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| __TOC__
| | #redirect [[PCC TF-1/PHLAB]] |
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| =Introduction=
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| ''This is a draft of the Cross Enterprise Sharing of Laboratory Documents for Public Health (XDS-PHLab) to the Patient Care Coordination Technical Framework. This draft is a work in progress, not the official supplement or profile.''
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| =Volume 1=
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| ==PHLab Integration Profile==
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| The motivation for developing this profile is as follows:
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| * Show that the same standards that support the current IHE profiles for clinical care interoperability can be leveraged by public health.
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| * Encourage the public health community to come forward to IHE with use cases to further enhance data sharing.
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| Our goal with this profile is to adapt XDS-LAB integration content profile to accommodate data for a public health laboratory report. Modifications to XDS-LAB will be needed to accommodate non-human subjects, document participants in the laboratory testing process, and to group tests for a reportable condition in a consistent manner. Leveraging the CDA R2 standard and XDS-LAB make the resultant document consumable by public health and incorporable in an effected patient’s medical record thereby completing a communication loop between individual and public care.
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| ===Dependencies===
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| <pre>Add the following row(s) to the list of dependencies</pre>
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| {|style='background-color:#7f7f7f;' align='center' border='1' cellspacing='0'
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| !Integration Profile
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| !Dependency
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| !Dependency Type
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| !Purpose
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| |- style='background-color:#ffffff;' align='center'
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| |PHLab
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| |XDS-Lab
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| |PHLab is a conformant XDS-Lab document
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| |XDS-Lab constrains CDA R2 for the purposes of communicating any Laboratory Report
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| |-
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| |}
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| {{Content Profile Actors and Transactions|PHLab}}
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| {{PCC Content Profile Options|PHLab|Creator=}}
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| {{XD* Binding|Publc Health Laboratory Report|PHLab|
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| Bindings={{Binding|Publc Health Laboratory Report}}
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| }}
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| ===PHLab Document Content Module===
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| An Public Health Laboratory Report content document is a type of laboratory report, and incorporates the constraints defined for laboratory reports found in section the XDS-Lab specification. In addition, the PHLab profile modifies XDS-LAB integration content profile to accommodate data for a public health laboratory report. By leveraging the CDA R2 standard and XDS-LAB, a PHLab document is consumable by public health and incorporable in an effected patient’s medical record thereby completing a communication loop between individual and public care.
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| ===PHLab Process Flow===
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| ''NOTE: we are working with HITSP/PHDSC to refine this use case''
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| ====Use Case 1: Case Report for a Public Health Reportable Condition with Laboratory Component====
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| ''' Reality Today:'''
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| John Doe, MD sees a patient and suspects that this patient has an enteric pathogen. The patient follows through on the doctor’s orders and submits a specimen to the clinic laboratory. Upon completion of laboratory analysis, the laboratory confirms the presence of Salmonella. When a microbiologist has time in the week, they gather all their reportable results and complete the forms for submission to the state public health agency. Additionally, the clinic laboratory needs to submit the Salmonella specimen to the public health laboratory for serotyping. This specimen is mailed along with a hand written requisition to the state laboratory for epidemiological serotyping.
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| The state laboratory enters the partial information written on the requisition and identifies the Salmonella serotype. A nightly batch process reports the serotype to the clinician. A monthly batch process generates a file for the CDC. Nearby states have small clusters of cases with this same Salmonella serotype. No outbreak investigation is initiated.
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| The CDC detects this anomaly as monthly reports are received when observed across state borders and an outbreak protocol is started to investigate the potential outbreak. The CDC requests PFGE on the known samples and the outbreak is quickly confirmed two months later. Calls, faxes, and emails are used to transmit information to relevant state, county, local programs, and submitters of outbreak samples. Significant efforts on resolution focus on getting the desired data to the necessary participants. The outbreak is investigated and linked to a restaurant supplier in a popular but off-season resort area.
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| '''After this profile is adopted:'''
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| [[Image:IHELabUseCase1.jpg|frame|center|Use Case 1 Workflow]]
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| '''Preconditions:''' The clinical laboratory creates a laboratory report identifying the organism as a Salmonella isolate and that further serotyping will be done at the State Lab. The laboratory report is sent to the clinician, stored within the patient’s electronic medical record, and registered in a clinical interoperability registry. The isolate is mailed to the public health lab.
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| '''Events:''' Upon arrival, the public health laboratory receiving department queries the clinical interoperability registry with the submitter’s patient ID and views the initial laboratory report. The public health laboratory information system pulls forward the patient’s demographic and specimen data from the initial laboratory report. The public health laboratory creates a new laboratory report identifying the Salmonella serotype. The laboratory report is sent to the clinician, stored within the patient’s electronic medical record, registered in the clinical interoperability registry, registered in the state public health interoperability registry, and registered in the national public health interoperability registry.
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| The CDC program monitors the national public health registry for new cases of Salmonella. An anomaly is immediately detected in the number of new cases for this particular Salmonella serotype when observed across state borders and an outbreak protocol is started immediately to investigate the potential outbreak. The CDC requests PFGE on the current samples and alerts all state laboratories to perform PFGE on new samples of this serotype. The outbreak is confirmed quickly and new cases are identified and tracked seamlessly.
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| '''Post conditions: '''Local, state, and federal epidemiologists and case workers have access to all laboratory reports within their respective interoperability registries and may potentially gain further access to the clinical interoperability registry for additional information, such as the ordering provider and care location, for initiating further investigation.
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| '''Key improvements include:'''
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| * avoid handwritten forms and data re-entry
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| * ease transition of data to and from clinical care and public health agencies
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| * ease transition of data from one public health agency to another
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| * monitor registries for anomalies in a real-time basis
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| * response protocols focus on response, not the access to data
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| =====Public Health Case Report types covered by Use Case 1=====
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| * Laboratory reportables - [definition here]
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| <br>
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| ===Grouping with Other Actors===
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| ====Cross Enterprise Document Sharing, Media Interchange and Reliable Messaging====
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| The Content Creator and Content Consumer Actors shall be grouped with appropriate actors from the XDS, XDM or XDR integration profiles to support sharing of PHLab documents.
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| ====Document Digital Signature (DSG)====
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| Content Creator actors should digitally sign all documents using the Digital Signature (DSG) Content Profile.
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| Content Consumer actors should verify the Digital Signature of the submission set before use of the information it contains.
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| <noinclude>
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| {{:PCC TF-1/Trailer}}
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| =Volume II=
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| <!--{{:PCC TF-2/Header}}-->
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| == Bindings to XDS, XDR, XDM ==
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| === XDSDocumentEntry Metadata ===
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| Additional restriction on eventCode usage.
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| {|border="2" cellspacing="0" cellpadding="4" width="100%"
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| |+ XDSDoumentEntry
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| ! Attribute !! Usage in XDS !! Source Type !!Source/ Value
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| |-
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| | availabilityStatus || R || DS ||Value assigned at point of submission.
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| |-
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| | authorInstitution || R2 || SAT ||ClinicalDocument / author / assignedAuthor / representedOrganization / name, id
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| This attribute is the corresponding institution to the authorPerson below.
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| |-
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| |authorPerson ||R2 ||SAT ||ClinicalDocument / author / assignedAuthor / id, ClinicalDocument / author / assignedAuthor / assignedPerson / name, id
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| |-
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| |authorRole ||R2 ||DS ||add value, if known
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| |-
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| |authorSpeciality ||R2 ||DS ||add value, if known
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| |-
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| |classCode ||R ||SAT ||ClinicalDocument / code
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| |-
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| |comments ||O ||DS ||Optional.
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| |-
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| |confidentialityCode ||R ||CAD ||To be appropriately selected among codes specified by the Affinity Domain, given the subject matter of the document.
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| |-
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| |creationTime ||R ||SAT ||ClinicalDocument / effectiveTime
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| |-
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| |entryUUID ||R ||DS ||Assigned at time of submission by Document Source, Repository or Registry.
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| |-
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| |eventCodeList ||R2 ||DS||ClinicalDocument / component / structuredBody / component / section / organizer / component / organizer / code @code.
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| If the document pertains to a reportable condition, then this code shall be among those listed in the eventCodeList. This has been enhanced from the XDS profile from O to R2.
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| |-
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| |formatCode ||R ||FM ||Value to be selected by the PCC Technical Committee.
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| |-
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| |healthcareFacilityTypeCode ||R ||CAD ||To be appropriately selected among codes specified by the Affinity Domain, given the subject matter of the document.
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| |-
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| |languageCode ||R ||SAT ||ClinicalDocument / languageCode
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| |-
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| |legalAuthenticator ||O ||SAT ||ClinicalDocument/ legalAuthenticator / assignedEntity / id , ClinicalDocument/ legalAuthenticator / assignedEntity / assignedPerson / name, id
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| |-
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| |mimeType ||R ||FM ||Fixed value “text/xml”
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| |-
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| |parentDocumentRelationship ||R(when applicable) ||DS ||Context of a parent document in XDS cannot necessarily be derived from the CDA itself. This profile does not constrain this relation any further that originally specified in XDS.
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| |-
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| |parentDocumentId ||R(when parentDocumentRelationship is present) ||DS ||Context of a parent document in XDS cannot necessarily be derived from the CDA itself. This profile does not constrain this relation any further that originally specified in XDS.
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| |-
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| |patientId ||R ||DS ||To be supplied at point of submission.
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| |-
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| |practiceSettingCode ||R ||CAD ||To be appropriately selected among codes specified by the Affinity Domain, given the subject matter of the document.
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| |-
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| |serviceStartTime ||R2 (R)?||SAT ||Take the lower bound of ClinicalDocument / documentationOf / serviceEvent / effectiveTime
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| Increase reqirement of R2 to R and have this correlate with the encounter, specimen collection, reception, time (in that preference order).
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| |-
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| |serviceStopTime ||R2 ||SAT ||Take the upper bound of ClinicalDocument / documentationOf / serviceEvent / effectiveTime
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| |-
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| |sourcePatientId ||R ||SAT ||ClinicalDocument / recordTarget / patient / id
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| |-
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| |sourcePatientInfo ||R ||SAT ||Assembled from various values within the ClinicalDocument / recordTarget / patient element.
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| |-
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| |title ||O ||SA ||ClinicalDocument / title
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| |-
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| |typeCode ||R||SAT ||ClinicalDocument / code
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| |-
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| |uniqueId ||R ||SAT ||ClinicalDocument / id
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| |}
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| === XDSSubmissionSet Metadata ===
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| This content profile does not restrict submission set metadata. This content profile does not restrict usage of the XDS Submission Set.
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| === XDSFolder Metadata ===
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| We will use folders to organize all documents for a particular case (by case number) or by specimen (by specimen number).
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| {|border="2" cellspacing="0" cellpadding="4" width="100%"
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| |+ XDSDoumentFolder
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| ! Attribute !! Usage in XDS !! Source Type !!Source/ Value
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| |-
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| |availabilityStatus ||R ||DS ||Value assigned at point of submission.
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| |-
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| |codeList||R||DS||If any document in a folder pertains to a reportable condition, then the code identifying the reportable condition shall be among those listed in the codeList. This has been further refined from the original specification in XDS.
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| |-
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| |comments ||O ||DS ||Optional.
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| |-
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| |entryUUID ||R ||DS ||Assigned at time of submission by Document Source, Repository or Registry.
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| |-
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| |lastUpdateTime ||R ||O ||Computed by the Registry upon folder access.
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| |-
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| |patientId ||R ||DS ||To be supplied at point of submission.
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| |-
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| |title ||O ||SA ||Optional
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| |-
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| |uniqueId ||R ||SAT ||ClinicalDocument / documentationOf / serviceEvent / id
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| Documents pertaining to the same specimen shall be placed in a single folder identified by a global specimen id. See new CP (in ITI for 'alias' folder ids).
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| |}
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| == CDA Release 2.0 Content Modules ==
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| This section contains content modules based upon the HL7 CDA Release 2.0 Standard, and related standards and/or implementation guides of the XDS-PHLab document.
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| It is assumed that the reader is familiar with both the HL7 CDA R2 specification as well as the XDS-Lab specification. Conformance statements made by either of those two specifications are implicitly understood to be required here, unless explicitly stated otherwise. We note that requirements specified below are to ensure the presence of a minimum amount of data in order to enhance description and facilitate sharing of the public health laboratory report document. Implementers of this profile can and should make use of additional annotation within the CDA document to provide richer context. The examples in the following sections contain the minimal amount of data, as specified, and in many cases do make use of additional CDA elements for enriched context.
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| Please see the following PDF: [[Media:ContentProfileForPublicHealthReport.pdf | ContentProfileForPublicHealthReport.pdf]]
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| <!--{{:PCC TF-2/Trailer}} -->
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| </noinclude>
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| =Open Issues=
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| * Still need to discuss the best way to accomodate a non-human subject in a CDA? How best to deliniate between non-human (animal or living) and non-human (environmental or non-living such as food or lake water or soil)?
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| * What of the proposed here should be fed back to XDS-Lab in the form of CPs?
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| * How to include attachments (such as images or pdf's) in addition to this structured content?
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| * Do we support the concept of "global specimen id" in the XDS metadata (folders? See Keith's CP in ITI Tech)? Can it be queried? For Example: "Find me all documents related to this specimen". Or should this concept be changed to(or add the concept of) a case number?
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| * Should we require XDSDocumentEntry.serviceStartTime, since in this context it correlates to either the original clinical encounter or the date of specimen collection (reception) which is particulary important in public health? If we really desire this to be in metadata, what do we do to the CDA to enforce that this information be there as well?
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| * How many specimens (sections/entries) or reportable conditions per document?
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| = Sample Documents =
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| '''Sample Document 1'''
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| <pre>
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| <?xml version="1.0" encoding="ASCII"?>
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| <ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
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| xmlns="urn:hl7-org:v3"
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| xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
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| <realmCode code="US"/>
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| <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
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| <templateId root="2.16.840.1.113883.3.27.1776"/>
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| <id root="1.19.6.11.13.101000012039055145.1178052548502.1"/>
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| <code code="18725-2" codeSystem="2.16.840.1.113883.6.1"
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| codeSystemName="LOINC" displayName="Microbiology Studies"/>
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| <title>SAMPLE LAB REPORT: LIVING HUMAN SUBJECT</title>
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| <effectiveTime value="20070501134908.0502-0700"/>
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| <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" displayName="Normal"/>
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| <languageCode code="en-US"/>
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| <versionNumber value="1"/>
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| <recordTarget typeCode="RCT">
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| <patientRole classCode="PAT">
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| <id extension="sw54321" root="1.19.6.11.13"/>
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| <addr>
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| <streetAddressLine>1313 Mockingbird Ln.</streetAddressLine>
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| <city>Somewhere-ville</city>
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| <state>NE</state>
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| <postalCode>54321</postalCode>
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| <country>USA</country>
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| </addr>
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| <telecom value="589-555-1212"/>
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| <patient classCode="PSN">
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| <name><family>Winters</family><given>Shelly</given></name>
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| <administrativeGenderCode code="F"/>
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| <birthTime value="19401213"/>
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| <birthplace>
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| <place>
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| <addr><city/><state/><country/></addr>
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| </place>
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| </birthplace>
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| </patient>
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| </patientRole>
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| </recordTarget>
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| <author typeCode="AUT">
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| <time value="20070501134908.0502-0700"/>
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| <assignedAuthor classCode="ASSIGNED">
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| <id extension="ms87654" root="1.19.6.11.13"/>
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| <addr>
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| <streetAddressLine>456 Gardinia Lane</streetAddressLine>
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| <city>Great Kitchen</city>
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| <state>CT</state>
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| <postalCode>67845</postalCode>
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| <country>USA</country>
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| </addr>
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| <telecom value="589-555-1212"/>
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| <assignedPerson classCode="PSN">
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| <name><family>Stewart</family><given>Martha</given><suffix>MD</suffix></name>
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| </assignedPerson>
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| <representedOrganization>
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| <id extension="lab87654" root="1.19.6.11.13"/>
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| <name>Laboratory Name</name>
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| <telecom value="589-555-1212"/>
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| <addr>
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| <streetAddressLine>456 Gardinia Lane</streetAddressLine>
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| <city>Great Kitchen</city>
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| <state>CT</state>
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| <postalCode>67845</postalCode>
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| <country>USA</country>
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| </addr>
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| </representedOrganization>
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| </assignedAuthor>
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| </author>
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| <author>
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| <time value="20070501134908.0502-0700"/>
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| <assignedAuthor>
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| <id extension="hal2001" root="1.19.6.11.13"/>
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| <addr>
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| <streetAddressLine>456 Gardinia Lane</streetAddressLine>
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| <city>Great Kitchen</city>
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| <state>CT</state>
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| <postalCode>67845</postalCode>
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| <country>USA</country>
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| </addr>
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| <telecom value="589-555-1212"/>
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| <assignedAuthoringDevice>
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| <softwareName>IBM PHAD Application System</softwareName>
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| </assignedAuthoringDevice>
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| </assignedAuthor>
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| </author>
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| <custodian typeCode="CST">
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| <assignedCustodian classCode="ASSIGNED">
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| <representedCustodianOrganization>
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| <id root="1.19.6.11.13"/>
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| <name>The President's Clinic</name>
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| <telecom value="789-555-2121"/>
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| <addr>
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| <streetAddressLine>1600 Pennsylvania Ave</streetAddressLine>
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| <city>Washington DC</city>
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| <postalCode>98765</postalCode>
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| <country>USA</country>
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| </addr>
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| </representedCustodianOrganization>
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| </assignedCustodian>
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| </custodian>
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| <participant typeCode="AUTHEN">
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| <time value="200612071010"/>
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| <associatedEntity>
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| <id extension="ms87654" root="1.19.6.11.13"/>
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| <addr>
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| <streetAddressLine>456 Gardinia Lane</streetAddressLine>
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| <city>Great Kitchen</city>
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| <state>CT</state>
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| <postalCode>67845</postalCode>
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| <country>USA</country>
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| </addr>
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| <telecom value="589-555-1212"/>
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| <associatedPerson>
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| <name><family>Stewart</family><given>Martha</given><suffix>MD</suffix></name>
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| </associatedPerson>
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| </associatedEntity>
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| </participant>
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| <documentationOf>
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| <serviceEvent>
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| <effectiveTime>
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| <low value="200612011130"/>
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| <high value="200612071010"/>
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| </effectiveTime>
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| <performer typeCode="PRF">
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| <assignedEntity>
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| <id extension="rm83747" root="1.19.6.11.13"/>
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| <addr>
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| <streetAddressLine>789 Hamburger St.</streetAddressLine>
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| <city>Greasytown</city>
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| <state>TX</state>
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| <postalCode>89012</postalCode>
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| <country>USA</country>
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| </addr>
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| <telecom value="512-555-3456"/>
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| <assignedPerson>
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| <name><family>McDonald</family><given>Ronald</given></name>
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| </assignedPerson>
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| <representedOrganization>
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| <id extension="rm83747" root="1.19.6.11.13"/>
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| <name>Laboratory Name</name>
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| <telecom value="512-555-3456"/>
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| <addr>
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| <streetAddressLine>789 Hamburger St.</streetAddressLine>
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| <city>Greasytown</city>
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| <state>TX</state>
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| <postalCode>89012</postalCode>
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| <country>USA</country>
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| </addr>
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| </representedOrganization>
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| </assignedEntity>
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| </performer>
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| </serviceEvent>
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| </documentationOf>
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| <authorization>
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| <consent classCode="CONS" moodCode="EVN">
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| <statusCode code="completed"/>
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| </consent>
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| </authorization>
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| <componentOf>
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| <encompassingEncounter>
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| <effectiveTime>
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| <low value="200612011130"/>
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| <high value="20061201200"/>
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| </effectiveTime>
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| <location>
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| <healthCareFacility>
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| <code code="HU" codeSystem="2.16.840.1.113883.5.10588" displayName="Hospital Unit"/>
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| </healthCareFacility>
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| </location>
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| </encompassingEncounter>
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| </componentOf>
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| <component typeCode="COMP">
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| <structuredBody classCode="DOCBODY" moodCode="EVN">
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| <component typeCode="COMP">
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| <section classCode="DOCSECT">
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| <code code="18725-2" codeSystem="2.16.840.1.113883.6.1"
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| codeSystemName="LOINC" displayName="Microbiology Studies"/>
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| <title>LAB REPORT FROM XYZ LABORATORY</title>
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| <text><table>
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| <thead ID="isoTest">
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| <tr>
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| <th>Organism Isolated</th>
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| <th>Specimen Type</th>
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| <th>Comments</th>
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| </tr>
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| </thead>
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| <tbody>
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| <tr>
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| <td>Salmonella Group E</td>
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| <td>stool</td>
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| <td></td>
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| </tr>
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| </tbody>
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| </table><table>
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| <thead ID="serotypeTest">
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| <tr>
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| <th>Salmonella Serotype</th>
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| <th>LOINC</th>
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| <th>SNOMED</th>
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| </tr>
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| </thead>
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| <tbody>
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| <tr>
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| <td>Salmonella virchow</td>
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| <td>6463-4</td>
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| <td>L-17569</td>
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| </tr>
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| </tbody>
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| </table><table>
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| <thead>
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| <tr>
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| <th>Salmonella Susceptibility</th>
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| <th>Interpretation</th>
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| <th>Result</th>
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| <th>Units</th>
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| <th>Comments</th>
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| </tr>
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| </thead>
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| <tbody>
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| <tr ID="a1">
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| <td>Ampicillin</td>
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| <td>S</td>
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| <td>5.0</td>
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| <td>mm</td>
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| <td></td>
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| </tr>
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| <tr ID="a2">
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| <td>Ciprofloxacin</td>
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| <td>R</td>
| |
| <td>9.0</td>
| |
| <td>mm</td>
| |
| <td></td>
| |
| </tr>
| |
| <tr ID="a3">
| |
| <td>Tetracycline</td>
| |
| <td>S</td>
| |
| <td>2.0</td>
| |
| <td>mm</td>
| |
| <td></td>
| |
| </tr>
| |
| <tr ID="a4">
| |
| <td>Trimethprim/Sulfametoxale</td>
| |
| <td>S</td>
| |
| <td>0.0</td>
| |
| <td>mm</td>
| |
| <td></td>
| |
| </tr>
| |
| </tbody>
| |
| </table><table>
| |
| <thead ID="phagetypeTest">
| |
| <tr>
| |
| <th>Salmonella Phagetype</th>
| |
| <th>Comments</th>
| |
| </tr>
| |
| </thead>
| |
| <tbody>
| |
| <tr>
| |
| <td>Salmonella virchow phagetype 4a</td>
| |
| <td>Linked to outbreak #R3092.</td>
| |
| </tr>
| |
| <tr>
| |
| <td></td>
| |
| <td>Performing PulseNet for confirmation.</td>
| |
| </tr>
| |
| </tbody>
| |
| </table><table>
| |
| <thead ID="PulseNetTest">
| |
| <tr>
| |
| <th>Salmonella PulseNet</th>
| |
| </tr>
| |
| </thead>
| |
| <tbody>
| |
| <tr>
| |
| <td>PFGE confirmed link to outbreak #R3092.</td>
| |
| </tr>
| |
| <tr>
| |
| <td>http://www.pfge.net/reports.php/#189792879372162201900_1.html</td>
| |
| </tr>
| |
| </tbody>
| |
| </table></text>
| |
| <entry typeCode="DRIV">
| |
| <templateId extension="Lab.Report.Data.Processing.Entry"
| |
| root="1.3.6.1.4.1.19376.1.3"/>
| |
| <organizer classCode="CLUSTER" moodCode="EVN">
| |
| <statusCode code="completed"/>
| |
| <specimen typeCode="SPC">
| |
| <specimenRole classCode="SPEC">
| |
| <id extension="55584739900388" root="1.19.6.11.13"/>
| |
| <specimenPlayingEntity>
| |
| <code code="STL" codeSystemName="2.16.840.1.113883.5.129"
| |
| displayName="Stool"/>
| |
| </specimenPlayingEntity>
| |
| </specimenRole>
| |
| <productOf classCode="PROC" moodCode="EVN">
| |
| <effectiveTime value="200612020908"/>
| |
| <performer>
| |
| <assignedEntity>
| |
| <id extension="performer.id" root="1.19.6.11.13"/>
| |
| </assignedEntity>
| |
| </performer>
| |
| <participant typeCode="AUT">
| |
| <participantRole>
| |
| <telecom value="crazyLabs@get.your.specimens.here.org"/>
| |
| </participantRole>
| |
| </participant>
| |
| </productOf>
| |
| </specimen>
| |
| <participant typeCode="REFB">
| |
| <participantRole>
| |
| <id extension="provider.id" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given><suffix>MD</suffix></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUT">
| |
| <participantRole>
| |
| <id extension="placer.system.id" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <additionalLocator>some order placer facility</additionalLocator>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingDevice>
| |
| <softwareName>Software System</softwareName>
| |
| </playingDevice>
| |
| <scopingEntity>
| |
| <id extension="order.placer.order.number" root="1.19.6.11.13"/>
| |
| </scopingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="ENT">
| |
| <participantRole>
| |
| <id extension="enterer.id" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="PRF">
| |
| <time value="20061212"/>
| |
| <participantRole>
| |
| <id extension="filler.id" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingDevice>
| |
| <softwareName>Order Filler System software name</softwareName>
| |
| </playingDevice>
| |
| <scopingEntity>
| |
| <id extension="order.filler.order.number" root="1.19.6.11.13"/>
| |
| </scopingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUTHEN">
| |
| <time value="200612071010"/>
| |
| <participantRole>
| |
| <id extension="ms87654" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>456 Gardinia Lane</streetAddressLine>
| |
| <city>Great Kitchen</city>
| |
| <state>CT</state>
| |
| <postalCode>67845</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="589-555-1212"/>
| |
| <playingEntity>
| |
| <name><family>Stewart</family><given>Martha</given><suffix>MD</suffix></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <component>
| |
| <organizer classCode="CLUSTER" moodCode="EVN">
| |
| <code code="6463-4" codeSystemName="LOINC" displayName="Salmonella virchow">
| |
| <translation code="L-17569" codeSystemName="SNOMED"
| |
| displayName="Salmonella virchow"/>
| |
| <translation code="6463-4" codeSystemName="ISOLATE_TYPE_LOINC"
| |
| displayName="Reportable Salmonella"/>
| |
| <translation code="L-17100" codeSystemName="ISOLATE_TYPE_SNOMED"
| |
| displayName="Reportable Salmonella"/>
| |
| </code>
| |
| <statusCode code="completed"/>
| |
| <component>
| |
| <observation classCode="OBS" moodCode="EVN">
| |
| <id extension="isolation.order.filler.service.id" root="1.19.6.11.13.1"/>
| |
| <id extension="isolation.order.filler.diagnostic.service.section.id"
| |
| root="1.19.6.11.13.2"/>
| |
| <id extension="isolation.order.filler.test.id" root="1.19.6.11.13.3"/>
| |
| <code>
| |
| <originalText><reference value="isoTest"/></originalText>
| |
| </code>
| |
| <text>Isolation Test Result Comment</text>
| |
| <statusCode code="completed"/>
| |
| <effectiveTime value="20061218"/>
| |
| <value xsi:type="CE" code="L-17100" codeSystem="2.16.840.1.113883.6.1"
| |
| codeSystemName="LOINC" displayName="Salmonella Group E"/>
| |
| <methodCode code="CULTURE"
| |
| codeSystem="1.2.820.99999.106000022002159086.1170200374775.3"
| |
| displayName="Culture"/>
| |
| <performer>
| |
| <assignedEntity>
| |
| <id extension="rm83747" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>789 Hamburger St.</streetAddressLine>
| |
| <city>Greasytown</city>
| |
| <state>TX</state>
| |
| <postalCode>89012</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <assignedPerson>
| |
| <name><family>McDonald</family><given>Ronald</given></name>
| |
| </assignedPerson>
| |
| </assignedEntity>
| |
| </performer>
| |
| <participant typeCode="ENT">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="filler.test.result.enterer.id" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="VRF">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="order.filler.test.result.validator"
| |
| root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUT">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="order.filler.test.result.reporter" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUTHEN">
| |
| <time value="200612071010"/>
| |
| <participantRole>
| |
| <id extension="ms87654" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>456 Gardinia Lane</streetAddressLine>
| |
| <city>Great Kitchen</city>
| |
| <state>CT</state>
| |
| <postalCode>67845</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="589-555-1212"/>
| |
| <playingEntity>
| |
| <name>
| |
| <family>Stewart</family><given>Martha</given><suffix>MD</suffix>
| |
| </name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| </observation>
| |
| </component>
| |
| <component>
| |
| <observation classCode="OBS" moodCode="EVN">
| |
| <id extension="serotype.order.filler.service.id" root="1.19.6.11.13.1"/>
| |
| <id extension="serotype.order.filler.diagnostic.service.section.id"
| |
| root="1.19.6.11.13.2"/>
| |
| <id extension="serotype.order.filler.test.id" root="1.19.6.11.13.3"/>
| |
| <code>
| |
| <originalText><reference value="serotypeTest"/></originalText>
| |
| </code>
| |
| <text>Serotype Test Result Comment</text>
| |
| <statusCode code="completed"/>
| |
| <effectiveTime value="20061218"/>
| |
| <value xsi:type="CE" code="L-17569" codeSystem="2.16.840.1.113883.6.1"
| |
| codeSystemName="LOINC" displayName="Salmonella virchow"/>
| |
| <methodCode code="AGARDIFFUSION"
| |
| codeSystem="1.2.820.99999.106000022002159086.1170200374775.3"
| |
| displayName="Disk diffusion"/>
| |
| <performer>
| |
| <assignedEntity>
| |
| <id extension="rm83747" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>789 Hamburger St.</streetAddressLine>
| |
| <city>Greasytown</city>
| |
| <state>TX</state>
| |
| <postalCode>89012</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <assignedPerson>
| |
| <name><family>McDonald</family><given>Ronald</given></name>
| |
| </assignedPerson>
| |
| </assignedEntity>
| |
| </performer>
| |
| <participant typeCode="ENT">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="filler.test.result.enterer.id" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="VRF">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="order.filler.test.result.validator"
| |
| root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUT">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="order.filler.test.result.reporter" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUTHEN">
| |
| <time value="200612071010"/>
| |
| <participantRole>
| |
| <id extension="ms87654" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>456 Gardinia Lane</streetAddressLine>
| |
| <city>Great Kitchen</city>
| |
| <state>CT</state>
| |
| <postalCode>67845</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="589-555-1212"/>
| |
| <playingEntity>
| |
| <name>
| |
| <family>Stewart</family><given>Martha</given><suffix>MD</suffix>
| |
| </name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| </observation>
| |
| </component>
| |
| <component>
| |
| <organizer classCode="BATTERY" moodCode="EVN">
| |
| <code code="29576-6" codeSystem="2.16.840.1.113883.6.1"
| |
| codeSystemName="LOINC" displayName="Salmonella Susceptibility Test"/>
| |
| <statusCode code="completed"/>
| |
| <effectiveTime value="20061218"/>
| |
| <component>
| |
| <observation classCode="OBS" moodCode="EVN">
| |
| <id extension="ampicillin.order.filler.service.id"
| |
| root="1.19.6.11.13.1"/>
| |
| <id extension="ampicillin.order.filler.diagnostic.service.section.id"
| |
| root="1.19.6.11.13.2"/>
| |
| <id extension="ampicillin.order.filler.test.id" root="1.19.6.11.13.3"/>
| |
| <code code="Ampicillin" displayName="Ampicillin">
| |
| <originalText><reference value="a1"/></originalText>
| |
| </code>
| |
| <statusCode code="completed"/>
| |
| <effectiveTime value="20061218"/>
| |
| <value xsi:type="PQ" unit="mm" value="5.0"/>
| |
| <interpretationCode code="S" codeSystem="2.16.840.1.113883.11.10219"
| |
| displayName="Susceptable"/>
| |
| <methodCode code="EIA"
| |
| codeSystem="1.2.820.99999.106000022002159086.1170200374775.3"
| |
| displayName="Enzyme immunoassay"/>
| |
| <performer>
| |
| <assignedEntity>
| |
| <id extension="rm83747" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>789 Hamburger St.</streetAddressLine>
| |
| <city>Greasytown</city>
| |
| <state>TX</state>
| |
| <postalCode>89012</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <assignedPerson>
| |
| <name><family>McDonald</family><given>Ronald</given></name>
| |
| </assignedPerson>
| |
| </assignedEntity>
| |
| </performer>
| |
| <participant typeCode="ENT">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="filler.test.result.enterer.id" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="VRF">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="order.filler.test.result.validator"
| |
| root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUT">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="order.filler.test.result.reporter"
| |
| root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUTHEN">
| |
| <time value="200612071010"/>
| |
| <participantRole>
| |
| <id extension="ms87654" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>456 Gardinia Lane</streetAddressLine>
| |
| <city>Great Kitchen</city>
| |
| <state>CT</state>
| |
| <postalCode>67845</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="589-555-1212"/>
| |
| <playingEntity>
| |
| <name>
| |
| <family>Stewart</family><given>Martha</given><suffix>MD</suffix>
| |
| </name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| </observation>
| |
| </component>
| |
| <component>
| |
| <observation classCode="OBS" moodCode="EVN">
| |
| <id extension="Ciprofloxacin.order.filler.service.id"
| |
| root="1.19.6.11.13.1"/>
| |
| <id
| |
| extension="Ciprofloxacin.order.filler.diagnostic.service.section.id"
| |
| root="1.19.6.11.13.2"/>
| |
| <id extension="Ciprofloxacin.order.filler.test.id"
| |
| root="1.19.6.11.13.3"/>
| |
| <code code="Ciprofloxacin" displayName="Ciprofloxacin">
| |
| <originalText><reference value="a2"/></originalText>
| |
| </code>
| |
| <statusCode code="completed"/>
| |
| <effectiveTime value="20061218"/>
| |
| <value xsi:type="PQ" unit="mm" value="9.0"/>
| |
| <interpretationCode code="R" codeSystem="2.16.840.1.113883.11.10219"
| |
| displayName="Resistant"/>
| |
| <methodCode code="EIA"
| |
| codeSystem="1.2.820.99999.106000022002159086.1170200374775.3"
| |
| displayName="Enzyme immunoassay"/>
| |
| <performer>
| |
| <assignedEntity>
| |
| <id extension="rm83747" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>789 Hamburger St.</streetAddressLine>
| |
| <city>Greasytown</city>
| |
| <state>TX</state>
| |
| <postalCode>89012</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <assignedPerson>
| |
| <name><family>McDonald</family><given>Ronald</given></name>
| |
| </assignedPerson>
| |
| </assignedEntity>
| |
| </performer>
| |
| <participant typeCode="ENT">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="filler.test.result.enterer.id" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="VRF">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="order.filler.test.result.validator"
| |
| root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUT">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="order.filler.test.result.reporter"
| |
| root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUTHEN">
| |
| <time value="200612071010"/>
| |
| <participantRole>
| |
| <id extension="ms87654" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>456 Gardinia Lane</streetAddressLine>
| |
| <city>Great Kitchen</city>
| |
| <state>CT</state>
| |
| <postalCode>67845</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="589-555-1212"/>
| |
| <playingEntity>
| |
| <name>
| |
| <family>Stewart</family><given>Martha</given><suffix>MD</suffix>
| |
| </name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| </observation>
| |
| </component>
| |
| <component>
| |
| <observation classCode="OBS" moodCode="EVN">
| |
| <id extension="tetracycline.order.filler.service.id"
| |
| root="1.19.6.11.13.1"/>
| |
| <id extension="tetracycline.order.filler.diagnostic.service.section.id"
| |
| root="1.19.6.11.13.2"/>
| |
| <id extension="tetracycline.order.filler.test.id"
| |
| root="1.19.6.11.13.3"/>
| |
| <code code="Tetracycline" displayName="Tetracycline">
| |
| <originalText><reference value="a3"/></originalText>
| |
| </code>
| |
| <statusCode code="completed"/>
| |
| <effectiveTime value="20061218"/>
| |
| <value xsi:type="PQ" unit="mm" value="2.0"/>
| |
| <interpretationCode code="S" codeSystem="2.16.840.1.113883.11.10219"
| |
| displayName="Susceptable"/>
| |
| <methodCode code="EIA"
| |
| codeSystem="1.2.820.99999.106000022002159086.1170200374775.3"
| |
| displayName="Enzyme immunoassay"/>
| |
| <performer>
| |
| <assignedEntity>
| |
| <id extension="rm83747" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>789 Hamburger St.</streetAddressLine>
| |
| <city>Greasytown</city>
| |
| <state>TX</state>
| |
| <postalCode>89012</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <assignedPerson>
| |
| <name><family>McDonald</family><given>Ronald</given></name>
| |
| </assignedPerson>
| |
| </assignedEntity>
| |
| </performer>
| |
| <participant typeCode="ENT">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="filler.test.result.enterer.id" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="VRF">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="order.filler.test.result.validator"
| |
| root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUT">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="order.filler.test.result.reporter"
| |
| root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUTHEN">
| |
| <time value="200612071010"/>
| |
| <participantRole>
| |
| <id extension="ms87654" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>456 Gardinia Lane</streetAddressLine>
| |
| <city>Great Kitchen</city>
| |
| <state>CT</state>
| |
| <postalCode>67845</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="589-555-1212"/>
| |
| <playingEntity>
| |
| <name>
| |
| <family>Stewart</family><given>Martha</given><suffix>MD</suffix>
| |
| </name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| </observation>
| |
| </component>
| |
| <component>
| |
| <observation classCode="OBS" moodCode="EVN">
| |
| <id extension="trisulf.order.filler.service.id" root="1.19.6.11.13.1"/>
| |
| <id extension="trisulf.order.filler.diagnostic.service.section.id"
| |
| root="1.19.6.11.13.2"/>
| |
| <id extension="trisulf.order.filler.test.id" root="1.19.6.11.13.3"/>
| |
| <code code="trisulf" displayName="trisulf">
| |
| <originalText><reference value="a4"/></originalText>
| |
| </code>
| |
| <statusCode code="completed"/>
| |
| <effectiveTime value="20061218"/>
| |
| <value xsi:type="PQ" unit="mm" value="0.0"/>
| |
| <interpretationCode code="S" codeSystem="2.16.840.1.113883.11.10219"
| |
| displayName="Susceptable"/>
| |
| <methodCode code="EIA"
| |
| codeSystem="1.2.820.99999.106000022002159086.1170200374775.3"
| |
| displayName="Enzyme immunoassay"/>
| |
| <performer>
| |
| <assignedEntity>
| |
| <id extension="rm83747" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>789 Hamburger St.</streetAddressLine>
| |
| <city>Greasytown</city>
| |
| <state>TX</state>
| |
| <postalCode>89012</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <assignedPerson>
| |
| <name><family>McDonald</family><given>Ronald</given></name>
| |
| </assignedPerson>
| |
| </assignedEntity>
| |
| </performer>
| |
| <participant typeCode="ENT">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="filler.test.result.enterer.id" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="VRF">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="order.filler.test.result.validator"
| |
| root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUT">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="order.filler.test.result.reporter"
| |
| root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUTHEN">
| |
| <time value="200612071010"/>
| |
| <participantRole>
| |
| <id extension="ms87654" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>456 Gardinia Lane</streetAddressLine>
| |
| <city>Great Kitchen</city>
| |
| <state>CT</state>
| |
| <postalCode>67845</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="589-555-1212"/>
| |
| <playingEntity>
| |
| <name>
| |
| <family>Stewart</family><given>Martha</given><suffix>MD</suffix>
| |
| </name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| </observation>
| |
| </component>
| |
| </organizer>
| |
| </component>
| |
| <component>
| |
| <observation classCode="OBS" moodCode="EVN">
| |
| <id extension="phagetype.order.filler.service.id" root="1.19.6.11.13.1"/>
| |
| <id extension="phagetype.order.filler.diagnostic.service.section.id"
| |
| root="1.19.6.11.13.2"/>
| |
| <id extension="phagetype.order.filler.test.id" root="1.19.6.11.13.3"/>
| |
| <code code="PHAGETYPE_TEST" codeSystemName="PHAGETYPE TEST INDICATOR">
| |
| <originalText><reference value="phagetypeTest"/></originalText>
| |
| </code>
| |
| <text>Linked to outbreak #R3092. Performing PulseNet for
| |
| confirmation.</text>
| |
| <statusCode code="completed"/>
| |
| <effectiveTime value="20061218"/>
| |
| <value xsi:type="CE" code="XXXX-X" codeSystem="2.16.840.1.113883.6.1"
| |
| codeSystemName="LOINC" displayName="Salmonella virchow
| |
| phagetype 4a"/>
| |
| <methodCode code="CULTURE"
| |
| codeSystem="1.2.820.99999.106000022002159086.1170200374775.3"
| |
| displayName="Culture"/>
| |
| <performer>
| |
| <assignedEntity>
| |
| <id extension="rm83747" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>789 Hamburger St.</streetAddressLine>
| |
| <city>Greasytown</city>
| |
| <state>TX</state>
| |
| <postalCode>89012</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <assignedPerson>
| |
| <name><family>McDonald</family><given>Ronald</given></name>
| |
| </assignedPerson>
| |
| </assignedEntity>
| |
| </performer>
| |
| <participant typeCode="ENT">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="filler.test.result.enterer.id" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="VRF">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="order.filler.test.result.validator"
| |
| root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUT">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="order.filler.test.result.reporter" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUTHEN">
| |
| <time value="200612071010"/>
| |
| <participantRole>
| |
| <id extension="ms87654" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>456 Gardinia Lane</streetAddressLine>
| |
| <city>Great Kitchen</city>
| |
| <state>CT</state>
| |
| <postalCode>67845</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="589-555-1212"/>
| |
| <playingEntity>
| |
| <name>
| |
| <family>Stewart</family><given>Martha</given><suffix>MD</suffix>
| |
| </name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| </observation>
| |
| </component>
| |
| <component>
| |
| <observation classCode="OBS" moodCode="EVN">
| |
| <id extension="PulseNet.order.filler.service.id" root="1.19.6.11.13.1"/>
| |
| <id extension="PulseNet.order.filler.diagnostic.service.section.id"
| |
| root="1.19.6.11.13.2"/>
| |
| <id extension="PulseNet.order.filler.test.id" root="1.19.6.11.13.3"/>
| |
| <code code="PULSE_NET_RESULT" codeSystemName="PULSE NET TEST INDICATOR">
| |
| <originalText><reference value="PulseNetTest"/></originalText>
| |
| </code>
| |
| <text>PFGE confirmed link to outbreak #R3092.</text>
| |
| <statusCode code="completed"/>
| |
| <effectiveTime value="20061218"/>
| |
| <value xsi:type="TEL"
| |
| value="http://www.pfge.net/reports.php/#189792879372162201900_1.html">
| |
| <useablePeriod value="20081218"/>
| |
| </value>
| |
| <methodCode code="CULTURE"
| |
| codeSystem="1.2.820.99999.106000022002159086.1170200374775.3"
| |
| displayName="Culture"/>
| |
| <performer>
| |
| <assignedEntity>
| |
| <id extension="rm83747" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>789 Hamburger St.</streetAddressLine>
| |
| <city>Greasytown</city>
| |
| <state>TX</state>
| |
| <postalCode>89012</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <assignedPerson>
| |
| <name><family>McDonald</family><given>Ronald</given></name>
| |
| </assignedPerson>
| |
| </assignedEntity>
| |
| </performer>
| |
| <participant typeCode="ENT">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="filler.test.result.enterer.id" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="VRF">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="order.filler.test.result.validator"
| |
| root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUT">
| |
| <time value="20061218"/>
| |
| <participantRole>
| |
| <id extension="order.filler.test.result.reporter" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>650 Harry Rd</streetAddressLine>
| |
| <city>San Jose</city>
| |
| <state>CA</state>
| |
| <postalCode>95120</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="512-555-3456"/>
| |
| <playingEntity>
| |
| <name><family>Trenton</family><given>Douglas</given></name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| <participant typeCode="AUTHEN">
| |
| <time value="200612071010"/>
| |
| <participantRole>
| |
| <id extension="ms87654" root="1.19.6.11.13"/>
| |
| <addr>
| |
| <streetAddressLine>456 Gardinia Lane</streetAddressLine>
| |
| <city>Great Kitchen</city>
| |
| <state>CT</state>
| |
| <postalCode>67845</postalCode>
| |
| <country>USA</country>
| |
| </addr>
| |
| <telecom value="589-555-1212"/>
| |
| <playingEntity>
| |
| <name>
| |
| <family>Stewart</family><given>Martha</given><suffix>MD</suffix>
| |
| </name>
| |
| </playingEntity>
| |
| </participantRole>
| |
| </participant>
| |
| </observation>
| |
| </component>
| |
| </organizer>
| |
| </component>
| |
| </organizer>
| |
| </entry>
| |
| </section>
| |
| </component>
| |
| </structuredBody>
| |
| </component>
| |
| </ClinicalDocument>
| |
| </pre>
| |