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					<title>2026 Consolidated CDA</title>
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value="20070720"/><high value="20260716"/></effectiveTime><performer typeCode="PRF"><functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88" codeSystemName="ParticipationFunction" displayName="Primary Care Provider"><originalText>Primary Care Provider</originalText></functionCode><assignedEntity><id root="2.16.840.1.113883.4.6" extension="1295276632"/><code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/><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>Robin</given><family>Blackwell</family><suffix>CRNP</suffix></name></assignedPerson><representedOrganization><id root="1.2.16.840.1.113883.4.6" extension="AUM_567"/><name>Auburn Montgomery Student Health Services</name><telecom use="WP" value="tel:+1(334)244-3281"/><addr><streetAddressLine>7461 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value="20260716"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121058-0500"/><assignedAuthor><id extension="1295276632" 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><entryRelationship typeCode="SUBJ"><observation classCode="OBS" moodCode="EVN" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.7" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.7"/><id root="E67C6CE3-CB79-4B29-8954-5B51305A580C"/><code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/><statusCode code="completed"/><effectiveTime nullFlavor="NA"/><value xsi:type="CD" code="416098002" displayName="Drug allergy (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" /><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121058-0500"/><assignedAuthor><id extension="1295276632" 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><participant typeCode="CSM"><participantRole classCode="MANU"><playingEntity classCode="MMAT"><code nullFlavor="NA"/><name>No Known Drug Allergies</name></playingEntity></participantRole></participant><entryRelationship typeCode="MFST" inversionInd="true"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.9" extension="2014-06-09" /><templateId root="2.16.840.1.113883.10.20.22.4.9" /><id root="4adc1020-7b14-11db-9fe1-0800200c9a64" /><code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" /><statusCode code="completed" /><effectiveTime nullFlavor="NA" /><value xsi:type="CD" code="373572006" codeSystem="2.16.840.1.113883.6.96" displayName="Clinical Finding Absent" /></observation></entryRelationship><entryRelationship typeCode="SUBJ" inversionInd="true"><observation classCode="OBS" moodCode="EVN"><templateId root="2.16.840.1.113883.10.20.22.4.145"/><code code="82606-5" codeSystem="2.16.840.1.113883.6.1" 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>No known Medications</text><entry><substanceAdministration moodCode="EVN" classCode="SBADM" negationInd="true"><templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.16"/><id root="cdbd33f0-6cde-11db-9fe1-0800200c9a66"/><statusCode code="active"/><effectiveTime nullFlavor="NA"/><doseQuantity nullFlavor="NA"/><consumable><manufacturedProduct classCode = "MANU"><templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/><templateId root="2.16.840.1.113883.10.20.22.4.23"/><manufacturedMaterial><code nullFlavor="OTH" codeSystem="2.16.840.1.113883.6.88"><translation code="410942007" displayName="drug or medication" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/></code></manufacturedMaterial></manufacturedProduct></consumable></substanceAdministration></entry></section></component><component><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>Robin Blackwell</td><td>Auburn Montgomery Warhawk Health Services</td><td>Apr 04, 2023</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="663F7976-3D52-41AD-8CCE-0FB20589F0E8"/><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="20230404"/><performer><assignedEntity><id extension="1295276632" 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="A8D4B8F3-D1D2-4EBF-ACAE-D33DDEA0B2DC" extension="28985067"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20230404"/></effectiveTime><value xsi:type="CD" code="L21.8" displayName="OTHER SEBORRHEIC DERMATITIS" 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="6634BF95-574B-4156-BA37-612BF3A6133C"/><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="20230404"/></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="431A49C5-0DBA-4AB5-951B-A3BFD34D579F"/><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="20230404"/></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">LIPID PANEL WITH REFLEX TO DIRECT LDL, [CPT-4: 14852]</td><td align="center">04/04/2023</td></tr><tr><td ID = "procedure2">HEPATIC FUNCTION PANEL, [CPT-4: 80076]</td><td align="center">04/04/2023</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="27C33DAC-E4AC-476B-AEA3-17F35D1071E7"/><code code="14852" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="LIPID PANEL WITH REFLEX TO DIRECT LDL"/><statusCode code="completed"/><effectiveTime value="20230404"/><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="29DD78E5-4B28-4CA8-99D8-4B01F8734413"/><code code="80076" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="HEPATIC FUNCTION PANEL"/><statusCode code="completed"/><effectiveTime value="20230404"/><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>No Vitals Signs Selected to be Displayed</text><entry><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="C08BF6AB-930C-4D67-8FCB-F8EA47F91D4C"/><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 value="20260716"/><component><observation classCode="OBS" moodCode="EVN" negationInd="true"><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="C08BF6AB-930C-4D67-8FCB-F8EA47F91D4C"/><code code="39968002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Absence of vital signs"/><statusCode code="completed"/><effectiveTime value="20260716"/><value xsi:type="CD" nullFlavor="UNK"/></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">CHOLESTEROL, TOTAL</td><td>142</td><td align="center">04/05/2023</td></tr><tr><td ID="result2">HDL CHOLESTEROL</td><td>51</td><td align="center">04/05/2023</td></tr><tr><td ID="result3">TRIGLYCERIDES</td><td>75</td><td align="center">04/05/2023</td></tr><tr><td ID="result4">LDL-CHOLESTEROL</td><td>75</td><td align="center">04/05/2023</td></tr><tr><td ID="result5">CHOL/HDLC RATIO</td><td>2.8</td><td align="center">04/05/2023</td></tr><tr><td ID="result6">NON HDL CHOLESTEROL</td><td>91</td><td align="center">04/05/2023</td></tr><tr><td ID="result7">PROTEIN, TOTAL</td><td>7.3</td><td align="center">04/05/2023</td></tr><tr><td ID="result8">ALBUMIN</td><td>4.8</td><td align="center">04/05/2023</td></tr><tr><td ID="result9">GLOBULIN</td><td>2.5</td><td align="center">04/05/2023</td></tr><tr><td ID="result10">ALBUMIN/GLOBULIN RATIO</td><td>1.9</td><td align="center">04/05/2023</td></tr><tr><td ID="result11">BILIRUBIN, TOTAL</td><td>0.4</td><td align="center">04/05/2023</td></tr><tr><td ID="result12">BILIRUBIN, DIRECT</td><td>0.1</td><td align="center">04/05/2023</td></tr><tr><td ID="result13">BILIRUBIN, INDIRECT</td><td>0.3</td><td align="center">04/05/2023</td></tr><tr><td ID="result14">ALKALINE PHOSPHATASE</td><td>125</td><td align="center">04/05/2023</td></tr><tr><td ID="result15">AST</td><td>17</td><td align="center">04/05/2023</td></tr><tr><td ID="result16">ALT</td><td>10</td><td align="center">04/05/2023</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="48A4C6C9-CDCE-4DA5-B2FF-4CFE29ABF194"/><code code="25003000" displayName="CHOLESTEROL, TOTAL" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20230405"/><high value="20230405"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121058-0500"/><assignedAuthor><id extension="1295276632" 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="D0694F62-6E04-42E9-9DE8-75FA23CAE370"/><code code="25003000" displayName="CHOLESTEROL, TOTAL" 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="20230405"/><value xsi:type="PQ" value="142"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121058-0500"/><assignedAuthor><id extension="1295276632" 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="973C9AC2-6332-4BB9-82EB-3AF01EB6CA60"/><code code="25015900" displayName="HDL CHOLESTEROL" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20230405"/><high 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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="17F747AA-8323-41C7-B025-D07341F48493"/><code code="25002400" displayName="ALT" 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="20230405"/><value xsi:type="PQ" value="10"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="20260716121058-0500"/><assignedAuthor><id extension="1295276632" 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>