APS Example: Difference between revisions
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| Line 333: | Line 333: | ||
<text><reference value='#FHR-1'/></text> | <text><reference value='#FHR-1'/></text> | ||
<statusCode code='completed'/> | <statusCode code='completed'/> | ||
<value xsi:type=''/> | <value xsi:type='RTO'/> | ||
</observation> | </observation> | ||
</component> | </component> | ||
| Line 345: | Line 345: | ||
<text><reference value='#Quickening-1'/></text> | <text><reference value='#Quickening-1'/></text> | ||
<statusCode code='completed'/> | <statusCode code='completed'/> | ||
<value xsi:type=''/> | <value xsi:type='CO'/> | ||
</observation> | </observation> | ||
</component> | </component> | ||
| Line 357: | Line 357: | ||
<text><reference value='#PretermLabor-1'/></text> | <text><reference value='#PretermLabor-1'/></text> | ||
<statusCode code='completed'/> | <statusCode code='completed'/> | ||
<value xsi:type=''/> | <value xsi:type='BL'/> | ||
</observation> | </observation> | ||
</component> | </component> | ||
| Line 501: | Line 501: | ||
<text><reference value='#Comments-1'/></text> | <text><reference value='#Comments-1'/></text> | ||
<statusCode code='completed'/> | <statusCode code='completed'/> | ||
<value xsi:type=''/> | <value xsi:type='ED'/> | ||
</observation> | </observation> | ||
</component> | </component> | ||
| Line 567: | Line 567: | ||
<text><reference value='#FHR-2'/></text> | <text><reference value='#FHR-2'/></text> | ||
<statusCode code='completed'/> | <statusCode code='completed'/> | ||
<value xsi:type=''/> | <value xsi:type='RTO'/> | ||
</observation> | </observation> | ||
</component> | </component> | ||
| Line 579: | Line 579: | ||
<text><reference value='#Quickening-2'/></text> | <text><reference value='#Quickening-2'/></text> | ||
<statusCode code='completed'/> | <statusCode code='completed'/> | ||
<value xsi:type=''/> | <value xsi:type='CO'/> | ||
</observation> | </observation> | ||
</component> | </component> | ||
| Line 591: | Line 591: | ||
<text><reference value='#PretermLabor-2'/></text> | <text><reference value='#PretermLabor-2'/></text> | ||
<statusCode code='completed'/> | <statusCode code='completed'/> | ||
<value xsi:type=''/> | <value xsi:type='BL'/> | ||
</observation> | </observation> | ||
</component> | </component> | ||
| Line 735: | Line 735: | ||
<text><reference value='#Comments-2'/></text> | <text><reference value='#Comments-2'/></text> | ||
<statusCode code='completed'/> | <statusCode code='completed'/> | ||
<value xsi:type=''/> | <value xsi:type='ED'/> | ||
</observation> | </observation> | ||
</component> | </component> | ||
Revision as of 08:04, 5 June 2007
This document is a work in progress at this point. Please post any comments/corrections on the Discussion tab.
<?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='' codeSystem='' displayName=''/> -->
<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='8a54f393-8015-460c-abd2'/>
<assignedAuthoringDevice>
<softwareName>Good Health Clinic System v1.0</softwareName>
</assignedAuthoringDevice>
<representedOrganization>
<id root='2.16.840.1.113883.19.5'/>
</representedOrganization>
</assignedAuthor>
</author>
<!-- Provider/Physician 1 Initials -->
<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>
<!-- Provider/Physician 2 Initials -->
<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>
<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>
<!--
********************************************************
Visit Summary Flowsheet
********************************************************
-->
<component>
<section>
<id/>
<title>Visit Summary Flowsheet</title>
<text>
<table border='1'>
<tr><td>Pre-pregnancy Weight</td> <td>220</td></tr>
</table>
<table border='1'>
<table border='1'>
<thead>
<tr style='font-weight:bold;'>Visit Summary</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="PrePregWeight-1">Prepreg Weight</td> <td>220</td></tr>
<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 typeCode='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='' codeSystemName='LOINC'/> <!-- TODO: what is the codeSystem here? -->
<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'/>
<effectiveTime value='200611291242-08'/>
<statusCode code='completed'/>
<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' units='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='RTO'/>
</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'/>
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<!-- Comments -->
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</organizer>
</entry>
<!-- panel date 4/26/07 -->
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<code code='(xx-acog-battery)' displayName='ACOG Summary Visit Battery---PT--' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<effectiveTime value='200611291242-08'/>
<statusCode code='completed'/>
<author typeCode='AUT'> <!-- Provider Initials -->
<time value='20061129'/> <!-- Visit Date -->
<assignedAuthor>
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<!-- Weeks Gestation -->
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<text><reference value='#WeeksGestation-2'/></text>
<statusCode code='completed'/>
<value xsi:type='PQ' units='d' value='81'/> <!-- (11 x 7) + 4 = 81 -->
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<!-- Fundal Height (cm) -->
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<!-- Presentation (value set) -->
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<!-- Fetal Heart Rate -->
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<text><reference value='#FHR-2'/></text>
<statusCode code='completed'/>
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<!-- Fetal Movement/Quickening -->
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<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'/>
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<!-- Preterm Labor Symptoms -->
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<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'/>
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</component>
<!-- Cervix Exam - Dilation -->
<component>
<observation classCode='OBS' moodCode='EVN'>
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<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'/>
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</component>
<!-- Cervix Exam - Effacement -->
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<observation classCode='OBS' moodCode='EVN'>
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<text><reference value='#CervixEff-2'/></text>
<statusCode code='completed'/>
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<!-- Cervix Exam - Station -->
<component>
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<text><reference value='#CervixSta-2'/></text>
<statusCode code='completed'/>
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<!-- Blood Pressure - Systolic -->
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<text><reference value='#BPSystolic-2'/></text>
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<!-- Blood Pressure - Diastolic -->
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<text><reference value='#BPDiastolic-2'/></text>
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<!-- Weight -->
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<text><reference value='#Weight-2'/></text>
<statusCode code='completed'/>
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</component>
<!-- Urine - Albumin -->
<component>
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<text><reference value='#UrineAlbumin-2'/></text>
<statusCode code='completed'/>
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<!-- Urine - Glucose -->
<component>
<observation classCode='OBS' moodCode='EVN'>
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<text><reference value='#UrineGlucose-2'/></text>
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<!-- Edema -->
<component>
<observation classCode='OBS' moodCode='EVN'>
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<text><reference value='#Edema-2'/></text>
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<!-- Pain Scale (1-10) -->
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<!-- Next Appointment -->
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<code code='(xx-time-to-next-appt)' displayName='TIME TO NEXT VISIT-' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
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<!-- Comments -->
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