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PatientSummary.xml
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<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3">
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<title>Good Health CCD for JANE MEDLOCK</title>
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<patient>
<name>
<prefix/>
<given>Jane</given>
<family>Medlock</family>
</name>
<administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" codeSystemName="AdministrativeGenderCode" displayName="Female"/>
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</patient>
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<softwareName>Medidata Health Record Connect</softwareName>
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<custodian>
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<streetAddressLine>1 Memorial Drive</streetAddressLine>
<city>Cambridge</city>
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<country>USA</country>
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<telecom use="WP" value="tel:+13122919000"/>
<assignedPerson>
<name use="L">GoodHealth Corp.</name>
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<id root="2.16.840.1.113883.3.86"/>
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<streetAddressLine>1 Memorial Drive</streetAddressLine>
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</legalAuthenticator>
<!--(ISC9) INFO:participant:typeCode='IND'-->
<participant typeCode="IND">
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<associatedEntity classCode="NOK">
<code code="GRMTH" codeSystem="2.16.840.1.113883.5.111" codeSystemName="RoleCode" displayName="Grandmother"/>
<addr use="HP">
<streetAddressLine>7 Woodlands Way</streetAddressLine>
<city>Abington</city>
<state>MA</state>
<postalCode>02351</postalCode>
<country>USA</country>
</addr>
<telecom use="HP" value="tel:6472253133"/>
<associatedPerson>
<name>
<prefix/>
<given>GRANNIE</given>
<given>P</given>
<family>RUBLIC</family>
<suffix/>
</name>
</associatedPerson>
</associatedEntity>
</participant>
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<participant typeCode="IND">
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<associatedEntity classCode="CAREGIVER">
<code code="STPDAU" codeSystem="2.16.840.1.113883.5.111" codeSystemName="RoleCode" displayName="Step-Daughter"/>
<addr>
<streetAddressLine>1500 86th Street</streetAddressLine>
<city>Brooklyn</city>
<state>NY</state>
<postalCode>11228</postalCode>
<country>USA</country>
</addr>
<telecom use="HP" value="tel:+1-718-555-9856"/>
<telecom use="WP" value="tel:+1-800-867-5309"/>
<associatedPerson>
<name use="L">
<given>Jenny</given>
<family>Igotyournumber</family>
</name>
</associatedPerson>
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<originalText>Primary Care Provider</originalText>
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<streetAddressLine>22 Massachusetts Ave</streetAddressLine>
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<telecom use="WP" value="tel:+1-617-225-3133"/>
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<name>
<prefix>Dr.</prefix>
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<family>Bay</family>
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<representedOrganization>
<id root="2.16.840.1.113883.3.86"/>
<name>Goodhealth Clinic</name>
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<addr use="HP">
<streetAddressLine>1 Memorial Drive</streetAddressLine>
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<!--Begin Allergies and Adverse Reactions Section-->
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<section>
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<code code="48765-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Allergies"/>
<title>Allergies and Adverse Reactions</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Type</th>
<th>Substance</th>
<th>Reaction</th>
<th>Severity</th>
<th>Status</th>
</tr>
</thead>
<tbody>
<tr ID="ALGSUMMARY_1">
<td ID="ALGTYPE_1">Drug Allergy</td>
<td ID="ALGSUB_1">Penicillin</td>
<td ID="ALGREACT_1">Hives</td>
<td ID="ALGSEV_1">Moderate</td>
<td ID="ALGSTATUS_1">Active</td>
</tr>
<tr ID="ALGSUMMARY_2">
<td ID="ALGTYPE_2">Drug Intolerance</td>
<td ID="ALGSUB_2">Aspirin</td>
<td ID="ALGREACT_2">Wheezing</td>
<td ID="ALGSEV_2">Mild</td>
<td ID="ALGSTATUS_2">Active</td>
</tr>
<tr ID="ALGSUMMARY_3">
<td ID="ALGTYPE_3">Drug Intolerance</td>
<td ID="ALGSUB_3">Codeine</td>
<td ID="ALGREACT_3">Nausea</td>
<td ID="ALGSEV_3">Fatal</td>
<td ID="ALGSTATUS_3">Active</td>
</tr>
</tbody>
</table>
</text>
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<streetAddressLine>22 Massachusetts Ave</streetAddressLine>
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<postalCode>02142-1356</postalCode>
</addr>
<telecom use="WP" value="tel:+1-617-225-3133"/>
<assignedPerson>
<name>
<prefix>Dr.</prefix>
<given>Bom</given>
<family>Bay</family>
</name>
</assignedPerson>
<!--(ISC5) INFO:representedOrganization-->
<representedOrganization>
<id root="2.16.840.1.113883.3.86.3"/>
<name>Intersystems-HealthShare</name>
<telecom use="WP" value="tel:+1-617-225-3133"/>
<addr use="WP">
<streetAddressLine>1 Memorial Drive</streetAddressLine>
<city>Cambridge</city>
<state>MA</state>
<postalCode>02142-1356</postalCode>
</addr>
<asOrganizationPartOf>
<effectiveTime nullFlavor="UNK"/>
<wholeOrganization>
<id root="2.16.840.1.113883.3.86"/>
<name>InterSystems</name>
<telecom use="WP" value="tel:(617) 621-0600"/>
<addr use="WP">
<streetAddressLine>One Memorial Drive</streetAddressLine>
<city>Cambridge</city>
<state>MA</state>
<postalCode>02142</postalCode>
<country>USA</country>
</addr>
</wholeOrganization>
</asOrganizationPartOf>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship inversionInd="false" typeCode="SUBJ">
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<id root="4adc1020-7b14-11db-9fe1-0800200c9a66"/>
<!--(ISC11) INFO:observation[templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.6']/code-->
<code code="416098002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Drug Allergy (disorder)"/>
<!--(ISC6) REQUIRED:effectiveTime:xsi:type='IVL_TS'-->
<statusCode code="completed"/>
<effectiveTime xsi:type="IVL_TS">
<low value="20010301"/>
</effectiveTime>
<!--(ISC15) WARNING:statusCode:-->
<value code="70618" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Allergy" xsi:type="CD">
<originalText>
<reference value="#ALGTYPE_1"/>
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</value>
<participant typeCode="CSM">
<participantRole classCode="MANU">
<playingEntity classCode="MMAT">
<!--(ISC18) INFO:participant[typeCode='CSM']/participantRole[classCode='MANU']/playingEntity[classCode='MMAT']/code-->
<code code="70618" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" displayName="Penicillin">
<originalText>
<reference value="#ALGSUB_1"/>
</originalText>
</code>
<name>Penicillin</name>
</playingEntity>
</participantRole>
</participant>
<entryRelationship inversionInd="true" typeCode="MFST">
<observation classCode="OBS" moodCode="EVN">
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<templateId root="2.16.840.1.113883.10.20.1.28"/>
<!--(ISC4) INFO:id:root-->
<id root="444BB0A3-4916-4A8A-AF40-D63EE862EBC4"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<!--(ISC15) WARNING:statusCode:-->
<statusCode code="completed"/>
<effectiveTime xsi:type="IVL_TS">
<low nullFlavor="UNK"/>
<high nullFlavor="UNK"/>
</effectiveTime>
<!--(ISC12) INFO:observation[templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.5']/value-->
<value code="247472004" codeSystem="2.16.840.1.113883.6.96" displayName="Hives" xsi:type="CD">
<originalText>
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<entryRelationship inversionInd="false" typeCode="REFR">
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<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1.1"/>
<code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
<text>
<reference value="#ALGSTATUS_1"/>
</text>
<!--(ISC15) WARNING:statusCode:-->
<statusCode code="completed"/>
<!--(ISC16) INFO:observation[templateId='1.3.6.1.4.1.19376.1.5.3.1.4.1.1']/value:-->
<value code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" xsi:type="CE"/>
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</entryRelationship>
<entryRelationship inversionInd="true" typeCode="SUBJ">
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<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1"/>
<code code="SEV" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7 ActCode" displayName="Severity"/>
<text>
<reference value="#ALGSEV_1"/>
</text>
<!--(ISC15) WARNING:statusCode:-->
<statusCode code="completed"/>
<!--(ISC52) INFO:entryRelationship[templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.1']/value-->
<value code="6736007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Moderate" xsi:type="CD"/>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</act>
</entry>
<entry typeCode="DRIV">
<act classCode="ACT" moodCode="EVN">
<templateId assigningAuthorityName="HITSP C83" root="2.16.840.1.113883.3.88.11.83.6"/>
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<templateId assigningAuthorityName="IHE PCC" root="1.3.6.1.4.1.19376.1.5.3.1.4.5.3"/>
<templateId assigningAuthorityName="IHE PCC" root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1"/>
<!--(ISC4) INFO:id:root-->
<id root="eb936010-7b17-11db-9fe1-0800200c9a66"/>
<!--(ISC15) WARNING:act[templateId='1.3.6.1.4.1.19376.1.5.3.1.4.5.3']/statusCode:-->
<code nullFlavor="NA"/>
<statusCode code="active"/>
<!--(ISC6) REQUIRED:effectiveTime:xsi:type='IVL_TS'-->
<effectiveTime xsi:type="IVL_TS">
<low nullFlavor="UNK"/>
</effectiveTime>
<!--(ISC14) INFO:act[templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.5.3']/author-->
<author typeCode="AUT">
<time value="20050612000000-0300"/>
<assignedAuthor classCode="ASSIGNED">
<id nullFlavor="UNK"/>
<code nullFlavor="UNK"/>
<addr nullFlavor="UNK"/>
<telecom nullFlavor="UNK"/>
<assignedPerson>
<name>
<prefix>Dr.</prefix>
<given>Breathe</given>
<family>Easy</family>
</name>
</assignedPerson>
<!--(ISC5) INFO:representedOrganization-->
<representedOrganization>
<id nullFlavor="UNK"/>
<name>HealthShare Heart and Lung Clinic</name>
<telecom nullFlavor="UNK"/>
<addr nullFlavor="UNK"/>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship inversionInd="false" typeCode="SUBJ">
<observation classCode="OBS" moodCode="EVN">
<templateId assigningAuthorityName="IHE PCC" root="1.3.6.1.4.1.19376.1.5.3.1.4.5"/>
<templateId assigningAuthorityName="IHE PCC" root="1.3.6.1.4.1.19376.1.5.3.1.4.6"/>
<templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.28"/>
<templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.18"/>
<id root="628F5BA8-FB64-482B-AB43-B5593DEB0C04"/>
<!--(ISC11) INFO:observation[templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.6']/code-->
<code code="419511003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="propensity to adverse reactions to drug"/>
<text>
<reference value="#ALGSUMMARY_2"/>
</text>
<!--(ISC15) WARNING:statusCode:-->
<statusCode code="completed"/>
<!--(ISC6) REQUIRED:effectiveTime:xsi:type='IVL_TS'-->
<effectiveTime xsi:type="IVL_TS">
<low value="19980101"/>
</effectiveTime>
<value code="70618" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Allergy" xsi:type="CD">
<originalText>
<reference value="#ALGTYPE_2"/>
</originalText>
</value>
<participant typeCode="CSM">
<participantRole classCode="MANU">
<playingEntity classCode="MMAT">
<!--(ISC18) INFO:participant[typeCode='CSM']/participantRole[classCode='MANU']/playingEntity[classCode='MMAT']/code-->
<code code="1191" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" displayName="Aspirin">
<originalText>
<reference value="#ALGSUB_2"/>
</originalText>
</code>
<name>Aspirin</name>
</playingEntity>
</participantRole>
</participant>
<entryRelationship inversionInd="false" typeCode="REFR">
<observation classCode="OBS" moodCode="EVN">
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<code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
<text>
<reference value="#ALGSTATUS_2"/>
</text>
<!--(ISC15) WARNING:statusCode:-->
<statusCode code="completed"/>
<!--(ISC16) INFO:observation[templateId='1.3.6.1.4.1.19376.1.5.3.1.4.1.1']/value:-->
<value code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" xsi:type="CE"/>
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</entryRelationship>
<entryRelationship inversionInd="true" typeCode="MFST">
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<templateId root="2.16.840.1.113883.10.20.1.54"/>
<templateId root="2.16.840.1.113883.10.20.1.28"/>
<!--(ISC4) INFO:id:root-->
<id root="8C8DBA00-3EDD-4B3C-9C53-D3B345883E04"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<!--(ISC15) WARNING:statusCode:-->
<statusCode code="completed"/>
<!--(ISC6) REQUIRED:effectiveTime:xsi:type='IVL_TS'-->
<effectiveTime xsi:type="IVL_TS">
<low nullFlavor="UNK"/>
<high nullFlavor="UNK"/>
</effectiveTime>
<!--(ISC12) INFO:observation[templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.5']/value-->
<value code="272040008" codeSystem="2.16.840.1.113883.6.96" displayName="Wheezing" xsi:type="CD">
<originalText>
<reference value="#ALGREACT_2"/>
</originalText>
</value>
<entryRelationship inversionInd="true" typeCode="SUBJ">
<observation classCode="OBS" moodCode="EVN">
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<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1"/>
<code code="SEV" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7 ActCode" displayName="Severity"/>
<text>
<reference value="#ALGSEV_2"/>
</text>
<!--(ISC15) WARNING:statusCode:-->
<statusCode code="completed"/>
<!--(ISC52) INFO:entryRelationship[templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.1']/value-->
<value code="255604002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Mild" xsi:type="CD"/>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</act>
</entry>
<entry typeCode="DRIV">
<act classCode="ACT" moodCode="EVN">
<templateId assigningAuthorityName="HITSP C83" root="2.16.840.1.113883.3.88.11.83.6"/>
<templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.27"/>
<templateId assigningAuthorityName="IHE PCC" root="1.3.6.1.4.1.19376.1.5.3.1.4.5.3"/>
<templateId assigningAuthorityName="IHE PCC" root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1"/>
<!--(ISC4) INFO:id:root-->
<id root="c3df3b61-7b18-11db-9fe1-0800200c9a66"/>
<code nullFlavor="NA"/>
<!--(ISC15) WARNING:act[templateId='1.3.6.1.4.1.19376.1.5.3.1.4.5.3']/statusCode:-->
<statusCode code="completed"/>
<!--(ISC6) REQUIRED:effectiveTime:xsi:type='IVL_TS'-->
<effectiveTime xsi:type="IVL_TS">
<low value="20051201"/>
<high nullFlavor="UNK"/>
</effectiveTime>
<!--(ISC14) INFO:act[templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.5.3']/author-->
<author typeCode="AUT">
<time value="19990110000000-0300"/>
<assignedAuthor classCode="ASSIGNED">
<id extension="BOMBAY" root="2.16.840.1.113883.3.86.3"/>
<addr use="WP">
<streetAddressLine>22 Massachusetts Ave</streetAddressLine>
<streetAddressLine>Suite 500</streetAddressLine>
<city>Cambridge</city>
<state>MA</state>
<postalCode>02142-1356</postalCode>
</addr>
<telecom use="WP" value="tel:+1-617-225-3133"/>
<assignedPerson>
<name>
<prefix>Dr.</prefix>
<given>Bom</given>
<family>Bay</family>
</name>
</assignedPerson>
<!--(ISC5) INFO:representedOrganization-->
<representedOrganization>
<id root="2.16.840.1.113883.3.86.3"/>
<name>InterSystems-HealthShare</name>
<telecom use="WP" value="tel:+1-617-225-3133"/>
<addr use="WP">
<streetAddressLine>1 Memorial Drive</streetAddressLine>
<city>Cambridge</city>
<state>MA</state>
<postalCode>02142-1356</postalCode>
</addr>
<asOrganizationPartOf>
<effectiveTime nullFlavor="UNK"/>
<wholeOrganization>
<id root="2.16.840.1.113883.3.86"/>
<name>InterSystems</name>
<telecom use="WP" value="tel:(617) 621-0600"/>
<addr use="WP">
<streetAddressLine>One Memorial Drive</streetAddressLine>
<city>Cambridge</city>
<state>MA</state>
<postalCode>02142</postalCode>
<country>USA</country>
</addr>
</wholeOrganization>
</asOrganizationPartOf>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship inversionInd="false" typeCode="SUBJ">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.1.18"/>
<templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.28"/>
<templateId assigningAuthorityName="IHE PCC" root="1.3.6.1.4.1.19376.1.5.3.1.4.5"/>
<templateId assigningAuthorityName="IHE PCC" root="1.3.6.1.4.1.19376.1.5.3.1.4.6"/>
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<id root="c3df3b60-7b18-11db-9fe1-0800200c9a66"/>
<!--(ISC11) INFO:observation[templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.6']/code-->
<code code="59037007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="drug intolerance"/>
<text>
<reference value="#ALGSUMMARY_3"/>
</text>
<statusCode code="completed"/>
<!--(ISC6) REQUIRED:effectiveTime:xsi:type='IVL_TS'-->
<effectiveTime xsi:type="IVL_TS">
<low value="20051201"/>
</effectiveTime>
<value code="70618" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Allergy" xsi:type="CD">
<originalText>
<reference value="#ALGTYPE_3"/>
</originalText>
</value>
<participant typeCode="CSM">
<participantRole classCode="MANU">
<addr nullFlavor="UNK"/>
<telecom nullFlavor="UNK"/>
<playingEntity classCode="MMAT">
<!--(ISC18) INFO:participant[typeCode='CSM']/participantRole[classCode='MANU']/playingEntity[classCode='MMAT']/code-->
<code code="2670" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" displayName="Codeine">
<originalText>
<reference value="#ALGSUB_3"/>
</originalText>
</code>
<name>Codeine</name>
</playingEntity>
</participantRole>
</participant>
<entryRelationship inversionInd="false" typeCode="REFR">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.1.57"/>
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<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1.1"/>
<code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
<text>
<reference value="#ALGSTATUS_3"/>
</text>
<!--(ISC15) WARNING:statusCode:-->
<statusCode code="completed"/>
<!--(ISC16) INFO:observation[templateId='1.3.6.1.4.1.19376.1.5.3.1.4.1.1']/value:-->
<value code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" xsi:type="CE"/>
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</entryRelationship>
<entryRelationship inversionInd="true" typeCode="MFST">
<observation classCode="OBS" moodCode="EVN">
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<templateId root="2.16.840.1.113883.10.20.1.54"/>
<templateId root="2.16.840.1.113883.10.20.1.28"/>
<id nullFlavor="UNK"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<text nullFlavor="UNK"/>
<statusCode code="completed"/>
<!--(ISC6) REQUIRED:effectiveTime:xsi:type='IVL_TS'-->
<effectiveTime xsi:type="IVL_TS">
<low nullFlavor="UNK"/>
<high nullFlavor="UNK"/>
</effectiveTime>
<!--(ISC12) INFO:observation[templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.5']/value-->
<value code="73879007" codeSystem="2.16.840.1.113883.6.96" displayName="Nausea" xsi:type="CD">
<originalText>
<reference value="#ALGREACT_3"/>
</originalText>
</value>
</observation>
</entryRelationship>
<entryRelationship inversionInd="true" typeCode="SUBJ">
<observation classCode="OBS" moodCode="EVN">
<templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.55"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.1"/>
<code code="SEV" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7 ActCode" displayName="Severity"/>
<text>
<reference value="#ALGSEV_3"/>
</text>
<statusCode code="completed"/>
<!--(ISC52) INFO:entryRelationship[templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.1']/value-->
<value code="255604002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Mild" xsi:type="CD"/>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</act>
</entry>
</section>
</component>
<!--End Allergies and Adverse Reactions Section-->
<!--Begin Problems Section-->
<!--SXJ: modified TEXT but not entries for demo-->
<component>
<section>
<templateId assigningAuthorityName="HITSP/C83" root="2.16.840.1.113883.3.88.11.83.103"/>
<templateId assigningAuthorityName="IHE PCC" root="1.3.6.1.4.1.19376.1.5.3.1.3.6"/>
<templateId assigningAuthorityName="HL7 CCD" root="2.16.840.1.113883.10.20.1.11"/>
<code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem list"/>
<title>Problems</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Problem</th>
<th>Effective Dates</th>
<th>Problem Status</th>
</tr>
</thead>
<tbody>
<tr ID="PROBSUMMARY_1">
<td ID="PROBKIND_1">Referred Otalgia</td>
<td>2021</td>
<td ID="PROBSTATUS_1">Active</td>
</tr>
<tr ID="PROBSUMMARY_2">
<td ID="PROBKIND_2">Contact dermatitis due to nickel</td>
<td>Jan 1998</td>
<td ID="PROBSTATUS_2">Resolved</td>
</tr>
<tr ID="PROBSUMMARY_3">
<td ID="PROBKIND_3">Hypertension</td>
<td>2017</td>
<td ID="PROBSTATUS_3">Active</td>
</tr>
<tr ID="PROBSUMMARY_4">
<td ID="PROBKIND_4">CKD</td>
<td>2022</td>
<td ID="PROBSTATUS_4">Active</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<act classCode="ACT" moodCode="EVN">
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<templateId assigningAuthorityName="IHE PCC" root="1.3.6.1.4.1.19376.1.5.3.1.4.5.2"/>
<id root="6a2fa88d-4174-4909-aece-db44b60a3abb"/>
<code nullFlavor="NA"/>
<statusCode code="completed"/>
<!--(ISC6) REQUIRED:effectiveTime:xsi:type='IVL_TS'-->
<!--(ISC45) INFO:act[templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.5.2']/effectiveTime-->
<effectiveTime xsi:type="IVL_TS">
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<!--(ISC46) INFO:templateId[@root='1.3.6.1.4.1.19376.1.5.3.1.4.5.2']/author-->
<author typeCode="AUT">
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