APS Example

This document is a work in progress at this point.

<?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>