference/@ value [#re ference],
  471   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/text/ reference/ @value [#r eference],
  472   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry[ 1]/act/ent ryRelation ship/obser vation/tex t/referenc e/@value[# reference] ,
  473   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /text/cont ent/@ID=[p robReferen ce],
  474   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/act/entr yRelations hip/observ ation/text /reference /@value [# reference] ,
  475   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship[@inv ersionInd= "false" &  @typeCode= "SUBJ"]/ob servation/ text/refer ence/@valu e,
  476   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p[@inversi onInd="fal se" & @typ eCode="SUB J"]/observ ation/text /reference /@value,
  477   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/te xt/referen ce/@value  [#referenc e],
  478   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .11"]/entr y/act/entr yRelations hip/observ ation/text /reference /@value,
  479   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act[templa teId/@root ="2.16.840 .1.1138 IP .83.7"]/en tryRelatio nship[@typ eCode="SUB J"]/observ ation[@cla ssCode="OB S"]/text,U ncoded pro blem name,
  480   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/act [templateI d/@root="2 .16.840.1. 1138 IP .83.7"]/en tryRelatio nship[@typ eCode="SUB J"]/observ ation[@cla ssCode="OB S"]/value[ @code],Cod ed problem  (SNOMED-C T if avail able),
  481   CHIC,
  482   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/te xt/referen ce/@value  [#referenc e],
  483   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/text/ reference/ @value [#r eference],
  484  
  485   Status,O/N ,VA,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip[typeCod e=SUBJ]/ob servation/ entryRelat ionship[ty peCode=REF R]/observa tion[templ ateId@root  = '2.16.8 40.1.1138 IP .50']/valu e/@display Name,
  486   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p[typeCode =REFR]/obs ervation/v alue/@disp layName,
  487   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip[typeCod e=SUBJ]/ob servation/ entryRelat ionship[ty peCode=REF R]/observa tion[templ ateId@root  = '2.16.8 40.1.1138 IP .50']/valu e/@display Name,
  488   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p[typeCode =SUBJ]/obs ervation/e ntryRelati onship[typ eCode=REFR ]/observat ion/value/ @displayNa me,
  489   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/act/entr yRelations hip[typeCo de=SUBJ]/o bservation /entryRela tionship[t ypeCode=RE FR]/observ ation/valu e/@display Name,
  490   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship[@inv ersionInd= "false"
  491   and
  492   @typeCode= "SUBJ"]/ob servation/ entryRelat ionship[ty peCode=REF R]/observa tion/value /@displayN ame,
  493   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p[@inversi onInd="fal se"
  494   and
  495   @typeCode= "SUBJ"]/ob servation/ entryRelat ionship[ty peCode=REF R]/observa tion/value /@displayN ame,
  496   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship[type Code=SUBJ] /observati on/entryRe lationship [typeCode= REFR]/obse rvation[te mplateId@r oot = '2.1 6.840.1.11 38 IP .50']/valu e/@display Name,
  497   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .11"]/entr y/act/entr yRelations hip/observ ation/entr yRelations hip/observ ation/valu e/@display Name,
  498   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act[templa teId/@root ="2.16.840 .1.1138 IP .83.7"]/en tryRelatio nship[@typ eCode="SUB J"]/observ ation[@cla ssCode="OB S"]/entryR elationshi p[@typeCod e="REFR"]/ observatio n[@classCo de="OBS"][ templateId /@root="2. 16.840.1.1 138 IP .50"]/valu e@displayN ame,
  499   CHIC,
  500   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/st atusCode/@ code,
  501   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /n1:act/n1 :entryRela tionship [ @typeCode= 'SUBJ']/n1 :observati on [@moodC ode='EVN']  [@classCo de='OBS']/ n1:statusC ode/@code, Changed 1/ 27/2012,/e ntry/act/e ntryRelati onship[typ eCode=SUBJ ]/observat ion/value/ @displayNa me,
  502  
  503   Code,O/N,V A,/Clinica lDocument/ component/ structured Body/compo nent/secti on/entry/a ct/entryRe lationship /observati on/value/t ranslation /@code,
  504   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/code/@ nullFlavor ,
  505   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/value /translati on@code,
  506   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/value/ @code,
  507   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/act/entr yRelations hip/observ ation/valu e/@code,
  508   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/va lue/@code,
  509   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/value/ @code,
  510   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/va lue/transl ation@code ,
  511   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .11"]/entr y/act/entr yRelations hip/observ ation/valu e/@code,
  512   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act[templa teId/@root ="2.16.840 .1.1138 IP .83.7"]/en tryRelatio nship[@typ eCode="SUB J"]/observ ation[@cla ssCode="OB S"]/value[ @code],ori ginal ICD- 9 in trans lation ele ment,
  513   CHIC,
  514   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/va lue/@code,
  515   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/entry Relationsh ip/observa tion/value /@code,
  516  
  517   Date-Onset ,R2/N,VA,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section/ entry/act/ effectiveT ime/low/@v alue,
  518   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/effect iveTime/lo w/@value,
  519   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/effec tiveTime/l ow/@value,
  520   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/effect iveTime/lo w/@value,
  521   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/act/entr yRelations hip/observ ation/effe ctiveTime/ low/@value ,
  522   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/ef fectiveTim e/low/@val ue,
  523   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/entryR elationshi p/observat ion/effect iveTime/lo w/@value,
  524   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/obse rvation/ef fectiveTim e/low/@val ue,
  525   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .11"]/entr y/act/entr yRelations hip/observ ation/effe ctiveTime/ low,
  526   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion//entry /act[templ ateId/@roo t="2.16.84 0.1.1138 IP .83.7"]/en tryRelatio nship[@typ eCode="SUB J"]/observ ation[@cla ssCode="OB S"][templa teId/@root ="2.16.840 .1.1138 IP .28"]/effe ctiveTime/ low[@value ],
  527   CHIC,
  528   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/ef fectiveTim e/low/@val ue,
  529   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/effec tiveTime/l ow/@value,
  530  
  531   Date-Resol ved,VA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/ef fectiveTim e/high,
  532   KP,
  533   DoD,
  534   MV,
  535   INHS,
  536   KP2012,
  537   MC,
  538   NCHICA,
  539   RI,
  540   OI,
  541   CHIC,
  542   SCHIEx,N/A ,
  543   CON,
  544  
  545   Provider I D
  546   (in Proble m Module), R2/N,VA,/C linicalDoc ument/comp onent/stru cturedBody /component /section/e ntry/act/p erformer/a ssignedEnt ity/id@ext ension
  547   ,
  548   KP,
  549   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/perfo rmer/assig nedEntity/ id/@extens ion,
  550   MV,
  551   INHS,
  552   KP2012,
  553   MC,
  554   NCHICA,
  555   RI,
  556   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act[templa teId/@root ="2.16.840 .1.1138 IP .83.7"]/pe rformer/as signedEnti ty/assigne dPerson/na me/perform er[@typeCo de="PRF"]/ assignedEn tity/assig nedPerson/ name/famil y,
  557   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section //entry/ac t[template Id/@root=" 2.16.840.1 .1138 IP .83.7"]/pe rformer/as signedEnti ty/assigne dPerson/na me/perform er[@typeCo de="PRF"]/ assignedEn tity/assig nedPerson/ name/given ,
  558   CHIC,
  559   SCHIEx,N/A ,
  560   CON,N/A,
  561  
  562   Provider N ame
  563   (in Health care Provi der Module ),O/Y,VA,/ ClinicalDo cument/doc umentation Of/service Event/perf ormer/assi gnedEntity /id[@exten sion=$prov iderRefere nce]/../as signedPers on/name,(i n Healthca re Provide r Module),
  564   KP,N/A,
  565   DoD,/Clini calDocumen t/document ationOf/se rviceEvent /performer /assignedE ntity/id[@ extension= $providerR eference]/ ../assigne dPerson/na me,(in Hea lthcare Pr ovider Mod ule),
  566   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/act /performer /assignedE ntity/assi gnedPerson /name,
  567   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/perfor mer/assign edEntity/a ssignedPer son/name/f amily + /g iven,
  568   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/act/perf ormer/assi gnedEntity /id/@exten sion,
  569   KP2012,/Cl inicalDocu ment/docum entationOf /serviceEv ent/perfor mer/assign edEntity/a ssignedPer son/name/g iven + /fa mily,
  570   MC,/Clinic alDocument /documenta tionOf/ser viceEvent/ performer/ assignedEn tity/assig nedPerson/ name/given  + /family ,
  571   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/pe rformer/as signedEnti ty/assigne dPerson/na me/family  + /given,
  572   RI,/Clinic alDocument /documenta tionOf/ser viceEvent/ performer/ assignedEn tity/assig nedPerson/ name,
  573   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act[templa teId/@root ="2.16.840 .1.1138 IP .83.7"]/pe rformer/as signedEnti ty/assigne dPerson/na me/perform er[@typeCo de="PRF"]/ assignedEn tity/assig nedPerson/ name/famil y,
  574   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/act [templateI d/@root="2 .16.840.1. 1138 IP .83.7"]/pe rformer/as signedEnti ty/assigne dPerson/na me/perform er[@typeCo de="PRF"]/ assignedEn tity/assig nedPerson/ name/given ,
  575   CHIC,
  576   SCHIEx,
  577   CON,N/A,
  578  
  579   Problem So urce ,R/N, VA,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/author /assignedA uthor/repr esentedOrg anization/ name,
  580   KP,N/A,
  581   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/autho r/assigned Author/rep resentedOr ganization /name,
  582   MV,N/A,
  583   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/act/perf ormer/assi gnedEntity /id/@exten sion,
  584   KP2012,/Cl inicalDocu ment/autho r/assigned Author/rep resentedOr ganization /name,
  585   MC,/Clinic alDocument /author/as signedAuth or/represe ntedOrgani zation/nam e,
  586   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/au thor/assig nedAuthor/ represente dOrganizat ion/name,
  587   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .11"]/entr y/act/entr yRelations hip/observ ation/part icipant[@t ypeCode="A UT"],
  588   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act[templa teId/@root ="2.16.840 .1.1138 IP .83.7"]/pe rformer/as signedEnti ty/represe ntedOrgani zation/nam e,
  589   CHIC,
  590   SCHIEx,N/A ,
  591   CON,N/A,
  592  
  593  
  594  
  595  
  596  
  597  
  598  
  599   SHEET: Mod ule4 - Hea lthcare Pr ovider
  600   Section,Fi eld,O/R,Pa rtner,xPat h,Comments ,
  601   Healthcare  ,Provider  Name
  602   ,R2/N,VA,/ ClinicalDo cument/doc umentation Of/service Event/perf ormer[1]/a ssignedEnt ity/assign edPerson/n ame,
  603   Provider,  ,DoD,/Clin icalDocume nt/documen tationOf/s erviceEven t/performe r/assigned Entity/id[ @extension =$provider Reference] /../assign edPerson/n ame,
  604   MV, ,
  605   INHS,
  606   KP2012,
  607   MC,
  608   NCHICA,
  609   RI,
  610   OI,
  611   CHIC,
  612   SCHIEx,
  613   CON,
  614  
  615   Source,R/N ,VA,/Clini calDocumen t/document ationOf/se rviceEvent /performer [1]/assign edEntity/r epresented Organizati on/name,
  616   DoD, ,
  617   MV,
  618   INHS,
  619   KP2012,
  620   MC,
  621   NCHICA,
  622   RI,
  623   OI,
  624   CHIC,
  625   SCHIEx,
  626   CON,
  627  
  628  
  629  
  630  
  631  
  632  
  633  
  634  
  635  
  636  
  637  
  638  
  639  
  640  
  641  
  642  
  643  
  644  
  645  
  646  
  647  
  648  
  649  
  650  
  651  
  652  
  653  
  654  
  655  
  656  
  657  
  658  
  659  
  660  
  661  
  662  
  663  
  664  
  665  
  666  
  667  
  668  
  669  
  670  
  671  
  672  
  673  
  674  
  675  
  676  
  677  
  678  
  679  
  680  
  681  
  682  
  683  
  684  
  685   /entry/act /entryRela tionship[t ypeCode=SU BJ]/observ ation/valu e/@display Name,
  686  
  687  
  688  
  689  
  690  
  691  
  692  
  693  
  694  
  695  
  696  
  697  
  698  
  699  
  700  
  701  
  702  
  703  
  704  
  705  
  706  
  707  
  708  
  709  
  710  
  711  
  712  
  713  
  714  
  715  
  716  
  717  
  718  
  719  
  720  
  721  
  722  
  723  
  724  
  725  
  726  
  727  
  728  
  729  
  730  
  731  
  732  
  733  
  734  
  735  
  736  
  737  
  738  
  739  
  740  
  741  
  742  
  743  
  744  
  745  
  746  
  747  
  748  
  749  
  750  
  751  
  752  
  753  
  754  
  755  
  756  
  757  
  758  
  759  
  760  
  761  
  762  
  763  
  764  
  765  
  766  
  767  
  768  
  769   SHEET: Mod ule13 - Im munization s
  770   Section,Fi eld,O/R,Pa rtner,xPat h,Comments ,
  771   Immunizati ons,VA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/te mplateId@r oot='2.16. 840.1.1138 IP .83.13',
  772   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/templa teId/@root ='2.16.840 .1.1138 IP .83.13',
  773   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/templ ateId/@roo t='2.16.84 0.1.1138 IP .83.13',
  774   MV,N/A,
  775   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/substanc eAdministr ation/temp lateId/@ro ot='2.16.8 40.1.1138 IP .83.13',
  776   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/te mplateId/@ root='2.16 .840.1.113 8 IP .83.117',
  777   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/templa teId/@root ='2.16.840 .1.1138 IP .83.117',
  778   NCHICA,N/A ,
  779   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .6"],
  780   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .83.117"],
  781   CHIC,
  782   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/te mplateId/@ root=' IP .4.1.193 IP .1.4.12',
  783   CON,N/A,
  784  
  785   Narrative  Block,VA,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section[ templateId @root=" IP .4.1.193 IP .1.3.23"]/ text,
  786   KP,
  787   DoD,
  788   MV,
  789   INHS,
  790   KP2012,
  791   MC,
  792   NCHICA,
  793   RI,
  794   OI,
  795   CHIC,
  796   SCHIEx,
  797   CON,
  798  
  799   Comments,O /Y,VA,/Cli nicalDocum ent/compon ent/struct uredBody/c omponent/s ection/tex t/table[1] /tbody/tr/ td[2],
  800   KP,/Clinic alDocument /component /structure dBody/comp onent[6]/s ection/ent ry[1]/subs tanceAdmin istration/ text/refer ence/@valu e='immuniz ationcomme nts",
  801   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act[templ ateId@root ='2.16.840 .1.1138 IP .83.11']/t ext/refere nce/@value ='#immuniz ationComme nt',
  802   MV,N/A,
  803   INHS,N/A,
  804   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/en tryRelatio nship[@inv ersionInd= "true" & @ typeCode=" SUBJ"]/act /text/refe rence/@val ue,
  805   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/entryR elationshi p[@inversi onInd="tru e" & @type Code="SUBJ "]/act/tex t/referenc e/@value,
  806   NCHICA,N/A ,
  807   RI,N/A,
  808   OI,N/A,
  809   CHIC,
  810   SCHIEx,N/A ,
  811   CON,N/A,
  812  
  813   Free Text  Product Na me,R/N,VA, /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/sub stanceAdmi nistration /consumabl e/manufact uredProduc t/manufact uredMateri al/code/or iginalText /reference /@value [i ndImmuniza tion] 
  814   +
  815   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /text/tabl e/tbody/tr /td/conten t@ID
  816   ,
  817   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/consum able/manuf acturedPro duct/manuf acturedMat erial/code /originalT ext/refere nce/@value ,
  818   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/consu mable/manu facturedPr oduct/manu facturedMa terial/cod e/original Text/refer ence/@valu e,
  819   MV,N/A,
  820   INHS,N/A,
  821   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/co nsumable/m anufacture dProduct/m anufacture dMaterial/ code/origi nalText/re ference/@v alue,
  822   MC,N/A,
  823   NCHICA,N/A ,
  824   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .6"]/entry /substance Administra tion/consu mable/manu facturedPr oduct/manu facturedMa terial/cod e/@display Name,
  825   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion[templa teId/@root ="2.16.840 .1.1138 IP .24"]/cons umable/man ufacturedP roduct/man ufacturedM aterial/co de[@displa yName],Cod ed entry ( CVX),
  826   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/sub stanceAdmi nistration [templateI d/@root="2 .16.840.1. 1138 IP .24"]/cons umable/man ufacturedP roduct/man ufacturedM aterial/co de/origina lText/refe rence[@val ue],Uncode d entry,
  827   CHIC,
  828   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/co nsumable/m anufacture dProduct/m anufacture dMaterial/ code/origi nalText/re ference/@v alue,
  829   CON,N/A,
  830  
  831   Series,O/N ,VA,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip/observa tion/value [@xsi:type ="INT"]@va lue,
  832   KP,N/A,
  833   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip[@typeCo de='SUBJ'] /observati on/value,
  834   MV,N/A,
  835   INHS,N/A,
  836   KP2012,N/A ,
  837   MC,N/A,
  838   NCHICA,N/A ,
  839   RI,N/A,
  840   OI,N/A,
  841   CHIC,
  842   SCHIEx,N/A ,
  843   CON,N/A,
  844  
  845   Date-Issue ,O/N,VA,/C linicalDoc ument/comp onent/stru cturedBody /component /section/e ntry/subst anceAdmini stration/e ffectiveTi me@value,
  846   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/effect iveTime/@v alue,
  847   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/effec tiveTime/@ value,
  848   MV,N/A,
  849   INHS,N/A,
  850   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/ef fectiveTim e/@value,
  851   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/effect iveTime/@v alue,
  852   NCHICA,N/A ,
  853   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .6"]/entry /substance Administra tion/effec tiveTime/@ value,
  854   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion[templa teId/@root ="2.16.840 .1.1138 IP .24"]/effe ctiveTime[ @value],
  855   CHIC,
  856   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/ef fectiveTim e/@value,
  857   CON,N/A,
  858  
  859   Reaction , O/Y,VA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/en tryRelatio nship[@typ eCode="CAU S"]/observ ation/id@e xtension [ #indReacti on]
  860   +
  861   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /text/tabl e/tbody/tr /td/conten t@ID,
  862   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /text/cont ent[@ID=$r eactionRef erence],
  863   KP,N/A,
  864   DoD,N/A,
  865   MV,N/A,
  866   INHS,N/A,
  867   KP2012,N/A ,
  868   MC,N/A,
  869   NCHICA,N/A ,
  870   RI,N/A,
  871   OI,N/A,
  872   CHIC,
  873   SCHIEx,N/A ,
  874   CON,N/A,
  875  
  876   Comments,O /Y,VA,Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/substanc eAdministr ation/text /reference /@value[#i ndComments ]
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  879   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /text/cont ent[@ID=$c ommentRefe rence],
  880   KP,N/A,
  881   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip/act[tem plateId@ro ot='2.16.8 40.1.1138 IP .83.11']/t ext/refere nce/@value ,
  882   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /text/cont ent[@ID=$c ommentRefe rence],
  883   MV,N/A,
  884   INHS,N/A,
  885   KP2012,N/A ,
  886   MC,N/A,
  887   NCHICA,N/A ,
  888   RI,N/A,
  889   OI,N/A,
  890   CHIC,
  891   SCHIEx,N/A ,
  892   CON,N/A,
  893  
  894   Refusal Re ason,R2/N, VA,N/A,
  895   KP,N/A,
  896   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip[@typeCo de='RSON'] / act[temp lateId/@ro ot= '2.16. 840.1.1138 IP .27']/code  ,
  897   MV,N/A,
  898   INHS,N/A,
  899   KP2012,N/A ,
  900   MC,N/A,
  901   NCHICA,N/A ,
  902   RI,N/A,
  903   OI,N/A,
  904   CHIC,
  905   SCHIEx,N/A ,
  906   CON,N/A,
  907  
  908   Source,R/N ,VA,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/autho r/assigned Author/rep resentedOr ganization /name,
  909   KP,N/A,
  910   DoD,N/A,
  911   MV,N/A,
  912   INHS,N/A,
  913   KP2012,/Cl inicalDocu ment/autho r/assigned Author/rep resentedOr ganization /name,
  914   MC,N/A,
  915   NCHICA,N/A ,
  916   RI,N/A,
  917   OI,N/A,
  918   CHIC,
  919   SCHIEx,N/A ,
  920   CON,N/A,
  921  
  922   Name,O/N,V A,N/A,
  923   KP,N/A,
  924   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/perfo rmer/assig nedEntity/ assignedPe rson/name,
  925   MV,N/A,
  926   INHS,N/A,
  927   KP2012,N/A ,
  928   MC,N/A,
  929   NCHICA,N/A ,
  930   RI,N/A,
  931   OI,N/A,
  932   CHIC,
  933   SCHIEx,N/A ,
  934   CON,N/A,
  935  
  936   Manufactur er Name,O/ N,VA,N/A,
  937   KP,N/A,
  938   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/consu mable/manu facturedPr oduct/manu facturerOr ganization /name,
  939   MV,N/A,
  940   INHS,N/A,
  941   KP2012,N/A ,
  942   MC,N/A,
  943   NCHICA,N/A ,
  944   RI,N/A,
  945   OI,N/A,
  946   CHIC,
  947   SCHIEx,N/A ,
  948   CON,N/A,
  949  
  950   Lot Number ,R2/N,VA,N /A,
  951   KP,N/A,
  952   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/consu mable/manu facturedPr oduct/manu facturedMa terial/lot NumberText ,
  953   MV,N/A,
  954   INHS,N/A,
  955   KP2012,N/A ,
  956   MC,N/A,
  957   NCHICA,N/A ,
  958   RI,N/A,
  959   OI,N/A,
  960   CHIC,
  961   SCHIEx,N/A ,
  962   CON,N/A,
  963  
  964   CVX Code,V A,N/A,
  965   KP,N/A,
  966   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/consu mable/manu facturedPr oduct/manu facturedMa terial/cod e[@codeSys tem='2.16. 840.1.1138 83.6.59 '] /@code,
  967   MV,N/A,
  968   INHS,N/A,
  969   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/co nsumable/m anufacture dProduct/m anufacture dMaterial/ code/@code ,
  970   MC,N/A,
  971   NCHICA,N/A ,
  972   RI,N/A,
  973   OI,N/A,
  974   CHIC,
  975   SCHIEx,N/A ,
  976   CON,N/A,
  977  
  978   Notes,O/Y, VA,N/A,
  979   KP,N/A,
  980   DoD,N/A,
  981   MV,N/A,
  982   INHS,N/A,
  983   KP2012,N/A ,
  984   MC,N/A,
  985   NCHICA,N/A ,
  986   RI,N/A,
  987   OI,N/A,
  988   CHIC,
  989   SCHIEx,N/A ,
  990   CON,N/A,
  991  
  992   Refusal,R/ N,VA,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/substanc eAdministr ation@nega tionInd,
  993   KP,N/A,
  994   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/@nega tionInd,
  995   MV,N/A,
  996   INHS,N/A,
  997   KP2012,N/A ,
  998   MC,N/A,
  999   NCHICA,N/A ,
  1000   RI,N/A,
  1001   OI,N/A,
  1002   CHIC,
  1003   SCHIEx,N/A ,
  1004   CON,N/A,
  1005  
  1006  
  1007   SHEET: Mod ule8 - Med ications
  1008   Section,Fi eld,O/R,Pa rtner,xPat h,Comments ,
  1009   Medication s,VA,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/substanc eAdministr ation/temp lateId@roo t='2.16.84 0.1.1138 IP .24',
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  1011   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/templ ateId/@roo t='2.16.84 0.1.1138 IP .24',
  1012   MV,N/A,
  1013   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/substanc eAdministr ation/temp lateId/@ro ot='2.16.8 40.1.1138 IP .24',
  1014   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/te mplateId/@ root='2.16 .840.1.113 8 IP .83.112',
  1015   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/templa teId/@root ='2.16.840 .1.1138 IP .83.112',
  1016   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section[te mplateId/@ root="2.16 .840.1.113 8 IP .8"],
  1017   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .8"],
  1018   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .8"]/entry /substance Administra tion[templ ateId/@roo t="2.16.84 0.1.1138 IP .83.8"],
  1019   CHIC,
  1020   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/te mplateId@r oot='2.16. 840.1.1138 IP .83.8',
  1021   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/templ ateId/@roo t='2.16.84 0.1.1138 IP .24',
  1022  
  1023   Narrative  Block,VA,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section[ @templateI D=" IP .4.1.193 IP .1.3.19"]/ text,
  1024   KP,
  1025   DoD,
  1026   MV,
  1027   INHS,
  1028   KP2012,
  1029   MC,
  1030   NCHICA,
  1031   RI,
  1032   OI,
  1033   CHIC,
  1034   SCHIEx,
  1035   CON,
  1036  
  1037   Comments,O /Y,VA,/Cli nicalDocum ent/compon ent/struct uredBody/c omponent/s ection/tex t/table/tb ody/tr/td,
  1038   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/text/r eference/@ value="#me dicationsc omments",
  1039   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/text/ reference/ @value="#m edicationc omment",
  1040   MV,N/A,
  1041   INHS,N/A,
  1042   KP2012,N/A ,
  1043   MC,N/A,
  1044   NCHICA,N/A ,
  1045   RI,N/A,
  1046   OI,N/A,
  1047   CHIC,
  1048   SCHIEx,N/A ,
  1049   CON,N/A,
  1050  
  1051   Free Text  Product Na me,R/N,VA, /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/sub stanceAdmi nistration /consumabl e/manufact uredProduc t/manufact uredMateri al/code/or iginalText /reference /@value[#m ndMedicati on]
  1052   +
  1053   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /text/tabl e[2]/tbody /tr[6]/td[ 1]/content @ID,
  1054   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/consum able/manuf acturedPro duct/manuf acturedMat erial/code /originalT ext,
  1055   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/consu mable/manu facturedPr oduct/manu facturedMa terial/cod e/original Text/refer ence/@valu e [#refere nce],
  1056   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/consum able/manuf acturedPro duct/manuf acturedMat erial/code /originalT ext,
  1057   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/substanc eAdministr ation/cons umable/man ufacturedP roduct/man ufacturedM aterial/co de/origina lText/refe rence/@val ue [#refer ence],
  1058   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/co nsumable/m anufacture dProduct/m anufacture dMaterial/ code/origi nalText/re ference/@v alue,
  1059   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/consum able/manuf acturedPro duct/manuf acturedMat erial/code /originalT ext/refere nce/@value ,
  1060   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/co nsumable/m anufacture dProduct/m anufacture dMaterial/ code/origi nalText/re ference/@v alue" [#re ference],
  1061   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .8"]/entry /substance Administra tion/consu mable/manu facturedPr oduct/manu facturedMa terial/cod e/@display Name,
  1062   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/consum able/manuf acturedPro duct[@clas sCode="MAN U"]/manufa cturedMate rial/code/ originalTe xt,
  1063   CHIC,
  1064   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/co nsumable/m anufacture dProduct/m anufacture dMaterial/ code/origi nalText/re ference/@v alue [#ref erence],
  1065   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/consu mable/manu facturedPr oduct/manu facturedMa terial/cod e/original Text/refer ence/@null Flavor,
  1066  
  1067   Coded Prod uct Name,R 2/Y,VA,N/A ,
  1068   "code/@cod e",KP,/Cli nicalDocum ent/compon ent/struct uredBody/c omponent/s ection/ent ry/substan ceAdminist ration/con sumable/ma nufactured Product/ma nufactured Material/c ode/@nullF lavor,
  1069   DoD,N/A,
  1070   MV,N/A,
  1071   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/substanc eAdministr ation/cons umable/man ufacturedP roduct/man ufacturedM aterial/co de/@code,
  1072   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/co nsumable/m anufacture dProduct/m anufacture dMaterial/ code/@code ,
  1073   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/consum able/manuf acturedPro duct/manuf acturedMat erial/code /@code,
  1074   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/co nsumable/m anufacture dProduct/m anufacture dMaterial/ code/origi nalText/re ference/co de/@code,
  1075   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .8"]/entry /substance Administra tion/consu mable/manu facturedPr oduct/manu facturedMa terial/cod e/@code,
  1076   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/consum able/manuf acturedPro duct[@clas sCode="MAN U"]/manufa cturedMate rial/code[ @code],
  1077   CHIC,
  1078   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/co nsumable/m anufacture dProduct/m anufacture dMaterial/ code/@code ,
  1079   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/consu mable/manu facturedPr oduct/manu facturedMa terial/cod e/@code,
  1080  
  1081   Free Text  Brand Name ,R2/N,VA,N /A,
  1082   /name,KP,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section/ entry/subs tanceAdmin istration/ consumable /manufactu redProduct /manufactu redMateria l/name,
  1083   DoD,N/A,
  1084   MV,N/A,
  1085   INHS,N/A,
  1086   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/co nsumable/m anufacture dProduct/m anufacture dMaterial/ name,
  1087   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/consum able/manuf acturedPro duct/manuf acturedMat erial/name ,
  1088   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section[te mplateId/@ root="2.16 .840.1.113 8 IP .8"]/entry /substance Administra tion/consu mable/manu facturedPr oduct/manu facturedMa terial/nam e,
  1089   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .8"]/entry /substance Administra tion/consu mable/manu facturedPr oduct/manu facturedMa terial/nam e,
  1090   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/consum able/manuf acturedPro duct[@clas sCode="MAN U"]/manufa cturedMate rial/name,
  1091   CHIC,
  1092   SCHIEx,N/A ,
  1093   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/consu mable/manu facturedPr oduct/manu facturedMa terial/nam e,
  1094  
  1095   Status,R2/ N,VA,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/substanc eAdministr ation/entr yRelations hip[typeCo de=REFR]/o bservation /value@dis playName,
  1096   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/entryR elationshi p[typeCode =REFR]/obs ervation/v alue/@disp layName,
  1097   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip[typeCod e=REFR]/ob servation[ templateId /@root= '2 .16.840.1. 1138 IP .47']/valu e/original Text,
  1098   MV,N/A,
  1099   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/substanc eAdministr ation/entr yRelations hip[typeCo de=REFR]/o bservation /value/ori ginalText,
  1100   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/en tryRelatio nship[type Code=REFR] /observati on[templat eId/@root=  '2.16.840 .1.1138 IP .47']/valu e/@display Name,
  1101   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/entryR elationshi p[typeCode =REFR]/obs ervation[t emplateId/ @root= '2. 16.840.1.1 138 IP .47']/valu e/@display Name,
  1102   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/en tryRelatio nship[type Code=REFR] /observati on[templat eId/@root=  '2.16.840 .1.1138 IP .47']/valu e/original Text,
  1103   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .8"]/entry /substance Administra tion/statu sCode/@cod e,
  1104   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/entryR elationshi p[@typeCod e="REFR"]/ observatio n[@classCo de="OBS"][ templateId /@root="2. 16.840.1.1 138 IP .47"]/valu e,
  1105   CHIC,
  1106   SCHIEx,N/A ,
  1107   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion[templ ateId/@roo t="2.16.84 0.1.1138 IP .8"]/entry /substance Administra tion/statu sCode/@cod e,
  1108  
  1109   Ordered Qu antity,R2/ N,VA,entry /substance Administra tion/entry Relationsh ip/supply[ @classCode ='SPLY' an d @moodCod e='INT']/q uantity/@v alue
  1110   ,Will alwa ys be omit ted,
  1111   KP,N/A,
  1112   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip/supply[ @classCode ='SPLY' an d @moodCod e='INT']/q uantity/@v alue,
  1113   MV,N/A,
  1114   INHS,N/A,
  1115   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/en tryRelatio nship/supp ly[@classC ode='SPLY'  and @mood Code='INT' ]/quantity /@value,
  1116   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/entryR elationshi p/supply[@ classCode= 'SPLY' and  @moodCode ='INT']/qu antity/@va lue,
  1117   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/en tryRelatio nship/supp ly[@classC ode='SPLY'  and @mood Code='INT' ]/quantity /@value,
  1118   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .8"]entry/ substanceA dministrat ion/entryR elationshi p/supply/q uantity/@v alue,
  1119   OI,N/A,
  1120   CHIC,
  1121   SCHIEx,N/A ,
  1122   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip/supply[ @classCode ='SPLY' an d @moodCod e='INT']/q uantity/@v alue,
  1123  
  1124   Number of  Fills,O/N, VA,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/entryR elationshi p/supply[@ classCode= 'SPLY' and  @moodCode ='INT']/re peatNumber /@value,
  1125   (# of refi lls +1),KP ,/Clinical Document/c omponent/s tructuredB ody/compon ent/sectio n/entry/su bstanceAdm inistratio n/entryRel ationship/ supply[@cl assCode='S PLY' and @ moodCode=' INT']/repe atNumber/@ value,
  1126   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip/supply[ @classCode ='SPLY' an d @moodCod e='INT']/r epeatNumbe r/@value,
  1127   MV,N/A,
  1128   INHS,N/A,
  1129   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/en tryRelatio nship/supp ly[@classC ode='SPLY'  and @mood Code='INT' ]/repeatNu mber/@valu e,
  1130   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/entryR elationshi p/supply[@ classCode= 'SPLY' and  @moodCode ='INT']/re peatNumber /@value,
  1131   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/en tryRelatio nship/supp ly[@classC ode='SPLY'  and @mood Code='INT' ]/repeatNu mber/@valu e,
  1132   RI,N/A,
  1133   OI,N/A,
  1134   CHIC,
  1135   SCHIEx,N/A ,
  1136   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip/supply[ @classCode ='SPLY' an d @moodCod e='INT']/r epeatNumbe r/@value,
  1137  
  1138   Order Date ,O/N,VA,/C linicalDoc ument/comp onent/stru cturedBody /component /section/e ntry/subst anceAdmini stration/e ntryRelati onship/sup ply[@class Code='SPLY ' and @moo dCode='INT ']/author/ time/@valu e,
  1139   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/entryR elationshi p/supply[@ classCode= 'SPLY' and  @moodCode ='INT']/au thor/time/ @value,
  1140   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip/supply[ @classCode ='SPLY' an d @moodCod e='INT']/a uthor/time /@value,
  1141   MV,N/A,
  1142   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/substanc eAdministr ation/entr yRelations hip/supply [@classCod e='SPLY' a nd @moodCo de='INT']/ author/tim e/@value,
  1143   KP2012,N/A ,
  1144   MC,N/A,
  1145   NCHICA,N/A ,
  1146   RI,N/A,
  1147   OI,N/A,
  1148   CHIC,
  1149   SCHIEx,N/A ,
  1150   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip/supply[ @classCode ='SPLY' an d @moodCod e='INT']/a uthor/time /@value,
  1151  
  1152   Order Expi ration,R2/ N,VA,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/substanc eAdministr ation/entr yRelations hip/supply [@classCod e='SPLY' a nd @moodCo de='INT']/ effectiveT ime/@value ,
  1153   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/entryR elationshi p/supply[@ classCode= 'SPLY' and  @moodCode ='INT']/ef fectiveTim e/high@val ue,
  1154   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip/supply[ @classCode ='SPLY' an d @moodCod e='INT']/e ffectiveTi me/high,
  1155   MV,N/A,
  1156   INHS,N/A,
  1157   KP2012,N/A ,
  1158   MC,N/A,
  1159   NCHICA,N/A ,
  1160   RI,N/A,
  1161   OI,N/A,
  1162   CHIC,
  1163   SCHIEx,N/A ,
  1164   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip/supply[ @classCode ='SPLY' an d @moodCod e='INT']/e ffectiveTi me/@value,
  1165  
  1166   Provider,O /N,VA,/Cli nicalDocum ent/compon ent/struct uredBody/c omponent/s ection/ent ry/substan ceAdminist ration/ent ryRelation ship/suppl y/author/a ssignedAut hor/assign edPerson/n ame,
  1167   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/entryR elationshi p/supply/a uthor/assi gnedAuthor /assignedP erson/name ,
  1168   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip/supply/ author/ass ignedAutho r/assigned Person/nam e,
  1169   MV,N/A,
  1170   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/substanc eAdministr ation/entr yRelations hip/supply /author/as signedAuth or/assigne dPerson/na me,
  1171   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/au thor/assig nedAuthor/ assignedPe rson/name/ given + fa mily,
  1172   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/author /assignedA uthor/assi gnedPerson /name/give n + family ,
  1173   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/au thor/assig nedAuthor/ assignedPe rson/name,
  1174   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .8"]/entry /substance Administra tion/entry Relationsh ip/supply/ author/ass ignedAutho r/assigned Person/nam e,
  1175   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion//entry /substance Administra tion[templ ateId/@roo t="2.16.84 0.1.1138 IP .83.8"]/en tryRelatio nship[@typ eCode="REF R"]/supply /author/as signedAuth or/assigne dPerson/na me,
  1176   CHIC,
  1177   SCHIEx,N/A ,
  1178   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip/supply/ author/ass ignedAutho r/assigned Person/nam e,
  1179  
  1180   Prescripti on NBR,O/N ,VA,entry/ substanceA dministrat ion/entryR elationshi p/supply[@ classCode= 'SPLY' and  @moodCode ='EVN']/id /@extensio n
  1181   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/sub stanceAdmi nistration /entryRela tionship/s upply[@cla ssCode='SP LY' and @m oodCode='I NT']/id/@e xtension,
  1182   KP,N/A,
  1183   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip/supply[ @classCode ='SPLY' an d @moodCod e='INT']/i d/@extensi on,
  1184   MV,N/A,
  1185   INHS,N/A,
  1186   KP2012,N/A ,
  1187   MC,N/A,
  1188   NCHICA,N/A ,
  1189   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .8"]/entry /substance Administra tion/entry Relationsh ip/supply/ id/@extens ion,
  1190   OI,N/A,
  1191   CHIC,
  1192   SCHIEx,N/A ,
  1193   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip/supply[ @classCode ='SPLY' an d @moodCod e='INT']/i d/@extensi on,
  1194  
  1195   Dispense D ate,O/N,VA ,/Clinical Document/c omponent/s tructuredB ody/compon ent/sectio n/entry/su bstanceAdm inistratio n/entryRel ationship/ supply[@cl assCode='S PLY' and @ moodCode=' EVN']/effe ctiveTime/ @value,
  1196   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/entryR elationshi p/supply[@ classCode= 'SPLY' and  @moodCode ='EVN']/ef fectiveTim e/@value,
  1197   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip/supply[ @classCode ='SPLY' an d @moodCod e='EVN']/e ffectiveTi me/@value,
  1198   MV,N/A,
  1199   INHS,N/A,
  1200   KP2012,N/A ,
  1201   MC,N/A,
  1202   NCHICA,N/A ,
  1203   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .8"]/entry /substance Administra tion/entry Relationsh ip/supply/ effectiveT ime/@value ,
  1204   OI,N/A,
  1205   CHIC,
  1206   SCHIEx,N/A ,
  1207   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion[templ ateId/@roo t="2.16.84 0.1.1138 IP .8"]/entry /substance Administra tion/entry Relationsh ip/supply/ effectiveT ime/@value ,
  1208  
  1209   Fill Numbe r,R2/N,VA, N/A,
  1210   KP,N/A,
  1211   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/entry Relationsh ip/supply[ @classCode ='SPLY' an d @moodCod e='EVN']/e ntryRelati onship[typ eCode=COMP ]/sequence Number/@va lue,
  1212   MV,N/A,
  1213   INHS,N/A,
  1214   KP2012,N/A ,
  1215   MC,N/A,
  1216   NCHICA,N/A ,
  1217   RI,N/A,
  1218   OI,N/A,
  1219   CHIC,
  1220   SCHIEx,N/A ,
  1221   CON,N/A,
  1222  
  1223   Sig,O/N,VA ,/Clinical Document/c omponent/s tructuredB ody/compon ent[3]/sec tion/entry [1]/substa nceAdminis tration/te xt/referen ce@value[# mndSig] 
  1224   +
  1225   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /text/tabl e/tbody/tr /td/conten t@ID,
  1226   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/text/r eference/@ value[#Ref erence],
  1227   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/text/ reference/ @value[#Re ference],
  1228   MV,N/A,
  1229   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/substanc eAdministr ation/text /reference /@value[Re ference],
  1230   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/te xt/referen ce/@value,
  1231   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ substanceA dministrat ion/text/r eference/@ value,
  1232   NCHICA,N/A ,
  1233   RI,N/A,
  1234   OI,N/A,
  1235   CHIC,
  1236   SCHIEx,N/A ,
  1237   CON,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/text,
  1238  
  1239   Source,R/N ,VA,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/autho r/assigned Author/rep resentedOr ganization /name,
  1240   KP,N/A,
  1241   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /substance Administra tion/autho r/assigned Author/rep resentedOr ganization /name,
  1242   MV,N/A,
  1243   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/substanc eAdministr ation/auth or/assigne dAuthor/re presentedO rganizatio n/name,
  1244   KP2012,/Cl inicalDocu ment/autho r/assigned Author/rep resentedOr ganization /name,
  1245   MC,/Clinic alDocument /author/as signedAuth or/represe ntedOrgani zation/nam e,
  1246   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/substa nceAdminis tration/au thor/assig nedAuthor/ represente dOrganizat ion/name,
  1247   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .8"]/entry /substance Administra tion/entry Relationsh ip/supply/ author/ass ignedAutho r/code/@di splayName,
  1248   OI,N/A,
  1249   CHIC,
  1250   SCHIEx,N/A ,
  1251   CON,N/A,
  1252  
  1253  
  1254   SHEET: Mod ule14 - Vi tal Signs
  1255   Section,Fi eld,O/R,Pa rtner,xPat h,Comments ,
  1256   Vital Sign s,Narrativ e Block,VA ,/Clinical Document/c omponent/s tructuredB ody/compon ent/sectio n[@templat eID=" IP .4.1.193 IP .1.3.25"]/ text
  1257   ,
  1258   KP,
  1259   DoD,
  1260   MV,
  1261   INHS,
  1262   KP2012,
  1263   MC,
  1264   NCHICA,
  1265   RI,
  1266   OI,
  1267   CHIC,
  1268   SCHIEx,
  1269   CON,
  1270  
  1271   Organizer, VA,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer[ @classCode ="CLUSTER  and @moodc ode="EVN],
  1272   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer,
  1273   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer ,
  1274   MV,N/A,
  1275   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/organize r,
  1276   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/te mplateId/@ root='2.16 .840.1.113 8 IP .83.119',
  1277   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/templa teId/@root ='2.16.840 .1.1138 IP .83.119',
  1278   NCHICA,N/A ,
  1279   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .16"],
  1280   OI,N/A,
  1281   CHIC,
  1282   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/or ganizer,
  1283   CON,N/A,
  1284  
  1285   Vitals Sec tion ,O/Y, VA,/Clinic alDocument /component /structure dBody/comp onent/sect ion/text/t able[1]/tb ody/tr/td[ 2],
  1286   Comments,K P,/Clinica lDocument/ component/ structured Body/compo nent/secti on/entry/a ct/text/re ference/@v alue="#vit alsigncomm ents",
  1287   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/text/ reference/ @value[#vi talscommen t],
  1288   MV,N/A,
  1289   INHS,N/A,
  1290   KP2012,N/A ,
  1291   MC,N/A,
  1292   NCHICA,N/A ,
  1293   RI,N/A,
  1294   OI,N/A,
  1295   CHIC,
  1296   SCHIEx,N/A ,
  1297   CON,N/A,
  1298  
  1299   Vitals Dat e,VA,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/organize r/effectiv eTime/@val ue,
  1300   (for organ izer),KP,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section/ entry/orga nizer/effe ctiveTime/ @value,
  1301   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /effective Time/@valu e,
  1302   MV,N/A,
  1303   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/organize r/effectiv eTime/@val ue,
  1304   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/effect iveTime/@v alue,
  1305   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ effectiveT ime/@value ,
  1306   NCHICA,N/A ,
  1307   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .16"]/entr y/organize r/effectiv eTime/low/ @value,
  1308   OI,N/A,
  1309   CHIC,
  1310   SCHIEx,N/A ,
  1311   CON,N/A,
  1312  
  1313   Vitals Val ues,VA,ent ry/organiz er/compone nt/observa tion//valu e/@value
  1314   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/org anizer/com ponent/obs ervation/v alue/@valu e + @unit
  1315   ,
  1316   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/value/@v alue + @un it,
  1317   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /component /observati on/value/@ value + @u nit,
  1318   MV,N/A,
  1319   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/organize r/componen t/observat ion/value/ @value + @ unit,
  1320   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/valu e/@value +  @unit,
  1321   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/value/@v alue + @un it,
  1322   NCHICA,N/A ,
  1323   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .16"]/entr y/organize r/componen t/observat ion/value,
  1324   OI,N/A,
  1325   CHIC,
  1326   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/valu e/@value +  @unit,
  1327   CON,N/A,
  1328  
  1329   Vitals Typ e (LOINC), VA,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/code/@co de
  1330   ,
  1331   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/code/@co de,
  1332   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /component /observati on/code/@c ode,
  1333   MV,N/A,
  1334   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/organize r/componen t/observat ion/code/@ code,
  1335   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/code /@code,
  1336   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/code/@co de,
  1337   NCHICA,N/A ,
  1338   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .16"]/entr y/organize r/componen t/observat ion/code/@ code,
  1339   OI,N/A,
  1340   CHIC,
  1341   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/code /@code,
  1342   CON,N/A,
  1343  
  1344   Vitals Typ e (Text),V A,/Clinica lDocument/ component/ structured Body/compo nent/secti on/entry/o rganizer/c omponent/o bservation /code/@dis playName,
  1345   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/code/@di splayName,
  1346   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /component /observati on/code/or iginalText /reference /@value,
  1347   MV,N/A,
  1348   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/organize r/componen t/observat ion/code/@ displayNam e,
  1349   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/code /@displayN ame,
  1350   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/code/@di splayName,
  1351   NCHICA,N/A ,
  1352   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .16"]/entr y/organize r/componen t/observat ion/code/@ displayNam e,
  1353   OI,N/A,
  1354   CHIC,
  1355   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/code /@displayN ame,
  1356   CON,N/A,
  1357  
  1358   Vitals Met hod,VA,N/A ,
  1359   KP,N/A,
  1360   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /component /observati on/methodC ode/origin alText,
  1361   MV,N/A,
  1362   INHS,N/A,
  1363   KP2012,N/A ,
  1364   MC,N/A,
  1365   NCHICA,N/A ,
  1366   RI,N/A,
  1367   OI,N/A,
  1368   CHIC,
  1369   SCHIEx,N/A ,
  1370   CON,N/A,
  1371  
  1372   Vitals Sit e,VA,N/A,
  1373   KP,N/A,
  1374   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /component /observati on/targetS iteCode/or iginalText ,
  1375   MV,N/A,
  1376   INHS,N/A,
  1377   KP2012,N/A ,
  1378   MC,N/A,
  1379   NCHICA,N/A ,
  1380   RI,N/A,
  1381   OI,N/A,
  1382   CHIC,
  1383   SCHIEx,N/A ,
  1384   CON,N/A,
  1385  
  1386   Source ,R/ N,VA,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/organize r/componen t/observat ion/author /assignedA uthor/repr esentedOrg anization/ name,
  1387   KP,N/A,
  1388   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /author/as signedAuth or/represe ntedOrgani zation/nam e,
  1389   MV,N/A,
  1390   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/organize r/componen t/observat ion/author /assignedA uthor/repr esentedOrg anization/ name,
  1391   KP2012,/Cl inicalDocu ment/autho r/assigned Author/rep resentedOr ganization /name,
  1392   MC,/Clinic alDocument /author/as signedAuth or/represe ntedOrgani zation/nam e,
  1393   NCHICA,N/A ,
  1394   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .16"]/entr y/organize r/componen t/observat ion/partic ipant[@typ eCode="AUT "],
  1395   OI,N/A,
  1396   CHIC,
  1397   SCHIEx,N/A ,
  1398   CON,N/A,
  1399  
  1400  
  1401  
  1402  
  1403  
  1404  
  1405  
  1406  
  1407  
  1408  
  1409  
  1410  
  1411  
  1412  
  1413  
  1414  
  1415  
  1416  
  1417  
  1418  
  1419  
  1420  
  1421  
  1422  
  1423  
  1424  
  1425  
  1426  
  1427  
  1428   SHEET: Mod ule15 - Re sults
  1429   Section,Fi eld,O/R,Pa rtner,xPat h,Comments ,
  1430   Lab Result s,VA,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction[@tem plateId='2 .16.840.1. 1138 IP .14'],
  1431   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion[@templ ateId='2.1 6.840.1.11 38 IP .14'],
  1432   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion[@temp lateId='2. 16.840.1.1 138 IP .14'],
  1433   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion[@templ ateId='2.1 6.840.1.11 38 IP .14'],
  1434   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction[@tem plateId='2 .16.840.1. 1138 IP .14'],
  1435   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/te mplateId/@ root='2.16 .840.1.113 8 IP .83.122',
  1436   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/templa teId/@root ='2.16.840 .1.1138 IP .83.122',
  1437   NCHICA,N/A ,
  1438   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .14"],
  1439   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root =" IP .4.1.193 IP .1.3.28"],
  1440   CHIC,
  1441   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section[@t emplateId= '2.16.840. 1.1138 IP .14'],
  1442   CON,
  1443  
  1444   Narrative  Block,VA,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section[ @templateI D=" IP .4.1.193 IP .1.3.28"]/ text
  1445   ,
  1446   KP,
  1447   DoD,
  1448   MV,
  1449   INHS,
  1450   KP2012,
  1451   MC,
  1452   NCHICA,
  1453   RI,
  1454   OI,
  1455   CHIC,
  1456   SCHIEx,
  1457   CON,
  1458  
  1459   Comments,O /Y,VA,/Cli nicalDocum ent/compon ent/struct uredBody/c omponent[5 ]/section/ text/table [1]/tbody/ tr/td[2],
  1460   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ act/text/r eference/@ value="#la bcomments" ,
  1461   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/text/ reference/ @value["#r esultcomme nt"],
  1462   MV,N/A,
  1463   INHS,N/A,
  1464   KP2012,N/A ,
  1465   MC,N/A,
  1466   NCHICA,N/A ,
  1467   RI,N/A,
  1468   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion//entry /organizer /component /observati on[@classC ode="OBS"] /text/refe rence/@val ue,
  1469   CHIC,
  1470   SCHIEx,N/A ,
  1471   CON,N/A,
  1472  
  1473   Panel (Bat tery) Name ,VA,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /code/orig inalText
  1474   ,
  1475   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ code/origi nalText,
  1476   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /code/orig inalText,
  1477   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ code/@disp layName,
  1478   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/organize r/code/@di splayName,
  1479   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/code/@ displayNam e,
  1480   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ code/@disp layName,
  1481   NCHICA,N/A ,
  1482   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .14"]/entr y/organize r/code/@di splayName,
  1483   OI,N/A,
  1484   CHIC,
  1485   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/code/o riginalTex t/referenc e/@value[# Reference] ,
  1486   CON,N/A,
  1487  
  1488   Panel Coll ection ,VA ,/Clinical Document/c omponent/s tructuredB ody/compon ent/sectio n/entry/or ganizer/ef fectiveTim e/@value,
  1489   Date/Time, KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ effectiveT ime/@value ,
  1490   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /effective Time/@valu e,
  1491   MV,N/A,
  1492   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/organize r/effectiv eTime/@val ue,
  1493   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/effect iveTime/@v alue,
  1494   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ effectiveT ime/@value ,
  1495   NCHICA,N/A ,
  1496   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .14"]/entr y/organize r/effectiv eTime/@val ue,
  1497   OI,N/A,
  1498   CHIC,
  1499   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/proced ure/effect iveTime/lo w/@value,
  1500   CON,N/A,
  1501  
  1502   Organizer  Specimen,V A,N/A,
  1503   KP,N/A,
  1504   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /specimen/ specimenRo le/specime nPlayingEn tity/code/ originalTe xt,
  1505   MV,N/A,
  1506   INHS,N/A,
  1507   KP2012,N/A ,
  1508   MC,N/A,
  1509   NCHICA,N/A ,
  1510   RI,N/A,
  1511   OI,N/A,
  1512   CHIC,
  1513   SCHIEx,N/A ,
  1514   CON,N/A,
  1515  
  1516   Test Type, R/N,VA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/code /@code
  1517   ,
  1518    (LOINC co de),KP,N/A ,
  1519   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /component /observati on/code/@c ode,
  1520   MV,N/A,
  1521   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/organize r/componen t/observat ion/code/@ code,
  1522   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/code /@code,
  1523   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/code/@co de,
  1524   NCHICA,N/A ,
  1525   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .14"]/entr y/organize r/componen t/observat ion/code/@ code,
  1526   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion//entry /organizer /component /observati on[@classC ode="OBS"] /code,
  1527   CHIC,
  1528   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/code /@code,
  1529   CON,N/A,
  1530  
  1531   Test Type  (Free Text ),O/N,VA,C linicalDoc ument/comp onent/stru cturedBody /component /section/e ntry/organ izer/compo nent/obser vation/cod e/@display Name 
  1532   or
  1533   ClinicalDo cument/com ponent/str ucturedBod y/componen t/section/ entry/orga nizer/comp onent/obse rvation/co de/origina lText
  1534   or 
  1535   entry/orga nizer/comp onent/obse rvation/te xt/referen ce/@value,
  1536   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/code/ori ginalText,
  1537   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /component /observati on/code/or iginalText /reference /@value[#r eference]
  1538   or
  1539   entry/orga nizer/comp onent/obse rvation/te xt/referen ce/@value,
  1540   MV-w/o Org ,/Clinical Document/c omponent/s tructuredB ody/compon ent/sectio n/entry/ob servation/ text/refer ence/@valu e
  1541   or
  1542   entry/obse rvation/co de/@displa yName,
  1543   MV-w Org,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section/ entry/orga nizer/comp onent/obse rvation/co de/@displa yName,
  1544   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/organize r/componen t/observat ion/code/@ displayNam e,
  1545   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/code /@displayN ame,
  1546   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/code/@di splayName,
  1547   NCHICA,N/A ,
  1548   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .14"]/entr y/organize r/componen t/observat ion/code/@ displayNam e,
  1549   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion//entry /organizer /component /procedure /code/orig inalText,
  1550   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section //entry/or ganizer/co mponent/pr ocedure/te xt,
  1551   CHIC,
  1552   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/code /@displayN ame,
  1553   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/org anizer/com ponent/obs ervation/c ode/origin alText/ref erence/@va lue[#refer ence],
  1554   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/org anizer/com ponent/obs ervation/t ext/refere nce/@value [#referenc e],
  1555   CON,N/A,
  1556  
  1557   Test Date, R/N,VA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/effe ctiveTime/ @value,
  1558   (specific  result),KP ,/Clinical Document/c omponent/s tructuredB ody/compon ent/sectio n/entry/or ganizer/co mponent/ob servation/ effectiveT ime/@value ,
  1559   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /component /observati on/effecti veTime/@va lue,
  1560   MV-w/o Org ,/Clinical Document/c omponent/s tructuredB ody/compon ent/sectio n/entry/ob servation/ effectiveT ime/@value ,
  1561   MV-w Org,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section/ entry/orga nizer/comp onent/obse rvation/ef fectiveTim e,
  1562   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/organize r/componen t/observat ion/effect iveTime,
  1563   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/effe ctiveTime/ @value,
  1564   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/effectiv eTime/@val ue,
  1565   NCHICA,N/A ,
  1566   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .14"]/entr y/organize r/componen t/observat ion/effect iveTime/@v alue,
  1567   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ procedure/ effectiveT ime,
  1568   CHIC,
  1569   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/effe ctiveTime/ @value,
  1570   CON,N/A,
  1571  
  1572   Result Val ue & Units ,O/N,VA,/C linicalDoc ument/comp onent/stru cturedBody /component /section/e ntry/organ izer/compo nent/obser vation/val ue/@value,
  1573   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/value/@v alue,
  1574   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /component /observati on/value/@ value + @u nit,
  1575   MV-w/o Org ,/Clinical Document/c omponent/s tructuredB ody/compon ent/sectio n/entry/ob servation/ value/@val ue + @unit ,
  1576   MV-w Org,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section/ entry/orga nizer/comp onent/obse rvation/va lue/@value  + @unit,
  1577   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/observat ion/value/ @value + @ unit,
  1578   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/valu e/@value +  @unit,
  1579   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/value/@v alue + @un it,
  1580   NCHICA,N/A ,
  1581   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .14"]/entr y/organize r/componen t/observat ion/value,
  1582   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/value[@t ype="ST"],
  1583   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/org anizer/com ponent/obs ervation/v alue[@type ="PQ"][@va lue][@unit ],
  1584   CHIC,
  1585   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/valu e/@value +  @unit,
  1586   CON,N/A,
  1587  
  1588   Interpreta tion Code, O/N,VA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/inte rpretation Code/origi nalText,
  1589   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/interpre tationCode /originalT ext,
  1590   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /component /observati on/interpr etationCod e/original Text/refer ence/@valu e[#referen ce],
  1591   MV-w/o Org ,/Clinical Document/c omponent/s tructuredB ody/compon ent/sectio n/entry/ob servation/ interpreta tionCode/@ displayNam e,
  1592   MV-w Org,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section/ entry/orga nizer/comp onent/obse rvation/in terpretati onCode/@di splayName,
  1593   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/organize r/componen t/observat ion/interp retationCo de/@displa yName,
  1594   KP2012,N/A ,
  1595   MC,N/A,
  1596   NCHICA,N/A ,
  1597   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .14"]/entr y/organize r/componen t/observat ion/interp retationCo de/@nullFl avor,
  1598   OI,N/A,
  1599   CHIC,
  1600   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/inte rpretation Code/@disp layName,
  1601   CON,N/A,
  1602  
  1603   Ref Range, O/Y,VA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/refe renceRange /observati onRange/te xt,
  1604   KP,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/referenc eRange/obs ervationRa nge/text,
  1605   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /component /observati on/referen ceRange/ob servationR ange/text,
  1606   MV-w/o Org ,/Clinical Document/c omponent/s tructuredB ody/compon ent/sectio n/entry/ob servation/ referenceR ange/obser vationRang e/text,
  1607   MV-w Org,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section/ entry/orga nizer/comp onent/obse rvation/re ferenceRan ge/observa tionRange/ text,
  1608   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/observat ion/refere nceRange/o bservation Range/text ,
  1609   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/organi zer/compon ent/observ ation/refe renceRange /observati onRange/te xt,
  1610   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/referenc eRange/obs ervationRa nge/text,
  1611   NCHICA,N/A ,
  1612   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .14"]/entr y/organize r/componen t/observat ion/refere nceRange/o bservation Range/text ,
  1613   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ observatio n/referenc eRange/obs ervationRa nge/value,
  1614   CHIC,
  1615   SCHIEx,N/A ,
  1616   CON,N/A,
  1617  
  1618   Source,R/N ,VA,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /author/as signedAuth or/represe ntedOrgani zation/nam e
  1619   or
  1620   entry/orga nizer/obse rvation/au thor/assig nedAuthor/ represente dOrganizat ion/name,
  1621   KP,N/A,
  1622   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /organizer /author/as signedAuth or/represe ntedOrgani zation/nam e,
  1623   MV,N/A,
  1624   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/organize r/author/a ssignedAut hor/repres entedOrgan ization/na me,
  1625   KP2012,/Cl inicalDocu ment/autho r/assigned Author/rep resentedOr ganization /name,
  1626   MC,/Clinic alDocument /author/as signedAuth or/represe ntedOrgani zation/nam e,
  1627   NCHICA,N/A ,
  1628   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .14"]/entr y/organize r/componen t/observat ion/partic ipant[@typ eCode="AUT "],
  1629   OI,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ organizer/ component/ procedure/ performer[ @typeCode= "PRF"]/ass ignedEntit y,
  1630   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/org anizer/com ponent/pro cedure/par ticipant[@ typeCode=" RESP"]/par ticipantRo le/playing Entity,
  1631   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/org anizer/com ponent/pro cedure/par ticipant[@ typeCode=" ORG"]/part icipantRol e/playingE ntity,
  1632   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/org anizer/com ponent/pro cedure/par ticipant[@ typeCode=" REF"]/part icipantRol e/playingE ntity,
  1633   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/org anizer/com ponent/pro cedure/par ticipant[@ typeCode=" ATND"]/par ticipantRo le/playing Entity,
  1634   CHIC,
  1635   SCHIEx,N/A ,
  1636   CON,N/A,
  1637  
  1638  
  1639   SHEET: Mod ule16 - En counters
  1640   Section,Fi eld,O/R,Pa rtner,xPat h,Comments ,
  1641   Encounters ,VA,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /encounter /templateI d@root='2. 16.840.1.1 138 IP .21',
  1642   KP,N/A,
  1643   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/templ ateId@root ="2.16.840 .1.1138 IP .83.127" +  entry/enc ounter/tem plateId/@r oot="2.16. 840.1.1138 IP .83.16" an d "2.16.84 0.1.1138 IP .21",
  1644   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion[@templ ateId='2.1 6.840.1.11 38 IP .21'],
  1645   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction[@tem plateId='2 .16.840.1. 1138 IP .21'],
  1646   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/te mplateId/@ root='2.16 .840.1.113 8 IP .83.127',
  1647   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/templa teId/@root ='2.16.840 .1.1138 IP .83.127',
  1648   NCHICA,N/A ,
  1649   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[@templ ateId='2.1 6.840.1.11 38 IP .21'],
  1650   OI,N/A,
  1651   CHIC,
  1652   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/te mplateId@r oot="2.16. 840.1.1138 IP .83.127" + ,
  1653   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/enc ounter/tem plateId/@r oot="2.16. 840.1.1138 IP .83.16" an d "2.16.84 0.1.1138 IP .21",
  1654   CON,N/A,
  1655  
  1656   Narrative  Block,VA,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section[ @templateI d=" IP .4.1.193 IP . IP .3"]/text,
  1657   KP, ,
  1658   DoD,
  1659   MV,
  1660   INHS,
  1661   KP2012,
  1662   MC,
  1663   NCHICA,
  1664   RI,
  1665   OI,
  1666   CHIC,
  1667   SCHIEx,
  1668  
  1669   CON,
  1670  
  1671   Encounter  Section ,O /Y,VA,/Cli nicalDocum ent/compon ent/struct uredBody/c omponent/s ection/tex t/table[1] /tbody/tr/ td[2]
  1672   ,
  1673   Comment,KP ,N/A,
  1674   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/text/ reference/ @value [#e ncounterco mment],
  1675   MV,N/A,
  1676   INHS,N/A,
  1677   KP2012,N/A ,
  1678   MC,N/A,
  1679   NCHICA,N/A ,
  1680   RI,N/A,
  1681   OI,N/A,
  1682   CHIC,
  1683   SCHIEx,N/A ,
  1684   CON,N/A,
  1685  
  1686   Encounter  Date,R/N,V A,/Clinica lDocument/ component/ structured Body/compo nent/secti on/entry/e ncounter/e ffectiveTi me/low/@va lue,
  1687   KP,N/A,
  1688   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /encounter /effective Time/low/@ value,
  1689   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ encounter/ effectiveT ime/low/@v alue,
  1690   INHS,N/A,
  1691   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/encoun ter/effect iveTime/lo w/@value,
  1692   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ encounter/ effectiveT ime/low/@v alue,
  1693   NCHICA,N/A ,
  1694   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .3"]/entry /encounter /effective Time/low/@ value,
  1695   OI,N/A,
  1696   CHIC,
  1697   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/encoun ter/effect iveTime/lo w/@value,
  1698   CON,N/A,
  1699  
  1700   Encounter  Type,R2/N, VA,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ encounter/ code@displ ayName,
  1701   KP,N/A,
  1702   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /encounter /code/@dis playName
  1703   and
  1704   entry/enco unter/code /originalT ext/refere nce/@value  [#referen ce],
  1705   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ encounter/ code/@disp layName,
  1706   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/encounte r/code/@di splayName,
  1707   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/encoun ter/code/o riginalTex t/referenc e/@value,
  1708   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ encounter/ code/origi nalText/re ference/@v alue,
  1709   NCHICA,N/A ,
  1710   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .3"]/entry /encounter /code/@dis playName,
  1711   OI,N/A,
  1712   CHIC,
  1713   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/encoun ter/text/r eference/@ value[#ref erence],
  1714   CON,N/A,
  1715  
  1716   Encounter  Descriptio n,R/N,VA,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section/ entry/enco unter/code /originalT ext/refere nce/@value [#endEncou nterDescri ption]
  1717   +
  1718   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /text/tabl e[2]/tbody /tr/td[3]/ content@ID ,
  1719   KP,N/A,
  1720   DoD,N/A,
  1721   MV,N/A,
  1722   INHS,N/A,
  1723   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/encoun ter/text/r eference/@ value,
  1724   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ encounter/ text/refer ence/@valu e,
  1725   NCHICA,N/A ,
  1726   RI,N/A,
  1727   OI,N/A,
  1728   CHIC,
  1729   SCHIEx,N/A ,
  1730   CON,N/A,
  1731  
  1732   Encounter  Provider,R 2/Y,VA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/encoun ter/perfor mer/assign edEntity/a ssignedPer son/name,
  1733   KP,N/A,
  1734   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /encounter /performer /assignedE ntity/assi gnedPerson /name,
  1735   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ encounter/ performer/ assignedEn tity/assig nedPerson/ name/given  + family,
  1736   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/encounte r/performe r/assigned Entity/ass ignedPerso n/name,
  1737   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/encoun ter/perfor mer/assign edEntity/a ssignedPer son/name/g iven + fam ily,
  1738   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ encounter/ performer/ assignedEn tity/assig nedPerson/ name/given  + family,
  1739   NCHICA,N/A ,
  1740   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .3"]/entry /encounter /performer /assignedE ntity/assi gnedPerson /name,
  1741   OI,N/A,
  1742   CHIC,
  1743   SCHIEx,N/A ,
  1744   CON,N/A,
  1745  
  1746   Encounter  Facility , O/N,VA,N/A ,
  1747   Location,K P,N/A,
  1748   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /encounter /participa nt[typeCod e=LOC]/par ticipantRo le/playing Entity/nam e,
  1749   MV,N/A,
  1750   INHS,N/A,
  1751   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/encoun ter/partic ipant[type Code=LOC]/ participan tRole/play ingEntity/ name,
  1752   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ encounter/ participan t[typeCode =LOC]/part icipantRol e/playingE ntity/name ,
  1753   NCHICA,N/A ,
  1754   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .3"]/entry /encounter /participa nt[@typeCo de="LOC"]/ participan tRole/play ingEntity/ name,
  1755   OI,N/A,
  1756   CHIC,
  1757   SCHIEx,N/A ,
  1758   CON,N/A,
  1759  
  1760   Encounter  Note Text, O/Y,VA,N/A ,
  1761   KP,N/A,
  1762   DoD,N/A,
  1763   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ encounter/ text/refer ence/@valu e[#referen ce],
  1764   INHS,N/A,
  1765   KP2012,N/A ,
  1766   MC,N/A,
  1767   NCHICA,N/A ,
  1768   RI,N/A,
  1769   OI,N/A,
  1770   CHIC,
  1771   SCHIEx,N/A ,
  1772   CON,N/A,
  1773  
  1774   Encounter  Reason Tex t,O/N,VA,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section/ entry/enco unter/entr yRelations hip[typeCo de=RSON]/o bservation /text/refe rence/@val ue[#endRea son]
  1775   +
  1776   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /text/tabl e[2]/tbody /tr/td[4]/ content,
  1777   KP,N/A,
  1778   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /encounter /entryRela tionship[t ypeCode=RS ON]/act/co de/origina lText,
  1779   MV,N/A,
  1780   INHS,N/A,
  1781   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/encoun ter/entryR elationshi p[typeCode =RSON]/obs ervation/t ext,
  1782   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ encounter/ entryRelat ionship[ty peCode=RSO N]/observa tion/text,
  1783   NCHICA,N/A ,
  1784   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .3"]/entry /encounter /entryRela tionship[@ typeCode=" RSON"]/obs ervation/t ext,
  1785   OI,N/A,
  1786   CHIC,
  1787   SCHIEx,N/A ,
  1788   CON,N/A,
  1789  
  1790   Admission  Type,O/N,V A,N/A,
  1791   KP,N/A,
  1792   DoD,pendin g,
  1793   MV,N/A,
  1794   INHS,N/A,
  1795   KP2012,N/A ,
  1796   MC,N/A,
  1797   NCHICA,N/A ,
  1798   RI,N/A,
  1799   OI,N/A,
  1800   CHIC,
  1801   SCHIEx,N/A ,
  1802   CON,N/A,
  1803  
  1804   Arrival Ti me,O/N,VA, N/A,
  1805   KP,N/A,
  1806   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /encounter /participa nt/time/lo w/@value,
  1807   MV,N/A,
  1808   INHS,N/A,
  1809   KP2012,N/A ,
  1810   MC,N/A,
  1811   NCHICA,N/A ,
  1812   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .3"]/entry /encounter /effective Time/low/@ value,
  1813   OI,N/A,
  1814   CHIC,
  1815   SCHIEx,N/A ,
  1816   CON,N/A,
  1817  
  1818   Departure  Time,O/N,V A,N/A,
  1819   KP,N/A,
  1820   DoD,N/A,
  1821   MV,N/A,
  1822   INHS,N/A,
  1823   KP2012,N/A ,
  1824   MC,N/A,
  1825   NCHICA,N/A ,
  1826   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .3"]/entry /encounter /effective Time/high/ @value,
  1827   OI,N/A,
  1828   CHIC,
  1829   SCHIEx,N/A ,
  1830   CON,N/A,
  1831  
  1832   Source,R/N ,VA,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /encounter /author/as signedAuth or/represe ntedOrgani zation/nam e,
  1833   (should th is = "Faci lity Locat ion")?,KP, N/A,
  1834   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /encounter /participa nt[@typeCo de='LOC']/ participan tRole/play ingEntity/ name,
  1835   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ encounter/ performer/ assignedEn tity/repre sentedOrga nization/n ame,
  1836   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/encounte r/performe r/assigned Entity/rep resentedOr ganization /name,
  1837   KP2012,/Cl inicalDocu ment/autho r/assigned Author/rep resentedOr ganization /name,
  1838   MC,/Clinic alDocument /author/as signedAuth or/represe ntedOrgani zation/nam e,
  1839   NCHICA,N/A ,
  1840   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .3"]/entry /encounter /participa nt[@typeCo de="LOC"],
  1841   OI,N/A,
  1842   CHIC,
  1843   SCHIEx,N/A ,
  1844   CON,N/A,
  1845  
  1846  
  1847   SHEET: Mod ule17 - Pr oceedures
  1848   Section,Fi eld,O/R,Pa rtner,xPat h,Comments ,
  1849   Proceedure s,VA,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/procedur e/template Id@root='2 .16.840.1. 1138 IP .29',
  1850   KP,N/A,
  1851   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/templ ateId[4]/@ root="2.16 .840.1.113 8 IP .83.108"
  1852   and
  1853   entry/proc edure/temp lateId/@ro ot="2.16.8 40.1.1138 IP .29",
  1854   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion[@templ ateId='2.1 6.840.1.11 38 IP .29'],
  1855   INHS,entry /procedure /templateI d@root='2. 16.840.1.1 138 IP .29',
  1856   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/te mplateId/@ root='2.16 .840.1.113 8 IP .83.108',
  1857   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/templa teId/@root ='2.16.840 .1.1138 IP .83.108',
  1858   NCHICA,N/A ,
  1859   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .12"],
  1860   OI,N/A,
  1861   CHIC,
  1862   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/te mplateId[4 ]/@root="2 .16.840.1. 1138 IP .83.108"
  1863   ,
  1864   entry/proc edure/temp lateId/@ro ot="2.16.8 40.1.1138 IP .29",
  1865   CON,N/A,
  1866  
  1867   Narrative  Block,VA,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t/section[ @templateI D=""2.16.8 40.1.1138 IP .12"]/text  ,
  1868   KP, ,
  1869   DoD,
  1870   MV,
  1871   INHS,
  1872   KP2012,
  1873   MC,
  1874   NCHICA,
  1875   RI,
  1876   OI,
  1877   CHIC,
  1878   SCHIEx,
  1879   CON,
  1880  
  1881   Procedure  Section ,O /Y,VA,/Cli nicalDocum ent/compon ent/struct uredBody/c omponent/s ection/tex t/table[1] /tbody/tr/ td[2],
  1882   Comment,KP ,N/A,
  1883   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/text/ reference/ @value [#p rocedureco mment],
  1884   MV,N/A,
  1885   INHS,N/A,
  1886   KP2012,N/A ,
  1887   MC,N/A,
  1888   NCHICA,N/A ,
  1889   RI,N/A,
  1890   OI,N/A,
  1891   CHIC,
  1892   SCHIEx,N/A ,
  1893   CON,N/A,
  1894  
  1895   Procedure  Date,R2/N, VA,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ procedure/ effectiveT ime/@value
  1896   ,
  1897   (spec does  not use , KP,N/A,
  1898   low or hig h values), DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /procedure /effective Time/@valu e,
  1899   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ procedure/ effectiveT ime/low/@v alue,
  1900   INHS ,/Cli nicalDocum ent/compon ent/struct uredBody/c omponent/s ection/ent ry/procedu re/effecti veTime/@va lue,
  1901   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/proced ure/effect iveTime/@v alue,
  1902   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ procedure/ effectiveT ime/@value ,
  1903   NCHICA,N/A ,
  1904   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .12"]/entr y/procedur e/effectiv eTime/low/ @value,
  1905   OI,N/A,
  1906   CHIC,
  1907   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/proced ure/effect iveTime/lo w/@value,
  1908   CON,N/A,
  1909  
  1910   Provider,R 2/Y,VA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/proced ure/perfor mer/assign edEntity/a ssignedPer son/name,
  1911   KP,N/A,
  1912   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /procedure /performer /assignedE ntity/assi gnedPerson /name,
  1913   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ procedure/ performer/ assignedEn tity/assig nedPerson/ name + fam ily,
  1914   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/procedur e/performe r/assigned Entity/ass ignedPerso n/name,
  1915   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/proced ure/perfor mer/assign edEntity/a ssignedPer son/name/g iven + fam ily,
  1916   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ procedure/ performer/ assignedEn tity/assig nedPerson/ name/given  + family,
  1917   NCHICA,N/A ,
  1918   RI,N/A,
  1919   OI,N/A,
  1920   CHIC,
  1921   SCHIEx,N/A ,
  1922   CON,N/A,
  1923  
  1924   Procedure  Type ,R2/N ,VA,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /procedure /code/@dis playName
  1925   ,
  1926   (coded),KP ,N/A,
  1927   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /procedure /code/@dis playName
  1928   or
  1929   entry/proc edure/code /originalT ext/refere nce/@value [#referenc e],
  1930   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ procedure/ code/@disp layName,
  1931   INHS,/Clin icalDocume nt/compone nt/structu redBody/co mponent/se ction/entr y/procedur e/code/@di splayName,
  1932   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/proced ure/code/@ displayNam e,
  1933   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ procedure/ code/@disp layName,
  1934   NCHICA,N/A ,
  1935   RI,/Clinic alDocument /component /structure dBody/comp onent/sect ion[templa teId/@root ="2.16.840 .1.1138 IP .12"]/entr y/procedur e/code/@di splayName,
  1936   OI,N/A,
  1937   CHIC,
  1938   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/proced ure/code/@ displayNam e
  1939   ,
  1940   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/pro cedure/cod e/original Text/refer ence/@valu e[#referen ce],
  1941   CON,N/A,
  1942  
  1943   Qualifiers ,VA,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /procedure /code/qual ifer/name/ @displayNa me   + 
  1944   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /entry/pro cedure/cod e/qualifie r/value@di splayName,
  1945   KP,N/A,
  1946   DoD,N/A,
  1947   MV,N/A,
  1948   KP2012,N/A ,
  1949   MC,N/A,
  1950   NCHICA,N/A ,
  1951   RI,N/A,
  1952   OI,N/A,
  1953   CHIC,
  1954   SCHIEx,N/A ,
  1955   CON,N/A,
  1956  
  1957   Procedure  Free Text  Type "Desc ription",R /N,VA,/Cli nicalDocum ent/compon ent/struct uredBody/c omponent/s ection/ent ry/procedu re/code/or iginalText /reference /@value[#p rndDescrip tion]
  1958   +
  1959   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt/section /text/tabl e[2]/tbody /tr[5]/td[ 4]/content @ID
  1960   ,
  1961   KP,N/A,
  1962   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /procedure /code/orig inalText/r eference/@ value [#re ference],
  1963   MV,N/A,
  1964   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/proced ure/code/o riginalTex t/referenc e/@value,
  1965   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ procedure/ code/origi nalText/re ference/@v alue,
  1966   NCHICA,N/A ,
  1967   RI,N/A,
  1968   OI,N/A,
  1969   CHIC,
  1970   SCHIEx,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/proced ure/code/o riginalTex t/referenc e/@value[# reference] ,
  1971   CON,N/A,
  1972  
  1973   Procedure  Note Text, O/Y,VA,N/A ,
  1974   KP,N/A,
  1975   DoD,N/A,
  1976   MV,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ procedure/ text/refer ence/@valu e[#referen ce],
  1977   INHS,N/A,
  1978   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/proced ure/text/r eference/@ value,
  1979   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ procedure/ text/refer ence/@valu e,
  1980   NCHICA,N/A ,
  1981   RI,N/A,
  1982   OI,N/A,
  1983   CHIC,
  1984   SCHIEx,N/A ,
  1985   CON,N/A,
  1986  
  1987   Procedure  Reason Tex t,O/N,VA,/ ClinicalDo cument/com ponent/str ucturedBod y/componen t[7]/secti on/entry[1 ]/encounte r/entryRel ationship/ observatio n/text/ref erence@val ue[endReas on]
  1988   +
  1989   /ClinicalD ocument/co mponent/st ructuredBo dy/compone nt[7]/sect ion/text/t able[2]/tb ody/tr[2]/ td[4]/cont ent@ID,
  1990   KP,N/A,
  1991   DoD,N/A,
  1992   MV,N/A,
  1993   INHS,N/A,
  1994   KP2012,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/proced ure/entryR elationshi p[typeCode =RSON]/obs ervation/t ext,
  1995   MC,/Clinic alDocument /component /structure dBody/comp onent/sect ion/entry/ procedure/ entryRelat ionship[ty peCode=RSO N]/observa tion/text,
  1996   NCHICA,N/A ,
  1997   RI,N/A,
  1998   OI,N/A,
  1999   CHIC,
  2000   SCHIEx,N/A ,
  2001   CON,N/A,
  2002  
  2003  
  2004  
  2005  
  2006  
  2007  
  2008  
  2009  
  2010  
  2011  
  2012  
  2013  
  2014  
  2015  
  2016  
  2017  
  2018  
  2019  
  2020  
  2021  
  2022  
  2023  
  2024  
  2025  
  2026  
  2027  
  2028  
  2029  
  2030  
  2031   SHEET: Mod ule - Insu rance Prov ider
  2032   Section,Fi eld,O/R,Pa rtner,xPat h,Comments ,
  2033   Insurance  Provider,V A,N/A,
  2034   KP,N/A,
  2035   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/@root  ='2.16.84 0.1.1138 IP .26',
  2036   MV,N/A,
  2037   INHS,N/A,
  2038   KP2012,N/A ,
  2039   MC,N/A,
  2040   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/te mplateId[3 ]/@root="2 .16.840.1. 1138 IP .83.101",
  2041   RI,N/A,
  2042   OI,N/A,
  2043   CHIC,N/A,
  2044   SCHIEx,N/A ,
  2045   CON,N/A,
  2046  
  2047   Group Numb er,R/N,VA, N/A,
  2048   KP,N/A,
  2049   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/@root = '2.16.84 0.1.1138 IP .26']/id,
  2050   MV,N/A,
  2051   INHS,N/A,
  2052   KP2012,N/A ,
  2053   MC,N/A,
  2054   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/act/ @root= '2. 16.840.1.1 138 IP .26']/id/@ root,
  2055   RI,N/A,
  2056   OI,N/A,
  2057   CHIC,N/A,
  2058   SCHIEx,N/A ,
  2059   CON,N/A,
  2060  
  2061   Health Pla n Type,R2/ N,VA,N/A,
  2062   KP,N/A,
  2063   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/@root  ='2.16.84 0.1.1138 IP .83.13'/co de/@code,
  2064   MV,N/A,
  2065   INHS,N/A,
  2066   KP2012,N/A ,
  2067   MC,N/A,
  2068   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/act/ code/@code ,
  2069   RI,N/A,
  2070   OI,N/A,
  2071   CHIC,N/A,
  2072   SCHIEx,N/A ,
  2073   CON,N/A,
  2074  
  2075   Insurance  Informatio n,O/Y,VA,N /A,
  2076   KP,N/A,
  2077   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act/[temp lateId/@ro ot= '2.16. 840.1.1138 IP .26']/perf ormer/assi gnedEntity /id[@root= " 2.16.840 .1.1138 IP .1"]@exten sion,
  2078   MV,N/A,
  2079   INHS,N/A,
  2080   KP2012,N/A ,
  2081   MC,N/A,
  2082   NCHICA,N/A ,
  2083   RI,N/A,
  2084   OI,N/A,
  2085   CHIC,N/A,
  2086   SCHIEx,N/A ,
  2087   CON,N/A,
  2088  
  2089   Mailing Ad dress,O/Y, VA,N/A,
  2090   KP,N/A,
  2091   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act[templ ateId/@roo t= '2.16.8 40.1.1138 IP .26']/perf ormer/assi gnedEntity /addr,
  2092   MV,N/A,
  2093   INHS,N/A,
  2094   KP2012,N/A ,
  2095   MC,N/A,
  2096   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/act/ performer/ assignedEn tity/addr,
  2097   RI,N/A,
  2098   OI,N/A,
  2099   CHIC,N/A,
  2100   SCHIEx,N/A ,
  2101   CON,N/A,
  2102  
  2103   Contact In formation, O/Y,VA,N/A ,
  2104   KP,N/A,
  2105   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act[templ ateId/@roo t= '2.16.8 40.1.1138 IP .26']/perf ormer/assi gnedEntity /telecom,
  2106   MV,N/A,
  2107   INHS,N/A,
  2108   KP2012,N/A ,
  2109   MC,N/A,
  2110   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/act/ performer/ assignedEn tity/telec om,
  2111   RI,N/A,
  2112   OI,N/A,
  2113   CHIC,N/A,
  2114   SCHIEx,N/A ,
  2115   CON,N/A,
  2116  
  2117   Source Nam e,R2/N,VA, N/A,
  2118   KP,N/A,
  2119   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act[templ ateId/@roo t= '2.16.8 40.1.1138 IP .26']/perf ormer/assi gnedEntity /name,
  2120   MV,N/A,
  2121   INHS,N/A,
  2122   KP2012,N/A ,
  2123   MC,N/A,
  2124   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/act/ performer/ assignedEn tity/repre sentedOrga nization/n ame,
  2125   RI,N/A,
  2126   OI,N/A,
  2127   CHIC,N/A,
  2128   SCHIEx,N/A ,
  2129   CON,N/A,
  2130  
  2131   Source ID, O/Y,VA,N/A ,
  2132   KP,N/A,
  2133   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act[templ ateId/@roo t= '2.16.8 40.1.1138 IP .26']/perf ormer/assi gnedEntity /id,
  2134   MV,N/A,
  2135   INHS,N/A,
  2136   KP2012,N/A ,
  2137   MC,N/A,
  2138   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act/en tryRelatio nship/act/ performer/ assignedEn tity/repre sentedOrga nization/i d,
  2139   RI,N/A,
  2140   OI,N/A,
  2141   CHIC,N/A,
  2142   SCHIEx,N/A ,
  2143   CON,N/A,
  2144  
  2145   Notes ,R2/ N,VA,N/A,
  2146   KP,N/A,
  2147   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act[templ ateId/@roo t= '2.16.8 40.1.1138 IP .26']/text ,
  2148   MV,N/A,
  2149   INHS,N/A,
  2150   KP2012,N/A ,
  2151   MC,N/A,
  2152   NCHICA,/Cl inicalDocu ment/compo nent/struc turedBody/ component/ section/en try/act[te mplateId/@ root= '2.1 6.840.1.11 38 IP .26']/text ,
  2153   RI,N/A,
  2154   OI,N/A,
  2155   CHIC,N/A,
  2156   SCHIEx,N/A ,
  2157   CON,N/A,
  2158  
  2159   Comments,R 2/N,VA,N/A ,
  2160   KP,N/A,
  2161   DoD,/Clini calDocumen t/componen t/structur edBody/com ponent/sec tion/entry /act[templ ateId/@roo t= '2.16.8 40.1.1138 IP .26']/entr yRelations hip[@typeC ode=’SUBJ’ ]/act[temp lateId/@ro ot = ’ 2.1 6.840.1.11 38 IP .83.11’]/t ext,
  2162   MV,N/A,
  2163   INHS,N/A,
  2164   KP2012,N/A ,
  2165   MC,N/A,
  2166   NCHICA,N/A ,
  2167   RI,N/A,
  2168   OI,N/A,
  2169   CHIC,N/A,
  2170   SCHIEx,N/A ,
  2171   CON,N/A,
  2172  
  2173  
  2174  
  2175  
  2176  
  2177  
  2178  
  2179  
  2180  
  2181  
  2182  
  2183  
  2184  
  2185  
  2186  
  2187  
  2188  
  2189  
  2190  
  2191  
  2192  
  2193  
  2194  
  2195  
  2196  
  2197  
  2198  
  2199  
  2200  
  2201  
  2202  
  2203  
  2204  
  2205  
  2206  
  2207  
  2208  
  2209  
  2210  
  2211  
  2212  
  2213  
  2214  
  2215  
  2216  
  2217  
  2218  
  2219   SHEET: Adv ance Direc tives
  2220   Section,Fi eld,O/R,Pa rtner,xPat h,Comments ,
  2221   Advance Di rective,VA ,N/A,
  2222   KP,N/A,
  2223   DoD,N/A,
  2224   MV,N/A,
  2225   INHS,N/A,
  2226   KP2012,N/A ,
  2227   MC,N/A,
  2228   NCHICA,N/A ,
  2229   RI,N/A,
  2230   OI,N/A,
  2231   CHIC,N/A,
  2232   SCHIEx,N/A ,
  2233   CON,N/A,
  2234  
  2235   Comments,R /N,VA,N/A,
  2236   KP,N/A,
  2237   DoD,N/A,
  2238   MV,N/A,
  2239   INHS,N/A,
  2240   KP2012,N/A ,
  2241   MC,N/A,
  2242   NCHICA,N/A ,
  2243   RI,N/A,
  2244   OI,N/A,
  2245   CHIC,N/A,
  2246   SCHIEx,N/A ,
  2247   CON,N/A,
  2248   Advance Di rective Ty pe ,
  2249   Advance Di rective Fr ee Text Ty pe,
  2250   Effective  Date,
  2251   Custodian  of the Doc ument,
  2252  
  2253  
  2254   SHEET: She et2

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