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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" />
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<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" />
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<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>
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<section>
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<code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="Vital signs" />
<title>Vital Signs (Last Filed)</title>
<text>
<table>
<thead>
<tr>
<th>Date</th>
<th>Blood Pressure</th>
<th>Pulse</th>
<th>Temperature</th>
<th>Respiratory Rate</th>
<th>Height</th>
<th>Weight</th>
<th>BMI</th>
<th>SpO2</th>
</tr>
</thead>
<tbody>
<tr>
<td>05/20/2014 7:36pm</td>
<!-- You can consolidate Systolic and Diastolic in human view if
desired but should retain separate references-->
<td>
<content ID="SystolicBP_1">120</content>/<content
ID="DiastolicBP_1">80</content>mm[Hg] </td>
<td ID="Pulse_1">80 /min</td>
<td ID="Temp_1">37.2 C</td>
<td ID="RespRate_1">18 /min</td>
<td ID="Height_1">170.2 cm</td>
<td ID="Weight_1">108.8 kg</td>
<td ID="BMI_1">37.58 kg/m2</td>
<td ID="SPO2_1">98%</td>
</tr>
</tbody>
</table>
</text>
<entry>
<!-- When a set of vital signs are recorded together, include them in single
clustered organizer-->
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codeSystemName="SNOMED CT">
</code>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<!-- Each vital sign should be its own component. Note that systolic and
diastolic BP must be separate components-->
<component>
<observation classCode="OBS" moodCode="EVN">
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codeSystemName="LOINC"
displayName="Systolic blood pressure" />
<text>
<!-- This reference identifies content in human readable
formatted text-->
<reference value="#SystolicBP_1" />
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<!-- Example of Value with UCUM unit. Note that metric units
used in this example-->
<value xsi:type="PQ" value="120" unit="mm[Hg]" />
<!-- Additional information of interpretation and/or reference
range may be included but are optional-->
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
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codeSystemName="LOINC"
displayName="Diastolic blood pressure" />
<text>
<reference value="#DiastolicBP_1" />
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="80" unit="mm[Hg]" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
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<code code="8867-4" codeSystem="2.16.840.1.113883.6.1"
codeSystemName="LOINC"
displayName="Heart rate" />
<text>
<reference value="#Pulse_1" />
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="80" unit="/min" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
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<code code="8310-5" codeSystem="2.16.840.1.113883.6.1"
codeSystemName="LOINC"
displayName="Body temperature" />
<text>
<reference value="#Temp_1" />
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="37.2" unit="Cel" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
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<code code="9279-1" codeSystem="2.16.840.1.113883.6.1"
codeSystemName="LOINC"
displayName="Respiratory rate" />
<text>
<reference value="#RespRate_1" />
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="18" unit="/min" />
</observation>
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<component>
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<text>
<reference value="#Height_1" />
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="170.2" unit="cm" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
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<id root="2594e631-2189-4e72-9dd1-d6769ee2a7be" />
<code code="29463-7" codeSystem="2.16.840.1.113883.6.1"
codeSystemName="LOINC"
displayName="Body weight" />
<text>
<reference value="#Weight_1" />
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="108.863" unit="kg" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
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<code code="39156-5" codeSystem="2.16.840.1.113883.6.1"
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displayName="Body mass index (BMI) [Ratio]" />
<text>
<reference value="#BMI_1" />
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="37.58" unit="kg/m2" />
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
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<code code="2710-2" codeSystem="2.16.840.1.113883.6.1"
codeSystemName="LOINC"
displayName="OXYGEN SATURATION" />
<text>
<reference value="#SPO2_1" />
</text>
<statusCode code="completed" />
<effectiveTime value="20140520193605-0500" />
<value xsi:type="PQ" value="98" unit="%" />
</observation>
</component>
</organizer>
</entry>
</section>
</component>
</structuredBody>
</component>
</ClinicalDocument>