MED_Examples_in_empty_CCD.xml

<?xml version="1.0"?>
<?xml-stylesheet type="text/xsl" href="CDA.xsl"?>
<!-- This is an empty C-CDA skeleton which will be used by HL7 CDA Example Task Force -->
<!-- This document was based on prior work by Lisa Nelson and Brian Weiss. contact John D'Amore with questions -->
<!-- See http://wiki.hl7.org/index.php?title=CDA_Example_Task_Force -->
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
 xsi:schemaLocation="urn:hl7-org:v3 ../90%20HL7/00%20Standard%20-%20C-CDA/20130409%20C-CDA%20R1dot1_2012JUL/Updated_CDA_Schema_Files_Extension_Support/CDA_Schema_Files/infrastructure/cda/CDA_SDTC.xsd"
 xmlns="urn:hl7-org:v3"
 xmlns:cda="urn:hl7-org:v3"
 xmlns:sdtc="urn:hl7-org:sdtc">
	<realmCode code="US"/>
	<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
	<templateId root="2.16.840.1.113883.10.20.22.1.1"/>
	<!-- C-CDA -->
	<templateId root="2.16.840.1.113883.10.20.22.1.2"/>
	<!-- CCD -->
	<id root="2.16.840.1.113883.3.3208.101.1" extension="20130607100315-CCDA-CCD"/>
	<code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="34133-9" displayName="Summarization of Episode Note"/>
	<title>Empty CCD Skeleton That Validates on TTT. Note this was based on work by Lisa Nelson and Brian Weiss</title>
	<effectiveTime value="20130607000000-0000"/>
	<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
	<languageCode code="en-US"/>
	<recordTarget>
		<patientRole>
			<id root="2.16.840.1.113883.3.3208.101.2" extension="20130607100800-Patient1"/>
			<addr use="HP">
				<streetAddressLine>1111 StreetName St.</streetAddressLine>
				<city>Silver Spring</city>
				<state>MD</state>
				<postalCode>20901</postalCode>
				<country>US</country>
			</addr>
			<telecom value="tel:+1(301)111-1111" use="HP"/>
			<patient>
				<name use="L">
					<given>Patient</given>
					<family>One</family>
				</name>
				<administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1" displayName="Male" codeSystemName="AdministrativeGender"/>
				<birthTime value="19300911"/>
				<maritalStatusCode code="M" displayName="Married" codeSystem="2.16.840.1.113883.5.2" codeSystemName="MaritalStatus"/>
				<raceCode code="2106-3" displayName="White"
				   codeSystem="2.16.840.1.113883.6.238"
				   codeSystemName="OMB Standards for Race and Ethnicity"/>
				<ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino"
				   codeSystem="2.16.840.1.113883.6.238"
				   codeSystemName="OMB Standards for Race and Ethnicity"/>
				<languageCommunication>
					<languageCode code="eng"/>
					<modeCode code="ESP" displayName="Expressed spoken" codeSystem="2.16.840.1.113883.5.60" codeSystemName="LanguageAbilityMode"/>
					<proficiencyLevelCode code="E" displayName="Excellent" codeSystem="2.16.840.1.113883.5.61" codeSystemName="LanguageAbilityProficiency"/>
				</languageCommunication>
			</patient>
		</patientRole>
	</recordTarget>
	<author>
		<time value="20130607000000"/>
		<assignedAuthor>
			<id extension="22222" root="2.16.840.1.113883.4.6"/>
			<code code="207QA0505X" codeSystem="2.16.840.1.113883.6.101"
			   displayName="Adult Medicine" codeSystemName="NUCC"/>
			<addr use="HP">
				<streetAddressLine>2222 StreetName St.</streetAddressLine>
				<city>Silver Spring</city>
				<state>MD</state>
				<postalCode>20901</postalCode>
				<country>US</country>
			</addr>
			<telecom value="tel:+1(301)222-2222" use="WP"/>
			<assignedPerson>
				<name>
					<given>Doctor</given>
					<family>Second</family>
					<suffix>MD</suffix>
				</name>
			</assignedPerson>
		</assignedAuthor>
	</author>
	<dataEnterer>
		<assignedEntity>
			<id extension="33333" root="2.16.840.1.113883.4.6"/>
			<code code="364SA2200X" displayName="Adult Health" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"/>
			<addr use="WP">
				<streetAddressLine>3333 StreetName St.</streetAddressLine>
				<city>Silver Spring</city>
				<state>MD</state>
				<postalCode>20901</postalCode>
				<country>US</country>
			</addr>
			<telecom value="tel:+1(301)333-3333" use="WP"/>
			<assignedPerson>
				<name>
					<given>Nurse</given>
					<family>Tertiary</family>
				</name>
			</assignedPerson>
		</assignedEntity>
	</dataEnterer>
	<custodian>
		<assignedCustodian>
			<representedCustodianOrganization>
				<id extension="44444" root="2.16.840.1.113883.4.6"/>
				<name>CDA PRO Fictional Hospital</name>
				<telecom value="tel:+1(301)444-4444" use="WP"/>
				<addr use="WP">
					<streetAddressLine>4444 StreetName St.</streetAddressLine>
					<city>Silver Spring</city>
					<state>MD</state>
					<postalCode>20901</postalCode>
					<country>US</country>
				</addr>
			</representedCustodianOrganization>
		</assignedCustodian>
	</custodian>
	<legalAuthenticator>
		<time value="20130607000000"/>
		<signatureCode code="S"/>
		<assignedEntity>
			<id root="2.16.840.1.113883.3.3208.101.3" extension="20130607102400-Authenticator1"/>
			<addr use="WP">
				<streetAddressLine>5555 StreetName St.</streetAddressLine>
				<city>Silver Spring</city>
				<state>MD</state>
				<postalCode>20901</postalCode>
				<country>US</country>
			</addr>
			<telecom value="tel:+1(301)555-5555" use="WP"/>
			<assignedPerson>
				<name>
					<given>Physician</given>
					<family>Fifthly</family>
					<suffix>MD</suffix>
				</name>
			</assignedPerson>
		</assignedEntity>
	</legalAuthenticator>
	<documentationOf>
		<serviceEvent classCode="PCPR">
			<effectiveTime>
				<low value="19330316"/>
				<high value="20130607"/>
			</effectiveTime>
			<performer typeCode="PRF">
				<assignedEntity>
					<id extension="66666" root="2.16.840.1.113883.4.6"/>
					<code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"
					   displayName="Cardiovascular Disease"/>
					<addr>
						<streetAddressLine>6666 StreetName St.</streetAddressLine>
						<city>Silver Spring</city>
						<state>MD</state>
						<postalCode>20901</postalCode>
						<country>US</country>
					</addr>
					<telecom value="tel:+1(301)666-6666" use="WP"/>
					<assignedPerson>
						<name>
							<given>Heartly</given>
							<family>Sixer</family>
							<suffix>MD</suffix>
						</name>
					</assignedPerson>
				</assignedEntity>
			</performer>
		</serviceEvent>
	</documentationOf>
	<!-- CDA Body -->
	<component>
		<structuredBody>
			<!-- Allergies Section -->
			<component>
				<!-- nullFlavor of NI indicates No Information.-->
				<!-- Validator currently checks for entries even in case of nullFlavor - this will need to be updated if approved.-->
				<section nullFlavor="NI">
					<templateId root="2.16.840.1.113883.10.20.22.2.6.1"/>
					<!-- Allergies (entries required) section -->
					<code code="48765-2" codeSystem="2.16.840.1.113883.6.1" displayName="Allergies, adverse reactions, alerts" codeSystemName="LOINC"/>
					<title>ALLERGIES</title>
					<text>No Information</text>
				</section>
			</component>
			<!-- Medication Section -->
			<component>
				<section>
					<templateId root="2.16.840.1.113883.10.20.22.2.1.1"/>
					<!-- Medication Section (entries required) -->
					<code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of Medication Use"/>
					<title>MEDICATIONS</title>
					<text>
						<table border="1" width="100%">
							<thead>
								<tr>
									<th>Medication</th>
									<th>Instructions</th>
									<th>Dosage</th>
									<th>Effective Dates (start - stop)</th>
									<th>Status</th>
								</tr>
							</thead>
							<tbody>
								<tr ID="Medication_0">
									<td>
										<content ID="MedicationName_0" xmlns="urn:hl7-org:v3">Ibuprofen 600mg Oral Tablet</content>
									</td>
									<td>
										<content ID="MedicationSig_0" xmlns="urn:hl7-org:v3">take 1 tablet QID PRN</content>
									</td>
									<td>
										<content ID="MedicationDosage_0" xmlns="urn:hl7-org:v3">600 MG</content>
									</td>
									<td>Dec-18-2013 - </td>
									<td>Active</td>
								</tr>
								<tr ID="Medication_1">
									<td>
										<content ID="MedicationName_1" xmlns="urn:hl7-org:v3">Sudafed 30mg Oral Tablet</content>
									</td>
									<td>
										<content ID="MedicationSig_1" xmlns="urn:hl7-org:v3">take 2 tablets every 4-6 hours</content>
									</td>
									<td>
										<content ID="MedicationDosage_1" xmlns="urn:hl7-org:v3">30 MG</content>
									</td>
									<td>Jan-18-2014 - </td>
									<td>Active</td>
								</tr>
								<tr ID="Medication_2">
									<td>
										<content ID="MedicationName_2" xmlns="urn:hl7-org:v3">Azithromycin 250mg Oral Tablet</content>
									</td>
									<td>
										<content ID="MedicationSig_2" xmlns="urn:hl7-org:v3">take 2 tablets day one and 1 tablet days 2-5</content>
									</td>
									<td>
										<content ID="MedicationDosage_2" xmlns="urn:hl7-org:v3">250 MG</content>
									</td>
									<td>Jan-10-2014 - Jan-14-2014</td>
									<td>Active</td>
								</tr>
								<tr ID="Medication_6">
									<td>
										<content ID="MedicationName_6" xmlns="urn:hl7-org:v3">3 ML Insulin Glargine 100 UNT/ML Prefilled Syringe</content>
									</td>
									<td>
										<content ID="MedicationSig_6" xmlns="urn:hl7-org:v3">take 40 units at bedtime</content>
									</td>
									<td>
										<content ID="MedicationDosage_6" xmlns="urn:hl7-org:v3">40 units</content>
									</td>
									<td>Jan-10-2014 - Jan-14-2014</td>
									<td>Active</td>
								</tr>
								<tr ID="Medication_7">
									<td ID="MedicationName_7">Aspirin 81mg Oral Tablet</td>
									<td ID="MedicationSig_7">take 2 tablets</td>
									<td ID="MedicationDosage_7">162 MG</td>
									<td>Sep-11-2013</td>
									<td>Completed</td>
								</tr>
								<tr ID="Medication_8">
									<td>
										<content ID="MedicationName_8" xmlns="urn:hl7-org:v3">ECHINACEA ANGUSTIFOLIA Extract</content>
									</td>
									<td>
										<content ID="MedicationSig_8" xmlns="urn:hl7-org:v3">Patient reports taking once daily</content>
									</td>
									<td>
										<content ID="MedicationDosage_8" xmlns="urn:hl7-org:v3">unknown</content>
									</td>
									<td>Apr-09-2014 - </td>
									<td>Active</td>
								</tr>
								<tr ID="Medication_9">
									<td>
										<content ID="MedicationName_9" xmlns="urn:hl7-org:v3">Penicillin G 100000 UNT/ML Injectable Solution</content>
									</td>
									<td>
										<content ID="MedicationSig_9" xmlns="urn:hl7-org:v3">Adminsiter via IV infusion of normal saline(Administered antepartum in hospital)</content>
									</td>
									<td>
										<content ID="MedicationDosage_9" xmlns="urn:hl7-org:v3">50mL (5 million units)</content>
									</td>
									<td>Apr-09-2014 10:52pm - Apr-09-2014 11:36pm </td>
									<td>Active</td>
								</tr>
							</tbody>
						</table>
					</text>
					<entry typeCode="DRIV">
						<substanceAdministration classCode="SBADM" moodCode="INT">
							<!-- This medication use case is a medication to be administered. If it has been already administered use moodCode = "EVN". If an ordered drug then use moodCode = "RQO" -->
							<!-- Dependencies exist between moodCode, statusCode and effectiveTime  -->
							<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
							<id root="47d3e719-f688-459d-bcdc-47c6de0767a9"/>
							<text>
								<!-- This reference refers to medication information in unstructured portion of section-->
								<reference value="#Medication_0"/>
							</text>
							<statusCode code="active"/>
							<!-- This first effectiveTime shows that medication was added on December 18, 2013 (not known to have stopped)-->
							<effectiveTime xsi:type="IVL_TS">
								<low value="20131218"/>
								<high nullFlavor="NI"/>
							</effectiveTime>
							<!-- This second effectiveTime represents QID from medication sig. -->
							<!-- InstituionSpecified = "true" means that it can be given 4 times per day but need not be exactly timed to every 6 hours-->
							<!-- InstituionSpecified = "false" would mean that timing needs to be administered exactly as structured-->
							<!-- Operator "A" means that this timing information is in addition to previous effectiveTime information provided-->
							<effectiveTime xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
								<period value="6" unit="h"/>
							</effectiveTime>
							<routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" displayName="Oral"/>
							<!-- This relates directly to the code used for medication. Since it's a tablet, then only specified needed in dose is 1x per administration-->
							<doseQuantity value="1"/>
							<consumable>
								<manufacturedProduct classCode="MANU">
									<!-- ** Medication information ** -->
									<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
									<id root="2a620155-9d11-439e-92b3-5d9815ff4ee8"/>
									<manufacturedMaterial>
										<!-- Medications should be specified at a level corresponding to prescription when possible, such as 600mg oral tablet (non-branded)-->
										<code code="197806" displayName="Ibuprofen 600mg Oral Tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm">
											<originalText>
												<reference value="#MedicationName_0"/>
											</originalText>
										</code>
									</manufacturedMaterial>
								</manufacturedProduct>
							</consumable>
							<precondition typeCode="PRCN">
								<criterion>
									<!-- ** Precondition for substance administration ** -->
									<templateId root="2.16.840.1.113883.10.20.22.4.25"/>
									<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
									<!-- If a precondition were specified in medication sig, you would include code here. Include nullFlavor="NI" when PRN specified but without precondition-->
									<value xsi:type="CD" nullFlavor="NI"  />
								</criterion>
							</precondition>
						</substanceAdministration>
					</entry>
					<entry typeCode="DRIV">
						<substanceAdministration classCode="SBADM" moodCode="INT">
							<!-- This medication use case is a medication to be administered. If it has been already administered use moodCode = "EVN". If an ordered drug then use moodCode = "RQO" -->
							<!-- Dependencies exist between moodCode, statusCode and effectiveTime  -->
							<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
							<id root="36edd5f0-0b15-49f6-a395-7752b4f18b77"/>
							<text>
								<!-- This reference refers to medication information in unstructured portion of section-->
								<reference value="#Medication_1"/>
							</text>
							<statusCode code="active"/>
							<!-- This first effectiveTime shows that medication was prescribed on January 18, 2014 (not known to have stopped)-->
							<effectiveTime xsi:type="IVL_TS">
								<low value="20140118"/>
								<high nullFlavor="NI"/>
							</effectiveTime>
							<!-- This second effectiveTime represents every 4-6 hours from medication sig. -->
							<!-- InstituionSpecified = "false" means that it should be exactly timed to every 4-6 hours -->
							<!-- InstituionSpecified = "true" would mean that receiving institution has flexibility in dosing schedule-->
							<!-- Operator "A" means that this timing information is in addition to previous effectiveTime information provided-->
							<effectiveTime xsi:type="PIVL_TS" institutionSpecified="false" operator="A">
								<period xsi:type="IVL_PQ">
									<low value="4" unit="h"/>
									<high value="6" unit="h"/>
								</period>
							</effectiveTime>
							<routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" displayName="Oral"/>
							<!-- This relates directly to the code used for medication. Since it's a tablet, then only specified needed in dose is 2x per administration-->
							<doseQuantity value="2"/>
							<consumable>
								<manufacturedProduct classCode="MANU">
									<!-- ** Medication information ** -->
									<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
									<id root="0be61984-eaa5-46b3-b75b-1d1ba28b5fff"/>
									<manufacturedMaterial>
										<!-- Medications should be specified at a level corresponding to prescription when possible, such as 30mg oral tablet (branded)-->
										<code code="1049529" displayName="Sudafed 30 MG Oral Tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm">
											<originalText>
												<reference value="#MedicationName_1"/>
											</originalText>
										</code>
									</manufacturedMaterial>
								</manufacturedProduct>
							</consumable>
						</substanceAdministration>
					</entry>
					<entry typeCode="DRIV">
						<!-- This medication entry will be divided into two components -->
						<!-- This first component describes day 1 which has a different dose than days 2 through 5, shown in the second component-->
						<organizer xmlns="urn:hl7-org:v3" classCode="CLUSTER" moodCode="EVN">
							<statusCode code="active"/>
							<component>
								<substanceAdministration classCode="SBADM" moodCode="INT">
									<!-- This medication use case is a medication to be administered. If it has been already administered use moodCode = "EVN".  -->
									<!-- If an ordered drug then use moodCode = "RQO" Dependencies exist between moodCode, statusCode and effectiveTime  -->
									<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
									<id root="bc22a9c5-bab4-4348-aa7e-a1b1897c9535"/>
									<text>
										<!-- This reference refers to medication information in unstructured portion of section-->
										<reference value="#Medication_2"/>
									</text>
									<statusCode code="active"/>
									<!-- This effectiveTime shows medication administration for day 1. -->
									<!-- To include any times during the day, the high interval should either be set to end of day (as shown) or the day after last day of medication administration.-->
									<!-- See C-CDA DSTU 383 more detail on effectiveTime/high -->
									<effectiveTime xsi:type="IVL_TS">
										<low value="20140310000000"/>
										<high value="20140310235959" inclusive="true"/>
										<!-- inclusive indicator is optional -->
									</effectiveTime>
									<!-- This second effectiveTime represents once per day from medication sig. -->
									<!-- InstituionSpecified = "false" means that it must be administered exactly once per day-->
									<!-- InstituionSpecified = "true" would mean that receiving institution has flexibility in dosing schedule-->
									<!-- Operator "A" means that this timing information is in addition to previous effectiveTime information provided-->
									<effectiveTime xsi:type="PIVL_TS" institutionSpecified="false" operator="A">
										<period value="1" unit="d"/>
									</effectiveTime>
									<routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" displayName="Oral"/>
									<!-- This relates directly to the code used for medication. This medication is administered as an oral table, so no unit is needed -->
									<!-- Azithromycin is commonly prescribed 2 tablets on day 1, which is shown below -->
									<doseQuantity value ="2" />
									<consumable>
										<manufacturedProduct classCode="MANU">
											<!-- ** Medication information ** -->
											<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
											<id root="a9a55f64-3953-4f2c-b52e-c77399b854ae"/>
											<manufacturedMaterial>
												<!-- Medications should be specified at a level corresponding to prescription when possible, such as 250mg oral tablet (non-branded)-->
												<code code="308460" displayName="Azithromycin 250 MG Oral Tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm">
													<originalText>
														<reference value="#MedicationName_2"/>
													</originalText>
												</code>
											</manufacturedMaterial>
										</manufacturedProduct>
									</consumable>
								</substanceAdministration>
							</component>
							<component>
								<substanceAdministration classCode="SBADM" moodCode="INT">
									<!-- This medication use case is a medication to be administered. If it has been already administered use moodCode = "EVN". If an ordered drug then use moodCode = "RQO" -->
									<!-- Dependencies exist between moodCode, statusCode and effectiveTime  -->
									<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
									<id root="bc22a9c5-bab4-4348-aa7e-a1b1897cxxxx"/>
									<text>
										<!-- This reference refers to medication information in unstructured portion of section-->
										<reference value="#Medication_2"/>
									</text>
									<statusCode code="active"/>
									<!-- This effectiveTime shows medication administration starting on day 2-->
									<!-- To include any times during the day, the high interval should either be set to end of day or the day after last day of medication administration (as shown).-->
									<!-- See C-CDA DSTU 383 more detail on effectiveTime/high -->
									<effectiveTime xsi:type="IVL_TS">
										<low value="20140311"/>
										<high value="20140315"/>
									</effectiveTime>
									<!-- This second effectiveTime represents once per day from medication sig. -->
									<!-- InstituionSpecified = "false" means that it must be administered exactly once per day-->
									<!-- InstituionSpecified = "true" would mean that receiving institution has flexibility in dosing schedule-->
									<!-- Operator "A" means that this timing information is in addition to previous effectiveTime information provided-->
									<effectiveTime xsi:type="PIVL_TS" institutionSpecified="false" operator="A">
										<period value="1" unit="d"/>
									</effectiveTime>
									<routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" displayName="Oral"/>
									<!-- This relates directly to the code used for medication. This medication is administered as an oral table, so no unit is needed, but it has varying dosage over its course. -->
									<!-- Azithromycin is commonly prescribed 2 tablets on day 1 then 1 tablet daily thereafter. -->
									<doseQuantity value ="1" />
									<consumable>
										<manufacturedProduct classCode="MANU">
											<!-- ** Medication information ** -->
											<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
											<id root="a9a55f64-3953-4f2c-b52e-c77399b8xxxx"/>
											<manufacturedMaterial>
												<!-- Medications should be specified at a level corresponding to prescription when possible, such as 250mg oral tablet (non-branded)-->
												<code code="308460" displayName="Azithromycin 250 MG Oral Tablet" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm">
													<originalText>
														<reference value="#MedicationName_2"/>
													</originalText>
												</code>
											</manufacturedMaterial>
										</manufacturedProduct>
									</consumable>
								</substanceAdministration>
							</component>
						</organizer>
					</entry>
					<entry>
						<substanceAdministration classCode="SBADM" moodCode="INT">
							<!-- This medication use case is a medication to be administered. If it has been already administered use moodCode = "EVN". If an ordered drug then use moodCode = "RQO" -->
							<!-- Dependencies exist between moodCode, statusCode and effectiveTime  -->
							<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
							<id root="1310a2d3-f888-4722-b4c4-a3c5911ac7f9"/>
							<text>
								<!-- This reference refers to medication information in unstructured portion of section-->
								<reference value="#Medication_6"/>
							</text>
							<statusCode code="active"/>
							<!-- This first effectiveTime shows that medication was added on April 9, 2014 (not known to have stopped)-->
							<effectiveTime xsi:type="IVL_TS">
								<low value="20140409"/>
								<high nullFlavor="NI"/>
							</effectiveTime>
							<!-- The second effectiveTime specifies dose frequency, which can be either a period (PIVL_TS) or event (EIVL_TS). -->
							<!-- This long-lasting insulin is administered once per day before bedtime, which is an event-->
							<effectiveTime xsi:type="EIVL_TS" operator="A">
								<event code="HS"/>
							</effectiveTime>
							<routeCode code="C38299" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="SUBCUTANEOUS" codeSystemName="National Cancer Institute Thesaurus" />
							<!-- Since this dose is not pre-coordinated, specify both the amount with units in UCUM. [IU] is international units -->
							<!-- Note that this basal insulin is not administered on a sliding scale and a specific dose is administered-->
							<doseQuantity value="40" unit="[IU]"/>
							<consumable typeCode="CSM">
								<manufacturedProduct classCode="MANU">
									<!-- ** Medication information ** -->
									<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
									<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
										<!-- Medications should be specified at a level corresponding to prescription when possible (branded medication below)-->
										<code code="847232" codeSystem="2.16.840.1.113883.6.88" displayName="3 ML Insulin Glargine 100 UNT/ML Prefilled Syringe" codeSystemName="RxNorm">
											<originalText>
												<reference value="#MedicationName_6"/>
											</originalText>
										</code>

									</manufacturedMaterial>
									<manufacturerOrganization classCode="ORG" determinerCode="INSTANCE">
										<name>SANOFI-AVE</name>
									</manufacturerOrganization>
								</manufacturedProduct>
							</consumable>
						</substanceAdministration>
					</entry>
					<entry typeCode="DRIV">
						<substanceAdministration classCode="SBADM" moodCode="EVN">
							<!-- This medication use case is a medication administered a single time in the past. If it to be administered use moodCode = "INT". If an ordered drug then use moodCode = "RQO" -->
							<!-- Dependencies exist between moodCode, statusCode and effectiveTime  -->
							<templateId root="2.16.840.1.113883.10.20.22.4.16" />
							<id root="1061a257-3b5c-4b09-9dc7-23e59b788b18"/>
							<text>
								<!-- This reference refers to medication information in unstructured portion of section-->
								<reference value="#Medication_7" />
							</text>
							<statusCode code="completed"/>
							<!-- This is a one-time administration, so low and high times are not used -->
							<!-- This format was determined as appropriate in San Antonio meeting, January 2014 -->
							<!-- Timing information may not validate until xsi:type of "TS" is added to validator (C-CDA 1.1 DSTU 423) -->
							<effectiveTime value="201309111603-0700"/>
							<!-- Since this is a one-time administration, there is no inclusion of dose frequency (PIVL_TS or EIVL_TS)-->
							<routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="ORAL" codeSystemName="National Cancer Institute Thesaurus" />
							<doseQuantity value="2" />
							<consumable>
								<manufacturedProduct classCode="MANU">
									<!-- ** Medication information ** -->
									<templateId root="2.16.840.1.113883.10.20.22.4.23" />
									<manufacturedMaterial>
										<!-- Medications should be specified at a level corresponding to prescription when possible (non-branded below)-->
										<code code="243670" codeSystem="2.16.840.1.113883.6.88" displayName="Aspirin 81 MG Oral Tablet">
											<originalText>
												<reference value="#MedicationName_7"/>
											</originalText>
										</code>
									</manufacturedMaterial>
								</manufacturedProduct>
							</consumable>
							<author>
								<!-- Time the author noted that patient is on medication -->
								<time value="201309111603-0700"/>
								<assignedAuthor>
									<id extension="66666" root="2.16.840.1.113883.4.6"/>
									<code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC"
										displayName="Cardiovascular Disease"/>
									<addr>
										<streetAddressLine>6666 StreetName St.</streetAddressLine>
										<city>Silver Spring</city>
										<state>MD</state>
										<postalCode>20901</postalCode>
										<country>US</country>
									</addr>
									<telecom value="tel:+1(301)666-6666" use="WP"/>
									<assignedPerson>
										<name>
											<given>Heartly</given>
											<family>Sixer</family>
											<suffix>MD</suffix>
										</name>
									</assignedPerson>
								</assignedAuthor>
							</author>
						</substanceAdministration>
					</entry>
					<entry typeCode="DRIV">
						<substanceAdministration classCode="SBADM" moodCode="EVN">
							<!-- This medication use case is a medication that the patient reports taking. If it has been already administered use moodCode = "EVN". -->
							<!-- If it is intended use "INT" or if ordered drug then use moodCode = "RQO" - Dependencies exist between moodCode, statusCode and effectiveTime  -->
							<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
							<id root="2d359e3f-f2cb-437d-b004-9324d077be4e"/>
							<text>
								<!-- This reference refers to medication information in unstructured portion of section-->
								<reference value="#Medication_8"/>
							</text>
							<statusCode code="completed"/>
							<!-- This first effectiveTime shows that medication was added on April 9, 2014 which patient stopped taking on May 10-->
							<effectiveTime xsi:type="IVL_TS">
								<low value="20140409"/>
								<!-- The timing of last second of the day indicates the drug was taken on this day.-->
								<high value="20140510235959+0500"/>
							</effectiveTime>
							<!-- The second effectiveTime specifies dose frequency, which can be either a period (PIVL_TS) or event (EIVL_TS). -->
							<!-- The patient reports taking the medication once per day -->
							<effectiveTime xsi:type="PIVL_TS" operator="A">
								<period value="1" unit="d" />
							</effectiveTime>
							<routeCode code="C38288" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" displayName="Oral"/>
							<!-- The patient could not recall any specific dosage of this medication-->
							<!-- The nullFlavor of UNK is used since there is a dosage but it is unknown by C-CDA document author-->
							<doseQuantity nullFlavor="UNK"/>
							<consumable typeCode="CSM">
								<manufacturedProduct classCode="MANU">
									<!-- ** Medication information ** -->
									<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
									<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
										<!-- Medications should be specified at a level corresponding to prescription when possible -->
										<!-- Since this is an over-the-counter supplement and the patient could not describe brand or dose, ingredient is shown-->
										<code code="236121" codeSystem="2.16.840.1.113883.6.88" displayName="ECHINACEA ANGUSTIFOLIA Extract" codeSystemName="RxNorm">
											<originalText>
												<reference value="#MedicationName_8"/>
											</originalText>
										</code>
									</manufacturedMaterial>
								</manufacturedProduct>
							</consumable>
							<informant>
								<assignedEntity>
									<!-- This is a fictional OID and identifier for the patient. This should be adapted to local implementation -->
									<id root="2.16.840.1.113883.3.3208.101.2" extension="20130607100800-Patient1"/>
									<addr use="HP">
										<streetAddressLine>1111 StreetName St.</streetAddressLine>
										<city>Silver Spring</city>
										<state>MD</state>
										<postalCode>20901</postalCode>
										<country>US</country>
									</addr>
									<telecom value="tel:+1(301)111-1111" use="HP"/>
									<assignedPerson>
										<name>
											<given>Patient</given>
											<family>One</family>
										</name>
									</assignedPerson>
								</assignedEntity>
							</informant>
						</substanceAdministration>
					</entry>
					<entry typeCode="DRIV">
						<substanceAdministration classCode="SBADM" moodCode="EVN">
							<!-- This medication use case is a medication administered by IV while in hospital. If it has been already administered use moodCode = "EVN". -->
							<!-- If it is intended use "INT" or if ordered drug then use moodCode = "RQO" - Dependencies exist between moodCode, statusCode and effectiveTime  -->
							<templateId root="2.16.840.1.113883.10.20.22.4.16"/>
							<id root="d29909b3-dba9-4001-b4c2-cc4ca52b62c4"/>
							<text>
								<!-- This reference refers to medication information in unstructured portion of section-->
								<reference value="#Medication_9"/>
							</text>
							<statusCode code="completed"/>
							<!-- This first effectiveTime shows that medication was started and ended-->
							<effectiveTime xsi:type="IVL_TS">
								<low value="201404092252+0500"/>
								<high value="201404092336+0500"/>
							</effectiveTime>
							<!-- The second effectiveTime specifies dose frequency, which can be either a period (PIVL_TS) or event (EIVL_TS). -->
							<!-- Since this medication was administed one-time, no regular dose frequency is reported-->
							<routeCode code="C38276" codeSystem="2.16.840.1.113883.3.26.1.1" displayName="INTRAVENOUS" codeSystemName="National Cancer Institute Thesaurus" />
							<!-- Since this dose is not pre-coordinated, specify both the amount with units in UCUM. [IU] is international units -->
							<!-- Note that this basal insulin is not administered on a sliding scale and a specific dose is administered-->
							<doseQuantity value="50" unit="mL"/>
							<consumable typeCode="CSM">
								<manufacturedProduct classCode="MANU">
									<!-- ** Medication information ** -->
									<templateId root="2.16.840.1.113883.10.20.22.4.23"/>
									<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
										<!-- Medications should be specified at a level corresponding to prescription when possible (generic specified product shown below)-->
										<code code="617881" codeSystem="2.16.840.1.113883.6.88" displayName="Penicillin G 100000 UNT/ML Injectable Solution" codeSystemName="RxNorm">
											<originalText>
												<reference value="#MedicationName_9"/>
											</originalText>
										</code>
									</manufacturedMaterial>
								</manufacturedProduct>
							</consumable>
							<participant typeCode="CSM">
								<participantRole classCode="MANU">
									<templateId root="2.16.840.1.113883.10.20.22.4.24"/>
									<!-- Drug Vehicle template -->
									<code code="412307009" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="drug vehicle" />
									<playingEntity classCode="MMAT">
										<code code="125464" displayName="Normal Saline" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm"/>
										<name>Normal Saline</name>
									</playingEntity>
								</participantRole>
							</participant>
						</substanceAdministration>
					</entry>
				</section>
			</component>
			<!-- Problem Section -->
			<component>
				<!-- nullFlavor of NI indicates No Information.-->
				<!-- Validator currently checks for entries even in case of nullFlavor - this will need to be updated if approved.-->
				<section nullFlavor="NI">
					<!-- conforms to Problems section with entries required -->
					<templateId root="2.16.840.1.113883.10.20.22.2.5.1"/>
					<code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
						displayName="PROBLEM LIST"/>
					<title>PROBLEMS</title>
					<text>No Information</text>
				</section>
			</component>
			<!-- Procedures Section -->
			<component>
				<!-- nullFlavor of NI indicates No Information.-->
				<!-- Validator currently checks for entries even in case of nullFlavor - this will need to be updated if approved.-->
				<section nullFlavor="NI">
					<templateId root="2.16.840.1.113883.10.20.22.2.7.1"/>
					<!-- Procedures Section with Coded Entries Required-->
					<code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of Procedures"/>
					<title>PROCEDURES</title>
					<text>No Information</text>
				</section>
			</component>
			<!-- Results Section -->
			<component>
				<!-- nullFlavor of NI indicates No Information.-->
				<!-- Validator currently checks for entries even in case of nullFlavor - this will need to be updated if approved.-->
				<section nullFlavor="NI">
					<templateId root="2.16.840.1.113883.10.20.22.2.3.1"/>
					<!-- Results Section with Coded Entries Required-->
					<code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Relevant diagnostic tests and/or laboratory data"/>
					<title>RESULTS</title>
					<text>No Information</text>
				</section>
			</component>
			<!-- Plan of Care Section -->
			<component>
				<!-- nullFlavor of NI indicates No Information.-->
				<!-- Validator currently checks for entries even in case of nullFlavor - this will need to be updated if approved.-->
				<section nullFlavor="NI">
					<templateId root="2.16.840.1.113883.10.20.22.2.10"/>
					<!-- Plan of Care Section-->
					<code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Plan of Care"/>
					<title>PLAN OF CARE</title>
					<text>No Information</text>
				</section>
			</component>
			<!-- Social History (with Smoking Status Observation) -->
			<component>
				<!-- nullFlavor of NI indicates No Information.-->
				<!-- Validator currently checks for entries even in case of nullFlavor - this will need to be updated if approved.-->
				<section nullFlavor="NI">
					<templateId root="2.16.840.1.113883.10.20.22.2.17"/>
					<!-- Social History Section -->
					<code code="29762-2" codeSystem="2.16.840.1.113883.6.1" displayName="Social History"/>
					<title>SOCIAL HISTORY</title>
					<text>No Information</text>
				</section>
			</component>
			<!-- Vital Signs Section (entries required) -->
			<component>
				<!-- nullFlavor of NI indicates No Information.-->
				<!-- Validator currently checks for entries even in case of nullFlavor - this will need to be updated if approved.-->
				<section nullFlavor="NI">
					<templateId root="2.16.840.1.113883.10.20.22.2.4.1"/>
					<!-- Vital Signs (entries required) -->
					<code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital Signs"/>
					<title>VITAL SIGNS</title>
					<text>No Information</text>
				</section>
			</component>
		</structuredBody>
	</component>
</ClinicalDocument>