APS Example

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The example xml file can be downloaded here IHE_APSExample_FormC.xml. To get around wiki security (it doesn't like the <text> sections w/html tags) the file was zipped, and then the extension was renamed to .xml. To view the file you will have to right-click on the file and choose Save Target As to download the file, rename the extension back to .zip, and then unzip.

CDA Header


<?xml version='1.0' encoding='UTF-8'?>
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
 xsi:schemaLocation="urn:hl7-org:v3 infrastructure/cda/CDA.xsd"
 xmlns="urn:hl7-org:v3"
 xmlns:voc="urn:hl7-org:v3/voc">
<!-- 
********************************************************
    CDA Header
********************************************************
-->
    <typeId xmlns='urn:hl7-org:v3'
        xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance'
        xsi:schemaLocation='urn:hl7-org:v3 infrastructure/cda/CDA.xsd'
        root='2.16.840.1.113883.1.3'
        extension='POCD_HD000040'/>
    <templateId root='1.3.6.1.4.1.19376.1.5.3.1'/> 
    <templateId root='1.3.6.1.4.1.19376.1.5.3.1.3'/>
    <templateId root='1.3.6.1.4.1.19376.1.5.3.1.11.2'/>
    <id root='db734647-fc99-424c-a864-7e3cda82e703'/>

    <code code='2.16.1.2' codeSystem='2.4' displayName='loinc'/>

    <title>Good Health Clinic Visit Summary Flowsheet</title>
    <effectiveTime value='20000407130000+0500'/>
    <confidentialityCode code='N' codeSystem='2.16.840.1.113883.5.25'/>
    <languageCode code='en-US'/>
    <recordTarget>
        <patientRole>
            <id root='d9ec96bd-f756-4aaa-95d8-62053bbd81a1'/>
            <patient>
                <name>
                    <given>Henry</given>
                    <family>Levin</family>
                    <suffix>the 7th</suffix>
                </name>
                <administrativeGenderCode code='M' codeSystem='2.16.840.1.113883.5.1'/>
                <birthTime value='19320924'/>
            </patient>
            <providerOrganization>
                <id root='2.16.840.1.113883.19.5'/>
            </providerOrganization>
        </patientRole>
    </recordTarget>

    <!-- Clinic -->
    <author>
        <time value='20000407130000+0500'/>
        <assignedAuthor>
            <id root='20cf14fb-b65c-4c8c-a54d-b0cca834ceww'/>
            <assignedAuthoringDevice>
                <softwareName>Good Health Clinic System v1.0</softwareName>
            </assignedAuthoringDevice>
            <representedOrganization>
                <id root='2.16.840.1.113883.19.5'/>
            </representedOrganization>
        </assignedAuthor>
    </author>

    <!-- Physicians -->
    <!-- are referenced in Visit Summary and Problems sections -->
    <author>
        <time value='20000407130000+0500'/>
        <assignedAuthor>
            <id root='20cf14fb-b65c-4c8c-a54d-b0cca834c18c'/>
            <assignedPerson>
                <name>
                    <prefix>Dr.</prefix>
                    <given>Robert</given>
                    <family>Dolin</family>
                </name>
            </assignedPerson>
            <representedOrganization>
                <id root='2.16.840.1.113883.19.5'/>
                <name>Good Health Clinic</name>
            </representedOrganization>
        </assignedAuthor>
    </author>
    <author>
        <time value='20000407130000+0500'/>
        <assignedAuthor>
            <id root='4d87816b-1000-11dc-8314-0800200c9a66'/>
            <assignedPerson>
                <name>
                    <prefix>Dr.</prefix>
                    <given>Robert</given>
                    <family>Dolin</family>
                </name>
            </assignedPerson>
            <representedOrganization>
                <id root='2.16.840.1.113883.19.5'/>
                <name>Good Health Clinic</name>
            </representedOrganization>
        </assignedAuthor>
    </author>
    <author>
        <time value='20000407130000+0500'/>
        <assignedAuthor>
            <id root='2a6ae35c-bbd7-4c26-ab3d-6cd160fec66c'/>
            <assignedPerson>
                <name>
                    <prefix>Dr.</prefix>
                    <given>D.</given>
                    <family>Dzubin</family>
                </name>
            </assignedPerson>
            <representedOrganization>
                <id root='2.16.840.1.113883.19.5'/>
                <name>Good Health Clinic</name>
            </representedOrganization>
        </assignedAuthor>
    </author>
    <author>
        <time value='20000407130000+0500'/>
        <assignedAuthor>
            <id root='14d465a5-b47d-45a8-ad2c-7d1a51e9ed56'/>
            <assignedPerson>
                <name>
                    <prefix>Dr.</prefix>
                    <given>E.</given>
                    <family>Pickett</family>
                </name>
            </assignedPerson>
            <representedOrganization>
                <id root='2.16.840.1.113883.19.5'/>
                <name>Good Health Clinic</name>
            </representedOrganization>
        </assignedAuthor>
    </author>
    <author>
        <time value='20000407130000+0500'/>
        <assignedAuthor>
            <id root='3047e209-5926-4556-b3c9-5f35c4269279'/>
            <assignedPerson>
                <name>
                    <prefix>Dr.</prefix>
                    <given>E.</given>
                    <family>Robinson</family>
                </name>
            </assignedPerson>
            <representedOrganization>
                <id root='2.16.840.1.113883.19.5'/>
                <name>Good Health Clinic</name>
            </representedOrganization>
        </assignedAuthor>
    </author>
        
    <custodian>
        <assignedCustodian>
            <representedCustodianOrganization>
                <id root='2.16.840.1.113883.19.5'/>
                <name>Good Health Clinic</name>
            </representedCustodianOrganization>
        </assignedCustodian>
    </custodian>
    <legalAuthenticator>
        <time value='20000407130000+0500'/>
        <signatureCode code='S'/>
        <assignedEntity>
            <id root='2.16.840.1.113883.19.5'/>
            <representedOrganization>
                <id root='2.16.840.1.113883.19.5'/>
            </representedOrganization>
        </assignedEntity>
    </legalAuthenticator>
    <participant typeCode='IND'>
        <associatedEntity classCode='GUAR'>
            <id root='4ff51570-83a9-47b7-91f2-93ba30373141'/>
            <addr>
                <streetAddressLine>17 Daws Rd.</streetAddressLine>
                <city>Blue Bell</city>
                <state>MA</state>
                <postalCode>02368</postalCode>
            </addr>
            <telecom value='tel:(888)555-1212'/>
            <associatedPerson>
                <name>
                    <given>Kenneth</given>
                    <family>Ross</family>
                </name>
            </associatedPerson>
        </associatedEntity>
    </participant>
    <participant typeCode='IND'>
        <associatedEntity classCode='NOK'>
            <id root='4ac71514-6a10-4164-9715-f8d96af48e6d'/>
            <code code='MTH' codeSystem='2.16.840.1.113883.5.111'/>
            <telecom value='tel:(999)555-1212'/>
            <associatedPerson>
                <name>
                    <given>Abigail</given>
                    <family>Ruth</family>
                </name>
            </associatedPerson>
        </associatedEntity>
    </participant>
    <documentationOf>
        <serviceEvent classCode='PCPR'>
            <effectiveTime>
                <low value='19320924'/>
                <high value='20000407'/>
            </effectiveTime>
            <performer typeCode='PRF'>
                <functionCode code='PCP' codeSystem='2.16.840.1.113883.5.88'/>
                <time><low value='1990'/><high value='20000407'/></time>
                <assignedEntity>
                    <id root='20cf14fb-b65c-4c8c-a54d-b0cca834c18c'/>
                    <assignedPerson>
                        <name>
                            <prefix>Dr.</prefix>
                            <given>Robert</given>
                            <family>Dolin</family>
                        </name>
                    </assignedPerson>
                    <representedOrganization>
                        <id root='2.16.840.1.113883.19.5'/>
                    </representedOrganization>
                </assignedEntity>
            </performer>
        </serviceEvent>
    </documentationOf>
    <!-- 
    ********************************************************
        CDA Body
    ********************************************************
    -->
    <component>
      <structuredBody>
        

Allergies


        <!--
        ********************************************************
            Allergies
        ********************************************************
        -->
        <component>
            <section>
                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.13'/>
                <code code='10155-0' displayName='HISTORY OF ALLERGIES' 
                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                <title>Allergies</title>
                <text> <!-- Narrative -->
                    <table border='1'>
                        <thead>
                            <tr>
                                <td>Allergy</td>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td ID='Allergy'>Latex</td>
                            </tr>
                        </tbody>
                    </table>
                </text>
                <entry> <!-- Latex Allergy -->
                    <!-- negationInd will be true if patient does NOT have latex allergy -->
                    <observation classCode='COND' moodCode='EVN' negationInd='false'>
                        <templateId extension='allergy' root='1.3.6.1.4.1.19376.1.5.3.1.3.13'/>
                        <id root='dc6d49d1-9371-40bb-9507-90ca93e181a6'/>
                        <!-- TODO: what is EALG? -->
                        <code xsi:type='CD' code='EALG' displayName='ObservationEnvironmentAllergyType' 
                            codeSystem='2.16.840.1.113883.5.4' codeSystemName='ActCode' />
                        <statusCode code='active'/>
                        <effectiveTime>
                            <low value='20041101'/>
                        </effectiveTime>
                        <value xsi:type='CD' code='300916003' displayName='Latex allergy (disorder)' 
                            codeSystem='2.16.840.1.113883.6.96' codeSystemName='SNOMED CT'>
                            <originalText>
                                <reference value='#Allergy'/>
                            </originalText>
                        </value>
                    </observation>
                </entry>
            </section>
        </component>
       

Advance Directives (Blood Transfusion)


        <!--
        ********************************************************
            Advance Directives - Blood Transfusion
        ********************************************************
        -->
        <component>
            <section>
                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.34' />
                <title>Is Blood Transfusion Acceptable?</title>
                <text>
                    <table border='1'>
                        <thead>
                            <tr><th>Is Blood Transfusion Acceptable?</th></tr>
                        </thead>
                        <tbody>
                            <tr><td ID='BloodTransfusion'>yes</td></tr>
                        </tbody>
                    </table>
                </text>
                <entry> <!-- Blood Transfusion Acceptable? -->
                    <observation classCode='OBS' moodCode='RQO'>
                        <templateId root='2.16.840.1.113883.10.20.1.25'/>
                        <id root='9a6d1bac-17d3-4195-89a4-1121bc809b4a'/>
                        <code code='(xx-bld-transf-ok)' 
                            displayName='Blood Transfusion Preference-FIND-PT-^PATIENT-ORD-PATIENT REPORTED' 
                            codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'>
                            <originalText>
                                <reference value="#BloodTransfusion"/>
                            </originalText>                            
                        </code>
                        <statusCode code='complete'/>
                        <effectiveTime value='20061129'/>
                        <value xsi:type='BL' value='true'/>
                    </observation>
                </entry>
            </section>
        </component>
      

Plan of Care - Anesthesia Consult


        <!--
        ********************************************************
            Plan of Care - Anesthesia Consult, Plans (from problem section)
        ********************************************************
        -->
        <component>
            <section>
                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.31' />
                <id root='78385836-15cd-11dc-8314-0800200c9a66'/>
                <title>Plan of Care</title>
                <text>
                    <table border='1'>
                        <thead>
                            <tr><th>Anesthesia Consult Planned?</th><th>Plan Details</th><th>Planned Date</th></tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td ID='AnesthesiaPlanned'>yes</td>
                                <td ID='AnesthesiaDetails'>Epidural</td>
                                <td ID='AnesthesiaDate'>8/19/2007</td>
                            </tr>
                        </tbody>
                    </table>
                </text>
                <entry typeCode='DRIV'> <!-- anesthesia consult planned -->
                    <!-- Was consult planned? -->
                    <observation classCode='OBS' moodCode='RQO'>
                        <templateId root='2.16.840.1.113883.10.20.1.25'/>
                        <id root='cff15bec-720b-4431-8e54-a29532f81a2a'/>
                        <code code='(xx-anest-cons-pland)' codeSystem='2.16.840.1.113883.6.1' 
                            displayName='Anesthesia Consult Status-FIND-PT-^PATIENT-ORD-' 
                            codeSystemName='LOINC'>
                            <originalText><reference value='#AnesthesiaPlanned'/></originalText>
                        </code>
                        <statusCode code='complete'/>
                        <effectiveTime value='20061129'/>
                        <value xsi:type='BL' value='true'/>
                    </observation>                    
                </entry>
                <entry typeCode='DRIV'> <!-- anesthesia consult planned -->
                    <!-- Details of plan if known -->
                    <observation classCode='OBS' moodCode='RQO'>
                        <templateId root='2.16.840.1.113883.10.20.1.25'/>
                        <id root='1e782c18-b738-448c-87df-7b6a38caedec'/>
                        <code code='(xx-type-of-anesth-pland)' codeSystem='2.16.840.1.113883.6.1' 
                            displayName='Anesthesia Consult Plans??' 
                            codeSystemName='LOINC'> 
                            <!-- TODO: Determine displayName -->
                            <originalText><reference value='#AnesthesiaDetails'/></originalText>
                        </code>
                        <statusCode code='complete'/>
                        <effectiveTime value='20061129'/>
                        <value xsi:type='ED'/>
                    </observation>
                </entry>
            </section>
        </component>
     

Medications

   
        <!--
        ********************************************************
            Medications
        ********************************************************
        -->
        <component>
            <section>
                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.19' />
                <id root='601b5a7b-67f0-4cd8-b856-1ba4c2b8f444' />
                <title>Medication List</title>
                <text> <!-- narrative -->
                    <table border='1'>
                        <thead>
                            <tr><td>Medication List</td></tr>
                            <tr>
                                <th>Medication Name</th> 
                                <th>Start Date</th> 
                                <th>Stop Date</th> 
                            </tr>
                        </thead>
                        <tbody>
                            <tr >
                                <td ID='MedName-1'>Pt Rtp: Crinone</td> 
                                <td ID='MedStartDate-1'>11/29/2006</td>
                                <td ID='MedStopDate-1'>2/1/2007</td>
                            </tr>
                            <tr>
                                <td ID='MedName-2'>Rx: Macrobid Oral Capsule 100 mg bid 10 Ref:0</td> 
                                <td ID='MedStartDate-2'>12/8/2006</td>
                                <td ID='MedStopDate-2'>12/13/2006</td>
                            </tr>
                            <tr>
                                <td ID='MedName-3'>Pt Rpt: Prozac</td> 
                                <td ID='MedStartDate-3'>3/16/2004</td>
                                <td ID='MedStopDate-3'>11/29/2006</td>
                            </tr>
                            <tr>
                                <td ID='MedName-4'>Rx: PrimaCare ONE Oral Capsule 27-1-300 m...</td> 
                                <td ID='MedStartDate-4'>11/29/2006</td>
                                <td ID='MedStopDate-4'>12/24/2007</td>
                            </tr>
                        </tbody>                        
                    </table>
                </text>
                <entry> <!-- Med-1 -->
                    <substanceAdministration classCode='SBADM' moodCode='EVN'>
                        <templateId root='2.16.840.1.113883.10.20.1.24'/>
                        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.7'/>
                        <id root='b98f68e3-4cdb-4baf-bec3-6d87579b7c4d'/>
                        <statusCode code='completed'/>
                        <!-- Start/Stop Date -->
                        <effectiveTime xsi:type='IVL_TS'>
                            <low value='20061129'/>
                            <high value='20070201'/>
                        </effectiveTime>
                        <consumable>
                            <manufacturedProduct>
                                <manufacturedLabeledDrug>
                                    <name>Crinone</name>  
                                </manufacturedLabeledDrug>
                            </manufacturedProduct>
                        </consumable>
                    </substanceAdministration>
                </entry>
                <entry> <!-- Med-2 -->
                    <substanceAdministration classCode='SBADM' moodCode='INT'>
                        <templateId root='2.16.840.1.113883.10.20.1.24'/>
                        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.7'/>
                        <id root='acd970a0-31b8-46b2-954a-7b127927d47c'/>
                        <statusCode code='completed'/>
                        <!-- Start/Stop Date -->
                        <effectiveTime xsi:type='IVL_TS'>
                            <low value='20061208'/>
                            <high value='20061213'/>
                        </effectiveTime>
                        <consumable>
                            <manufacturedProduct>
                                <manufacturedLabeledDrug>
                                    <name>Macrobid Oral Capsule 100 mg bid 10 Ref:0</name>
                                </manufacturedLabeledDrug>
                            </manufacturedProduct>
                        </consumable>
                    </substanceAdministration>
                </entry>
                <entry> <!-- Med-3 -->
                    <substanceAdministration classCode='SBADM' moodCode='EVN'>
                        <templateId root='2.16.840.1.113883.10.20.1.24'/>
                        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.7'/>
                        <id root='8fb9160b-c7c3-44fa-886e-d367a522ba80'/>
                        <statusCode code='completed'/>
                        <!-- Start/Stop Date -->
                        <effectiveTime xsi:type='IVL_TS'>
                            <low value='20040316'/>
                            <high value='20061129'/>
                        </effectiveTime>
                        <consumable>
                            <manufacturedProduct>
                                <manufacturedLabeledDrug>
                                    <name>Prozac</name>
                                </manufacturedLabeledDrug>
                            </manufacturedProduct>
                        </consumable>
                    </substanceAdministration>
                </entry>
                <entry> <!-- Med-4 -->
                    <substanceAdministration classCode='SBADM' moodCode='INT'>
                        <templateId root='2.16.840.1.113883.10.20.1.24'/>
                        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.7'/>
                        <id root='5d989f63-d02d-4a1e-a4ea-f9377679320b'/>
                        <statusCode code='completed'/>
                        <!-- Start/Stop Date -->
                        <effectiveTime xsi:type='IVL_TS'>
                            <low value='20061129'/>
                            <high value='20071224'/>
                        </effectiveTime>
                        <consumable>
                            <manufacturedProduct>
                                <manufacturedLabeledDrug>
                                    <name>PrimaCare ONE Oral Capsule 27-1-300 m...</name>
                                </manufacturedLabeledDrug>
                            </manufacturedProduct>
                        </consumable>
                    </substanceAdministration>
                </entry>
            </section>
        </component>

Problems

        
         <!--
        ********************************************************
            Problems
        ********************************************************
        -->            
        <component>
            <section>
                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.6'/>
                <title>Problems</title>
                <text> <!-- Narrative -->
                    <table border='1'>
                        <thead>
                            <tr><td>Problems/Plans</td></tr>
                            <tr>
                                <th>Problem</th>
                                <th>Start Date</th>
                                <th>Stop Date</th>
                                <th>Physician</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr> <!-- Problem #1 -->
                                <td ID='Problem-1'>Hx of: Depression</td>
                                <td ID='StartDate-1'>11/29/2006</td>
                                <td ID='StopDate-1'></td>
                                <td ID='Physician-1'>D. Dzubin</td>
                            </tr>
                            <tr> <!-- Problem #2 -->
                                <td ID='Problem-2'>Current: Gestational Diabetes (diet)</td>
                                <td ID='StartDate-2'>3/19/2007</td>
                                <td ID='StopDate-2'></td>
                                <td ID='Physician-2'>E. Pickett</td>
                            </tr>
                            <tr> <!-- Problem #3 -->
                                <td ID='Problem-3'>Hx of: Infertility</td>
                                <td ID='StartDate-3'>11/29/2006</td>
                                <td ID='StopDate-3'></td>
                                <td ID='Physician-3'>D. Dzubin</td>
                            </tr>
                            <tr> <!-- Problem #4 -->
                                <td ID='Problem-4'>D. Dzubin IVF pregnancy</td>
                                <td ID='StartDate-4'>12/14/2006</td>
                                <td ID='StopDate-4'></td>
                                <td ID='Physician-4'>E. Robinson</td>
                            </tr>
                        </tbody>
                    </table>
                </text>
                <entry> <!-- Problem #1 -->
                    <observation classCode='COND' moodCode='EVN'>
                        <templateId root='1.3.6.1.4.1.19376.1.5.3.1'/>
                        <id root='dc6d49d1-9371-40bb-9507-90ca93e181a6'/>
                        <code code='11450-4' displayName='Problem List' 
                            codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'>
                            <originalText><reference value="#Problem-1"/></originalText>
                        </code>                        
                        <effectiveTime>
                            <low value='20061129'/>
                        </effectiveTime>
                        <author typeCode='AUT'> <!-- Physician -->
                            <time value='20061129'/>
                            <assignedAuthor>
                                <id root='2a6ae35c-bbd7-4c26-ab3d-6cd160fec66c'/> <!-- links to header element -->
                            </assignedAuthor>
                        </author>
                    </observation>
                </entry>
                <entry> <!-- Problem #2 -->
                    <observation classCode='COND' moodCode='EVN'>
                        <templateId root='1.3.6.1.4.1.19376.1.5.3.1'/>
                        <id root='00448a62-d986-4be9-8cff-f8d5b12c3233'/>
                        <code code='11450-4' displayName='Problem List' 
                            codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'>
                            <originalText><reference value="#Problem-2"/></originalText>
                        </code>                        
                        <effectiveTime>
                            <low value='20070319'/>
                        </effectiveTime>                        
                        <author typeCode='AUT'> <!-- Physician -->
                            <time value='20070319'/>
                            <assignedAuthor>
                                <id root='14d465a5-b47d-45a8-ad2c-7d1a51e9ed56'/><!-- links to header element -->
                            </assignedAuthor>
                        </author>
                    </observation>
                </entry>                
                <entry> <!-- Problem #3 -->
                    <observation classCode='COND' moodCode='EVN'>
                        <templateId root='1.3.6.1.4.1.19376.1.5.3.1'/>
                        <id root='219e87a0-b2fb-4ffb-917e-8cdeede4af79'/>
                        <code code='11450-4' displayName='Problem List' 
                            codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'>
                            <originalText><reference value="#Problem-3"/></originalText>
                        </code>                        
                        <effectiveTime>
                            <low value='20061129'/>
                        </effectiveTime>                        
                        <author typeCode='AUT'> <!-- Physician -->
                            <time value='20061129'/>
                            <assignedAuthor>
                                <id root='2a6ae35c-bbd7-4c26-ab3d-6cd160fec66c'/> <!-- links to header element -->
                            </assignedAuthor>
                        </author>
                    </observation>
                </entry>
                <entry> <!-- Problem #4 -->
                    <observation classCode='COND' moodCode='EVN'>
                        <templateId root='1.3.6.1.4.1.19376.1.5.3.1'/>
                        <id root='9ad41ad5-9687-4b0a-9c4d-d003f31198ab'/>
                        <code code='11450-4' displayName='Problem List' 
                            codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'>
                            <originalText><reference value="#Problem-4"/></originalText>
                        </code>                        
                        <effectiveTime>
                            <low value='20061214'/>
                        </effectiveTime>                        
                        <author typeCode='AUT'> <!-- Physician -->
                            <time value='20061214'/>
                            <assignedAuthor>
                                <id root='3047e209-5926-4556-b3c9-5f35c4269279'/> <!-- links to header element -->
                            </assignedAuthor>
                        </author>
                    </observation>
                </entry>
            </section>
        </component>
     

Estimated Due Dates

   
        <!--
        ********************************************************
            Estimated Due Dates
        ********************************************************
        -->
        <component> 
            <section>
                <id/>
                <title>Estimated Due Date</title> 
                <text> <!-- narrative -->
                    <table border="1"> <!-- Initial EDD -->
                        <thead>
                            <tr><td>Initial EDD Confirmation</td></tr>
                            <tr>
                                <th>Method</th> 
                                <th>Date</th> 
                                <th>Weeks</th> 
                                <th>EDD</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td ID='InitialEDDMethod-1'>LMP</td> 
                                <td ID='InitialEDDDate-1'>9/25/2006</td> 
                                <td ID='InitialEDDWeeks-1'>N/A</td>
                                <td ID='InitialEDD-1'>7/2/2007</td>
                            </tr>
                            <tr>
                                <td ID='InitialEDDMethod-2'>Ultrasound</td> 
                                <td ID='InitialEDDDate-2'> 11/9/2006</td> 
                                <td ID='InitialEDDWeeks-2'>6.5</td>
                                <td ID='InitialEDD-2'>6/30/2007</td>
                            </tr>
                            <tr>
                                <td>Initial EDD</td> 
                                <td>N/A</td> 
                                <td>N/A</td>
                                <td ID='InitialEDD'>7/2/2007</td>
                            </tr>
                        </tbody>                        
                    </table>
                    <table border="1"> <!-- Final EDD -->
                        <thead>
                            <tr><td>18-20 Week Update</td></tr>
                            <tr>
                                <th>Method</th> 
                                <th>Date</th> 
                                <th>Weeks</th> 
                                <th>EDD</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td ID='UpdateEDDMethod-1'>Ultrasound</td> 
                                <td ID='UpdateEDDDate-1'>2/12/2007</td> 
                                <td ID='UpdateEDDWeeks-1'>20.5</td>
                                <td ID='UpdateEDD-1'>6/27/2007</td>
                            </tr>
                            <tr>
                                <td>Final EDD</td> 
                                <td>N/A</td> 
                                <td>N/A</td>
                                <td ID='FinalEDD'>7/2/2007</td>
                            </tr>
                        </tbody>                        
                    </table>
                </text>
                <entry> <!-- Initial EDD Confirmation -->
                    <observation classCode='OBS' moodCode='EVN'>
                        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <!-- SimpleObservation OID -->
                        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.11.2.3.1' /> <!--  EDD Observation -->
                        <id root='2c878572-136a-11dc-8314-0800200c9a66'/>
                        <code code='11778-8' 
                            displayName='DELIVERY DATE-TMSTP-PT-^PATIENT-QN-CLINICAL.ESTIMATED' 
                            codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                        <text><reference value='#InitialEDD'/></text>
                        <statusCode code='completed'/>
                        <effectiveTime value='20061129' />
                        <value xsi:type='TS'/>
                        <author typeCode='AUT'> <!-- Provider Initials -->
                            <time value='20061129'/> <!-- Visit Date -->
                            <assignedAuthor>
                                <id root='20cf14fb-b65c-4c8c-a54d-b0cca834c18c' /> <!-- links to header element -->
                            </assignedAuthor>
                        </author>
                        <!-- LMP -->
                        <entryRelationship typeCode='SPRT'>
                            <observation classCode='OBS' moodCode='EVN'>
                                <id root='40a0ebdc-1397-11dc-8314-0800200c9a66'/>
                                <code code='11779-6' 
                                    displayName='DELIVERY DATE-TMSTP-PT-^PATIENT-QN-ESTIMATED FROM LAST MENSTRUAL PERIOD' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <!-- EDD based on LMP -->
                                <text><reference value="#InitialEDDDate-2"/></text>
                                <statusCode code='completed'/>
                                <effectiveTime value='20060925'/> <!-- Date of LMP -->
                                <value xsi:type='TS'/>                                    
                            </observation>
                        </entryRelationship>
                        <!-- Ultrasound -->
                        <entryRelationship typeCode='SPRT'>
                            <observation classCode='OBS' moodCode='EVN'>
                                <id root='5d12d9bc-138b-11dc-8314-0800200c9a66'/>
                                <code code='11781-2' 
                                    displayName='DELIVERY DATE-TMSTP-PT-^PATIENT-QN-US.COMPOSITE.ESTIMATED' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <!-- EDD based on Ultrasound -->
                                <text><reference value="#InitialEDDDate-2"/></text> 
                                <effectiveTime value='20061109'/> <!-- Date Ultrasound was taken -->
                                <value xsi:type='TS'/>                                    
                                <!-- Weeks Gestation -->
                                <entryRelationship typeCode='SPRT'>
                                    <observation  classCode='OBS' moodCode='EVN'>
                                        <id root='4f475f30-1370-11dc-8314-0800200c9a66'/>
                                        <!-- TODO: informant? -->
                                        <!--<informant><reference id=''/></informant>--> 
                                        <code code='11888-5' 
                                            displayName='GESTATIONAL AGE-TIME-PT-^FETUS-QN-US.COMPOSITE.ESTIMATED' 
                                            codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                        <text><reference value='#InitialEDDWeeks-2'/></text>
                                        <statusCode code='completed'/>
                                        <effectiveTime value='20061129'/>
                                    <value xsi:type='PQ' unit='d' value='47'/> <!-- (6 x 7) + 5 = 47-->                                            
                                    </observation>
                                </entryRelationship>
                            </observation>
                        </entryRelationship>
                    </observation>
                </entry>
                <entry> <!-- 18-20 week EDD Update -->
                    <observation classCode='OBS' moodCode='EVN'>
                        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <!-- SimpleObservation OID -->
                        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.11.2.3.1' /> <!--  EDD Observation -->
                        <id root='54bbe9d2-139e-11dc-8314-0800200c9a66'/>
                        <code code='11778-8' 
                            displayName='DELIVERY DATE-TMSTP-PT-^PATIENT-QN-CLINICAL.ESTIMATED' 
                            codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                        <text><reference value='#FinalEDD'/></text>
                        <statusCode code='completed' />
                        <effectiveTime value='20061129' />
                        <value xsi:type='TS'/>
                        <author typeCode='AUT' > <!-- Provider Initials -->
                            <time value='20061129'/> <!-- Visit Date -->
                            <assignedAuthor>
                                <id root='20cf14fb-b65c-4c8c-a54d-b0cca834c18c' /> <!-- links to header element -->
                            </assignedAuthor>
                        </author>
                        <!-- Ultrasound -->
                        <entryRelationship typeCode='SPRT'>
                            <observation classCode='OBS' moodCode='EVN'>
                                <id root='6d86f6ee-139e-11dc-8314-0800200c9a66'/>
                                <code code='11781-2' 
                                    displayName='DELIVERY DATE-TMSTP-PT-^PATIENT-QN-US.COMPOSITE.ESTIMATED' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <!-- EDD based on Ultrasound -->
                                <text><reference value="#InitialEDDDate-2"/></text> 
                                <effectiveTime value='20061109'/> <!-- Date Ultrasound was taken -->
                                <value xsi:type='TS'/>
                                <!-- Weeks Gestation -->
                                <entryRelationship typeCode='SPRT'>                                    
                                    <observation  classCode='OBS' moodCode='EVN'>
                                        <id root='62915e78-139e-11dc-8314-0800200c9a66'/>
                                        <!-- TODO: informant? -->
                                        <!--<informant><reference id=''/></informant>--> 
                                        <code code='11888-5' 
                                            displayName='GESTATIONAL AGE-TIME-PT-^FETUS-QN-US.COMPOSITE.ESTIMATED' 
                                            codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                        <text><reference value='#UpdateEDDWeeks-1'/></text>
                                        <statusCode code='completed'/>
                                        <effectiveTime value='20061129'/>
                                        <value xsi:type='PQ' unit='d' value='145'/><!-- (20 x 7) + 5 = 145-->                                            
                                    </observation>
                                </entryRelationship>
                            </observation>
                        </entryRelationship>
                    </observation>
                </entry>
            </section>
        </component>

Visit Summary Flowsheet

        
         <!--
        ********************************************************
            Visit Summary Flowsheet
        ********************************************************
        -->
        <component> 
            <section>
                <id/>
                <title>Visit Summary Flowsheet</title>
                <text>
                    <table border='1'>
                        <thead>
                            <tr>
                                <td>Pre-pregnancy Weight</td> 
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td>220</td>
                            </tr>
                        </tbody>
                    </table>
                    <table border='1'>
                        <thead>
                            <tr>
                                <td colspan='19'>Visit Summary</td>
                            </tr>
                            <tr>
                                <th>Weeks Gestation</th> 
                                <th>Fundal Height(cm)</th> 
                                <th>Presentation</th> 
                                <th>FHR</th> 
                                <th>Fetal Movement</th> 
                                <th>Preterm Labor Symptoms</th> 
                                <th>Cervix Exam-Dilation</th> 
                                <th>Cervix Exam-Effacement</th> 
                                <th>Cervix Exam-Station</th> 
                                <th>BP - Systolic</th> 
                                <th>BP - Diastolic</th> 
                                <th>Weight</th> 
                                <th>Urine-Albumin</th> 
                                <th>Urine-Glucose</th> 
                                <th>Edema</th> 
                                <th>Pain Scale (0-10)</th> 
                                <th>Next Appt</th> 
                                <th>Provider Initials</th> 
                                <th>Comments</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr >
                                <td ID='WeeksGestation-1'>9.3</td> 
                                <td ID='FundalHeight-1'></td> 
                                <td ID='Presentation-1'>NULL^UNKNOWN</td>
                                <td ID='FHR-1'>Not Heard</td>
                                <td ID='Quickening-1'>no</td> 
                                <td ID='PretermLabor-1'>no</td> 
                                <td ID='CervixDil-1'>closed</td>
                                <td ID='CervixEff-1'>0</td>
                                <td ID='CervixSta-1'>unengaged</td> 
                                <td ID='BPSystolic-1'>110</td> 
                                <td ID='BPDiastolic-1'>60</td>
                                <td ID='Weight-1'>218</td>
                                <td ID='UrineAlbumin-1'>Neg</td> 
                                <td ID='UrineGlucose-1'>NL</td> 
                                <td ID='Edema-1'>None</td>
                                <td ID='PainScale-1'>0</td>
                                <td ID='NextAppt-1'>2 Weeks</td>
                                <td ID='ProviderInitials-1'>DD</td>
                                <td ID='Comments-1'>33 yo G1 IVF implantation 10/10 here for IP...</td>
                            </tr>
                            <tr>
                                <td ID='WeeksGestation-2'>11.4</td> 
                                <td ID='FundalHeight-2'>12</td> 
                                <td ID='Presentation-2'>NULL^UNKNOWN</td>
                                <td ID='FHR-2'>Not Heard</td>
                                <td ID='Quickening-2'>no</td> 
                                <td ID='PretermLabor-2'>no</td> 
                                <td ID='CervixDil-2'></td>
                                <td ID='CervixEff-2'></td>
                                <td ID='CervixSta-2'></td> 
                                <td ID='BPSystolic-2'>110</td> 
                                <td ID='BPDiastolic-2'>63</td>
                                <td ID='Weight-2'>217</td>
                                <td ID='UrineAlbumin-2'>Neg</td> 
                                <td ID='UrineGlucose-2'>NL</td> 
                                <td ID='Edema-2'>None</td>
                                <td ID='PainScale-2'>0</td>
                                <td ID='NextAppt-2'>4 Weeks</td>
                                <td ID='ProviderInitials-2'>ER</td>
                                <td ID='Comments-2'>11.3wk by LMP c/w 6.5 wk U/S. No FHT tod...</td>
                            </tr>
                        </tbody>                        
                    </table>
                </text>
                
                <!-- pre-pregancy weight -->
                <entry>
                    <observation classCode='OBS' moodCode='EVN'>
                        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                        <id root='23e87612-1000-11dc-8314-0800200c9a66'/>
                        <code code='8348-5' 
                            displayName='BODY WEIGHT^PRE PREGNANCY-MASS-PT-QN-MEASURED' 
                            codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                        <text><reference value='#PrePregWeight-1'/></text>
                        <statusCode code='completed'/>
                        <effectiveTime value='200609211242-08'/>
                        <value xsi:type='PQ' />
                    </observation>                    
                </entry>

                <!-- panel date 11/29/06 -->
                <entry>
                    <organizer classCode='BATTERY' moodCode='EVN'>
                        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.11.2.3.2'/>
                        <id root='4d878166-1000-11dc-8314-0800200c9a66'/>
                        <code code='(xx-acog-battery)' 
                            displayName='ACOG Summary Visit Battery---PT--' 
                            codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                        <statusCode code='completed'/>
                        <effectiveTime value='200611291242-08'/>                        
                        <author typeCode='AUT'> <!-- Provider Initials -->
                            <time value='20061129'/> <!-- Visit Date -->
                            <assignedAuthor>
                                <id root='20cf14fb-b65c-4c8c-a54d-b0cca834c18c' /> <!-- links to header element -->
                            </assignedAuthor>
                        </author>
                        
                        <!-- Weeks Gestation -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='4d878167-1000-11dc-8314-0800200c9a66'/>
                                <code code='11884-4' 
                                    displayName='GESTATIONAL AGE-TIME-PT-^FETUS-QN-CLINICAL.ESTIMATED' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#WeeksGestation-1'/></text>                                
                                <statusCode code='completed'/>
                                <value xsi:type='PQ' unit='d' value='66'/> <!-- (9 x 7) + 3 = 66 -->
                            </observation>
                        </component>
                        
                        <!-- Fundal Height (cm) -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='4d878168-1000-11dc-8314-0800200c9a66'/>
                                <code code='11881-0' 
                                    displayName='FUNDAL HEIGHT-LEN-PT-UTERUS-QN-TAPE MEASURE' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#FundalHeight-1'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='PQ'/>                                
                            </observation>
                        </component>
                        
                        <!-- Presentation (value set) -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='4d878169-1000-11dc-8314-0800200c9a66'/>
                                <code code='11876-0' 
                                    displayName='FETAL PRESENTATION-TYPE-PT-PELVIS-NOM-PALPATION' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#Presentation-1'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='CO'/>                                
                            </observation>
                        </component>
                        
                        <!-- Fetal Heart Rate -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='694f9f23-ed2f-4534-89c2-3bf4ccb6581e'/>
                                <code code='11948-7' 
                                    displayName='HEART RATE-NRAT-PT-^FETUS-QN-US.MEASURED' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#FHR-1'/></text>
                                <statusCode code='completed'/>                                
                                <value xsi:type='PQ'>                                    
                                </value>
                            </observation>
                        </component>
                        
                        <!-- Fetal Movement/Quickening -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='b7c8d2dc-405f-4cb1-8d53-9395e414f3a5'/>
                                <code code='(xx-fetal-movement)' 
                                    displayName='MOVEMENT-FIND-PT-^FETUS-ORD-PATIENT REPORTED' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#Quickening-1'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='CO'/>
                            </observation>
                        </component>
                        
                        <!-- Preterm Labor Symptoms -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='4e58accc-2668-4329-b9af-d7be78f86af4'/>
                                <code code='(xx-SS-Preterm-Labor)' 
                                    displayName='PRETERM LABOR SYMPTOMS-FIND-PT-^PATIENT-QL-CLINICAL JUDGEMENT' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#PretermLabor-1'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='BL'/>
                            </observation>
                        </component>
                        
                        <!-- Cervix Exam - Dilation -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='a53c8593-d822-4722-9aa6-b7e74debc6b0'/>
                                <code code='(xx-cerv-dil-palp)' 
                                    displayName='DILATION-LEN-PT-CERVIX-QN-PALPATION' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' />
                                <text><reference value='#CervixDil-1'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='PQ'/>                                
                            </observation>
                        </component>

                        <!-- Cervix Exam - Effacement -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='a53c8593-d822-4722-9aa6-b7e74debc6b0'/>
                                <code code='11867-9' 
                                    displayName='EFFACEMENT-PRCTL-PT-CERVIX-ORD-PALPATION ' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#CervixEff-1'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='CO'/>                                
                            </observation>
                        </component>
                        
                        <!-- Cervix Exam - Station -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='a53c8593-d822-4722-9aa6-b7e74debc6b0'/>
                                <code code='11961-0' 
                                    displayName='LONG AXIS-LEN-PT-CERVIX-QN-US.MEASURED' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#CervixSta-1'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='PQ'/>                                
                            </observation>
                        </component>
                        
                        <!-- Blood Pressure - Systolic -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='4773a849-db3f-4e21-b3a9-7b5b467d91e9'/>
                                <code code='8480-6' 
                                    displayName='INTRAVASCULAR SYSTOLIC-PRES-PT-ARTERIAL SYSTEM-QN' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' />
                                <text><reference value='#BPSystolic-1'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='PQ'/>                                
                            </observation>
                        </component>
                        
                        <!-- Blood Pressure - Diastolic -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='4773a849-db3f-4e21-b3a9-7b5b467d91e9'/>
                                <code code='8462-4' 
                                    displayName='INTRAVASCULAR DIASTOLIC-PRES-PT-ARTERIAL SYSTEM-QN' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#BPDiastolic-1'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='PQ'/>                                
                            </observation>
                        </component>
                        
                        <!-- Weight -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='22c470bc-db0a-4b66-a9e6-d2fac31db930'/>
                                <code code='3141-9' 
                                    displayName='BODY WEIGHT-MASS-PT-^PATIENT-QN-MEASURED' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#Weight-1'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='PQ'/>                                
                            </observation>
                        </component>
                        
                        <!-- Urine - Albumin -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='13599834-be6f-44fc-9db1-e5dc6a79d565'/>
                                <code code='1753-3' 
                                    displayName='ALBUMIN-ACNC-PT-UR-ORD' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#UrineAlbumin-1'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='CO'/>                                
                            </observation>
                        </component>

                        <!-- Urine - Glucose -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='13599834-be6f-44fc-9db1-e5dc6a79d565'/>
                                <code code='2349-9' 
                                    displayName='GLUCOSE-ACNC-PT-UR-ORD' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#UrineGlucose-1'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='CO'/>                                
                            </observation>
                        </component>
                        
                        <!-- Edema -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='3b3fb536-e9ad-47f4-8199-c58c017b6186'/>
                                <code code='44966-0' 
                                    displayName='EDEMA-FIND-PT-^PATIENT-ORD' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#Edema-1'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='CO'/>                                
                            </observation>
                        </component>
                        
                        <!-- Pain Scale (1-10) -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='78e08791-af8c-4b05-98a0-8949eae03e59'/>
                                <code code='38208-5' 
                                    displayName='PAIN SEVERITY-FIND-PT-^PATIENT-ORD-REPORTED' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#PainScale-1'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='CO'/>                                
                            </observation>
                        </component>
                        
                        <!-- Next Appointment -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='4fb5998e-11e4-416e-ab2c-e5b6f7c424a4'/>
                                <code code='(xx-time-to-next-appt)' 
                                    displayName='TIME TO NEXT VISIT-' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#NextAppt-1'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='ED'/>                                
                            </observation>
                        </component>
                                                
                        <!-- Comments -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='e53fec4b-f3c0-486e-b4e0-22fb65e7f547'/>
                                <code code='48767-8' 
                                    displayName='(comment field)' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#Comments-1'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='ED'/>                                
                            </observation>
                        </component>
                        
                    </organizer>
                </entry>
                
                <!-- panel date 4/26/07 -->
                <entry>
                    <organizer classCode='BATTERY' moodCode='EVN'>
                        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.11.2.3.2'/>
                        <id root='4d878166-1000-11dc-8314-0800200c9a66'/>
                        <code code='(xx-acog-battery)' 
                            displayName='ACOG Summary Visit Battery---PT--' 
                            codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                        <statusCode code='completed'/>
                        <effectiveTime value='200611291242-08'/>                        
                        <author typeCode='AUT'> <!-- Provider Initials -->
                            <time value='20061129'/> <!-- Visit Date -->
                            <assignedAuthor>
                                <id root='20cf14fb-b65c-4c8c-a54d-b0cca834c18c' /> <!-- links to header element -->
                            </assignedAuthor>
                        </author>
                        
                        <!-- Weeks Gestation -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='4d878167-1000-11dc-8314-0800200c9a66'/>
                                <code code='11884-4' 
                                    displayName='GESTATIONAL AGE-TIME-PT-^FETUS-QN-CLINICAL.ESTIMATED' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#WeeksGestation-2'/></text>                                
                                <statusCode code='completed'/>
                                <value xsi:type='PQ' unit='d' value='81'/> <!-- (11 x 7) + 4 = 81 -->
                            </observation>
                        </component>
                        
                        <!-- Fundal Height (cm) -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='4d878168-1000-11dc-8314-0800200c9a66'/>
                                <code code='11881-0' 
                                    displayName='FUNDAL HEIGHT-LEN-PT-UTERUS-QN-TAPE MEASURE' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#FundalHeight-2'/></text>                                
                                <statusCode code='completed'/>
                                <value xsi:type='PQ'/>                                
                            </observation>
                        </component>
                        
                        <!-- Presentation (value set) -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='4d878169-1000-11dc-8314-0800200c9a66'/>
                                <code code='11876-0' 
                                    displayName='FETAL PRESENTATION-TYPE-PT-PELVIS-NOM-PALPATION' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#Presentation-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='CO'/>                                
                            </observation>
                        </component>
                        
                        <!-- Fetal Heart Rate -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='694f9f23-ed2f-4534-89c2-3bf4ccb6581e'/>
                                <code code='11948-7' 
                                    displayName='HEART RATE-NRAT-PT-^FETUS-QN-US.MEASURED' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#FHR-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='PQ'/>                                
                            </observation>
                        </component>
                        
                        <!-- Fetal Movement/Quickening -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='b7c8d2dc-405f-4cb1-8d53-9395e414f3a5'/>
                                <code code='(xx-fetal-movement)' 
                                    displayName='MOVEMENT-FIND-PT-^FETUS-ORD-PATIENT REPORTED' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#Quickening-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='CO'/>
                            </observation>
                        </component>
                        
                        <!-- Preterm Labor Symptoms -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='4e58accc-2668-4329-b9af-d7be78f86af4'/>
                                <code code='(xx-SS-Preterm-Labor)' 
                                    displayName='PRETERM LABOR SYMPTOMS-FIND-PT-^PATIENT-QL-CLINICAL JUDGEMENT' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#PretermLabor-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='BL'/>
                            </observation>
                        </component>
                        
                        <!-- Cervix Exam - Dilation -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='a53c8593-d822-4722-9aa6-b7e74debc6b0'/>
                                <code code='(xx-cerv-dil-palp)' 
                                    displayName='DILATION-LEN-PT-CERVIX-QN-PALPATION' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' />
                                <text><reference value='#CervixDil-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='PQ'/>                                
                            </observation>
                        </component>
                        
                        <!-- Cervix Exam - Effacement -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='a53c8593-d822-4722-9aa6-b7e74debc6b0'/>
                                <code code='11867-9' 
                                    displayName='EFFACEMENT-PRCTL-PT-CERVIX-ORD-PALPATION ' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#CervixEff-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='CO'/>                                
                            </observation>
                        </component>
                        
                        <!-- Cervix Exam - Station -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='a53c8593-d822-4722-9aa6-b7e74debc6b0'/>
                                <code code='11961-0' 
                                    displayName='LONG AXIS-LEN-PT-CERVIX-QN-US.MEASURED' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#CervixSta-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='PQ'/>                                
                            </observation>
                        </component>
                        
                        <!-- Blood Pressure - Systolic -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='4773a849-db3f-4e21-b3a9-7b5b467d91e9'/>
                                <code code='8480-6' 
                                    displayName='INTRAVASCULAR SYSTOLIC-PRES-PT-ARTERIAL SYSTEM-QN' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' />
                                <text><reference value='#BPSystolic-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='PQ'/>                                
                            </observation>
                        </component>
                        
                        <!-- Blood Pressure - Diastolic -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='4773a849-db3f-4e21-b3a9-7b5b467d91e9'/>
                                <code code='8462-4' 
                                    displayName='INTRAVASCULAR DIASTOLIC-PRES-PT-ARTERIAL SYSTEM-QN' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#BPDiastolic-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='PQ'/>                                
                            </observation>
                        </component>
                        
                        <!-- Weight -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='22c470bc-db0a-4b66-a9e6-d2fac31db930'/>
                                <code code='3141-9' 
                                    displayName='BODY WEIGHT-MASS-PT-^PATIENT-QN-MEASURED' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#Weight-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='PQ'/>                                
                            </observation>
                        </component>
                        
                        <!-- Urine - Albumin -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='13599834-be6f-44fc-9db1-e5dc6a79d565'/>
                                <code code='1753-3' 
                                    displayName='ALBUMIN-ACNC-PT-UR-ORD' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#UrineAlbumin-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='CO'/>                                
                            </observation>
                        </component>
                        
                        <!-- Urine - Glucose -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='13599834-be6f-44fc-9db1-e5dc6a79d565'/>
                                <code code='2349-9' 
                                    displayName='GLUCOSE-ACNC-PT-UR-ORD' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#UrineGlucose-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='CO'/>                                
                            </observation>
                        </component>
                        
                        <!-- Edema -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='3b3fb536-e9ad-47f4-8199-c58c017b6186'/>
                                <code code='44966-0' 
                                    displayName='EDEMA-FIND-PT-^PATIENT-ORD' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#Edema-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='CO'/>                                
                            </observation>
                        </component>
                        
                        <!-- Pain Scale (1-10) -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='78e08791-af8c-4b05-98a0-8949eae03e59'/>
                                <code code='38208-5' 
                                    displayName='PAIN SEVERITY-FIND-PT-^PATIENT-ORD-REPORTED' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#PainScale-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='CO'/>                                
                            </observation>
                        </component>
                        
                        <!-- Next Appointment -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='4fb5998e-11e4-416e-ab2c-e5b6f7c424a4'/>
                                <code code='(xx-time-to-next-appt)' 
                                    displayName='TIME TO NEXT VISIT-' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#NextAppt-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='ED'/>                                
                            </observation>
                        </component>
                        
                        <!-- Comments -->
                        <component>
                            <observation classCode='OBS' moodCode='EVN'>
                                <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
                                <id root='e53fec4b-f3c0-486e-b4e0-22fb65e7f547'/>
                                <code code='48767-8' 
                                    displayName='(comment field)' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <text><reference value='#Comments-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='ED'/>                                
                            </observation>
                        </component>

                    </organizer>
                </entry>                
            </section>
        </component>

      </structuredBody>
    </component>
</ClinicalDocument>


External Links

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