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                                          <originalText>\n                                                <reference value = \"#Med25\"/>\n                                            </originalText>\n                                        </code>\n                                        <name>Synthroid 88 mcg (0.088 mg) oral tablet</name>\n                                    </manufacturedMaterial>\n                                </manufacturedProduct>\n                            </consumable>\n                        </substanceAdministration>\n                    </entry>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <substanceAdministration classCode = \"SBADM\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.16\"/>\n                            <id root = \"MEDmdt-59360945\"/>\n                            <text>\n                                <reference value = \"#Medmdt-59360945\"/>\n                            </text>\n                            <statusCode code = \"current\"/>\n                            \n                            <effectiveTime xsi:type = \"IVL_TS\">\n                                <low value=\"20201016\"/>\n                                <high value=\"20201016\"/>\n                            </effectiveTime>\n                            <effectiveTime xsi:type = \"PIVL_TS\" institutionSpecified = \"false\" operator = \"A\">\n                                <period value = \"24\" unit = \"h\"/>\n                            </effectiveTime>\n                            \n                            <doseQuantity value = \"90.0\"/>\n                            <consumable>\n                                <manufacturedProduct classCode = \"MANU\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.23\"/>\n                                    <id root = \"ae514bd0-f976-40c5-95c2-6a5444456725\"/>\n                                    <manufacturedMaterial>\n                                        <code code = \"314200\" codeSystem = \"2.16.840.1.113883.6.88\"  codeSystemName = \"RxNorm\">\n                                            <originalText>\n                                                <reference value = \"#Med26\"/>\n                                            </originalText>\n                                        </code>\n                                        <name>pantoprazole 40 mg oral delayed release tablet</name>\n                                    </manufacturedMaterial>\n                                </manufacturedProduct>\n                            </consumable>\n                        </substanceAdministration>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.5\"/>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.5.1\"/>\n                    <code code = \"11450-4\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"PROBLEM LIST\"/>\n                    <title>PROBLEMS</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Problem</th>\n                                    <th>Problem Status</th>\n                                    <th>Onset date</th>\n                                    <th>Resolved date</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                            \n                                <tr ID = \"PROBSUMMARY_530.81\">\n                                    <td ID = \"PROBKIND_530.81\">*GERD/Esophageal Reflux&#160;</td>\n                                    <td ID = \"PROBSTATUS_530.81\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_787.3\">\n                                    <td ID = \"PROBKIND_787.3\">*Gas, Bloating, Abd, Distention&#160;</td>\n                                    <td ID = \"PROBSTATUS_787.3\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_787.91\">\n                                    <td ID = \"PROBKIND_787.91\">*Diarrhea, Not Chronic&#160;</td>\n                                    <td ID = \"PROBSTATUS_787.91\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_R14.2\">\n                                    <td ID = \"PROBKIND_R14.2\">*Eructation&#160;</td>\n                                    <td ID = \"PROBSTATUS_R14.2\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                            </tbody>\n                        </table>\n                    </text>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <act classCode = \"ACT\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.3\"/>\n                            <id root=\"36e3e930-7b14-11db-9fe1-0800200c9a66\" />\n                            <code code = \"CONC\" codeSystem = \"2.16.840.1.113883.5.6\" displayName = \"Concern\"/>\n                            <statusCode code = \"completed\"/>\n                            <effectiveTime>\n                                <low nullFlavor=\"UNK\" />\n                            </effectiveTime>\n                            <entryRelationship typeCode = \"SUBJ\">\n                                <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\" >\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.4\"/>\n                                    <id root=\"36e3e930-7b14-11db-9fe1-0800200c9a66\" />\n                                    <code nullFlavor=\"NI\"/>\n                                    <text>\n                                        <reference value = \"#PROBSUMMARY_1\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime>\n                                        <low nullFlavor=\"NI\"/>\n                                    </effectiveTime>\n                                    <value xsi:type = \"CD\" nullFlavor=\"NI\" />\n                                </observation>\n                            </entryRelationship>\n                        </act>\n                    </entry>\n                   \n                </section>\n            </component>\n			<component>\n            <!--   Social History ******** -->\n            <section>\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.17\"/>\n               <!--  ********  Social history section template   ******** -->\n               <code code=\"29762-2\" codeSystem=\"2.16.840.1.113883.6.1\" displayName=\"Social History\"/>\n               <title>SOCIAL HISTORY</title>\n               <text>\n                  <list listType=\"ordered\">\n                     \n                     <item><content ID=\"smoker1\">Former smoker, 2 packs (Quit 2005)/day 25/years as of 10/16/2020</content></item>\n                  </list>\n               </text>\n               \n               <entry>\n                  \n                  <observation classCode=\"OBS\" moodCode=\"EVN\">\n                     <!-- Smoking status observation template -->\n                     <templateId root=\"2.16.840.1.113883.10.20.22.4.78\"/>\n                     <code code=\"ASSERTION\" codeSystem=\"2.16.840.1.113883.5.4\"/>\n                     <statusCode code=\"completed\"/>\n                     <effectiveTime>\n                     <low nullFlavor=\"NI\" />\n                     </effectiveTime>\n                     <value xsi:type=\"CD\" code=\"8517006\" displayName=\"Former smoker\"\n                        codeSystem=\"2.16.840.1.113883.6.96\" codeSystemName=\"SNOMED CT\"/>\n                  </observation>\n               </entry>\n               \n            </section>\n         </component>\n			<component>\n            <section>\n               <!-- Instructions template ID -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.45\"/>\n               <id root=\"184fdbe3-f480-4199-976d-e0bb0dd02551\"/>\n               <code code=\"69730-0\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemVersion=\"LOINC\"\n                  displayName=\"Instructions\"/>\n               <title>INSTRUCTIONS</title>\n               <text>\n               <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Instruction</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                              	<tr class=\"None\" ><td>No Instructions</td><td>&#160;</td></tr>\n                              \n                            </tbody>\n                        </table>\n               </text>\n            </section>\n         </component>\n			<component>\n            <section>\n               <!--  ********  Immunizations (entries required) section template   ******** -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.2.1\"/>\n               <code code=\"11369-6\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"History of immunizations\"/>\n               <title>IMMUNIZATIONS</title>\n               <text>\n               	  \n                   <list listType=\"ordered\">\n                    <item class=\"None\"><content>No Immunizations</content></item>\n                   </list>\n                  \n               </text>\n               <entry>\n                  <substanceAdministration moodCode=\"EVN\" classCode=\"SBADM\" negationInd=\"true\">\n                     <!-- Immunization Activity entry template -->\n                     <templateId root=\"2.16.840.1.113883.10.20.22.4.52\"/>\n                     <id root=\"b82150ba-bc2f-47a2-947c-930e3b4a3a5b\"/>\n                     <statusCode code=\"completed\"/>\n                     <effectiveTime nullFlavor=\"UNK\" />\n                     <consumable nullFlavor=\"NI\">\n                        <manufacturedProduct classCode=\"MANU\">\n                           <!-- Immunization Medication Information template -->\n                           <templateId root=\"2.16.840.1.113883.10.20.22.4.54\"/>\n                           <manufacturedMaterial nullFlavor=\"NI\" >\n                           		<code  codeSystem=\"2.16.840.1.113883.12.292\" codeSystemName=\"Vaccines administered (CVX)\" nullFlavor=\"NI\" />\n                           </manufacturedMaterial>\n                           <manufacturerOrganization>\n                              <name>No Manufacturer</name>\n                           </manufacturerOrganization>\n                        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	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  \n					  </paragraph>\n					</text>\n				</section>\n         </component>\n		 <component>\n            <section>\n               <!-- Vital Signs (entries optional) -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.4\"/>\n               <code code=\"8716-3\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"VITAL SIGNS\"/>\n               <title>VITAL SIGNS</title>\n               <text>\n                   <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Name</th>\n                                    <th>Value</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                            \n                            	<tr ID=\"VITALS1\">\n                            	<td>10/16/2020&#160;</td>\n                            	<td>Weight in lbs&#160;</td>\n                            	<td>177&#160;</td>\n                            	</tr>\n                            \n                            	<tr ID=\"VITALS2\">\n                            	<td>10/16/2020&#160;</td>\n                            	<td>Height in Inches&#160;</td>\n                            	<td>69&#160;</td>\n                            	</tr>\n                            \n                            	<tr ID=\"VITALS3\">\n                            	<td>10/16/2020&#160;</td>\n                            	<td>Blood Pressure Sitting (Systolic / Diastolic)&#160;</td>\n                            	<td>120/72&#160;</td>\n                            	</tr>\n                            \n                            </tbody>\n                   </table>\n               </text>\n            </section>\n         </component>\n		 <component>\n            <section>\n               <!-- ** Plan of Care Section Template -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.10\"/>\n               <!-- CCDA Plan of Care Section definition requires this code -->\n               <code code=\"18776-5\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"Treatment plan\"/>\n               <title>PLAN OF CARE</title>\n               <text>\n               <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Type</th>\n                                    <th>Recommendation</th>\n                                    <th>Discussion</th >\n                                </tr>\n                            </thead>\n                            \n                            <tbody>\n                            \n             \n                  	<tr><td>10/16/2020&#160;</td><td>Order: Imaging Order [10/16/2020 10:09 AM]&#160;</td><td> Gastric Emptying Study&#160;</td><td> Tennova 10/20/2020 @ 8:45am&#160;</td></tr>\n                  	\n                  	<tr><td>10/16/2020&#160;</td><td>Follow-up&#160;</td><td> after x-ray&#160;</td><td> &#160;</td></tr>\n                  	\n                  	<tr><td>10/16/2020&#160;</td><td>Refill E-Medications&#160;</td><td> pantoprazole 40 mg oral delayed release tablet&#160;</td><td> Sig:tablets by mouth take 30 minutes before meals breakfast  Dispense:90.0 Refills:3&#160;</td></tr>\n                  	\n                  	<tr><td>10/16/2020&#160;</td><td>Evaluation and Management&#160;</td><td> Est Patient - Minimal&#160;</td><td> 1995 Guidelines&#160;</td></tr>\n                  	\n                  	\n                	</tbody></table>\n               </text>\n            </section>\n         </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.7\"/>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.7.1\"/>\n                    <code code = \"47519-4\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"PROCEDURES\"/>\n                    <title>PROCEDURES</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Name</th>\n                                    <th>Last modification date</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                <tr>\n									<td ID=\"procedure1\" class=\"None\">No Procedures</td>\n									<td>&#160;</td>\n								</tr>\n                            </tbody>\n                        </table>\n                    </text>\n                    <entry>\n                        <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\" >\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.13\"/>\n                            <id root = \"DET-1\"/>\n                            <code xsi:type = \"CE\" code = \"DET-UNK\" codeSystem = \"2.16.840.1.113883.6.96\" displayName = \"No Procedures\">\n                                <originalText>\n                                    <reference value = \"#procedure1\"/>\n                                </originalText>\n                            </code>\n                            <statusCode code = \"completed\"/>\n                            <effectiveTime  nullFlavor=\"UNK\" />\n                            <value xsi:type = \"CD\"/>\n                            <methodCode nullFlavor = \"UNK\"/>\n                            \n                        </observation>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.3.1\"/>\n                    <code code = \"30954-2\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"RESULTS\"/>\n                    <title>RESULTS</title>\n                    <text><table border = \"1\" width = \"100%\"><thead>\n                    	<tr>\n                    	<th>Description</th>\n                    	<th>Value</th>\n                    	<th>Units</th>\n                    	<th>Date</th>\n                    	</tr></thead><tbody>\n                    	\n                    	<tr ID=\"result1\">\n                    		<td>Ova and Parasite, Wet Mount&#160;</td>\n                    		<td>Negative&#160;</td>\n                    		<td>&#160;</td>\n                    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ID=\"result5\">\n                    		<td>Ova and Parasite, Trichrome Stain&#160;</td>\n                    		<td>Negative&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/29/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result6\">\n                    		<td>Culture, Stool&#160;</td>\n                    		<td>See Below&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/27/2014&#160;</td>\n                    	</tr>\n                    	\n                    </tbody>\n                    </table>\n                    </text>\n                    <entry typeCode = \"DRIV\">\n                        <organizer classCode = \"BATTERY\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.1\"/>\n                            <id root = \"RES-20140729--10704-5\"/>\n                            <code xsi:type = \"CE\" code = \"10704-5\" displayName = \"Ova and Parasite, Wet Mount\" codeSystemName = \"LOINC\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                            <statusCode code = \"completed\" />\n                            <component>\n                                <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.2\"/>\n                                    <id root = \"RES-20140729--10704-5\"/>\n                                    <code displayName = \"Ova and Parasite, Wet Mount\" code = \"10704-5\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                                    <text>\n                                        <reference value = \"#result1\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime value = \"20140729\"/>\n                                    <value xsi:type = \"PQ\" unit = \" \" value = \"Negative\"/>\n                                    <interpretationCode code = \"IND\" codeSystem = \"2.16.840.1.113883.5.83\"/>\n                                	<referenceRange>\n                              		<observationRange>\n                              		   <text></text>\n                             	 	</observationRange>\n                           </referenceRange>\n                                </observation>\n                            </component>\n                        </organizer>\n                    </entry>\n                    <entry typeCode = \"DRIV\">\n                        <organizer classCode = \"BATTERY\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.1\"/>\n                            <id root = \"RES-20140725--2335-8\"/>\n                            <code xsi:type = \"CE\" code = \"2335-8\" displayName = \"Occult Blood Stool 1 Specimen\" codeSystemName = \"LOINC\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                            <statusCode code = \"completed\" />\n                            <component>\n                                <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.2\"/>\n                                    <id root = \"RES-20140725--2335-8\"/>\n                                    <code displayName = \"Occult Blood Stool 1 Specimen\" code = \"2335-8\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                                    <text>\n                                        <reference value = \"#result2\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime value = \"20140725\"/>\n                                    <value xsi:type = \"PQ\" unit = \" \" value = \"Negative\"/>\n                                    <interpretationCode code = \"IND\" codeSystem = \"2.16.840.1.113883.5.83\"/>\n                                	<referenceRange>\n                              		<observationRange>\n                              		   <text></text>\n                             	 	</observationRange>\n                           </referenceRange>\n                                </observation>\n                            </component>\n                        </organizer>\n                    </entry>\n                    <entry typeCode = \"DRIV\">\n                        <organizer classCode = \"BATTERY\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.1\"/>\n                            <id root = \"RES-20140727--31208-2\"/>\n                            <code xsi:type = \"CE\" code = \"31208-2\" displayName = \"Specimen Source\" codeSystemName = \"LOINC\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                            <statusCode code = \"completed\" />\n                            <component>\n                                <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.2\"/>\n                                    <id root = \"RES-20140727--31208-2\"/>\n                                    <code displayName = \"Specimen Source\" code = \"31208-2\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                                    <text>\n                                        <reference value = \"#result3\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime value = \"20140727\"/>\n                                    <value xsi:type = \"PQ\" unit = \" \" value = \"Stool\"/>\n                                    <interpretationCode code = \"IND\" codeSystem = \"2.16.840.1.113883.5.83\"/>\n                                	<referenceRange>\n                              		<observationRange>\n                              		   <text></text>\n                             	 	</observationRange>\n                           </referenceRange>\n                                </observation>\n                            </component>\n                        </organizer>\n                    </entry>\n                    <entry typeCode = \"DRIV\">\n                        <organizer classCode = \"BATTERY\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.1\"/>\n                            <id root = \"RES-20140725--34713-8\"/>\n                            <code xsi:type = \"CE\" code = \"34713-8\" displayName = \"Clostridium difficile Toxin Gene by DNA Amplificat\" codeSystemName = \"LOINC\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                            <statusCode code = \"completed\" />\n                            <component>\n                                <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.2\"/>\n                                    <id root = \"RES-20140725--34713-8\"/>\n                                    <code displayName = \"Clostridium difficile Toxin Gene by DNA Amplificat\" code = \"34713-8\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                                    <text>\n                                        <reference value = \"#result4\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime value = \"20140725\"/>\n                                    <value xsi:type = \"PQ\" unit = \" \" value = \"NOT DETECTED\"/>\n                                    <interpretationCode code = \"IND\" codeSystem = \"2.16.840.1.113883.5.83\"/>\n                                	<referenceRange>\n                              		<observationRange>\n                              		   <text></text>\n                             	 	</observationRange>\n                           </referenceRange>\n                                </observation>\n                            </component>\n                        </organizer>\n                    </entry>\n                    <entry typeCode = \"DRIV\">\n                        <organizer classCode = \"BATTERY\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.1\"/>\n                            <id root = \"RES-20140729--43227-8\"/>\n                            <code xsi:type = \"CE\" code = \"43227-8\" displayName = \"Ova and Parasite, Trichrome Stain\" codeSystemName = \"LOINC\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                            <statusCode code = \"completed\" />\n                            <component>\n                                <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.2\"/>\n                                    <id root = \"RES-20140729--43227-8\"/>\n                                    <code displayName = \"Ova and Parasite, Trichrome Stain\" code = \"43227-8\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                                    <text>\n                                        <reference value = \"#result5\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime value = \"20140729\"/>\n                                    <value xsi:type = \"PQ\" unit = \" \" value = \"Negative\"/>\n                                    <interpretationCode code = \"IND\" codeSystem = \"2.16.840.1.113883.5.83\"/>\n                                	<referenceRange>\n                              		<observationRange>\n                              		   <text></text>\n                             	 	</observationRange>\n                           </referenceRange>\n                                </observation>\n                            </component>\n                        </organizer>\n                    </entry>\n                    <entry typeCode = \"DRIV\">\n                        <organizer classCode = \"BATTERY\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.1\"/>\n                            <id root = \"RES-20140727--625-4\"/>\n                            <code xsi:type = \"CE\" code = \"625-4\" displayName = \"Culture, Stool\" codeSystemName = \"LOINC\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                            <statusCode code = \"completed\" />\n                            <component>\n                                <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.2\"/>\n                                    <id root = \"RES-20140727--625-4\"/>\n                                    <code displayName = \"Culture, Stool\" code = \"625-4\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                                    <text>\n                                        <reference value = \"#result6\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime value = \"20140727\"/>\n                                    <value xsi:type = \"PQ\" unit = \" \" value = \"See Below\"/>\n                                    <interpretationCode code = \"IND\" codeSystem = \"2.16.840.1.113883.5.83\"/>\n                                	<referenceRange>\n                              		<observationRange>\n                              		   <text></text>\n                             	 	</observationRange>\n                           </referenceRange>\n                                </observation>\n                            </component>\n                        </organizer>\n                    </entry>\n                    \n                </section>\n            </component>\n            <component>\n            <section>\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.14\"/>\n               <!--  ******** Functional status section template   ******** -->\n               <code code=\"47420-5\" codeSystem=\"2.16.840.1.113883.6.1\"/>\n               <title>FUNCTIONAL/COGNITIVE STATUS</title>\n               <text>\n               \n               \n               \n              \n               \n               		<span class=\"None\" >No Data Available</span>\n               	 \n               </text>\n            </section>\n         </component>\n         <component>\n            <section>\n               <templateId root=\"1.3.6.1.4.1.19376.1.5.3.1.3.1\"/>\n               <!-- ** Reason for Referral Section Template ** -->\n               <code codeSystem=\"2.16.840.1.113883.6.1\" \n                  codeSystemName=\"LOINC\" code=\"42349-1\"\n                  displayName=\"REASON FOR REFERRAL\"/>\n               <title>REFERRALS</title>\n               <text>\n                  <paragraph>\n                  	<span class=\"None\">No Referrals</span>\n                  \n                  </paragraph>\n               </text>\n            </section>\n         </component> \n        </structuredBody>\n    </component>\n</ClinicalDocument>'),(3048187,4744955,'920','Clinical_Summary_CCDA.xml','xml','1603183196','644acf3c762894fcf91421dc93c6736eb2b74131','<?xml version=\"1.0\" encoding=\"UTF-8\"?>\n<?xml-stylesheet type=\"text/xsl\" href=\"CDA.xsl\"?>\n<ClinicalDocument xmlns:xsi = \"http://www.w3.org/2001/XMLSchema-instance\" xsi:schemaLocation = \"urn:hl7-org:v3 file:///C:/MDHT_CDATools/workspace-consol/org.openhealthtools.mdht.uml.cda.consol.model/CDA_Schema_Files/infrastructure/cda/CDA_SDTC.xsd\" xmlns = \"urn:hl7-org:v3\" xmlns:mif = \"urn:hl7-org:v3/mif\">\n    <realmCode code = \"US\"/>\n    <typeId root = \"2.16.840.1.113883.1.3\" extension = \"POCD_HD000040\"/>\n    <templateId root = \"2.16.840.1.113883.10.20.22.1.1\"/>\n    <templateId root = \"2.16.840.1.113883.10.20.22.1.2\"/>\n    <id extension = \"QRS_CCDA\" root = \"2.16.840.1.113883.19\" assigningAuthorityName = \"QRS Inc\"/>\n    <code code = \"34133-9\" displayName = \"Consolidated CDA\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\"/>\n    <title>Clinical Summary</title>\n    <effectiveTime value = \"20201016101813-0000\"/>\n    <confidentialityCode code = \"N\" codeSystem = \"2.16.840.1.113883.5.25\"/>\n    <languageCode code = \"en-US\"/>\n    <setId extension = \"111199021\" root = \"2.16.840.1.113883.19\"/>\n    <versionNumber value = \"1\"/>\n    <recordTarget>\n        <patientRole>\n            <id extension = \"201016090329\" root = \"2.16.840.1.113883.19\"/>\n            \n            <id extension = \"264-99-9826\" root = \"2.16.840.1.113883.4.1\"/>\n            \n            \n            <addr use = \"HP\">\n                <streetAddressLine>1090 Forest Dr SE </streetAddressLine>\n                <city>Cleveland</city>\n                <state>TN</state>\n                <postalCode>37323</postalCode>\n                <country>USA</country>\n            </addr>\n            <telecom use = \"HP\" value = \"tel:+1-(850) 728-3625\"/>\n            <patient>\n            	\n                <name use = \"L\">\n                    \n                    <given>Jessie</given>\n                    \n                    \n                    <family>Hysmith</family>\n                    \n                </name>\n                \n                \n                <administrativeGenderCode code = \"F\" displayName = \"Female\" codeSystem = \"2.16.840.1.113883.5.1\" codeSystemName = \"HL7 AdministrativeGender\"/>\n                \n                 \n                <birthTime value = \"19720121\"/>\n                \n                \n                <maritalStatusCode code = \"M\" displayName = \"Married\" codeSystem = \"2.16.840.1.113883.5.2\" codeSystemName = \"HL7 Marital status\"/>\n                \n				<!--<religiousAffiliationCode code = \"1013\" displayName = \"Christian (non-Catholic, non-specific)\" codeSystemName = \"HL7 Religious Affiliation \" codeSystem = \"2.16.840.1.113883.5.1076\"/> -->\n                \n					<raceCode code = \"2106-3\" displayName = \"White\" codeSystem = \"2.16.840.1.113883.6.238\" codeSystemName = \"Race &amp; Ethnicity - CDC\"/>\n                \n				\n					<ethnicGroupCode code = \"2186-5\" displayName = \"Not Hispanic or Latino\" codeSystem = \"2.16.840.1.113883.6.238\" codeSystemName = \"Race &amp; Ethnicity - CDC\"/>\n				\n                <!--<birthplace>\n                    <place>\n                        <addr>\n                            <state>MI</state>\n                            <postalCode>48503</postalCode>\n                            <country>US</country>\n                        </addr>\n                    </place>\n                </birthplace>-->\n				\n                <languageCommunication>\n                    <languageCode code = \"eng\"  />\n                    <modeCode code = \"RWR\" displayName = \"Receive Written\" codeSystem = \"2.16.840.1.113883.5.60\" codeSystemName = \"LanguageAbilityMode\"/>\n                    <proficiencyLevelCode code = \"G\" displayName = \"Good\" codeSystem = \"2.16.840.1.113883.5.61\" codeSystemName = \"LanguageAbilityProficiency\"/>\n                    <preferenceInd value = \"true\"/>\n                </languageCommunication>\n				\n            </patient>\n            <providerOrganization> \n                 <id root = \"2.16.840.1.113883.19.5\"/>\n                <id extension = \"1\" root = \"2.16.840.1.113883.4.6\"/>\n                <name>Gastrointestinal Assoc,PC</name>\n                <telecom use = \"WP\" value = \"tel:(423) 559-2800\"/>\n                <addr use = \"WP\">\n                    <streetAddressLine>2415 Chambliss Avenue NW</streetAddressLine>\n                    <city>Cleveland</city>\n                    <state>TN</state>\n                    <postalCode>37311-3882</postalCode>\n                    <country>US</country>\n                </addr>\n                <standardIndustryClassCode/>\n                <asOrganizationPartOf/>\n            </providerOrganization>\n        </patientRole>\n    </recordTarget>\n    <author>\n        <time value = \"20201016101813-0000\"/>\n        <assignedAuthor>\n            \n            <id extension = \"1629011549\" root = \"2.16.840.1.113883.4.6\"/>\n            \n            <code code = \"207RG0100X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>2415 Chambliss Avenue NW </streetAddressLine>\n                <city>Cleveland</city>\n                <state>TN</state>\n                <postalCode>37311-3882</postalCode>\n                <country>US</country>\n            </addr>\n            \n            <telecom use = \"WP\" value = \"tel:(423) 559-2800\"/>\n            \n            \n            <assignedPerson>\n                <name>\n                    \n                            <given>Paul</given>\n                            <family>Brundage</family>\n                            <suffix>D.O.</suffix>\n                    \n                </name>\n            </assignedPerson>\n            \n        </assignedAuthor>\n    </author>\n    <!--. MAY contain zero or one [0..1] dataEnterer\n    <dataEnterer>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </dataEnterer> -->\n    <!--. MAY contain zero or one [0..1] informant\n    <informant>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </informant>-->\n    <custodian>\n        <assignedCustodian>\n            <representedCustodianOrganization>\n                <id extension = \"1234567\" root = \"2.16.840.1.113883.4.6\"/>\n                <name>Gastrointestinal Assoc.</name>\n                <telecom use = \"WP\" value = \"tel:(423) 559-2800\"/>\n                <addr use = \"WP\">\n                    <streetAddressLine>Of Cleveland, P.C. P. O. Box 3025</streetAddressLine>\n                    <city>Cleveland</city>\n                    <state>TN</state>\n                    <postalCode>37320</postalCode>\n                    <country>US</country>\n                </addr>\n            </representedCustodianOrganization>\n        </assignedCustodian>\n    </custodian>\n    <!-- MAY contain zero or more [0..*] informationRecipient>\n    <informationRecipient>\n        <intendedRecipient>\n            <receivedOrganization>\n                <name>Get Well Clinic</name>\n            </receivedOrganization>\n        </intendedRecipient>\n    </informationRecipient>  -->\n    <!--The legalAuthenticator, if present, SHALL contain exactly one - \n    <legalAuthenticator>\n        <time value = \"20130207153010+0500\"/>\n        <signatureCode code = \"S\"/>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </legalAuthenticator> -->\n    \n        <documentationOf>\n        \n        <serviceEvent classCode = \"ACT\">\n            <id root = \"1.2.840.113619.2.62.994044785528.114289542805\"/>\n            <id extension = \"123453\" root = \"1.2.840.113619.2.62.994044785528.26\"/>\n            <code code = \"99214\" displayName = \"Office Visit\" codeSystem = \"2.16.840.1.113883.6.12\" codeSystemName = \"CPT4\"/>\n            <effectiveTime>\n                \n		     <low value=\"20201016\"/>\n                \n            </effectiveTime>\n            \n            	<performer typeCode = \"PRF\" nullFlavor=\"NI\">\n                <templateId root = \"2.16.840.1.113883.10.20.6.2.1\"/>\n                <assignedEntity nullFlavor=\"NI\">\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"132465\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n                    <addr nullFlavor=\"UNK\" />\n                    <telecom use = \"WP\" value = \"tel:(423) 559-2800\"/>\n                    <assignedPerson>\n			<name>\n			\n                            <given>Paul</given>\n                            <family>Brundage</family>\n                            <suffix>D.O.</suffix>\n                        \n                        </name>\n\n                    </assignedPerson>\n                </assignedEntity>\n            </performer>\n            \n        </serviceEvent>\n    </documentationOf>\n    <componentOf>\n      \n        <encompassingEncounter>\n            <id extension = \"215771\" root = \"2.16.840.1.113883.19\"/>\n            <effectiveTime>\n                <low value = \"20201016\"/> \n            </effectiveTime>\n            <responsibleParty>\n                <assignedEntity>\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"207QA0505X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n                    <addr>\n                        <streetAddressLine>1090 Forest Dr SE</streetAddressLine>\n                        <city>Cleveland</city>\n                        <state>TN</state>\n                        <postalCode>37323</postalCode>\n                        <country>US</country>\n                    </addr>\n                    <telecom use = \"WP\" value = \"tel:(850) 728-3625\"/>\n                    <representedOrganization>\n                        <name>\n			<given>Jessie</given>\n			<family>Hysmith</family>\n			</name>\n	\n                    </representedOrganization>\n                </assignedEntity>\n            </responsibleParty>\n            <encounterParticipant typeCode = \"ATND\">\n                <time>\n                    <low nullFlavor=\"UNK\" />\n                </time>\n                <assignedEntity>\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"1\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Gastrointestinal Assoc,PC\"/>\n                    <addr>\n                        <streetAddressLine>2415 Chambliss Avenue NW</streetAddressLine>\n                        <city>Cleveland</city>\n                        <state>TN</state>\n                        <postalCode>37311-3882</postalCode>\n                        <country>US</country>\n                    </addr>\n                    <telecom use = \"WP\" value = \"tel:(423) 559-2800\"/>\n                    <assignedPerson>\n                        <name>\n                            \n                            <given>Paul</given>\n                            <family>Brundage</family>\n                            <suffix>D.O.</suffix>\n                            \n                  \n                        </name>\n                    </assignedPerson>\n                </assignedEntity>\n            </encounterParticipant>\n            <location>\n                <healthCareFacility>\n                    <id extension = \"9985647\" root = \"2.16.840.1.113883.19\"/>\n                    <code code = \"261QU0200X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Urgent Care\"/>\n                    <location>\n			\n                        <name>Gastrointestinal Assoc,PC</name>\n                        <addr>\n                            <streetAddressLine>2415 Chambliss Avenue NW</streetAddressLine>\n                            <city>Cleveland</city>\n                            <state>TN</state>\n                            <postalCode>37311-3882</postalCode>\n                            <country>US</country>\n                        </addr>\n			\n                    </location>\n                </healthCareFacility>\n            </location>\n        </encompassingEncounter>\n     \n    \n    </componentOf>\n    <component>\n        <structuredBody>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.6.1\"/>\n                    <code code = \"48765-2\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                    <title>ALLERGIES</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Type</th>\n                                    <th>Substance</th>\n                                    <th>Reaction</th>\n                                    <th>Status</th>\n                                    <th>Identified</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                \n                                <tr ID = \"ALGSUMMARY_1\">\n                                    <td ID = \"ALGTYPE_1\"> Allergy&#160;</td>\n                                    <td ID = \"ALGSUB_1\">No Known Allergies&#160;</td>\n                                    <td ID = \"ALGREACT_1\">&#160;</td>\n                                    <td ID = \"ALGSTATUS_1\">Active&#160;</td>\n                                    <td>10/16/2020&#160;</td>\n                                 </tr>\n                                 \n                                \n                            </tbody>\n                        </table>\n                    </text>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <act classCode = \"ACT\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.30\"/>\n                            <id root = \"36e3e930-7b14-11db-9fe1-0800200c9a66\"/>\n                            <code code = \"48765-2\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"Allergies, adverse reactions, alerts\"/>\n                            <statusCode code = \"active\"/>\n                            <effectiveTime>\n                                <low value = \"20201016\"/>\n                            </effectiveTime>\n                            <entryRelationship typeCode = \"SUBJ\">\n                                <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.7\"/>\n                                    <id root = \"4adc1020-7b14-11db-9fe1-0800200c9a66\"/>\n                                    <code code = \"ASSERTION\" codeSystem = \"2.16.840.1.113883.5.4\"/>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime>\n                                        <high value=\"20201016\"/>\n                                    </effectiveTime>\n                                    <value xsi:type = \"CD\" code=\"419199007\" displayName = \"Allergy to substance\" codeSystem = \"2.16.840.1.113883.6.96\" codeSystemName = \"SNOMED CT\">\n                                        <originalText>\n                                            <reference value = \"#ALGREACT_1\"/>\n                                        </originalText>\n                                    </value>\n                                    <participant typeCode = \"CSM\">\n                                        <participantRole classCode = \"MANU\">\n                                            <playingEntity classCode = \"MMAT\">\n                                                <code code = \"\" codeSystem = \"2.16.840.1.113883.6.88\" displayName = \"No Known Allergies\" codeSystemName = \"RxNorm\">\n                                                    <originalText>\n                                                        <reference value = \"#ALGSUB_1\"/>\n                                                    </originalText>\n                                                </code>\n                                                <name>No Known Allergies</name>\n                                            </playingEntity>\n                                        </participantRole>\n                                    </participant>\n                                    <entryRelationship typeCode = \"SUBJ\" inversionInd = \"true\">\n                                        <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                            <templateId root = \"2.16.840.1.113883.10.20.22.4.28\"/>\n                                            <code code = \"33999-4\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"Status\"/>\n                                            <statusCode code = \"completed\"/>\n                                            <value xsi:type = \"CE\" code = \"55561003\" codeSystem = \"2.16.840.1.113883.6.96\" displayName = \"Active\"/>\n                                        </observation>\n                                    </entryRelationship>\n                                    <entryRelationship typeCode = \"MFST\" inversionInd = \"true\">\n                                        <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                            <templateId root = \"2.16.840.1.113883.10.20.22.4.9\"/>\n                                            <id root = \"7e85d3a0-2a9e-4cb6-b651-f5dc2607f619\"/>\n                                            <code code = \"ASSERTION\" codeSystem = \"2.16.840.1.113883.5.4\"/>\n                                            <text>\n                                                <reference value = \"#ALGREACT_1\"/>\n                                            </text>\n                                            <statusCode code = \"completed\"/>\n                                            <effectiveTime>\n                                                <high value = \"20201016\"/>\n                                            </effectiveTime>\n                                            <value xsi:type = \"CD\" code = \"NONE\" codeSystem = \"2.16.840.1.113883.6.96\" displayName=\"NONE\"/>  <!--  #@TODO: Remove Snomed Filler data -->\n                                        </observation>\n                                    </entryRelationship>\n                                </observation>\n                            </entryRelationship>\n                        </act>\n                    </entry>\n                    \n                </section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.1.1\"/>\n                    <code code = \"10160-0\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"HISTORY OF MEDICATION USE\"/>\n                    <title>MEDICATIONS</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Medication</th>\n                                    <th>Start Date</th>\n                                    <th>Frequency</th>\n                                    <th>Status</th>\n                                    <th>Issue date</th>\n                                    <th>Administered this visit</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Medmdt-59357914\">FeroSul 325 mg (65 mg elemental iron) oral tablet</content>\n                                    &#160;</td>\n                                    <td>10/16/2020&#160;</td>\n                                    <td>Take 1 Tablet(s) 1 time a day&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>Yes&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Medmdt-59357968\">acetaminophen-hydrocodone 325 mg-7.5 mg oral tablet</content>\n                                    &#160;</td>\n                                    <td>10/16/2020&#160;</td>\n                                    <td>Take 1 Tablet(s) 2 times a day&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>Yes&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Medmdt-59358026\">gabapentin 100 mg oral capsule</content>\n                                    &#160;</td>\n                                    <td>10/16/2020&#160;</td>\n                                    <td>2 Capsule(s) 1 time a day&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>Yes&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Medmdt-59358090\">omeprazole 40 mg oral delayed release capsule</content>\n                                    &#160;</td>\n                                    <td>10/16/2020&#160;</td>\n                                    <td>Take 1 Capsule(s) 1 time a day&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>Yes&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Medmdt-59358301\">acetaminophen/aspirin/caffeine 250 mg-250 mg-65 mg oral tablet</content>\n                                    &#160;</td>\n                                    <td>10/16/2020&#160;</td>\n                                    <td>as needed&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>Yes&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Medmdt-59359547\">omeprazole 40 mg oral delayed release capsule</content>\n                                    &#160;</td>\n                                    <td>10/16/2020&#160;</td>\n                                    <td>1 twice daily&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/16/2020&#160;</td>\n                                    <td>Yes&#160;</td>\n                                </tr>\n                                \n                            </tbody>\n                        </table>\n                    </text>\n                     \n                    <entry typeCode = \"DRIV\">\n                        <substanceAdministration classCode = \"SBADM\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.16\"/>\n                            <id root = \"MEDmdt-59357914\"/>\n                            <text>\n                                <reference value = \"#Medmdt-59357914\"/>\n                            </text>\n                            <statusCode code = \"current\"/>\n                            \n                            <effectiveTime xsi:type = \"IVL_TS\">\n                                <low value=\"20201016\"/>\n                                <high nullFlavor=\"NI\"/>\n       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\"#Med1\"/>\n                                            </originalText>\n                                        </code>\n                                        <name>FeroSul 325 mg (65 mg elemental iron) oral tablet</name>\n                                    </manufacturedMaterial>\n                                </manufacturedProduct>\n                            </consumable>\n                        </substanceAdministration>\n                    </entry>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <substanceAdministration classCode = \"SBADM\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.16\"/>\n                            <id root = \"MEDmdt-59357968\"/>\n                            <text>\n                                <reference value = \"#Medmdt-59357968\"/>\n                            </text>\n                            <statusCode code = \"current\"/>\n           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codeSystem = \"2.16.840.1.113883.6.88\"  codeSystemName = \"RxNorm\">\n                                            <originalText>\n                                                <reference value = \"#Med2\"/>\n                                            </originalText>\n                                        </code>\n                                        <name>acetaminophen-hydrocodone 325 mg-7.5 mg oral tablet</name>\n                                    </manufacturedMaterial>\n                                </manufacturedProduct>\n                            </consumable>\n                        </substanceAdministration>\n                    </entry>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <substanceAdministration classCode = \"SBADM\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.16\"/>\n                            <id root = \"MEDmdt-59358026\"/>\n                            <text>\n                                <reference value = \"#Medmdt-59358026\"/>\n                            </text>\n                            <statusCode code = \"current\"/>\n                            \n                            <effectiveTime xsi:type = \"IVL_TS\">\n                                <low value=\"20201016\"/>\n                                <high nullFlavor=\"NI\"/>\n                            </effectiveTime>\n                            <effectiveTime xsi:type = \"PIVL_TS\" institutionSpecified = \"false\" operator = \"A\">\n                                <period value = \"24\" unit = \"h\"/>\n                            </effectiveTime>\n                            \n                            <doseQuantity value = \"0\"/>\n                            <consumable>\n                                <manufacturedProduct classCode = \"MANU\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.23\"/>\n               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\"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.16\"/>\n                            <id root = \"MEDmdt-59358090\"/>\n                            <text>\n                                <reference value = \"#Medmdt-59358090\"/>\n                            </text>\n                            <statusCode code = \"current\"/>\n                            \n                            <effectiveTime xsi:type = \"IVL_TS\">\n                                <low value=\"20201016\"/>\n                                <high nullFlavor=\"NI\"/>\n                            </effectiveTime>\n                            <effectiveTime xsi:type = \"PIVL_TS\" institutionSpecified = \"false\" operator = \"A\">\n                                <period value = \"24\" unit = \"h\"/>\n                            </effectiveTime>\n                            \n                            <doseQuantity value = \"0\"/>\n                            <consumable>\n                                <manufacturedProduct classCode = \"MANU\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.23\"/>\n                                    <id root = \"ae514bd0-f976-40c5-95c2-6a5444456725\"/>\n                                    <manufacturedMaterial>\n                                        <code code = \"200329\" codeSystem = \"2.16.840.1.113883.6.88\"  codeSystemName = \"RxNorm\">\n                                            <originalText>\n                                                <reference value = \"#Med4\"/>\n                                            </originalText>\n                                        </code>\n                                        <name>omeprazole 40 mg oral delayed release capsule</name>\n                                    </manufacturedMaterial>\n                                </manufacturedProduct>\n                            </consumable>\n                        </substanceAdministration>\n                    </entry>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <substanceAdministration classCode = \"SBADM\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.16\"/>\n                            <id root = \"MEDmdt-59358301\"/>\n                            <text>\n                                <reference value = \"#Medmdt-59358301\"/>\n                            </text>\n                            <statusCode code = \"current\"/>\n                            \n                            <effectiveTime xsi:type = \"IVL_TS\">\n                                <low value=\"20201016\"/>\n                                <high nullFlavor=\"NI\"/>\n                            </effectiveTime>\n                            <effectiveTime xsi:type = \"PIVL_TS\" institutionSpecified = \"false\" operator = \"A\">\n                                <period 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mg-250 mg-65 mg oral tablet</name>\n                                    </manufacturedMaterial>\n                                </manufacturedProduct>\n                            </consumable>\n                        </substanceAdministration>\n                    </entry>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <substanceAdministration classCode = \"SBADM\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.16\"/>\n                            <id root = \"MEDmdt-59359547\"/>\n                            <text>\n                                <reference value = \"#Medmdt-59359547\"/>\n                            </text>\n                            <statusCode code = \"current\"/>\n                            \n                            <effectiveTime xsi:type = \"IVL_TS\">\n                                <low value=\"20201016\"/>\n                                <high value=\"20201016\"/>\n                            </effectiveTime>\n                            <effectiveTime xsi:type = \"PIVL_TS\" institutionSpecified = \"false\" operator = \"A\">\n                                <period value = \"24\" unit = \"h\"/>\n                            </effectiveTime>\n                            \n                            <doseQuantity value = \"60.0\"/>\n                            <consumable>\n                                <manufacturedProduct classCode = \"MANU\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.23\"/>\n                                    <id root = \"ae514bd0-f976-40c5-95c2-6a5444456725\"/>\n                                    <manufacturedMaterial>\n                                        <code code = \"200329\" codeSystem = \"2.16.840.1.113883.6.88\"  codeSystemName = \"RxNorm\">\n                                            <originalText>\n                                                <reference value = \"#Med6\"/>\n                                            </originalText>\n                                        </code>\n                                        <name>omeprazole 40 mg oral delayed release capsule</name>\n                                    </manufacturedMaterial>\n                                </manufacturedProduct>\n                            </consumable>\n                        </substanceAdministration>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.5\"/>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.5.1\"/>\n                    <code code = \"11450-4\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"PROBLEM LIST\"/>\n                    <title>PROBLEMS</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Problem</th>\n                                    <th>Problem Status</th>\n                                    <th>Onset date</th>\n                                    <th>Resolved date</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                            \n                              	<tr ID=\"PROBSUMMARY_1\" class=\"None\"><td>No Problems</td><td>&#160;</td><td>&#160;</td><td>&#160;</td></tr>\n                              \n                            </tbody>\n                        </table>\n                    </text>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <act classCode = \"ACT\" moodCode = \"EVN\">\n                            <templateId root = 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                                 </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime>\n                                        <low nullFlavor=\"NI\"/>\n                                    </effectiveTime>\n                                    <value xsi:type = \"CD\" nullFlavor=\"NI\" />\n                                </observation>\n                            </entryRelationship>\n                        </act>\n                    </entry>\n                   \n                </section>\n            </component>\n			<component>\n            <!--   Social History ******** -->\n            <section>\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.17\"/>\n               <!--  ********  Social history section template   ******** -->\n               <code code=\"29762-2\" codeSystem=\"2.16.840.1.113883.6.1\" displayName=\"Social History\"/>\n               <title>SOCIAL HISTORY</title>\n               <text>\n                  <list listType=\"ordered\">\n                     \n                     <item><content ID=\"smoker1\">Current every day smoker, snuff/day 30/years as of 10/16/2020</content></item>\n                  </list>\n               </text>\n               \n               <entry>\n                  \n                  <observation classCode=\"OBS\" moodCode=\"EVN\">\n                     <!-- Smoking status observation template -->\n                     <templateId root=\"2.16.840.1.113883.10.20.22.4.78\"/>\n                     <code code=\"ASSERTION\" codeSystem=\"2.16.840.1.113883.5.4\"/>\n                     <statusCode code=\"completed\"/>\n                     <effectiveTime>\n                     <low nullFlavor=\"NI\" />\n                     </effectiveTime>\n                     <value xsi:type=\"CD\" code=\"449868002\" displayName=\"Current every day smoker\"\n                        codeSystem=\"2.16.840.1.113883.6.96\" codeSystemName=\"SNOMED CT\"/>\n                  </observation>\n               </entry>\n               \n            </section>\n         </component>\n			<component>\n            <section>\n               <!-- Instructions template ID -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.45\"/>\n               <id root=\"184fdbe3-f480-4199-976d-e0bb0dd02551\"/>\n               <code code=\"69730-0\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemVersion=\"LOINC\"\n                  displayName=\"Instructions\"/>\n               <title>INSTRUCTIONS</title>\n               <text>\n               <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Instruction</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                              	<tr class=\"None\" ><td>No 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negationInd=\"true\">\n                     <!-- Immunization Activity entry template -->\n                     <templateId root=\"2.16.840.1.113883.10.20.22.4.52\"/>\n                     <id root=\"b82150ba-bc2f-47a2-947c-930e3b4a3a5b\"/>\n                     <statusCode code=\"completed\"/>\n                     <effectiveTime nullFlavor=\"UNK\" />\n                     <consumable nullFlavor=\"NI\">\n                        <manufacturedProduct classCode=\"MANU\">\n                           <!-- Immunization Medication Information template -->\n                           <templateId root=\"2.16.840.1.113883.10.20.22.4.54\"/>\n                           <manufacturedMaterial nullFlavor=\"NI\" >\n                           		<code  codeSystem=\"2.16.840.1.113883.12.292\" codeSystemName=\"Vaccines administered (CVX)\" nullFlavor=\"NI\" />\n                           </manufacturedMaterial>\n                           <manufacturerOrganization>\n                              <name>No Manufacturer</name>\n                           </manufacturerOrganization>\n                        </manufacturedProduct>\n                     </consumable>\n                  </substanceAdministration>\n               </entry>\n               \n            </section>\n         </component>\n			<component>\n				<section>\n				   <templateId root=\"2.16.840.1.113883.10.20.22.2.12\"/>\n				   <code code=\"29299-5\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n					  displayName=\"REASON FOR VISIT\"/>\n				   <title>REASON FOR VISIT</title>\n				   <text>\n				      <paragraph>\n					  \n					  	\n					  	, <br />\n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  \n					  </paragraph>\n					</text>\n				</section>\n         </component>\n		 <component>\n            <section>\n               <!-- Vital Signs (entries optional) -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.4\"/>\n               <code code=\"8716-3\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"VITAL SIGNS\"/>\n               <title>VITAL SIGNS</title>\n               <text>\n                   <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Name</th>\n                                    <th>Value</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                            \n                            	<tr ID=\"VITALS1\">\n                            	<td>10/16/2020&#160;</td>\n                            	<td>Weight in lbs&#160;</td>\n                            	<td>163&#160;</td>\n                            	</tr>\n                            \n                            	<tr ID=\"VITALS2\">\n                            	<td>10/16/2020&#160;</td>\n                            	<td>Height in Inches&#160;</td>\n                            	<td>68&#160;</td>\n                            	</tr>\n                            \n                            	<tr ID=\"VITALS3\">\n                            	<td>10/16/2020&#160;</td>\n                            	<td>Blood Pressure Sitting (Systolic / Diastolic)&#160;</td>\n                            	<td>160/100&#160;</td>\n                            	</tr>\n                            \n                            	<tr ID=\"VITALS4\">\n                            	<td>10/16/2020&#160;</td>\n                            	<td>Body Mass Index&#160;</td>\n                            	<td>24.79&#160;</td>\n                            	</tr>\n                            \n                            </tbody>\n                   </table>\n               </text>\n            </section>\n         </component>\n		 <component>\n            <section>\n               <!-- ** Plan of Care Section Template -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.10\"/>\n               <!-- CCDA Plan of Care Section definition requires this code -->\n               <code code=\"18776-5\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"Treatment plan\"/>\n               <title>PLAN OF CARE</title>\n               <text>\n               <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Type</th>\n                                    <th>Recommendation</th>\n                                    <th>Discussion</th >\n                                </tr>\n                            </thead>\n                            \n                            <tbody>\n                            \n             \n                  	<tr><td>10/16/2020&#160;</td><td>CC&#160;</td><td> Bernatowicz D.O.,Nicole L. / Family Practice&#160;</td><td> &#160;</td></tr>\n                  	\n                  	<tr><td>10/16/2020&#160;</td><td>Order: Procedure Order [10/16/2020 09:55 AM]&#160;</td><td> EGD&#160;</td><td> 10/30&#160;</td></tr>\n                  	\n                  	<tr><td>10/16/2020&#160;</td><td>New E-Medications&#160;</td><td> omeprazole 40 mg oral delayed release capsule&#160;</td><td> Sig:Take 1 Capsule(s) 1 time a day  Dispense: Refills:0&#160;</td></tr>\n                  	\n                  	<tr><td>10/16/2020&#160;</td><td>Order: Pathgroup Orders [10/16/2020 09:59 AM]&#160;</td><td> CBC With Platelet And Differential&#160;</td><td> &#160;</td></tr>\n                  	\n                  	<tr><td>10/16/2020&#160;</td><td>Order: Pathgroup Orders [10/16/2020 09:59 AM]&#160;</td><td> Comprehensive Metabolic Panel&#160;</td><td> &#160;</td></tr>\n                  	\n                  	<tr><td>10/16/2020&#160;</td><td>Order: Pathgroup Orders [10/16/2020 09:59 AM]&#160;</td><td> Ferritin&#160;</td><td> &#160;</td></tr>\n                  	\n                  	<tr><td>10/16/2020&#160;</td><td>Order: Pathgroup Orders [10/16/2020 09:59 AM]&#160;</td><td> Folate&#160;</td><td> &#160;</td></tr>\n                  	\n                  	<tr><td>10/16/2020&#160;</td><td>Order: Pathgroup Orders [10/16/2020 09:59 AM]&#160;</td><td> Iron Binding Cap&#160;</td><td> &#160;</td></tr>\n                  	\n                  	<tr><td>10/16/2020&#160;</td><td>Order: Pathgroup Orders [10/16/2020 09:59 AM]&#160;</td><td> Iron with Transferrin Saturation&#160;</td><td> &#160;</td></tr>\n                  	\n                  	<tr><td>10/16/2020&#160;</td><td>Order: Pathgroup Orders [10/16/2020 09:59 AM]&#160;</td><td> Vitamin B12&#160;</td><td> &#160;</td></tr>\n                  	\n                  	<tr><td>10/16/2020&#160;</td><td>Patient Education&#160;</td><td> Upper Endoscopy.pdf,&#160;</td><td> &#160;</td></tr>\n                  	\n                  	<tr><td>10/16/2020&#160;</td><td>Discuss&#160;</td><td> Medication Adjustment&#160;</td><td> Hold ASA containing products for 5 days before procedure&#160;</td></tr>\n                  	\n                  	\n                	</tbody></table>\n               </text>\n            </section>\n         </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.7\"/>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.7.1\"/>\n                    <code code = \"47519-4\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"PROCEDURES\"/>\n                    <title>PROCEDURES</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Name</th>\n                                    <th>Last modification date</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                <tr>\n									<td ID=\"procedure1\" class=\"None\">No Procedures</td>\n									<td>&#160;</td>\n								</tr>\n                            </tbody>\n                        </table>\n                    </text>\n                    <entry>\n                        <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\" >\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.13\"/>\n                            <id root = \"DET-1\"/>\n                            <code xsi:type = \"CE\" code = \"DET-UNK\" codeSystem = \"2.16.840.1.113883.6.96\" displayName = \"No Procedures\">\n                                <originalText>\n                                    <reference value = \"#procedure1\"/>\n                                </originalText>\n                            </code>\n                            <statusCode code = \"completed\"/>\n                            <effectiveTime  nullFlavor=\"UNK\" />\n                            <value xsi:type = \"CD\"/>\n                            <methodCode nullFlavor = \"UNK\"/>\n                            \n                        </observation>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.3.1\"/>\n                    <code code = \"30954-2\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"RESULTS\"/>\n                    <title>RESULTS</title>\n                    <text><table border = \"1\" width = \"100%\"><thead>\n                    	<tr>\n                    	<th>Description</th>\n                    	<th>Value</th>\n                    	<th>Units</th>\n                    	<th>Date</th>\n                    	</tr></thead><tbody>\n                    	<tr ID=\"result1\" class=\"None\"><td>No Results</td><td>&#160;</td><td>&#160;</td><td>&#160;</td></tr>\n                    </tbody>\n                    </table>\n                    </text>\n                     <entry typeCode = \"DRIV\">\n                        <organizer classCode = \"BATTERY\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.1\"/>\n                            <id root = \"RES-1\"/>\n                            <code xsi:type = \"CE\" displayName = \"No Results\" codeSystemName = \"LOINC\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                            <statusCode code = \"completed\" />\n                            <component>\n                                <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.2\"/>\n                                    <id root = \"RES-1\"/>\n                                    <code displayName = \"No Results\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                                    <text>\n                                        <reference value = \"#result1\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime nullFlavor=\"UNK\"/>\n                                    <value xsi:type = \"PQ\" nullFlavor=\"NI\" />\n                                	<referenceRange>\n                              			<observationRange>\n                              		   		<text></text>\n                             	 		</observationRange>\n                           			</referenceRange>\n                                </observation>\n                            </component>\n                        </organizer>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n            <section>\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.14\"/>\n               <!--  ******** Functional status section template   ******** -->\n               <code code=\"47420-5\" codeSystem=\"2.16.840.1.113883.6.1\"/>\n               <title>FUNCTIONAL/COGNITIVE STATUS</title>\n               <text>\n               \n               \n               \n              \n               \n               		<span class=\"None\" >No Data Available</span>\n               	 \n               </text>\n            </section>\n         </component>\n         <component>\n            <section>\n               <templateId root=\"1.3.6.1.4.1.19376.1.5.3.1.3.1\"/>\n               <!-- ** Reason for Referral Section Template ** -->\n               <code codeSystem=\"2.16.840.1.113883.6.1\" \n                  codeSystemName=\"LOINC\" code=\"42349-1\"\n                  displayName=\"REASON FOR REFERRAL\"/>\n               <title>REFERRALS</title>\n               <text>\n                  <paragraph>\n                  	<span class=\"None\">No Referrals</span>\n                  \n                  </paragraph>\n               </text>\n            </section>\n         </component> \n        </structuredBody>\n    </component>\n</ClinicalDocument>'),(3048189,4692039,'1446003','Clinical_Summary_CCDA.xml','xml','1603183250','95f12da978cbd910c3abf2f86b613775bf079a64','<?xml version=\"1.0\" encoding=\"UTF-8\"?>\n<?xml-stylesheet type=\"text/xsl\" href=\"CDA.xsl\"?>\n<ClinicalDocument xmlns:xsi = \"http://www.w3.org/2001/XMLSchema-instance\" xsi:schemaLocation = \"urn:hl7-org:v3 file:///C:/MDHT_CDATools/workspace-consol/org.openhealthtools.mdht.uml.cda.consol.model/CDA_Schema_Files/infrastructure/cda/CDA_SDTC.xsd\" xmlns = \"urn:hl7-org:v3\" xmlns:mif = \"urn:hl7-org:v3/mif\">\n    <realmCode code = \"US\"/>\n    <typeId root = \"2.16.840.1.113883.1.3\" extension = \"POCD_HD000040\"/>\n    <templateId root = \"2.16.840.1.113883.10.20.22.1.1\"/>\n    <templateId root = \"2.16.840.1.113883.10.20.22.1.2\"/>\n    <id extension = \"QRS_CCDA\" root = \"2.16.840.1.113883.19\" assigningAuthorityName = \"QRS Inc\"/>\n    <code code = \"34133-9\" displayName = \"Consolidated CDA\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\"/>\n    <title>Clinical Summary</title>\n    <effectiveTime value = \"20201016092233-0000\"/>\n    <confidentialityCode code = \"N\" codeSystem = \"2.16.840.1.113883.5.25\"/>\n    <languageCode code = \"en-US\"/>\n    <setId extension = \"111199021\" root = \"2.16.840.1.113883.19\"/>\n    <versionNumber value = \"1\"/>\n    <recordTarget>\n        <patientRole>\n            <id extension = \"109649\" root = \"2.16.840.1.113883.19\"/>\n            \n            <id extension = \"465-97-1146\" root = \"2.16.840.1.113883.4.1\"/>\n            \n            \n            <addr use = \"HP\">\n                <streetAddressLine>2501 LAGO </streetAddressLine>\n                <city>KILLEEN</city>\n                <state>TX</state>\n                <postalCode>76543</postalCode>\n                <country>USA</country>\n            </addr>\n            <telecom use = \"HP\" value = \"tel:+1-(254) 526-3953\"/>\n            <patient>\n            	\n                <name use = \"L\">\n                    \n                    <given>JUAN</given>\n                    \n                    \n                    <family>RODRIGUEZ</family>\n                    \n                </name>\n                \n                \n                <administrativeGenderCode code = \"M\" displayName = \"Male\" codeSystem = \"2.16.840.1.113883.5.1\" codeSystemName = \"HL7 AdministrativeGender\"/>\n                \n                 \n                <birthTime value = \"19641227\"/>\n                \n                \n                <maritalStatusCode code = \"M\" displayName = \"Married\" codeSystem = \"2.16.840.1.113883.5.2\" codeSystemName = \"HL7 Marital status\"/>\n                \n				<!--<religiousAffiliationCode code = \"1013\" displayName = \"Christian (non-Catholic, non-specific)\" codeSystemName = \"HL7 Religious Affiliation \" codeSystem = \"2.16.840.1.113883.5.1076\"/> -->\n                \n					<raceCode code = \"2131-1\" displayName = \"Other\" codeSystem = \"2.16.840.1.113883.6.238\" codeSystemName = \"Race &amp; Ethnicity - CDC\"/>\n                \n				\n					<ethnicGroupCode code = \"2135-2\" displayName = \"Hispanic or Latino\" codeSystem = \"2.16.840.1.113883.6.238\" codeSystemName = \"Race &amp; Ethnicity - CDC\"/>\n				\n                <!--<birthplace>\n                    <place>\n                        <addr>\n                            <state>MI</state>\n                            <postalCode>48503</postalCode>\n                            <country>US</country>\n                        </addr>\n                    </place>\n                </birthplace>-->\n				\n                <languageCommunication>\n                    <languageCode code = \"eng\"  />\n                    <modeCode code = \"RWR\" displayName = \"Receive Written\" codeSystem = \"2.16.840.1.113883.5.60\" codeSystemName = \"LanguageAbilityMode\"/>\n                    <proficiencyLevelCode code = \"G\" displayName = \"Good\" codeSystem = \"2.16.840.1.113883.5.61\" codeSystemName = \"LanguageAbilityProficiency\"/>\n                    <preferenceInd value = \"true\"/>\n                </languageCommunication>\n				\n            </patient>\n            <providerOrganization> \n                 <id root = \"2.16.840.1.113883.19.5\"/>\n                <id extension = \"1\" root = \"2.16.840.1.113883.4.6\"/>\n                <name>STILLHOUSE EMERG PHYSICIAN</name>\n                <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                <addr use = \"WP\">\n                    <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                    <city>KILLEEN</city>\n                    <state>TX</state>\n                    <postalCode>76549-4400</postalCode>\n                    <country>US</country>\n                </addr>\n                <standardIndustryClassCode/>\n                <asOrganizationPartOf/>\n            </providerOrganization>\n        </patientRole>\n    </recordTarget>\n    <author>\n        <time value = \"20201016092233-0000\"/>\n        <assignedAuthor>\n            \n            <id extension = \"1285730705\" root = \"2.16.840.1.113883.4.6\"/>\n            \n            <code code = \"207Q00000X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>3816 S CLEAR CREEK SUITE E </streetAddressLine>\n                <city>KILLEEN</city>\n                <state>TX</state>\n                <postalCode>76549-4400</postalCode>\n                <country>US</country>\n            </addr>\n            \n            <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n            \n            \n            <assignedPerson>\n                <name>\n                    \n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                    \n                </name>\n            </assignedPerson>\n            \n        </assignedAuthor>\n    </author>\n    <!--. MAY contain zero or one [0..1] dataEnterer\n    <dataEnterer>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </dataEnterer> -->\n    <!--. MAY contain zero or one [0..1] informant\n    <informant>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </informant>-->\n    <custodian>\n        <assignedCustodian>\n            <representedCustodianOrganization>\n                <id extension = \"1234567\" root = \"2.16.840.1.113883.4.6\"/>\n                <name>ELMS CREEK FAMILY/URGENT</name>\n                <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                <addr use = \"WP\">\n                    <streetAddressLine>3816 S. Clear Creek RD STE E</streetAddressLine>\n                    <city>KILLEEN</city>\n                    <state>TX</state>\n                    <postalCode>76549-4400</postalCode>\n                    <country>US</country>\n                </addr>\n            </representedCustodianOrganization>\n        </assignedCustodian>\n    </custodian>\n    <!-- MAY contain zero or more [0..*] informationRecipient>\n    <informationRecipient>\n        <intendedRecipient>\n            <receivedOrganization>\n                <name>Get Well Clinic</name>\n            </receivedOrganization>\n        </intendedRecipient>\n    </informationRecipient>  -->\n    <!--The legalAuthenticator, if present, SHALL contain exactly one - \n    <legalAuthenticator>\n        <time value = \"20130207153010+0500\"/>\n        <signatureCode code = \"S\"/>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </legalAuthenticator> -->\n    \n        <documentationOf>\n        \n        <serviceEvent classCode = \"ACT\">\n            <id root = \"1.2.840.113619.2.62.994044785528.114289542805\"/>\n            <id extension = \"123453\" root = \"1.2.840.113619.2.62.994044785528.26\"/>\n            <code code = \"99214\" displayName = \"Office Visit\" codeSystem = \"2.16.840.1.113883.6.12\" codeSystemName = \"CPT4\"/>\n            <effectiveTime>\n                \n		     <low value=\"20201016\"/>\n                \n            </effectiveTime>\n            \n            	<performer typeCode = \"PRF\" nullFlavor=\"NI\">\n                <templateId root = \"2.16.840.1.113883.10.20.6.2.1\"/>\n                <assignedEntity nullFlavor=\"NI\">\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"132465\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n                    <addr nullFlavor=\"UNK\" />\n                    <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                    <assignedPerson>\n			<name>\n			\n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                        \n                        </name>\n\n                    </assignedPerson>\n                </assignedEntity>\n            </performer>\n            \n        </serviceEvent>\n    </documentationOf>\n    <componentOf>\n      \n        <encompassingEncounter>\n            <id extension = \"2115303\" root = \"2.16.840.1.113883.19\"/>\n            <effectiveTime>\n                <low value = \"20201016\"/> \n            </effectiveTime>\n            <responsibleParty>\n                <assignedEntity>\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"207QA0505X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n                    <addr>\n                        <streetAddressLine>2501 LAGO</streetAddressLine>\n                        <city>KILLEEN</city>\n                        <state>TX</state>\n                        <postalCode>76543</postalCode>\n                        <country>US</country>\n                    </addr>\n                    <telecom use = \"WP\" value = \"tel:(254) 526-3953\"/>\n                    <representedOrganization>\n                        <name>\n			<given>JUAN</given>\n			<family>RODRIGUEZ</family>\n			</name>\n	\n                    </representedOrganization>\n                </assignedEntity>\n            </responsibleParty>\n            <encounterParticipant typeCode = \"ATND\">\n                <time>\n                    <low nullFlavor=\"UNK\" />\n                </time>\n                <assignedEntity>\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"1\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"STILLHOUSE EMERG PHYSICIAN\"/>\n                    <addr>\n                        <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                        <city>KILLEEN</city>\n                        <state>TX</state>\n                        <postalCode>76549-4400</postalCode>\n                        <country>US</country>\n                    </addr>\n                    <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                    <assignedPerson>\n                        <name>\n                            \n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                            \n                  \n                        </name>\n                    </assignedPerson>\n                </assignedEntity>\n            </encounterParticipant>\n            <location>\n                <healthCareFacility>\n                    <id extension = \"9985647\" root = \"2.16.840.1.113883.19\"/>\n                    <code code = \"261QU0200X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Urgent Care\"/>\n                    <location>\n			\n                        <name>STILLHOUSE EMERG PHYSICIAN</name>\n                        <addr>\n                            <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                            <city>KILLEEN</city>\n                            <state>TX</state>\n                            <postalCode>76549-4400</postalCode>\n                            <country>US</country>\n                        </addr>\n			\n                    </location>\n                </healthCareFacility>\n            </location>\n        </encompassingEncounter>\n     \n    \n    </componentOf>\n    <component>\n        <structuredBody>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.6.1\"/>\n                    <code code = \"48765-2\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                    <title>ALLERGIES</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Type</th>\n                                    <th>Substance</th>\n                                    <th>Reaction</th>\n                                    <th>Status</th>\n                                    <th>Identified</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                \n                                <tr ID = \"ALGSUMMARY_1\">\n                                    <td ID = \"ALGTYPE_1\">Drug Allergy&#160;</td>\n                                    <td ID = \"ALGSUB_1\">No Known Allergies&#160;</td>\n                                    <td ID = \"ALGREACT_1\">&#160;</td>\n                                    <td ID = \"ALGSTATUS_1\">Active&#160;</td>\n                                    <td>&#160;</td>\n                                 </tr>\n                                 \n                                \n                            </tbody>\n                        </table>\n                    </text>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <act classCode = \"ACT\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.30\"/>\n                            <id root = \"36e3e930-7b14-11db-9fe1-0800200c9a66\"/>\n                            <code code = \"48765-2\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"Allergies, adverse reactions, alerts\"/>\n                            <statusCode code = \"active\"/>\n                            <effectiveTime>\n                                <low value = \"\"/>\n                            </effectiveTime>\n                            <entryRelationship typeCode = \"SUBJ\">\n                                <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.7\"/>\n                                    <id root = \"4adc1020-7b14-11db-9fe1-0800200c9a66\"/>\n                                    <code code = \"ASSERTION\" codeSystem = \"2.16.840.1.113883.5.4\"/>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime>\n                                        <high value=\"\"/>\n                                    </effectiveTime>\n                                    <value xsi:type = \"CD\" code=\"416098002\" displayName = \"Drug allergy\" codeSystem = \"2.16.840.1.113883.6.96\" codeSystemName = \"SNOMED CT\">\n                                        <originalText>\n                                            <reference value = \"#ALGREACT_1\"/>\n                                        </originalText>\n                                    </value>\n                                    <participant typeCode = \"CSM\">\n                                        <participantRole classCode = \"MANU\">\n                                            <playingEntity classCode = \"MMAT\">\n                                                <code code = \"231\" codeSystem = \"2.16.840.1.113883.6.88\" displayName = \"No Known Allergies\" codeSystemName = \"RxNorm\">\n                                                    <originalText>\n                                                        <reference value = \"#ALGSUB_1\"/>\n                                                    </originalText>\n                                                </code>\n                                                <name>No Known Allergies</name>\n                                            </playingEntity>\n                                        </participantRole>\n                                    </participant>\n                                    <entryRelationship typeCode = \"SUBJ\" inversionInd = \"true\">\n                                        <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                            <templateId root = \"2.16.840.1.113883.10.20.22.4.28\"/>\n                                            <code code = \"33999-4\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"Status\"/>\n                                            <statusCode code = \"completed\"/>\n                                            <value xsi:type = \"CE\" code = \"55561003\" codeSystem = \"2.16.840.1.113883.6.96\" displayName = \"Active\"/>\n                                        </observation>\n                                    </entryRelationship>\n                                    <entryRelationship typeCode = \"MFST\" inversionInd = \"true\">\n                                        <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                            <templateId root = \"2.16.840.1.113883.10.20.22.4.9\"/>\n                                            <id root = \"7e85d3a0-2a9e-4cb6-b651-f5dc2607f619\"/>\n                                            <code code = \"ASSERTION\" codeSystem = \"2.16.840.1.113883.5.4\"/>\n                                            <text>\n                                                <reference value = \"#ALGREACT_1\"/>\n                                            </text>\n                                            <statusCode code = \"completed\"/>\n                                            <effectiveTime>\n                                                <high value = \"\"/>\n                                            </effectiveTime>\n                                            <value xsi:type = \"CD\" code = \"NONE\" codeSystem = \"2.16.840.1.113883.6.96\" displayName=\"NONE\"/>  <!--  #@TODO: Remove Snomed Filler data -->\n                                        </observation>\n                                    </entryRelationship>\n                                </observation>\n                            </entryRelationship>\n                        </act>\n                    </entry>\n                    \n                </section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.1.1\"/>\n                    <code code = \"10160-0\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"HISTORY OF MEDICATION USE\"/>\n                    <title>MEDICATIONS</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Medication</th>\n                                    <th>Start Date</th>\n                                    <th>Frequency</th>\n                                    <th>Status</th>\n                                    <th>Issue date</th>\n                                    <th>Administered this visit</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med364f18ba-1745-4698-969b-40e7496fefd6\">atorvastatin 40 mg tablet</content>\n                                    &#160;</td>\n                                    <td>10/16/2020&#160;</td>\n                                    <td>Take 1 tablet by mouth daily&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/16/2020&#160;</td>\n                                    <td>Yes&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Medf0b5c6af-1ffe-4140-b32e-a56686d65141\">omeprazole 40 mg capsule,delayed release</content>\n                                    &#160;</td>\n                                    <td>09/25/2020&#160;</td>\n                                    <td>Take 1 capsule by mouth nightly for stomach acid  take before dinner on empty stomach&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>09/25/2020&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                            </tbody>\n                        </table>\n                    </text>\n                     \n                    <entry typeCode = \"DRIV\">\n                        <substanceAdministration classCode = \"SBADM\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.16\"/>\n                            <id root = \"MED364f18ba-1745-4698-969b-40e7496fefd6\"/>\n                            <text>\n                                <reference value = \"#Med364f18ba-1745-4698-969b-40e7496fefd6\"/>\n                            </text>\n                            <statusCode code = \"current\"/>\n                            \n                            <effectiveTime xsi:type = \"IVL_TS\">\n                                <low value=\"20201016\"/>\n                                <high value=\"20201016\"/>\n                            </effectiveTime>\n                            <effectiveTime xsi:type = \"PIVL_TS\" institutionSpecified = \"false\" operator = \"A\">\n                                <period value = \"24\" unit = \"h\"/>\n                            </effectiveTime>\n                            \n                            <doseQuantity value = \"90\"/>\n                            <consumable>\n                                <manufacturedProduct classCode = \"MANU\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.23\"/>\n                                    <id root = \"ae514bd0-f976-40c5-95c2-6a5444456725\"/>\n                                    <manufacturedMaterial>\n                                        <code code = \"617311\" codeSystem = \"2.16.840.1.113883.6.88\"  codeSystemName = \"RxNorm\">\n                                            <originalText>\n                                                <reference value = \"#Med1\"/>\n                                            </originalText>\n                                        </code>\n                                        <name>atorvastatin 40 mg tablet</name>\n                                    </manufacturedMaterial>\n                                </manufacturedProduct>\n                            </consumable>\n                        </substanceAdministration>\n                    </entry>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <substanceAdministration classCode = \"SBADM\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.16\"/>\n                            <id root = \"MEDf0b5c6af-1ffe-4140-b32e-a56686d65141\"/>\n                            <text>\n                                <reference value = \"#Medf0b5c6af-1ffe-4140-b32e-a56686d65141\"/>\n                            </text>\n                            <statusCode code = \"current\"/>\n                            \n                            <effectiveTime xsi:type = \"IVL_TS\">\n                                <low value=\"20200925\"/>\n                                <high value=\"20200925\"/>\n                            </effectiveTime>\n                            <effectiveTime xsi:type = \"PIVL_TS\" institutionSpecified = \"false\" operator = \"A\">\n                                <period value = \"24\" unit = \"h\"/>\n                            </effectiveTime>\n                            \n                            <doseQuantity value = \"30\"/>\n                            <consumable>\n                                <manufacturedProduct classCode = \"MANU\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.23\"/>\n                                    <id root = \"ae514bd0-f976-40c5-95c2-6a5444456725\"/>\n                                    <manufacturedMaterial>\n                                        <code code = \"200329\" codeSystem = \"2.16.840.1.113883.6.88\"  codeSystemName = \"RxNorm\">\n                                            <originalText>\n                                                <reference value = \"#Med2\"/>\n                                            </originalText>\n                                        </code>\n                                        <name>omeprazole 40 mg capsule,delayed release</name>\n                                    </manufacturedMaterial>\n                                </manufacturedProduct>\n                            </consumable>\n                        </substanceAdministration>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.5\"/>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.5.1\"/>\n                    <code code = \"11450-4\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"PROBLEM LIST\"/>\n                    <title>PROBLEMS</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Problem</th>\n                                    <th>Problem Status</th>\n                                    <th>Onset date</th>\n                                    <th>Resolved date</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                            \n                                <tr ID = \"PROBSUMMARY_D75.1\">\n                                    <td ID = \"PROBKIND_D75.1\">*Secondary polycythemia&#160;</td>\n                                    <td ID = \"PROBSTATUS_D75.1\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_E78.00\">\n                                    <td ID = \"PROBKIND_E78.00\">*Pure hypercholesterolemia&#160;</td>\n                                    <td ID = \"PROBSTATUS_E78.00\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_K29.70\">\n                                    <td ID = \"PROBKIND_K29.70\">*Gastritis, unspecified, without bleeding&#160;</td>\n                                    <td ID = \"PROBSTATUS_K29.70\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_R03.0\">\n                                    <td ID = \"PROBKIND_R03.0\">*Elevated blood-pressure reading, w/o diagnosis of&#160;</td>\n                                    <td ID = \"PROBSTATUS_R03.0\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_Z12.11\">\n                                    <td ID = \"PROBKIND_Z12.11\">*Encounter for screening for malignant neoplasm of&#160;</td>\n                                    <td ID = \"PROBSTATUS_Z12.11\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                            </tbody>\n                        </table>\n                    </text>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <act classCode = \"ACT\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.3\"/>\n                            <id root=\"36e3e930-7b14-11db-9fe1-0800200c9a66\" />\n                            <code code = \"CONC\" codeSystem = \"2.16.840.1.113883.5.6\" displayName = \"Concern\"/>\n                            <statusCode code = \"completed\"/>\n                            <effectiveTime>\n                                <low nullFlavor=\"UNK\" />\n                            </effectiveTime>\n                            <entryRelationship typeCode = \"SUBJ\">\n                                <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\" >\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.4\"/>\n                                    <id root=\"36e3e930-7b14-11db-9fe1-0800200c9a66\" />\n                                    <code nullFlavor=\"NI\"/>\n                                    <text>\n                                        <reference value = \"#PROBSUMMARY_1\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime>\n                                        <low nullFlavor=\"NI\"/>\n                                    </effectiveTime>\n                                    <value xsi:type = \"CD\" nullFlavor=\"NI\" />\n                                </observation>\n                            </entryRelationship>\n                        </act>\n                    </entry>\n                   \n                </section>\n            </component>\n			<component>\n            <!--   Social History ******** -->\n            <section>\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.17\"/>\n               <!--  ********  Social history section template   ******** -->\n               <code code=\"29762-2\" codeSystem=\"2.16.840.1.113883.6.1\" displayName=\"Social History\"/>\n               <title>SOCIAL HISTORY</title>\n               <text>\n                  <list listType=\"ordered\">\n                     \n                     <item><content class=\"None\">No data</content></item>\n                  </list>\n               </text>\n               \n               <entry>\n                  \n                  <observation classCode=\"OBS\" moodCode=\"EVN\">\n                     <!-- Smoking status observation template -->\n                     <templateId root=\"2.16.840.1.113883.10.20.22.4.78\"/>\n                     <code code=\"ASSERTION\" codeSystem=\"2.16.840.1.113883.5.4\"/>\n                     <statusCode code=\"completed\"/>\n                     <effectiveTime>\n                     <low nullFlavor=\"NI\" />\n                     </effectiveTime>\n                     <value xsi:type=\"CD\" codeSystem=\"2.16.840.1.113883.6.96\" codeSystemName=\"SNOMED CT\" nullFlavor=\"NI\" />\n                  </observation>\n               </entry>\n               \n            </section>\n         </component>\n			<component>\n            <section>\n               <!-- Instructions template ID -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.45\"/>\n               <id root=\"184fdbe3-f480-4199-976d-e0bb0dd02551\"/>\n               <code code=\"69730-0\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemVersion=\"LOINC\"\n                  displayName=\"Instructions\"/>\n               <title>INSTRUCTIONS</title>\n               <text>\n               <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Instruction</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                              	<tr class=\"None\" ><td>No Instructions</td><td>&#160;</td></tr>\n                              \n                            </tbody>\n                        </table>\n               </text>\n            </section>\n         </component>\n			<component>\n            <section>\n               <!--  ********  Immunizations (entries required) section template   ******** -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.2.1\"/>\n               <code code=\"11369-6\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"History of immunizations\"/>\n               <title>IMMUNIZATIONS</title>\n               <text>\n               	  \n                   <list listType=\"ordered\">\n                    <item class=\"None\"><content>No Immunizations</content></item>\n                   </list>\n                  \n               </text>\n               <entry>\n                  <substanceAdministration moodCode=\"EVN\" classCode=\"SBADM\" negationInd=\"true\">\n                     <!-- Immunization Activity entry template -->\n                     <templateId root=\"2.16.840.1.113883.10.20.22.4.52\"/>\n                     <id root=\"b82150ba-bc2f-47a2-947c-930e3b4a3a5b\"/>\n                     <statusCode code=\"completed\"/>\n                     <effectiveTime nullFlavor=\"UNK\" />\n                     <consumable nullFlavor=\"NI\">\n                        <manufacturedProduct classCode=\"MANU\">\n                           <!-- Immunization Medication Information template -->\n                           <templateId root=\"2.16.840.1.113883.10.20.22.4.54\"/>\n                           <manufacturedMaterial nullFlavor=\"NI\" >\n                           		<code  codeSystem=\"2.16.840.1.113883.12.292\" codeSystemName=\"Vaccines administered (CVX)\" nullFlavor=\"NI\" />\n                           </manufacturedMaterial>\n                           <manufacturerOrganization>\n                              <name>No Manufacturer</name>\n                           </manufacturerOrganization>\n                        </manufacturedProduct>\n                     </consumable>\n                  </substanceAdministration>\n               </entry>\n               \n            </section>\n         </component>\n			<component>\n				<section>\n				   <templateId root=\"2.16.840.1.113883.10.20.22.2.12\"/>\n				   <code code=\"29299-5\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n					  displayName=\"REASON FOR VISIT\"/>\n				   <title>REASON FOR VISIT</title>\n				   <text>\n				      <paragraph>\n					  \n					  	\n					  	REVIEW LABS, <br />\n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  \n					  </paragraph>\n					</text>\n				</section>\n         </component>\n		 <component>\n            <section>\n               <!-- Vital Signs (entries optional) -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.4\"/>\n               <code code=\"8716-3\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"VITAL SIGNS\"/>\n               <title>VITAL SIGNS</title>\n               <text>\n                   <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Name</th>\n                                    <th>Value</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                            \n                            	<tr ID=\"VITALS1\">\n                            	<td>10/16/2020&#160;</td>\n                            	<td>Weight in lbs&#160;</td>\n                            	<td>162&#160;</td>\n                            	</tr>\n                            \n                            	<tr ID=\"VITALS2\">\n                            	<td>10/16/2020&#160;</td>\n                            	<td>Height in Inches&#160;</td>\n                            	<td>62&#160;</td>\n                            	</tr>\n                            \n                            	<tr ID=\"VITALS3\">\n                            	<td>10/16/2020&#160;</td>\n                            	<td>Blood Pressure SITTING (Systolic / Diastolic)&#160;</td>\n                            	<td>135/83&#160;</td>\n                            	</tr>\n                            \n                            </tbody>\n                   </table>\n               </text>\n            </section>\n         </component>\n		 <component>\n            <section>\n               <!-- ** Plan of Care Section Template -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.10\"/>\n               <!-- CCDA Plan of Care Section definition requires this code -->\n               <code code=\"18776-5\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"Treatment plan\"/>\n               <title>PLAN OF CARE</title>\n               <text>\n               <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Type</th>\n                                    <th>Recommendation</th>\n                                    <th>Discussion</th >\n                                </tr>\n                            </thead>\n                            \n                            <tbody>\n                            \n             \n                  	<tr><td>10/16/2020&#160;</td><td>Follow-up&#160;</td><td> &#160;</td><td> 4 MONTHS- REVIEW LABS. // CBCB AND LIPID&#160;</td></tr>\n                  	\n                  	<tr><td>10/16/2020&#160;</td><td>Order&#160;</td><td> GeneralLab&#160;</td><td> LAB ORDERR&#160;</td></tr>\n                  	\n                  	<tr><td>10/16/2020&#160;</td><td>New E-Medication&#160;</td><td> atorvastatin 40 mg tablet&#160;</td><td> Sig:Take 1 tablet by mouth daily  Dispense:90  Refills:2&#160;</td></tr>\n                  	\n                  	\n                	</tbody></table>\n               </text>\n            </section>\n         </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.7\"/>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.7.1\"/>\n                    <code code = \"47519-4\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"PROCEDURES\"/>\n                    <title>PROCEDURES</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Name</th>\n                                    <th>Last modification date</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                <tr>\n									<td ID=\"procedure1\" class=\"None\">No Procedures</td>\n									<td>&#160;</td>\n								</tr>\n                            </tbody>\n                        </table>\n                    </text>\n                    <entry>\n                        <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\" >\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.13\"/>\n                            <id root = \"DET-1\"/>\n                            <code xsi:type = \"CE\" code = \"DET-UNK\" codeSystem = \"2.16.840.1.113883.6.96\" displayName = \"No Procedures\">\n                                <originalText>\n                                    <reference value = \"#procedure1\"/>\n                                </originalText>\n                            </code>\n                            <statusCode code = \"completed\"/>\n                            <effectiveTime  nullFlavor=\"UNK\" />\n                            <value xsi:type = \"CD\"/>\n                            <methodCode nullFlavor = \"UNK\"/>\n                            \n                        </observation>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.3.1\"/>\n                    <code code = \"30954-2\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"RESULTS\"/>\n                    <title>RESULTS</title>\n                    <text><table border = \"1\" width = \"100%\"><thead>\n                    	<tr>\n                    	<th>Description</th>\n                    	<th>Value</th>\n                    	<th>Units</th>\n                    	<th>Date</th>\n                    	</tr></thead><tbody>\n                    	<tr ID=\"result1\" class=\"None\"><td>No Results</td><td>&#160;</td><td>&#160;</td><td>&#160;</td></tr>\n                    </tbody>\n                    </table>\n                    </text>\n                     <entry typeCode = \"DRIV\">\n                        <organizer classCode = \"BATTERY\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.1\"/>\n                            <id root = \"RES-1\"/>\n                            <code xsi:type = \"CE\" displayName = \"No Results\" codeSystemName = \"LOINC\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                            <statusCode code = \"completed\" />\n                            <component>\n                                <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.2\"/>\n                                    <id root = \"RES-1\"/>\n                                    <code displayName = \"No Results\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                                    <text>\n                                        <reference value = \"#result1\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime nullFlavor=\"UNK\"/>\n                                    <value xsi:type = \"PQ\" nullFlavor=\"NI\" />\n                                	<referenceRange>\n                              			<observationRange>\n                              		   		<text></text>\n                             	 		</observationRange>\n                           			</referenceRange>\n                                </observation>\n                            </component>\n                        </organizer>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n            <section>\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.14\"/>\n               <!--  ******** Functional status section template   ******** -->\n               <code code=\"47420-5\" codeSystem=\"2.16.840.1.113883.6.1\"/>\n               <title>FUNCTIONAL/COGNITIVE STATUS</title>\n               <text>\n               \n               \n               \n              \n               \n               		<span class=\"None\" >No Data Available</span>\n               	 \n               </text>\n            </section>\n         </component>\n         <component>\n            <section>\n               <templateId root=\"1.3.6.1.4.1.19376.1.5.3.1.3.1\"/>\n               <!-- ** Reason for Referral Section Template ** -->\n               <code codeSystem=\"2.16.840.1.113883.6.1\" \n                  codeSystemName=\"LOINC\" code=\"42349-1\"\n                  displayName=\"REASON FOR REFERRAL\"/>\n               <title>REFERRALS</title>\n               <text>\n                  <paragraph>\n                  	<span class=\"None\">No Referrals</span>\n                  \n                  </paragraph>\n               </text>\n            </section>\n         </component> \n        </structuredBody>\n    </component>\n</ClinicalDocument>');
INSERT INTO `patient_files` VALUES (3048191,4742841,'1446003','CCDA_CCDA.xml','xml','1603183251','fd623f6a53eee8169ffd21bd26c7dfec034ff482','<?xml version=\"1.0\" encoding=\"UTF-8\"?>\n<?xml-stylesheet type=\"text/xsl\" href=\"CDA.xsl\"?>\n<ClinicalDocument xmlns:xsi = \"http://www.w3.org/2001/XMLSchema-instance\" xsi:schemaLocation = \"urn:hl7-org:v3 file:///C:/MDHT_CDATools/workspace-consol/org.openhealthtools.mdht.uml.cda.consol.model/CDA_Schema_Files/infrastructure/cda/CDA_SDTC.xsd\" xmlns = \"urn:hl7-org:v3\" xmlns:mif = \"urn:hl7-org:v3/mif\">\n    <realmCode code = \"US\"/>\n    <typeId root = \"2.16.840.1.113883.1.3\" extension = \"POCD_HD000040\"/>\n    <templateId root = \"2.16.840.1.113883.10.20.22.1.1\"/>\n    <templateId root = \"2.16.840.1.113883.10.20.22.1.2\"/>\n    <id extension = \"QRS_CCDA\" root = \"2.16.840.1.113883.19\" assigningAuthorityName = \"QRS Inc\"/>\n    <code code = \"34133-9\" displayName = \"Consolidated CDA\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\"/>\n    <title>Transition of Care</title>\n    <effectiveTime value = \"20201016092452-0000\"/>\n    <confidentialityCode code = \"N\" codeSystem = \"2.16.840.1.113883.5.25\"/>\n    <languageCode code = \"en-US\"/>\n    <setId extension = \"111199021\" root = \"2.16.840.1.113883.19\"/>\n    <versionNumber value = \"1\"/>\n    <recordTarget>\n        <patientRole>\n            <id extension = \"109910\" root = \"2.16.840.1.113883.19\"/>\n            \n            <id extension = \"653-68-9193\" root = \"2.16.840.1.113883.4.1\"/>\n            \n            \n            <addr use = \"HP\">\n                <streetAddressLine>100E,ELMS RD. </streetAddressLine>\n                <city>KILLEEN</city>\n                <state>TX</state>\n                <postalCode>76542</postalCode>\n                <country>USA</country>\n            </addr>\n            <telecom use = \"HP\" value = \"tel:+1-(254) 462-2935\"/>\n            <patient>\n            	\n                <name use = \"L\">\n                    \n                    <given>JOSE</given>\n                    \n                    \n                    <family>ARTAVIA</family>\n                    \n                </name>\n                \n                \n                <administrativeGenderCode code = \"M\" displayName = \"Male\" codeSystem = \"2.16.840.1.113883.5.1\" codeSystemName = \"HL7 AdministrativeGender\"/>\n                \n                 \n                <birthTime value = \"19770312\"/>\n                \n                \n                <maritalStatusCode code = \"M\" displayName = \"Married\" codeSystem = \"2.16.840.1.113883.5.2\" codeSystemName = \"HL7 Marital status\"/>\n                \n				<!--<religiousAffiliationCode code = \"1013\" displayName = \"Christian (non-Catholic, non-specific)\" codeSystemName = \"HL7 Religious Affiliation \" codeSystem = \"2.16.840.1.113883.5.1076\"/> -->\n                \n					<raceCode code = \"\" displayName = \"\" codeSystem = \"2.16.840.1.113883.6.238\" codeSystemName = \"Race &amp; Ethnicity - CDC\"/>\n                \n				\n					<ethnicGroupCode code = \"\" displayName = \"\" codeSystem = \"2.16.840.1.113883.6.238\" codeSystemName = \"Race &amp; Ethnicity - CDC\"/>\n				\n                <!--<birthplace>\n                    <place>\n                        <addr>\n                            <state>MI</state>\n                            <postalCode>48503</postalCode>\n                            <country>US</country>\n                        </addr>\n                    </place>\n                </birthplace>-->\n				\n            </patient>\n            <providerOrganization> \n                 <id root = \"2.16.840.1.113883.19.5\"/>\n                <id extension = \"1\" root = \"2.16.840.1.113883.4.6\"/>\n                <name>STILLHOUSE EMERG PHYSICIAN</name>\n                <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                <addr use = \"WP\">\n                    <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                    <city>KILLEEN</city>\n                    <state>TX</state>\n                    <postalCode>76549-4400</postalCode>\n                    <country>US</country>\n                </addr>\n                <standardIndustryClassCode/>\n                <asOrganizationPartOf/>\n            </providerOrganization>\n        </patientRole>\n    </recordTarget>\n    <author>\n        <time value = \"20201016092452-0000\"/>\n        <assignedAuthor>\n            \n            <id extension = \"1285730705\" root = \"2.16.840.1.113883.4.6\"/>\n            \n            <code code = \"207Q00000X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>3816 S CLEAR CREEK SUITE E </streetAddressLine>\n                <city>KILLEEN</city>\n                <state>TX</state>\n                <postalCode>76549-4400</postalCode>\n                <country>US</country>\n            </addr>\n            \n            <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n            \n            \n            <assignedPerson>\n                <name>\n                    \n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                    \n                </name>\n            </assignedPerson>\n            \n        </assignedAuthor>\n    </author>\n    <!--. MAY contain zero or one [0..1] dataEnterer\n    <dataEnterer>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </dataEnterer> -->\n    <!--. MAY contain zero or one [0..1] informant\n    <informant>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </informant>-->\n    <custodian>\n        <assignedCustodian>\n            <representedCustodianOrganization>\n                <id extension = \"1234567\" root = \"2.16.840.1.113883.4.6\"/>\n                <name>ELMS CREEK FAMILY/URGENT</name>\n                <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                <addr use = \"WP\">\n                    <streetAddressLine>3816 S. Clear Creek RD STE E</streetAddressLine>\n                    <city>KILLEEN</city>\n                    <state>TX</state>\n                    <postalCode>76549-4400</postalCode>\n                    <country>US</country>\n                </addr>\n            </representedCustodianOrganization>\n        </assignedCustodian>\n    </custodian>\n    <!-- MAY contain zero or more [0..*] informationRecipient>\n    <informationRecipient>\n        <intendedRecipient>\n            <receivedOrganization>\n                <name>Get Well Clinic</name>\n            </receivedOrganization>\n        </intendedRecipient>\n    </informationRecipient>  -->\n    <!--The legalAuthenticator, if present, SHALL contain exactly one - \n    <legalAuthenticator>\n        <time value = \"20130207153010+0500\"/>\n        <signatureCode code = \"S\"/>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </legalAuthenticator> -->\n    \n        <documentationOf>\n        \n        <serviceEvent classCode = \"ACT\">\n            <id root = \"1.2.840.113619.2.62.994044785528.114289542805\"/>\n            <id extension = \"123453\" root = \"1.2.840.113619.2.62.994044785528.26\"/>\n            <code code = \"99214\" displayName = \"Office Visit\" codeSystem = \"2.16.840.1.113883.6.12\" codeSystemName = \"CPT4\"/>\n            <effectiveTime>\n                \n		     <low value=\"20201015\"/>\n                \n            </effectiveTime>\n            \n            	<performer typeCode = \"PRF\" nullFlavor=\"NI\">\n                <templateId root = \"2.16.840.1.113883.10.20.6.2.1\"/>\n                <assignedEntity nullFlavor=\"NI\">\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"132465\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n                    <addr nullFlavor=\"UNK\" />\n                    <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                    <assignedPerson>\n			<name>\n			\n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                        \n                        </name>\n\n                    </assignedPerson>\n                </assignedEntity>\n            </performer>\n            \n        </serviceEvent>\n    </documentationOf>\n    <componentOf>\n      \n        <encompassingEncounter>\n            <id extension = \"2115097\" root = \"2.16.840.1.113883.19\"/>\n            <effectiveTime>\n                <low value = \"20201015\"/> \n            </effectiveTime>\n            <responsibleParty>\n                <assignedEntity>\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"207QA0505X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n                    <addr>\n                        <streetAddressLine>100E,ELMS RD.</streetAddressLine>\n                        <city>KILLEEN</city>\n                        <state>TX</state>\n                        <postalCode>76542</postalCode>\n                        <country>US</country>\n                    </addr>\n                    <telecom use = \"WP\" value = \"tel:(254) 462-2935\"/>\n                    <representedOrganization>\n                        <name>\n			<given>JOSE</given>\n			<family>ARTAVIA</family>\n			</name>\n	\n                    </representedOrganization>\n                </assignedEntity>\n            </responsibleParty>\n            <encounterParticipant typeCode = \"ATND\">\n                <time>\n                    <low nullFlavor=\"UNK\" />\n                </time>\n                <assignedEntity>\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"1\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"STILLHOUSE EMERG PHYSICIAN\"/>\n                    <addr>\n                        <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                        <city>KILLEEN</city>\n                        <state>TX</state>\n                        <postalCode>76549-4400</postalCode>\n                        <country>US</country>\n                    </addr>\n                    <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                    <assignedPerson>\n                        <name>\n                            \n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                            \n                  \n                        </name>\n                    </assignedPerson>\n                </assignedEntity>\n            </encounterParticipant>\n            <location>\n                <healthCareFacility>\n                    <id extension = \"9985647\" root = \"2.16.840.1.113883.19\"/>\n                    <code code = \"261QU0200X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Urgent Care\"/>\n                    <location>\n			\n                        <name>STILLHOUSE EMERG PHYSICIAN</name>\n                        <addr>\n                            <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                            <city>KILLEEN</city>\n                            <state>TX</state>\n                            <postalCode>76549-4400</postalCode>\n                            <country>US</country>\n                        </addr>\n			\n                    </location>\n                </healthCareFacility>\n            </location>\n        </encompassingEncounter>\n     \n    \n    </componentOf>\n    <component>\n        <structuredBody>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.6.1\"/>\n                    <code code = \"48765-2\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                    <title>ALLERGIES</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Type</th>\n                                    <th>Substance</th>\n                                    <th>Reaction</th>\n                                    <th>Status</th>\n                                    <th>Identified</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                \n                                 	<tr ID = \"ALGSUMMARY_1\" class=\"None\"><td ID=\"ALGTYPE_1\">NO ADVERSE REACTIONS, ALERTS, ALLERGIES</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td></tr>\n                                 \n                                \n                            </tbody>\n                        </table>\n                    </text>\n                     \n                    <entry typeCode = \"DRIV\">\n                        <act classCode = \"ACT\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.30\"/>\n                            <id root = \"36e3e930-7b14-11db-9fe1-0800200c9a66\"/>\n                            <code code = \"48765-2\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"Allergies, adverse reactions, alerts\"/>\n                            <statusCode code = \"active\"/>\n                            <effectiveTime>\n                                <low  nullFlavor=\"UNK\"/>\n                            </effectiveTime>\n                            <entryRelationship typeCode = \"SUBJ\">\n                                <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.7\"/>\n                                    <id root = \"4adc1020-7b14-11db-9fe1-0800200c9a66\"/>\n                                    <code code = \"ASSERTION\" codeSystem = \"2.16.840.1.113883.5.4\"/>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime>\n                                        <high nullFlavor=\"UNK\"/>\n                                    </effectiveTime>\n                                    <value xsi:type = \"CD\" displayName = \"No Allergies\" nullFlavor=\"NI\">\n                                        <originalText>\n                                            <reference value = \"#ALGSUMMARY_1\"/>\n                                        </originalText>\n                                    </value>\n                                    \n                                </observation>\n                            </entryRelationship>\n                        </act>\n                    </entry>\n                    \n                </section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.1.1\"/>\n                    <code code = \"10160-0\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"HISTORY OF MEDICATION USE\"/>\n                    <title>MEDICATIONS</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Medication</th>\n                                    <th>Start Date</th>\n                                    <th>Frequency</th>\n                                    <th>Status</th>\n                                    <th>Issue date</th>\n                                    <th>Administered this visit</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med299e4d37-0a09-4753-88ce-e5456baa2d9d\">prednisone 20 mg tablet</content>\n                                    &#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>Take 1 tablet by mouth twice a day&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>Yes&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Mede0d17891-fbda-4f2d-9b6a-608c1f52f606\">meloxicam 15 mg tablet</content>\n                                    &#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>Take 1 tablet by mouth nightly AFTER DINNER&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>Yes&#160;</td>\n                                </tr>\n                                \n                            </tbody>\n                        </table>\n                    </text>\n                     \n                    <entry typeCode = \"DRIV\">\n                        <substanceAdministration classCode = \"SBADM\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.16\"/>\n                            <id root = \"MED299e4d37-0a09-4753-88ce-e5456baa2d9d\"/>\n                            <text>\n                                <reference value = \"#Med299e4d37-0a09-4753-88ce-e5456baa2d9d\"/>\n                            </text>\n                            <statusCode code = \"current\"/>\n                            \n                            <effectiveTime xsi:type = \"IVL_TS\">\n                                <low value=\"20201015\"/>\n                                <high value=\"20201015\"/>\n                            </effectiveTime>\n                            <effectiveTime xsi:type = \"PIVL_TS\" institutionSpecified = \"false\" operator = \"A\">\n                                <period value = \"24\" unit = \"h\"/>\n                            </effectiveTime>\n                            \n                            <doseQuantity value = \"10\"/>\n                            <consumable>\n                                <manufacturedProduct classCode = \"MANU\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.23\"/>\n                                    <id root = \"ae514bd0-f976-40c5-95c2-6a5444456725\"/>\n                                    <manufacturedMaterial>\n                                        <code code = \"312615\" codeSystem = \"2.16.840.1.113883.6.88\"  codeSystemName = \"RxNorm\">\n                                            <originalText>\n                                                <reference value = \"#Med1\"/>\n                                            </originalText>\n                                        </code>\n                                        <name>prednisone 20 mg tablet</name>\n                                    </manufacturedMaterial>\n                                </manufacturedProduct>\n                            </consumable>\n                        </substanceAdministration>\n                    </entry>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <substanceAdministration classCode = \"SBADM\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.16\"/>\n                            <id root = \"MEDe0d17891-fbda-4f2d-9b6a-608c1f52f606\"/>\n                            <text>\n                                <reference value = \"#Mede0d17891-fbda-4f2d-9b6a-608c1f52f606\"/>\n                            </text>\n                            <statusCode code = \"current\"/>\n                            \n                            <effectiveTime xsi:type = \"IVL_TS\">\n                                <low value=\"20201015\"/>\n                                <high value=\"20201015\"/>\n                            </effectiveTime>\n                            <effectiveTime xsi:type = \"PIVL_TS\" institutionSpecified = \"false\" operator = \"A\">\n                                <period value = \"24\" unit = \"h\"/>\n                            </effectiveTime>\n                            \n                            <doseQuantity value = \"30\"/>\n                            <consumable>\n                                <manufacturedProduct classCode = \"MANU\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.23\"/>\n                                    <id root = \"ae514bd0-f976-40c5-95c2-6a5444456725\"/>\n                                    <manufacturedMaterial>\n                                        <code code = \"152695\" codeSystem = \"2.16.840.1.113883.6.88\"  codeSystemName = \"RxNorm\">\n                                            <originalText>\n                                                <reference value = \"#Med2\"/>\n                                            </originalText>\n                                        </code>\n                                        <name>meloxicam 15 mg tablet</name>\n                                    </manufacturedMaterial>\n                                </manufacturedProduct>\n                            </consumable>\n                        </substanceAdministration>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.5\"/>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.5.1\"/>\n                    <code code = \"11450-4\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"PROBLEM LIST\"/>\n                    <title>PROBLEMS</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Problem</th>\n                                    <th>Problem Status</th>\n                                    <th>Onset date</th>\n                                    <th>Resolved date</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                            \n                                <tr ID = \"PROBSUMMARY_M22.2X2\">\n                                    <td ID = \"PROBKIND_M22.2X2\">*Patellofemoral disorders, left knee&#160;</td>\n                                    <td ID = \"PROBSTATUS_M22.2X2\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_M76.52\">\n                                    <td ID = \"PROBKIND_M76.52\">*Patellar tendinitis, left knee&#160;</td>\n                                    <td ID = \"PROBSTATUS_M76.52\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                            </tbody>\n                        </table>\n                    </text>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <act classCode = \"ACT\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.3\"/>\n                            <id root=\"36e3e930-7b14-11db-9fe1-0800200c9a66\" />\n                            <code code = \"CONC\" codeSystem = \"2.16.840.1.113883.5.6\" displayName = \"Concern\"/>\n                            <statusCode code = \"completed\"/>\n                            <effectiveTime>\n                                <low nullFlavor=\"UNK\" />\n                            </effectiveTime>\n                            <entryRelationship typeCode = \"SUBJ\">\n                                <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\" >\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.4\"/>\n                                    <id root=\"36e3e930-7b14-11db-9fe1-0800200c9a66\" />\n                                    <code nullFlavor=\"NI\"/>\n                                    <text>\n                                        <reference value = \"#PROBSUMMARY_1\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime>\n                                        <low nullFlavor=\"NI\"/>\n                                    </effectiveTime>\n                                    <value xsi:type = \"CD\" nullFlavor=\"NI\" />\n                                </observation>\n                            </entryRelationship>\n                        </act>\n                    </entry>\n                   \n                </section>\n            </component>\n			<component>\n            <!--   Social History ******** -->\n            <section>\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.17\"/>\n               <!--  ********  Social history section template   ******** -->\n               <code code=\"29762-2\" codeSystem=\"2.16.840.1.113883.6.1\" displayName=\"Social History\"/>\n               <title>SOCIAL HISTORY</title>\n               <text>\n                  <list listType=\"ordered\">\n                     \n                     <item><content class=\"None\">No data</content></item>\n                  </list>\n               </text>\n               \n               <entry>\n                  \n                  <observation classCode=\"OBS\" moodCode=\"EVN\">\n                     <!-- Smoking status observation template -->\n                     <templateId root=\"2.16.840.1.113883.10.20.22.4.78\"/>\n                     <code code=\"ASSERTION\" codeSystem=\"2.16.840.1.113883.5.4\"/>\n                     <statusCode code=\"completed\"/>\n                     <effectiveTime>\n                     <low nullFlavor=\"NI\" />\n                     </effectiveTime>\n                     <value xsi:type=\"CD\" codeSystem=\"2.16.840.1.113883.6.96\" codeSystemName=\"SNOMED CT\" nullFlavor=\"NI\" />\n                  </observation>\n               </entry>\n               \n            </section>\n         </component>\n			<component>\n            <section>\n               <!-- Instructions template ID -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.45\"/>\n               <id root=\"184fdbe3-f480-4199-976d-e0bb0dd02551\"/>\n               <code code=\"69730-0\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemVersion=\"LOINC\"\n                  displayName=\"Instructions\"/>\n               <title>INSTRUCTIONS</title>\n               <text>\n               <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Instruction</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                              	<tr class=\"None\" ><td>No Instructions</td><td>&#160;</td></tr>\n                              \n                            </tbody>\n                        </table>\n               </text>\n            </section>\n         </component>\n			<component>\n            <section>\n               <!--  ********  Immunizations (entries required) section template   ******** -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.2.1\"/>\n               <code code=\"11369-6\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"History of immunizations\"/>\n               <title>IMMUNIZATIONS</title>\n               <text>\n               	  \n                   <list listType=\"ordered\">\n                    <item class=\"None\"><content>No Immunizations</content></item>\n                   </list>\n                  \n               </text>\n               <entry>\n                  <substanceAdministration moodCode=\"EVN\" classCode=\"SBADM\" negationInd=\"true\">\n                     <!-- Immunization Activity entry template -->\n                     <templateId root=\"2.16.840.1.113883.10.20.22.4.52\"/>\n                     <id root=\"b82150ba-bc2f-47a2-947c-930e3b4a3a5b\"/>\n                     <statusCode code=\"completed\"/>\n                     <effectiveTime nullFlavor=\"UNK\" />\n                     <consumable nullFlavor=\"NI\">\n                        <manufacturedProduct classCode=\"MANU\">\n                           <!-- Immunization Medication Information template -->\n                           <templateId root=\"2.16.840.1.113883.10.20.22.4.54\"/>\n                           <manufacturedMaterial nullFlavor=\"NI\" >\n                           		<code  codeSystem=\"2.16.840.1.113883.12.292\" codeSystemName=\"Vaccines administered (CVX)\" nullFlavor=\"NI\" />\n                           </manufacturedMaterial>\n                           <manufacturerOrganization>\n                              <name>No Manufacturer</name>\n                           </manufacturerOrganization>\n                        </manufacturedProduct>\n                     </consumable>\n                  </substanceAdministration>\n               </entry>\n               \n            </section>\n         </component>\n			<component>\n				<section>\n				   <templateId root=\"2.16.840.1.113883.10.20.22.2.12\"/>\n				   <code code=\"29299-5\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n					  displayName=\"REASON FOR VISIT\"/>\n				   <title>REASON FOR VISIT</title>\n				   <text>\n				      <paragraph>\n					  \n					  	\n					  	ESTABLISH CARE/JOINT PAIN BELOW KNEES, <br />\n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  \n					  </paragraph>\n					</text>\n				</section>\n         </component>\n		 <component>\n            <section>\n               <!-- Vital Signs (entries optional) -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.4\"/>\n               <code code=\"8716-3\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"VITAL SIGNS\"/>\n               <title>VITAL SIGNS</title>\n               <text>\n                   <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Name</th>\n                                    <th>Value</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                            \n                            	<tr ID=\"VITALS1\">\n                            	<td>10/15/2020&#160;</td>\n                            	<td>Weight in lbs&#160;</td>\n                            	<td>201&#160;</td>\n                            	</tr>\n                            \n                            	<tr ID=\"VITALS2\">\n                            	<td>10/15/2020&#160;</td>\n                            	<td>Height in Inches&#160;</td>\n                            	<td>64&#160;</td>\n                            	</tr>\n                            \n                            	<tr ID=\"VITALS3\">\n                            	<td>10/15/2020&#160;</td>\n                            	<td>Blood Pressure Sitting (Systolic / Diastolic)&#160;</td>\n                            	<td>133/84&#160;</td>\n                            	</tr>\n                            \n                            	<tr ID=\"VITALS4\">\n                            	<td>10/15/2020&#160;</td>\n                            	<td>Body Mass Index&#160;</td>\n                            	<td>34.5&#160;</td>\n                            	</tr>\n                            \n                            </tbody>\n                   </table>\n               </text>\n            </section>\n         </component>\n		 <component>\n            <section>\n               <!-- ** Plan of Care Section Template -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.10\"/>\n               <!-- CCDA Plan of Care Section definition requires this code -->\n               <code code=\"18776-5\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"Treatment plan\"/>\n               <title>PLAN OF CARE</title>\n               <text>\n               <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Type</th>\n                                    <th>Recommendation</th>\n                                    <th>Discussion</th >\n                                </tr>\n                            </thead>\n                            \n                            <tbody>\n                            \n             \n                  	<tr><td>10/15/2020&#160;</td><td>New E-Medication&#160;</td><td> prednisone 20 mg tablet&#160;</td><td> Sig:Take 1 tablet by mouth twice a day  Dispense:10  Refills:0&#160;</td></tr>\n                  	\n                  	<tr><td>10/15/2020&#160;</td><td>New E-Medication&#160;</td><td> meloxicam 15 mg tablet&#160;</td><td> Sig:Take 1 tablet by mouth nightly AFTER DINNER  Dispense:30  Refills:1&#160;</td></tr>\n                  	\n                  	<tr><td>10/15/2020&#160;</td><td>Excuses&#160;</td><td> Encounter 2115097/files WorkExcusesOrig_20201015170954&#160;</td><td> work note&#160;</td></tr>\n                  	\n                  	\n                	</tbody></table>\n               </text>\n            </section>\n         </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.7\"/>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.7.1\"/>\n                    <code code = \"47519-4\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"PROCEDURES\"/>\n                    <title>PROCEDURES</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Name</th>\n                                    <th>Last modification date</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                <tr>\n									<td ID=\"procedure1\" class=\"None\">No Procedures</td>\n									<td>&#160;</td>\n								</tr>\n                            </tbody>\n                        </table>\n                    </text>\n                    <entry>\n                        <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\" >\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.13\"/>\n                            <id root = \"DET-1\"/>\n                            <code xsi:type = \"CE\" code = \"DET-UNK\" codeSystem = \"2.16.840.1.113883.6.96\" displayName = \"No Procedures\">\n                                <originalText>\n                                    <reference value = \"#procedure1\"/>\n                                </originalText>\n                            </code>\n                            <statusCode code = \"completed\"/>\n                            <effectiveTime  nullFlavor=\"UNK\" />\n                            <value xsi:type = \"CD\"/>\n                            <methodCode nullFlavor = \"UNK\"/>\n                            \n                        </observation>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.3.1\"/>\n                    <code code = \"30954-2\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"RESULTS\"/>\n                    <title>RESULTS</title>\n                    <text><table border = \"1\" width = \"100%\"><thead>\n                    	<tr>\n                    	<th>Description</th>\n                    	<th>Value</th>\n                    	<th>Units</th>\n                    	<th>Date</th>\n                    	</tr></thead><tbody>\n                    	<tr ID=\"result1\" class=\"None\"><td>No Results</td><td>&#160;</td><td>&#160;</td><td>&#160;</td></tr>\n                    </tbody>\n                    </table>\n                    </text>\n                     <entry typeCode = \"DRIV\">\n                        <organizer classCode = \"BATTERY\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.1\"/>\n                            <id root = \"RES-1\"/>\n                            <code xsi:type = \"CE\" displayName = \"No Results\" codeSystemName = \"LOINC\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                            <statusCode code = \"completed\" />\n                            <component>\n                                <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.2\"/>\n                                    <id root = \"RES-1\"/>\n                                    <code displayName = \"No Results\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                                    <text>\n                                        <reference value = \"#result1\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime nullFlavor=\"UNK\"/>\n                                    <value xsi:type = \"PQ\" nullFlavor=\"NI\" />\n                                	<referenceRange>\n                              			<observationRange>\n                              		   		<text></text>\n                             	 		</observationRange>\n                           			</referenceRange>\n                                </observation>\n                            </component>\n                        </organizer>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n            <section>\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.14\"/>\n               <!--  ******** Functional status section template   ******** -->\n               <code code=\"47420-5\" codeSystem=\"2.16.840.1.113883.6.1\"/>\n               <title>FUNCTIONAL/COGNITIVE STATUS</title>\n               <text>\n               \n               \n               \n              \n               \n               		<span class=\"None\" >No Data Available</span>\n               	 \n               </text>\n            </section>\n         </component>\n         <component>\n            <section>\n               <templateId root=\"1.3.6.1.4.1.19376.1.5.3.1.3.1\"/>\n               <!-- ** Reason for Referral Section Template ** -->\n               <code codeSystem=\"2.16.840.1.113883.6.1\" \n                  codeSystemName=\"LOINC\" code=\"42349-1\"\n                  displayName=\"REASON FOR REFERRAL\"/>\n               <title>REFERRALS</title>\n               <text>\n                  <paragraph>\n                  	<span class=\"None\">No Referrals</span>\n                  \n                  </paragraph>\n               </text>\n            </section>\n         </component> \n        </structuredBody>\n    </component>\n</ClinicalDocument>'),(3048192,4742841,'1446003','Clinical_Summary_CCDA.xml','xml','1603183251','1dbbec29d70bd0e13210a65ea68678d5643c870e','<?xml version=\"1.0\" encoding=\"UTF-8\"?>\n<?xml-stylesheet type=\"text/xsl\" href=\"CDA.xsl\"?>\n<ClinicalDocument xmlns:xsi = \"http://www.w3.org/2001/XMLSchema-instance\" xsi:schemaLocation = \"urn:hl7-org:v3 file:///C:/MDHT_CDATools/workspace-consol/org.openhealthtools.mdht.uml.cda.consol.model/CDA_Schema_Files/infrastructure/cda/CDA_SDTC.xsd\" xmlns = \"urn:hl7-org:v3\" xmlns:mif = \"urn:hl7-org:v3/mif\">\n    <realmCode code = \"US\"/>\n    <typeId root = \"2.16.840.1.113883.1.3\" extension = \"POCD_HD000040\"/>\n    <templateId root = \"2.16.840.1.113883.10.20.22.1.1\"/>\n    <templateId root = \"2.16.840.1.113883.10.20.22.1.2\"/>\n    <id extension = \"QRS_CCDA\" root = \"2.16.840.1.113883.19\" assigningAuthorityName = \"QRS Inc\"/>\n    <code code = \"34133-9\" displayName = \"Consolidated CDA\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\"/>\n    <title>Clinical Summary</title>\n    <effectiveTime value = \"20201016092447-0000\"/>\n    <confidentialityCode code = \"N\" codeSystem = \"2.16.840.1.113883.5.25\"/>\n    <languageCode code = \"en-US\"/>\n    <setId extension = \"111199021\" root = \"2.16.840.1.113883.19\"/>\n    <versionNumber value = \"1\"/>\n    <recordTarget>\n        <patientRole>\n            <id extension = \"109910\" root = \"2.16.840.1.113883.19\"/>\n            \n            <id extension = \"653-68-9193\" root = \"2.16.840.1.113883.4.1\"/>\n            \n            \n            <addr use = \"HP\">\n                <streetAddressLine>100E,ELMS RD. </streetAddressLine>\n                <city>KILLEEN</city>\n                <state>TX</state>\n                <postalCode>76542</postalCode>\n                <country>USA</country>\n            </addr>\n            <telecom use = \"HP\" value = \"tel:+1-(254) 462-2935\"/>\n            <patient>\n            	\n                <name use = \"L\">\n                    \n                    <given>JOSE</given>\n                    \n                    \n                    <family>ARTAVIA</family>\n                    \n                </name>\n                \n                \n                <administrativeGenderCode code = \"M\" displayName = \"Male\" codeSystem = \"2.16.840.1.113883.5.1\" codeSystemName = \"HL7 AdministrativeGender\"/>\n                \n                 \n                <birthTime value = \"19770312\"/>\n                \n                \n                <maritalStatusCode code = \"M\" displayName = \"Married\" codeSystem = \"2.16.840.1.113883.5.2\" codeSystemName = \"HL7 Marital status\"/>\n                \n				<!--<religiousAffiliationCode code = \"1013\" displayName = \"Christian (non-Catholic, non-specific)\" codeSystemName = \"HL7 Religious Affiliation \" codeSystem = \"2.16.840.1.113883.5.1076\"/> -->\n                \n					<raceCode code = \"\" displayName = \"\" codeSystem = \"2.16.840.1.113883.6.238\" codeSystemName = \"Race &amp; Ethnicity - CDC\"/>\n                \n				\n					<ethnicGroupCode code = \"\" displayName = \"\" codeSystem = \"2.16.840.1.113883.6.238\" codeSystemName = \"Race &amp; Ethnicity - CDC\"/>\n				\n                <!--<birthplace>\n                    <place>\n                        <addr>\n                            <state>MI</state>\n                            <postalCode>48503</postalCode>\n                            <country>US</country>\n                        </addr>\n                    </place>\n                </birthplace>-->\n				\n            </patient>\n            <providerOrganization> \n                 <id root = \"2.16.840.1.113883.19.5\"/>\n                <id extension = \"1\" root = \"2.16.840.1.113883.4.6\"/>\n                <name>STILLHOUSE EMERG PHYSICIAN</name>\n                <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                <addr use = \"WP\">\n                    <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                    <city>KILLEEN</city>\n                    <state>TX</state>\n                    <postalCode>76549-4400</postalCode>\n                    <country>US</country>\n                </addr>\n                <standardIndustryClassCode/>\n                <asOrganizationPartOf/>\n            </providerOrganization>\n        </patientRole>\n    </recordTarget>\n    <author>\n        <time value = \"20201016092447-0000\"/>\n        <assignedAuthor>\n            \n            <id extension = \"1285730705\" root = \"2.16.840.1.113883.4.6\"/>\n            \n            <code code = \"207Q00000X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>3816 S CLEAR CREEK SUITE E </streetAddressLine>\n                <city>KILLEEN</city>\n                <state>TX</state>\n                <postalCode>76549-4400</postalCode>\n                <country>US</country>\n            </addr>\n            \n            <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n            \n            \n            <assignedPerson>\n                <name>\n                    \n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                    \n                </name>\n            </assignedPerson>\n            \n        </assignedAuthor>\n    </author>\n    <!--. MAY contain zero or one [0..1] dataEnterer\n    <dataEnterer>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </dataEnterer> -->\n    <!--. MAY contain zero or one [0..1] informant\n    <informant>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </informant>-->\n    <custodian>\n        <assignedCustodian>\n            <representedCustodianOrganization>\n                <id extension = \"1234567\" root = \"2.16.840.1.113883.4.6\"/>\n                <name>ELMS CREEK FAMILY/URGENT</name>\n                <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                <addr use = \"WP\">\n                    <streetAddressLine>3816 S. Clear Creek RD STE E</streetAddressLine>\n                    <city>KILLEEN</city>\n                    <state>TX</state>\n                    <postalCode>76549-4400</postalCode>\n                    <country>US</country>\n                </addr>\n            </representedCustodianOrganization>\n        </assignedCustodian>\n    </custodian>\n    <!-- MAY contain zero or more [0..*] informationRecipient>\n    <informationRecipient>\n        <intendedRecipient>\n            <receivedOrganization>\n                <name>Get Well Clinic</name>\n            </receivedOrganization>\n        </intendedRecipient>\n    </informationRecipient>  -->\n    <!--The legalAuthenticator, if present, SHALL contain exactly one - \n    <legalAuthenticator>\n        <time value = \"20130207153010+0500\"/>\n        <signatureCode code = \"S\"/>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </legalAuthenticator> -->\n    \n        <documentationOf>\n        \n        <serviceEvent classCode = \"ACT\">\n            <id root = \"1.2.840.113619.2.62.994044785528.114289542805\"/>\n            <id extension = \"123453\" root = \"1.2.840.113619.2.62.994044785528.26\"/>\n            <code code = \"99214\" displayName = \"Office Visit\" codeSystem = \"2.16.840.1.113883.6.12\" codeSystemName = \"CPT4\"/>\n            <effectiveTime>\n                \n		     <low value=\"20201015\"/>\n                \n            </effectiveTime>\n            \n            	<performer typeCode = \"PRF\" nullFlavor=\"NI\">\n                <templateId root = \"2.16.840.1.113883.10.20.6.2.1\"/>\n                <assignedEntity nullFlavor=\"NI\">\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"132465\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n                    <addr nullFlavor=\"UNK\" />\n                    <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                    <assignedPerson>\n			<name>\n			\n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                        \n                        </name>\n\n                    </assignedPerson>\n                </assignedEntity>\n            </performer>\n            \n        </serviceEvent>\n    </documentationOf>\n    <componentOf>\n      \n        <encompassingEncounter>\n            <id extension = \"2115097\" root = \"2.16.840.1.113883.19\"/>\n            <effectiveTime>\n                <low value = \"20201015\"/> \n            </effectiveTime>\n            <responsibleParty>\n                <assignedEntity>\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"207QA0505X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n                    <addr>\n                        <streetAddressLine>100E,ELMS RD.</streetAddressLine>\n                        <city>KILLEEN</city>\n                        <state>TX</state>\n                        <postalCode>76542</postalCode>\n                        <country>US</country>\n                    </addr>\n                    <telecom use = \"WP\" value = \"tel:(254) 462-2935\"/>\n                    <representedOrganization>\n                        <name>\n			<given>JOSE</given>\n			<family>ARTAVIA</family>\n			</name>\n	\n                    </representedOrganization>\n                </assignedEntity>\n            </responsibleParty>\n            <encounterParticipant typeCode = \"ATND\">\n                <time>\n                    <low nullFlavor=\"UNK\" />\n                </time>\n                <assignedEntity>\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"1\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"STILLHOUSE EMERG PHYSICIAN\"/>\n                    <addr>\n                        <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                        <city>KILLEEN</city>\n                        <state>TX</state>\n                        <postalCode>76549-4400</postalCode>\n                        <country>US</country>\n                    </addr>\n                    <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                    <assignedPerson>\n                        <name>\n                            \n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                            \n                  \n                        </name>\n                    </assignedPerson>\n                </assignedEntity>\n            </encounterParticipant>\n            <location>\n                <healthCareFacility>\n                    <id extension = \"9985647\" root = \"2.16.840.1.113883.19\"/>\n                    <code code = \"261QU0200X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Urgent Care\"/>\n                    <location>\n			\n                        <name>STILLHOUSE EMERG PHYSICIAN</name>\n                        <addr>\n                            <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                            <city>KILLEEN</city>\n                            <state>TX</state>\n                            <postalCode>76549-4400</postalCode>\n                            <country>US</country>\n                        </addr>\n			\n                    </location>\n                </healthCareFacility>\n            </location>\n        </encompassingEncounter>\n     \n    \n    </componentOf>\n    <component>\n        <structuredBody>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.6.1\"/>\n                    <code code = \"48765-2\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                    <title>ALLERGIES</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Type</th>\n                                    <th>Substance</th>\n                                    <th>Reaction</th>\n                                    <th>Status</th>\n                                    <th>Identified</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                \n                                 	<tr ID = \"ALGSUMMARY_1\" class=\"None\"><td ID=\"ALGTYPE_1\">NO ADVERSE REACTIONS, ALERTS, ALLERGIES</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td></tr>\n                                 \n                                \n                            </tbody>\n                        </table>\n                    </text>\n                     \n                    <entry typeCode = \"DRIV\">\n                        <act classCode = \"ACT\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.30\"/>\n                            <id root = \"36e3e930-7b14-11db-9fe1-0800200c9a66\"/>\n                            <code code = \"48765-2\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"Allergies, adverse reactions, alerts\"/>\n                            <statusCode code = \"active\"/>\n                            <effectiveTime>\n                                <low  nullFlavor=\"UNK\"/>\n                            </effectiveTime>\n                            <entryRelationship typeCode = \"SUBJ\">\n                                <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.7\"/>\n                                    <id root = \"4adc1020-7b14-11db-9fe1-0800200c9a66\"/>\n                                    <code code = \"ASSERTION\" codeSystem = 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                               <content ID = \"Med299e4d37-0a09-4753-88ce-e5456baa2d9d\">prednisone 20 mg tablet</content>\n                                    &#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>Take 1 tablet by mouth twice a day&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>Yes&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Mede0d17891-fbda-4f2d-9b6a-608c1f52f606\">meloxicam 15 mg tablet</content>\n                                    &#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>Take 1 tablet by mouth nightly AFTER DINNER&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>Yes&#160;</td>\n                                </tr>\n                                \n                            </tbody>\n                        </table>\n                    </text>\n                     \n                    <entry typeCode = \"DRIV\">\n                        <substanceAdministration classCode = \"SBADM\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.16\"/>\n                            <id root = \"MED299e4d37-0a09-4753-88ce-e5456baa2d9d\"/>\n                            <text>\n                                <reference value = \"#Med299e4d37-0a09-4753-88ce-e5456baa2d9d\"/>\n                            </text>\n                            <statusCode code = \"current\"/>\n                            \n                            <effectiveTime xsi:type = 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value = \"#Mede0d17891-fbda-4f2d-9b6a-608c1f52f606\"/>\n                            </text>\n                            <statusCode code = \"current\"/>\n                            \n                            <effectiveTime xsi:type = \"IVL_TS\">\n                                <low value=\"20201015\"/>\n                                <high value=\"20201015\"/>\n                            </effectiveTime>\n                            <effectiveTime xsi:type = \"PIVL_TS\" institutionSpecified = \"false\" operator = \"A\">\n                                <period value = \"24\" unit = \"h\"/>\n                            </effectiveTime>\n                            \n                            <doseQuantity value = \"30\"/>\n                            <consumable>\n                                <manufacturedProduct classCode = \"MANU\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.23\"/>\n                                    <id root = 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disorders, left knee&#160;</td>\n                                    <td ID = \"PROBSTATUS_M22.2X2\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_M76.52\">\n                                    <td ID = \"PROBKIND_M76.52\">*Patellar tendinitis, left knee&#160;</td>\n                                    <td ID = \"PROBSTATUS_M76.52\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                            </tbody>\n                        </table>\n                    </text>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <act classCode = \"ACT\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.3\"/>\n                            <id root=\"36e3e930-7b14-11db-9fe1-0800200c9a66\" />\n                            <code code = \"CONC\" codeSystem = \"2.16.840.1.113883.5.6\" displayName = \"Concern\"/>\n                            <statusCode code = \"completed\"/>\n                            <effectiveTime>\n                                <low nullFlavor=\"UNK\" />\n                            </effectiveTime>\n                            <entryRelationship typeCode = \"SUBJ\">\n                                <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\" >\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.4\"/>\n                                    <id root=\"36e3e930-7b14-11db-9fe1-0800200c9a66\" />\n                                    <code nullFlavor=\"NI\"/>\n                                    <text>\n                                        <reference value = \"#PROBSUMMARY_1\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime>\n                                        <low nullFlavor=\"NI\"/>\n                                    </effectiveTime>\n                                    <value xsi:type = \"CD\" nullFlavor=\"NI\" />\n                                </observation>\n                            </entryRelationship>\n                        </act>\n                    </entry>\n                   \n                </section>\n            </component>\n			<component>\n            <!--   Social History ******** -->\n            <section>\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.17\"/>\n               <!--  ********  Social history section template   ******** -->\n               <code code=\"29762-2\" codeSystem=\"2.16.840.1.113883.6.1\" displayName=\"Social History\"/>\n               <title>SOCIAL HISTORY</title>\n               <text>\n                  <list listType=\"ordered\">\n                     \n                     <item><content class=\"None\">No data</content></item>\n                  </list>\n               </text>\n               \n               <entry>\n                  \n                  <observation classCode=\"OBS\" moodCode=\"EVN\">\n                     <!-- Smoking status observation template -->\n                     <templateId root=\"2.16.840.1.113883.10.20.22.4.78\"/>\n                     <code code=\"ASSERTION\" codeSystem=\"2.16.840.1.113883.5.4\"/>\n                     <statusCode code=\"completed\"/>\n                     <effectiveTime>\n                     <low nullFlavor=\"NI\" />\n                     </effectiveTime>\n                     <value xsi:type=\"CD\" codeSystem=\"2.16.840.1.113883.6.96\" codeSystemName=\"SNOMED CT\" nullFlavor=\"NI\" />\n                  </observation>\n               </entry>\n               \n            </section>\n         </component>\n			<component>\n            <section>\n               <!-- Instructions template ID -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.45\"/>\n               <id root=\"184fdbe3-f480-4199-976d-e0bb0dd02551\"/>\n               <code code=\"69730-0\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemVersion=\"LOINC\"\n                  displayName=\"Instructions\"/>\n               <title>INSTRUCTIONS</title>\n               <text>\n               <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Instruction</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                              	<tr class=\"None\" ><td>No Instructions</td><td>&#160;</td></tr>\n                              \n                            </tbody>\n                        </table>\n               </text>\n            </section>\n         </component>\n			<component>\n            <section>\n               <!--  ********  Immunizations (entries required) section template   ******** -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.2.1\"/>\n               <code code=\"11369-6\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"History of immunizations\"/>\n               <title>IMMUNIZATIONS</title>\n               <text>\n               	  \n                   <list listType=\"ordered\">\n                    <item class=\"None\"><content>No Immunizations</content></item>\n                   </list>\n                  \n               </text>\n               <entry>\n                  <substanceAdministration moodCode=\"EVN\" classCode=\"SBADM\" negationInd=\"true\">\n                     <!-- Immunization Activity entry template -->\n                     <templateId root=\"2.16.840.1.113883.10.20.22.4.52\"/>\n                     <id root=\"b82150ba-bc2f-47a2-947c-930e3b4a3a5b\"/>\n                     <statusCode code=\"completed\"/>\n                     <effectiveTime nullFlavor=\"UNK\" />\n                     <consumable nullFlavor=\"NI\">\n                        <manufacturedProduct classCode=\"MANU\">\n                           <!-- Immunization Medication Information template -->\n                           <templateId root=\"2.16.840.1.113883.10.20.22.4.54\"/>\n                           <manufacturedMaterial nullFlavor=\"NI\" >\n                           		<code  codeSystem=\"2.16.840.1.113883.12.292\" codeSystemName=\"Vaccines administered (CVX)\" nullFlavor=\"NI\" />\n                           </manufacturedMaterial>\n                           <manufacturerOrganization>\n                              <name>No Manufacturer</name>\n                           </manufacturerOrganization>\n                        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 	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  	\n					  \n					  \n					  </paragraph>\n					</text>\n				</section>\n         </component>\n		 <component>\n            <section>\n               <!-- Vital Signs (entries optional) -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.4\"/>\n               <code code=\"8716-3\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"VITAL SIGNS\"/>\n               <title>VITAL SIGNS</title>\n               <text>\n                   <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Name</th>\n                                    <th>Value</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                            \n                            	<tr ID=\"VITALS1\">\n                            	<td>10/15/2020&#160;</td>\n                            	<td>Weight in lbs&#160;</td>\n                            	<td>201&#160;</td>\n                            	</tr>\n                            \n                            	<tr ID=\"VITALS2\">\n                            	<td>10/15/2020&#160;</td>\n                            	<td>Height in Inches&#160;</td>\n                            	<td>64&#160;</td>\n                            	</tr>\n                            \n                            	<tr ID=\"VITALS3\">\n                            	<td>10/15/2020&#160;</td>\n                            	<td>Blood Pressure Sitting (Systolic / Diastolic)&#160;</td>\n                            	<td>133/84&#160;</td>\n                            	</tr>\n                            \n                            	<tr ID=\"VITALS4\">\n                            	<td>10/15/2020&#160;</td>\n                            	<td>Body Mass Index&#160;</td>\n                            	<td>34.5&#160;</td>\n                            	</tr>\n                            \n                            </tbody>\n                   </table>\n               </text>\n            </section>\n         </component>\n		 <component>\n            <section>\n               <!-- ** Plan of Care Section Template -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.10\"/>\n               <!-- CCDA Plan of Care Section definition requires this code -->\n               <code code=\"18776-5\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"Treatment plan\"/>\n               <title>PLAN OF CARE</title>\n               <text>\n               <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Type</th>\n                                    <th>Recommendation</th>\n                                    <th>Discussion</th >\n                                </tr>\n                            </thead>\n                            \n                            <tbody>\n                            \n             \n                  	<tr><td>10/15/2020&#160;</td><td>New E-Medication&#160;</td><td> prednisone 20 mg tablet&#160;</td><td> Sig:Take 1 tablet by mouth twice a day  Dispense:10  Refills:0&#160;</td></tr>\n                  	\n                  	<tr><td>10/15/2020&#160;</td><td>New E-Medication&#160;</td><td> meloxicam 15 mg tablet&#160;</td><td> Sig:Take 1 tablet by mouth nightly AFTER DINNER  Dispense:30  Refills:1&#160;</td></tr>\n                  	\n                  	<tr><td>10/15/2020&#160;</td><td>Excuses&#160;</td><td> Encounter 2115097/files WorkExcusesOrig_20201015170954&#160;</td><td> work note&#160;</td></tr>\n                  	\n                  	\n                	</tbody></table>\n               </text>\n            </section>\n         </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.7\"/>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.7.1\"/>\n                    <code code = \"47519-4\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"PROCEDURES\"/>\n                    <title>PROCEDURES</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Name</th>\n                                    <th>Last modification date</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                <tr>\n									<td ID=\"procedure1\" class=\"None\">No Procedures</td>\n									<td>&#160;</td>\n								</tr>\n                            </tbody>\n                        </table>\n                    </text>\n                    <entry>\n                        <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\" >\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.13\"/>\n                            <id root = \"DET-1\"/>\n                            <code xsi:type = \"CE\" code = \"DET-UNK\" codeSystem = \"2.16.840.1.113883.6.96\" displayName = \"No Procedures\">\n                                <originalText>\n                                    <reference value = \"#procedure1\"/>\n                                </originalText>\n                            </code>\n                            <statusCode code = \"completed\"/>\n                            <effectiveTime  nullFlavor=\"UNK\" />\n                            <value xsi:type = \"CD\"/>\n                            <methodCode nullFlavor = \"UNK\"/>\n                            \n                        </observation>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.3.1\"/>\n                    <code code = \"30954-2\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"RESULTS\"/>\n                    <title>RESULTS</title>\n                    <text><table border = \"1\" width = \"100%\"><thead>\n                    	<tr>\n                    	<th>Description</th>\n                    	<th>Value</th>\n                    	<th>Units</th>\n                    	<th>Date</th>\n                    	</tr></thead><tbody>\n                    	<tr ID=\"result1\" class=\"None\"><td>No Results</td><td>&#160;</td><td>&#160;</td><td>&#160;</td></tr>\n                    </tbody>\n                    </table>\n                    </text>\n                     <entry typeCode = \"DRIV\">\n                        <organizer classCode = \"BATTERY\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.1\"/>\n                            <id root = \"RES-1\"/>\n                            <code xsi:type = \"CE\" displayName = \"No Results\" codeSystemName = \"LOINC\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                            <statusCode code = \"completed\" />\n                            <component>\n                                <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.2\"/>\n                                    <id root = \"RES-1\"/>\n                                    <code displayName = \"No Results\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                                    <text>\n                                        <reference value = \"#result1\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime nullFlavor=\"UNK\"/>\n                                    <value xsi:type = \"PQ\" nullFlavor=\"NI\" />\n                                	<referenceRange>\n                              			<observationRange>\n                              		   		<text></text>\n                             	 		</observationRange>\n                           			</referenceRange>\n                                </observation>\n                            </component>\n                        </organizer>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n            <section>\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.14\"/>\n               <!--  ******** Functional status section template   ******** -->\n               <code code=\"47420-5\" codeSystem=\"2.16.840.1.113883.6.1\"/>\n               <title>FUNCTIONAL/COGNITIVE STATUS</title>\n               <text>\n               \n               \n               \n              \n               \n               		<span class=\"None\" >No Data Available</span>\n               	 \n               </text>\n            </section>\n         </component>\n         <component>\n            <section>\n               <templateId root=\"1.3.6.1.4.1.19376.1.5.3.1.3.1\"/>\n               <!-- ** Reason for Referral Section Template ** -->\n               <code codeSystem=\"2.16.840.1.113883.6.1\" \n                  codeSystemName=\"LOINC\" code=\"42349-1\"\n                  displayName=\"REASON FOR REFERRAL\"/>\n               <title>REFERRALS</title>\n               <text>\n                  <paragraph>\n                  	<span class=\"None\">No Referrals</span>\n                  \n                  </paragraph>\n               </text>\n            </section>\n         </component> \n        </structuredBody>\n    </component>\n</ClinicalDocument>'),(3048194,566463,'1446003','CCDA_CCDA.xml','xml','1603183251','de09b53e52f70db363513cdee9349178d3f7fefb','<?xml version=\"1.0\" encoding=\"UTF-8\"?>\n<?xml-stylesheet type=\"text/xsl\" href=\"CDA.xsl\"?>\n<ClinicalDocument xmlns:xsi = \"http://www.w3.org/2001/XMLSchema-instance\" xsi:schemaLocation = \"urn:hl7-org:v3 file:///C:/MDHT_CDATools/workspace-consol/org.openhealthtools.mdht.uml.cda.consol.model/CDA_Schema_Files/infrastructure/cda/CDA_SDTC.xsd\" xmlns = \"urn:hl7-org:v3\" xmlns:mif = \"urn:hl7-org:v3/mif\">\n    <realmCode code = \"US\"/>\n    <typeId root = \"2.16.840.1.113883.1.3\" extension = \"POCD_HD000040\"/>\n    <templateId root = \"2.16.840.1.113883.10.20.22.1.1\"/>\n    <templateId root = \"2.16.840.1.113883.10.20.22.1.2\"/>\n    <id extension = \"QRS_CCDA\" root = \"2.16.840.1.113883.19\" assigningAuthorityName = \"QRS Inc\"/>\n    <code code = \"34133-9\" displayName = \"Consolidated CDA\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\"/>\n    <title>Transition of Care</title>\n    <effectiveTime value = \"20201016092415-0000\"/>\n    <confidentialityCode code = \"N\" codeSystem = \"2.16.840.1.113883.5.25\"/>\n    <languageCode code = \"en-US\"/>\n    <setId extension = \"111199021\" root = \"2.16.840.1.113883.19\"/>\n    <versionNumber value = \"1\"/>\n    <recordTarget>\n        <patientRole>\n            <id extension = \"20838\" root = \"2.16.840.1.113883.19\"/>\n            \n            <id extension = \"043-68-2579\" root = \"2.16.840.1.113883.4.1\"/>\n            \n            \n            <addr use = \"HP\">\n                <streetAddressLine>4408 BLUEDUCK DR </streetAddressLine>\n                <city>KILLEEN</city>\n                <state>TX</state>\n                <postalCode>76549</postalCode>\n                <country>USA</country>\n            </addr>\n            <telecom use = \"HP\" value = \"tel:+1-(   )    -\"/>\n            <patient>\n            	\n                <name use = \"L\">\n                    \n                    <given>DONALD</given>\n                    \n                    \n                    <family>LEBEL</family>\n                    \n                </name>\n                \n                \n                <administrativeGenderCode code = \"M\" displayName = \"Male\" codeSystem = \"2.16.840.1.113883.5.1\" codeSystemName = \"HL7 AdministrativeGender\"/>\n                \n                 \n                <birthTime value = \"19640721\"/>\n                \n                \n                <maritalStatusCode code = \"M\" displayName = \"Married\" codeSystem = \"2.16.840.1.113883.5.2\" codeSystemName = \"HL7 Marital status\"/>\n                \n				<!--<religiousAffiliationCode code = \"1013\" displayName = \"Christian (non-Catholic, non-specific)\" codeSystemName = \"HL7 Religious Affiliation \" codeSystem = \"2.16.840.1.113883.5.1076\"/> -->\n                \n					<raceCode code = \"2131-1\" displayName = \"Caucasian\" codeSystem = \"2.16.840.1.113883.6.238\" codeSystemName = \"Race &amp; Ethnicity - CDC\"/>\n                \n				\n					<ethnicGroupCode code = \"\" displayName = \"\" codeSystem = \"2.16.840.1.113883.6.238\" codeSystemName = \"Race &amp; Ethnicity - CDC\"/>\n				\n                <!--<birthplace>\n                    <place>\n                        <addr>\n                            <state>MI</state>\n                            <postalCode>48503</postalCode>\n                            <country>US</country>\n                        </addr>\n                    </place>\n                </birthplace>-->\n				\n                <languageCommunication>\n                    <languageCode code = \"eng\"  />\n                    <modeCode code = \"RWR\" displayName = \"Receive Written\" codeSystem = \"2.16.840.1.113883.5.60\" codeSystemName = \"LanguageAbilityMode\"/>\n                    <proficiencyLevelCode code = \"G\" displayName = \"Good\" codeSystem = \"2.16.840.1.113883.5.61\" codeSystemName = \"LanguageAbilityProficiency\"/>\n                    <preferenceInd value = \"true\"/>\n                </languageCommunication>\n				\n            </patient>\n            <providerOrganization> \n                 <id root = \"2.16.840.1.113883.19.5\"/>\n                <id extension = \"1\" root = \"2.16.840.1.113883.4.6\"/>\n                <name>STILLHOUSE EMERG PHYSICIAN</name>\n                <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                <addr use = \"WP\">\n                    <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                    <city>KILLEEN</city>\n                    <state>TX</state>\n                    <postalCode>76549-4400</postalCode>\n                    <country>US</country>\n                </addr>\n                <standardIndustryClassCode/>\n                <asOrganizationPartOf/>\n            </providerOrganization>\n        </patientRole>\n    </recordTarget>\n    <author>\n        <time value = \"20201016092415-0000\"/>\n        <assignedAuthor>\n            \n            <id extension = \"1285730705\" root = \"2.16.840.1.113883.4.6\"/>\n            \n            <code code = \"207Q00000X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>3816 S CLEAR CREEK SUITE E </streetAddressLine>\n                <city>KILLEEN</city>\n                <state>TX</state>\n                <postalCode>76549-4400</postalCode>\n                <country>US</country>\n            </addr>\n            \n            <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n            \n            \n            <assignedPerson>\n                <name>\n                    \n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                    \n                </name>\n            </assignedPerson>\n            \n        </assignedAuthor>\n    </author>\n    <!--. MAY contain zero or one [0..1] dataEnterer\n    <dataEnterer>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </dataEnterer> -->\n    <!--. MAY contain zero or one [0..1] informant\n    <informant>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </informant>-->\n    <custodian>\n        <assignedCustodian>\n            <representedCustodianOrganization>\n                <id extension = \"1234567\" root = \"2.16.840.1.113883.4.6\"/>\n                <name>ELMS CREEK FAMILY/URGENT</name>\n                <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                <addr use = \"WP\">\n                    <streetAddressLine>3816 S. Clear Creek RD STE E</streetAddressLine>\n                    <city>KILLEEN</city>\n                    <state>TX</state>\n                    <postalCode>76549-4400</postalCode>\n                    <country>US</country>\n                </addr>\n            </representedCustodianOrganization>\n        </assignedCustodian>\n    </custodian>\n    <!-- MAY contain zero or more [0..*] informationRecipient>\n    <informationRecipient>\n        <intendedRecipient>\n            <receivedOrganization>\n                <name>Get Well Clinic</name>\n            </receivedOrganization>\n        </intendedRecipient>\n    </informationRecipient>  -->\n    <!--The legalAuthenticator, if present, SHALL contain exactly one - \n    <legalAuthenticator>\n        <time value = \"20130207153010+0500\"/>\n        <signatureCode code = \"S\"/>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </legalAuthenticator> -->\n    \n        <documentationOf>\n        \n        <serviceEvent classCode = \"ACT\">\n            <id root = \"1.2.840.113619.2.62.994044785528.114289542805\"/>\n            <id extension = \"123453\" root = \"1.2.840.113619.2.62.994044785528.26\"/>\n            <code code = \"99214\" displayName = \"Office Visit\" codeSystem = \"2.16.840.1.113883.6.12\" codeSystemName = \"CPT4\"/>\n            <effectiveTime>\n                \n		     <low value=\"20201015\"/>\n                \n            </effectiveTime>\n            \n            	<performer typeCode = \"PRF\" nullFlavor=\"NI\">\n                <templateId root = \"2.16.840.1.113883.10.20.6.2.1\"/>\n                <assignedEntity nullFlavor=\"NI\">\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"132465\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n                    <addr nullFlavor=\"UNK\" />\n                    <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                    <assignedPerson>\n			<name>\n			\n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                        \n                        </name>\n\n                    </assignedPerson>\n                </assignedEntity>\n            </performer>\n            \n        </serviceEvent>\n    </documentationOf>\n    <componentOf>\n      \n        <encompassingEncounter>\n            <id extension = \"2099898\" root = \"2.16.840.1.113883.19\"/>\n            <effectiveTime>\n                <low value = \"20201015\"/> \n            </effectiveTime>\n            <responsibleParty>\n                <assignedEntity>\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"207QA0505X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n                    <addr>\n                        <streetAddressLine>4408 BLUEDUCK DR</streetAddressLine>\n                        <city>KILLEEN</city>\n                        <state>TX</state>\n                        <postalCode>76549</postalCode>\n                        <country>US</country>\n                    </addr>\n                    <telecom use = \"WP\" value = \"tel:(   )    -\"/>\n                    <representedOrganization>\n                        <name>\n			<given>DONALD</given>\n			<family>LEBEL</family>\n			</name>\n	\n                    </representedOrganization>\n                </assignedEntity>\n            </responsibleParty>\n            <encounterParticipant typeCode = \"ATND\">\n                <time>\n                    <low nullFlavor=\"UNK\" />\n                </time>\n                <assignedEntity>\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"1\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"STILLHOUSE EMERG PHYSICIAN\"/>\n                    <addr>\n                        <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                        <city>KILLEEN</city>\n                        <state>TX</state>\n                        <postalCode>76549-4400</postalCode>\n                        <country>US</country>\n                    </addr>\n                    <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                    <assignedPerson>\n                        <name>\n                            \n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                            \n                  \n                        </name>\n                    </assignedPerson>\n                </assignedEntity>\n            </encounterParticipant>\n            <location>\n                <healthCareFacility>\n                    <id extension = \"9985647\" root = \"2.16.840.1.113883.19\"/>\n                    <code code = \"261QU0200X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Urgent Care\"/>\n                    <location>\n			\n                        <name>STILLHOUSE EMERG PHYSICIAN</name>\n                        <addr>\n                            <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                            <city>KILLEEN</city>\n                            <state>TX</state>\n                            <postalCode>76549-4400</postalCode>\n                            <country>US</country>\n                        </addr>\n			\n                    </location>\n                </healthCareFacility>\n            </location>\n        </encompassingEncounter>\n     \n    \n    </componentOf>\n    <component>\n        <structuredBody>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.6.1\"/>\n                    <code code = \"48765-2\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                    <title>ALLERGIES</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Type</th>\n                                    <th>Substance</th>\n                                    <th>Reaction</th>\n                                    <th>Status</th>\n                                    <th>Identified</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                \n                                <tr ID = \"ALGSUMMARY_1\">\n                                    <td ID = \"ALGTYPE_1\">Drug Allergy&#160;</td>\n                                    <td ID = \"ALGSUB_1\">No Known Allergies&#160;</td>\n                                    <td ID = \"ALGREACT_1\">&#160;</td>\n                                    <td ID = \"ALGSTATUS_1\">Active&#160;</td>\n                                    <td>&#160;</td>\n                                 </tr>\n                                 \n                                \n                            </tbody>\n                        </table>\n                    </text>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <act classCode = \"ACT\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.30\"/>\n                            <id root = \"36e3e930-7b14-11db-9fe1-0800200c9a66\"/>\n                            <code code = \"48765-2\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"Allergies, adverse reactions, alerts\"/>\n                            <statusCode code = \"active\"/>\n                            <effectiveTime>\n                                <low value = \"\"/>\n                            </effectiveTime>\n                            <entryRelationship typeCode = \"SUBJ\">\n                                <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.7\"/>\n                                    <id root = \"4adc1020-7b14-11db-9fe1-0800200c9a66\"/>\n                                    <code code = \"ASSERTION\" codeSystem = \"2.16.840.1.113883.5.4\"/>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime>\n                                        <high value=\"\"/>\n                                    </effectiveTime>\n                                    <value xsi:type = \"CD\" code=\"416098002\" displayName = \"Drug allergy\" codeSystem = \"2.16.840.1.113883.6.96\" codeSystemName = \"SNOMED CT\">\n                                        <originalText>\n                                            <reference value = \"#ALGREACT_1\"/>\n                                        </originalText>\n                                    </value>\n                                    <participant typeCode = \"CSM\">\n                                        <participantRole classCode = \"MANU\">\n                                            <playingEntity classCode = \"MMAT\">\n                                                <code code = \"231\" codeSystem = \"2.16.840.1.113883.6.88\" displayName = \"No Known Allergies\" codeSystemName = \"RxNorm\">\n                                                    <originalText>\n                                                        <reference value = \"#ALGSUB_1\"/>\n                                                    </originalText>\n                                                </code>\n                                                <name>No Known Allergies</name>\n                                            </playingEntity>\n                                        </participantRole>\n                                    </participant>\n                                    <entryRelationship typeCode = \"SUBJ\" inversionInd = \"true\">\n                                        <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                            <templateId root = \"2.16.840.1.113883.10.20.22.4.28\"/>\n                                            <code code = \"33999-4\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"Status\"/>\n                                            <statusCode code = \"completed\"/>\n                                            <value xsi:type = \"CE\" code = \"55561003\" codeSystem = \"2.16.840.1.113883.6.96\" displayName = \"Active\"/>\n                                        </observation>\n                                    </entryRelationship>\n                                    <entryRelationship typeCode = \"MFST\" inversionInd = \"true\">\n                                        <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                            <templateId root = \"2.16.840.1.113883.10.20.22.4.9\"/>\n                                            <id root = \"7e85d3a0-2a9e-4cb6-b651-f5dc2607f619\"/>\n                                            <code code = \"ASSERTION\" codeSystem = \"2.16.840.1.113883.5.4\"/>\n                                            <text>\n                                                <reference value = \"#ALGREACT_1\"/>\n                                            </text>\n                                            <statusCode code = \"completed\"/>\n                                            <effectiveTime>\n                                                <high value = \"\"/>\n                                            </effectiveTime>\n                                            <value xsi:type = \"CD\" code = \"NONE\" codeSystem = \"2.16.840.1.113883.6.96\" displayName=\"NONE\"/>  <!--  #@TODO: Remove Snomed Filler data -->\n                                        </observation>\n                                    </entryRelationship>\n                                </observation>\n                            </entryRelationship>\n                        </act>\n                    </entry>\n                    \n                </section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.1.1\"/>\n                    <code code = \"10160-0\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"HISTORY OF MEDICATION USE\"/>\n                    <title>MEDICATIONS</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Medication</th>\n                                    <th>Start Date</th>\n                                    <th>Frequency</th>\n                                    <th>Status</th>\n                                    <th>Issue date</th>\n                                    <th>Administered this visit</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med1a1767e4-28c9-4070-872a-39b59016103b\">triamcinolone acetonide 0.1 % topical cream</content>\n                                    &#160;</td>\n                                    <td>09/04/2019&#160;</td>\n                                    <td>1 application apply on the skin twice a day as needed PRN to itchy areas&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>09/04/2019&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med1d043c8d-445c-4fdd-9f58-d9f26df6e6fa\">hydrocortisone 2.5 % lotion</content>\n                                    &#160;</td>\n                                    <td>05/28/2020&#160;</td>\n                                    <td>1 application apply to the scalp 3 times weekly ON THE DAYS USING THE KETOCONAZOLE SHAMPOO&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>05/28/2020&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med27bb73b9-0f2e-4864-91f6-fb6b8962984e\">levothyroxine 100 mcg tablet</content>\n                                    &#160;</td>\n                                    <td>10/30/2018&#160;</td>\n                                    <td>Take 1 tablet by mouth daily on empty stomach&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med2d421b78-053f-45ff-8a19-f6aa2b60bf7b\">triamcinolone acetonide 0.5 % topical cream</content>\n                                    &#160;</td>\n                                    <td>10/28/2015&#160;</td>\n                                    <td>1 application apply on the skin twice a day&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/28/2015&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                   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         <td>10/06/2017&#160;</td>\n                                    <td>Take 1 tablet by mouth daily&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med5bfb61aa-0979-47c7-8bff-c546ddb61aab\">fluticasone propionate 50 mcg/actuation nasal spray,suspension</content>\n                                    &#160;</td>\n                                    <td>09/04/2019&#160;</td>\n                                    <td>2 puffs in the nostrils daily&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>05/28/2020&#160;</td>\n                                    <td>No&#160;</td>\n           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                 &#160;</td>\n                                    <td>03/19/2014&#160;</td>\n                                    <td>2 puffs in the nostrils daily&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/30/2018&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med9049ebd8-9e0d-48c3-9462-284a8688b298\">cholestyramine (with sugar) 4 gram powder for susp in a packet</content>\n                                    &#160;</td>\n                                    <td>05/28/2020&#160;</td>\n                                    <td>4 gm by mouth daily dissolve one packet in liquid daily each 4 grams&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med9199031b-c35b-4754-a479-4c4056ddcee7\">cetirizine 10 mg tablet</content>\n                                    &#160;</td>\n                                    <td>10/28/2015&#160;</td>\n                                    <td>Take 1 tablet by mouth nightly&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Medbd92ec6a-8c97-4925-beee-3fdf14b365d0\">lisinopril 40 mg tablet</content>\n                                    &#160;</td>\n                                    <td>04/30/2018&#160;</td>\n                                    <td>Take 1 tablet by mouth daily&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Medccc46f1c-ee04-4b27-95ae-fe0d8da56a0d\">meloxicam 7.5 mg tablet</content>\n                                    &#160;</td>\n                                    <td>10/19/2016&#160;</td>\n                                    <td>1-2 tablets by mouth nightly as needed (PRN) for 2 weeks as directed then PRN arthritis pain&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/19/2016&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Medd3d41342-3eeb-41a0-a983-b18bff6be376\">ketoconazole 2 % shampoo</content>\n                                    &#160;</td>\n                                    <td>05/28/2020&#160;</td>\n                                    <td>1 application apply on the skin 3 times weekly&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>05/28/2020&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                            </tbody>\n                        </table>\n             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    <code code = \"311486\" codeSystem = \"2.16.840.1.113883.6.88\"  codeSystemName = \"RxNorm\">\n                                            <originalText>\n                                                <reference value = \"#Med11\"/>\n                                            </originalText>\n                                        </code>\n                                        <name>meloxicam 7.5 mg tablet</name>\n                                    </manufacturedMaterial>\n                                </manufacturedProduct>\n                            </consumable>\n                        </substanceAdministration>\n                    </entry>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <substanceAdministration classCode = \"SBADM\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.16\"/>\n                            <id root = \"MEDd3d41342-3eeb-41a0-a983-b18bff6be376\"/>\n                            <text>\n                                <reference value = \"#Medd3d41342-3eeb-41a0-a983-b18bff6be376\"/>\n                            </text>\n                            <statusCode code = \"current\"/>\n                            \n                            <effectiveTime xsi:type = \"IVL_TS\">\n                                <low value=\"20200528\"/>\n                                <high value=\"20200528\"/>\n                            </effectiveTime>\n                            <effectiveTime xsi:type = \"PIVL_TS\" institutionSpecified = \"false\" operator = \"A\">\n                                <period value = \"24\" unit = \"h\"/>\n                            </effectiveTime>\n                            \n                            <doseQuantity value = \"1\"/>\n                            <consumable>\n                                <manufacturedProduct classCode = \"MANU\">\n                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</section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.5\"/>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.5.1\"/>\n                    <code code = \"11450-4\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"PROBLEM LIST\"/>\n                    <title>PROBLEMS</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Problem</th>\n                                    <th>Problem Status</th>\n                                    <th>Onset date</th>\n                                    <th>Resolved date</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                            \n                     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                                   <td ID = \"PROBSTATUS_E23.0\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_E78.2\">\n                                    <td ID = \"PROBKIND_E78.2\">*Mixed hyperlipidemia&#160;</td>\n                                    <td ID = \"PROBSTATUS_E78.2\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_E78.5\">\n                                    <td ID = \"PROBKIND_E78.5\">*Hyperlipidemia, unspecified&#160;</td>\n                                    <td ID = \"PROBSTATUS_E78.5\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_I10\">\n                                    <td ID = \"PROBKIND_I10\">*Essential (primary) hypertension&#160;</td>\n                                    <td ID = \"PROBSTATUS_I10\">Moderately improved&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_J30.1\">\n                                    <td ID = \"PROBKIND_J30.1\">*Allergic rhinitis due to pollen&#160;</td>\n                                    <td ID = \"PROBSTATUS_J30.1\">Improved&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_L20.9\">\n                                    <td ID = \"PROBKIND_L20.9\">*Atopic dermatitis, unspecified&#160;</td>\n                                    <td ID = \"PROBSTATUS_L20.9\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_L21.9\">\n                                    <td ID = \"PROBKIND_L21.9\">*Seborrheic dermatitis, unspecified&#160;</td>\n                                    <td ID = \"PROBSTATUS_L21.9\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_M77.32\">\n                                    <td ID = \"PROBKIND_M77.32\">*Calcaneal spur, left foot&#160;</td>\n                                    <td ID = \"PROBSTATUS_M77.32\">active&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_R00.2\">\n                                    <td ID = \"PROBKIND_R00.2\">*Palpitations&#160;</td>\n                                    <td ID = \"PROBSTATUS_R00.2\">Moderately improved&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_R73.01\">\n                                    <td ID = \"PROBKIND_R73.01\">*Impaired fasting glucose&#160;</td>\n                                    <td ID = \"PROBSTATUS_R73.01\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_R94.5\">\n                                    <td ID = \"PROBKIND_R94.5\">*Abnormal results of liver function studies&#160;</td>\n                                    <td ID = \"PROBSTATUS_R94.5\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_Z00.01\">\n                                    <td ID = \"PROBKIND_Z00.01\">*Encounter for general adult medical exam w abnorma&#160;</td>\n                                    <td ID = \"PROBSTATUS_Z00.01\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_Z86.010\">\n                                    <td ID = \"PROBKIND_Z86.010\">*Personal history of colonic polyps&#160;</td>\n                                    <td ID = \"PROBSTATUS_Z86.010\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                            </tbody>\n                        </table>\n                    </text>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <act classCode = \"ACT\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.3\"/>\n                            <id root=\"36e3e930-7b14-11db-9fe1-0800200c9a66\" />\n                            <code code = \"CONC\" codeSystem = \"2.16.840.1.113883.5.6\" displayName = \"Concern\"/>\n                            <statusCode code = \"completed\"/>\n                            <effectiveTime>\n                                <low nullFlavor=\"UNK\" />\n                            </effectiveTime>\n                            <entryRelationship typeCode = \"SUBJ\">\n                                <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\" >\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.4\"/>\n                                    <id root=\"36e3e930-7b14-11db-9fe1-0800200c9a66\" />\n                                    <code nullFlavor=\"NI\"/>\n                                    <text>\n                                        <reference value = \"#PROBSUMMARY_1\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime>\n                                        <low nullFlavor=\"NI\"/>\n                                    </effectiveTime>\n                                    <value xsi:type = \"CD\" nullFlavor=\"NI\" />\n                                </observation>\n                            </entryRelationship>\n                        </act>\n                    </entry>\n                   \n                </section>\n            </component>\n			<component>\n            <!--   Social History ******** -->\n            <section>\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.17\"/>\n               <!--  ********  Social history section template   ******** -->\n               <code code=\"29762-2\" codeSystem=\"2.16.840.1.113883.6.1\" displayName=\"Social History\"/>\n               <title>SOCIAL HISTORY</title>\n               <text>\n                  <list listType=\"ordered\">\n                     \n                     <item><content class=\"None\">No data</content></item>\n                  </list>\n               </text>\n               \n               <entry>\n                  \n                  <observation classCode=\"OBS\" moodCode=\"EVN\">\n                     <!-- Smoking status observation template -->\n                     <templateId root=\"2.16.840.1.113883.10.20.22.4.78\"/>\n                     <code code=\"ASSERTION\" codeSystem=\"2.16.840.1.113883.5.4\"/>\n                     <statusCode code=\"completed\"/>\n                     <effectiveTime>\n                     <low nullFlavor=\"NI\" />\n                     </effectiveTime>\n                     <value xsi:type=\"CD\" codeSystem=\"2.16.840.1.113883.6.96\" codeSystemName=\"SNOMED CT\" nullFlavor=\"NI\" />\n                  </observation>\n               </entry>\n               \n            </section>\n         </component>\n			<component>\n            <section>\n               <!-- Instructions template ID -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.45\"/>\n               <id root=\"184fdbe3-f480-4199-976d-e0bb0dd02551\"/>\n               <code code=\"69730-0\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemVersion=\"LOINC\"\n                  displayName=\"Instructions\"/>\n               <title>INSTRUCTIONS</title>\n               <text>\n               <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Instruction</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                              	<tr class=\"None\" ><td>No Instructions</td><td>&#160;</td></tr>\n                              \n                            </tbody>\n                        </table>\n               </text>\n            </section>\n         </component>\n			<component>\n            <section>\n               <!--  ********  Immunizations (entries required) section template   ******** -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.2.1\"/>\n               <code code=\"11369-6\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"History of immunizations\"/>\n               <title>IMMUNIZATIONS</title>\n               <text>\n               	  \n                   <list listType=\"ordered\">\n                    <item class=\"None\"><content>No Immunizations</content></item>\n                   </list>\n                  \n               </text>\n               <entry>\n                  <substanceAdministration moodCode=\"EVN\" classCode=\"SBADM\" negationInd=\"true\">\n                     <!-- Immunization Activity entry template -->\n                     <templateId root=\"2.16.840.1.113883.10.20.22.4.52\"/>\n                     <id root=\"b82150ba-bc2f-47a2-947c-930e3b4a3a5b\"/>\n                     <statusCode code=\"completed\"/>\n                     <effectiveTime nullFlavor=\"UNK\" />\n                     <consumable nullFlavor=\"NI\">\n                        <manufacturedProduct classCode=\"MANU\">\n                           <!-- Immunization Medication Information template -->\n                           <templateId root=\"2.16.840.1.113883.10.20.22.4.54\"/>\n                           <manufacturedMaterial nullFlavor=\"NI\" >\n                           		<code  codeSystem=\"2.16.840.1.113883.12.292\" codeSystemName=\"Vaccines administered (CVX)\" nullFlavor=\"NI\" />\n                           </manufacturedMaterial>\n                           <manufacturerOrganization>\n                              <name>No Manufacturer</name>\n                           </manufacturerOrganization>\n                        </manufacturedProduct>\n                     </consumable>\n                  </substanceAdministration>\n               </entry>\n               \n            </section>\n         </component>\n			<component>\n				<section>\n				  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        <!-- Vital Signs (entries optional) -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.4\"/>\n               <code code=\"8716-3\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"VITAL SIGNS\"/>\n               <title>VITAL SIGNS</title>\n               <text>\n                   <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Name</th>\n                                    <th>Value</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                            \n                            	<tr ID=\"VITALS1\">\n                            	<td>10/15/2020&#160;</td>\n                            	<td>Weight in lbs&#160;</td>\n                            	<td>180&#160;</td>\n                    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\"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Type</th>\n                                    <th>Recommendation</th>\n                                    <th>Discussion</th >\n                                </tr>\n                            </thead>\n                            \n                            <tbody>\n                            \n             \n                  	<tr><td>10/15/2020&#160;</td><td>Refill E-Medication&#160;</td><td> levothyroxine 100 mcg tablet&#160;</td><td> Sig:Take 1 tablet by mouth daily on empty stomach  Dispense:90  Refills:3&#160;</td></tr>\n                  	\n                  	<tr><td>10/15/2020&#160;</td><td>Refill E-Medication&#160;</td><td> metoprolol succinate ER 50 mg tablet,extended release 24 hr&#160;</td><td> Sig:Take 1 tablet by mouth twice a day  Dispense:180  Refills:2&#160;</td></tr>\n                  	\n                  	<tr><td>10/15/2020&#160;</td><td>Refill E-Medication&#160;</td><td> amlodipine 5 mg tablet&#160;</td><td> Sig:Take 1 tablet by mouth daily  Dispense:90  Refills:2&#160;</td></tr>\n                  	\n                  	<tr><td>10/15/2020&#160;</td><td>Refill E-Medication&#160;</td><td> lisinopril 40 mg tablet&#160;</td><td> Sig:Take 1 tablet by mouth daily  Dispense:90  Refills:2&#160;</td></tr>\n                  	\n                  	<tr><td>10/15/2020&#160;</td><td>Refill E-Medication&#160;</td><td> cetirizine 10 mg tablet&#160;</td><td> Sig:Take 1 tablet by mouth nightly  Dispense:90  Refills:2&#160;</td></tr>\n                  	\n                  	<tr><td>10/15/2020&#160;</td><td>Refill E-Medication&#160;</td><td> cholestyramine (with sugar) 4 gram powder for susp in a packet&#160;</td><td> Sig:4 gm by mouth daily dissolve one packet in liquid daily each 4 grams  Dispense:90  Refills:1&#160;</td></tr>\n                  	\n                  	\n                	</tbody></table>\n               </text>\n            </section>\n         </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.7\"/>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.7.1\"/>\n                    <code code = \"47519-4\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"PROCEDURES\"/>\n                    <title>PROCEDURES</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Name</th>\n                                    <th>Last modification date</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                <tr>\n									<td ID=\"procedure1\" class=\"None\">No 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<methodCode nullFlavor = \"UNK\"/>\n                            \n                        </observation>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.3.1\"/>\n                    <code code = \"30954-2\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"RESULTS\"/>\n                    <title>RESULTS</title>\n                    <text><table border = \"1\" width = \"100%\"><thead>\n                    	<tr>\n                    	<th>Description</th>\n                    	<th>Value</th>\n                    	<th>Units</th>\n                    	<th>Date</th>\n                    	</tr></thead><tbody>\n                    	\n                    	<tr ID=\"result1\">\n                    		<td>COLOR&#160;</td>\n                    		<td>YELLOW&#160;</td>\n 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ID=\"result5\">\n                    		<td>GLUCOSE&#160;</td>\n                    		<td>NEGATIVE&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result6\">\n                    		<td>KETONES&#160;</td>\n                    		<td>NEGATIVE&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result7\">\n                    		<td>LEUKOCYTES&#160;</td>\n                    		<td>NEGATIVE&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result8\">\n                    		<td>BLOOD&#160;</td>\n                    		<td>NEGATIVE&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result9\">\n                    		<td>NITRITE&#160;</td>\n                    		<td>NEGATIVE&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result10\">\n                    		<td>BILIRUBIN&#160;</td>\n                    		<td>NEGATIVE&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result11\">\n                    		<td>NA&#160;</td>\n                    		<td>144.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result12\">\n                    		<td>NA&#160;</td>\n                    		<td>137.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result13\">\n                    		<td>NA&#160;</td>\n                    		<td>135.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result14\">\n                    		<td>NA&#160;</td>\n                    		<td>137.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result15\">\n                    		<td>NA&#160;</td>\n                    		<td>137.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result16\">\n                    		<td>NA&#160;</td>\n                    		<td>136.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result17\">\n                    		<td>NA&#160;</td>\n                    		<td>136.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result18\">\n                    		<td>UROBILINOGEN&#160;</td>\n                    		<td>0.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result19\">\n                    		<td>K&#160;</td>\n                    		<td>4.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result20\">\n                    		<td>K&#160;</td>\n                    		<td>5.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result21\">\n                    		<td>K&#160;</td>\n                    		<td>4.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result22\">\n                    		<td>K&#160;</td>\n                    		<td>4.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result23\">\n                    		<td>K&#160;</td>\n                    		<td>4.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result24\">\n                    		<td>K&#160;</td>\n                    		<td>4.9&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result25\">\n                    		<td>K&#160;</td>\n                    		<td>5.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result26\">\n                    		<td>WBC&#160;</td>\n                    		<td>RARE&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result27\">\n                    		<td>RBC&#160;</td>\n                    		<td>NONE SEEN&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result28\">\n                    		<td>EPI TYPE&#160;</td>\n                    		<td>SQUAMOUS&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result29\">\n                    		<td>EPI&#160;</td>\n                    		<td>RARE&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result30\">\n                    		<td>CRYSTALS&#160;</td>\n                    		<td>NONE SEEN&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result31\">\n                    		<td>BACTERIA&#160;</td>\n                    		<td>RARE&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result32\">\n                    		<td>MUCUS&#160;</td>\n                    		<td>NONE SEEN&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result33\">\n                    		<td>CASTS&#160;</td>\n                    		<td>NONE SEEN&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result34\">\n                    		<td>CL&#160;</td>\n                    		<td>105.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result35\">\n                    		<td>CL&#160;</td>\n                    		<td>103.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result36\">\n                    		<td>CL&#160;</td>\n                    		<td>102.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result37\">\n                    		<td>CL&#160;</td>\n                    		<td>105.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result38\">\n                    		<td>CL&#160;</td>\n                    		<td>105.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result39\">\n                    		<td>CL&#160;</td>\n                    		<td>101.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result40\">\n                    		<td>CL&#160;</td>\n                    		<td>98.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result41\">\n                    		<td>BUN&#160;</td>\n                    		<td>17.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result42\">\n                    		<td>BUN&#160;</td>\n                    		<td>18.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result43\">\n                    		<td>BUN&#160;</td>\n                    		<td>24.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result44\">\n                    		<td>BUN&#160;</td>\n                    		<td>18.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result45\">\n                    		<td>BUN&#160;</td>\n                    		<td>21.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result46\">\n                    		<td>BUN&#160;</td>\n                    		<td>19.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result47\">\n                    		<td>BUN&#160;</td>\n                    		<td>21.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result48\">\n                    		<td>CREATININE&#160;</td>\n                    		<td>1.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result49\">\n                    		<td>CREATININE&#160;</td>\n                    		<td>1.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result50\">\n                    		<td>CREATININE&#160;</td>\n                    		<td>1.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result51\">\n                    		<td>CREATININE&#160;</td>\n                    		<td>1.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result52\">\n                    		<td>CREATININE&#160;</td>\n                    		<td>1.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result53\">\n                    		<td>CREATININE&#160;</td>\n                    		<td>1.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result54\">\n                    		<td>CREATININE&#160;</td>\n                    		<td>1.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result55\">\n                    		<td>BUN/CREAT RATIO&#160;</td>\n                    		<td>14.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result56\">\n                    		<td>BUN/CREAT RATIO&#160;</td>\n                    		<td>13.8&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result57\">\n                    		<td>BUN/CREAT RATIO&#160;</td>\n                    		<td>16.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result58\">\n                    		<td>BUN/CREAT RATIO&#160;</td>\n                    		<td>18.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result59\">\n                    		<td>BUN/CREAT RATIO&#160;</td>\n                    		<td>17.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result60\">\n                    		<td>BUN/CREAT RATIO&#160;</td>\n                    		<td>19.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result61\">\n                    		<td>BUN/CREAT RATIO&#160;</td>\n                    		<td>21.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result62\">\n                    		<td>GFR ESTIMATED&#160;</td>\n                    		<td>68.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result63\">\n                    		<td>GFR ESTIMATED&#160;</td>\n                    		<td>62.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result64\">\n                    		<td>GFR ESTIMATED&#160;</td>\n                    		<td>52.9&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result65\">\n                    		<td>GFR ESTIMATED&#160;</td>\n                    		<td>84.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result66\">\n                    		<td>GFR ESTIMATED&#160;</td>\n                    		<td>68.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result67\">\n                    		<td>GFR ESTIMATED&#160;</td>\n                    		<td>83.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result68\">\n                    		<td>GFR ESTIMATED&#160;</td>\n                    		<td>83.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result69\">\n                    		<td>CALCIUM&#160;</td>\n                    		<td>9.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result70\">\n                    		<td>CALCIUM&#160;</td>\n                    		<td>8.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result71\">\n                    		<td>CALCIUM&#160;</td>\n                    		<td>8.8&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result72\">\n                    		<td>CALCIUM&#160;</td>\n                    		<td>9.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result73\">\n                    		<td>CALCIUM&#160;</td>\n                    		<td>8.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result74\">\n                    		<td>CALCIUM&#160;</td>\n                    		<td>8.9&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result75\">\n                    		<td>Calcium&#160;</td>\n                    		<td>9.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result76\">\n                    		<td>GLUCOSE&#160;</td>\n                    		<td>91.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result77\">\n                    		<td>GLUCOSE&#160;</td>\n                    		<td>90.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result78\">\n                    		<td>GLUCOSE&#160;</td>\n                    		<td>89.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result79\">\n                    		<td>GLUCOSE&#160;</td>\n                    		<td>90.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result80\">\n                    		<td>GLUCOSE&#160;</td>\n                    		<td>89.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result81\">\n                    		<td>GLUCOSE&#160;</td>\n                    		<td>85.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result82\">\n                    		<td>GLUCOSE&#160;</td>\n                    		<td>100.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result83\">\n                    		<td>ALBUMIN&#160;</td>\n                    		<td>4.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result84\">\n                    		<td>ALBUMIN&#160;</td>\n                    		<td>4.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result85\">\n                    		<td>ALBUMIN&#160;</td>\n                    		<td>3.8&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result86\">\n                    		<td>ALK PHOS&#160;</td>\n                    		<td>65.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result87\">\n                    		<td>ALK PHOS&#160;</td>\n                    		<td>34.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result88\">\n                    		<td>ALK PHOS&#160;</td>\n                    		<td>47.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result89\">\n                    		<td>ALT&#160;</td>\n                    		<td>41.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result90\">\n                    		<td>ALT&#160;</td>\n                    		<td>31.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result91\">\n                    		<td>ALT&#160;</td>\n                    		<td>43.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result92\">\n                    		<td>AST&#160;</td>\n                    		<td>20.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result93\">\n                    		<td>AST&#160;</td>\n                    		<td>17.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result94\">\n                    		<td>AST&#160;</td>\n                    		<td>24.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result95\">\n                    		<td>TOTAL BILI&#160;</td>\n                    		<td>0.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result96\">\n                    		<td>TOTAL BILI&#160;</td>\n                    		<td>0.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result97\">\n                    		<td>TOTAL BILI&#160;</td>\n                    		<td>0.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result98\">\n                    		<td>TOTAL PROTEIN&#160;</td>\n                    		<td>7.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result99\">\n                    		<td>TOTAL PROTEIN&#160;</td>\n                    		<td>6.6&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result100\">\n                    		<td>TOTAL PROTEIN&#160;</td>\n                    		<td>6.9&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result101\">\n                    		<td>CHOLESTEROL&#160;</td>\n                    		<td>177.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result102\">\n                    		<td>CHOLESTEROL&#160;</td>\n                    		<td>151.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result103\">\n                    		<td>CHOLESTEROL&#160;</td>\n                    		<td>175.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result104\">\n                    		<td>CHOLESTEROL&#160;</td>\n                    		<td>186.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result105\">\n                    		<td>CHOLESTEROL&#160;</td>\n                    		<td>196.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result106\">\n                    		<td>DIRECT HDL&#160;</td>\n                    		<td>42.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result107\">\n                    		<td>DIRECT HDL&#160;</td>\n                    		<td>40.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result108\">\n                    		<td>DIRECT HDL&#160;</td>\n                    		<td>42.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result109\">\n                    		<td>DIRECT HDL&#160;</td>\n                    		<td>60.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result110\">\n                    		<td>DIRECT HDL&#160;</td>\n                    		<td>66.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result111\">\n                    		<td>TRIGLYCERIDES&#160;</td>\n                    		<td>122.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result112\">\n                    		<td>TRIGLYCERIDES&#160;</td>\n                    		<td>180.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result113\">\n                    		<td>TRIGLYCERIDES&#160;</td>\n                    		<td>128.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result114\">\n                    		<td>TRIGLYCERIDES&#160;</td>\n                    		<td>153.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result115\">\n                    		<td>TRIGLYCERIDES&#160;</td>\n                    		<td>144.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result116\">\n                    		<td>CALCULATED LDL&#160;</td>\n                    		<td>110.6&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result117\">\n                    		<td>CALCULATED LDL&#160;</td>\n                    		<td>75.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result118\">\n                    		<td>CALCULATED LDL&#160;</td>\n                    		<td>107.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result119\">\n                    		<td>CALCULATED LDL&#160;</td>\n                    		<td>95.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result120\">\n                    		<td>CALCULATED LDL&#160;</td>\n                    		<td>101.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result121\">\n                    		<td>WBC&#160;</td>\n                    		<td>8.6&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result122\">\n                    		<td>WBC&#160;</td>\n                    		<td>6.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result123\">\n                    		<td>WBC&#160;</td>\n                    		<td>6.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result124\">\n                    		<td>RBC&#160;</td>\n                    		<td>4.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result125\">\n                    		<td>RBC&#160;</td>\n                    		<td>4.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result126\">\n                    		<td>RBC&#160;</td>\n                    		<td>4.8&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result127\">\n                    		<td>HGB&#160;</td>\n                    		<td>14.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result128\">\n                    		<td>HGB&#160;</td>\n                    		<td>14.9&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result129\">\n                    		<td>HGB&#160;</td>\n                    		<td>14.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result130\">\n                    		<td>HCT&#160;</td>\n                    		<td>42.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result131\">\n                    		<td>HCT&#160;</td>\n                    		<td>43.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result132\">\n                    		<td>HCT&#160;</td>\n                    		<td>42.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result133\">\n                    		<td>PLT&#160;</td>\n                    		<td>209.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result134\">\n                    		<td>PLT&#160;</td>\n                    		<td>202.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result135\">\n                    		<td>PLT&#160;</td>\n                    		<td>202.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result136\">\n                    		<td>MCV&#160;</td>\n                    		<td>93.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result137\">\n                    		<td>MCV&#160;</td>\n                    		<td>92.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result138\">\n                    		<td>MCV&#160;</td>\n                    		<td>89.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result139\">\n                    		<td>RDW&#160;</td>\n                    		<td>14.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result140\">\n                    		<td>RDW&#160;</td>\n                    		<td>14.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result141\">\n                    		<td>RDW&#160;</td>\n                    		<td>14.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result142\">\n                    		<td>MCH&#160;</td>\n                    		<td>31.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result143\">\n                    		<td>MCH&#160;</td>\n                    		<td>31.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result144\">\n                    		<td>MCH&#160;</td>\n                    		<td>30.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result145\">\n                    		<td>MCHC&#160;</td>\n                    		<td>34.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result146\">\n                    		<td>MCHC&#160;</td>\n                    		<td>34.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result147\">\n                    		<td>MCHC&#160;</td>\n                    		<td>33.8&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result148\">\n                    		<td>GRAN%&#160;</td>\n                    		<td>76.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result149\">\n                    		<td>GRAN%&#160;</td>\n                    		<td>63.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result150\">\n                    		<td>GRAN%&#160;</td>\n                    		<td>69.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result151\">\n                    		<td>LYMPH%&#160;</td>\n                    		<td>17.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result152\">\n                    		<td>LYMPH%&#160;</td>\n                    		<td>28.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result153\">\n                    		<td>LYMPH%&#160;</td>\n                    		<td>25.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result154\">\n                    		<td>MID%&#160;</td>\n                    		<td>5.6&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result155\">\n                    		<td>MID%&#160;</td>\n                    		<td>8.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result156\">\n                    		<td>MID%&#160;</td>\n                    		<td>5.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result157\">\n                    		<td>GRAN#&#160;</td>\n                    		<td>6.6&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result158\">\n                    		<td>GRAN#&#160;</td>\n                    		<td>4.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result159\">\n                    		<td>GRAN#&#160;</td>\n                    		<td>4.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result160\">\n                    		<td>LYMPY#&#160;</td>\n                    		<td>1.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result161\">\n                    		<td>LYMPY#&#160;</td>\n                    		<td>1.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result162\">\n                    		<td>LYMPY#&#160;</td>\n                    		<td>1.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result163\">\n                    		<td>MID#&#160;</td>\n                    		<td>0.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result164\">\n                    		<td>MID#&#160;</td>\n                    		<td>0.6&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result165\">\n                    		<td>MID#&#160;</td>\n                    		<td>0.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result166\">\n                    		<td>MPV&#160;</td>\n                    		<td>8.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result167\">\n                    		<td>MPV&#160;</td>\n                    		<td>8.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result168\">\n                    		<td>MPV&#160;</td>\n                    		<td>8.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result169\">\n                    		<td>WCT&#160;</td>\n                    		<td>12680.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result170\">\n                    		<td>WCT&#160;</td>\n                    		<td>12000.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result171\">\n                    		<td>WCT&#160;</td>\n                    		<td>9690.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result172\">\n                    		<td>RCT&#160;</td>\n                    		<td>14410.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result173\">\n                    		<td>RCT&#160;</td>\n                    		<td>14450.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result174\">\n                    		<td>RCT&#160;</td>\n                    		<td>14470.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result175\">\n                    		<td>TSH&#160;</td>\n                    		<td>7.156&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/30/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result176\">\n                    		<td>TSH&#160;</td>\n                    		<td>4.225&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/09/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result177\">\n                    		<td>FreeT4&#160;</td>\n                    		<td>0.980&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/30/2013&#160;</td>\n                    	</tr>\n       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                     <statusCode code = \"completed\"/>\n                                    <effectiveTime nullFlavor=\"UNK\"/>\n                                    <value xsi:type = \"PQ\" nullFlavor=\"NI\" />\n                                	<referenceRange>\n                              			<observationRange>\n                              		   		<text></text>\n                             	 		</observationRange>\n                           			</referenceRange>\n                                </observation>\n                            </component>\n                        </organizer>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n            <section>\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.14\"/>\n               <!--  ******** Functional status section template   ******** -->\n               <code code=\"47420-5\" codeSystem=\"2.16.840.1.113883.6.1\"/>\n               <title>FUNCTIONAL/COGNITIVE STATUS</title>\n               <text>\n               \n               \n               \n              \n               \n               		<span class=\"None\" >No Data Available</span>\n               	 \n               </text>\n            </section>\n         </component>\n         <component>\n            <section>\n               <templateId root=\"1.3.6.1.4.1.19376.1.5.3.1.3.1\"/>\n               <!-- ** Reason for Referral Section Template ** -->\n               <code codeSystem=\"2.16.840.1.113883.6.1\" \n                  codeSystemName=\"LOINC\" code=\"42349-1\"\n                  displayName=\"REASON FOR REFERRAL\"/>\n               <title>REFERRALS</title>\n               <text>\n                  <paragraph>\n                  	<span class=\"None\">No Referrals</span>\n                  \n                  </paragraph>\n               </text>\n            </section>\n         </component> 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CDA\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\"/>\n    <title>Clinical Summary</title>\n    <effectiveTime value = \"20201016092411-0000\"/>\n    <confidentialityCode code = \"N\" codeSystem = \"2.16.840.1.113883.5.25\"/>\n    <languageCode code = \"en-US\"/>\n    <setId extension = \"111199021\" root = \"2.16.840.1.113883.19\"/>\n    <versionNumber value = \"1\"/>\n    <recordTarget>\n        <patientRole>\n            <id extension = \"20838\" root = \"2.16.840.1.113883.19\"/>\n            \n            <id extension = \"043-68-2579\" root = \"2.16.840.1.113883.4.1\"/>\n            \n            \n            <addr use = \"HP\">\n                <streetAddressLine>4408 BLUEDUCK DR </streetAddressLine>\n                <city>KILLEEN</city>\n                <state>TX</state>\n                <postalCode>76549</postalCode>\n                <country>USA</country>\n            </addr>\n            <telecom use = \"HP\" value = \"tel:+1-(   )    -\"/>\n            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</patientRole>\n    </recordTarget>\n    <author>\n        <time value = \"20201016092411-0000\"/>\n        <assignedAuthor>\n            \n            <id extension = \"1285730705\" root = \"2.16.840.1.113883.4.6\"/>\n            \n            <code code = \"207Q00000X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>3816 S CLEAR CREEK SUITE E </streetAddressLine>\n                <city>KILLEEN</city>\n                <state>TX</state>\n                <postalCode>76549-4400</postalCode>\n                <country>US</country>\n            </addr>\n            \n            <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n            \n            \n            <assignedPerson>\n                <name>\n                    \n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                    \n                </name>\n            </assignedPerson>\n            \n        </assignedAuthor>\n    </author>\n    <!--. 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Clear Creek RD STE E</streetAddressLine>\n                    <city>KILLEEN</city>\n                    <state>TX</state>\n                    <postalCode>76549-4400</postalCode>\n                    <country>US</country>\n                </addr>\n            </representedCustodianOrganization>\n        </assignedCustodian>\n    </custodian>\n    <!-- MAY contain zero or more [0..*] informationRecipient>\n    <informationRecipient>\n        <intendedRecipient>\n            <receivedOrganization>\n                <name>Get Well Clinic</name>\n            </receivedOrganization>\n        </intendedRecipient>\n    </informationRecipient>  -->\n    <!--The legalAuthenticator, if present, SHALL contain exactly one - \n    <legalAuthenticator>\n        <time value = \"20130207153010+0500\"/>\n        <signatureCode code = \"S\"/>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                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   <effectiveTime>\n                \n		     <low value=\"20201015\"/>\n                \n            </effectiveTime>\n            \n            	<performer typeCode = \"PRF\" nullFlavor=\"NI\">\n                <templateId root = \"2.16.840.1.113883.10.20.6.2.1\"/>\n                <assignedEntity nullFlavor=\"NI\">\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"132465\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n                    <addr nullFlavor=\"UNK\" />\n                    <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                    <assignedPerson>\n			<name>\n			\n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                        \n                        </name>\n\n                    </assignedPerson>\n                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<telecom use = \"WP\" value = \"tel:(   )    -\"/>\n                    <representedOrganization>\n                        <name>\n			<given>DONALD</given>\n			<family>LEBEL</family>\n			</name>\n	\n                    </representedOrganization>\n                </assignedEntity>\n            </responsibleParty>\n            <encounterParticipant typeCode = \"ATND\">\n                <time>\n                    <low nullFlavor=\"UNK\" />\n                </time>\n                <assignedEntity>\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"1\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"STILLHOUSE EMERG PHYSICIAN\"/>\n                    <addr>\n                        <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                        <city>KILLEEN</city>\n                        <state>TX</state>\n                        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EMERG PHYSICIAN</name>\n                        <addr>\n                            <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                            <city>KILLEEN</city>\n                            <state>TX</state>\n                            <postalCode>76549-4400</postalCode>\n                            <country>US</country>\n                        </addr>\n			\n                    </location>\n                </healthCareFacility>\n            </location>\n        </encompassingEncounter>\n     \n    \n    </componentOf>\n    <component>\n        <structuredBody>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.6.1\"/>\n                    <code code = \"48765-2\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                    <title>ALLERGIES</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Type</th>\n                                    <th>Substance</th>\n                                    <th>Reaction</th>\n                                    <th>Status</th>\n                                    <th>Identified</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                \n                                <tr ID = \"ALGSUMMARY_1\">\n                                    <td ID = \"ALGTYPE_1\">Drug Allergy&#160;</td>\n                                    <td ID = \"ALGSUB_1\">No Known Allergies&#160;</td>\n                                    <td ID = \"ALGREACT_1\">&#160;</td>\n                                    <td ID = \"ALGSTATUS_1\">Active&#160;</td>\n                                    <td>&#160;</td>\n                                 </tr>\n                                 \n                                \n                            </tbody>\n                        </table>\n                    </text>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <act classCode = \"ACT\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.30\"/>\n                            <id root = \"36e3e930-7b14-11db-9fe1-0800200c9a66\"/>\n                            <code code = \"48765-2\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"Allergies, adverse reactions, alerts\"/>\n                            <statusCode code = \"active\"/>\n                            <effectiveTime>\n                                <low value = \"\"/>\n                            </effectiveTime>\n                            <entryRelationship typeCode = \"SUBJ\">\n                                <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.7\"/>\n                                    <id root = \"4adc1020-7b14-11db-9fe1-0800200c9a66\"/>\n                                    <code code = \"ASSERTION\" codeSystem = \"2.16.840.1.113883.5.4\"/>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime>\n                                        <high value=\"\"/>\n                                    </effectiveTime>\n                                    <value xsi:type = \"CD\" code=\"416098002\" displayName = \"Drug allergy\" codeSystem = \"2.16.840.1.113883.6.96\" codeSystemName = \"SNOMED CT\">\n                                        <originalText>\n                                            <reference value = \"#ALGREACT_1\"/>\n                                        </originalText>\n                                    </value>\n                                    <participant typeCode = \"CSM\">\n                                        <participantRole classCode = \"MANU\">\n                                            <playingEntity classCode = \"MMAT\">\n                                                <code code = \"231\" codeSystem = \"2.16.840.1.113883.6.88\" displayName = \"No Known Allergies\" codeSystemName = \"RxNorm\">\n                                                    <originalText>\n                                                        <reference value = \"#ALGSUB_1\"/>\n                                                    </originalText>\n                                                </code>\n                                                <name>No Known Allergies</name>\n                                            </playingEntity>\n                                        </participantRole>\n                                    </participant>\n                                    <entryRelationship typeCode = \"SUBJ\" inversionInd = \"true\">\n                                        <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                            <templateId root = \"2.16.840.1.113883.10.20.22.4.28\"/>\n                                            <code code = \"33999-4\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"Status\"/>\n                                            <statusCode code = \"completed\"/>\n                                            <value xsi:type = \"CE\" code = \"55561003\" codeSystem = \"2.16.840.1.113883.6.96\" displayName = \"Active\"/>\n                                        </observation>\n                                    </entryRelationship>\n                                    <entryRelationship typeCode = \"MFST\" inversionInd = \"true\">\n                                        <observation classCode = \"OBS\" moodCode = \"EVN\">\n                                            <templateId root = \"2.16.840.1.113883.10.20.22.4.9\"/>\n                                            <id root = \"7e85d3a0-2a9e-4cb6-b651-f5dc2607f619\"/>\n                                            <code code = \"ASSERTION\" codeSystem = \"2.16.840.1.113883.5.4\"/>\n                                            <text>\n                                                <reference value = \"#ALGREACT_1\"/>\n                                            </text>\n                                            <statusCode code = \"completed\"/>\n                                            <effectiveTime>\n                                                <high value = \"\"/>\n                                            </effectiveTime>\n                                            <value xsi:type = \"CD\" code = \"NONE\" codeSystem = \"2.16.840.1.113883.6.96\" displayName=\"NONE\"/>  <!--  #@TODO: Remove Snomed Filler data -->\n                                        </observation>\n                                    </entryRelationship>\n                                </observation>\n                            </entryRelationship>\n                        </act>\n                    </entry>\n                    \n                </section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.1.1\"/>\n                    <code code = \"10160-0\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"HISTORY OF MEDICATION USE\"/>\n                    <title>MEDICATIONS</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Medication</th>\n                                    <th>Start Date</th>\n                                    <th>Frequency</th>\n                                    <th>Status</th>\n                                    <th>Issue date</th>\n                                    <th>Administered this visit</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med1a1767e4-28c9-4070-872a-39b59016103b\">triamcinolone acetonide 0.1 % topical cream</content>\n                                    &#160;</td>\n                                    <td>09/04/2019&#160;</td>\n                                    <td>1 application apply on the skin twice a day as needed PRN to itchy areas&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>09/04/2019&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med1d043c8d-445c-4fdd-9f58-d9f26df6e6fa\">hydrocortisone 2.5 % lotion</content>\n                                    &#160;</td>\n                                    <td>05/28/2020&#160;</td>\n                                    <td>1 application apply to the scalp 3 times weekly ON THE DAYS USING THE KETOCONAZOLE SHAMPOO&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>05/28/2020&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med27bb73b9-0f2e-4864-91f6-fb6b8962984e\">levothyroxine 100 mcg tablet</content>\n                                    &#160;</td>\n                                    <td>10/30/2018&#160;</td>\n                                    <td>Take 1 tablet by mouth daily on empty stomach&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med2d421b78-053f-45ff-8a19-f6aa2b60bf7b\">triamcinolone acetonide 0.5 % topical cream</content>\n                                    &#160;</td>\n                                    <td>10/28/2015&#160;</td>\n                                    <td>1 application apply on the skin twice a day&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/28/2015&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med45fe716b-33e9-4920-b329-02c8883296f3\">metoprolol succinate ER 50 mg tablet,extended release 24 hr</content>\n                                    &#160;</td>\n                                    <td>01/19/2017&#160;</td>\n                                    <td>Take 1 tablet by mouth twice a day&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med5637b11a-39b2-4d20-823b-e2e8f53e6a0e\">amlodipine 5 mg tablet</content>\n                                    &#160;</td>\n                                    <td>10/06/2017&#160;</td>\n                                    <td>Take 1 tablet by mouth daily&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med5bfb61aa-0979-47c7-8bff-c546ddb61aab\">fluticasone propionate 50 mcg/actuation nasal spray,suspension</content>\n                                    &#160;</td>\n                                    <td>09/04/2019&#160;</td>\n                                    <td>2 puffs in the nostrils daily&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>05/28/2020&#160;</td>\n                                    <td>No&#160;</td>\n           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    <td>10/15/2020&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Med9199031b-c35b-4754-a479-4c4056ddcee7\">cetirizine 10 mg tablet</content>\n                                    &#160;</td>\n                                    <td>10/28/2015&#160;</td>\n                                    <td>Take 1 tablet by mouth nightly&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Medbd92ec6a-8c97-4925-beee-3fdf14b365d0\">lisinopril 40 mg tablet</content>\n                                    &#160;</td>\n                                    <td>04/30/2018&#160;</td>\n                                    <td>Take 1 tablet by mouth daily&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/15/2020&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Medccc46f1c-ee04-4b27-95ae-fe0d8da56a0d\">meloxicam 7.5 mg tablet</content>\n                                    &#160;</td>\n                                    <td>10/19/2016&#160;</td>\n                                    <td>1-2 tablets by mouth nightly as needed (PRN) for 2 weeks as directed then PRN arthritis pain&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>10/19/2016&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        <content ID = \"Medd3d41342-3eeb-41a0-a983-b18bff6be376\">ketoconazole 2 % shampoo</content>\n                                    &#160;</td>\n                                    <td>05/28/2020&#160;</td>\n                                    <td>1 application apply on the skin 3 times weekly&#160;</td>\n                                    <td>ACTIVE&#160;</td>\n                                    <td>05/28/2020&#160;</td>\n                                    <td>No&#160;</td>\n                                </tr>\n                                \n                            </tbody>\n                        </table>\n             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foot&#160;</td>\n                                    <td ID = \"PROBSTATUS_M77.32\">active&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_R00.2\">\n                                    <td ID = \"PROBKIND_R00.2\">*Palpitations&#160;</td>\n                                    <td ID = \"PROBSTATUS_R00.2\">Moderately improved&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_R73.01\">\n                                    <td ID = \"PROBKIND_R73.01\">*Impaired fasting glucose&#160;</td>\n                                    <td ID = \"PROBSTATUS_R73.01\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_R94.5\">\n                                    <td ID = \"PROBKIND_R94.5\">*Abnormal results of liver function studies&#160;</td>\n                                    <td ID = \"PROBSTATUS_R94.5\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_Z00.01\">\n                                    <td ID = \"PROBKIND_Z00.01\">*Encounter for general adult medical exam w abnorma&#160;</td>\n                                    <td ID = \"PROBSTATUS_Z00.01\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                                <tr ID = \"PROBSUMMARY_Z86.010\">\n                                    <td ID = \"PROBKIND_Z86.010\">*Personal history of colonic polyps&#160;</td>\n                                    <td ID = \"PROBSTATUS_Z86.010\">&#160;</td>\n                                    <td>&#160;</td>\n                                    <td>&#160;</td>\n                                </tr>\n                              \n                            </tbody>\n                        </table>\n                    </text>\n                    \n                    <entry typeCode = \"DRIV\">\n                        <act classCode = \"ACT\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.3\"/>\n                            <id root=\"36e3e930-7b14-11db-9fe1-0800200c9a66\" />\n                            <code code = \"CONC\" codeSystem = \"2.16.840.1.113883.5.6\" displayName = \"Concern\"/>\n                            <statusCode code = \"completed\"/>\n                            <effectiveTime>\n                                <low nullFlavor=\"UNK\" />\n                            </effectiveTime>\n                            <entryRelationship typeCode = \"SUBJ\">\n                                <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\" >\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.4\"/>\n                                    <id root=\"36e3e930-7b14-11db-9fe1-0800200c9a66\" />\n                                    <code nullFlavor=\"NI\"/>\n                                    <text>\n                                        <reference value = \"#PROBSUMMARY_1\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime>\n                                        <low nullFlavor=\"NI\"/>\n                                    </effectiveTime>\n                                    <value xsi:type = \"CD\" nullFlavor=\"NI\" />\n                                </observation>\n                            </entryRelationship>\n                        </act>\n                    </entry>\n                   \n                </section>\n            </component>\n			<component>\n            <!--   Social History ******** -->\n            <section>\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.17\"/>\n               <!--  ********  Social history section template   ******** -->\n               <code code=\"29762-2\" codeSystem=\"2.16.840.1.113883.6.1\" displayName=\"Social History\"/>\n               <title>SOCIAL HISTORY</title>\n               <text>\n                  <list listType=\"ordered\">\n                     \n                     <item><content class=\"None\">No data</content></item>\n                  </list>\n               </text>\n               \n               <entry>\n                  \n                  <observation classCode=\"OBS\" moodCode=\"EVN\">\n                     <!-- Smoking status observation template -->\n                     <templateId root=\"2.16.840.1.113883.10.20.22.4.78\"/>\n                     <code code=\"ASSERTION\" codeSystem=\"2.16.840.1.113883.5.4\"/>\n                     <statusCode code=\"completed\"/>\n                     <effectiveTime>\n                     <low nullFlavor=\"NI\" />\n                     </effectiveTime>\n                     <value xsi:type=\"CD\" codeSystem=\"2.16.840.1.113883.6.96\" codeSystemName=\"SNOMED CT\" nullFlavor=\"NI\" />\n                  </observation>\n               </entry>\n               \n            </section>\n         </component>\n			<component>\n            <section>\n               <!-- Instructions template ID -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.45\"/>\n               <id root=\"184fdbe3-f480-4199-976d-e0bb0dd02551\"/>\n               <code code=\"69730-0\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemVersion=\"LOINC\"\n                  displayName=\"Instructions\"/>\n               <title>INSTRUCTIONS</title>\n               <text>\n               <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Instruction</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                              	<tr class=\"None\" ><td>No Instructions</td><td>&#160;</td></tr>\n                              \n                            </tbody>\n                        </table>\n               </text>\n            </section>\n         </component>\n			<component>\n            <section>\n               <!--  ********  Immunizations (entries required) section template   ******** -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.2.1\"/>\n               <code code=\"11369-6\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"History of immunizations\"/>\n               <title>IMMUNIZATIONS</title>\n               <text>\n               	  \n                   <list listType=\"ordered\">\n                    <item class=\"None\"><content>No Immunizations</content></item>\n                   </list>\n                  \n               </text>\n               <entry>\n                  <substanceAdministration moodCode=\"EVN\" classCode=\"SBADM\" negationInd=\"true\">\n                     <!-- Immunization Activity entry template -->\n                     <templateId root=\"2.16.840.1.113883.10.20.22.4.52\"/>\n                     <id root=\"b82150ba-bc2f-47a2-947c-930e3b4a3a5b\"/>\n                     <statusCode code=\"completed\"/>\n                     <effectiveTime nullFlavor=\"UNK\" />\n                     <consumable nullFlavor=\"NI\">\n                        <manufacturedProduct classCode=\"MANU\">\n                           <!-- Immunization Medication Information template -->\n                           <templateId root=\"2.16.840.1.113883.10.20.22.4.54\"/>\n                           <manufacturedMaterial nullFlavor=\"NI\" >\n                           		<code  codeSystem=\"2.16.840.1.113883.12.292\" codeSystemName=\"Vaccines administered (CVX)\" nullFlavor=\"NI\" />\n                           </manufacturedMaterial>\n                           <manufacturerOrganization>\n                              <name>No Manufacturer</name>\n                           </manufacturerOrganization>\n                        </manufacturedProduct>\n                     </consumable>\n                  </substanceAdministration>\n               </entry>\n               \n            </section>\n         </component>\n			<component>\n				<section>\n				  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        <!-- Vital Signs (entries optional) -->\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.4\"/>\n               <code code=\"8716-3\" codeSystem=\"2.16.840.1.113883.6.1\" codeSystemName=\"LOINC\"\n                  displayName=\"VITAL SIGNS\"/>\n               <title>VITAL SIGNS</title>\n               <text>\n                   <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Name</th>\n                                    <th>Value</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                            \n                            	<tr ID=\"VITALS1\">\n                            	<td>10/15/2020&#160;</td>\n                            	<td>Weight in lbs&#160;</td>\n                            	<td>180&#160;</td>\n                    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\"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Date</th>\n                                    <th>Type</th>\n                                    <th>Recommendation</th>\n                                    <th>Discussion</th >\n                                </tr>\n                            </thead>\n                            \n                            <tbody>\n                            \n             \n                  	<tr><td>10/15/2020&#160;</td><td>Refill E-Medication&#160;</td><td> levothyroxine 100 mcg tablet&#160;</td><td> Sig:Take 1 tablet by mouth daily on empty stomach  Dispense:90  Refills:3&#160;</td></tr>\n                  	\n                  	<tr><td>10/15/2020&#160;</td><td>Refill E-Medication&#160;</td><td> metoprolol succinate ER 50 mg tablet,extended release 24 hr&#160;</td><td> Sig:Take 1 tablet by mouth twice a day  Dispense:180  Refills:2&#160;</td></tr>\n                  	\n                  	<tr><td>10/15/2020&#160;</td><td>Refill E-Medication&#160;</td><td> amlodipine 5 mg tablet&#160;</td><td> Sig:Take 1 tablet by mouth daily  Dispense:90  Refills:2&#160;</td></tr>\n                  	\n                  	<tr><td>10/15/2020&#160;</td><td>Refill E-Medication&#160;</td><td> lisinopril 40 mg tablet&#160;</td><td> Sig:Take 1 tablet by mouth daily  Dispense:90  Refills:2&#160;</td></tr>\n                  	\n                  	<tr><td>10/15/2020&#160;</td><td>Refill E-Medication&#160;</td><td> cetirizine 10 mg tablet&#160;</td><td> Sig:Take 1 tablet by mouth nightly  Dispense:90  Refills:2&#160;</td></tr>\n                  	\n                  	<tr><td>10/15/2020&#160;</td><td>Refill E-Medication&#160;</td><td> cholestyramine (with sugar) 4 gram powder for susp in a packet&#160;</td><td> Sig:4 gm by mouth daily dissolve one packet in liquid daily each 4 grams  Dispense:90  Refills:1&#160;</td></tr>\n                  	\n                  	\n                	</tbody></table>\n               </text>\n            </section>\n         </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.7\"/>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.7.1\"/>\n                    <code code = \"47519-4\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"PROCEDURES\"/>\n                    <title>PROCEDURES</title>\n                    <text>\n                        <table border = \"1\" width = \"100%\">\n                            <thead>\n                                <tr>\n                                    <th>Name</th>\n                                    <th>Last modification date</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                <tr>\n									<td ID=\"procedure1\" class=\"None\">No 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<methodCode nullFlavor = \"UNK\"/>\n                            \n                        </observation>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n                <section>\n                    <templateId root = \"2.16.840.1.113883.10.20.22.2.3.1\"/>\n                    <code code = \"30954-2\" codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\" displayName = \"RESULTS\"/>\n                    <title>RESULTS</title>\n                    <text><table border = \"1\" width = \"100%\"><thead>\n                    	<tr>\n                    	<th>Description</th>\n                    	<th>Value</th>\n                    	<th>Units</th>\n                    	<th>Date</th>\n                    	</tr></thead><tbody>\n                    	\n                    	<tr ID=\"result1\">\n                    		<td>COLOR&#160;</td>\n                    		<td>YELLOW&#160;</td>\n 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ID=\"result5\">\n                    		<td>GLUCOSE&#160;</td>\n                    		<td>NEGATIVE&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result6\">\n                    		<td>KETONES&#160;</td>\n                    		<td>NEGATIVE&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result7\">\n                    		<td>LEUKOCYTES&#160;</td>\n                    		<td>NEGATIVE&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result8\">\n                    		<td>BLOOD&#160;</td>\n                    		<td>NEGATIVE&#160;</td>\n                    		<td>&#160;</td>\n                    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 		<td>137.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result13\">\n                    		<td>NA&#160;</td>\n                    		<td>135.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result14\">\n                    		<td>NA&#160;</td>\n                    		<td>137.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result15\">\n                    		<td>NA&#160;</td>\n                    		<td>137.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result16\">\n                    		<td>NA&#160;</td>\n                    		<td>136.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result17\">\n                    		<td>NA&#160;</td>\n                    		<td>136.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result18\">\n                    		<td>UROBILINOGEN&#160;</td>\n                    		<td>0.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result19\">\n                    		<td>K&#160;</td>\n                    		<td>4.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n    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                  		<td>NONE SEEN&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result28\">\n                    		<td>EPI TYPE&#160;</td>\n                    		<td>SQUAMOUS&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result29\">\n                    		<td>EPI&#160;</td>\n                    		<td>RARE&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result30\">\n                    		<td>CRYSTALS&#160;</td>\n                    		<td>NONE SEEN&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result31\">\n                    		<td>BACTERIA&#160;</td>\n                    		<td>RARE&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result32\">\n                    		<td>MUCUS&#160;</td>\n                    		<td>NONE SEEN&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result33\">\n                    		<td>CASTS&#160;</td>\n                    		<td>NONE SEEN&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result34\">\n                    		<td>CL&#160;</td>\n                    		<td>105.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result35\">\n                    		<td>CL&#160;</td>\n                    		<td>103.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result36\">\n                    		<td>CL&#160;</td>\n                    		<td>102.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result37\">\n                    		<td>CL&#160;</td>\n                    		<td>105.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result38\">\n                    		<td>CL&#160;</td>\n                    		<td>105.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result39\">\n                    		<td>CL&#160;</td>\n                    		<td>101.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result40\">\n                    		<td>CL&#160;</td>\n                    		<td>98.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result41\">\n                    		<td>BUN&#160;</td>\n                    		<td>17.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result42\">\n                    		<td>BUN&#160;</td>\n                    		<td>18.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result43\">\n                    		<td>BUN&#160;</td>\n                    		<td>24.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result44\">\n                    		<td>BUN&#160;</td>\n                    		<td>18.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result45\">\n                    		<td>BUN&#160;</td>\n                    		<td>21.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result46\">\n                    		<td>BUN&#160;</td>\n                    		<td>19.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result47\">\n                    		<td>BUN&#160;</td>\n                    		<td>21.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result48\">\n                    		<td>CREATININE&#160;</td>\n                    		<td>1.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result49\">\n                    		<td>CREATININE&#160;</td>\n                    		<td>1.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result50\">\n                    		<td>CREATININE&#160;</td>\n                    		<td>1.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result51\">\n                    		<td>CREATININE&#160;</td>\n                    		<td>1.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result52\">\n                    		<td>CREATININE&#160;</td>\n                    		<td>1.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result53\">\n                    		<td>CREATININE&#160;</td>\n                    		<td>1.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result54\">\n                    		<td>CREATININE&#160;</td>\n                    		<td>1.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result55\">\n                    		<td>BUN/CREAT RATIO&#160;</td>\n                    		<td>14.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result56\">\n                    		<td>BUN/CREAT RATIO&#160;</td>\n                    		<td>13.8&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result57\">\n                    		<td>BUN/CREAT RATIO&#160;</td>\n                    		<td>16.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result58\">\n                    		<td>BUN/CREAT RATIO&#160;</td>\n                    		<td>18.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result59\">\n                    		<td>BUN/CREAT RATIO&#160;</td>\n                    		<td>17.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result60\">\n                    		<td>BUN/CREAT RATIO&#160;</td>\n                    		<td>19.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result61\">\n                    		<td>BUN/CREAT RATIO&#160;</td>\n                    		<td>21.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result62\">\n                    		<td>GFR ESTIMATED&#160;</td>\n                    		<td>68.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result63\">\n                    		<td>GFR ESTIMATED&#160;</td>\n                    		<td>62.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result64\">\n                    		<td>GFR ESTIMATED&#160;</td>\n                    		<td>52.9&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result65\">\n                    		<td>GFR ESTIMATED&#160;</td>\n                    		<td>84.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result66\">\n                    		<td>GFR ESTIMATED&#160;</td>\n                    		<td>68.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result67\">\n                    		<td>GFR ESTIMATED&#160;</td>\n                    		<td>83.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result68\">\n                    		<td>GFR ESTIMATED&#160;</td>\n                    		<td>83.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result69\">\n                    		<td>CALCIUM&#160;</td>\n                    		<td>9.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result70\">\n                    		<td>CALCIUM&#160;</td>\n                    		<td>8.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result71\">\n                    		<td>CALCIUM&#160;</td>\n                    		<td>8.8&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result72\">\n                    		<td>CALCIUM&#160;</td>\n                    		<td>9.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result73\">\n                    		<td>CALCIUM&#160;</td>\n                    		<td>8.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result74\">\n                    		<td>CALCIUM&#160;</td>\n                    		<td>8.9&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result75\">\n                    		<td>Calcium&#160;</td>\n                    		<td>9.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result76\">\n                    		<td>GLUCOSE&#160;</td>\n                    		<td>91.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result77\">\n                    		<td>GLUCOSE&#160;</td>\n                    		<td>90.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/12/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result78\">\n                    		<td>GLUCOSE&#160;</td>\n                    		<td>89.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/07/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result79\">\n                    		<td>GLUCOSE&#160;</td>\n                    		<td>90.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result80\">\n                    		<td>GLUCOSE&#160;</td>\n                    		<td>89.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result81\">\n                    		<td>GLUCOSE&#160;</td>\n                    		<td>85.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result82\">\n                    		<td>GLUCOSE&#160;</td>\n                    		<td>100.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result83\">\n                    		<td>ALBUMIN&#160;</td>\n                    		<td>4.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result84\">\n                    		<td>ALBUMIN&#160;</td>\n                    		<td>4.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result85\">\n                    		<td>ALBUMIN&#160;</td>\n                    		<td>3.8&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result86\">\n                    		<td>ALK PHOS&#160;</td>\n                    		<td>65.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result87\">\n                    		<td>ALK PHOS&#160;</td>\n                    		<td>34.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result88\">\n                    		<td>ALK PHOS&#160;</td>\n                    		<td>47.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result89\">\n                    		<td>ALT&#160;</td>\n                    		<td>41.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result90\">\n                    		<td>ALT&#160;</td>\n                    		<td>31.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result91\">\n                    		<td>ALT&#160;</td>\n                    		<td>43.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result92\">\n                    		<td>AST&#160;</td>\n                    		<td>20.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result93\">\n                    		<td>AST&#160;</td>\n                    		<td>17.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result94\">\n                    		<td>AST&#160;</td>\n                    		<td>24.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result95\">\n                    		<td>TOTAL BILI&#160;</td>\n                    		<td>0.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result96\">\n                    		<td>TOTAL BILI&#160;</td>\n                    		<td>0.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result97\">\n                    		<td>TOTAL BILI&#160;</td>\n                    		<td>0.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result98\">\n                    		<td>TOTAL PROTEIN&#160;</td>\n                    		<td>7.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result99\">\n                    		<td>TOTAL PROTEIN&#160;</td>\n                    		<td>6.6&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/03/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result100\">\n                    		<td>TOTAL PROTEIN&#160;</td>\n                    		<td>6.9&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result101\">\n                    		<td>CHOLESTEROL&#160;</td>\n                    		<td>177.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result102\">\n                    		<td>CHOLESTEROL&#160;</td>\n                    		<td>151.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result103\">\n                    		<td>CHOLESTEROL&#160;</td>\n                    		<td>175.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result104\">\n                    		<td>CHOLESTEROL&#160;</td>\n                    		<td>186.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result105\">\n                    		<td>CHOLESTEROL&#160;</td>\n                    		<td>196.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result106\">\n                    		<td>DIRECT HDL&#160;</td>\n                    		<td>42.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result107\">\n                    		<td>DIRECT HDL&#160;</td>\n                    		<td>40.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result108\">\n                    		<td>DIRECT HDL&#160;</td>\n                    		<td>42.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result109\">\n                    		<td>DIRECT HDL&#160;</td>\n                    		<td>60.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result110\">\n                    		<td>DIRECT HDL&#160;</td>\n                    		<td>66.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result111\">\n                    		<td>TRIGLYCERIDES&#160;</td>\n                    		<td>122.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result112\">\n                    		<td>TRIGLYCERIDES&#160;</td>\n                    		<td>180.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result113\">\n                    		<td>TRIGLYCERIDES&#160;</td>\n                    		<td>128.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result114\">\n                    		<td>TRIGLYCERIDES&#160;</td>\n                    		<td>153.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result115\">\n                    		<td>TRIGLYCERIDES&#160;</td>\n                    		<td>144.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result116\">\n                    		<td>CALCULATED LDL&#160;</td>\n                    		<td>110.6&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result117\">\n                    		<td>CALCULATED LDL&#160;</td>\n                    		<td>75.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result118\">\n                    		<td>CALCULATED LDL&#160;</td>\n                    		<td>107.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>11/11/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result119\">\n                    		<td>CALCULATED LDL&#160;</td>\n                    		<td>95.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>09/03/2015&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result120\">\n                    		<td>CALCULATED LDL&#160;</td>\n                    		<td>101.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/03/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result121\">\n                    		<td>WBC&#160;</td>\n                    		<td>8.6&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result122\">\n                    		<td>WBC&#160;</td>\n                    		<td>6.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result123\">\n                    		<td>WBC&#160;</td>\n                    		<td>6.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result124\">\n                    		<td>RBC&#160;</td>\n                    		<td>4.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result125\">\n                    		<td>RBC&#160;</td>\n                    		<td>4.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result126\">\n                    		<td>RBC&#160;</td>\n                    		<td>4.8&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result127\">\n                    		<td>HGB&#160;</td>\n                    		<td>14.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result128\">\n                    		<td>HGB&#160;</td>\n                    		<td>14.9&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result129\">\n                    		<td>HGB&#160;</td>\n                    		<td>14.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result130\">\n                    		<td>HCT&#160;</td>\n                    		<td>42.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result131\">\n                    		<td>HCT&#160;</td>\n                    		<td>43.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result132\">\n                    		<td>HCT&#160;</td>\n                    		<td>42.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result133\">\n                    		<td>PLT&#160;</td>\n                    		<td>209.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result134\">\n                    		<td>PLT&#160;</td>\n                    		<td>202.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result135\">\n                    		<td>PLT&#160;</td>\n                    		<td>202.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result136\">\n                    		<td>MCV&#160;</td>\n                    		<td>93.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result137\">\n                    		<td>MCV&#160;</td>\n                    		<td>92.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result138\">\n                    		<td>MCV&#160;</td>\n                    		<td>89.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result139\">\n                    		<td>RDW&#160;</td>\n                    		<td>14.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result140\">\n                    		<td>RDW&#160;</td>\n                    		<td>14.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result141\">\n                    		<td>RDW&#160;</td>\n                    		<td>14.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result142\">\n                    		<td>MCH&#160;</td>\n                    		<td>31.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result143\">\n                    		<td>MCH&#160;</td>\n                    		<td>31.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result144\">\n                    		<td>MCH&#160;</td>\n                    		<td>30.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result145\">\n                    		<td>MCHC&#160;</td>\n                    		<td>34.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result146\">\n                    		<td>MCHC&#160;</td>\n                    		<td>34.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result147\">\n                    		<td>MCHC&#160;</td>\n                    		<td>33.8&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result148\">\n                    		<td>GRAN%&#160;</td>\n                    		<td>76.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result149\">\n                    		<td>GRAN%&#160;</td>\n                    		<td>63.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result150\">\n                    		<td>GRAN%&#160;</td>\n                    		<td>69.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result151\">\n                    		<td>LYMPH%&#160;</td>\n                    		<td>17.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result152\">\n                    		<td>LYMPH%&#160;</td>\n                    		<td>28.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result153\">\n                    		<td>LYMPH%&#160;</td>\n                    		<td>25.3&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result154\">\n                    		<td>MID%&#160;</td>\n                    		<td>5.6&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result155\">\n                    		<td>MID%&#160;</td>\n                    		<td>8.2&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result156\">\n                    		<td>MID%&#160;</td>\n                    		<td>5.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result157\">\n                    		<td>GRAN#&#160;</td>\n                    		<td>6.6&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result158\">\n                    		<td>GRAN#&#160;</td>\n                    		<td>4.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result159\">\n                    		<td>GRAN#&#160;</td>\n                    		<td>4.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result160\">\n                    		<td>LYMPY#&#160;</td>\n                    		<td>1.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result161\">\n                    		<td>LYMPY#&#160;</td>\n                    		<td>1.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result162\">\n                    		<td>LYMPY#&#160;</td>\n                    		<td>1.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result163\">\n                    		<td>MID#&#160;</td>\n                    		<td>0.5&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result164\">\n                    		<td>MID#&#160;</td>\n                    		<td>0.6&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result165\">\n                    		<td>MID#&#160;</td>\n                    		<td>0.4&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result166\">\n                    		<td>MPV&#160;</td>\n                    		<td>8.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result167\">\n                    		<td>MPV&#160;</td>\n                    		<td>8.7&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/10/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result168\">\n                    		<td>MPV&#160;</td>\n                    		<td>8.1&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result169\">\n                    		<td>WCT&#160;</td>\n                    		<td>12680.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/25/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result170\">\n                    		<td>WCT&#160;</td>\n                    		<td>12000.0&#160;</td>\n              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		<td>RCT&#160;</td>\n                    		<td>14470.0&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>03/02/2016&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result175\">\n                    		<td>TSH&#160;</td>\n                    		<td>7.156&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/30/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result176\">\n                    		<td>TSH&#160;</td>\n                    		<td>4.225&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/09/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result177\">\n                    		<td>FreeT4&#160;</td>\n                    		<td>0.980&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>01/30/2013&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result178\">\n                    		<td>FreeT4&#160;</td>\n                    		<td>0.950&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>05/09/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result179\">\n                    		<td>COLLECTION TYPE&#160;</td>\n                    		<td>VOID&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    	<tr ID=\"result180\">\n                    		<td>CLARITY&#160;</td>\n                    		<td>CLEAR&#160;</td>\n                    		<td>&#160;</td>\n                    		<td>07/18/2014&#160;</td>\n                    	</tr>\n                    	\n                    </tbody>\n                    </table>\n                    </text>\n                     <entry typeCode = \"DRIV\">\n                        <organizer classCode = \"BATTERY\" moodCode = \"EVN\">\n                            <templateId root = \"2.16.840.1.113883.10.20.22.4.1\"/>\n                            <id root = \"RES-1\"/>\n                            <code xsi:type = \"CE\" displayName = \"No Results\" codeSystemName = \"LOINC\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                            <statusCode code = \"completed\" />\n                            <component>\n                                <observation classCode = \"OBS\" moodCode = \"EVN\" nullFlavor=\"NI\">\n                                    <templateId root = \"2.16.840.1.113883.10.20.22.4.2\"/>\n                                    <id root = \"RES-1\"/>\n                                    <code displayName = \"No Results\" codeSystem = \"2.16.840.1.113883.6.1\"/>\n                                    <text>\n                                        <reference value = \"#result1\"/>\n                                    </text>\n                                    <statusCode code = \"completed\"/>\n                                    <effectiveTime nullFlavor=\"UNK\"/>\n                                    <value xsi:type = \"PQ\" nullFlavor=\"NI\" />\n                                	<referenceRange>\n                              			<observationRange>\n                              		   		<text></text>\n                             	 		</observationRange>\n                           			</referenceRange>\n                                </observation>\n                            </component>\n                        </organizer>\n                    </entry>\n                    \n                    \n                </section>\n            </component>\n            <component>\n            <section>\n               <templateId root=\"2.16.840.1.113883.10.20.22.2.14\"/>\n               <!--  ******** Functional status section template   ******** -->\n               <code code=\"47420-5\" codeSystem=\"2.16.840.1.113883.6.1\"/>\n               <title>FUNCTIONAL/COGNITIVE STATUS</title>\n               <text>\n               \n               \n               \n              \n               \n               		<span class=\"None\" >No Data Available</span>\n               	 \n               </text>\n            </section>\n         </component>\n         <component>\n            <section>\n               <templateId root=\"1.3.6.1.4.1.19376.1.5.3.1.3.1\"/>\n               <!-- ** Reason for Referral Section Template ** -->\n               <code codeSystem=\"2.16.840.1.113883.6.1\" \n                  codeSystemName=\"LOINC\" code=\"42349-1\"\n                  displayName=\"REASON FOR REFERRAL\"/>\n               <title>REFERRALS</title>\n               <text>\n                  <paragraph>\n                  	<span class=\"None\">No Referrals</span>\n                  \n                  </paragraph>\n               </text>\n            </section>\n         </component> 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codeSystem = \"2.16.840.1.113883.6.1\" codeSystemName = \"LOINC\"/>\n    <title>Transition of Care</title>\n    <effectiveTime value = \"20201016094228-0000\"/>\n    <confidentialityCode code = \"N\" codeSystem = \"2.16.840.1.113883.5.25\"/>\n    <languageCode code = \"en-US\"/>\n    <setId extension = \"111199021\" root = \"2.16.840.1.113883.19\"/>\n    <versionNumber value = \"1\"/>\n    <recordTarget>\n        <patientRole>\n            <id extension = \"21712\" root = \"2.16.840.1.113883.19\"/>\n            \n            <id extension = \"610-28-7826\" root = \"2.16.840.1.113883.4.1\"/>\n            \n            \n            <addr use = \"HP\">\n                <streetAddressLine>3812 SUNNY BEACH CT. </streetAddressLine>\n                <city>KILLEEN</city>\n                <state>TX</state>\n                <postalCode>76549</postalCode>\n                <country>USA</country>\n            </addr>\n            <telecom use = \"HP\" value = \"tel:+1-(254) 539-3057\"/>\n            <patient>\n            	\n                <name use = \"L\">\n                    \n                    <given>WAYNE</given>\n                    \n                    \n                    <family>MCMILLAN</family>\n                    \n                </name>\n                \n                \n                <administrativeGenderCode code = \"M\" displayName = \"Male\" codeSystem = \"2.16.840.1.113883.5.1\" codeSystemName = \"HL7 AdministrativeGender\"/>\n                \n                 \n                <birthTime value = \"19860303\"/>\n                \n                \n                <maritalStatusCode code = \"S\" displayName = \"Single\" codeSystem = \"2.16.840.1.113883.5.2\" codeSystemName = \"HL7 Marital status\"/>\n                \n				<!--<religiousAffiliationCode code = \"1013\" displayName = \"Christian (non-Catholic, non-specific)\" codeSystemName = \"HL7 Religious Affiliation \" codeSystem = \"2.16.840.1.113883.5.1076\"/> -->\n                \n					<raceCode code = \"2054-5\" displayName = \"Black or African American\" codeSystem = \"2.16.840.1.113883.6.238\" codeSystemName = \"Race &amp; Ethnicity - CDC\"/>\n                \n				\n					<ethnicGroupCode code = \"2186-5\" displayName = \"Not Hispanic or Latino\" codeSystem = \"2.16.840.1.113883.6.238\" codeSystemName = \"Race &amp; Ethnicity - CDC\"/>\n				\n                <!--<birthplace>\n                    <place>\n                        <addr>\n                            <state>MI</state>\n                            <postalCode>48503</postalCode>\n                            <country>US</country>\n                        </addr>\n                    </place>\n                </birthplace>-->\n				\n                <languageCommunication>\n                    <languageCode code = \"eng\"  />\n                    <modeCode code = \"RWR\" displayName = \"Receive Written\" codeSystem = \"2.16.840.1.113883.5.60\" codeSystemName = \"LanguageAbilityMode\"/>\n                    <proficiencyLevelCode code = \"G\" displayName = \"Good\" codeSystem = \"2.16.840.1.113883.5.61\" codeSystemName = \"LanguageAbilityProficiency\"/>\n                    <preferenceInd value = \"true\"/>\n                </languageCommunication>\n				\n            </patient>\n            <providerOrganization> \n                 <id root = \"2.16.840.1.113883.19.5\"/>\n                <id extension = \"1\" root = \"2.16.840.1.113883.4.6\"/>\n                <name>STILLHOUSE EMERG PHYSICIAN</name>\n                <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                <addr use = \"WP\">\n                    <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                    <city>KILLEEN</city>\n                    <state>TX</state>\n                    <postalCode>76549-4400</postalCode>\n                    <country>US</country>\n                </addr>\n                <standardIndustryClassCode/>\n                <asOrganizationPartOf/>\n            </providerOrganization>\n        </patientRole>\n    </recordTarget>\n    <author>\n        <time value = \"20201016094228-0000\"/>\n        <assignedAuthor>\n            \n            <id extension = \"1285730705\" root = \"2.16.840.1.113883.4.6\"/>\n            \n            <code code = \"207Q00000X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>3816 S CLEAR CREEK SUITE E </streetAddressLine>\n                <city>KILLEEN</city>\n                <state>TX</state>\n                <postalCode>76549-4400</postalCode>\n                <country>US</country>\n            </addr>\n            \n            <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n            \n            \n            <assignedPerson>\n                <name>\n                    \n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                    \n                </name>\n            </assignedPerson>\n            \n        </assignedAuthor>\n    </author>\n    <!--. MAY contain zero or one [0..1] dataEnterer\n    <dataEnterer>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </dataEnterer> -->\n    <!--. MAY contain zero or one [0..1] informant\n    <informant>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </informant>-->\n    <custodian>\n        <assignedCustodian>\n            <representedCustodianOrganization>\n                <id extension = \"1234567\" root = \"2.16.840.1.113883.4.6\"/>\n                <name>ELMS CREEK FAMILY/URGENT</name>\n                <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                <addr use = \"WP\">\n                    <streetAddressLine>3816 S. Clear Creek RD STE E</streetAddressLine>\n                    <city>KILLEEN</city>\n                    <state>TX</state>\n                    <postalCode>76549-4400</postalCode>\n                    <country>US</country>\n                </addr>\n            </representedCustodianOrganization>\n        </assignedCustodian>\n    </custodian>\n    <!-- MAY contain zero or more [0..*] informationRecipient>\n    <informationRecipient>\n        <intendedRecipient>\n            <receivedOrganization>\n                <name>Get Well Clinic</name>\n            </receivedOrganization>\n        </intendedRecipient>\n    </informationRecipient>  -->\n    <!--The legalAuthenticator, if present, SHALL contain exactly one - \n    <legalAuthenticator>\n        <time value = \"20130207153010+0500\"/>\n        <signatureCode code = \"S\"/>\n        <assignedEntity>\n            <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n            <addr use = \"WP\">\n                <streetAddressLine>1002 Healthcare Dr.</streetAddressLine>\n                <city>Portland</city>\n                <state>OR</state>\n                <postalCode>99123</postalCode>\n                <country>US</country>\n            </addr>\n            <telecom use = \"WP\" value = \"tel:(555)555-1002\"/>\n            <assignedPerson>\n                <name>\n                    <given>Martin</given>\n                    <family>Admit</family>\n                    <suffix>MD</suffix>\n                </name>\n            </assignedPerson>\n        </assignedEntity>\n    </legalAuthenticator> -->\n    \n        <documentationOf>\n        \n        <serviceEvent classCode = \"ACT\">\n            <id root = \"1.2.840.113619.2.62.994044785528.114289542805\"/>\n            <id extension = \"123453\" root = \"1.2.840.113619.2.62.994044785528.26\"/>\n            <code code = \"99214\" displayName = \"Office Visit\" codeSystem = \"2.16.840.1.113883.6.12\" codeSystemName = \"CPT4\"/>\n            <effectiveTime>\n                \n		     <low value=\"20201016\"/>\n                \n            </effectiveTime>\n            \n            	<performer typeCode = \"PRF\" nullFlavor=\"NI\">\n                <templateId root = \"2.16.840.1.113883.10.20.6.2.1\"/>\n                <assignedEntity nullFlavor=\"NI\">\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"132465\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n                    <addr nullFlavor=\"UNK\" />\n                    <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                    <assignedPerson>\n			<name>\n			\n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                        \n                        </name>\n\n                    </assignedPerson>\n                </assignedEntity>\n            </performer>\n            \n        </serviceEvent>\n    </documentationOf>\n    <componentOf>\n      \n        <encompassingEncounter>\n            <id extension = \"2111045\" root = \"2.16.840.1.113883.19\"/>\n            <effectiveTime>\n                <low value = \"20201016\"/> \n            </effectiveTime>\n            <responsibleParty>\n                <assignedEntity>\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"207QA0505X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Adult Medicine\"/>\n                    <addr>\n                        <streetAddressLine>3812 SUNNY BEACH CT.</streetAddressLine>\n                        <city>KILLEEN</city>\n                        <state>TX</state>\n                        <postalCode>76549</postalCode>\n                        <country>US</country>\n                    </addr>\n                    <telecom use = \"WP\" value = \"tel:(254) 539-3057\"/>\n                    <representedOrganization>\n                        <name>\n			<given>WAYNE JR</given>\n			<family>MCMILLAN</family>\n			</name>\n	\n                    </representedOrganization>\n                </assignedEntity>\n            </responsibleParty>\n            <encounterParticipant typeCode = \"ATND\">\n                <time>\n                    <low nullFlavor=\"UNK\" />\n                </time>\n                <assignedEntity>\n                    <id extension = \"657654389\" root = \"2.16.840.1.113883.4.6\"/>\n                    <code code = \"1\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"STILLHOUSE EMERG PHYSICIAN\"/>\n                    <addr>\n                        <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                        <city>KILLEEN</city>\n                        <state>TX</state>\n                        <postalCode>76549-4400</postalCode>\n                        <country>US</country>\n                    </addr>\n                    <telecom use = \"WP\" value = \"tel:(254) 554-8773\"/>\n                    <assignedPerson>\n                        <name>\n                            \n                            <given></given>\n                            <family>RALPH</family>\n                            <suffix>MD</suffix>\n                            \n                  \n                        </name>\n                    </assignedPerson>\n                </assignedEntity>\n            </encounterParticipant>\n            <location>\n                <healthCareFacility>\n                    <id extension = \"9985647\" root = \"2.16.840.1.113883.19\"/>\n                    <code code = \"261QU0200X\" codeSystem = \"2.16.840.1.113883.6.101\" codeSystemName = \"NUCC\" displayName = \"Urgent Care\"/>\n                    <location>\n			\n                        <name>STILLHOUSE EMERG PHYSICIAN</name>\n                        <addr>\n                            <streetAddressLine>3816 S CLEAR CREEK SUITE E</streetAddressLine>\n                            <city>KILLEEN</city>\n                            <state>TX</state>\n                            <postalCode>76549-4400</postalCode>\n                            <country>US</country>\n                        