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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="3db70aff-83f5-4caf-91dc-d23fcc5e03bb"/>
<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 root="2.16.840.1.113883.4.1" extension="111223333"/>
<addr nullFlavor="UNK"/>
<telecom nullFlavor="UNK"/>
<patient>
<name use="L">
<family>Madison</family>
<given>Katherine</given>
</name>
</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" displayName="HISTORY OF PROCEDURES" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
<title>Procedures</title>
<text>
<table>
<thead>
<tr>
<th>Description</th>
<th>Date and Time (Range)</th>
<th>Status</th>
</tr>
</thead>
<tbody>
<tr ID="Procedure1">
<td ID="ProcedureDesc1">Laparoscopic appendectomy</td>
<td>(03 Feb 2014 09:22am- 03 Feb 2014 11:15am)</td>
<td>Completed</td>
</tr>
</tbody>
</table>
</text>
<entry>
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.14"/>
<templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/>
<id root="64af26d5-88ef-4169-ba16-c6ef16a1824f"/>
<code code="6025007" displayName="Laparoscopic appendectomy" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<statusCode code="completed"/>
<effectiveTime xsi:type="IVL_TS">
<low value="20140203092205-0700"/>
<high value="20140203111514-0700"/>
</effectiveTime>
<text>
<reference value="#Procedure1"/>
</text>
<targetSiteCode code="181255000" displayName="Entire appendix" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
</procedure>
</entry>
</section>
</component>
</structuredBody>
</component>
</ClinicalDocument>