APS Example
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<?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='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'/> <id root='e53fec4b-f3c0-486e-b4e0-22fb65e7f547'/> <code code='48767-8' displayName='(comment field)' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text><reference value='#Comments-1'/></text> <statusCode code='completed'/> <value xsi:type='ED'/> </observation> </component> </organizer> </entry> <!-- panel date 4/26/07 --> <entry> <organizer classCode='BATTERY' moodCode='EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.11.2.3.2'/> <id root='4d878166-1000-11dc-8314-0800200c9a66'/> <code code='(xx-acog-battery)' displayName='ACOG Summary Visit Battery---PT--' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <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-2'/></text> <statusCode code='completed'/> <value xsi:type='PQ' units='d' value='81'/> <!-- (11 x 7) + 4 = 81 --> </observation> </component> <!-- Fundal Height (cm) --> <component> <observation classCode='OBS' moodCode='EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <id root='4d878168-1000-11dc-8314-0800200c9a66'/> <code code='11881-0' displayName='FUNDAL HEIGHT-LEN-PT-UTERUS-QN-TAPE MEASURE' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text><reference value='#FundalHeight-2'/></text> <statusCode code='completed'/> <value xsi:type='PQ'/> </observation> </component> <!-- Presentation (value set) --> <component> <observation classCode='OBS' moodCode='EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <id root='4d878169-1000-11dc-8314-0800200c9a66'/> <code code='11876-0' displayName='FETAL PRESENTATION-TYPE-PT-PELVIS-NOM-PALPATION' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text><reference value='#Presentation-2'/></text> <statusCode code='completed'/> <value xsi:type='CO'/> </observation> </component> <!-- Fetal Heart Rate --> <component> <observation classCode='OBS' moodCode='EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <id root='694f9f23-ed2f-4534-89c2-3bf4ccb6581e'/> <code code='11948-7' displayName='HEART RATE-NRAT-PT-^FETUS-QN-US.MEASURED' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text><reference value='#FHR-2'/></text> <statusCode code='completed'/> <value xsi:type='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-2'/></text> <statusCode code='completed'/> <value xsi:type='CO'/> </observation> </component> <!-- Preterm Labor Symptoms --> <component> <observation classCode='OBS' moodCode='EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <id root='4e58accc-2668-4329-b9af-d7be78f86af4'/> <code code='(xx-SS-Preterm-Labor)' displayName='PRETERM LABOR SYMPTOMS-FIND-PT-^PATIENT-QL-CLINICAL JUDGEMENT' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text><reference value='#PretermLabor-2'/></text> <statusCode code='completed'/> <value xsi:type='BL'/> </observation> </component> <!-- Cervix Exam - Dilation --> <component> <observation classCode='OBS' moodCode='EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <id root='a53c8593-d822-4722-9aa6-b7e74debc6b0'/> <code code='(xx-cerv-dil-palp)' displayName='DILATION-LEN-PT-CERVIX-QN-PALPATION' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' /> <text><reference value='#CervixDil-2'/></text> <statusCode code='completed'/> <value xsi:type='PQ'/> </observation> </component> <!-- Cervix Exam - Effacement --> <component> <observation classCode='OBS' moodCode='EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <id root='a53c8593-d822-4722-9aa6-b7e74debc6b0'/> <code code='11867-9' displayName='EFFACEMENT-PRCTL-PT-CERVIX-ORD-PALPATION ' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text><reference value='#CervixEff-2'/></text> <statusCode code='completed'/> <value xsi:type='CO'/> </observation> </component> <!-- Cervix Exam - Station --> <component> <observation classCode='OBS' moodCode='EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <id root='a53c8593-d822-4722-9aa6-b7e74debc6b0'/> <code code='11961-0' displayName='LONG AXIS-LEN-PT-CERVIX-QN-US.MEASURED' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text><reference value='#CervixSta-2'/></text> <statusCode code='completed'/> <value xsi:type='PQ'/> </observation> </component> <!-- Blood Pressure - Systolic --> <component> <observation classCode='OBS' moodCode='EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <id root='4773a849-db3f-4e21-b3a9-7b5b467d91e9'/> <code code='8480-6' displayName='INTRAVASCULAR SYSTOLIC-PRES-PT-ARTERIAL SYSTEM-QN' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' /> <text><reference value='#BPSystolic-2'/></text> <statusCode code='completed'/> <value xsi:type='PQ'/> </observation> </component> <!-- Blood Pressure - Diastolic --> <component> <observation classCode='OBS' moodCode='EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <id root='4773a849-db3f-4e21-b3a9-7b5b467d91e9'/> <code code='8462-4' displayName='INTRAVASCULAR DIASTOLIC-PRES-PT-ARTERIAL SYSTEM-QN' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text><reference value='#BPDiastolic-2'/></text> <statusCode code='completed'/> <value xsi:type='PQ'/> </observation> </component> <!-- Weight --> <component> <observation classCode='OBS' moodCode='EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <id root='22c470bc-db0a-4b66-a9e6-d2fac31db930'/> <code code='3141-9' displayName='BODY WEIGHT-MASS-PT-^PATIENT-QN-MEASURED' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text><reference value='#Weight-2'/></text> <statusCode code='completed'/> <value xsi:type='PQ'/> </observation> </component> <!-- Urine - Albumin --> <component> <observation classCode='OBS' moodCode='EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <id root='13599834-be6f-44fc-9db1-e5dc6a79d565'/> <code code='1753-3' displayName='ALBUMIN-ACNC-PT-UR-ORD' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text><reference value='#UrineAlbumin-2'/></text> <statusCode code='completed'/> <value xsi:type='CO'/> </observation> </component> <!-- Urine - Glucose --> <component> <observation classCode='OBS' moodCode='EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <id root='13599834-be6f-44fc-9db1-e5dc6a79d565'/> <code code='2349-9' displayName='GLUCOSE-ACNC-PT-UR-ORD' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text><reference value='#UrineGlucose-2'/></text> <statusCode code='completed'/> <value xsi:type='CO'/> </observation> </component> <!-- Edema --> <component> <observation classCode='OBS' moodCode='EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/> <id root='3b3fb536-e9ad-47f4-8199-c58c017b6186'/> <code code='44966-0' displayName='EDEMA-FIND-PT-^PATIENT-ORD' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text><reference value='#Edema-2'/></text> <statusCode code='completed'/> 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