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ProcedureSectionActEntry.xml4.03 kB
<?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="Procedure3"> <td ID="ProcedureDesc3">Individual Counseling For Medical Nutrition </td> <td>29 Mar 2014 10:45am</td> <td>Completed</td> </tr> </tbody> </table> </text> <entry> <!-- Act should be used for care of the patient that cannot be classified as a procedure or observation (e.g. wound dressing change, counseling) --> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.22.4.12" /> <templateId root="2.16.840.1.113883.10.20.22.4.12" extension="2014-06-09" /> <id root="9c0f070c-2e9e-4be1-a5b5-ff6d0f68123c" /> <code code="61310001" codeSystem="2.16.840.1.113883.6.96" displayName="Nutrition education" codeSystemName="SNOMED CT"> </code> <text> <reference value="#Procedure3" /> </text> <statusCode code="completed" /> <effectiveTime value="20140329104513-0500" /> </act> </entry> </section> </component> </structuredBody> </component> </ClinicalDocument>

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