<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:cda="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 ../../schema/infrastructure/cda/CDA_SDTC.xsd">
  <!--         ********************************************************         CDA HEADER         ********************************************************     -->
  <realmCode code="US" />
  <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3" />
  <!-- [C-CDA R2] US Realm Header Template -->
  <templateId extension="2014-06-09" root="2.16.840.1.113883.10.20.22.1.1" />
  <!-- [NHCS R1D1.1] National Health Care Surveys Document (V2) -->
  <templateId extension="2015-04-01" root="2.16.840.1.113883.10.20.34.1.1" />
  <!-- [NHCS R1SDU1.2] Out-Patient Encounter (NHCS-OPD, NAMCS, NHAMCS-OPD) (V3) -->
  <templateId extension="2016-07-01" root="2.16.840.1.113883.10.20.34.1.3" />
  <!-- Id shall be a globally unique identifier -->
  <id root="688ca96e-5650-4acd-987f-067ac5bc17a8" />
  <code code="75619-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="National Ambulatory Medical Care Survey" />
  <!-- Title of this document -->
  <title>Client - qa_8200trunk: National Ambulatory Medical Care Survey: Out-Patient Encounter (NHCS-OPD, NAMCS, NHAMCS-OPD) for Cert BugTest1</title>
  <effectiveTime value="20180323022415" />
  <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" codeSystemName="Confidentiality" />
  <languageCode code="en-US" />
  <!-- Document version tracking (use setId and versionNumber) -->
  <setId root="b419a183-9fa7-44cc-8039-44a8d2cdd0ac" />
  <versionNumber value="1" />
  <recordTarget>
    <patientRole>
      <!-- The extension is patient-specific whereas the root is organization-specific. -->
      <!-- Patient Medical Record Number -->
      <id root="2.16.840.1.113883.19" extension="HTR10000390" />
      <!-- Patient's SSN -->
      <id nullFlavor="NI" root="2.16.840.1.113883.4.1" />
      <!-- Patient's Medicare HIC Number -->
      <id nullFlavor="NI" root="2.16.840.1.113883.4.572" />
      <addr use="H">
        <streetAddressLine nullFlavor="UNK">
        </streetAddressLine>
        <city nullFlavor="UNK">
        </city>
        <state>MO</state>
        <postalCode nullFlavor="UNK">
        </postalCode>
        <country>United States</country>
      </addr>
      <addr use="H">
        <streetAddressLine nullFlavor="UNK">
        </streetAddressLine>
        <city nullFlavor="UNK">
        </city>
        <state>MO</state>
        <postalCode nullFlavor="UNK">
        </postalCode>
        <country>United States</country>
      </addr>
      <addr use="WP">
        <streetAddressLine nullFlavor="UNK">
        </streetAddressLine>
        <city nullFlavor="UNK">
        </city>
        <state>MO</state>
        <postalCode nullFlavor="UNK">
        </postalCode>
        <country nullFlavor="UNK">
        </country>
      </addr>
      <telecom nullFlavor="NI" />
      <patient>
        <name use="L">
          <given>Cert</given>
          <given nullFlavor="UNK">
          </given>
          <family>BugTest1</family>
          <suffix nullFlavor="UNK">
          </suffix>
        </name>
        <!-- Sex -->
        <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1" displayName="Male" />
        <!-- Date of Birth -->
        <birthTime value="19910101" />
        <!-- Patient Marital Status -->
        <maritalStatusCode nullFlavor="UNK" />
        <!-- Race -->
        <raceCode code="2106-3" displayName="White" codeSystemName="Race and Ethnicity - CDC" codeSystem="2.16.840.1.113883.6.238">
          <originalText>White</originalText>
        </raceCode>
        <!-- Ethnicity -->
        <ethnicGroupCode nullFlavor="UNK">
          <originalText>Unknown</originalText>
        </ethnicGroupCode>
        <languageCommunication>
          <languageCode nullFlavor="NI" />
        </languageCommunication>
      </patient>
    </patientRole>
  </recordTarget>
  <author>
    <time value="20180323022414" />
    <assignedAuthor>
      <id extension="1234567851" root="2.16.840.1.113883.4.6" />
      <code codeSystemName="Health Care Provider Taxonomy" codeSystem="2.16.840.1.113883.5.53" displayName="Vascular &amp; Interventional Radiology" code="2085R0204X" />
      <addr use="WP">
        <streetAddressLine>Client Addressss Added by Adesh</streetAddressLine>
        <city>Springfield</city>
        <state>MO</state>
        <postalCode>98439-8439</postalCode>
        <country>US</country>
      </addr>
      <telecom value="tel:(234)328-4000" use="WP" />
      <assignedPerson>
        <name use="L">
          <given>UroChart</given>
          <family>IMS</family>
        </name>
      </assignedPerson>
    </assignedAuthor>
  </author>
  <custodian>
    <assignedCustodian>
      <representedCustodianOrganization>
        <id extension="1234567893" root="2.16.840.1.113883.4.6" />
        <name>Client - qa_8200trunk</name>
        <telecom value="tel:(234)328-4000" use="WP" />
        <addr use="WP">
          <streetAddressLine>Client Addressss Added by Adesh</streetAddressLine>
          <city>Springfield</city>
          <state>MO</state>
          <postalCode>98439-8439</postalCode>
          <country>US</country>
        </addr>
      </representedCustodianOrganization>
    </assignedCustodian>
  </custodian>
  <documentationOf typeCode="DOC">
    <serviceEvent classCode="PCPR">
      <effectiveTime>
        <low value="20180319162651" />
      </effectiveTime>
      <performer typeCode="PRF">
        <assignedEntity>
          <id extension="1234567851" root="2.16.840.1.113883.4.6" />
          <code codeSystemName="Healthcare Provider Taxonomy (HIPAA)" codeSystem="2.16.840.1.113883.5.53" displayName="Vascular &amp; Interventional Radiology" code="2085R0204X" />
        </assignedEntity>
      </performer>
    </serviceEvent>
  </documentationOf>
  <componentOf>
    <encompassingEncounter>
      <id root="369ca775-0735-4a3f-b711-00283fc6c999" />
      <code code="AMB" displayName="Ambulatory (outpatient)" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode" />
      <effectiveTime>
        <low value="20180319162651" />
        <high value="20180319164151" />
      </effectiveTime>
      <!-- Discharge Disposition -->
      <dischargeDispositionCode code="UNK" displayName="Unknown" codeSystem="2.16.840.1.113883.5.1008" codeSystemName="NullFlavor" />
      <!-- Type of clinic/location where visit occurred -->
      <location>
        <healthCareFacility>
          <code displayName="Surgery clinic" code="1143-7" codeSystem="2.16.840.1.113883.6.259" codeSystemName="HL7 HealthcareServiceLocation" />
        </healthCareFacility>
      </location>
    </encompassingEncounter>
  </componentOf>
  <component>
    <structuredBody classCode="DOCBODY" moodCode="EVN">
      <component>
        <section>
          <!-- [C-CDA R2] Social History Section (V2) -->
          <templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2014-06-09" />
          <!-- [NHCS R1D1.2] Patient Information Section (V3) -->
          <templateId root="2.16.840.1.113883.10.20.34.2.5" extension="2016-07-01" />
          <code code="29762-2" codeSystem="2.16.840.1.113883.6.1" displayName="Social History" />
          <title>Patient Information</title>
          <text>
            <table width="100%" border="1">
              <thead>
                <tr>
                  <th>Patient's Residence Type</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td>No Information</td>
                </tr>
              </tbody>
            </table>
            <table width="100%" border="1">
              <thead>
                <tr>
                  <th>Current Smoking Status</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td>Tobacco smoking consumption unknown (finding) - 266927001 (SNOMED CT)</td>
                </tr>
              </tbody>
            </table>
          </text>
          <entry>
            <observation classCode="OBS" moodCode="EVN">
              <!-- [NHCS R1D1] Patient Residence Observation -->
              <templateId root="2.16.840.1.113883.10.20.34.3.25" />
              <id root="2270cf6f-e133-4a21-9a73-b62c11b09093" />
              <code code="75617-1" displayName="Residence" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
              <statusCode code="completed" />
              <!-- Patient Residence -->
              <value nullFlavor="NI" xsi:type="CD" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
            </observation>
          </entry>
          <entry>
            <observation classCode="OBS" moodCode="EVN">
              <!-- [C-CDA R2] Smoking Status - Meaningful Use (V2) -->
              <templateId root="2.16.840.1.113883.10.20.22.4.78" extension="2014-06-09" />
              <id root="434f70a4-81c1-423c-ac96-a3044ed73af6" />
              <code code="72166-2" codeSystem="2.16.840.1.113883.6.1" displayName="Tobacco smoking status NHIS" />
              <statusCode code="completed" />
              <!-- The effectiveTime reflects when the current smoking status was observed. -->
              <effectiveTime value="20180319" />
              <!-- The value represents the patient's smoking status currently observed. -->
              <value code="266927001" displayName="Tobacco smoking consumption unknown (finding)" xsi:type="CD" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
            </observation>
          </entry>
        </section>
      </component>
      <component>
        <!--                     ********************************************************                     Payment Sources Section                     ********************************************************                 -->
        <section>
          <!-- [C-CDA R2] Payers Section (V2) -->
          <templateId root="2.16.840.1.113883.10.20.22.2.18" extension="2014-06-09" />
          <!-- [NHCS R1D1] Payment Sources Section -->
          <templateId root="2.16.840.1.113883.10.20.34.2.4" />
          <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payers" />
          <title>Payment Sources Section</title>
          <text>
            <table border="1" width="25%">
              <thead>
                <tr>
                  <th>Expected Source(s) of Payment for this Visit</th>
                  <th>Payment Source Code (Source of Payment Typology (PHDSC))</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td>Unavailable / No Payer Specified / Blank</td>
                  <td>9999</td>
                </tr>
              </tbody>
            </table>
          </text>
          <entry>
            <!-- Expected source of payment for this visit -->
            <act classCode="ACT" moodCode="INT">
              <!-- [C-CDA R2] Planned Coverage -->
              <templateId root="2.16.840.1.113883.10.20.22.4.129" />
              <id root="2e2b096e-856b-4c42-ac0a-9a729967748f" />
              <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment Sources" />
              <statusCode code="active" />
              <entryRelationship typeCode="COMP">
                <act classCode="ACT" moodCode="INT">
                  <!-- These act/identifiers are unique identifiers for the policy                                         or program providing the coverage. -->
                  <id nullFlavor="NI" />
                  <code code="9999" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="Source of Payment Typology" displayName="Unavailable / No Payer Specified / Blank" />
                  <statusCode code="active" />
                </act>
              </entryRelationship>
            </act>
          </entry>
        </section>
      </component>
      <!-- Vital Signs Section (entries required) -->
      <component>
        <!-- nullFlavor of NI indicates No Information.-->
        <section nullFlavor="NI">
          <templateId root="2.16.840.1.113883.10.20.22.2.4" extension="2014-06-09" />
          <templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2014-06-09" />
          <!-- Vital Signs (entries required) -->
          <code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital Signs" />
          <title>Vital Signs</title>
          <text>
            <paragraph>No Information. Vital signs not taken</paragraph>
          </text>
        </section>
      </component>
      <component>
        <section>
          <!-- [NHCS R1D1.2] Reasons for Visit Section (V2) -->
          <templateId root="2.16.840.1.113883.10.20.34.2.14" extension="2016-07-01" />
          <code code="46239-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Chief Complaint and Reason for Visit" />
          <title>Reasons for Visit</title>
          <text>
            <table width="100%" border="1">
              <thead>
                <tr>
                  <th>Patient's Reason for Visit (Chief Complaint)</th>
                  <th>Provider's Reason for Visit</th>
                  <th>Other Diagnosis Codes</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td rowspan="1">
                  </td>
                  <td>Primary malignant neoplasm of prostate (disorder)-93974005(SNOMED CT)</td>
                  <td>Malignant neoplasm of prostate-C61(ICD10CM)<br />Prostate Cancer-185(ICD9CM)</td>
                </tr>
              </tbody>
            </table>
          </text>
          <entry>
            <observation classCode="OBS" moodCode="EVN">
              <!-- [C-CDA R2] R2 Problem Observation (V2) -->
              <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2014-06-09" />
              <!-- [NHCS R1D1.1] Patient's Reason for Visit -->
              <templateId root="2.16.840.1.113883.10.20.34.3.41" extension="2015-04-01" />
              <id root="04383199-f483-41c7-b75a-f1201e0a3d8f" />
              <code code="75322-8" displayName="Complaint" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
              <statusCode code="completed" />
              <effectiveTime>
                <low value="20180110" />
              </effectiveTime>
              <value displayName="Primary malignant neoplasm of prostate (disorder)" code="93974005" xsi:type="CD" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
                <translation displayName="Malignant neoplasm of prostate" code="C61" codeSystem="2.16.840.1.113883.6.90" codeSystemName="ICD-10-CM" />
                <translation displayName="Prostate Cancer" code="13968" codeSystem="2.16.840.1.113883.6.103" codeSystemName="ICD-9-CM" />
              </value>
            </observation>
          </entry>
        </section>
      </component>
      <component>
        <!--         ********************************************************         Outpatient Encounters Section (V2)        ********************************************************         -->
        <section>
          <!-- [C-CDA R2] Encounters Section (entries optional) (V2) -->
          <templateId root="2.16.840.1.113883.10.20.22.2.22" extension="2014-06-09" />
          <!-- [NHCS R1D1.2] Outpatient Encounters Section (V3) -->
          <templateId root="2.16.840.1.113883.10.20.34.2.8" extension="2016-07-01" />
          <code code="46240-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of encounters" />
          <title>Outpatient Encounters</title>
          <text>
            <table border="1" width="100%">
              <thead>
                <tr>
                  <th>Major Reason for Visit</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td>No Information</td>
                </tr>
              </tbody>
            </table>
            <table border="1" width="100%">
              <thead>
                <tr>
                  <th>New Patient</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td>No</td>
                </tr>
              </tbody>
            </table>
            <table border="1" width="100%">
              <thead>
                <tr>
                  <th>Number of Visits in the Past 12 Months</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td>2</td>
                </tr>
              </tbody>
            </table>
            <table border="1" width="100%">
              <thead>
                <tr>
                  <th>Initial or Follow-up Visit</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td>No Information</td>
                </tr>
              </tbody>
            </table>
            <table border="1" width="100%">
              <thead>
                <tr>
                  <th>Clinician's Notes / Was Patient Referred</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td>No Information</td>
                </tr>
              </tbody>
            </table>
          </text>
          <!-- Current Outpatient Visit -->
          <entry>
            <encounter classCode="ENC" moodCode="EVN">
              <!-- [C-CDA R2] R2 Encounter Activity (V2) -->
              <templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2014-06-09" />
              <!-- [NHCS R1D1.2] Current Outpatient Visit (V3) -->
              <templateId root="2.16.840.1.113883.10.20.34.3.10" extension="2016-07-01" />
              <!-- This id is the same as the encompassingEncounter id -->
              <id root="369ca775-0735-4a3f-b711-00283fc6c999" />
              <code code="AMB" displayName="Ambulatory (outpatient)" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode" />
              <effectiveTime>
                <!-- Date of Visit -->
                <low value="20180319" />
              </effectiveTime>
              <entryRelationship typeCode="RSON">
                <!-- Major Reason for Visit -->
                <observation classCode="OBS" moodCode="EVN">
                  <!-- [C-CDA R2] R2 Indication (V2) -->
                  <templateId root="2.16.840.1.113883.10.20.22.4.19" extension="2014-06-09" />
                  <!-- [NHCS R1D1] Major Reason for Visit -->
                  <templateId root="2.16.840.1.113883.10.20.34.3.7" />
                  <id root="a1ea817b-df03-42a4-aa9a-c0669acaadf8" />
                  <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />
                  <statusCode code="completed" />
                  <value nullFlavor="NI" xsi:type="CD" codeSystem="2.16.840.1.114222.4.5.274" codeSystemName="PHIN VS (CDC Local Coding System)" />
                </observation>
              </entryRelationship>
              <!-- Clearly a patient can't both be new and have visits in the past                                     12 months. This is for XML sample file illustration purposes only -->
              <entryRelationship typeCode="REFR">
                <observation classCode="OBS" moodCode="EVN">
                  <!-- [NHCS R1D1] Number of Visits in the Last 12 Months -->
                  <templateId root="2.16.840.1.113883.10.20.34.3.26" />
                  <id root="2bd72f8c-864f-417d-b9a6-05936faacb52" />
                  <code code="75612-2" displayName="Number of visits to this healthcare entity in the last 12MO" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                  <statusCode code="completed" />
                  <!-- Number of Past Visits in the Last 12 Months -->
                  <value xsi:type="INT" value="2" />
                </observation>
              </entryRelationship>
              <entryRelationship typeCode="REFR">
                <observation classCode="OBS" moodCode="EVN">
                  <!-- [NHCS R1D1.1] Episode of Care Observation (V2) -->
                  <templateId root="2.16.840.1.113883.10.20.34.3.32" extension="2015-04-01" />
                  <id root="94cb9221-c26c-40dc-823e-471348e7d73d" />
                  <!-- Episode of Care -->
                  <code code="78030-4" displayName="Episode of care" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                  <statusCode code="completed" />
                  <!-- Initial or follow-up visit? -->
                  <value nullFlavor="NI" xsi:type="CD" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
                </observation>
              </entryRelationship>
              <entryRelationship typeCode="REFR">
                <observation classCode="OBS" moodCode="EVN">
                  <!-- [NHCS R1D1.1] Procedure Follow-Up Attempt -->
                  <templateId root="2.16.840.1.113883.10.20.34.3.42" extension="2015-04-01" />
                  <id root="ecbec7b7-7fc0-47b2-85b5-39778319b8fb" />
                  <!-- Follow-up attempt -->
                  <code code="78027-0" displayName="Follow-up attempt made within 24-hours after surgery" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                  <statusCode code="completed" />
                  <value xsi:type="BL" value="true" />
                  <entryRelationship typeCode="REFR">
                    <observation classCode="OBS" moodCode="EVN">
                      <!-- [NHCS R1D1.1] Follow-Up Attempt Outcome Observation -->
                      <templateId root="2.16.840.1.113883.10.20.34.3.43" extension="2015-04-01" />
                      <id root="ecbec7b7-7fc0-47b2-85b5-39778319b8g4" />
                      <!-- Follow-up outcome -->
                      <code code="78028-8" displayName="Follow-up Outcome" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                      <statusCode code="completed" />
                      <value xsi:type="CD" code="248264000" displayName="No complaints" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
                    </observation>
                  </entryRelationship>
                </observation>
              </entryRelationship>
              <!-- Was patient referred for this visit -->
              <reference typeCode="REFR">
                <externalDocument classCode="DOC" moodCode="EVN">
                  <!-- [NHCS R1D1.2] Clinical Note and External Document Reference -->
                  <templateId root="2.16.840.1.113883.10.20.34.3.44" extension="2016-07-01" />
                  <id root="4a18443f-cea8-42cf-8a23-88ef7b95909e" />
                  <code nullFlavor="NI" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                </externalDocument>
              </reference>
            </encounter>
          </entry>
        </section>
      </component>
      <component>
        <section>
          <!-- [C-CDA R2] Medications Section (entries optional) (V2) -->
          <templateId root="2.16.840.1.113883.10.20.22.2.1" extension="2014-06-09" />
          <!-- [NHCS R1D1] Medications Section -->
          <templateId root="2.16.840.1.113883.10.20.34.2.1" />
          <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF MEDICATION USE" />
          <title>Medications</title>
          <text>
            <paragraph>No known Medications</paragraph>
          </text>
          <entry>
            <!-- Act.actionNegationInd -->
            <substanceAdministration moodCode="EVN" classCode="SBADM" negationInd="true">
              <!-- ** Medication Activity (V2) ** -->
              <templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09" />
              <id root="cdbd33f0-6cde-12db-9fe1-0800200c9a66" />
              <statusCode code="active" />
              <effectiveTime xsi:type="IVL_TS">
                <low nullFlavor="NA" />
              </effectiveTime>
              <doseQuantity nullFlavor="NA" />
              <consumable>
                <manufacturedProduct classCode="MANU">
                  <!-- ** Medication information ** -->
                  <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09" />
                  <manufacturedMaterial>
                    <code nullFlavor="OTH" codeSystem="2.16.840.1.113883.6.88">
                      <translation code="410942007" displayName="drug or medication" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" />
                    </code>
                  </manufacturedMaterial>
                </manufacturedProduct>
              </consumable>
            </substanceAdministration>
          </entry>
        </section>
      </component>
      <component xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
        <section>
          <templateId root="2.16.840.1.113883.10.20.22.2.2.1" extension="2014-06-09" />
          <!--[NHCS R1D1] Immunizations Section -->
          <templateId root="2.16.840.1.113883.10.20.34.2.7" />
          <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF MEDICATION USE" />
          <title>Immunizations</title>
          <text>
            <paragraph>No known immunization history</paragraph>
          </text>
          <entry typeCode="DRIV">
            <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="true">
              <templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2014-06-09" />
              <id root="de10790f-1496-4729-8fe6-f1b87b6219f7" />
              <statusCode code="active" />
              <effectiveTime nullFlavor="NA" />
              <routeCode nullFlavor="NA" />
              <consumable>
                <manufacturedProduct classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09" />
                  <manufacturedMaterial>
                    <code nullFlavor="OTH">
                      <translation code="71181003" displayName="vaccine" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" />
                    </code>
                    <lotNumberText nullFlavor="NA" />
                  </manufacturedMaterial>
                  <manufacturerOrganization>
                    <name nullFlavor="NA" />
                  </manufacturerOrganization>
                </manufacturedProduct>
              </consumable>
            </substanceAdministration>
          </entry>
        </section>
      </component>
      <!-- Services and Procedures Section -->
      <component>
        <section>
          <!-- [NHCS R1D1] Services and Procedures Section -->
          <templateId root="2.16.840.1.113883.10.20.34.2.3" />
          <code code="62387-6" displayName="Interventions Provided" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
          <title>Services and Procedures Section</title>
          <text>
            <paragraph>No Information </paragraph>
          </text>
        </section>
      </component>
      <component>
        <section>
          <!-- [NHCS R1D1.1] Problems Section (V3) -->
          <templateId root="2.16.840.1.113883.10.20.34.2.2" extension="2016-07-01" />
          <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PROBLEM LIST" />
          <title>Problems</title>
          <text>
            <paragraph>No Known Problems</paragraph>
          </text>
          <entry>
            <observation classCode="OBS" moodCode="EVN" negationInd="true">
              <!-- [C-CDA R2] Problem Observation (V2) -->
              <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2014-06-09" />
              <!-- [NHCS R1D1.1] Primary Diagnosis Observation (V2) -->
              <templateId root="2.16.840.1.113883.10.20.34.3.6" extension="2015-04-01" />
              <id root="f53c6ad2-e0c5-4162-8b7b-8615ef5c32ef" />
              <code code="52534-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Principal Diagnosis" />
              <!-- The statusCode reflects the status of the observation itself -->
              <statusCode code="completed" />
              <effectiveTime>
                <low nullFlavor="NI" />
              </effectiveTime>
              <value xsi:type="CD" code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
            </observation>
          </entry>
        </section>
      </component>
      <component>
        <section>
          <templateId root="2.16.840.1.113883.10.20.22.2.3" extension="2014-06-09" />
          <code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Relevant diagnositc tests and/or laboratory data" />
          <title>Laboratory Tests and Values/Results</title>
          <text>
            <table width="100%" border="1">
              <thead>
                <tr>
                  <th>Lab Test</th>
                  <th>Lab Test Date/Time</th>
                  <th>Lab Result</th>
                  <th>Result Value</th>
                  <th>Lab Result Date/Time</th>
                  <th>Code (LOINC)</th>
                  <th>Reference Range</th>
                  <th>Interpretation</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td>
                    <content ID="result11">Urinalysis : Protein [Presence] in Urine - 2887-8 (LOINC)</content>
                  </td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>Urine Glucose</td>
                  <td>25.2 mg/dL</td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>5792-7</td>
                  <td>No Information</td>
                  <td>Critical high</td>
                </tr>
                <tr>
                  <td>
                    <content ID="result12">Urinalysis : Protein [Presence] in Urine - 2887-8 (LOINC)</content>
                  </td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>Urine Leukocyte Esterase</td>
                  <td>123</td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>5799-2</td>
                  <td>No Information</td>
                  <td>Significantly low</td>
                </tr>
                <tr>
                  <td>
                    <content ID="result13">Urinalysis : Protein [Presence] in Urine - 2887-8 (LOINC)</content>
                  </td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>Urine Protein</td>
                  <td>55.5</td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>5804-0</td>
                  <td>No Information</td>
                  <td>Significantly high</td>
                </tr>
                <tr>
                  <td>
                    <content ID="result14">Urinalysis : Protein [Presence] in Urine - 2887-8 (LOINC)</content>
                  </td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>Urine Color</td>
                  <td>Yellow</td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>5778-6</td>
                  <td>No Information</td>
                  <td>Critical abnormal</td>
                </tr>
                <tr>
                  <td>
                    <content ID="result15">Urinalysis : Protein [Presence] in Urine - 2887-8 (LOINC)</content>
                  </td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>Urine Ketones</td>
                  <td>42 mg/dL</td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>5797-6</td>
                  <td>No Information</td>
                  <td>Critical low</td>
                </tr>
                <tr>
                  <td>
                    <content ID="result16">Urinalysis : Protein [Presence] in Urine - 2887-8 (LOINC)</content>
                  </td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>Urine Volume</td>
                  <td>volume</td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>3160-9</td>
                  <td>No Information</td>
                  <td>Abnormal</td>
                </tr>
                <tr>
                  <td>
                    <content ID="result17">Urinalysis : Protein [Presence] in Urine - 2887-8 (LOINC)</content>
                  </td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>Urine pH</td>
                  <td>4.5</td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>5803-2</td>
                  <td>No Information</td>
                  <td>Normal</td>
                </tr>
                <tr>
                  <td>
                    <content ID="result18">Urinalysis : Protein [Presence] in Urine - 2887-8 (LOINC)</content>
                  </td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>Urine Bacteria</td>
                  <td>bacteria</td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>25145-4</td>
                  <td>No Information</td>
                  <td>No Information</td>
                </tr>
                <tr>
                  <td>
                    <content ID="result19">Urinalysis : Protein [Presence] in Urine - 2887-8 (LOINC)</content>
                  </td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>Urine RBC/hpf</td>
                  <td>789</td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>13945-1</td>
                  <td>No Information</td>
                  <td>below low threshold</td>
                </tr>
                <tr>
                  <td>
                    <content ID="result110">Urinalysis : Protein [Presence] in Urine - 2887-8 (LOINC)</content>
                  </td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>Urine Blood</td>
                  <td>blood</td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>20409-9</td>
                  <td>No Information</td>
                  <td>Low</td>
                </tr>
                <tr>
                  <td>
                    <content ID="result111">Urinalysis : Protein [Presence] in Urine - 2887-8 (LOINC)</content>
                  </td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>Urine Microalbumin</td>
                  <td>25.30 ug/ml</td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>11218-5</td>
                  <td>No Information</td>
                  <td>No Information</td>
                </tr>
                <tr>
                  <td>
                    <content ID="result112">Urinalysis : Protein [Presence] in Urine - 2887-8 (LOINC)</content>
                  </td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>Urine Specific Gravity</td>
                  <td>gravity</td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>5811-5</td>
                  <td>No Information</td>
                  <td>High</td>
                </tr>
                <tr>
                  <td>
                    <content ID="result113">Urinalysis : Protein [Presence] in Urine - 2887-8 (LOINC)</content>
                  </td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>Urine WBC/hpf</td>
                  <td>456</td>
                  <td>20-Mar-2018 at 12:00 AM</td>
                  <td>5821-4</td>
                  <td>No Information</td>
                  <td>above high threshold</td>
                </tr>
              </tbody>
            </table>
          </text>
          <entry typeCode="DRIV">
            <organizer classCode="BATTERY" moodCode="EVN">
              <templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2014-06-09" />
              <id root="4ad827f9-be65-4cda-9229-489f6d934d0a" />
              <code code="2887-8" displayName="Protein [Presence] in Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
              <statusCode code="completed" />
              <effectiveTime>
                <low value="20180320000000" />
                <high value="20180320000000" />
              </effectiveTime>
              <component xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
                <observation classCode="OBS" moodCode="EVN">
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                  <id root="0159fd8d-08e2-4c83-a1af-eba78803d7a5" />
                  <code code="5792-7" displayName="Urine Glucose" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                  <text>
                    <reference value="#result11" />
                  </text>
                  <statusCode code="completed" />
                  <effectiveTime value="20180320000000" />
                  <value unit="mg/dL" value="25.2" xsi:type="PQ" />
                  <interpretationCode codeSystem="2.16.840.1.113883.5.83" code="HH" />
                  <referenceRange>
                    <observationRange>
                      <value xsi:type="ST">No Information</value>
                    </observationRange>
                  </referenceRange>
                </observation>
              </component>
              <component xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
                <observation classCode="OBS" moodCode="EVN">
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                  <id root="9675376c-91fc-4b89-be4c-a916a2b10822" />
                  <code code="5799-2" displayName="Urine Leukocyte Esterase" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                  <text>
                    <reference value="#result12" />
                  </text>
                  <statusCode code="completed" />
                  <effectiveTime value="20180320000000" />
                  <value value="123" xsi:type="PQ" />
                  <interpretationCode codeSystem="2.16.840.1.113883.5.83" code="L&lt;" />
                  <referenceRange>
                    <observationRange>
                      <value xsi:type="ST">No Information</value>
                    </observationRange>
                  </referenceRange>
                </observation>
              </component>
              <component xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
                <observation classCode="OBS" moodCode="EVN">
                  <templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2014-06-09" />
                  <id root="be81c485-1d8b-472e-845a-b5e4ffdbd26c" />
                  <code code="5804-0" displayName="Urine Protein" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                  <text>
                    <reference value="#result13" />
                  </text>
                  <statusCode code="completed" />
                  <effectiveTime value="20180320000000" />
                  <value value="55.5" xsi:type="PQ" />
                  <interpretationCode codeSystem="2.16.840.1.113883.5.83" code="H&gt;" />
                  <referenceRange>
                    <observationRange>
                      <value xsi:type="ST">No Information</value>
                    </observationRange>
                  </referenceRange>
                </observation>
              </component>
              <component xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
                <observation classCode="OBS" moodCode="EVN">
                  <templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2014-06-09" />
                  <id root="f3e49051-ffe6-4bbd-a7ca-1f8b0489b79f" />
                  <code code="5778-6" displayName="Urine Color" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                  <text>
                    <reference value="#result14" />
                  </text>
                  <statusCode code="completed" />
                  <effectiveTime value="20180320000000" />
                  <value xsi:type="ST">Yellow</value>
                  <interpretationCode codeSystem="2.16.840.1.113883.5.83" code="AA" />
                  <referenceRange>
                    <observationRange>
                      <value xsi:type="ST">No Information</value>
                    </observationRange>
                  </referenceRange>
                </observation>
              </component>
              <component xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
                <observation classCode="OBS" moodCode="EVN">
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                  <id root="f9f88011-8b3d-4726-b85f-e74dfe21d14e" />
                  <code code="5797-6" displayName="Urine Ketones" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                  <text>
                    <reference value="#result15" />
                  </text>
                  <statusCode code="completed" />
                  <effectiveTime value="20180320000000" />
                  <value unit="mg/dL" value="42" xsi:type="PQ" />
                  <interpretationCode codeSystem="2.16.840.1.113883.5.83" code="LL" />
                  <referenceRange>
                    <observationRange>
                      <value xsi:type="ST">No Information</value>
                    </observationRange>
                  </referenceRange>
                </observation>
              </component>
              <component xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
                <observation classCode="OBS" moodCode="EVN">
                  <templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2014-06-09" />
                  <id root="50634c2f-fa1e-48ad-8796-0b74846387f1" />
                  <code code="3160-9" displayName="Urine Volume" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                  <text>
                    <reference value="#result16" />
                  </text>
                  <statusCode code="completed" />
                  <effectiveTime value="20180320000000" />
                  <value xsi:type="ST">volume</value>
                  <interpretationCode codeSystem="2.16.840.1.113883.5.83" code="A" />
                  <referenceRange>
                    <observationRange>
                      <value xsi:type="ST">No Information</value>
                    </observationRange>
                  </referenceRange>
                </observation>
              </component>
              <component xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
                <observation classCode="OBS" moodCode="EVN">
                  <templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2014-06-09" />
                  <id root="9c28db7c-39cd-4f22-b9d0-f0ee13531352" />
                  <code code="5803-2" displayName="Urine pH" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                  <text>
                    <reference value="#result17" />
                  </text>
                  <statusCode code="completed" />
                  <effectiveTime value="20180320000000" />
                  <value value="4.5" xsi:type="PQ" />
                  <interpretationCode codeSystem="2.16.840.1.113883.5.83" code="N" />
                  <referenceRange>
                    <observationRange>
                      <value xsi:type="ST">No Information</value>
                    </observationRange>
                  </referenceRange>
                </observation>
              </component>
              <component xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
                <observation classCode="OBS" moodCode="EVN">
                  <templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2014-06-09" />
                  <id root="d3348715-ce24-48f6-a0ea-2c504b80f1e8" />
                  <code code="25145-4" displayName="Urine Bacteria" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                  <text>
                    <reference value="#result18" />
                  </text>
                  <statusCode code="completed" />
                  <effectiveTime value="20180320000000" />
                  <value xsi:type="ST">bacteria</value>
                  <referenceRange>
                    <observationRange>
                      <value xsi:type="ST">No Information</value>
                    </observationRange>
                  </referenceRange>
                </observation>
              </component>
              <component xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
                <observation classCode="OBS" moodCode="EVN">
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                  <id root="f5987115-4b38-4c76-b7ac-29e3383c8553" />
                  <code code="13945-1" displayName="Urine RBC/hpf" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                  <text>
                    <reference value="#result19" />
                  </text>
                  <statusCode code="completed" />
                  <effectiveTime value="20180320000000" />
                  <value value="789" xsi:type="PQ" />
                  <interpretationCode codeSystem="2.16.840.1.113883.5.83" code="LX" />
                  <referenceRange>
                    <observationRange>
                      <value xsi:type="ST">No Information</value>
                    </observationRange>
                  </referenceRange>
                </observation>
              </component>
              <component xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
                <observation classCode="OBS" moodCode="EVN">
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                  <id root="807fe262-8b7b-43b1-8fab-31b1ae7cd6f8" />
                  <code code="20409-9" displayName="Urine Blood" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                  <text>
                    <reference value="#result110" />
                  </text>
                  <statusCode code="completed" />
                  <effectiveTime value="20180320000000" />
                  <value xsi:type="ST">blood</value>
                  <interpretationCode codeSystem="2.16.840.1.113883.5.83" code="L" />
                  <referenceRange>
                    <observationRange>
                      <value xsi:type="ST">No Information</value>
                    </observationRange>
                  </referenceRange>
                </observation>
              </component>
              <component xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
                <observation classCode="OBS" moodCode="EVN">
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                  <id root="a105d248-45ce-4af9-8c2a-0453841ee09d" />
                  <code code="11218-5" displayName="Urine Microalbumin" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                  <text>
                    <reference value="#result111" />
                  </text>
                  <statusCode code="completed" />
                  <effectiveTime value="20180320000000" />
                  <value unit="ug/ml" value="25.30" xsi:type="PQ" />
                  <referenceRange>
                    <observationRange>
                      <value xsi:type="ST">No Information</value>
                    </observationRange>
                  </referenceRange>
                </observation>
              </component>
              <component xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
                <observation classCode="OBS" moodCode="EVN">
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                  <id root="d852405b-609b-4127-8b71-84e69f8b27d5" />
                  <code code="5811-5" displayName="Urine Specific Gravity" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                  <text>
                    <reference value="#result112" />
                  </text>
                  <statusCode code="completed" />
                  <effectiveTime value="20180320000000" />
                  <value xsi:type="ST">gravity</value>
                  <interpretationCode codeSystem="2.16.840.1.113883.5.83" code="H" />
                  <referenceRange>
                    <observationRange>
                      <value xsi:type="ST">No Information</value>
                    </observationRange>
                  </referenceRange>
                </observation>
              </component>
              <component xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
                <observation classCode="OBS" moodCode="EVN">
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                  <code code="5821-4" displayName="Urine WBC/hpf" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
                  <text>
                    <reference value="#result113" />
                  </text>
                  <statusCode code="completed" />
                  <effectiveTime value="20180320000000" />
                  <value value="456" xsi:type="PQ" />
                  <interpretationCode codeSystem="2.16.840.1.113883.5.83" code="HX" />
                  <referenceRange>
                    <observationRange>
                      <value xsi:type="ST">No Information</value>
                    </observationRange>
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