CCDA USCDIV3 - Error in Care Team >>Performers section in CCDA V3 validator

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Amit Patil

unread,
Aug 21, 2025, 8:32:13 AMAug 21
to Edge Test Tool (ETT)

Hello,

I’m currently working on validating the 170.315_b1_toc_amb_svap_uscdiv3_sample1_v1 CCDA document using the CCDAv3 validator, and I'm encountering an issue in the Care Team>>Performers section.

CCDA Validator Error:


Performer section error.png


To fix/bypass this manually Edited CCDA to include Performer section under Care Team > component for both Related Persons. It doesn't work and giving Null Pointer Exception in CCDV3 validator now.


Null Pointer.png

Below Performer section added to CCDA:


<performer typeCode="PRF">
<sdtc:functionCode code="303071001" codeSystem="2.16.840.1.113883.6.96"/>
<assignedEntity>
<id extension="205301193" root="1.3.6.1.4.1.22812.11.0.0"/>
<id extension="2222222543" root="2.16.840.1.113883.4.6"/>
<code code="200000000X" codeSystem="2.16.840.1.113883.6.101"/>
<addr>
<streetAddressLine nullFlavor="UNK"/>
<city nullFlavor="UNK"/>
</addr>
<telecom nullFlavor="NI"/>
<assignedPerson>
<name>
<family>Newman</family>
<given>Matthew</given>
</name>
</assignedPerson>
</assignedEntity>
</performer>

---------------------------------------------------

<performer typeCode="PRF">
<sdtc:functionCode code="303071001" codeSystem="2.16.840.1.113883.6.96"/>
<assignedEntity>
<id extension="205301193" root="1.3.6.1.4.1.22812.11.0.0"/>
<id extension="2222222543" root="2.16.840.1.113883.4.6"/>
<code code="200000000X" codeSystem="2.16.840.1.113883.6.101"/>
<addr>
<streetAddressLine nullFlavor="UNK"/>
<city nullFlavor="UNK"/>
</addr>
<telecom nullFlavor="NI"/>
<assignedPerson>
<name>
<family>Holler</family>
<given>Rick</given>
</name>
</assignedPerson>
</assignedEntity>
</performer>


Please advise how to overcome this issue?


Regards,

Amit Patil

Nagesh Bashyam

unread,
Aug 21, 2025, 8:54:45 AMAug 21
to Amit Patil, Edge Test Tool (ETT)

Please provide CCDA XML file so tha it can be investigated on priority.

 

From: edge-te...@googlegroups.com <edge-te...@googlegroups.com> on behalf of Amit Patil <amitpa...@gmail.com>
Date: Thursday, August 21, 2025 at 8:32
AM
To: Edge Test Tool (ETT) <edge-te...@googlegroups.com>
Subject: CCDA USCDIV3 - Error in Care Team >>Performers section in CCDA V3 validator

Hello,

I’m currently working on validating the 170.315_b1_toc_amb_svap_uscdiv3_sample1_v1 CCDA document using the CCDAv3 validator, and I'm encountering an issue in the Care Team>>Performers section.

CCDA Validator Error:

 

 

To fix/bypass this manually Edited CCDA to include Performer section under Care Team > component for both Related Persons. It doesn't work and giving Null Pointer Exception in CCDV3 validator now.

 

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Amit Patil

unread,
Aug 21, 2025, 9:20:01 AMAug 21
to Edge Test Tool (ETT)
Hi Nagesh,
Please find the CCDA:

<?xml-stylesheet type="text/xsl"
href="https://viewer-sdo-us.csg.mdrxdev.com/stylesheets/ced/4.0/ced.xsl"
alternate="no" title="Allscripts Default" ?>
<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc"
xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<realmCode code="US"/>
<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<templateId root="2.16.840.1.113883.10.20.22.1.2" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.1.2"/>
<templateId root="2.16.840.1.113883.3.3251.1.1"/>
<templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2023-05-01"/>
<templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.1.1"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.5.5.1"/>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.5.5.2"/>
<id root="1.3.6.1.4.1.22812.11.2021.1.1" extension="54945"/>
<code code="34133-9" codeSystem="2.16.840.1.113883.6.1"/>
<title>Continuity of Care Document</title>
<effectiveTime value="20250821063637-0400"/>
<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
<languageCode code="en-US"/>
<recordTarget>
<patientRole>
<id extension="111032" root="1.3.6.1.4.1.22812.11.2021.1"/>
<addr use="H">
<streetAddressLine>1357 Amber Dr</streetAddressLine>
<city>BEAVERTON</city>
<state>Oregon</state>
<postalCode>97006</postalCode>
<country>US</country>
<useablePeriod xsi:type="IVL_TS">
<low value="20220317"/>
</useablePeriod>
</addr>
<telecom use="HP" value="tel:+1-(555)723-1544"/>
<telecom use="MC" value="tel:+1-(555)777-1234"/>
<telecom value="mailto:ab...@test.com"/>
<patient>
<name use="L">
<family>Newman</family>
<given>Alice</given>
<given>Jones</given>
<validTime>
<low value="20220317145542+0000"/>
</validTime>
</name>
<name>
<family>Newman</family>
<given>Al</given>
<given>Jones</given>
<validTime>
<low value="20230713204806+0000"/>
<high value="20230713204806+0000"/>
</validTime>
</name>
<name>
<family qualifier="BR">Newman</family>
<given qualifier="BR">Alicia</given>
<prefix>BR</prefix>
<validTime>
<low value="20220317145543+0000"/>
</validTime>
</name>
<administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"/>
<birthTime value="19700501"/>
<!-- <raceCode code="2106-3" codeSystem="2.16.840.1.113883.6.238"
displayName="White"/> -->
<raceCode code="2106-3" codeSystem="2.16.840.1.113883.6.238"
displayName="White"/>
<sdtc:raceCode code="2108-9" codeSystem="2.16.840.1.113883.6.238"
displayName="White"/>
<ethnicGroupCode code="2186-5" codeSystem="2.16.840.1.113883.6.238"
displayName="Not Hispanic or Latino"/>
<!-- <sdtc:ethnicGroupCode code="2186-5"
codeSystem="2.16.840.1.113883.6.238" displayName="Not Hispanic or Latino"/>
-->
<languageCommunication>
<languageCode code="en"/>
<preferenceInd value="true"/>
</languageCommunication>
</patient>
<providerOrganization>
<id extension="1" root="1.3.6.1.4.1.22812.11.2021.1"/>
<name>Neighborhood Physicians Practi</name>
<telecom nullFlavor="NI"/>
<addr use="WP">
<streetAddressLine>123 First St</streetAddressLine>
<city>Raleigh</city>
<state>North Carolina</state>
<postalCode>27601</postalCode>
<country>US</country>
</addr>
</providerOrganization>
</patientRole>
</recordTarget>
<author>
<templateId root="2.16.840.1.113883.3.3251.1.2"/>
<time value="20250821063637-0400"/>
<assignedAuthor>
<templateId root="2.16.840.1.113883.3.3251.1.3"/>
<id extension="205301190" root="1.3.6.1.4.1.22812.11.2021.1"/>
<id extension="2222222541" root="2.16.840.1.113883.4.6"/>
<code code="200000000X" codeSystem="2.16.840.1.113883.6.101"
displayName="Allopathic &amp; Osteopathic Physicians"
codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
<addr use="WP">
<streetAddressLine>Tracy Davis</streetAddressLine>
<streetAddressLine>2472 Rocky Place</streetAddressLine>
<city>Beaverton</city>
<state>Oregon</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
<telecom nullFlavor="NI"/>
<assignedPerson>
<name>
<family>Davis</family>
<given>Albert</given>
<suffix>Physician</suffix>
</name>
</assignedPerson>
</assignedAuthor>
</author>
<author>
<time value="20250821063637-0400"/>
<assignedAuthor>
<id extension="1" root="1.3.6.1.4.1.22812.11.2021.1.3.3"/>
<addr use="WP">
<streetAddressLine>123 First St</streetAddressLine>
<city>Raleigh</city>
<state>North Carolina</state>
<postalCode>27601</postalCode>
<country>US</country>
</addr>
<telecom nullFlavor="NI"/>
<assignedAuthoringDevice>
<manufacturerModelName>Sunrise Clinical Manager </manufacturerModelName>
<softwareName>Sunrise Clinical Manager </softwareName>
</assignedAuthoringDevice>
<representedOrganization>
<id extension="1" root="1.3.6.1.4.1.22812.11.2021.1"/>
<name>Neighborhood Physicians Practi</name>
<telecom nullFlavor="NI"/>
<addr use="WP">
<streetAddressLine>123 First St</streetAddressLine>
<city>Raleigh</city>
<state>North Carolina</state>
<postalCode>27601</postalCode>
<country>US</country>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<custodian>
<assignedCustodian>
<representedCustodianOrganization>
<id extension="1" root="1.3.6.1.4.1.22812.11.2021.1"/>
<name>Neighborhood Physicians Practi</name>
<telecom nullFlavor="NI"/>
<addr use="WP">
<streetAddressLine>123 First St</streetAddressLine>
<city>Raleigh</city>
<state>North Carolina</state>
<postalCode>27601</postalCode>
<country>US</country>
</addr>
</representedCustodianOrganization>
</assignedCustodian>
</custodian>
<informationRecipient>
<intendedRecipient>
<id root="1.3.6.1.4.1.22812.11.2021.1.3.1" extension="1"/>
<addr use="WP">
<streetAddressLine>123 First St</streetAddressLine>
<city>Raleigh</city>
<state>North Carolina</state>
<postalCode>27601</postalCode>
<country>US</country>
</addr>
<receivedOrganization>
<id nullFlavor="NI"/>
<name>Neighborhood Physicians Practi</name>
<addr use="WP">
<streetAddressLine>123 First St</streetAddressLine>
<city>Raleigh</city>
<state>North Carolina</state>
<postalCode>27601</postalCode>
<country>US</country>
</addr>
</receivedOrganization>
</intendedRecipient>
</informationRecipient>
<participant typeCode="IND">
<templateId root="2.16.840.1.113883.10.20.22.5.8" extension="2023-05-01"/>
<associatedEntity classCode="GUAR">
<code nullFlavor="NA"/>
<addr>
<streetAddressLine>1357 Amber Dr</streetAddressLine>
<city>BEAVERTON</city>
<state>Oregon</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
<telecom use="HP" value="tel:+1-(555)723-1544"/>
<associatedPerson>
<name>
<family>Newman</family>
<given>Alice</given>
<given>Jones</given>
</name>
</associatedPerson>
</associatedEntity>
</participant>
<participant typeCode="IND">
<templateId root="2.16.840.1.113883.10.20.22.5.8" extension="2023-05-01"/>
<associatedEntity classCode="PRS">
<code code="GRPRN" codeSystem="2.16.840.1.113883.5.111"
displayName="Grandparent" codeSystemName="RoleCode"/>
<addr>
<streetAddressLine>1357 Amber Dr</streetAddressLine>
<city>BEAVERTON</city>
<state>Oregon</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
<telecom value="mailto:ab...@test.com"/>
<telecom use="HP" value="tel:+1-(555)723-1544"/>
<associatedPerson>
<name>
<family>Holler</family>
<given>Rick</given>
</name>
</associatedPerson>
</associatedEntity>
</participant>
<participant typeCode="IND">
<templateId root="2.16.840.1.113883.10.20.22.5.8" extension="2023-05-01"/>
<associatedEntity classCode="PRS">
<code code="SPS" codeSystem="2.16.840.1.113883.5.111" displayName="spouse"
codeSystemName="RoleCode"/>
<addr>
<streetAddressLine>1357 Amber Dr</streetAddressLine>
<city>BEAVERTON</city>
<state>Oregon</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
<telecom value="mailto:ab...@test.com"/>
<telecom use="HP" value="tel:+1-(555)723-1544"/>
<associatedPerson>
<name>
<family>Newman</family>
<given>Matthew</given>
</name>
</associatedPerson>
</associatedEntity>
</participant>
<documentationOf>
<serviceEvent classCode="PCPR">
<id root="1.3.6.1.4.1.22812.11.2021.1.3.8" extension="1000013557"/>
<code code="EMER" codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode"/>
<effectiveTime xsi:type="IVL_TS">
<low value="20220317135500+0000"/>
<high value="20220318035900+0000"/>
</effectiveTime>
<performer typeCode="PRF">
<assignedEntity>
<id extension="205301190" root="1.3.6.1.4.1.22812.11.2021.1"/>
<id extension="2222222541" root="2.16.840.1.113883.4.6"/>
<code code="200000000X" codeSystem="2.16.840.1.113883.6.101"
displayName="Allopathic &amp; Osteopathic Physicians"
codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
<addr>
<streetAddressLine>123 First St</streetAddressLine>
<streetAddressLine nullFlavor="UNK"/>
<city>Raleigh</city>
<state>North Carolina</state>
<postalCode>27601</postalCode>
<country>USA</country>
</addr>
<assignedPerson>
<name>
<family>Davis</family>
<given>Albert</given>
<suffix>Physician</suffix>
</name>
</assignedPerson>
</assignedEntity>
</performer>
<performer typeCode="PRF">
<assignedEntity>
<id extension="219301190" root="1.3.6.1.4.1.22812.11.2021.1"/>
<code code="163W00000X" codeSystem="2.16.840.1.113883.6.101"
displayName="Registered Nurse" codeSystemName="Healthcare Provider Taxonomy
(HIPAA)"/>
<addr>
<streetAddressLine>123 First St</streetAddressLine>
<streetAddressLine nullFlavor="UNK"/>
<city>Raleigh</city>
<state>North Carolina</state>
<postalCode>27601</postalCode>
<country>USA</country>
</addr>
<assignedPerson>
<name>
<family>Davis</family>
<given>Tracy</given>
<suffix>ADM Nurse</suffix>
</name>
</assignedPerson>
</assignedEntity>
</performer>
<performer typeCode="PRF">
<assignedEntity>
<id extension="18201190" root="1.3.6.1.4.1.22812.11.2021.1"/>
<id extension="4987042619" root="2.16.840.1.113883.4.6"/>
<code code="200000000X" codeSystem="2.16.840.1.113883.6.101"
displayName="Allopathic &amp; Osteopathic Physicians"
codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
<addr>
<streetAddressLine>123 First St</streetAddressLine>
<streetAddressLine nullFlavor="UNK"/>
<city>Raleigh</city>
<state>North Carolina</state>
<postalCode>27601</postalCode>
<country>USA</country>
</addr>
<telecom value="mailto:a...@test.com"/>
<assignedPerson>
<name>
<family>Jenkins</family>
<given>Glenn</given>
<suffix>MD</suffix>
</name>
</assignedPerson>
</assignedEntity>
</performer>
</serviceEvent>
</documentationOf>
<componentOf>
<encompassingEncounter>
<id root="1.3.6.1.4.1.22812.11.2021.1.3.4" extension="1000013557"/>
<effectiveTime xsi:type="IVL_TS">
<low value="20220317135500+0000"/>
<high value="20220318035900+0000"/>
</effectiveTime>
</encompassingEncounter>
</componentOf>
<component>
<structuredBody>
<component>
<section>
<templateId root="2.16.840.1.113883.3.3251.1.5"/>
<templateId root="2.16.840.1.113883.3.3251.1.10"/>
<code code="57017-6" codeSystem="2.16.840.1.113883.6.1"
codeSystemName="LOINC"/>
<title>Privacy Markings</title>
<text>
<list>
<caption styleCode="Bold"/>
<item>
<content styleCode="xSecondary">Section Author: ProviderOne, One

PROHIBITION ON REDISCLOSURE OF CONFIDENTIAL INFORMATION
This notice accompanies a disclosure of information concerning a
client made to you with the consent of such client. This information has
been disclosed to you from records protected by federal confidentiality
rules (42 C.F.R. Part 2). The federal rules prohibit you from making any
further disclosure of this information unless further disclosure is
expressly permitted by the written consent of the person to whom it
pertains or as otherwise permitted by 42 C.F.R. Part 2. A general
authorization for the release of medical or other information is NOT
sufficient for this purpose.
</content>
</item>
</list>
</text>
<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
<entry typeCode="COMP">
<templateId root="2.16.840.1.113883.3.3251.1.9"/>
<organizer classCode="CLUSTER" moodCode="EVN">
<templateId root="2.16.840.1.113883.3.3251.1.4"/>
<statusCode code="active"/>
<component typeCode="COMP">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.3.445.21"/>
<templateId root="2.16.840.1.113883.3.445.12"/>
<code code="SECCLASSOBS" codeSystem="2.16.840.1.113883.1.11.20471"/>
<value xsi:type="CE" code="N" codeSystem="2.16.840.1.113883.5.25"/>
</observation>
</component>
<component typeCode="COMP">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.3.445.21"/>
<templateId root="2.16.840.1.113883.3.445.14"/>
<code code="SECCONOBS" codeSystem="2.16.840.1.113883.1.11.20457"/>
<value xsi:type="CE" code="AUDIT" codeSystem="2.16.840.1.113883.5.4"/>
</observation>
</component>
<component typeCode="COMP">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.3.445.21"/>
<templateId root="2.16.840.1.113883.3.445.23"/>
<code code="SECCONOBS" codeSystem="2.16.840.1.113883.1.11.20457"/>
<value xsi:type="CE" code="NOREUSE" codeSystem="2.16.840.1.113883.5.4"/>
</observation>
</component>
<component typeCode="COMP">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.3.445.21"/>
<templateId root="2.16.840.1.113883.3.445.22"/>
<code code="SECCONOBS" codeSystem="2.16.840.1.113883.1.11.20457"/>
<value xsi:type="CE" code="TREAT" codeSystem="2.16.840.1.113883.5.8"/>
</observation>
</component>
</organizer>
</entry>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.65" extension="2016-11-01"/>
<code code="34109-9" codeSystem="2.16.840.1.113883.6.1" displayName="Notes"
codeSystemName="LOINC"/>
<title>Note</title>
<text>
<table>
<colgroup>
<col width="95%"/>
</colgroup>
<tbody styleCode="xRowGroup" ID="_d5f8ff5d-0d92-4256-84ad-ea17b982915b">
<tr>
<td>
<content>23-Jul-2025 9:17</content>
</td>
</tr>
<tr>
<td>
<content styleCode="xIndent"> •</content>
<content styleCode="xSecondary xContentWrapping">
<content ID="_275e8ea4-1cdc-4ea9-b04c-5dd4e1008a7d">
Procedure Notes Results [Date of Service: 23-Jul-2025 09:17, Authored:
23-Jul-2025 09:17]- for Visit: 1000013557, Complete, Entered, Unsigned,
Available to Patient


PROCEDURE NOTES RESULTS:
· Procedure Results
Dr Albert Davis examined Ms Alice Newman and found that the pacemaker is
operating properly and the breathlessness is due to high fever and anxiety


Electronic Signatures:



</content>
</content>
</td>
</tr>
</tbody>
<tbody styleCode="xRowGroup" ID="_724fcc10-a456-4f05-baf8-45cc32bd3b5e">
<tr>
<td>
<content>28-Mar-2025 16:34</content>
</td>
</tr>
<tr>
<td>
<content styleCode="xIndent"> •</content>
<content styleCode="xSecondary xContentWrapping">
<content ID="_704af134-b896-4d7c-8875-58d46e90af70">
Procedure Notes Results [Date of Service: 28-Mar-2025 16:34, Authored:
28-Mar-2025 16:34]- for Visit: 1000013557, Complete, Entered, Signed in
Full, Available to Patient


PROCEDURE NOTES RESULTS:
· Procedure Results
Dr Albert Davis examined Ms Alice Newman and found that the pacemaker is
operating properly and the breathlessness is due to high fever and anxiety



Electronic Signatures:
Jenkins, Glenn (MD) (Signed 28-Mar-2025 16:34)
Authored: PROCEDURE NOTE RESULTS


Last Updated: 28-Mar-2025 16:34 by Jenkins, Glenn (MD)

</content>
</content>
</td>
</tr>
</tbody>
<tbody styleCode="xRowGroup" ID="_a1c96d5d-19e0-40e8-955b-d3d77ba9260d">
<tr>
<td>
<content>17-Mar-2022 13:15</content>
</td>
</tr>
<tr>
<td>
<content styleCode="xIndent"> •</content>
<content styleCode="xSecondary xContentWrapping">
<content ID="_354f7e83-c6c8-429e-b13b-9fbcb3fbb88b">
Procedure Notes Results [Date of Service: 17-Mar-2022 13:15, Authored:
17-Mar-2022 13:15]- for Visit: 1000013557, Complete, Entered, Unsigned,
Available to Patient


PROCEDURE NOTES RESULTS:
· Procedure Results
Dr Albert Davis examined Ms Alice Newman and found that the pacemaker is
operating properly and the
breathlessness is due to high fever and anxiety.



Electronic Signatures:



</content>
</content>
</td>
</tr>
</tbody>
<tbody styleCode="xRowGroup" ID="_af00073f-96a6-4f95-9822-3dce2c1a7074">
<tr>
<td>
<content>22-Jun-2015 11:55</content>
</td>
</tr>
<tr>
<td>
<content styleCode="xIndent"> •</content>
<content styleCode="xSecondary xContentWrapping">
<content ID="_bdce0cc0-c937-432e-b2d8-1f4293d77932">
Procedure Notes Results [Date of Service: 22-Jun-2015 11:55, Authored:
18-Mar-2022 11:55]- for Visit: 1000013557, Complete, Revised, Signed in
Full, Available to Patient


PROCEDURE NOTES RESULTS:
· Procedure Results
Dr Albert Davis examined Ms Alice Newman and found that the pacemaker is
operating properly and the
breathlessness is due to high fever and anxiety



Electronic Signatures:


Last Updated: 24-Jul-2023 12:07 by Jenkins, Glenn (MD)

</content>
</content>
</td>
</tr>
</tbody>
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<content>23-Jul-2025 9:24</content>
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Progress Note, Adult [Date of Service: 23-Jul-2025 09:24, Authored:
23-Jul-2025 09:24]- for Visit: 1000013557, Complete, Entered, Unsigned,
Available to Patient

Reason for Admission/Subjective:
SUBJECTIVE:
· Subjective Ms Alice Newman seems to be developing high fever and hence we
recommend her to get admitted to a nearby hospital using the provided
referral


Electronic Signatures:



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Progress Note, Adult [Date of Service: 23-Jul-2025 07:21, Authored:
23-Jul-2025 07:21]- for Visit: 1000013557, Complete, Entered, Unsigned,
Available to Patient

Reason for Admission/Subjective:
SUBJECTIVE:
· Subjective Ms Alice Newman seems to be developing high fever and hence we
recommend her to get admitted to a nearby hospital using the provided
referral.


Electronic Signatures:



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<content>23-Jul-2025 7:14</content>
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Progress Note, Adult [Date of Service: 23-Jul-2025 07:14, Authored:
23-Jul-2025 07:14]- for Visit: 1000013557, Complete, Entered, Unsigned,
Available to Patient

Reason for Admission/Subjective:
SUBJECTIVE:
· Subjective Ms Alice Newman seems to be developing high fever and hence we
recommend her to get admitted to a nearby hospital using the provided
referral.


Electronic Signatures:



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Progress Note, Adult [Date of Service: 23-Jul-2025 07:11, Authored:
23-Jul-2025 07:11]- for Visit: 1000013557, Complete, Entered, Unsigned,
Available to Patient

Reason for Admission/Subjective:
SUBJECTIVE:
· Subjective Ms Alice Newman seems to be developing high fever and hence we
recommend her to get admitted to a nearby hospital using the provided
referral.


Electronic Signatures:



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<content>28-Mar-2025 16:37</content>
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Progress Note, Adult [Date of Service: 28-Mar-2025 16:37, Authored:
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Full, Available to Patient

Reason for Admission/Subjective:
REASON FOR ADMISSION:
· Reason for Admission Progress Note - high fever

SUBJECTIVE:
· Subjective Ms Alice Newman seems to be developing high fever and hence we
recommend her to get admitted to a nearby hospital using the provided
referral.


Electronic Signatures:
Jenkins, Glenn (MD) (Signed 28-Mar-2025 16:37)
Authored: Reason for Admission/Subjective


Last Updated: 28-Mar-2025 16:37 by Jenkins, Glenn (MD)

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Progress Note, Adult [Date of Service: 22-Jun-2015 12:26, Authored:
18-Mar-2022 12:26]- for Visit: 1000013557, Complete, Revised, Signed in
Full, Available to Patient

Reason for Admission/Subjective:
REASON FOR ADMISSION:
· Reason for Admission Progress note - high fever

SUBJECTIVE:
· Subjective Ms Alice Newman seems to be developing high fever and hence we
recommend her to get admitted to a
nearby hospital using the provided referral.


Electronic Signatures:


Last Updated: 24-Jul-2023 12:14 by Jenkins, Glenn (MD)

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<br/>
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<td>
<content styleCode="xSecondary">Onset: 10-May-1980</content>
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<td>
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<br/>
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<br/>
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<td>
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<br/>
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<td>
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<content styleCode="xSecondary">23-Jul-2025</content>
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<td>
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<td>
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<td>
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<br/>
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<td>
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<content styleCode="xSecondary">Completed</content>
<br/>
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<col width="20%"/>
<col width="40%"/>
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<td>
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<br/>
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<td>
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<br/>
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<td>
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<br/>
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<td>
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<content styleCode="xContentWrapping">
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<br/>
<content styleCode="xLabel xSecondary">Lot #: </content>
<content styleCode="xSecondary">2</content>
<content styleCode="xSecondary">, Immuno-U.S., Inc.</content>
<br/>
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<td>
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<content styleCode="xSecondary">17-Mar-2022</content>
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<td/>
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<organizer classCode="CLUSTER" moodCode="EVN">
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<statusCode code="completed"/>
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<statusCode code="completed"/>
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<code code="29762-2" codeSystem="2.16.840.1.113883.6.1"
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<title>Social History</title>
<text>
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<caption>Smoking Status</caption>
<colgroup>
<col width="40%"/>
<col width="20%"/>
<col width="40%"/>
</colgroup>
<tbody styleCode="xRowGroup">
<tr ID="_d4eacdef-9fad-49a6-b50e-69c387021d99">
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<td/>
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<tr>
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5:53</content>
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5:53</content>
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<tr>
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<content styleCode="xSecondary">HousingAdequate(finding)</content>
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<td>
<content styleCode="xSecondary">12-Aug-2025
5:08</content>
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<td/>
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<tr>
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<content styleCode="xSecondary">SdohHealthConcern</content>
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<td>
<content styleCode="xSecondary">12-Aug-2025
3:38</content>
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<td/>
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<tr>
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<content styleCode="xSecondary">SDOHHealthConcern</content>
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<td>
<content styleCode="xSecondary">24-Jul-2025
5:11</content>
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5:11</content>
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<col width="40%"/>
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<br/>
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<content styleCode="xSecondary"/>
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<td/>
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<col width="40%"/>
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<tr>
<td>
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<td>
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<content styleCode="xSecondary">17-Mar-2022 10:55</content>
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<title>Foreign Travel</title>
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<item>
<content styleCode="xSecondary">Foreign Travel excluded/not
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<title>Health Concerns</title>
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<br/>
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<td>
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<td>
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<content>28-Mar-2022</content>
<br/>
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<td>
<content styleCode="xLabel">Status: </content>
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<br/>
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</tr>
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<td>
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<content styleCode="xSecondary">22-Jun-2015</content>
<br/>
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<content styleCode="xSecondary">12-Aug-2025 03:38</content>
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<br/>
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<content styleCode="xLabel">Status: </content>
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<title>Plan of Treatment</title>
<text>
<table>
<caption>Goals</caption>
<colgroup>
<col width="40%"/>
<col width="20%"/>
<col width="40%"/>
</colgroup>
<tbody styleCode="xRowGroup" ID="_1d6acb87-c1f9-4566-bbcf-cbd3e5e8502c">
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anemia</content>
</td>
<td/>
<td/>
</tr>
</tbody>
</table>
<table>
<caption>Planned Immunizations</caption>
<colgroup>
<col width="40%"/>
<col width="20%"/>
<col width="40%"/>
</colgroup>
<tbody styleCode="xRowGroup">
<tr ID="_368b69fb-e80e-43e9-8b25-525d1203f606">
<td>
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<content ID="_43e12b45-706b-425b-b05f-e7a3369ca363">Anthrax</content>
<br/>
</content>
</td>
<td>
<content styleCode="xLabel">Scheduled for Administration</content>
<br/>
</td>
<td>
<content styleCode="xSecondary">Request</content>
<br/>
</td>
</tr>
</tbody>
<tbody styleCode="xRowGroup">
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<td>
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<content ID="_edc647e8-ba43-43fc-b80c-51e8f51d6bbf">Bacillus
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<br/>
</content>
</td>
<td>
<content styleCode="xLabel">Scheduled for Administration</content>
<br/>
</td>
<td>
<content styleCode="xSecondary">Request</content>
<br/>
</td>
</tr>
</tbody>
<tbody styleCode="xRowGroup">
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<td>
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<br/>
</content>
</td>
<td>
<content styleCode="xLabel">Scheduled for Administration</content>
<br/>
</td>
<td>
<content styleCode="xSecondary">Request</content>
<br/>
</td>
</tr>
</tbody>
<tbody styleCode="xRowGroup">
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<td>
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(HPV)</content>
<br/>
</content>
</td>
<td>
<content styleCode="xLabel">Scheduled for Administration</content>
<br/>
</td>
<td>
<content styleCode="xSecondary">Request</content>
<br/>
</td>
</tr>
</tbody>
<tbody styleCode="xRowGroup">
<tr ID="_c2a2e82f-6fe7-4949-812f-b0992f761022">
<td>
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<br/>
</content>
</td>
<td>
<content styleCode="xLabel">Scheduled for Administration</content>
<br/>
</td>
<td>
<content styleCode="xSecondary">Request</content>
<br/>
</td>
</tr>
</tbody>
<tbody styleCode="xRowGroup">
<tr ID="_0a9ec785-e84e-4b9d-b3e7-44c91899dc7b">
<td>
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<content ID="_a27fb263-0b9f-43be-a795-a080e4d9adb0">Tetanus</content>
<br/>
</content>
</td>
<td>
<content styleCode="xLabel">Scheduled for Administration</content>
<br/>
</td>
<td>
<content styleCode="xSecondary">Request</content>
<br/>
</td>
</tr>
</tbody>
<tbody styleCode="xRowGroup">
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<td>
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<br/>
</content>
</td>
<td>
<content styleCode="xLabel">Scheduled for Administration</content>
<br/>
</td>
<td>
<content styleCode="xSecondary">Request</content>
<br/>
</td>
</tr>
</tbody>
<tbody styleCode="xRowGroup">
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<td>
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<br/>
</content>
</td>
<td>
<content styleCode="xLabel">Scheduled for Administration</content>
<br/>
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<td>
<content styleCode="xSecondary">Request</content>
<br/>
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</tr>
</tbody>
<tbody styleCode="xRowGroup">
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<br/>
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<td>
<content styleCode="xLabel">Scheduled for Administration</content>
<br/>
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<td>
<content styleCode="xSecondary">Request</content>
<br/>
</td>
</tr>
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<table>
<caption>Planned Procedures</caption>
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<col width="20%"/>
<col width="40%"/>
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<tbody styleCode="xRowGroup" ID="_46c41e18-9c81-4739-b274-506292da434a">
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<td/>
<td>
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<br/>
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<tbody styleCode="xRowGroup" ID="_f9a6cf27-067c-4de0-844c-2721cbab2a5a">
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<td/>
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<br/>
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<td>
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<td>
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<br/>
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<td>
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<td>
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<br/>
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<table>
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<col width="40%"/>
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ii. Get a Chest X-ray done on 6/23/2015 showing the Lower Respiratory Tract
Structure.
iii. Take Clindamycin 300mg three times a day as needed if pain does not
subside.
iv. Schedule follow on visit with Neighborhood Physicians Practice on
7/1/2015. </content>
<br/>
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<td/>
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<br/>
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<td>
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Get an EKG done on 6/23/2015.
Get a Chest X-ray done on 6/23/2015 showing the Lower Respiratory Tract
Structure.

Take Clindamycin 300mg three times a day as needed if pain does not subside/

Schedule follow on visit with Neighborhood Physicians Practice on
7/1/2015.
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<td/>
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<br/>
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<table>
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<col width="20%"/>
<col width="40%"/>
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<tbody styleCode="xRowGroup">
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<br/>
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<td>
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<content styleCode="xSecondary">31-Aug-2025
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<br/>
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<td>
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</td>
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</tbody>
<tbody styleCode="xRowGroup">
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<td>
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<content styleCode="xSecondary">31-Jul-2025
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<br/>
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<td>
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</td>
</tr>
</tbody>
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<br/>
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<td>
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<content styleCode="xSecondary">25-Aug-2025
0:00</content>
<br/>
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<td>
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</td>
</tr>
</tbody>
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<table>
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<col width="20%"/>
<col width="40%"/>
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<tbody styleCode="xRowGroup">
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<br/>
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</td>
<td/>
<td>
<content styleCode="xLabel">Instruction Type: </content>
<content
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</entryRelationship>
<entryRelationship typeCode="SUBJ">
<encounter classCode="ENC" moodCode="EVN">
<id root="1.3.6.1.4.1.22812.11.2021.1.3.4" extension="1000013557"/>
</encounter>
</entryRelationship>
</procedure>
</entry>
<entry>
<procedure classCode="PROC" moodCode="RQO">
<templateId root="2.16.840.1.113883.10.20.22.4.41" extension="2022-06-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.41" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.41"/>
<id root="1.3.6.1.4.1.22812.11.2021.1.4.7" extension="23918000680"/>
<code code="35103-8" codeSystem="2.16.840.1.113883.6.1"
displayName="Assistance with application for food pantry program"
codeSystemName="LOINC">
<originalText>
<reference value="#_00fe8886-90e7-4b09-9952-6d8de2bd905e"/>
</originalText>
</code>
<text>
<reference value="#_f9a6cf27-067c-4de0-844c-2721cbab2a5a"/>
</text>
<statusCode code="active"/>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20250807071657+0000"/>
<assignedAuthor>
<id nullFlavor="UNK"/>
<addr>
<streetAddressLine nullFlavor="UNK"/>
<city nullFlavor="UNK"/>
<state nullFlavor="UNK"/>
<postalCode nullFlavor="UNK"/>
</addr>
<telecom nullFlavor="UNK"/>
</assignedAuthor>
</author>
<entryRelationship typeCode="RSON">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.69" extension="2022-06-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.69"/>
<id root="1.3.6.1.4.1.22812.11.2021.1.4.20" extension="23918000680"/>
<code code="35103-8" codeSystem="2.16.840.1.113883.6.1"
displayName="Assistance with application for food pantry program"
codeSystemName="LOINC"/>
<statusCode code="completed"/>
<effectiveTime value="20250807031657"/>
<value xsi:type="ST" nullFlavor="NI"/>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20250807071657+0000"/>
<assignedAuthor>
<id nullFlavor="UNK"/>
<addr>
<streetAddressLine nullFlavor="UNK"/>
<city nullFlavor="UNK"/>
<state nullFlavor="UNK"/>
<postalCode nullFlavor="UNK"/>
</addr>
<telecom nullFlavor="UNK"/>
</assignedAuthor>
</author>
<entryRelationship typeCode="SUBJ">
<encounter classCode="ENC" moodCode="EVN">
<id root="1.3.6.1.4.1.22812.11.2021.1.3.4" extension="1000013557"/>
</encounter>
</entryRelationship>
</observation>
</entryRelationship>
<entryRelationship typeCode="SUBJ">
<encounter classCode="ENC" moodCode="EVN">
<id root="1.3.6.1.4.1.22812.11.2021.1.3.4" extension="1000013557"/>
</encounter>
</entryRelationship>
</procedure>
</entry>
<entry>
<procedure classCode="PROC" moodCode="RQO">
<templateId root="2.16.840.1.113883.10.20.22.4.41" extension="2022-06-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.41" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.41"/>
<id root="1.3.6.1.4.1.22812.11.2021.1.4.7" extension="INT"/>
<code code="102594003" codeSystem="2.16.840.1.113883.6.5" displayName="EKG"
codeSystemName="SNOMED">
<originalText>
<reference value="#_cbd51407-76c5-4e6f-a1de-0062ac5d9f20"/>
</originalText>
</code>
<text>
<reference value="#_027236e0-f7c8-46ee-be1a-6a474d89e68c"/>
</text>
<statusCode code="active"/>
<effectiveTime xsi:type="IVL_TS">
<low value="20150623040000+0000"/>
</effectiveTime>
</procedure>
</entry>
<entry>
<procedure classCode="PROC" moodCode="RQO">
<templateId root="2.16.840.1.113883.10.20.22.4.41" extension="2022-06-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.41" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.41"/>
<id root="1.3.6.1.4.1.22812.11.2021.1.4.7" extension="INT"/>
<code nullFlavor="NI">
<originalText>
<reference value="#_2839f7f6-ca38-4d37-b9bd-759b95922042"/>
</originalText>
</code>
<text>
<reference value="#_7ca844af-ff3d-436e-8edd-1023209a8caf"/>
</text>
<statusCode code="active"/>
<effectiveTime xsi:type="IVL_TS">
<low value="20150623040000+0000"/>
</effectiveTime>
</procedure>
</entry>
<entry>
<act classCode="ACT" moodCode="INT">
<templateId root="2.16.840.1.113883.10.20.22.4.20" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.20"/>
<code code="Self-carePatientEducation" codeSystem="2.16.840.1.113883.6.96"
displayName="Self-carePatientEducation" codeSystemName="SNOMED CT">
<originalText>
<reference value="#_8ae4454f-2c27-4a94-b75c-2ba88f7f1bde"/>
</originalText>
</code>
<text>
<reference value="#_8c6bbc96-f0c9-4f5a-8761-cdf942f9c512"/>
</text>
<statusCode code="completed"/>
</act>
</entry>
<entry>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.10.20.22.4.120"/>
<id root="1.3.6.1.4.1.22812.11.2021.1.4.13" extension="32047"/>
<text>
<reference value="#_368b69fb-e80e-43e9-8b25-525d1203f606"/>
</text>
<statusCode code="active"/>
<effectiveTime nullFlavor="NI"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.54"/>
<manufacturedMaterial>
<code code="24" codeSystem="2.16.840.1.113883.12.292" displayName="Anthrax"
codeSystemName="CDC Vaccine Code (CVX)">
<originalText>
<reference value="#_43e12b45-706b-425b-b05f-e7a3369ca363"/>
</originalText>
</code>
<lotNumberText nullFlavor="NI"/>
</manufacturedMaterial>
<manufacturerOrganization>
<name>Emergent BioDefense Operations Lansing</name>
</manufacturerOrganization>
</manufacturedProduct>
</consumable>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20220317170318+0000"/>
<assignedAuthor>
<id nullFlavor="UNK"/>
<addr>
<streetAddressLine nullFlavor="UNK"/>
<city nullFlavor="UNK"/>
<state nullFlavor="UNK"/>
<postalCode nullFlavor="UNK"/>
</addr>
<telecom nullFlavor="UNK"/>
</assignedAuthor>
</author>
</substanceAdministration>
</entry>
<entry>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.10.20.22.4.120"/>
<id root="1.3.6.1.4.1.22812.11.2021.1.4.13" extension="32045"/>
<text>
<reference value="#_997fc7c0-84d5-456f-8ee0-5811d6f3331d"/>
</text>
<statusCode code="active"/>
<effectiveTime nullFlavor="NI"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.54"/>
<manufacturedMaterial>
<code code="19" codeSystem="2.16.840.1.113883.12.292" displayName="Bacillus
Calmette-Guerin (BCG)" codeSystemName="CDC Vaccine Code (CVX)">
<originalText>
<reference value="#_edc647e8-ba43-43fc-b80c-51e8f51d6bbf"/>
</originalText>
</code>
<lotNumberText nullFlavor="NI"/>
</manufacturedMaterial>
<manufacturerOrganization>
<name>Sanofi Pasteur</name>
</manufacturerOrganization>
</manufacturedProduct>
</consumable>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20220317170318+0000"/>
<assignedAuthor>
<id nullFlavor="UNK"/>
<addr>
<streetAddressLine nullFlavor="UNK"/>
<city nullFlavor="UNK"/>
<state nullFlavor="UNK"/>
<postalCode nullFlavor="UNK"/>
</addr>
<telecom nullFlavor="UNK"/>
</assignedAuthor>
</author>
</substanceAdministration>
</entry>
<entry>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.10.20.22.4.120"/>
<id root="1.3.6.1.4.1.22812.11.2021.1.4.13" extension="32042"/>
<text>
<reference value="#_71933970-94d6-4e5a-ad9f-5c34acb619ba"/>
</text>
<statusCode code="active"/>
<effectiveTime nullFlavor="NI"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.54"/>
<manufacturedMaterial>
<code code="83" codeSystem="2.16.840.1.113883.12.292"
displayName="Hepatitis A" codeSystemName="CDC Vaccine Code (CVX)">
<originalText>
<reference value="#_a2647d99-7b41-4e47-83c4-db290b83c495"/>
</originalText>
</code>
<lotNumberText nullFlavor="NI"/>
</manufacturedMaterial>
<manufacturerOrganization>
<name>GlaxoSmithKline</name>
</manufacturerOrganization>
</manufacturedProduct>
</consumable>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20220317170318+0000"/>
<assignedAuthor>
<id nullFlavor="UNK"/>
<addr>
<streetAddressLine nullFlavor="UNK"/>
<city nullFlavor="UNK"/>
<state nullFlavor="UNK"/>
<postalCode nullFlavor="UNK"/>
</addr>
<telecom nullFlavor="UNK"/>
</assignedAuthor>
</author>
</substanceAdministration>
</entry>
<entry>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.10.20.22.4.120"/>
<id root="1.3.6.1.4.1.22812.11.2021.1.4.13" extension="32041"/>
<text>
<reference value="#_6b7e58f1-51b9-46dc-bf65-78c5ddd765b9"/>
</text>
<statusCode code="active"/>
<effectiveTime nullFlavor="NI"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.54"/>
<manufacturedMaterial>
<code code="137" codeSystem="2.16.840.1.113883.12.292" displayName="Human
Papilloma Virus (HPV)" codeSystemName="CDC Vaccine Code (CVX)">
<originalText>
<reference value="#_aea934ac-7800-4885-bfaa-71e5049df315"/>
</originalText>
</code>
<lotNumberText nullFlavor="NI"/>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20220317170318+0000"/>
<assignedAuthor>
<id nullFlavor="UNK"/>
<addr>
<streetAddressLine nullFlavor="UNK"/>
<city nullFlavor="UNK"/>
<state nullFlavor="UNK"/>
<postalCode nullFlavor="UNK"/>
</addr>
<telecom nullFlavor="UNK"/>
</assignedAuthor>
</author>
</substanceAdministration>
</entry>
<entry>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.10.20.22.4.120"/>
<id root="1.3.6.1.4.1.22812.11.2021.1.4.13" extension="45029"/>
<text>
<reference value="#_c2a2e82f-6fe7-4949-812f-b0992f761022"/>
</text>
<statusCode code="active"/>
<effectiveTime nullFlavor="NI"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.54"/>
<manufacturedMaterial>
<code code="141" codeSystem="2.16.840.1.113883.12.292"
displayName="Influenza" codeSystemName="CDC Vaccine Code (CVX)">
<originalText>
<reference value="#_2510ea29-b93d-474c-b4cc-9b7fdb14c439"/>
</originalText>
</code>
<lotNumberText nullFlavor="NI"/>
</manufacturedMaterial>
<manufacturerOrganization>
<name>bioCSL</name>
</manufacturerOrganization>
</manufacturedProduct>
</consumable>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20250725071341+0000"/>
<assignedAuthor>
<id nullFlavor="UNK"/>
<addr>
<streetAddressLine nullFlavor="UNK"/>
<city nullFlavor="UNK"/>
<state nullFlavor="UNK"/>
<postalCode nullFlavor="UNK"/>
</addr>
<telecom nullFlavor="UNK"/>
</assignedAuthor>
</author>
</substanceAdministration>
</entry>
<entry>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.10.20.22.4.120"/>
<id root="1.3.6.1.4.1.22812.11.2021.1.4.13" extension="32051"/>
<text>
<reference value="#_0a9ec785-e84e-4b9d-b3e7-44c91899dc7b"/>
</text>
<statusCode code="active"/>
<effectiveTime nullFlavor="NI"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.54"/>
<manufacturedMaterial>
<code code="112" codeSystem="2.16.840.1.113883.12.292"
displayName="Tetanus" codeSystemName="CDC Vaccine Code (CVX)">
<originalText>
<reference value="#_a27fb263-0b9f-43be-a795-a080e4d9adb0"/>
</originalText>
</code>
<lotNumberText nullFlavor="NI"/>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20220318191258+0000"/>
<assignedAuthor>
<id nullFlavor="UNK"/>
<addr>
<streetAddressLine nullFlavor="UNK"/>
<city nullFlavor="UNK"/>
<state nullFlavor="UNK"/>
<postalCode nullFlavor="UNK"/>
</addr>
<telecom nullFlavor="UNK"/>
</assignedAuthor>
</author>
</substanceAdministration>
</entry>
<entry>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.10.20.22.4.120"/>
<id root="1.3.6.1.4.1.22812.11.2021.1.4.13" extension="32043"/>
<text>
<reference value="#_f0cdfb0a-720d-4210-b955-e49741e81277"/>
</text>
<statusCode code="active"/>
<effectiveTime nullFlavor="NI"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.54"/>
<manufacturedMaterial>
<code code="115" codeSystem="2.16.840.1.113883.12.292" displayName="Tdap"
codeSystemName="CDC Vaccine Code (CVX)">
<originalText>
<reference value="#_dc8310e5-b977-49d4-8660-2d5157a02344"/>
</originalText>
</code>
<lotNumberText nullFlavor="NI"/>
</manufacturedMaterial>
<manufacturerOrganization>
<name>Sanofi Pasteur</name>
</manufacturerOrganization>
</manufacturedProduct>
</consumable>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20220317170318+0000"/>
<assignedAuthor>
<id nullFlavor="UNK"/>
<addr>
<streetAddressLine nullFlavor="UNK"/>
<city nullFlavor="UNK"/>
<state nullFlavor="UNK"/>
<postalCode nullFlavor="UNK"/>
</addr>
<telecom nullFlavor="UNK"/>
</assignedAuthor>
</author>
</substanceAdministration>
</entry>
<entry>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.10.20.22.4.120"/>
<id root="1.3.6.1.4.1.22812.11.2021.1.4.13" extension="32044"/>
<text>
<reference value="#_bce50d67-5cd2-4493-b3ed-5a14b0fb5b62"/>
</text>
<statusCode code="active"/>
<effectiveTime nullFlavor="NI"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.54"/>
<manufacturedMaterial>
<code code="21" codeSystem="2.16.840.1.113883.12.292"
displayName="Varicella" codeSystemName="CDC Vaccine Code (CVX)">
<originalText>
<reference value="#_3b9f69aa-bda8-434a-a8b0-82f66f06a7b1"/>
</originalText>
</code>
<lotNumberText nullFlavor="NI"/>
</manufacturedMaterial>
<manufacturerOrganization>
<name>Merck &amp;Co., Inc.</name>
</manufacturerOrganization>
</manufacturedProduct>
</consumable>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20220317170318+0000"/>
<assignedAuthor>
<id nullFlavor="UNK"/>
<addr>
<streetAddressLine nullFlavor="UNK"/>
<city nullFlavor="UNK"/>
<state nullFlavor="UNK"/>
<postalCode nullFlavor="UNK"/>
</addr>
<telecom nullFlavor="UNK"/>
</assignedAuthor>
</author>
</substanceAdministration>
</entry>
<entry>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.10.20.22.4.120"/>
<id root="1.3.6.1.4.1.22812.11.2021.1.4.13" extension="32048"/>
<text>
<reference value="#_098a1da9-c4ab-448b-85df-c49990beb47b"/>
</text>
<statusCode code="active"/>
<effectiveTime nullFlavor="NI"/>
<consumable>
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.54"/>
<manufacturedMaterial>
<code code="207" codeSystem="2.16.840.1.113883.12.292"
displayName="Coronavirus (COVID-19)" codeSystemName="CDC Vaccine Code
(CVX)">
<originalText>
<reference value="#_bfc28f82-b0af-4ba2-b01c-7c0d345ec40e"/>
</originalText>
</code>
<lotNumberText nullFlavor="NI"/>
</manufacturedMaterial>
<manufacturerOrganization>
<name>Moderna US, Inc.</name>
</manufacturerOrganization>
</manufacturedProduct>
</consumable>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20220317170318+0000"/>
<assignedAuthor>
<id nullFlavor="UNK"/>
<addr>
<streetAddressLine nullFlavor="UNK"/>
<city nullFlavor="UNK"/>
<state nullFlavor="UNK"/>
<postalCode nullFlavor="UNK"/>
</addr>
<telecom nullFlavor="UNK"/>
</assignedAuthor>
</author>
</substanceAdministration>
</entry>
<entry>
<observation classCode="OBS" moodCode="GOL">
<templateId root="2.16.840.1.113883.10.20.22.4.121" extension="2022-06-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.121"/>
<id nullFlavor="NI"/>
<code nullFlavor="UNK">
<originalText>
<reference value="#_26eb55cd-7bab-4aa8-9429-56e604607f19"/>
</originalText>
</code>
<text>
<reference value="#_1d6acb87-c1f9-4566-bbcf-cbd3e5e8502c"/>
</text>
<statusCode code="active"/>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time nullFlavor="NI"/>
<assignedAuthor>
<id nullFlavor="UNK"/>
<addr>
<streetAddressLine nullFlavor="UNK"/>
<city nullFlavor="UNK"/>
<state nullFlavor="UNK"/>
<postalCode nullFlavor="UNK"/>
</addr>
<telecom nullFlavor="UNK"/>
</assignedAuthor>
</author>
</observation>
</entry>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.3" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.2.3"/>
<templateId root="2.16.840.1.113883.10.20.22.2.3.1" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.2.3.1"/>
<code code="30954-2" codeSystem="2.16.840.1.113883.6.1"
codeSystemName="LOINC"/>
<title>Results</title>
<text>
<table>
<colgroup>
<col width="20%"/>
<col width="40%"/>
<col width="40%"/>
</colgroup>
<tbody styleCode="xRowGroup">
<tr>
<td>
<content styleCode="xSecondary"
ID="_81e8263c-e841-4eb0-9f69-5decbc28c327">Urinalysis macro (dipstick)
panel</content>
</td>
<td>
<content styleCode="xLabel">Ordered On: </content>
<content>12-Aug-2025
6:58</content>
</td>
<td/>
</tr>
<tr ID="_537a1aae-9a84-499e-aa32-512047b9ec9c">
<td>
<content styleCode="xSecondary xContentWrapping">12-Aug-2025 7:01</content>
</td>
<td>
<content styleCode="xSecondary"
ID="_78d5aa04-fa0d-4a37-b238-66b6b2c51cf8">Urine Specific Gravity</content>
<content styleCode="xSecondary"> 1.015</content>
<content styleCode="xSecondary"> {Unit(s)}</content>
</td>
<td>
<content ID="_a4d700f7-73f4-423c-b49a-43abf85e77ba">
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"> 1.005 - 1.030 Unit(s)</content>
<br/>
</content>
</td>
</tr>
<tr>
<td>
<content styleCode="xLabel xSecondary">Specimen Type: </content>
<content styleCode="xSecondary xContentWrapping">Urinary specimen
(specimen)</content>
<br/>
</td>
<td/>
<td/>
</tr>
</tbody>
<tbody styleCode="xRowGroup">
<tr>
<td>
<content styleCode="xSecondary"
ID="_5175a73f-6013-4a3e-9ec2-a4e6df4edc99">Urine Dipstick, POCT</content>
</td>
<td>
<content styleCode="xLabel">Ordered On: </content>
<content>21-Mar-2022
13:56</content>
</td>
<td/>
</tr>
<tr ID="_1de05a2b-85ef-4a06-95d1-30b7d561f027">
<td>
<content styleCode="xSecondary xContentWrapping">21-Mar-2022 13:56</content>
</td>
<td>
<content styleCode="xSecondary"
ID="_cae417f3-8829-473f-862d-dbfa26e21f75">Urine Glucose</content>
<content styleCode="xSecondary"> 50 mg/dL</content>
</td>
<td>
<content ID="_73039803-cb80-4644-afe0-6bdca5fe42f3">
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"> Neg</content>
<br/>
</content>
</td>
</tr>
<tr ID="_8faf329a-5648-47e9-8929-13b0817e2a90">
<td/>
<td>
<content styleCode="xSecondary"
ID="_de0a6861-74da-497c-bb3c-6fddd275da49">Ketones</content>
<content styleCode="xSecondary"> Negative</content>
</td>
<td>
<content ID="_e812fcdd-b7ff-4ac9-aba3-b0d665ffdc15">
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"> Negative</content>
<br/>
</content>
</td>
</tr>
<tr ID="_cc6e5559-aa78-422c-a5b1-75b1fe8101df">
<td/>
<td>
<content styleCode="xSecondary"
ID="_187aaa00-b19f-449b-8d25-7def8f141b52">Protein</content>
<content styleCode="xSecondary"> 100 mg/dL</content>
</td>
<td/>
</tr>
<tr ID="_7a261483-003b-4f84-944d-0f23e552acd0">
<td/>
<td>
<content styleCode="xSecondary"
ID="_0820cbe3-71cb-4b6b-aedb-81ebee5741cd">Urine Specific Gravity</content>
<content styleCode="xSecondary"> 1.015</content>
</td>
<td>
<content ID="_e45818b9-7890-438e-947c-dd634d975a84">
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"> 1.005 - 1.030</content>
<br/>
</content>
</td>
</tr>
<tr ID="_d1cf924c-3dfc-43ce-8f83-edb689e2f15e">
<td/>
<td>
<content styleCode="xSecondary"
ID="_91633aa2-126a-465e-bcb6-ad5d550c28e7">Urine pH</content>
<content styleCode="xSecondary"> 5.0</content>
</td>
<td>
<content ID="_ac461486-e401-4a32-9a53-334b77d69ddf">
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"> 5.0 - 8.0</content>
<br/>
</content>
</td>
</tr>
<tr ID="_451a8884-931e-4426-b1e6-640ef16faf88">
<td/>
<td>
<content styleCode="xSecondary"
ID="_86e5e7b7-9668-4129-a57e-bf6028a2461f">Color</content>
<content styleCode="xSecondary"> Yellow</content>
</td>
<td>
<content ID="_48dda0cb-8c13-49b4-a03b-b7f03393c061">
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"> Yellow</content>
<br/>
</content>
</td>
</tr>
<tr ID="_3cf8cf26-3450-407d-9645-a3a622e74d4a">
<td/>
<td>
<content styleCode="xSecondary"
ID="_ec188c15-e6e9-466a-bb7d-859bcb679b71">Urine Appearance</content>
<content styleCode="xSecondary"> Clear</content>
</td>
<td>
<content ID="_27bbdfa5-ba8c-4c92-a89b-73c01cb1a20d">
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"> Clear</content>
<br/>
</content>
</td>
</tr>
<tr>
<td>
<content styleCode="xLabel xSecondary">Specimen Type: </content>
<content styleCode="xSecondary xContentWrapping">Urinary specimen
(specimen)</content>
<br/>
</td>
<td/>
<td/>
</tr>
</tbody>
<tbody styleCode="xRowGroup">
<tr>
<td>
<content styleCode="xSecondary"
ID="_e4e191ed-d35a-4bfc-a0c6-194e8c06fd08">Urinalysis macro (dipstick)
panel</content>
</td>
<td>
<content styleCode="xLabel">Ordered On: </content>
<content>17-Mar-2022
13:38</content>
</td>
<td/>
</tr>
<tr ID="_ba52daf2-7463-485c-b239-f8de8786af34">
<td>
<content styleCode="xSecondary xContentWrapping">17-Mar-2022 16:02</content>
</td>
<td>
<content styleCode="xSecondary"
ID="_3ef7cf1e-9de1-45dd-9a6c-79405c95cae6">Urine Appearance</content>
<content styleCode="xSecondary"> Clear</content>
</td>
<td>
<content ID="_3ebbcba0-facb-4a44-bcd1-37e9dd54af30">
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"> Clear</content>
<br/>
</content>
</td>
</tr>
<tr ID="_b5050c59-903d-497c-a12c-ee774bbf5749">
<td/>
<td>
<content styleCode="xSecondary"
ID="_1555cf80-6569-40d7-8502-904d596e0d33">Color</content>
<content styleCode="xSecondary"> YELLOW</content>
</td>
<td>
<content ID="_1f817a5e-7cca-4970-a7d2-c461867ca444">
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"> YELLOW</content>
<br/>
</content>
</td>
</tr>
<tr ID="_8cd930e6-ac80-440a-9f7f-adfeb1f571c1">
<td/>
<td>
<content styleCode="xSecondary"
ID="_b827395c-6d2c-4f28-90eb-95bc33512916">Urine Glucose</content>
<content styleCode="xSecondary"> 50</content>
<content styleCode="xSecondary"> mg/dL</content>
</td>
<td>
<content ID="_f8fc9298-3e82-479a-ac15-0beeceba3675">
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"> Neg mg/dL</content>
<br/>
</content>
</td>
</tr>
<tr ID="_de835972-9634-41ad-830d-e9b3120c25d8">
<td/>
<td>
<content styleCode="xSecondary"
ID="_4c93009e-6718-4f7c-90d9-7c4d031da357">Ketones</content>
<content styleCode="xSecondary"> Negative</content>
</td>
<td>
<content ID="_03c1a701-eba4-49ad-b9b2-8d78c9972820">
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"> Negative</content>
<br/>
</content>
</td>
</tr>
<tr ID="_f1dab1c4-1153-4c87-8e22-193521db2b26">
<td/>
<td>
<content styleCode="xSecondary"
ID="_521de02f-3291-42b4-8389-7cd1a251a7f8">Urine Specific Gravity</content>
<content styleCode="xSecondary"> 1.015</content>
</td>
<td>
<content ID="_892e56e8-81b4-4b4d-baf3-e1d387fcfaad">
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"> 1.005 - 1.030</content>
<br/>
</content>
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</tr>
<tr ID="_11d74151-9189-4ba8-855d-73c328a14cd4">
<td/>
<td>
<content styleCode="xSecondary"
ID="_49615932-e531-4831-860c-0763b1781916">Urine pH</content>
<content styleCode="xSecondary"> 5.0</content>
<content styleCode="xSecondary"> [pH]</content>
</td>
<td>
<content ID="_56a1ee66-972f-4eb7-a85f-0cd975d82134">
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"> 5.0 - 8.0 [pH]</content>
<br/>
</content>
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</tr>
<tr ID="_a0ade92c-0334-4947-92b5-747e4d818502">
<td/>
<td>
<content styleCode="xSecondary"
ID="_71041ca3-851a-4163-ae5f-c96659e60733">Protein</content>
<content styleCode="xSecondary"> 100</content>
<content styleCode="xSecondary"> mg/dL</content>
</td>
<td>
<content ID="_bfd05b34-bf95-425f-bdec-4fd34ba44d4c">
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"> negative mg/dL</content>
<br/>
</content>
</td>
</tr>
<tr>
<td>
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<content styleCode="xSecondary xContentWrapping">Urinary specimen
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<br/>
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<td/>
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<entry>
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<statusCode code="completed"/>
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<state nullFlavor="UNK"/>
<postalCode nullFlavor="UNK"/>
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<telecom nullFlavor="UNK"/>
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</code>
<text>
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<statusCode code="completed"/>
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<value xsi:type="ST">Clear</value>
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<statusCode code="completed"/>
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<value xsi:type="ST">YELLOW</value>
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<component>
<observation classCode="OBS" moodCode="EVN">
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</code>
<text>
<reference value="#_8cd930e6-ac80-440a-9f7f-adfeb1f571c1"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20220317200227+0000"/>
<value xsi:type="PQ" value="50" unit="mg/dL"/>
<entryRelationship typeCode="SUBJ">
<encounter classCode="ENC" moodCode="EVN">
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<referenceRange>
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<text>
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<value xsi:type="ST">Neg mg/dL</value>
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<component>
<observation classCode="OBS" moodCode="EVN">
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</originalText>
</code>
<text>
<reference value="#_de835972-9634-41ad-830d-e9b3120c25d8"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="20220317200227+0000"/>
<value xsi:type="ST">Negative</value>
<entryRelationship typeCode="SUBJ">
<encounter classCode="ENC" moodCode="EVN">
<id root="1.3.6.1.4.1.22812.11.2021.1.3.4" extension="1000013557"/>
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<referenceRange>
<observationRange>
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<value xsi:type="ST">Negative</value>
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<component>
<observation classCode="OBS" moodCode="EVN">
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<templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
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<originalText>
<reference value="#_521de02f-3291-42b4-8389-7cd1a251a7f8"/>
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</code>
<text>
<reference value="#_f1dab1c4-1153-4c87-8e22-193521db2b26"/>
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<statusCode code="completed"/>
<effectiveTime value="20220317200227+0000"/>
<value xsi:type="ST">1.015</value>
<entryRelationship typeCode="SUBJ">
<encounter classCode="ENC" moodCode="EVN">
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<value xsi:type="ST">1.005 - 1.030</value>
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<statusCode code="completed"/>
<effectiveTime value="20220317200227+0000"/>
<value xsi:type="PQ" value="5.0" unit="[pH]"/>
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<encounter classCode="ENC" moodCode="EVN">
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<text>
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<statusCode code="completed"/>
<effectiveTime value="20220317200227+0000"/>
<value xsi:type="PQ" value="100" unit="mg/dL"/>
<entryRelationship typeCode="SUBJ">
<encounter classCode="ENC" moodCode="EVN">
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<component>
<section>
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<templateId root="2.16.840.1.113883.10.20.22.2.4"/>
<templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01"/>
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<code code="8716-3" codeSystem="2.16.840.1.113883.6.1"
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<title>Vital Signs</title>
<text>
<table styleCode="xBorderBottom">
<colgroup>
<col width="40%"/>
<col width="20%"/>
<col width="40%"/>
</colgroup>
<tbody styleCode="xRowGroup">
<tr>
<td>
<content>11-Mar-2025
12:30</content>
</td>
<td/>
<td/>
</tr>
<tr ID="_5f194509-15bc-48e2-b022-fcc990dad777">
<td/>
<td>
<content>
<content styleCode="xSecondary"
ID="_0b149743-350b-4e83-a526-3696a98f8560">Heart Rate </content>
<content styleCode="xSecondary">80</content>
<content styleCode="xSecondary"> /min </content>
<content>(</content>
<content styleCode="xSecondary"
ID="_d8b5f3fb-c197-41b9-99ad-f7e89a757fed">High</content>
<content styleCode="xSecondary">)</content>
</content>
</td>
<td>
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"
ID="_89d7f883-21d5-431b-bbeb-62a277e077bf">0 - 9999</content>
</td>
</tr>
<tr ID="_ee1bd2d8-03ea-4b0e-863f-eaf863322ba8">
<td/>
<td>
<content>
<content styleCode="xSecondary"
ID="_602cffad-a848-47bc-8275-4ec1c485fc49">O2 SAT </content>
<content styleCode="xSecondary">95</content>
<content styleCode="xSecondary"> % </content>
<content>(</content>
<content styleCode="xSecondary"
ID="_5df3b5a5-8893-422e-a1a8-6d15f01e2987">Normal</content>
<content styleCode="xSecondary">)</content>
</content>
</td>
<td>
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"
ID="_df46c357-647a-4d94-915b-c36bd5fe4277">0 - 100</content>
</td>
</tr>
<tr ID="_ce9060b4-9915-41e0-93eb-25179699edb7">
<td/>
<td>
<content>
<content styleCode="xSecondary"
ID="_a3b74730-4e81-498f-ba9f-958e6d11cac8">BP Systolic </content>
<content styleCode="xSecondary">145</content>
<content styleCode="xSecondary"> mm[Hg] </content>
<content>(</content>
<content styleCode="xSecondary"
ID="_e18eab20-6c88-48e2-a26f-5efdbbdb681f">High</content>
<content styleCode="xSecondary">)</content>
</content>
</td>
<td>
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"
ID="_5f3e8798-93e3-4b62-bc68-ed196622fd13">0 - 200</content>
</td>
</tr>
<tr ID="_cf57a851-1547-4b62-a499-89687bae85a4">
<td/>
<td>
<content>
<content styleCode="xSecondary"
ID="_4dce385e-c3e9-4cec-85cf-9d7669ce7218">BP Diastolic </content>
<content styleCode="xSecondary">88</content>
<content styleCode="xSecondary"> mm[Hg] </content>
<content>(</content>
<content styleCode="xSecondary"
ID="_1485f27e-da1b-48c3-b013-b71bdc96eb9a">High</content>
<content styleCode="xSecondary">)</content>
</content>
</td>
<td>
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"
ID="_b767cad8-3d00-4466-b90f-8f407f214439">0 - 150</content>
</td>
</tr>
<tr ID="_bfe65ba5-afa2-4eaf-ac1e-9ce18d55a8ac">
<td/>
<td>
<content>
<content styleCode="xSecondary"
ID="_a9287fbf-57e7-4b71-84f7-9276ac460d90">Temperature </content>
<content styleCode="xSecondary">38</content>
<content styleCode="xSecondary"> c </content>
<content>(</content>
<content styleCode="xSecondary"
ID="_56af385d-d9ff-4bf4-a786-4c4996a4e18e">Normal</content>
<content styleCode="xSecondary">)</content>
</content>
</td>
<td>
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"
ID="_dcfc984c-2dfe-441f-9695-c38d45aa4e52">0 - 200</content>
</td>
</tr>
<tr ID="_ce02cf05-a1f3-4961-88d7-5f9e74f374fc">
<td/>
<td>
<content>
<content styleCode="xSecondary"
ID="_9422dd71-1d67-4270-ad52-88c6c188691a">Height </content>
<content styleCode="xSecondary">177</content>
<content styleCode="xSecondary"> cm </content>
<content>(</content>
<content styleCode="xSecondary"
ID="_e563a086-9f99-4c85-ba08-bc7193d3419f">High</content>
<content styleCode="xSecondary">)</content>
</content>
</td>
<td>
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"
ID="_e76530b6-7581-48cc-9127-7f32c6f8f696">0 - 200</content>
</td>
</tr>
<tr ID="_736907f2-6f5d-4777-b0d3-7618913e5e2e">
<td/>
<td>
<content>
<content styleCode="xSecondary"
ID="_dd9cf4a5-b1ef-428f-8c24-4db7b196c43e">Weight </content>
<content styleCode="xSecondary">88</content>
<content styleCode="xSecondary"> kg </content>
<content>(</content>
<content styleCode="xSecondary"
ID="_b1f1b53b-1895-47fe-947c-79c8c33b8f9c">Critical High</content>
<content styleCode="xSecondary">)</content>
</content>
</td>
<td>
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"
ID="_16264947-0358-4074-9b5a-ad72cfdd77a7">0 - 100</content>
</td>
</tr>
<tr ID="_e4b3a757-f110-4133-82c7-c50f5cc82472">
<td/>
<td>
<content>
<content styleCode="xSecondary"
ID="_d8be007e-325b-47f1-ac13-39b41b10be26">BMI </content>
<content styleCode="xSecondary">28</content>
<content styleCode="xSecondary"> kg/m2 </content>
</content>
</td>
<td/>
</tr>
<tr ID="_aae653eb-98e6-44b3-89bc-908bd6d581cf">
<td/>
<td>
<content>
<content styleCode="xSecondary"
ID="_49aebff6-c63d-40b5-94c5-e55f91d9573a">BSA </content>
<content styleCode="xSecondary">2.05</content>
<content styleCode="xSecondary"> m2 </content>
<content>(</content>
<content styleCode="xSecondary"
ID="_fc89f31a-e5f5-4542-b101-8e5d7f95f713">High</content>
<content styleCode="xSecondary">)</content>
</content>
</td>
<td>
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"
ID="_0bf4ecd7-9a70-4145-8988-64f465fe8117">0 - 9999.99</content>
</td>
</tr>
<tr ID="_39081303-2b10-4e5f-90f9-da219b332279">
<td/>
<td>
<content>
<content styleCode="xSecondary"
ID="_6c2a8a65-b807-4d7c-9aea-06a9270135f6">Respiratory rate </content>
<content styleCode="xSecondary">18</content>
<content styleCode="xSecondary"> /min </content>
<content>(</content>
<content styleCode="xSecondary"
ID="_0f79dd5a-1339-47c1-acb5-f6b390da5791">Low</content>
<content styleCode="xSecondary">)</content>
</content>
</td>
<td>
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"
ID="_7d7c7870-b942-4681-a836-8fc3983347c1">0 - 150</content>
</td>
</tr>
<tr ID="_0c93a91f-c549-404d-91d7-d9f912d26f7c">
<td/>
<td>
<content>
<content styleCode="xSecondary"
ID="_f4cd3786-4326-46f2-bb71-59358e67a185">Inhaled oxygen concentration
</content>
<content styleCode="xSecondary">36</content>
<content styleCode="xSecondary"> % </content>
<content>(</content>
<content styleCode="xSecondary"
ID="_2b6fa891-f04c-4e26-830e-c8a1c732ca80">Critical High</content>
<content styleCode="xSecondary">)</content>
</content>
</td>
<td>
<content styleCode="xLabel xSecondary">Range: </content>
<content styleCode="xSecondary"
ID="_66bce5af-e52c-4371-a18f-a622aeb7c182">0 - 50</content>
</td>
</tr>
</tbody>
</table>
</text>
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<organizer classCode="CLUSTER" moodCode="EVN">
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<statusCode code="completed"/>
<effectiveTime value="20250311163000+0000"/>
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<statusCode code="completed"/>
<effectiveTime value="20250311163000+0000"/>
<value xsi:type="PQ" value="80" unit="/min"/>
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<td>
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<td>
<content styleCode="xLabel">Duration: </content>
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<id extension="205301190" root="1.3.6.1.4.1.22812.11.2021.1"/>
<id extension="2222222541" root="2.16.840.1.113883.4.6"/>
<code code="200000000X" codeSystem="2.16.840.1.113883.6.101"
displayName="Allopathic &amp; Osteopathic Physicians"
codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
<addr use="WP">
<streetAddressLine>Tracy Davis</streetAddressLine>
<streetAddressLine>2472 Rocky Place</streetAddressLine>
<city>Beaverton</city>
<state>Oregon</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
<telecom nullFlavor="NI"/>
<assignedPerson>
<name>
<family>Davis</family>
<given>Albert</given>
<suffix>Physician</suffix>
</name>
</assignedPerson>
</assignedEntity>
</performer>
</act>
</component>
<component>
<act classCode="PCPR" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.500.1"
extension="2019-07-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.500.1"
extension="2022-06-01"/>
<id nullFlavor="NI"/>
<code code="85847-2" codeSystem="2.16.840.1.113883.6.1"
codeSystemName="LOINC"/>
<statusCode code="active"/>
<effectiveTime xsi:type="IVL_TS">
<low value="20250724040000+0000"/>
</effectiveTime>
<performer typeCode="PRF">
<sdtc:functionCode code="106292003" codeSystem="2.16.840.1.113883.6.96"/>
<assignedEntity>
<id extension="219301190" root="1.3.6.1.4.1.22812.11.2021.1"/>
<code code="163W00000X" codeSystem="2.16.840.1.113883.6.101"
displayName="Registered Nurse" codeSystemName="Healthcare Provider Taxonomy
(HIPAA)"/>
<addr use="WP">
<streetAddressLine>2472</streetAddressLine>
<streetAddressLine>Rocky place</streetAddressLine>
<city>Beaverton</city>
<state>Oregon</state>
<postalCode>97006-0000</postalCode>
<country>US</country>
</addr>
<telecom nullFlavor="NI"/>
<assignedPerson>
<name>
<family>Davis</family>
<given>Tracy</given>
<suffix>ADM Nurse</suffix>
</name>
</assignedPerson>
</assignedEntity>
</performer>
</act>
</component>
</organizer>
</entry>
</section>
</component>
</structuredBody>
</component>
</ClinicalDocument>

On Thursday, August 21, 2025 at 6:24:45 PM UTC+5:30 Nagesh Bashyam wrote:

> Please provide CCDA XML file so tha it can be investigated on priority.
>
>
>
> *From: *edge-te...@googlegroups.com <edge-te...@googlegroups.com> on
> behalf of Amit Patil <amitpa...@gmail.com>
> *Date: *Thursday, August 21, 2025 at 8:32 AM
> *To: *Edge Test Tool (ETT) <edge-te...@googlegroups.com>
> *Subject: *CCDA USCDIV3 - Error in Care Team >>Performers section in CCDA
> V3 validator
>
> Hello,
>
> I’m currently working on validating the
> 170.315_b1_toc_amb_svap_uscdiv3_sample1_v1 CCDA document using the CCDAv3
> validator, and I'm encountering an issue in the Care Team>>Performers
> section.
>
> *CCDA Validator Error:*
>
>
>
>
>
> To fix/bypass this manually Edited CCDA to include Performer section under
> Care Team > component for both Related Persons. It doesn't work and giving
> Null Pointer Exception in CCDV3 validator now.
>
>
>
> *Below Performer section added to CCDA:*
> <https://groups.google.com/d/msgid/edge-test-tool/c06666ae-bd17-4566-b432-01494aff2aedn%40googlegroups.com?utm_medium=email&utm_source=footer>
> .
>

Amit Patil

unread,
Aug 21, 2025, 10:43:59 AMAug 21
to Edge Test Tool (ETT)
Hi Nagesh,

One update on this. We tried to bypass/manually fix this error by deleting the Contacts, still we have Null pointer exception in the Validator.

Thanks,
Amit Patil

Amit Patil

unread,
Aug 21, 2025, 10:51:19 AMAug 21
to Edge Test Tool (ETT)
To elaborate more..I removed Related Persons Contact data entry from Patient Chart in the EHR, then generated a CCDA.
Still we have a Null pointer exception.

Regards,
Amit Patil

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Amit Patil

unread,
Aug 25, 2025, 9:11:58 AMAug 25
to Edge Test Tool (ETT)
Hi Nagesh,

Do we have any updates on this issue?

Regards,
Amit Patil

Amit Patil

unread,
Sep 1, 2025, 10:48:00 AMSep 1
to Edge Test Tool (ETT)
Hello ETT community,

Do we have any update on this as this is a blocker for us.

Regards,
Amit Patil

Nagesh Bashyam

unread,
Sep 3, 2025, 8:53:55 AMSep 3
to Amit Patil, Edge Test Tool (ETT)

Please retest and let us know if you are facing any issues.

 

From: edge-te...@googlegroups.com <edge-te...@googlegroups.com> on behalf of Amit Patil <amitpa...@gmail.com>
Date: Monday, September 1, 2025 at 10:48

AM


To: Edge Test Tool (ETT) <edge-te...@googlegroups.com>

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