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					<title>2026 Consolidated CDA</title>
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ROUTE 2 TIMES PER DAY</td><td align="center">Active</td></tr><tr><td><content ID = "Med2">amoxicillin 875 mg tablet, [RxNorm: 213339]</content></td><td align="center">11/08/2025</td><td align="right">TAKE 1 TABLET (875 MG) BY ORAL ROUTE EVERY 12 HOURS for 10 days</td><td align="center">Active</td></tr><tr><td><content ID = "Med4">hydroxychloroquine 200 mg tablet, [RxNorm: 2665282]</content></td><td align="center">08/08/2021</td><td align="right">1 tablet every other day alternating with 2 tabs daily</td><td align="center">Active</td></tr><tr><td><content ID = "Med5">Duexis 800 mg-26.6 mg tablet, [RxNorm: 1100070]</content></td><td align="center">08/08/2021</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE 3 TIMES PER DAY as needed for pain</td><td align="center">Active</td></tr></tbody></table></text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/><templateId 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PT</td><td>Carol Stewart</td><td>Auburn Montgomery Warhawk Health Services</td><td>Aug 20, 2021</td></tr><tr><td ID="Encounter3">NO CHARGE</td><td>Joyce Williford</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jan 16, 2024</td></tr><tr><td ID="Encounter4">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Jan 19, 2024</td></tr><tr><td ID="Encounter5">NO CHARGE</td><td>Hayley Guthrie</td><td>Auburn Montgomery Warhawk Health Services</td><td>Sep 23, 2025</td></tr></tbody></table></text><entry typeCode="DRIV"><encounter classCode="ENC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2014-06-09"/><id root="F9159F5F-731E-4607-B2BC-208726986791"/><code code="00000" displayName="NO CHARGE" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"><originalText><reference value="Encounter1"/></originalText><translation code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" 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root="FD947EA1-3C2A-4A06-B3D2-955176ABA457"/><code code="00000" displayName="NO CHARGE" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"><originalText><reference value="Encounter3"/></originalText><translation code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActEncounterCode"/></code><effectiveTime value="20240116"/><performer><assignedEntity><id extension="1154738201" root="2.16.840.1.113883.4.6"/><code code="59058001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="General Physician"/></assignedEntity></performer><participant typeCode="LOC"><participantRole classCode="SDLOC"><templateId root="2.16.840.1.113883.10.20.22.4.32"/><code code="1160-1" codeSystem="2.16.840.1.113883.6.259" codeSystemName="HL7 HealthcareServiceLocation" displayName="Auburn Montgomery Warhawk Health Services"/><addr><streetAddressLine>7461 East Dr STE 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root="2.16.840.1.113883.10.20.22.4.80"/><id root="4194A5C5-2531-4B60-B072-2843DDCE90D1"/><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="20240116"/></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="AA57216E-36BF-4545-AFD0-0C0EDBC70865"/><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="20240116"/></effectiveTime><value xsi:type="CD" code="0" 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codeSystem="2.16.840.1.113883.6.259" codeSystemName="HL7 HealthcareServiceLocation" displayName="Auburn Montgomery Warhawk Health Services"/><addr><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="tel: +13342443281"/><playingEntity classCode="PLC"><name>Auburn Montgomery Warhawk Health Services</name></playingEntity></participantRole></participant><entryRelationship typeCode="RSON"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.19" extension="2014-06-09"/><id root="9308FC71-184D-47B3-A0B7-A09A3E848506" extension="30997712"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20240119"/></effectiveTime><value xsi:type="CD" code="Z11.1" displayName="ENCOUNTER FOR SCREENING FOR RESP TUBRCLOSIS" 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="CEDCE8CD-1887-4BB7-8164-70108CFF38AE"/><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="20240119"/></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="538DEE75-FFB1-4421-BB58-E7465BE8C99A"/><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="20240119"/></effectiveTime><value xsi:type="CD" code="0" codeSystem="2.16.840.1.113883.6.96"/></observation></entryRelationship></act></entryRelationship></encounter></entry><entry typeCode="DRIV"><encounter classCode="ENC" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2014-06-09"/><id root="A321992E-A9EC-4A06-A4FA-92896E46B73F"/><code code="00000" displayName="NO CHARGE" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"><originalText><reference value="Encounter5"/></originalText><translation code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActEncounterCode"/></code><effectiveTime value="20250923"/><performer><assignedEntity><id extension="1497019731" root="2.16.840.1.113883.4.6"/><code code="59058001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="General Physician"/></assignedEntity></performer><participant typeCode="LOC"><participantRole classCode="SDLOC"><templateId root="2.16.840.1.113883.10.20.22.4.32"/><code code="1160-1" codeSystem="2.16.840.1.113883.6.259" codeSystemName="HL7 HealthcareServiceLocation" displayName="Auburn Montgomery Warhawk Health Services"/><addr><streetAddressLine>7461 East Dr STE 102</streetAddressLine><city>Montgomery</city><state>AL</state><postalCode>361178092</postalCode><country>US</country></addr><telecom use="WP" value="tel: +13342443281"/><playingEntity classCode="PLC"><name>Auburn Montgomery Warhawk Health Services</name></playingEntity></participantRole></participant><entryRelationship typeCode="RSON"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.19" extension="2014-06-09"/><id root="0F57BAB7-656E-477B-891A-26398816B052" extension="35004630"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20250923"/></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="DFC4C4CD-426E-4E92-A1A4-31F287F2805E"/><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="20250923"/></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="3E1012FB-73D7-4AD0-A592-DCC4DEC86689"/><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="20250923"/></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 = "procedure1">STREP A, [LOINC: 18481-2]</td><td align="center">11/29/2021</td></tr><tr><td ID = "procedure2">STREP A, [LOINC: 18481-2]</td><td align="center">05/17/2022</td></tr><tr><td ID = "procedure3">UA, [CPT-4: 81003]</td><td align="center">10/22/2021</td></tr><tr><td ID = "procedure4">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">10/21/2021</td></tr><tr><td ID = "procedure5">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">10/21/2021</td></tr><tr><td ID = "procedure6">FERRITIN (QUEST), [CPT-4: 457]</td><td align="center">10/21/2021</td></tr><tr><td ID = "procedure7">IRON, TIBC, %SAT (QUEST), [CPT-4: 7573]</td><td align="center">10/21/2021</td></tr><tr><td ID = "procedure8">INFLUENZA Rapid Test, [CPT-4: 87804]</td><td align="center">05/17/2022</td></tr><tr><td ID = "procedure9">TDap, [CPT-4: 90715]</td><td align="center">08/17/2021</td></tr><tr><td ID = "procedure10">TB test - IPPD, [CPT-4: SP86580]</td><td align="center">01/16/2024</td></tr><tr><td ID = "procedure11">TB test - IPPD, [CPT-4: SP86580]</td><td align="center">08/17/2021</td></tr><tr><td ID = "procedure12">IV START, [CPT-4: 90760]</td><td align="center">10/27/2021</td></tr><tr><td ID = "procedure13">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">08/17/2021</td></tr><tr><td ID = "procedure14">Immunization Injection Administration, [CPT-4: 90471]</td><td align="center">09/23/2025</td></tr><tr><td ID = "procedure15">Influenza virus vaccine, [CPT-4: 90686]</td><td align="center">09/23/2025</td></tr><tr><td ID = "procedure16">Abbott Binax Now Rapid COVID , [CPT-4: 87426]</td><td align="center">05/17/2022</td></tr><tr><td ID = "procedure17">COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300]</td><td align="center">04/27/2022</td></tr><tr><td ID = "procedure18">Normal saline 1L Bolus, [CPT-4: 90774]</td><td align="center">10/27/2021</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="15F0E3A5-BD30-4293-8118-23DD8E655821"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20211129"/><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="AAAAA3EC-1B8C-4A39-9303-277FAA7BBB1C"/><code code="18481-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="STREP A"/><statusCode code="completed"/><effectiveTime value="20220517"/><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="D0F2A979-6594-4F49-9FDD-CEDFB66AC95A"/><code code="81003" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="UA"/><statusCode code="completed"/><effectiveTime value="20211022"/><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="25AA9541-75A9-48F2-9C8E-CAECDA639F8D"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20211021"/><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 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root="2.16.840.1.113883.10.20.22.4.14"/><id root="58D1D765-3F60-4708-A9FA-8C237ADC8B38"/><code code="87426" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Abbott Binax Now Rapid COVID "/><statusCode code="completed"/><effectiveTime value="20220517"/><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 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            </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">MMR</td><td align="center">04/24/2000</td><td align="center">Completed</td></tr><tr><td ID = "immun4">MMR</td><td align="center">05/26/2004</td><td align="center">Completed</td></tr><tr><td ID = "immun1">TDap</td><td align="center">08/17/2021</td><td align="center">Completed</td></tr><tr><td ID = "immun3">COVID-19, mRNA, LNP-S, PF</td><td align="center">04/27/2022</td><td align="center">Completed</td></tr><tr><td ID = "immun5">Influenza virus vaccine</td><td align="center">09/23/2025</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="9507C967-B6BF-4627-A0F7-723B4CA7D0D4"/><text>MMR</text><statusCode code="completed"/><effectiveTime value="20000424"/><routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="National Cancer Institute (NCI) Thesaurus" displayName="Intramuscular injection"/><doseQuantity value="9.9900000e+002"/><consumable><manufacturedProduct classCode="MANU"><templateId 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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">07/28/2021</td><td ID = "vital_1_height">170 cm</td><td ID = "vital_1_weight">67 kg</td><td ID = "vital_1_bmi">23.25</td><td ID = "vital_1_bp">111/70 mm[Hg]</td><td ID = "vital_1_temp">37 Cel</td><td ID = "vital_1_pulse">91 bpm</td><td ID = "vital_1_pulseox">98 pct</td><td ID = "vital_1_resp">16 bpm</td></tr><tr><td ID = "vital_2">10/21/2021</td><td ID = "vital_2_weight">69 kg</td><td ID = "vital_2_bp">116/75 mm[Hg]</td><td ID = "vital_2_temp">37 Cel</td><td ID = "vital_2_pulse">77 bpm</td><td ID = "vital_2_pulseox">100 pct</td><td ID = "vital_2_resp">14 bpm</td></tr><tr><td ID = "vital_3">11/29/2021</td><td ID = "vital_3_height">173 cm</td><td ID = "vital_3_weight">67 kg</td><td ID = "vital_3_bmi">22.42</td><td ID = "vital_3_bp">117/74 mm[Hg]</td><td ID = "vital_3_temp">37 Cel</td><td ID = "vital_3_pulse">85 bpm</td><td ID = "vital_3_pulseox">99 pct</td><td ID = "vital_3_resp">16 bpm</td></tr><tr><td ID = "vital_4">05/17/2022</td><td ID = "vital_4_height">170 cm</td><td ID = "vital_4_weight">68 kg</td><td ID = "vital_4_bmi">23.47</td><td ID = "vital_4_bp">116/74 mm[Hg]</td><td ID = "vital_4_temp">37 Cel</td><td ID = "vital_4_pulse">82 bpm</td><td ID = "vital_4_pulseox">98 pct</td><td ID = "vital_4_resp">17 bpm</td></tr><tr><td ID = "vital_5">09/23/2025</td><td ID = "vital_5_temp">37 Cel</td></tr></tbody></table></text><entry typeCode="DRIV"><organizer classCode="CLUSTER" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.26" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.26"/><id root="92D1CD04-013F-4DD2-B416-7DBB0D6CE507"/><code code="46680005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Vital signs"><translation 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codeSystem="2.16.840.1.113883.5.83"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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="CLUSTER" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.26" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.26"/><id root="A96CBBF5-DF1F-4CBB-95D2-24261909886D"/><code code="46680005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Vital signs"><translation code="74728-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital signs"/></code><statusCode code="completed"/><effectiveTime><low value="20250923"/><high value="20250923"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.27"/><id root="B323BD44-9FB9-4300-A60A-50A0348431A6"/><code code="8310-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Body Temperature"/><text><reference value="#vital_5_temp"/></text><statusCode code="completed"/><effectiveTime value="20250923"/><value xsi:type="PQ" value="37" unit="Cel"/><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="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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">Leukocytes-Urine</td><td>Positive</td><td align="center">10/22/2021</td></tr><tr><td ID="result2">Urobilinogen-Urine</td><td>Negative</td><td align="center">10/22/2021</td></tr><tr><td ID="result3">Protein [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">10/22/2021</td></tr><tr><td ID="result4">pH of Urine by Test strip</td><td>7 [pH]</td><td align="center">10/22/2021</td></tr><tr><td ID="result5">Blood-Urine</td><td>Positive</td><td align="center">10/22/2021</td></tr><tr><td ID="result6">Ketones [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">10/22/2021</td></tr><tr><td ID="result7">Glucose [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">10/22/2021</td></tr><tr><td ID="result8">Specific Gravity of Urine by Test strip</td><td>1.030</td><td align="center">10/22/2021</td></tr><tr><td ID="result9">Bilirubin-Urine</td><td>Negative</td><td align="center">10/22/2021</td></tr><tr><td ID="result10">Nitrites-Urine</td><td>Positive</td><td align="center">10/22/2021</td></tr><tr><td ID="result11">Appearance of Urine</td><td>clear</td><td align="center">10/22/2021</td></tr><tr><td ID="result12">Color of Urine</td><td>yellow</td><td align="center">10/22/2021</td></tr><tr><td ID="result13">STREP A</td><td>Negative</td><td align="center">11/29/2021</td></tr><tr><td ID="result14">STREP A</td><td>Negative</td><td align="center">05/17/2022</td></tr><tr><td ID="result15">INFLUENZA Rapid Test</td><td>Negative</td><td align="center">05/17/2022</td></tr><tr><td ID="result16">TB Read Only</td><td>Negative</td><td align="center">08/20/2021</td></tr><tr><td ID="result17">TB Read Only</td><td>Negative</td><td align="center">01/19/2024</td></tr><tr><td ID="result18">IV START</td><td>Yes</td><td align="center">10/21/2021</td></tr><tr><td ID="result19">GLUCOSE</td><td>108</td><td align="center">10/22/2021</td></tr><tr><td ID="result20">UREA NITROGEN (BUN)</td><td>10</td><td align="center">10/22/2021</td></tr><tr><td ID="result21">CREATININE</td><td>0.86</td><td align="center">10/22/2021</td></tr><tr><td ID="result22">EGFR NON-AFR. AMERICAN</td><td>96</td><td align="center">10/22/2021</td></tr><tr><td ID="result23">EGFR AFRICAN AMERICAN</td><td>111</td><td align="center">10/22/2021</td></tr><tr><td ID="result24">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">10/22/2021</td></tr><tr><td ID="result25">SODIUM</td><td>137</td><td align="center">10/22/2021</td></tr><tr><td ID="result26">POTASSIUM</td><td>3.8</td><td align="center">10/22/2021</td></tr><tr><td ID="result27">CHLORIDE</td><td>106</td><td align="center">10/22/2021</td></tr><tr><td ID="result28">CARBON DIOXIDE</td><td>21</td><td align="center">10/22/2021</td></tr><tr><td ID="result29">CALCIUM</td><td>9.0</td><td align="center">10/22/2021</td></tr><tr><td ID="result30">PROTEIN, TOTAL</td><td>7.6</td><td align="center">10/22/2021</td></tr><tr><td ID="result31">ALBUMIN</td><td>4.1</td><td align="center">10/22/2021</td></tr><tr><td ID="result32">GLOBULIN</td><td>3.5</td><td align="center">10/22/2021</td></tr><tr><td ID="result33">ALBUMIN/GLOBULIN RATIO</td><td>1.2</td><td align="center">10/22/2021</td></tr><tr><td ID="result34">BILIRUBIN, TOTAL</td><td>0.3</td><td align="center">10/22/2021</td></tr><tr><td ID="result35">ALKALINE PHOSPHATASE</td><td>36</td><td align="center">10/22/2021</td></tr><tr><td ID="result36">AST</td><td>14</td><td align="center">10/22/2021</td></tr><tr><td ID="result37">ALT</td><td>8</td><td align="center">10/22/2021</td></tr><tr><td ID="result38">WHITE BLOOD CELL COUNT</td><td>3.4</td><td align="center">10/22/2021</td></tr><tr><td ID="result39">RED BLOOD CELL COUNT</td><td>4.41</td><td align="center">10/22/2021</td></tr><tr><td ID="result40">HEMOGLOBIN</td><td>12.7</td><td align="center">10/22/2021</td></tr><tr><td ID="result41">HEMATOCRIT</td><td>38.9</td><td align="center">10/22/2021</td></tr><tr><td ID="result42">MCV</td><td>88.2</td><td align="center">10/22/2021</td></tr><tr><td ID="result43">MCH</td><td>28.8</td><td align="center">10/22/2021</td></tr><tr><td ID="result44">MCHC</td><td>32.6</td><td align="center">10/22/2021</td></tr><tr><td ID="result45">RDW</td><td>11.8</td><td align="center">10/22/2021</td></tr><tr><td ID="result46">PLATELET COUNT</td><td>248</td><td align="center">10/22/2021</td></tr><tr><td ID="result47">MPV</td><td>11.1</td><td align="center">10/22/2021</td></tr><tr><td ID="result48">ABSOLUTE NEUTROPHILS</td><td>1629</td><td align="center">10/22/2021</td></tr><tr><td ID="result49">ABSOLUTE LYMPHOCYTES</td><td>1367</td><td align="center">10/22/2021</td></tr><tr><td ID="result50">ABSOLUTE MONOCYTES</td><td>313</td><td align="center">10/22/2021</td></tr><tr><td ID="result51">ABSOLUTE EOSINOPHILS</td><td>82</td><td align="center">10/22/2021</td></tr><tr><td ID="result52">ABSOLUTE BASOPHILS</td><td>10</td><td align="center">10/22/2021</td></tr><tr><td ID="result53">NEUTROPHILS</td><td>47.9</td><td align="center">10/22/2021</td></tr><tr><td ID="result54">LYMPHOCYTES</td><td>40.2</td><td align="center">10/22/2021</td></tr><tr><td ID="result55">MONOCYTES</td><td>9.2</td><td align="center">10/22/2021</td></tr><tr><td ID="result56">EOSINOPHILS</td><td>2.4</td><td align="center">10/22/2021</td></tr><tr><td ID="result57">BASOPHILS</td><td>0.3</td><td align="center">10/22/2021</td></tr><tr><td ID="result58">IRON, TOTAL</td><td>79</td><td align="center">10/22/2021</td></tr><tr><td ID="result59">IRON BINDING CAPACITY</td><td>315</td><td align="center">10/22/2021</td></tr><tr><td ID="result60">% SATURATION</td><td>25</td><td align="center">10/22/2021</td></tr><tr><td ID="result61">FERRITIN</td><td>35</td><td align="center">10/22/2021</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 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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="2688DEC0-0D58-4951-BF52-5E82E9B2031C"/><code code="18481-2" displayName="STREP A" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20211129"/><high value="20211129"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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="CE5D8F94-9345-4370-AF3C-1E4AF4C2D015"/><code code="18481-2" displayName="STREP A" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result13"/></originalText></code><text><reference value="#result13"/></text><statusCode code="completed"/><effectiveTime value="20211129"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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="F87BEF08-187F-40AF-BBBF-CD3F666160E3"/><code code="18481-2" displayName="STREP A" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20220517"/><high value="20220517"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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="7F7AC191-BB91-41EA-A6F1-7D4E4120A0C7"/><code code="18481-2" displayName="STREP A" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result14"/></originalText></code><text><reference value="#result14"/></text><statusCode code="completed"/><effectiveTime value="20220517"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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="80D88351-A8CB-4BA2-956F-E01A0A8BE0B2"/><code code="87804" displayName="INFLUENZA Rapid Test" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220517"/><high value="20220517"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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="CD9848EF-4A07-4B0A-9CFD-4694FB7E51E5"/><code code="87804" displayName="INFLUENZA Rapid Test" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result15"/></originalText></code><text><reference value="#result15"/></text><statusCode code="completed"/><effectiveTime value="20220517"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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="7F454197-8EF0-4D89-8846-86F7127AF451"/><code code="00000" displayName="TB Read Only" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20210820"/><high value="20210820"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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="32BE4BAF-8CB1-4860-A429-CBA3E146B41D"/><code code="00000" displayName="TB Read Only" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result16"/></originalText></code><text><reference value="#result16"/></text><statusCode code="completed"/><effectiveTime value="20210820"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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="046EEE4B-6A38-4AE1-886B-3AE9253987BC"/><code code="00000" displayName="TB Read Only" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20240119"/><high value="20240119"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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="06C649F7-2265-43D9-8488-B0529CDACF69"/><code code="00000" displayName="TB Read Only" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result17"/></originalText></code><text><reference value="#result17"/></text><statusCode code="completed"/><effectiveTime value="20240119"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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="B7D2E2D0-0FE0-401F-A1DC-90716A049615"/><code code="90760" displayName="IV START" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20211021"/><high value="20211021"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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="BCECB311-92F3-46B6-AD25-F193A8BAF524"/><code code="90760" displayName="IV START" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result18"/></originalText></code><text><reference value="#result18"/></text><statusCode code="completed"/><effectiveTime value="20211021"/><value xsi:type="ST">Yes</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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="93E61871-5B51-4E0C-95D8-CE7B5F85E8A9"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20211022"/><high value="20211022"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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="7025DFEC-4BB7-47F1-B673-831B4D2EE7E1"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result24"/></originalText></code><text><reference value="#result24"/></text><statusCode code="completed"/><effectiveTime value="20211022"/><value xsi:type="ST">NOT APPLICABLE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716160113-0500"/><assignedAuthor><id extension="1497019731" 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>