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<?xml version="1.0" encoding="UTF-8"?>
<?xml-stylesheet type="text/xsl" href="CDA.xsl"?>
<ClinicalDocument
xmlns="urn:hl7-org:v3"
xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xmlns:voc="urn:hl7-org:v3/voc"
xmlns:sdtc="urn:hl7-org:sdtc">
<realmCode code="US" />
<typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3" />
<templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2015-08-01" />
<templateId root="2.16.840.1.113883.10.20.22.1.1" />
<templateId root="2.16.840.1.113883.10.20.22.1.2" extension="2015-08-01" />
<templateId root="2.16.840.1.113883.10.20.22.1.2" />
<id root="978a95c6-248e-49d1-b5dd-7c13282bd938" />
<code code="34133-9" displayName="Summarization of Episode Note"
codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
<title>Medical Summary</title>
<effectiveTime value="20250101000000-0500" />
<languageCode code="en-US" />
<recordTarget>
<patientRole>
<id root="d7830f15-e2c8-4cee-aa2d-a24b36080d53" />
<id extension="111223333" root="2.16.840.1.113883.4.1" />
<telecom nullFlavor="UNK" />
<addr nullFlavor="UNK" />
<patient>
<name use="L">
<given>Katherine</given>
<family>Madison</family>
</name>
<raceCode nullFlavor="UNK"/>
<ethnicGroupCode nullFlavor="UNK"/>
</patient>
</patientRole>
</recordTarget>
<component>
<structuredBody>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09" />
<code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="HISTORY OF PROCEDURES" />
<title>Procedures</title>
<text>
<table>
<thead>
<tr>
<th>Description</th>
<th>Date and Time (Range)</th>
<th>Status</th>
</tr>
</thead>
<tbody>
<tr ID="Procedure2">
<td ID="ProcedureDesc2">Electrocardiogram (12-Lead)</td>
<td>29 Mar 2014 09:15am</td>
<td>Completed</td>
</tr>
</tbody>
</table>
</text>
<entry>
<!-- Observations should be used for care that result in information about
the patient (e.g. a diagnostic test & result) but do not alter physical
state-->
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.13" />
<templateId root="2.16.840.1.113883.10.20.22.4.13"
extension="2014-06-09" />
<id root="c03e5445-af1b-4911-a419-e2782f21448c" />
<code code="268400002" codeSystem="2.16.840.1.113883.6.96"
displayName="12 lead electrocardiogram" codeSystemName="SNOMED CT">
</code>
<text>
<reference value="#Procedure2" />
</text>
<statusCode code="completed" />
<effectiveTime value="20140329091522-0500" />
<!-- When choosing an observation, value records relevant findings-->
<value xsi:type="CD" code="251135002"
codeSystem="2.16.840.1.113883.6.96"
displayName="Borderline normal electrocardiogram"
codeSystemName="SNOMED CT" />
</observation>
</entry>
</section>
</component>
</structuredBody>
</component>
</ClinicalDocument>