Difference between revisions of "APS Example"
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| Line 411: | Line 411: | ||
<table border='1'> | <table border='1'> | ||
<thead> | <thead> | ||
| − | <tr | + | <tr><td>Medication List</td></tr> |
<tr> | <tr> | ||
<th>Medication Name</th> | <th>Medication Name</th> | ||
| Line 448: | Line 448: | ||
<id root='b98f68e3-4cdb-4baf-bec3-6d87579b7c4d'/> | <id root='b98f68e3-4cdb-4baf-bec3-6d87579b7c4d'/> | ||
<!-- Medication Name --> | <!-- Medication Name --> | ||
| − | <text><reference value='#MedName-1'/></text> | + | <text> |
| + | <reference value='#MedName-1'/> | ||
| + | </text> | ||
<statusCode code='completed'/> | <statusCode code='completed'/> | ||
<!-- Start/Stop Date --> | <!-- Start/Stop Date --> | ||
| Line 454: | Line 456: | ||
<low value='20061129'/> | <low value='20061129'/> | ||
<high value='20070201'/> | <high value='20070201'/> | ||
| − | </effectiveTime> | + | </effectiveTime> |
| − | </ | + | <consumable> <!-- TODO: add content here? --> |
| + | <manufacturedProduct> | ||
| + | <manufacturedLabeledDrug/> | ||
| + | </manufacturedProduct> | ||
| + | </consumable> | ||
| + | </substanceAdministration> | ||
</entry> | </entry> | ||
<entry> <!-- Med-2 --> | <entry> <!-- Med-2 --> | ||
| Line 470: | Line 477: | ||
<high value='20061213'/> | <high value='20061213'/> | ||
</effectiveTime> | </effectiveTime> | ||
| − | </ | + | <consumable> <!-- TODO: add content here? --> |
| + | <manufacturedProduct> | ||
| + | <manufacturedLabeledDrug/> | ||
| + | </manufacturedProduct> | ||
| + | </consumable> | ||
| + | </substanceAdministration> | ||
</entry> | </entry> | ||
<entry> <!-- Med-3 --> | <entry> <!-- Med-3 --> | ||
| Line 485: | Line 497: | ||
<high value='20061129'/> | <high value='20061129'/> | ||
</effectiveTime> | </effectiveTime> | ||
| − | </ | + | <consumable> <!-- TODO: add content here? --> |
| + | <manufacturedProduct> | ||
| + | <manufacturedLabeledDrug/> | ||
| + | </manufacturedProduct> | ||
| + | </consumable> | ||
| + | </substanceAdministration> | ||
</entry> | </entry> | ||
<entry> <!-- Med-4 --> | <entry> <!-- Med-4 --> | ||
| Line 500: | Line 517: | ||
<high value='20071224'/> | <high value='20071224'/> | ||
</effectiveTime> | </effectiveTime> | ||
| − | </ | + | <consumable> <!-- TODO: add content here? --> |
| + | <manufacturedProduct> | ||
| + | <manufacturedLabeledDrug/> | ||
| + | </manufacturedProduct> | ||
| + | </consumable> | ||
| + | </substanceAdministration> | ||
</entry> | </entry> | ||
</section> | </section> | ||
Revision as of 06:31, 11 June 2007
This document is a work in progress at this point. Please post any comments/corrections on the Discussion tab.
CDA Header
<?xml version='1.0' encoding='UTF-8'?>
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xsi:schemaLocation="urn:hl7-org:v3 infrastructure/cda/CDA.xsd"
xmlns="urn:hl7-org:v3"
xmlns:voc="urn:hl7-org:v3/voc">
<!--
********************************************************
CDA Header
********************************************************
-->
<typeId xmlns='urn:hl7-org:v3'
xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance'
xsi:schemaLocation='urn:hl7-org:v3 infrastructure/cda/CDA.xsd'
root='2.16.840.1.113883.1.3'
extension='POCD_HD000040'/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1'/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3'/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.11.2'/>
<id root='db734647-fc99-424c-a864-7e3cda82e703'/>
<code code='2.16.1.2' codeSystem='2.4' displayName='loinc'/>
<title>Good Health Clinic Visit Summary Flowsheet</title>
<effectiveTime value='20000407130000+0500'/>
<confidentialityCode code='N' codeSystem='2.16.840.1.113883.5.25'/>
<languageCode code='en-US'/>
<recordTarget>
<patientRole>
<id root='d9ec96bd-f756-4aaa-95d8-62053bbd81a1'/>
<patient>
<name>
<given>Henry</given>
<family>Levin</family>
<suffix>the 7th</suffix>
</name>
<administrativeGenderCode code='M' codeSystem='2.16.840.1.113883.5.1'/>
<birthTime value='19320924'/>
</patient>
<providerOrganization>
<id root='2.16.840.1.113883.19.5'/>
</providerOrganization>
</patientRole>
</recordTarget>
<!-- Clinic -->
<author>
<time value='20000407130000+0500'/>
<assignedAuthor>
<id root='20cf14fb-b65c-4c8c-a54d-b0cca834ceww'/>
<assignedAuthoringDevice>
<softwareName>Good Health Clinic System v1.0</softwareName>
</assignedAuthoringDevice>
<representedOrganization>
<id root='2.16.840.1.113883.19.5'/>
</representedOrganization>
</assignedAuthor>
</author>
<!-- Physicians -->
<!-- are referenced in Visit Summary and Problems sections -->
<author>
<time value='20000407130000+0500'/>
<assignedAuthor>
<id root='20cf14fb-b65c-4c8c-a54d-b0cca834c18c'/>
<assignedPerson>
<name>
<prefix>Dr.</prefix>
<given>Robert</given>
<family>Dolin</family>
</name>
</assignedPerson>
<representedOrganization>
<id root='2.16.840.1.113883.19.5'/>
<name>Good Health Clinic</name>
</representedOrganization>
</assignedAuthor>
</author>
<author>
<time value='20000407130000+0500'/>
<assignedAuthor>
<id root='4d87816b-1000-11dc-8314-0800200c9a66'/>
<assignedPerson>
<name>
<prefix>Dr.</prefix>
<given>Robert</given>
<family>Dolin</family>
</name>
</assignedPerson>
<representedOrganization>
<id root='2.16.840.1.113883.19.5'/>
<name>Good Health Clinic</name>
</representedOrganization>
</assignedAuthor>
</author>
<author>
<time value='20000407130000+0500'/>
<assignedAuthor>
<id root='2a6ae35c-bbd7-4c26-ab3d-6cd160fec66c'/>
<assignedPerson>
<name>
<prefix>Dr.</prefix>
<given>D.</given>
<family>Dzubin</family>
</name>
</assignedPerson>
<representedOrganization>
<id root='2.16.840.1.113883.19.5'/>
<name>Good Health Clinic</name>
</representedOrganization>
</assignedAuthor>
</author>
<author>
<time value='20000407130000+0500'/>
<assignedAuthor>
<id root='14d465a5-b47d-45a8-ad2c-7d1a51e9ed56'/>
<assignedPerson>
<name>
<prefix>Dr.</prefix>
<given>E.</given>
<family>Pickett</family>
</name>
</assignedPerson>
<representedOrganization>
<id root='2.16.840.1.113883.19.5'/>
<name>Good Health Clinic</name>
</representedOrganization>
</assignedAuthor>
</author>
<author>
<time value='20000407130000+0500'/>
<assignedAuthor>
<id root='3047e209-5926-4556-b3c9-5f35c4269279'/>
<assignedPerson>
<name>
<prefix>Dr.</prefix>
<given>E.</given>
<family>Robinson</family>
</name>
</assignedPerson>
<representedOrganization>
<id root='2.16.840.1.113883.19.5'/>
<name>Good Health Clinic</name>
</representedOrganization>
</assignedAuthor>
</author>
<custodian>
<assignedCustodian>
<representedCustodianOrganization>
<id root='2.16.840.1.113883.19.5'/>
<name>Good Health Clinic</name>
</representedCustodianOrganization>
</assignedCustodian>
</custodian>
<legalAuthenticator>
<time value='20000407130000+0500'/>
<signatureCode code='S'/>
<assignedEntity>
<id root='2.16.840.1.113883.19.5'/>
<representedOrganization>
<id root='2.16.840.1.113883.19.5'/>
</representedOrganization>
</assignedEntity>
</legalAuthenticator>
<participant typeCode='IND'>
<associatedEntity classCode='GUAR'>
<id root='4ff51570-83a9-47b7-91f2-93ba30373141'/>
<addr>
<streetAddressLine>17 Daws Rd.</streetAddressLine>
<city>Blue Bell</city>
<state>MA</state>
<postalCode>02368</postalCode>
</addr>
<telecom value='tel:(888)555-1212'/>
<associatedPerson>
<name>
<given>Kenneth</given>
<family>Ross</family>
</name>
</associatedPerson>
</associatedEntity>
</participant>
<participant typeCode='IND'>
<associatedEntity classCode='NOK'>
<id root='4ac71514-6a10-4164-9715-f8d96af48e6d'/>
<code code='MTH' codeSystem='2.16.840.1.113883.5.111'/>
<telecom value='tel:(999)555-1212'/>
<associatedPerson>
<name>
<given>Abigail</given>
<family>Ruth</family>
</name>
</associatedPerson>
</associatedEntity>
</participant>
<documentationOf>
<serviceEvent classCode='PCPR'>
<effectiveTime>
<low value='19320924'/>
<high value='20000407'/>
</effectiveTime>
<performer typeCode='PRF'>
<functionCode code='PCP' codeSystem='2.16.840.1.113883.5.88'/>
<time><low value='1990'/><high value='20000407'/></time>
<assignedEntity>
<id root='20cf14fb-b65c-4c8c-a54d-b0cca834c18c'/>
<assignedPerson>
<name>
<prefix>Dr.</prefix>
<given>Robert</given>
<family>Dolin</family>
</name>
</assignedPerson>
<representedOrganization>
<id root='2.16.840.1.113883.19.5'/>
</representedOrganization>
</assignedEntity>
</performer>
</serviceEvent>
</documentationOf>
<!--
********************************************************
CDA Body
********************************************************
-->
<component>
<structuredBody>
Allergies
<!--
********************************************************
Allergies
********************************************************
-->
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.13'/>
<code code='10155-0' displayName='HISTORY OF ALLERGIES'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<title>Allergies</title>
<text> <!-- Narrative -->
<table border='1'>
<thead>
<tr>
<td>Allergy</td>
</tr>
</thead>
<tbody>
<tr>
<td ID='Allergy'>Latex</td>
</tr>
</tbody>
</table>
</text>
<entry> <!-- Latex Allergy -->
<!-- negationInd will be true if patient does NOT have latex allergy -->
<observation classCode='COND' moodCode='EVN' negationInd='false'>
<templateId extension='allergy' root='1.3.6.1.4.1.19376.1.5.3.1.3.13'/>
<id root='dc6d49d1-9371-40bb-9507-90ca93e181a6'/>
<!-- TODO: what is EALG? -->
<code xsi:type='CD' code='EALG' displayName='ObservationEnvironmentAllergyType'
codeSystem='2.16.840.1.113883.5.4' codeSystemName='ActCode' />
<statusCode code='active'/>
<effectiveTime>
<low value='20041101'/>
</effectiveTime>
<value xsi:type='CD' code='300916003' displayName='Latex allergy (disorder)'
codeSystem='2.16.840.1.113883.6.96' codeSystemName='SNOMED CT'>
<originalText><reference value='#Allergy'/></originalText>
</value>
</observation>
</entry>
</section>
</component>
Advance Directives (Blood Transfusion)
<!--
********************************************************
Advance Directives - Blood Transfusion
********************************************************
-->
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.34' />
<title>Is Blood Transfusion Acceptable?</title>
<text>
<table border='1'>
<thead>
<tr><th>Is Blood Transfusion Acceptable?</th></tr>
</thead>
<tbody>
<tr><td ID='BloodTransfusion'>yes</td></tr>
</tbody>
</table>
</text>
<entry> <!-- Blood Transfusion Acceptable? -->
<observation classCode='OBS' moodCode='RQO'>
<templateId root='2.16.840.1.113883.10.20.1.25'/>
<id root='9a6d1bac-17d3-4195-89a4-1121bc809b4a'/>
<code code='(xx-bld-transf-ok)'
displayName='Blood Transfusion Preference-FIND-PT-^PATIENT-ORD-PATIENT REPORTED'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'>
<originalText>
<reference value="#BloodTransfusion"></reference>
</originalText>
</code>
<statusCode code='complete'/>
<effectiveTime value='20061129'/>
<value xsi:type='BL' value='true'/>
</observation>
</entry>
</section>
</component>
Plan of Care - Anesthesia Consult
<!--
********************************************************
Plan of Care - Anesthesia Consult, Plans (from problem section)
********************************************************
-->
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.31' />
<id root='78385836-15cd-11dc-8314-0800200c9a66'/>
<title>Plan of Care</title>
<text>
<table border='1'>
<thead>
<tr><th>Anesthesia Consult Planned?</th><th>Plan Details</th><th>Planned Date</th></tr>
</thead>
<tbody>
<tr>
<td ID='AnesthesiaPlanned'>yes</td>
<td ID='AnesthesiaDetails'>Epidural</td>
<td ID='AnesthesiaDate'>8/19/2007</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode='DRIV'> <!-- anesthesia consult planned -->
<!-- Was consult planned? -->
<observation classCode='OBS' moodCode='RQO'>
<templateId root='2.16.840.1.113883.10.20.1.25'/>
<id root='cff15bec-720b-4431-8e54-a29532f81a2a'/>
<code code='(xx-anest-cons-pland)' codeSystem='2.16.840.1.113883.6.1'
displayName='Anesthesia Consult Status-FIND-PT-^PATIENT-ORD-'
codeSystemName='LOINC'/>
<statusCode code='complete'/>
<effectiveTime value='20061129'/>
<value xsi:type='BL' value='true'/>
</observation>
<!-- Details of plan if known -->
<observation classCode='OBS' moodCode='RQO'>
<templateId root='2.16.840.1.113883.10.20.1.25'/>
<id root='1e782c18-b738-448c-87df-7b6a38caedec'/>
<code code='(xx-type-of-anesth-pland)' codeSystem='2.16.840.1.113883.6.1'
displayName='Anesthesia Consult Plans??'
codeSystemName='LOINC'> <!-- TODO: Determine displayName -->
<originalText>
<reference value='#AnesthesiaDetails'/>
</originalText>
</code>
<statusCode code='complete'/>
<effectiveTime value='20061129'/>
<value xsi:type='ED'/>
</observation>
</entry>
</section>
</component>
Medications
<!--
********************************************************
Medications - done - include physician here?
********************************************************
-->
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.19' />
<id root='601b5a7b-67f0-4cd8-b856-1ba4c2b8f444' />
<title>Medication List</title>
<text> <!-- narrative -->
<table border='1'>
<thead>
<tr><td>Medication List</td></tr>
<tr>
<th>Medication Name</th>
<th>Start Date</th>
<th>Stop Date</th>
</tr>
</thead>
<tbody>
<tr >
<td ID='MedName-1'>Pt Rtp: Crinone</td>
<td ID='MedStartDate-1'>11/29/2006</td>
<td ID='MedStopDate-1'>2/1/2007</td>
</tr>
<tr>
<td ID='MedName-2'>Rx: Macrobid Oral Capsule 100 mg bid 10 Ref:0</td>
<td ID='MedStartDate-2'>12/8/2006</td>
<td ID='MedStopDate-2'>12/13/2006</td>
</tr>
<tr>
<td ID='MedName-3'>Pt Rpt: Prozac</td>
<td ID='MedStartDate-3'>3/16/2004</td>
<td ID='MedStopDate-3'>11/29/2006</td>
</tr>
<tr>
<td ID='MedName-4'>Rx: PrimaCare ONE Oral Capsule 27-1-300 m...</td>
<td ID='MedStartDate-4'>11/29/2006</td>
<td ID='MedStopDate-4'>12/24/2007</td>
</tr>
</tbody>
</table>
</text>
<entry> <!-- Med-1 -->
<substanceAdministration classCode='SBADM' moodCode='EVN'>
<templateId root='2.16.840.1.113883.10.20.1.24'/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.7'/>
<id root='b98f68e3-4cdb-4baf-bec3-6d87579b7c4d'/>
<!-- Medication Name -->
<text>
<reference value='#MedName-1'/>
</text>
<statusCode code='completed'/>
<!-- Start/Stop Date -->
<effectiveTime xsi:type='IVL_TS'>
<low value='20061129'/>
<high value='20070201'/>
</effectiveTime>
<consumable> <!-- TODO: add content here? -->
<manufacturedProduct>
<manufacturedLabeledDrug/>
</manufacturedProduct>
</consumable>
</substanceAdministration>
</entry>
<entry> <!-- Med-2 -->
<substanceAdministration classCode='SBADM' moodCode='INT'>
<templateId root='2.16.840.1.113883.10.20.1.24'/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.7'/>
<id root='acd970a0-31b8-46b2-954a-7b127927d47c'/>
<!-- Medication Name -->
<text><reference value='#MedName-2'/></text>
<statusCode code='completed'/>
<!-- Start/Stop Date -->
<effectiveTime xsi:type='IVL_TS'>
<low value='20061208'/>
<high value='20061213'/>
</effectiveTime>
<consumable> <!-- TODO: add content here? -->
<manufacturedProduct>
<manufacturedLabeledDrug/>
</manufacturedProduct>
</consumable>
</substanceAdministration>
</entry>
<entry> <!-- Med-3 -->
<substanceAdministration classCode='SBADM' moodCode='EVN'>
<templateId root='2.16.840.1.113883.10.20.1.24'/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.7'/>
<id root='8fb9160b-c7c3-44fa-886e-d367a522ba80'/>
<!-- Medication Name -->
<text><reference value='#MedName-3'/></text>
<statusCode code='completed'/>
<!-- Start/Stop Date -->
<effectiveTime xsi:type='IVL_TS'>
<low value='20040316'/>
<high value='20061129'/>
</effectiveTime>
<consumable> <!-- TODO: add content here? -->
<manufacturedProduct>
<manufacturedLabeledDrug/>
</manufacturedProduct>
</consumable>
</substanceAdministration>
</entry>
<entry> <!-- Med-4 -->
<substanceAdministration classCode='SBADM' moodCode='INT'>
<templateId root='2.16.840.1.113883.10.20.1.24'/>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.7'/>
<id root='5d989f63-d02d-4a1e-a4ea-f9377679320b'/>
<!-- Medication Name -->
<text><reference value='#MedName-4'/></text>
<statusCode code='completed'/>
<!-- Start/Stop Date -->
<effectiveTime xsi:type='IVL_TS'>
<low value='20061129'/>
<high value='20071224'/>
</effectiveTime>
<consumable> <!-- TODO: add content here? -->
<manufacturedProduct>
<manufacturedLabeledDrug/>
</manufacturedProduct>
</consumable>
</substanceAdministration>
</entry>
</section>
</component>
Problems
<!--
********************************************************
Problems
********************************************************
-->
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.6'/>
<code code='11450-4' displayName='Problem List'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<title>Problems</title>
<text> <!-- Narrative -->
<table border='1'>
<thead>
<tr><td><b>Problems/Plans</b></td></tr>
<tr>
<th>Problem</th>
<th>Start Date</th>
<th>Stop Date</th>
<th>Physician</th>
</tr>
</thead>
<tbody>
<tr> <!-- Problem #1 -->
<td id='Problem-1'>Hx of: Depression</td>
<td id='StartDate-1'>11/29/2006</td>
<td id='StopDate-1'></td>
<td id='Physician-1'>D. Dzubin</td>
</tr>
<tr> <!-- Problem #2 -->
<td id='Problem-2'>Current: Gestational Diabetes (diet)</td>
<td id='StartDate-2'>3/19/2007</td>
<td id='StopDate-2'></td>
<td id='Physician-2'>E. Pickett</td>
</tr>
<tr> <!-- Problem #3 -->
<td id='Problem-3'>Hx of: Infertility</td>
<td id='StartDate-3'>11/29/2006</td>
<td id='StopDate-3'></td>
<td id='Physician-3'>D. Dzubin</td>
</tr>
<tr> <!-- Problem #4 -->
<td id='Problem-4'>D. Dzubin IVF pregnancy</td>
<td id='StartDate-4'>12/14/2006</td>
<td id='StopDate-4'></td>
<td id='Physician-4'>E. Robinson</td>
</tr>
</tbody>
</table>
</text>
<entry> <!-- Problem #1 -->
<observation classCode='COND' moodCode='EVN'>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1'/>
<id root='dc6d49d1-9371-40bb-9507-90ca93e181a6'/>
<originalText>
<reference value="#Problem-1"/>
</originalText>
<effectiveTime>
<low value='20061129'/>
</effectiveTime>
<author typeCode='AUT'> <!-- Physician -->
<assignedAuthor>
<id root='2a6ae35c-bbd7-4c26-ab3d-6cd160fec66c'/> <!-- links to header element -->
</assignedAuthor>
</author>
</observation>
</entry>
<entry> <!-- Problem #2 -->
<observation classCode='COND' moodCode='EVN'>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1'/>
<id root='00448a62-d986-4be9-8cff-f8d5b12c3233'/>
<originalText>
<reference value="#Problem-2"/>
</originalText>
<effectiveTime>
<low value='20070319'/>
</effectiveTime>
<author typeCode='AUT'> <!-- Physician -->
<assignedAuthor>
<id root='14d465a5-b47d-45a8-ad2c-7d1a51e9ed56'/> <!-- links to header element -->
</assignedAuthor>
</author>
</observation>
</entry>
<entry> <!-- Problem #3 -->
<observation classCode='COND' moodCode='EVN'>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1'/>
<id root='219e87a0-b2fb-4ffb-917e-8cdeede4af79'/>
<originalText>
<reference value="#Problem-3"/>
</originalText>
<effectiveTime>
<low value='20061129'/>
</effectiveTime>
<author typeCode='AUT'> <!-- Physician -->
<assignedAuthor>
<id root='2a6ae35c-bbd7-4c26-ab3d-6cd160fec66c'/> <!-- links to header element -->
</assignedAuthor>
</author>
</observation>
</entry>
<entry> <!-- Problem #4 -->
<observation classCode='COND' moodCode='EVN'>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1'/>
<id root='9ad41ad5-9687-4b0a-9c4d-d003f31198ab'/>
<originalText>
<reference value="#Problem-4"/>
</originalText>
<effectiveTime>
<low value='20061214'/>
</effectiveTime>
<author typeCode='AUT'> <!-- Physician -->
<assignedAuthor>
<id root='3047e209-5926-4556-b3c9-5f35c4269279'/> <!-- links to header element -->
</assignedAuthor>
</author>
</observation>
</entry>
</section>
</component>
Estimated Due Dates
<!--
********************************************************
Estimated Due Dates
********************************************************
-->
<component>
<section>
<id/>
<title>Estimated Due Date</title>
<text> <!-- narrative -->
<table border="1"> <!-- Initial EDD -->
<thead>
<tr><b>Initial EDD Confirmation</b></tr>
<tr>
<th>Method</th>
<th>Date</th>
<th>Weeks</th>
<th>EDD</th>
</tr>
</thead>
<tbody>
<tr>
<td ID='InitialEDDMethod-1'>LMP</td>
<td ID='InitialEDDDate-1'>9/25/2006</td>
<td ID='InitialEDDWeeks-1'>N/A</td>
<td ID='InitialEDD-1'>7/2/2007</td>
</tr>
<tr>
<td ID='InitialEDDMethod-2'>Ultrasound</td>
<td ID='InitialEDDDate-2'> 11/9/2006</td>
<td ID='InitialEDDWeeks-2'>6.5</td>
<td ID='InitialEDD-2'>6/30/2007</td>
</tr>
<tr>
<td>Initial EDD</td>
<td>N/A</td>
<td>N/A</td>
<td ID='InitialEDD'>7/2/2007</td>
</tr>
</tbody>
</table>
<table border="1"> <!-- Final EDD -->
<thead>
<tr><b>18-20 Week Update</b></tr>
<tr>
<th>Method</th>
<th>Date</th>
<th>Weeks</th>
<th>EDD</th>
</tr>
</thead>
<tbody>
<tr>
<td ID='UpdateEDDMethod-1'>Ultrasound</td>
<td ID='UpdateEDDDate-1'>2/12/2007</td>
<td ID='UpdateEDDWeeks-1'>20.5</td>
<td ID='UpdateEDD-1'>6/27/2007</td>
</tr>
<tr>
<td>Final EDD</td>
<td>N/A</td>
<td>N/A</td>
<td ID='FinalEDD'>7/2/2007</td>
</tr>
</tbody>
</table>
</text>
<entry> <!-- Initial EDD Confirmation -->
<observation classCode='OBS' moodCode='EVN'>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <!-- SimpleObservation OID -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.11.2.3.1' /> <!-- EDD Observation -->
<statusCode code='completed'/>
<effectiveTime value='20061129' />
<author typeCode='AUT'> <!-- Provider Initials -->
<time value='20061129'/> <!-- Visit Date -->
<assignedAuthor>
<id root='20cf14fb-b65c-4c8c-a54d-b0cca834c18c' /> <!-- links to header element -->
</assignedAuthor>
</author>
<id root='2c878572-136a-11dc-8314-0800200c9a66'/>
<code code='11778-8'
displayName='DELIVERY DATE-TMSTP-PT-^PATIENT-QN-CLINICAL.ESTIMATED'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#InitialEDD'/></text>
<value xsi:type='TS'/>
<!-- LMP -->
<entryRelationship typeCode='SPRT'>
<observation classCode='OBS' moodCode='EVN'>
<id root='40a0ebdc-1397-11dc-8314-0800200c9a66'/>
<statusCode code='completed'/>
<effectiveTime value='20060925'/> <!-- Date of LMP -->
<code code='11779-6'
displayName='DELIVERY DATE-TMSTP-PT-^PATIENT-QN-ESTIMATED FROM LAST MENSTRUAL PERIOD'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value="#InitialEDDDate-2" ></reference></text> <!-- EDD based on LMP -->
<value xsi:type='TS'/>
</observation>
</entryRelationship>
<!-- Ultrasound -->
<entryRelationship typeCode='SPRT'>
<observation classCode='OBS' moodCode='EVN'>
<id root='5d12d9bc-138b-11dc-8314-0800200c9a66'/>
<statusCode code='completed'/>
<effectiveTime value='20061109'/> <!-- Date Ultrasound was taken -->
<code code='11781-2'
displayName='DELIVERY DATE-TMSTP-PT-^PATIENT-QN-US.COMPOSITE.ESTIMATED'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value="#InitialEDDDate-2" ></reference></text> <!-- EDD based on Ultrasound -->
<value type='TS'/>
<!-- Weeks Gestation -->
<entryRelationship typeCode='DRIV'>
<observation classCode='OBS' moodCode='EVN'>
<id root='4f475f30-1370-11dc-8314-0800200c9a66'/>
<statusCode code='completed'/>
<effectiveTime value='20061129'/>
<informant><reference id=''/></informant>
<code code='11888-5'
displayName='GESTATIONAL AGE-TIME-PT-^FETUS-QN-US.COMPOSITE.ESTIMATED'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#InitialEDDWeeks-2'/></text>
<value xsi:type='PQ' units='d' value='47'/> <!-- (6 x 7) + 5 = 47 -->
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</observation>
</entry>
<entry> <!-- 18-20 week EDD Update -->
<observation classCode='OBS' moodCode='EVN'>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <!-- SimpleObservation OID -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.11.2.3.1' /> <!-- EDD Observation -->
<statusCode code='completed'/>
<effectiveTime value='20061129' />
<author typeCode='AUT'> <!-- Provider Initials -->
<time value='20061129'/> <!-- Visit Date -->
<assignedAuthor>
<id root='20cf14fb-b65c-4c8c-a54d-b0cca834c18c' /> <!-- links to header element -->
</assignedAuthor>
</author>
<id root='54bbe9d2-139e-11dc-8314-0800200c9a66'/>
<code code='11778-8'
displayName='DELIVERY DATE-TMSTP-PT-^PATIENT-QN-CLINICAL.ESTIMATED'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#FinalEDD'/></text>
<value xsi:type='TS'/>
<!-- Ultrasound -->
<entryRelationship typeCode='SPRT'>
<observation classCode='OBS' moodCode='EVN'>
<id root='6d86f6ee-139e-11dc-8314-0800200c9a66'/>
<statusCode code='completed'/>
<effectiveTime value='20061109'/> <!-- Date Ultrasound was taken -->
<code code='11781-2'
displayName='DELIVERY DATE-TMSTP-PT-^PATIENT-QN-US.COMPOSITE.ESTIMATED'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value="#UpdateEDDDate-1" ></reference></text> <!-- EDD based on Ultrasound -->
<value type='TS'/>
<!-- Weeks Gestation -->
<entryRelationship typeCode='DRIV'>
<observation classCode='OBS' moodCode='EVN'>
<id root='62915e78-139e-11dc-8314-0800200c9a66'/>
<statusCode code='completed'/>
<effectiveTime value='20061129'/>
<informant><reference id=' '/></informant> <!-- TODO: what is informant? -->
<code code='11888-5'
displayName='GESTATIONAL AGE-TIME-PT-^FETUS-QN-US.COMPOSITE.ESTIMATED'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#UpdateEDDWeeks-1'/></text>
<value xsi:type='PQ' units='d' value='145'/> <!-- (20 x 7) + 5 = 145 -->
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</observation>
</entry>
</section>
</component>
Visit Summary Flowsheet
<!--
********************************************************
Visit Summary Flowsheet
********************************************************
-->
<component>
<section>
<id/>
<title>Visit Summary Flowsheet</title>
<text>
<table border='1'>
<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='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#PrePregWeight-1'/></text>
<statusCode code='completed'/>
<effectiveTime value='200609211242-08'/>
<value xsi:type='PQ' />
</observation>
</entry>
<!-- panel date 11/29/06 -->
<entry>
<organizer classCode='BATTERY' moodCode='EVN'>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.11.2.3.2'/>
<id root='4d878166-1000-11dc-8314-0800200c9a66'/>
<code code='(xx-acog-battery)'
displayName='ACOG Summary Visit Battery---PT--'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<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'/>
<value xsi:type='ED'/>
</observation>
</component>
<!-- Comments -->
<component>
<observation classCode='OBS' moodCode='EVN'>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
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<statusCode code='completed'/>
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</organizer>
</entry>
<!-- panel date 4/26/07 -->
<entry>
<organizer classCode='BATTERY' moodCode='EVN'>
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<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 -->
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<code code='11884-4'
displayName='GESTATIONAL AGE-TIME-PT-^FETUS-QN-CLINICAL.ESTIMATED'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#WeeksGestation-2'/></text>
<statusCode code='completed'/>
<value xsi:type='PQ' units='d' value='81'/> <!-- (11 x 7) + 4 = 81 -->
</observation>
</component>
<!-- Fundal Height (cm) -->
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<observation classCode='OBS' moodCode='EVN'>
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<code code='11881-0'
displayName='FUNDAL HEIGHT-LEN-PT-UTERUS-QN-TAPE MEASURE'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#FundalHeight-2'/></text>
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<!-- Presentation (value set) -->
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<code code='11876-0'
displayName='FETAL PRESENTATION-TYPE-PT-PELVIS-NOM-PALPATION'
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<text><reference value='#Presentation-2'/></text>
<statusCode code='completed'/>
<value xsi:type='CO'/>
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<!-- Fetal Heart Rate -->
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<observation classCode='OBS' moodCode='EVN'>
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<id root='694f9f23-ed2f-4534-89c2-3bf4ccb6581e'/>
<code code='11948-7'
displayName='HEART RATE-NRAT-PT-^FETUS-QN-US.MEASURED'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#FHR-2'/></text>
<statusCode code='completed'/>
<value xsi:type='RTO'/>
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</component>
<!-- Fetal Movement/Quickening -->
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<observation classCode='OBS' moodCode='EVN'>
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<id root='b7c8d2dc-405f-4cb1-8d53-9395e414f3a5'/>
<code code='(xx-fetal-movement)'
displayName='MOVEMENT-FIND-PT-^FETUS-ORD-PATIENT REPORTED'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#Quickening-2'/></text>
<statusCode code='completed'/>
<value xsi:type='CO'/>
</observation>
</component>
<!-- Preterm Labor Symptoms -->
<component>
<observation classCode='OBS' moodCode='EVN'>
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<id root='4e58accc-2668-4329-b9af-d7be78f86af4'/>
<code code='(xx-SS-Preterm-Labor)'
displayName='PRETERM LABOR SYMPTOMS-FIND-PT-^PATIENT-QL-CLINICAL JUDGEMENT'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#PretermLabor-2'/></text>
<statusCode code='completed'/>
<value xsi:type='BL'/>
</observation>
</component>
<!-- Cervix Exam - Dilation -->
<component>
<observation classCode='OBS' moodCode='EVN'>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
<id root='a53c8593-d822-4722-9aa6-b7e74debc6b0'/>
<code code='(xx-cerv-dil-palp)'
displayName='DILATION-LEN-PT-CERVIX-QN-PALPATION'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' />
<text><reference value='#CervixDil-2'/></text>
<statusCode code='completed'/>
<value xsi:type='PQ'/>
</observation>
</component>
<!-- Cervix Exam - Effacement -->
<component>
<observation classCode='OBS' moodCode='EVN'>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
<id root='a53c8593-d822-4722-9aa6-b7e74debc6b0'/>
<code code='11867-9'
displayName='EFFACEMENT-PRCTL-PT-CERVIX-ORD-PALPATION '
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#CervixEff-2'/></text>
<statusCode code='completed'/>
<value xsi:type='CO'/>
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</component>
<!-- Cervix Exam - Station -->
<component>
<observation classCode='OBS' moodCode='EVN'>
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<id root='a53c8593-d822-4722-9aa6-b7e74debc6b0'/>
<code code='11961-0'
displayName='LONG AXIS-LEN-PT-CERVIX-QN-US.MEASURED'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#CervixSta-2'/></text>
<statusCode code='completed'/>
<value xsi:type='PQ'/>
</observation>
</component>
<!-- Blood Pressure - Systolic -->
<component>
<observation classCode='OBS' moodCode='EVN'>
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<id root='4773a849-db3f-4e21-b3a9-7b5b467d91e9'/>
<code code='8480-6'
displayName='INTRAVASCULAR SYSTOLIC-PRES-PT-ARTERIAL SYSTEM-QN'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' />
<text><reference value='#BPSystolic-2'/></text>
<statusCode code='completed'/>
<value xsi:type='PQ'/>
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</component>
<!-- Blood Pressure - Diastolic -->
<component>
<observation classCode='OBS' moodCode='EVN'>
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<id root='4773a849-db3f-4e21-b3a9-7b5b467d91e9'/>
<code code='8462-4'
displayName='INTRAVASCULAR DIASTOLIC-PRES-PT-ARTERIAL SYSTEM-QN'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#BPDiastolic-2'/></text>
<statusCode code='completed'/>
<value xsi:type='PQ'/>
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</component>
<!-- Weight -->
<component>
<observation classCode='OBS' moodCode='EVN'>
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<id root='22c470bc-db0a-4b66-a9e6-d2fac31db930'/>
<code code='3141-9'
displayName='BODY WEIGHT-MASS-PT-^PATIENT-QN-MEASURED'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#Weight-2'/></text>
<statusCode code='completed'/>
<value xsi:type='PQ'/>
</observation>
</component>
<!-- Urine - Albumin -->
<component>
<observation classCode='OBS' moodCode='EVN'>
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<id root='13599834-be6f-44fc-9db1-e5dc6a79d565'/>
<code code='1753-3'
displayName='ALBUMIN-ACNC-PT-UR-ORD'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#UrineAlbumin-2'/></text>
<statusCode code='completed'/>
<value xsi:type='CO'/>
</observation>
</component>
<!-- Urine - Glucose -->
<component>
<observation classCode='OBS' moodCode='EVN'>
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<id root='13599834-be6f-44fc-9db1-e5dc6a79d565'/>
<code code='2349-9'
displayName='GLUCOSE-ACNC-PT-UR-ORD'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#UrineGlucose-2'/></text>
<statusCode code='completed'/>
<value xsi:type='CO'/>
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</component>
<!-- Edema -->
<component>
<observation classCode='OBS' moodCode='EVN'>
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<id root='3b3fb536-e9ad-47f4-8199-c58c017b6186'/>
<code code='44966-0'
displayName='EDEMA-FIND-PT-^PATIENT-ORD'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#Edema-2'/></text>
<statusCode code='completed'/>
<value xsi:type='CO'/>
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</component>
<!-- Pain Scale (1-10) -->
<component>
<observation classCode='OBS' moodCode='EVN'>
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<id root='78e08791-af8c-4b05-98a0-8949eae03e59'/>
<code code='38208-5'
displayName='PAIN SEVERITY-FIND-PT-^PATIENT-ORD-REPORTED'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text><reference value='#PainScale-2'/></text>
<statusCode code='completed'/>
<value xsi:type='CO'/>
</observation>
</component>
<!-- Next Appointment -->
<component>
<observation classCode='OBS' moodCode='EVN'>
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<id root='4fb5998e-11e4-416e-ab2c-e5b6f7c424a4'/>
<code code='(xx-time-to-next-appt)'
displayName='TIME TO NEXT VISIT-'
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<text><reference value='#NextAppt-2'/></text>
<statusCode code='completed'/>
<value xsi:type='ED'/>
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<!-- Comments -->
<component>
<observation classCode='OBS' moodCode='EVN'>
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</section>
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