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'/>
                                <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>