APS Example

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Revision as of 11:35, 8 November 2007 by Tsoutherland (talk | contribs)
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The example xml file can be downloaded here IHE_APSExample_FormC.xml. To get around wiki security (it doesn't like the <text> sections w/html tags) the file was zipped, and then the extension was renamed to .xml. To view the file you will have to rename extension to .zip, and then unzip.

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"/>
                            </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'>
                            <originalText><reference value='#AnesthesiaPlanned'/></originalText>
                        </code>
                        <statusCode code='complete'/>
                        <effectiveTime value='20061129'/>
                        <value xsi:type='BL' value='true'/>
                    </observation>                    
                </entry>
                <entry typeCode='DRIV'> <!-- anesthesia consult planned -->
                    <!-- 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
        ********************************************************
        -->
        <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'/>
                        <statusCode code='completed'/>
                        <!-- Start/Stop Date -->
                        <effectiveTime xsi:type='IVL_TS'>
                            <low value='20061129'/>
                            <high value='20070201'/>
                        </effectiveTime>
                        <consumable>
                            <manufacturedProduct>
                                <manufacturedLabeledDrug>
                                    <name>Crinone</name>  
                                </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'/>
                        <statusCode code='completed'/>
                        <!-- Start/Stop Date -->
                        <effectiveTime xsi:type='IVL_TS'>
                            <low value='20061208'/>
                            <high value='20061213'/>
                        </effectiveTime>
                        <consumable>
                            <manufacturedProduct>
                                <manufacturedLabeledDrug>
                                    <name>Macrobid Oral Capsule 100 mg bid 10 Ref:0</name>
                                </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'/>
                        <statusCode code='completed'/>
                        <!-- Start/Stop Date -->
                        <effectiveTime xsi:type='IVL_TS'>
                            <low value='20040316'/>
                            <high value='20061129'/>
                        </effectiveTime>
                        <consumable>
                            <manufacturedProduct>
                                <manufacturedLabeledDrug>
                                    <name>Prozac</name>
                                </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'/>
                        <statusCode code='completed'/>
                        <!-- Start/Stop Date -->
                        <effectiveTime xsi:type='IVL_TS'>
                            <low value='20061129'/>
                            <high value='20071224'/>
                        </effectiveTime>
                        <consumable>
                            <manufacturedProduct>
                                <manufacturedLabeledDrug>
                                    <name>PrimaCare ONE Oral Capsule 27-1-300 m...</name>
                                </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'/>
                <title>Problems</title>
                <text> <!-- Narrative -->
                    <table border='1'>
                        <thead>
                            <tr><td>Problems/Plans</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'/>
                        <code code='11450-4' displayName='Problem List' 
                            codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'>
                            <originalText><reference value="#Problem-1"/></originalText>
                        </code>                        
                        <effectiveTime>
                            <low value='20061129'/>
                        </effectiveTime>
                        <author typeCode='AUT'> <!-- Physician -->
                            <time value='20061129'/>
                            <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'/>
                        <code code='11450-4' displayName='Problem List' 
                            codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'>
                            <originalText><reference value="#Problem-2"/></originalText>
                        </code>                        
                        <effectiveTime>
                            <low value='20070319'/>
                        </effectiveTime>                        
                        <author typeCode='AUT'> <!-- Physician -->
                            <time value='20070319'/>
                            <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'/>
                        <code code='11450-4' displayName='Problem List' 
                            codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'>
                            <originalText><reference value="#Problem-3"/></originalText>
                        </code>                        
                        <effectiveTime>
                            <low value='20061129'/>
                        </effectiveTime>                        
                        <author typeCode='AUT'> <!-- Physician -->
                            <time value='20061129'/>
                            <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'/>
                        <code code='11450-4' displayName='Problem List' 
                            codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'>
                            <originalText><reference value="#Problem-4"/></originalText>
                        </code>                        
                        <effectiveTime>
                            <low value='20061214'/>
                        </effectiveTime>                        
                        <author typeCode='AUT'> <!-- Physician -->
                            <time value='20061214'/>
                            <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><td>Initial EDD Confirmation</td></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><td>18-20 Week Update</td></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 -->
                        <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>
                        <statusCode code='completed'/>
                        <effectiveTime value='20061129' />
                        <value xsi:type='TS'/>
                        <author typeCode='AUT'> <!-- Provider Initials -->
                            <time value='20061129'/> <!-- Visit Date -->
                            <assignedAuthor>
                                <id root='20cf14fb-b65c-4c8c-a54d-b0cca834c18c' /> <!-- links to header element -->
                            </assignedAuthor>
                        </author>
                        <!-- LMP -->
                        <entryRelationship typeCode='SPRT'>
                            <observation classCode='OBS' moodCode='EVN'>
                                <id root='40a0ebdc-1397-11dc-8314-0800200c9a66'/>
                                <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'/>
                                <!-- EDD based on LMP -->
                                <text><reference value="#InitialEDDDate-2"/></text>
                                <statusCode code='completed'/>
                                <effectiveTime value='20060925'/> <!-- Date of LMP -->
                                <value xsi:type='TS'/>                                    
                            </observation>
                        </entryRelationship>
                        <!-- Ultrasound -->
                        <entryRelationship typeCode='SPRT'>
                            <observation classCode='OBS' moodCode='EVN'>
                                <id root='5d12d9bc-138b-11dc-8314-0800200c9a66'/>
                                <code code='11781-2' 
                                    displayName='DELIVERY DATE-TMSTP-PT-^PATIENT-QN-US.COMPOSITE.ESTIMATED' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <!-- EDD based on Ultrasound -->
                                <text><reference value="#InitialEDDDate-2"/></text> 
                                <effectiveTime value='20061109'/> <!-- Date Ultrasound was taken -->
                                <value xsi:type='TS'/>                                    
                                <!-- Weeks Gestation -->
                                <entryRelationship typeCode='SPRT'>
                                    <observation  classCode='OBS' moodCode='EVN'>
                                        <id root='4f475f30-1370-11dc-8314-0800200c9a66'/>
                                        <!-- TODO: informant? -->
                                        <!--<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>
                                        <statusCode code='completed'/>
                                        <effectiveTime value='20061129'/>
                                    <value xsi:type='PQ' unit='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 -->
                        <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>
                        <statusCode code='completed' />
                        <effectiveTime value='20061129' />
                        <value xsi:type='TS'/>
                        <author typeCode='AUT' > <!-- Provider Initials -->
                            <time value='20061129'/> <!-- Visit Date -->
                            <assignedAuthor>
                                <id root='20cf14fb-b65c-4c8c-a54d-b0cca834c18c' /> <!-- links to header element -->
                            </assignedAuthor>
                        </author>
                        <!-- Ultrasound -->
                        <entryRelationship typeCode='SPRT'>
                            <observation classCode='OBS' moodCode='EVN'>
                                <id root='6d86f6ee-139e-11dc-8314-0800200c9a66'/>
                                <code code='11781-2' 
                                    displayName='DELIVERY DATE-TMSTP-PT-^PATIENT-QN-US.COMPOSITE.ESTIMATED' 
                                    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
                                <!-- EDD based on Ultrasound -->
                                <text><reference value="#InitialEDDDate-2"/></text> 
                                <effectiveTime value='20061109'/> <!-- Date Ultrasound was taken -->
                                <value xsi:type='TS'/>
                                <!-- Weeks Gestation -->
                                <entryRelationship typeCode='SPRT'>                                    
                                    <observation  classCode='OBS' moodCode='EVN'>
                                        <id root='62915e78-139e-11dc-8314-0800200c9a66'/>
                                        <!-- TODO: informant? -->
                                        <!--<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='#UpdateEDDWeeks-1'/></text>
                                        <statusCode code='completed'/>
                                        <effectiveTime value='20061129'/>
                                        <value xsi:type='PQ' unit='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'>
                        <thead>
                            <tr>
                                <td>Pre-pregnancy Weight</td> 
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td>220</td>
                            </tr>
                        </tbody>
                    </table>
                    <table border='1'>
                        <thead>
                            <tr>
                                <td colspan='19'>Visit Summary</td>
                            </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='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 classCode='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'/>
                        <statusCode code='completed'/>
                        <effectiveTime value='200611291242-08'/>                        
                        <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' unit='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='PQ'>                                    
                                </value>
                            </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'/>
                        <statusCode code='completed'/>
                        <effectiveTime value='200611291242-08'/>                        
                        <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' unit='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='PQ'/>                                
                            </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'/>
                                <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-2'/></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-2'/></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-2'/></text>
                                <statusCode code='completed'/>
                                <value xsi:type='ED'/>                                
                            </observation>
                        </component>

                    </organizer>
                </entry>                
            </section>
        </component>

      </structuredBody>
    </component>
</ClinicalDocument>