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align="center">Active</td></tr><tr><td><content ID = "Med2">benzonatate 200 mg capsule, [RxNorm: 351906]</content></td><td align="center">10/18/2022</td><td align="right">TAKE 1 CAPSULE (200 MG) BY ORAL ROUTE 3 TIMES PER DAY AS NEEDED FOR COUGH</td><td align="center">Active</td></tr><tr><td><content ID = "Med3">amlodipine 10 mg tablet, [RxNorm: 212575]</content></td><td align="center">12/02/2022</td><td align="right">TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY FOR HIGH BLOOD PRESSURE</td><td align="center">Active</td></tr><tr><td><content ID = "Med6">amlodipine 5 mg tablet, [RxNorm: 212549]</content></td><td align="center">09/01/2022</td><td align="right">TAKE 1 TABLET (5 MG) BY ORAL ROUTE ONCE DAILY for high blood pressure</td><td align="center">Active</td></tr><tr><td><content ID = "Med7">cephalexin 500 mg tablet, [RxNorm: 152653]</content></td><td align="center">09/01/2022</td><td align="right">TAKE 1 TABLET (500 MG) BY ORAL ROUTE BID x 10 days</td><td align="center">Active</td></tr><tr><td><content ID = "Med8">amoxicillin 875 mg-potassium clavulanate 125 mg tablet, [RxNorm: 824194]</content></td><td align="center">10/19/2022</td><td align="right">TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS</td><td align="center">Active</td></tr><tr><td><content ID = "Med9">amlodipine 10 mg tablet, [RxNorm: 212575]</content></td><td align="center">09/27/2022</td><td align="right">TAKE 1 TABLET (10 MG) BY ORAL ROUTE ONCE DAILY FOR HIGH BLOOD PRESSURE</td><td align="center">Active</td></tr><tr><td><content ID = "Med10">hydrochlorothiazide 12.5 mg tablet, [RxNorm: 429503]</content></td><td align="center">12/02/2022</td><td align="right">TAKE 1 TABLET (12.5 MG) BY ORAL ROUTE ONCE DAILY for HTN. </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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codeSystemName="RxNorm"/></manufacturedMaterial></manufacturedProduct></consumable><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716122343-0500"/><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="2.16.840.1.113883.10.20.22.2.5.1" extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.2.5.1"/><code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PROBLEM LIST"/><title>PROBLEMS</title><text ID="Concern_1"><content ID="problems1">No known <content ID="problemType1">health problems</content></content></text><entry typeCode="DRIV"><act classCode="ACT" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01" /><templateId root="2.16.840.1.113883.10.20.22.4.3" /><id root="5434F907-8F2F-49E4-8777-FAE546AE7177"/><code code="CONC" codeSystem="2.16.840.1.113883.5.6"/><text><reference value="#Concern_1"></reference></text><statusCode code="active"/><effectiveTime><low value="20260716"/></effectiveTime><entryRelationship typeCode="SUBJ"><observation classCode="OBS" moodCode="EVN" negationInd="true"><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="968C4405-E077-4017-973B-C0F24DDA8AD2"/><code code="55607006" displayName="Problem" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96"><translation code="75326-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem"/></code><text><reference value="#problems1"></reference></text><statusCode code="completed"/><effectiveTime><low value="20260716"/></effectiveTime><value xsi:type="CD" code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"><originalText><reference value="#problems1"></reference></originalText></value></observation></entryRelationship></act></entry></section></component><component><section><templateId root="2.16.840.1.113883.10.20.22.2.22.1" extension="2014-06-09"/><code code = "46240-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of encounters"/><title>ENCOUNTERS</title><text><table border="1" width="100%"><thead><tr><th>Encounter</th><th>Performer</th><th>Location</th><th>Date</th></tr></thead><tbody><tr><td ID="Encounter1">NO CHARGE</td><td>Lindsey Barton</td><td>Auburn Montgomery Warhawk Health Services</td><td>Sep 15, 2022</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="75F78B0F-E9CF-4925-ACF2-1AE1F1F9980B"/><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" codeSystemName="HL7 ActEncounterCode"/></code><effectiveTime value="20220915"/><performer><assignedEntity><id extension="1215285879" 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="8EC2EC45-12A0-409D-8FAA-10D84E366407" extension="27508492"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20220915"/></effectiveTime><value xsi:type="CD" code="R74.8" displayName="ABNORMAL LEVELS OF OTHER SERUM ENZYMES" 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="76DD8E37-95CC-4CD4-850C-0B2AAE5FB8AA"/><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="20220915"/></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="0CA286A3-CAD1-459B-976F-5B4CAD7F5CB3"/><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="20220915"/></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">TSH (QUEST), [CPT-4: 899]</td><td align="center">09/08/2022</td></tr><tr><td ID = "procedure2">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">09/08/2022</td></tr><tr><td ID = "procedure4">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">09/15/2022</td></tr><tr><td ID = "procedure5">COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]</td><td align="center">09/27/2022</td></tr><tr><td ID = "procedure6">LIPID PANEL (QUEST), [CPT-4: 7600]</td><td align="center">09/08/2022</td></tr><tr><td ID = "procedure7">CBC W/ DIFF (QUEST), [CPT-4: 6399]</td><td align="center">09/08/2022</td></tr><tr><td ID = "procedure8">EKG, [CPT-4: 93010]</td><td align="center">09/08/2022</td></tr><tr><td ID = "procedure9">Abbott COVID Rapid Test, [CPT-4: ABBO]</td><td align="center">10/18/2022</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="D020EAC6-1190-4E4C-9EE0-4B690A2FC060"/><code code="899" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="TSH (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220908"/><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="21B49567-8CB7-4E64-98E6-1118988101C2"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220908"/><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="08427122-DAEF-4668-A7FF-7520652C901A"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220915"/><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="8CB2D268-ABCC-47E2-A47F-D0140B5D3407"/><code code="10231" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="COMP METABOLIC PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220927"/><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="33B99215-F891-4AA4-A02A-A593FCAECC89"/><code code="7600" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220908"/><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="0FC27E91-690C-4B48-B947-2D8E7D6780B3"/><code code="6399" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="CBC W/ DIFF (QUEST)"/><statusCode code="completed"/><effectiveTime value="20220908"/><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="9EEB060A-0907-4927-B907-14D0EEEBE024"/><code code="93010" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="EKG"/><statusCode code="completed"/><effectiveTime value="20220908"/><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="06C0A5CF-4B6C-4A1A-86C4-030D78F77E6E"/><code code="ABBO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="Abbott COVID Rapid Test"/><statusCode code="completed"/><effectiveTime value="20221018"/><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"/><code code="11369-6" codeSystem="2.16.840.1.113883.6.1"/><title>IMMUNIZATIONS</title><text>No immunization history</text><entry typeCode="DRIV"><substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="true"><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="5fe052cb-2632-4e96-80ff-38d6af7c9bb8"/><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"/><templateId root = "2.16.840.1.113883.10.20.22.4.54"/><manufacturedMaterial><code nullFlavor="OTH"><originalText>Vaccination</originalText><translation code="71181003" displayName="vaccine" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/></code><lotNumberText nullFlavor="NA"/></manufacturedMaterial></manufacturedProduct></consumable></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">09/01/2022</td><td ID = "vital_1_height">183 cm</td><td ID = "vital_1_weight">134 kg</td><td ID = "vital_1_bmi">40.14</td><td ID = "vital_1_bp">156/99 mm[Hg]</td><td ID = "vital_1_temp">37 Cel</td><td ID = "vital_1_pulse">100 bpm</td><td ID = "vital_1_pulseox">97 pct</td><td ID = "vital_1_resp">15 bpm</td></tr><tr><td ID = "vital_2">09/08/2022</td><td ID = "vital_2_height">188 cm</td><td ID = "vital_2_weight">138 kg</td><td ID = "vital_2_bmi">39.04</td><td ID = "vital_2_bp">150/98 mm[Hg]</td><td ID = "vital_2_temp">36 Cel</td><td ID = "vital_2_pulse">94 bpm</td><td ID = "vital_2_pulseox">98 pct</td><td ID = "vital_2_resp">16 bpm</td></tr><tr><td ID = "vital_3">09/27/2022</td><td ID = "vital_3_height">183 cm</td><td ID = "vital_3_weight">135 kg</td><td ID = "vital_3_bmi">40.41</td><td ID = "vital_3_bp">150/94 mm[Hg]</td><td ID = "vital_3_temp">36 Cel</td><td ID = "vital_3_pulse">93 bpm</td><td ID = "vital_3_pulseox">97 pct</td><td ID = "vital_3_resp">16 bpm</td></tr><tr><td ID = "vital_4">10/18/2022</td><td ID = "vital_4_height">183 cm</td><td ID = "vital_4_weight">133 kg</td><td ID = "vital_4_bmi">39.77</td><td ID = "vital_4_bp">128/86 mm[Hg]</td><td ID = "vital_4_temp">37 Cel</td><td ID = "vital_4_pulse">104 bpm</td><td ID = "vital_4_pulseox">98 pct</td><td ID = "vital_4_resp">17 bpm</td></tr><tr><td ID = "vital_5">12/02/2022</td><td ID = "vital_5_height">183 cm</td><td ID = "vital_5_weight">133 kg</td><td ID = "vital_5_bmi">39.72</td><td ID = "vital_5_bp">142/99 mm[Hg]</td><td ID = "vital_5_temp">37 Cel</td><td ID = "vital_5_pulse">106 bpm</td><td ID = "vital_5_pulseox">96 pct</td><td ID = "vital_5_resp">16 bpm</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 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(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 root="8B590FA8-CAAB-4362-A193-F70D36C7D3DC"/><code code="9279-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Resp Rate"/><text><reference value="#vital_5_resp"/></text><statusCode code="completed"/><effectiveTime value="20221202"/><value xsi:type="PQ" value="16" 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="20260716122343-0500"/><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">09/08/2022</td></tr><tr><td ID="result3">GLUCOSE</td><td>83</td><td align="center">09/28/2022</td></tr><tr><td ID="result4">UREA NITROGEN (BUN)</td><td>10</td><td align="center">09/28/2022</td></tr><tr><td ID="result5">CREATININE</td><td>1.01</td><td align="center">09/28/2022</td></tr><tr><td ID="result6">EGFR</td><td>82</td><td align="center">09/28/2022</td></tr><tr><td ID="result7">BUN/CREATININE RATIO</td><td>10</td><td align="center">09/28/2022</td></tr><tr><td ID="result8">SODIUM</td><td>140</td><td align="center">09/28/2022</td></tr><tr><td ID="result9">POTASSIUM</td><td>4.0</td><td align="center">09/28/2022</td></tr><tr><td ID="result10">CHLORIDE</td><td>102</td><td align="center">09/28/2022</td></tr><tr><td ID="result11">CARBON DIOXIDE</td><td>27</td><td align="center">09/28/2022</td></tr><tr><td ID="result12">CALCIUM</td><td>9.5</td><td align="center">09/28/2022</td></tr><tr><td ID="result13">PROTEIN, TOTAL</td><td>7.6</td><td align="center">09/28/2022</td></tr><tr><td ID="result14">ALBUMIN</td><td>4.5</td><td align="center">09/28/2022</td></tr><tr><td ID="result15">GLOBULIN</td><td>3.1</td><td align="center">09/28/2022</td></tr><tr><td ID="result16">ALBUMIN/GLOBULIN RATIO</td><td>1.5</td><td align="center">09/28/2022</td></tr><tr><td ID="result17">BILIRUBIN, TOTAL</td><td>0.2</td><td align="center">09/28/2022</td></tr><tr><td ID="result18">ALKALINE PHOSPHATASE</td><td>55</td><td align="center">09/28/2022</td></tr><tr><td ID="result19">AST</td><td>25</td><td align="center">09/28/2022</td></tr><tr><td ID="result20">ALT</td><td>51</td><td align="center">09/28/2022</td></tr><tr><td ID="result21">GLUCOSE</td><td>102</td><td align="center">09/16/2022</td></tr><tr><td ID="result22">UREA NITROGEN (BUN)</td><td>8</td><td align="center">09/16/2022</td></tr><tr><td ID="result23">CREATININE</td><td>0.92</td><td align="center">09/16/2022</td></tr><tr><td ID="result24">EGFR</td><td>91</td><td align="center">09/16/2022</td></tr><tr><td ID="result25">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">09/16/2022</td></tr><tr><td ID="result26">SODIUM</td><td>142</td><td align="center">09/16/2022</td></tr><tr><td ID="result27">POTASSIUM</td><td>4.1</td><td align="center">09/16/2022</td></tr><tr><td ID="result28">CHLORIDE</td><td>104</td><td align="center">09/16/2022</td></tr><tr><td ID="result29">CARBON DIOXIDE</td><td>27</td><td align="center">09/16/2022</td></tr><tr><td ID="result30">CALCIUM</td><td>9.0</td><td align="center">09/16/2022</td></tr><tr><td ID="result31">PROTEIN, TOTAL</td><td>7.4</td><td align="center">09/16/2022</td></tr><tr><td ID="result32">ALBUMIN</td><td>4.4</td><td align="center">09/16/2022</td></tr><tr><td ID="result33">GLOBULIN</td><td>3.0</td><td align="center">09/16/2022</td></tr><tr><td ID="result34">ALBUMIN/GLOBULIN RATIO</td><td>1.5</td><td align="center">09/16/2022</td></tr><tr><td ID="result35">BILIRUBIN, TOTAL</td><td>0.4</td><td align="center">09/16/2022</td></tr><tr><td ID="result36">ALKALINE PHOSPHATASE</td><td>51</td><td align="center">09/16/2022</td></tr><tr><td ID="result37">AST</td><td>36</td><td align="center">09/16/2022</td></tr><tr><td ID="result38">ALT</td><td>62</td><td align="center">09/16/2022</td></tr><tr><td ID="result39">CHOLESTEROL, TOTAL</td><td>179</td><td align="center">09/09/2022</td></tr><tr><td ID="result40">HDL CHOLESTEROL</td><td>44</td><td align="center">09/09/2022</td></tr><tr><td ID="result41">TRIGLYCERIDES</td><td>133</td><td align="center">09/09/2022</td></tr><tr><td ID="result42">LDL-CHOLESTEROL</td><td>110</td><td align="center">09/09/2022</td></tr><tr><td ID="result43">CHOL/HDLC RATIO</td><td>4.1</td><td align="center">09/09/2022</td></tr><tr><td ID="result44">NON HDL CHOLESTEROL</td><td>135</td><td align="center">09/09/2022</td></tr><tr><td ID="result45">GLUCOSE</td><td>106</td><td align="center">09/09/2022</td></tr><tr><td ID="result46">UREA NITROGEN (BUN)</td><td>9</td><td align="center">09/09/2022</td></tr><tr><td ID="result47">CREATININE</td><td>0.90</td><td align="center">09/09/2022</td></tr><tr><td ID="result48">EGFR</td><td>94</td><td align="center">09/09/2022</td></tr><tr><td ID="result49">BUN/CREATININE RATIO</td><td>NOT APPLICABLE</td><td align="center">09/09/2022</td></tr><tr><td ID="result50">SODIUM</td><td>140</td><td align="center">09/09/2022</td></tr><tr><td ID="result51">POTASSIUM</td><td>4.0</td><td align="center">09/09/2022</td></tr><tr><td ID="result52">CHLORIDE</td><td>103</td><td align="center">09/09/2022</td></tr><tr><td ID="result53">CARBON DIOXIDE</td><td>26</td><td align="center">09/09/2022</td></tr><tr><td ID="result54">CALCIUM</td><td>9.2</td><td align="center">09/09/2022</td></tr><tr><td ID="result55">PROTEIN, TOTAL</td><td>7.1</td><td align="center">09/09/2022</td></tr><tr><td ID="result56">ALBUMIN</td><td>4.3</td><td align="center">09/09/2022</td></tr><tr><td ID="result57">GLOBULIN</td><td>2.8</td><td align="center">09/09/2022</td></tr><tr><td ID="result58">ALBUMIN/GLOBULIN RATIO</td><td>1.5</td><td align="center">09/09/2022</td></tr><tr><td ID="result59">BILIRUBIN, TOTAL</td><td>0.3</td><td align="center">09/09/2022</td></tr><tr><td ID="result60">ALKALINE PHOSPHATASE</td><td>51</td><td align="center">09/09/2022</td></tr><tr><td ID="result61">AST</td><td>50</td><td align="center">09/09/2022</td></tr><tr><td ID="result62">ALT</td><td>93</td><td align="center">09/09/2022</td></tr><tr><td ID="result63">TSH</td><td>0.71</td><td align="center">09/09/2022</td></tr><tr><td ID="result64">WHITE BLOOD CELL COUNT</td><td>6.5</td><td align="center">09/09/2022</td></tr><tr><td ID="result65">RED BLOOD CELL COUNT</td><td>4.32</td><td align="center">09/09/2022</td></tr><tr><td ID="result66">HEMOGLOBIN</td><td>13.4</td><td align="center">09/09/2022</td></tr><tr><td ID="result67">HEMATOCRIT</td><td>39.5</td><td align="center">09/09/2022</td></tr><tr><td ID="result68">MCV</td><td>91.4</td><td align="center">09/09/2022</td></tr><tr><td ID="result69">MCH</td><td>31.0</td><td align="center">09/09/2022</td></tr><tr><td ID="result70">MCHC</td><td>33.9</td><td align="center">09/09/2022</td></tr><tr><td ID="result71">RDW</td><td>12.4</td><td align="center">09/09/2022</td></tr><tr><td ID="result72">PLATELET COUNT</td><td>314</td><td align="center">09/09/2022</td></tr><tr><td ID="result73">MPV</td><td>9.9</td><td align="center">09/09/2022</td></tr><tr><td ID="result74">ABSOLUTE NEUTROPHILS</td><td>3374</td><td align="center">09/09/2022</td></tr><tr><td ID="result75">ABSOLUTE LYMPHOCYTES</td><td>2321</td><td align="center">09/09/2022</td></tr><tr><td ID="result76">ABSOLUTE MONOCYTES</td><td>663</td><td align="center">09/09/2022</td></tr><tr><td ID="result77">ABSOLUTE EOSINOPHILS</td><td>111</td><td align="center">09/09/2022</td></tr><tr><td ID="result78">ABSOLUTE BASOPHILS</td><td>33</td><td align="center">09/09/2022</td></tr><tr><td ID="result79">NEUTROPHILS</td><td>51.9</td><td align="center">09/09/2022</td></tr><tr><td ID="result80">LYMPHOCYTES</td><td>35.7</td><td align="center">09/09/2022</td></tr><tr><td ID="result81">MONOCYTES</td><td>10.2</td><td align="center">09/09/2022</td></tr><tr><td ID="result82">EOSINOPHILS</td><td>1.7</td><td align="center">09/09/2022</td></tr><tr><td ID="result83">BASOPHILS</td><td>0.5</td><td align="center">09/09/2022</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="C8D82846-87C5-4545-ACFD-A32996A48663"/><code code="25000000" displayName="GLUCOSE" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220928"/><high value="20220928"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716122343-0500"/><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 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codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220909"/><high value="20220909"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716122343-0500"/><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="2B637947-1ECA-4BE4-8F32-AAD92C65FBE7"/><code code="30001800" displayName="LYMPHOCYTES" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result80"/></originalText></code><text><reference value="#result80"/></text><statusCode code="completed"/><effectiveTime value="20220909"/><value xsi:type="PQ" 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extension="2015-08-01"/><templateId root="2.16.840.1.113883.10.20.22.4.1"/><id root="9A88CC74-46BA-4DEB-A01D-B638C516D9CA"/><code code="30002800" displayName="BASOPHILS" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220909"/><high value="20220909"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716122343-0500"/><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="DADEE309-C892-412E-A8B2-B96DD4261CBE"/><code code="30002800" displayName="BASOPHILS" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result83"/></originalText></code><text><reference value="#result83"/></text><statusCode code="completed"/><effectiveTime value="20220909"/><value xsi:type="PQ" value="0.5"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716122343-0500"/><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="39EE9395-D269-4024-8B3B-DD37BC87F4F1"/><code code="93010" displayName="EKG" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220908"/><high value="20220908"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716122343-0500"/><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="706966FF-3775-4C2C-AA3C-78DDDAD1838F"/><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="20220908"/><value xsi:type="ST">Yes</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716122343-0500"/><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="6A76BC99-3719-482E-A607-D6F089E008BB"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20220916"/><high value="20220916"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716122343-0500"/><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="8BCAB8E4-1A51-40E6-B195-9C5C731C697E"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result25"/></originalText></code><text><reference value="#result25"/></text><statusCode code="completed"/><effectiveTime value="20220916"/><value xsi:type="ST">NOT APPLICABLE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716122343-0500"/><assignedAuthor><id extension="1215285879" root="2.16.840.1.113883.4.6"/><code code="207QA0505X" displayName="Adult Medicine" 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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="221D5B3F-9CD5-40DF-95DE-425838A4E34E"/><code code="25000300" displayName="BUN/CREATININE RATIO" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result49"/></originalText></code><text><reference value="#result49"/></text><statusCode code="completed"/><effectiveTime value="20220909"/><value xsi:type="ST">NOT APPLICABLE</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716122343-0500"/><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>