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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 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="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>
<!-- Procedures should be used for care that directly changes the patient's
physical state.-->
<procedure moodCode="EVN" classCode="PROC">
<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">
</code>
<text>
<reference value="#Procedure1" />
</text>
<statusCode code="completed" />
<!-- Effective times can be either a value or interval. For procedures
with start and stop times, an interval would be more appropriate -->
<effectiveTime>
<low value="20140203092205-0700" />
<high value="20140203111514-0700" />
</effectiveTime>
<!-- methodCode indicates how the procedure was performed. It cannot
conflict with the code used for procedure-->
<!--
<methodCode code="51316009" codeSystem="2.16.840.1.113883.6.96"
displayName="Laparoscopic procedure" codeSystemName="SNOMED CT" />
-->
<!-- targetSiteCode indicates the body site addressed by procedure and
must be from value set 2.16.840.1.113883.3.88.12.3221.8.9-->
<targetSiteCode code="181255000" codeSystem="2.16.840.1.113883.6.96"
displayName="Entire appendix" codeSystemName="SNOMED CT" />
</procedure>
</entry>
</section>
</component>
</structuredBody>
</component>
</ClinicalDocument>