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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="4B852EC2-9FC6-45AB-B23B-C543A93D90E3" extension="35185888"/><code code="75321-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical finding"/><statusCode code="completed"/><effectiveTime><low value="20251021"/></effectiveTime><value xsi:type="CD" code="R53.83" displayName="OTHER FATIGUE" 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="07F6202B-AAB3-4AD8-8347-070BBD286979"/><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="20251021"/></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="830BFA82-1A97-4D63-97CE-53F2675869C2"/><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="20251021"/></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">UA, [CPT-4: 81003]</td><td align="center">10/21/2025</td></tr><tr><td ID = "procedure2">MONOSPOT, [CPT-4: 86308]</td><td align="center">10/21/2025</td></tr><tr><td ID = "procedure3">Vitamin B12, [SNOMED CT: 001503]</td><td align="center">10/21/2025</td></tr><tr><td ID = "procedure4">Testosterone, [SNOMED CT: 004226]</td><td align="center">10/21/2025</td></tr><tr><td ID = "procedure5">Progesterone, [SNOMED CT: 004317]</td><td align="center">10/21/2025</td></tr><tr><td ID = "procedure6">Estrogens  Total, [SNOMED CT: 004549]</td><td align="center">10/21/2025</td></tr><tr><td ID = "procedure7">Comp. Metabolic Panel (14), [SNOMED CT: 322000]</td><td align="center">10/21/2025</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="71857C77-7806-42D0-9833-FFEF0F559D2A"/><code code="81003" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="UA"/><statusCode code="completed"/><effectiveTime value="20251021"/><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="5F57F8F8-3FE9-4D59-8953-54CDB10D6114"/><code code="86308" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4" displayName="MONOSPOT"/><statusCode code="completed"/><effectiveTime value="20251021"/><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="84D43C39-7560-413E-825A-A95453752345"/><code code="001503" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Vitamin B12"/><statusCode code="completed"/><effectiveTime value="20251021"/><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="31672198-3EF9-406B-9AEC-3721B3A60F25"/><code code="004226" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Testosterone"/><statusCode code="completed"/><effectiveTime value="20251021"/><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="EA9C1077-9CAF-4421-9208-28111F1892A6"/><code code="004317" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Progesterone"/><statusCode code="completed"/><effectiveTime value="20251021"/><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="7E523FA7-5A63-4DDF-8106-A78ACF9AD885"/><code code="004549" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Estrogens  Total"/><statusCode code="completed"/><effectiveTime value="20251021"/><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="AF408D6A-41BF-4A32-9982-B226ADDAF65D"/><code code="322000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Comp. Metabolic Panel (14)"/><statusCode code="completed"/><effectiveTime value="20251021"/><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">10/21/2025</td><td ID = "vital_1_height">157 cm</td><td ID = "vital_1_weight">59 kg</td><td ID = "vital_1_bmi">23.68</td><td ID = "vital_1_bp">132/83 mm[Hg]</td><td ID = "vital_1_temp">37 Cel</td><td ID = "vital_1_pulse">83 bpm</td><td ID = "vital_1_pulseox">99 pct</td><td ID = "vital_1_resp">16 bpm</td><td ID = "vital_1_bmip">70 pct</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="C7B8A9A6-A693-4F26-BA06-E1ACDF1B538B"/><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="20251021"/><high value="20251021"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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="A448C27B-5D55-43D7-9782-3DD147E2B94B"/><code code="8302-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Height"/><text><reference value="#vital_1_height"/></text><statusCode code="completed"/><effectiveTime value="20251021"/><value xsi:type="PQ" value="157" unit="cm"/><interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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><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="25E68492-8D7E-4DEA-8E60-77B1BAF56DFE"/><code code="29463-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Weight"/><text><reference value="#vital_1_weight"/></text><statusCode code="completed"/><effectiveTime value="20251021"/><value xsi:type="PQ" value="59" unit="kg"/><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="2026071693228-0500"/><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><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="304CA726-D56D-49CA-BEC3-21C8CAAA74FB"/><code code="39156-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="BMI"/><text><reference value="#vital_1_bmi"/></text><statusCode code="completed"/><effectiveTime value="20251021"/><value xsi:type="PQ" value="23.68"/><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="2026071693228-0500"/><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><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="54E33F97-31C2-4E6F-9CF5-A4629E53AFF8"/><code code="8480-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="BP Systolic"/><text><reference value="#vital_1_bp"/></text><statusCode code="completed"/><effectiveTime value="20251021"/><value xsi:type="PQ" value="132" unit="mm[Hg]"/><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="2026071693228-0500"/><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><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="8066FA2F-3BB3-43B7-B687-1270325D280D"/><code code="8462-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="BP Diastolic"/><text><reference value="#vital_1_bp"/></text><statusCode code="completed"/><effectiveTime value="20251021"/><value xsi:type="PQ" value="83" unit="mm[Hg]"/><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="2026071693228-0500"/><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><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="4A1C6AE1-B726-47D6-A75D-7A230B708AF8"/><code code="8310-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Body Temperature"/><text><reference value="#vital_1_temp"/></text><statusCode code="completed"/><effectiveTime value="20251021"/><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="2026071693228-0500"/><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 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(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>Negative</td><td align="center">10/21/2025</td></tr><tr><td ID="result2">Urobilinogen-Urine</td><td>Negative</td><td align="center">10/21/2025</td></tr><tr><td ID="result3">Protein [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">10/21/2025</td></tr><tr><td ID="result4">pH of Urine by Test strip</td><td>7 [pH]</td><td align="center">10/21/2025</td></tr><tr><td ID="result5">Blood-Urine</td><td>Positive</td><td align="center">10/21/2025</td></tr><tr><td ID="result6">Ketones [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">10/21/2025</td></tr><tr><td ID="result7">Glucose [Mass/Volume] in Urine by Test strip</td><td>Negative mg/dL</td><td align="center">10/21/2025</td></tr><tr><td ID="result8">Specific Gravity of Urine by Test strip</td><td>1.005</td><td align="center">10/21/2025</td></tr><tr><td ID="result9">Bilirubin-Urine</td><td>Negative</td><td align="center">10/21/2025</td></tr><tr><td ID="result10">Nitrites-Urine</td><td>Negative</td><td align="center">10/21/2025</td></tr><tr><td ID="result11">Appearance of Urine</td><td>clear</td><td align="center">10/21/2025</td></tr><tr><td ID="result12">Color of Urine</td><td>pale yellow</td><td align="center">10/21/2025</td></tr><tr><td ID="result13">MONOSPOT</td><td>Negative</td><td align="center">10/21/2025</td></tr><tr><td ID="result14">HBSAG SCREEN</td><td>Negative</td><td align="center">10/23/2025</td></tr><tr><td ID="result15">HEP B SURFACE AB, QUAL</td><td>Reactive</td><td align="center">10/23/2025</td></tr><tr><td ID="result16">HEP B CORE AB, TOT</td><td>Negative</td><td align="center">10/23/2025</td></tr><tr><td ID="result19">HCV AB</td><td>Non Reactive</td><td align="center">10/23/2025</td></tr><tr><td ID="result21">RPR</td><td>Non Reactive</td><td align="center">10/23/2025</td></tr><tr><td ID="result22">HIV AB/P24 AG SCREEN</td><td>Non Reactive</td><td align="center">10/23/2025</td></tr><tr><td ID="result23">CHLAMYDIA BY NAA</td><td>Negative</td><td align="center">10/23/2025</td></tr><tr><td ID="result24">GONOCOCCUS BY NAA</td><td>Negative</td><td align="center">10/23/2025</td></tr><tr><td ID="result25">TRICH VAG BY NAA</td><td>Negative</td><td align="center">10/23/2025</td></tr><tr><td ID="result26">WBC</td><td>5.8</td><td align="center">10/23/2025</td></tr><tr><td ID="result27">RBC</td><td>4.15</td><td align="center">10/23/2025</td></tr><tr><td ID="result28">HEMOGLOBIN</td><td>12.5</td><td align="center">10/23/2025</td></tr><tr><td ID="result29">HEMATOCRIT</td><td>38.6</td><td align="center">10/23/2025</td></tr><tr><td ID="result30">MCV</td><td>93</td><td align="center">10/23/2025</td></tr><tr><td ID="result31">MCH</td><td>30.1</td><td align="center">10/23/2025</td></tr><tr><td ID="result32">MCHC</td><td>32.4</td><td align="center">10/23/2025</td></tr><tr><td ID="result33">RDW</td><td>13.0</td><td align="center">10/23/2025</td></tr><tr><td ID="result34">PLATELETS</td><td>320</td><td align="center">10/23/2025</td></tr><tr><td ID="result35">NEUTROPHILS</td><td>54</td><td align="center">10/23/2025</td></tr><tr><td ID="result36">LYMPHS</td><td>37</td><td align="center">10/23/2025</td></tr><tr><td ID="result37">MONOCYTES</td><td>6</td><td align="center">10/23/2025</td></tr><tr><td ID="result38">EOS</td><td>1</td><td align="center">10/23/2025</td></tr><tr><td ID="result39">BASOS</td><td>1</td><td align="center">10/23/2025</td></tr><tr><td ID="result40">NEUTROPHILS (ABSOLUTE)</td><td>3.1</td><td align="center">10/23/2025</td></tr><tr><td ID="result41">LYMPHS (ABSOLUTE)</td><td>2.1</td><td align="center">10/23/2025</td></tr><tr><td ID="result42">MONOCYTES(ABSOLUTE)</td><td>0.4</td><td align="center">10/23/2025</td></tr><tr><td ID="result43">EOS (ABSOLUTE)</td><td>0.1</td><td align="center">10/23/2025</td></tr><tr><td ID="result44">BASO (ABSOLUTE)</td><td>0.0</td><td align="center">10/23/2025</td></tr><tr><td ID="result45">IMMATURE GRANULOCYTES</td><td>1</td><td align="center">10/23/2025</td></tr><tr><td ID="result46">IMMATURE GRANS (ABS)</td><td>0.1</td><td align="center">10/23/2025</td></tr><tr><td ID="result47">GLUCOSE</td><td>84</td><td align="center">10/23/2025</td></tr><tr><td ID="result48">BUN</td><td>11</td><td align="center">10/23/2025</td></tr><tr><td ID="result49">CREATININE</td><td>1.00</td><td align="center">10/23/2025</td></tr><tr><td ID="result50">EGFR</td><td>83</td><td align="center">10/23/2025</td></tr><tr><td ID="result51">BUN/CREATININE RATIO</td><td>11</td><td align="center">10/23/2025</td></tr><tr><td ID="result52">SODIUM</td><td>140</td><td align="center">10/23/2025</td></tr><tr><td ID="result53">POTASSIUM</td><td>3.6</td><td align="center">10/23/2025</td></tr><tr><td ID="result54">CHLORIDE</td><td>106</td><td align="center">10/23/2025</td></tr><tr><td ID="result55">CARBON DIOXIDE, TOTAL</td><td>20</td><td align="center">10/23/2025</td></tr><tr><td ID="result56">CALCIUM</td><td>9.6</td><td align="center">10/23/2025</td></tr><tr><td ID="result57">PROTEIN, TOTAL</td><td>7.3</td><td align="center">10/23/2025</td></tr><tr><td ID="result58">ALBUMIN</td><td>5.1</td><td align="center">10/23/2025</td></tr><tr><td ID="result59">GLOBULIN, TOTAL</td><td>2.2</td><td align="center">10/23/2025</td></tr><tr><td ID="result60">BILIRUBIN, TOTAL</td><td>0.3</td><td align="center">10/23/2025</td></tr><tr><td ID="result61">ALKALINE PHOSPHATASE</td><td>51</td><td align="center">10/23/2025</td></tr><tr><td ID="result62">AST (SGOT)</td><td>13</td><td align="center">10/23/2025</td></tr><tr><td ID="result63">ALT (SGPT)</td><td>7</td><td align="center">10/23/2025</td></tr><tr><td ID="result64">TESTOSTERONE</td><td>&lt;3</td><td align="center">10/23/2025</td></tr><tr><td ID="result65">TSH</td><td>2.640</td><td align="center">10/23/2025</td></tr><tr><td ID="result66">VITAMIN B12</td><td>469</td><td align="center">10/23/2025</td></tr><tr><td ID="result67">PROGESTERONE</td><td>&lt;0.1</td><td align="center">10/23/2025</td></tr><tr><td ID="result68">ESTROGENS, TOTAL</td><td>468</td><td align="center">10/23/2025</td></tr></tbody></table></text><entry typeCode="DRIV"><organizer classCode="BATTERY" moodCode="EVN"><templateId 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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="07D1CAF1-81C2-498E-BF89-E54D17607CB2"/><code code="5792-7" displayName="Glucose [Mass/Volume] in Urine by Test strip" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result7"/></originalText></code><text><reference value="#result7"/></text><statusCode code="completed"/><effectiveTime value="20251021"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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 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codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result9"/></originalText></code><text><reference value="#result9"/></text><statusCode code="completed"/><effectiveTime value="20251021"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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="BFACEF3C-E88B-439E-A30D-50B36E8E1BBC"/><code code="5802-4" displayName="Nitrites-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/><statusCode code="completed"/><effectiveTime><low value="20251021"/><high value="20251021"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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="EE7D8796-A7E6-4C64-8236-F3D879B96B8E"/><code code="5802-4" displayName="Nitrites-Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"><originalText><reference value="#result10"/></originalText></code><text><reference value="#result10"/></text><statusCode code="completed"/><effectiveTime value="20251021"/><value 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codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20251023"/><high value="20251023"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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="55E8E924-C4A8-4846-9C32-9700A950035F"/><code code="006510" displayName="HBSAG SCREEN" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result14"/></originalText></code><text><reference value="#result14"/></text><statusCode code="completed"/><effectiveTime value="20251023"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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="D3324F75-8C47-4E06-93AC-8686772B7C4D"/><code code="006408" displayName="HEP B SURFACE AB, QUAL" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20251023"/><high value="20251023"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><assignedAuthor><id 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codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result19"/></originalText></code><text><reference value="#result19"/></text><statusCode code="completed"/><effectiveTime value="20251023"/><value xsi:type="ST">Non Reactive</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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="6621EC8E-4451-4E1F-92BE-5E8E8D8E0835"/><code code="006072" displayName="RPR" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20251023"/><high value="20251023"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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="31EBC6B1-EFCD-4553-8CC0-A818060A7EA9"/><code code="006072" displayName="RPR" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result21"/></originalText></code><text><reference value="#result21"/></text><statusCode code="completed"/><effectiveTime value="20251023"/><value xsi:type="ST">Non 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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="E60431CF-3A98-43A6-9DE0-AEBF9D8583C7"/><code code="083936" displayName="HIV AB/P24 AG SCREEN" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result22"/></originalText></code><text><reference value="#result22"/></text><statusCode code="completed"/><effectiveTime value="20251023"/><value xsi:type="ST">Non Reactive</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><assignedAuthor><id extension="1497019731" 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="FCBEC11E-075F-47D0-95A4-823FA167C5FC"/><code code="183161" displayName="CHLAMYDIA BY NAA" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result23"/></originalText></code><text><reference value="#result23"/></text><statusCode code="completed"/><effectiveTime value="20251023"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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="6304D35C-43AB-47C3-BF7E-B25075E0CE9C"/><code code="183162" displayName="GONOCOCCUS BY NAA" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20251023"/><high value="20251023"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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="30C51F5A-84CA-48E8-B832-B3F1BEC8BC80"/><code code="183162" displayName="GONOCOCCUS BY 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codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20251023"/><high value="20251023"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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="583381EC-07C7-4601-83CF-2754B88D35F9"/><code code="188053" displayName="TRICH VAG BY NAA" 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="20251023"/><value xsi:type="ST">Negative</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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="A0EF6FB1-7737-4913-A205-A8651437A479"/><code code="004227" displayName="TESTOSTERONE" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20251023"/><high value="20251023"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><assignedAuthor><id 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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="EC68B396-A3FC-47E9-800C-79E9658274E9"/><code code="004317" displayName="PROGESTERONE" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/><statusCode code="completed"/><effectiveTime><low value="20251023"/><high value="20251023"/></effectiveTime><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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="961E86DE-3263-4AF1-8BAD-C24DAC79BE7D"/><code code="004317" displayName="PROGESTERONE" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"><originalText><reference value="#result67"/></originalText></code><text><reference value="#result67"/></text><statusCode code="completed"/><effectiveTime value="20251023"/><value xsi:type="ST">&lt;0.1</value><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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><table border="1" width="100%"><thead><tr><th>Concern</th> <th>Status</th> <th>Date</th> </tr></thead><tbody><tr><td>MODERATE PERSISTENT ASTHMA, UNCOMPLICATED concern</td><td>Active</td><td>October 21, 2025</td></tr></tbody></table></text><entry><act classCode="ACT" moodCode="EVN"><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="5D4F9AF9-BFF3-45E7-B526-A28198FD2895"/><code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health Concern"/><statusCode code="completed"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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><entryRelationship typeCode="REFR"><observation classCode="OBS" moodCode="EVN"><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="4E3D1AB4-B9BC-4AF8-BCF1-995B1051A435"/><code code="64572001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Condition"><translation code="75323-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Condition"/></code><statusCode code="completed"/><effectiveTime><low value="20251021"/></effectiveTime><value xsi:type="CD" code="J45.40" codeSystem="2.16.840.1.113883.6.3" codeSystemName="ICD10" displayName="MODERATE PERSISTENT ASTHMA, UNCOMPLICATED"/><author><templateId root="2.16.840.1.113883.10.20.22.4.119"/><time value="2026071693228-0500"/><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></entryRelationship></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>