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displayName="Criticality" /><statusCode code="completed"/><value xsi:type="CD" code="CRITU" displayName="Unable to assess criticality" codeSystem="2.16.840.1.113883.5.1063" codeSystemName="Observation Value"/></observation></entryRelationship></observation></entryRelationship></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.1.1" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.1.1"/><code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF MEDICATION USE"/><title>MEDICATIONS</title><text><table border="1" width="100%"><thead><tr><th>Medication</th><th>Start Date</th><th>Directions</th><th>Status</th></tr></thead><tbody><tr><td><content ID = "Med1">amlodipine 10 mg tablet, [RxNorm: 212575]</content></td><td align="center">05/28/2021</td><td align="right">TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY for High blood pressure. </td><td 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finding"/><statusCode code="completed"/><effectiveTime><low value="20211210"/></effectiveTime><value xsi:type="CD" code="Z23" displayName="ENCOUNTER FOR IMMUNIZATION" codeSystem="2.16.840.1.113883.6.3"/></observation></entryRelationship><entryRelationship typeCode="SUBJ" inversionInd="false"><act classCode="ACT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.80"/><id root="4FC155AB-BAC9-4472-BB63-5703035E5270"/><code xsi:type="CE" code="29308-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="ENCOUNTER DIAGNOSIS"/><statusCode code="active"/><effectiveTime><low value="20211210"/></effectiveTime><entryRelationship typeCode="SUBJ" inversionInd="false"><observation classCode="OBS" moodCode="EVN" negationInd="false"><templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.4"/><id root="EFD59A8A-E673-4780-86F8-C320F6820E72"/><code code="409586006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Complaint"><translation code="75322-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Complaint"/></code><statusCode code="completed"/><effectiveTime><low value="20211210"/></effectiveTime><value xsi:type="CD" code="0" codeSystem="2.16.840.1.113883.6.96"/></observation></entryRelationship></act></entryRelationship></encounter></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.7.1"/><code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PROCEDURES"/><title>PROCEDURES</title><text><table border="1" width="100%"><thead><tr><th>Procedure</th><th>Date</th></tr></thead><tbody><tr><td ID = "procedure3">TSH (QUEST), [CPT-4: 899]</td><td align="center">05/28/2021</td></tr><tr><td ID = "procedure6">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">05/28/2021</td></tr><tr><td ID = "procedure9">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">05/28/2021</td></tr><tr><td ID = "procedure12">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">05/28/2021</td></tr><tr><td ID = "procedure13">TDap, [CPT-4: 90715]</td><td align="center">12/10/2021</td></tr><tr><td ID = "procedure14">EKG, [CPT-4: 93010]</td><td align="center">05/28/2021</td></tr><tr><td ID = "procedure15">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">12/10/2021</td></tr><tr><td ID = "procedure16">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">11/12/2021</td></tr><tr><td ID = "procedure17">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">02/15/2021</td></tr><tr><td ID = "procedure18">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">03/08/2021</td></tr><tr><td ID = "procedure21">HEMOGLOBIN A1c, [CPT-4: 496]</td><td align="center">05/28/2021</td></tr><tr><td ID = "procedure22">Abbott COVID Rapid Test, [CPT-4: ABBO]</td><td align="center">04/06/2023</td></tr></tbody></table></text><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="892EE0CF-046C-41A1-B5FF-B04CCCC075F6"/><code code="899" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210528"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="4625525B-A8D6-4790-9643-F1D2E21B3EDC"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210528"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="ABD0C25E-4E27-4448-9C43-30743029CCC5"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210528"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="9FC98118-0CDD-4EF1-8094-01F9982E3CC6"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20210528"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="62F2EE9E-D21A-4025-AC7B-9F8E1E0D164C"/><code code="90715" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TDap"/><statusCode code="completed"/><effectiveTime value="20211210"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="F41BA729-0114-48CF-8FF0-73F511890E9B"/><code code="93010" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="EKG"/><statusCode code="completed"/><effectiveTime value="20210528"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="40CBB40C-A4CE-4924-B32E-3A039C4393B7"/><code code="90471" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Immunization Injection Administration"/><statusCode code="completed"/><effectiveTime value="20211210"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="65AF3AA4-E5C1-4F97-A252-23EA102A0E71"/><code code="91300" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COVID-19, mRNA, LNP-S, PF"/><statusCode code="completed"/><effectiveTime value="20211112"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="44E8C463-D38B-4316-9DD4-053F921E772B"/><code code="91300" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COVID-19, mRNA, LNP-S, PF"/><statusCode code="completed"/><effectiveTime value="20210215"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="D3FC11DE-4453-4B76-A3EC-EE47AB605CAE"/><code code="91300" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COVID-19, mRNA, LNP-S, PF"/><statusCode code="completed"/><effectiveTime value="20210308"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="1A1C233A-F932-4C07-810B-A6B774F87591"/><code code="496" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="HEMOGLOBIN A1c"/><statusCode code="completed"/><effectiveTime value="20210528"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry><entry typeCode="DRIV"><procedure classCode="PROC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.14"/><id root="03399486-6AD1-4856-ADDE-5A8B1A553CC3"/><code code="ABBO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Abbott COVID Rapid Test"/><statusCode code="completed"/><effectiveTime value="20230406"/><methodCode nullFlavor="UNK"/><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456" extension="924"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="+1(334)244-3281"/><representedOrganization classCode="ORG"><id root="2.16.840.1.113883.19.5.9999.1393"/><name>Auburn Montgomery Warhawk Health Services</name><telecom use="WP" value="+1(334)244-3281"/><addr use="WP"><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer></procedure></entry></section>
            </component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.23" extension="2014-06-09"/><code code="46264-8" codeSystem="2.16.840.1.113883.6.1" /><title>MEDICAL EQUIPMENT</title><text>Patient has no history of implantable devices</text></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.2.1" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.2.1"/><code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunizations"/><title>IMMUNIZATIONS</title><text><content ID="immunSect"/><table border="1" width="100%"><thead><tr><th>Name</th><th>Date</th><th>Status</th></tr></thead><tbody><tr><td ID = "immun2">COVID-19, mRNA, LNP-S, PF</td><td align="center">02/15/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun3">COVID-19, mRNA, LNP-S, PF</td><td align="center">03/08/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun4">COVID-19, mRNA, LNP-S, PF</td><td align="center">11/12/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun1">TDap</td><td align="center">12/10/2021</td><td align="center">Completed</td></tr></tbody></table></text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false"><templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.52"/><id root="FF725935-AA11-4461-8F20-B01CAF6FAC7D"/><text>COVID-19, mRNA, LNP-S, PF</text><statusCode code="completed"/><effectiveTime value="20210215"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/><doseQuantity value="3.0000001e-001"/><consumable><manufacturedProduct classCode="MANU"><templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/><templateId 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Inc</name></manufacturerOrganization></manufacturedProduct></consumable><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><country>US</country></addr><telecom use="WP" value="tel:+1(334)244-3281"/><assignedPerson><name><given>Lindsey</given><family>Barton</family><suffix>CRNP</suffix></name></assignedPerson><representedOrganization><id root="2.16.840.1.113883.19.5.9999.1394"/><name>Auburn Montgomery Student Health Services</name><telecom use="WP" value="tel:+1(334)244-3281"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>36117</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794817-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" 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codeSystemName="CVX" displayName="TDap"/><lotNumberText>M442P</lotNumberText></manufacturedMaterial><manufacturerOrganization><name>GlaxoSmithKline</name></manufacturerOrganization></manufacturedProduct></consumable><performer><assignedEntity><id root="2.16.840.1.113883.19.5.9999.456"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><country>US</country></addr><telecom use="WP" value="tel:+1(334)244-3281"/><assignedPerson><name><given>Lindsey</given><family>Barton</family><suffix>CRNP</suffix></name></assignedPerson><representedOrganization><id root="2.16.840.1.113883.19.5.9999.1394"/><name>Auburn Montgomery Student Health Services</name><telecom use="WP" value="tel:+1(334)244-3281"/><addr><streetAddressLine>7461 East Dr</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>36117</postalCode><country>US</country></addr></representedOrganization></assignedEntity></performer><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794817-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></substanceAdministration></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.4.1"/><code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="VITAL SIGNS"/><title>VITAL SIGNS</title><text><table border="1" width="100%"><thead><tr><th>Date</th><th>Height</th><th>Weight</th><th>BMI</th><th>Blood Pressure</th><th>Temperature</th><th>Pulse</th><th>Pulse Oximetry</th><th>Respiratory Rate</th><th>Inhaled Oxygen Concentration</th><th>Head Circumference Percentage</th><th>BMI Percentage</th><th>Weight to Length Percentage</th></tr></thead><tbody><tr><td ID = "vital_1">05/28/2021</td><td ID = "vital_1_height">178 cm</td><td ID = "vital_1_weight">192 kg</td><td ID = "vital_1_bmi">60.78</td><td ID = "vital_1_bp">165/89 mm[Hg]</td><td ID = "vital_1_temp">36 Cel</td><td ID = "vital_1_pulse">76 bpm</td><td ID = "vital_1_pulseox">98 pct</td><td ID = "vital_1_resp">18 bpm</td></tr><tr><td ID = "vital_2">06/10/2021</td><td ID = "vital_2_height">178 cm</td><td ID = "vital_2_weight">191 kg</td><td ID = "vital_2_bmi">60.43</td><td ID = "vital_2_bp">152/85 mm[Hg]</td><td ID = "vital_2_temp">37 Cel</td><td ID = "vital_2_pulse">73 bpm</td><td ID = "vital_2_pulseox">97 pct</td><td ID = "vital_2_resp">19 bpm</td></tr><tr><td ID = "vital_3">04/06/2023</td><td ID = "vital_3_height">180 cm</td><td ID = "vital_3_weight">182 kg</td><td ID = "vital_3_bmi">55.82</td><td ID = "vital_3_bp">154/95 mm[Hg]</td><td ID = "vital_3_pulse">76 bpm</td></tr></tbody></table></text><entry typeCode="DRIV"><organizer 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extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.27"/><id root="CC1F2631-1F16-48B5-88B6-52A887FCD993"/><code code="8302-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Height"/><text><reference value="#vital_1_height"/></text><statusCode code="completed"/><effectiveTime value="20210528"/><value xsi:type="PQ" value="178" unit="cm"/><interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794817-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.27"/><id 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displayName="Pulse"/><text><reference value="#vital_3_pulse"/></text><statusCode code="completed"/><effectiveTime value="20230406"/><value xsi:type="PQ" value="76" unit="/min"/><interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794817-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.3.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.3.1"/><code code ="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="RESULTS"/><title>RESULTS</title><text><table border="1" width="100%"><thead><tr><th>Result Type</th><th>Result Value</th><th>Date</th></tr></thead><tbody><tr><td ID="result1">EKG</td><td>Yes</td><td align="center">05/28/2021</td></tr><tr><td ID="result2">CHOLESTEROL, TOTAL</td><td>182</td><td align="center">05/29/2021</td></tr><tr><td ID="result3">HDL CHOLESTEROL</td><td>55</td><td align="center">05/29/2021</td></tr><tr><td ID="result4">TRIGLYCERIDES</td><td>77</td><td align="center">05/29/2021</td></tr><tr><td ID="result5">LDL-CHOLESTEROL</td><td>110</td><td align="center">05/29/2021</td></tr><tr><td ID="result6">CHOL/HDLC RATIO</td><td>3.3</td><td align="center">05/29/2021</td></tr><tr><td ID="result7">NON HDL CHOLESTEROL</td><td>127</td><td align="center">05/29/2021</td></tr><tr><td ID="result8">GLUCOSE</td><td>89</td><td align="center">05/29/2021</td></tr><tr><td ID="result9">UREA NITROGEN (BUN)</td><td>11</td><td align="center">05/29/2021</td></tr><tr><td ID="result10">CREATININE</td><td>1.22</td><td align="center">05/29/2021</td></tr><tr><td ID="result11">EGFR NON-AFR. AMERICAN</td><td>76</td><td align="center">05/29/2021</td></tr><tr><td ID="result12">EGFR AFRICAN AMERICAN</td><td>88</td><td align="center">05/29/2021</td></tr><tr><td ID="result13">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">05/29/2021</td></tr><tr><td ID="result14">SODIUM</td><td>138</td><td align="center">05/29/2021</td></tr><tr><td ID="result15">POTASSIUM</td><td>4.3</td><td align="center">05/29/2021</td></tr><tr><td ID="result16">CHLORIDE</td><td>105</td><td align="center">05/29/2021</td></tr><tr><td ID="result17">CARBON DIOXIDE</td><td>23</td><td align="center">05/29/2021</td></tr><tr><td ID="result18">CALCIUM</td><td>9.3</td><td align="center">05/29/2021</td></tr><tr><td ID="result19">PROTEIN, TOTAL</td><td>7.0</td><td align="center">05/29/2021</td></tr><tr><td ID="result20">ALBUMIN</td><td>4.1</td><td align="center">05/29/2021</td></tr><tr><td ID="result21">GLOBULIN</td><td>2.9</td><td align="center">05/29/2021</td></tr><tr><td ID="result22">ALBUMIN/GLOBULIN RATIO</td><td>1.4</td><td align="center">05/29/2021</td></tr><tr><td ID="result23">BILIRUBIN, TOTAL</td><td>0.5</td><td align="center">05/29/2021</td></tr><tr><td ID="result24">ALKALINE PHOSPHATASE</td><td>43</td><td align="center">05/29/2021</td></tr><tr><td ID="result25">AST</td><td>16</td><td align="center">05/29/2021</td></tr><tr><td ID="result26">ALT</td><td>23</td><td align="center">05/29/2021</td></tr><tr><td ID="result27">HEMOGLOBIN A1C</td><td>5.6</td><td align="center">05/29/2021</td></tr><tr><td ID="result28">TSH</td><td>0.80</td><td align="center">05/29/2021</td></tr><tr><td ID="result29">WHITE BLOOD CELL COUNT</td><td>5.5</td><td align="center">05/29/2021</td></tr><tr><td ID="result30">RED BLOOD CELL COUNT</td><td>5.03</td><td align="center">05/29/2021</td></tr><tr><td ID="result31">HEMOGLOBIN</td><td>14.3</td><td align="center">05/29/2021</td></tr><tr><td ID="result32">HEMATOCRIT</td><td>44.1</td><td align="center">05/29/2021</td></tr><tr><td ID="result33">MCV</td><td>87.7</td><td align="center">05/29/2021</td></tr><tr><td ID="result34">MCH</td><td>28.4</td><td align="center">05/29/2021</td></tr><tr><td ID="result35">MCHC</td><td>32.4</td><td align="center">05/29/2021</td></tr><tr><td ID="result36">RDW</td><td>13.3</td><td align="center">05/29/2021</td></tr><tr><td ID="result37">PLATELET COUNT</td><td>176</td><td align="center">05/29/2021</td></tr><tr><td ID="result38">MPV</td><td>11.8</td><td align="center">05/29/2021</td></tr><tr><td ID="result39">ABSOLUTE NEUTROPHILS</td><td>2706</td><td align="center">05/29/2021</td></tr><tr><td ID="result40">ABSOLUTE LYMPHOCYTES</td><td>2178</td><td align="center">05/29/2021</td></tr><tr><td ID="result41">ABSOLUTE MONOCYTES</td><td>506</td><td align="center">05/29/2021</td></tr><tr><td ID="result42">ABSOLUTE EOSINOPHILS</td><td>88</td><td align="center">05/29/2021</td></tr><tr><td ID="result43">ABSOLUTE BASOPHILS</td><td>22</td><td align="center">05/29/2021</td></tr><tr><td ID="result44">NEUTROPHILS</td><td>49.2</td><td align="center">05/29/2021</td></tr><tr><td ID="result45">LYMPHOCYTES</td><td>39.6</td><td align="center">05/29/2021</td></tr><tr><td ID="result46">MONOCYTES</td><td>9.2</td><td align="center">05/29/2021</td></tr><tr><td ID="result47">EOSINOPHILS</td><td>1.6</td><td align="center">05/29/2021</td></tr><tr><td ID="result48">BASOPHILS</td><td>0.4</td><td align="center">05/29/2021</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="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="33976A32-0F0C-4322-B319-3BC3303C7B14"/><code code="25003000" displayName="CHOLESTEROL, TOTAL" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode 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codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20210529"/><high value="20210529"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794817-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="EE87B8DC-920A-43D3-98FA-40A9F4B9FD3D"/><code code="30001800" displayName="LYMPHOCYTES" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result45"/></originalText></code><text><reference value="#result45"/></text><statusCode code="completed"/><effectiveTime value="20210529"/><value xsi:type="PQ" value="39.6"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794817-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="2B5CA6E1-6674-4BDB-8546-ADA2CFE6101B"/><code code="30002200" displayName="MONOCYTES" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20210529"/><high value="20210529"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794817-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="F933D261-6595-41F5-83DB-DF26E6741CA4"/><code code="30002200" displayName="MONOCYTES" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result46"/></originalText></code><text><reference value="#result46"/></text><statusCode code="completed"/><effectiveTime value="20210529"/><value xsi:type="PQ" value="9.2"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794817-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="518C8A50-8B3E-43C5-8AA1-2141D764302B"/><code code="30002500" displayName="EOSINOPHILS" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20210529"/><high value="20210529"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794817-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="23810590-1AD0-480F-8AAD-BB66A6159502"/><code code="30002500" displayName="EOSINOPHILS" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result47"/></originalText></code><text><reference value="#result47"/></text><statusCode code="completed"/><effectiveTime value="20210529"/><value xsi:type="PQ" value="1.6"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794817-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="892F130B-A471-47A3-8F3C-52BAA7395912"/><code code="30002800" displayName="BASOPHILS" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20210529"/><high value="20210529"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794817-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="09DA1EB3-DA70-4EC9-8653-C8302A5DC24A"/><code code="30002800" displayName="BASOPHILS" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result48"/></originalText></code><text><reference value="#result48"/></text><statusCode code="completed"/><effectiveTime value="20210529"/><value xsi:type="PQ" value="0.4"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794817-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="65EF045D-190E-410D-8DC8-CB21B1BA8782"/><code code="93010" displayName="EKG" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20210528"/><high value="20210528"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794817-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="97791EE7-38B1-4A8E-B8C9-E0F67EC9A76E"/><code code="93010" displayName="EKG" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result1"/></originalText></code><text><reference value="#result1"/></text><statusCode code="completed"/><effectiveTime value="20210528"/><value xsi:type="ST">Yes</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794817-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="9006938F-8146-447B-AE5F-C737173F31B4"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20210529"/><high value="20210529"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794817-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author><component><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.2"/><id root="DFA7F4E1-E697-4252-B235-FF430BCD88F3"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result13"/></originalText></code><text><reference value="#result13"/></text><statusCode code="completed"/><effectiveTime value="20210529"/><value xsi:type="ST">NOT APPLICABLE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071794817-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/></assignedAuthor></author></observation></component></organizer></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.10" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.10"/><code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Treatment plan"/><title>PLAN OF TREATMENT</title><text>No Treatment Plan Defined</text><entry><observation classCode="OBS" moodCode="RQO" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.39"/><code code="394089009" displayName="Treatment Plan" codeSystem="2.16.840.1.113883.6.96"/></observation></entry> </section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.60"/><code code="61146-7" displayName="Goals" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><title>Goals Section</title><text>No goal information</text></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.58" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.58" /><code code="75310-3" displayName="Health Concerns Document" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><title>Health Concerns Section</title><text>No Known Health Concerns on </text><entry typeCode="COMP"><act classCode="ACT" moodCode="EVN" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.132" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.132"/><id root="4eab0e52-dd7d-4285-99eb-72d32ddb195d"/><code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health Concern"/><statusCode code="active"/><effectiveTime value=""/></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.45"/><code code = "69730-0" codeSystem = "2.16.840.1.113883.6.1"/><title>INSTRUCTIONS</title><text>No Known Instructions/Patient Education</text><entry><act classCode="ACT" moodCode="INT" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.20"/><code code = "311401005" codeSystem = "2.16.840.1.113883.6.96"/><statusCode code = "completed"/></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.17"/><code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Social History"/><title>SOCIAL HISTORY</title><text>No Social History Selected to be Displayed</text><entry typeCode="DRIV"><observation classCode="OBS" moodCode ="EVN" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.38" extension="2014-06-09"/><id root="AA4F7677-ED64-4B17-AE4B-D65BC835ABA9"/><code code="11367-0" codeSystem="2.16.840.1.113883.6.1"/><statusCode code="completed"/></observation></entry></section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.14" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.2.14"/><code code="47420-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Functional Status"/><title>FUNCTIONAL STATUS</title><text>No information</text></section></component><component><section nullFlavor="NI"><templateId root="2.16.840.1.113883.10.20.22.2.56" extension="2015-08-01" /><code code="10190-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MENTAL STATUS" /><title>MENTAL STATUS</title><text>No information</text></section></component></structuredBody> </component></ClinicalDocument>