2020-05-12 10:15 pt123 pt123 Galt John 1970-07-08 <?xml version="1.0"?> <?xml-stylesheet type="text/xsl" href="CDA.xsl"?> <ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd"> <!-- ******************************************************** CDA Header ******************************************************** --> <!-- TODO: Need to get report title definition--> <title>Sage Portal Patient Profile</title> <!-- TODO: effective time is the time of the submission by the patient--> <effectiveTime value="20070318"/> <languageCode code="en-US"/> <recordTarget> <patientRole> <patient> <name> <!-- TODO: Patient last/first below--> <given>Last Name</given> <family>First Name</family> </name> <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/> <birthTime value="19740322"/> </patient> </patientRole> </recordTarget> <author> <time value="2000040714"/> <assignedAuthor> <assignedPerson> <name> <!-- TODO: Patient last/first below--> <given>Last Name</given> <family>First Name</family> </name> </assignedPerson> </assignedAuthor> </author> <component> <structuredBody> <!-- ******************************************************** History of Present Illness section ******************************************************** --> <component> <section> <code code="10164-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Chief Complaint</title> <text> <content> <!-- TODO: Add Chief Complaint Text Here--> This is a sample chief complaint. </content> </text> </section> </component> <!-- ******************************************************** Medical Allergies ******************************************************** --> <component> <section> <code code="10155-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Medical Allergies</title> <text> <list> <!-- TODO: Add each allergy as a list item here--> <item>Penicillin - Hives</item> <item>Aspirin - Wheezing</item> <item>Codeine - Itching and nausea</item> </list> </text> </section> </component> <!-- ******************************************************** Medications section ******************************************************** --> <component> <section> <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Medications</title> <text> <list> <!-- TODO: Add each medication as a list item here--> <item>Theodur 200mg BID</item> <item>Proventil inhaler 2puffs QID PRN</item> </list> </text> </section> </component> <!-- ******************************************************** Family History section ******************************************************** --> <component> <section> <code code="10157-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Family history</title> <text> <list> <!-- TODO: Add each family history row as a list item here--> <item>Father - still living - thyroid cancer.</item> <item>Mother - died at 67 - car accident.</item> </list> </text> </section> </component> <!-- ******************************************************** Problem and Surgical History section ******************************************************** --> <component> <section> <code code="10153-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title> Problem and Surgical History</title> <text> <list> <!-- TODO: add items from problem and surgery history here--> <item>Asthma</item> <item>High blood pressure : father</item> <item>Heart attack</item> </list> </text> </section> </component> <!-- ******************************************************** Hospitalization History section ******************************************************** --> <component> <section> <code code="11336-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Hospitalization History</title> <text> <list> <!-- TODO: Add each hospitalization history row as a list item here--> <item>St. Paul - Chest Pain - 2004</item> <item>St. Paul - Broken Arm - 1999</item> </list> </text> </section> </component> <!-- ******************************************************** Social History section ******************************************************** --> <component> <section> <code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Social History</title> <text> <list> <!-- TODO: add social history items here--> <item>Smoking :: 1 PPD, 5 years. Quit 2 years ago.</item> <item>Alcohol :: No</item> </list> </text> </section> </component> </structuredBody> </component> </ClinicalDocument> 2020-05-12 15:30 pt124 pt124 Pistol Peter 1985-05-12 <?xml version="1.0"?> <?xml-stylesheet type="text/xsl" href="CDA.xsl"?> <ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd"> <!-- ******************************************************** CDA Header ******************************************************** --> <!-- TODO: Need to get report title definition--> <title>Sage Portal Patient Profile</title> <!-- TODO: effective time is the time of the submission by the patient--> <effectiveTime value="20070318"/> <languageCode code="en-US"/> <recordTarget> <patientRole> <patient> <name> <!-- TODO: Patient last/first below--> <given>Last Name</given> <family>First Name</family> </name> <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/> <birthTime value="19740322"/> </patient> </patientRole> </recordTarget> <author> <time value="2000040714"/> <assignedAuthor> <assignedPerson> <name> <!-- TODO: Patient last/first below--> <given>Last Name</given> <family>First Name</family> </name> </assignedPerson> </assignedAuthor> </author> <component> <structuredBody> <!-- ******************************************************** History of Present Illness section ******************************************************** --> <component> <section> <code code="10164-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Chief Complaint</title> <text> <content> <!-- TODO: Add Chief Complaint Text Here--> This is a sample chief complaint. </content> </text> </section> </component> <!-- ******************************************************** Medical Allergies ******************************************************** --> <component> <section> <code code="10155-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Medical Allergies</title> <text> <list> <!-- TODO: Add each allergy as a list item here--> <item>Penicillin - Hives</item> <item>Aspirin - Wheezing</item> <item>Codeine - Itching and nausea</item> </list> </text> </section> </component> <!-- ******************************************************** Medications section ******************************************************** --> <component> <section> <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Medications</title> <text> <list> <!-- TODO: Add each medication as a list item here--> <item>Theodur 200mg BID</item> <item>Proventil inhaler 2puffs QID PRN</item> </list> </text> </section> </component> <!-- ******************************************************** Family History section ******************************************************** --> <component> <section> <code code="10157-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Family history</title> <text> <list> <!-- TODO: Add each family history row as a list item here--> <item>Father - still living - thyroid cancer.</item> <item>Mother - died at 67 - car accident.</item> </list> </text> </section> </component> <!-- ******************************************************** Problem and Surgical History section ******************************************************** --> <component> <section> <code code="10153-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title> Problem and Surgical History</title> <text> <list> <!-- TODO: add items from problem and surgery history here--> <item>Asthma</item> <item>High blood pressure : father</item> <item>Heart attack</item> </list> </text> </section> </component> <!-- ******************************************************** Hospitalization History section ******************************************************** --> <component> <section> <code code="11336-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Hospitalization History</title> <text> <list> <!-- TODO: Add each hospitalization history row as a list item here--> <item>St. Paul - Chest Pain - 2004</item> <item>St. Paul - Broken Arm - 1999</item> </list> </text> </section> </component> <!-- ******************************************************** Social History section ******************************************************** --> <component> <section> <code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Social History</title> <text> <list> <!-- TODO: add social history items here--> <item>Smoking :: 1 PPD, 5 years. Quit 2 years ago.</item> <item>Alcohol :: No</item> </list> </text> </section> </component> </structuredBody> </component> </ClinicalDocument> 2020-05-12 11:00 pt125 pt125 Silver Mary 1963-08-12 <?xml version="1.0"?> <?xml-stylesheet type="text/xsl" href="CDA.xsl"?> <ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd"> <!-- ******************************************************** CDA Header ******************************************************** --> <!-- TODO: Need to get report title definition--> <title>Sage Portal Patient Profile</title> <!-- TODO: effective time is the time of the submission by the patient--> <effectiveTime value="20070318"/> <languageCode code="en-US"/> <recordTarget> <patientRole> <patient> <name> <!-- TODO: Patient last/first below--> <given>Last Name</given> <family>First Name</family> </name> <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/> <birthTime value="19740322"/> </patient> </patientRole> </recordTarget> <author> <time value="2000040714"/> <assignedAuthor> <assignedPerson> <name> <!-- TODO: Patient last/first below--> <given>Last Name</given> <family>First Name</family> </name> </assignedPerson> </assignedAuthor> </author> <component> <structuredBody> <!-- ******************************************************** History of Present Illness section ******************************************************** --> <component> <section> <code code="10164-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Chief Complaint</title> <text> <content> <!-- TODO: Add Chief Complaint Text Here--> This is a sample chief complaint. </content> </text> </section> </component> <!-- ******************************************************** Medical Allergies ******************************************************** --> <component> <section> <code code="10155-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Medical Allergies</title> <text> <list> <!-- TODO: Add each allergy as a list item here--> <item>Penicillin - Hives</item> <item>Aspirin - Wheezing</item> <item>Codeine - Itching and nausea</item> </list> </text> </section> </component> <!-- ******************************************************** Medications section ******************************************************** --> <component> <section> <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Medications</title> <text> <list> <!-- TODO: Add each medication as a list item here--> <item>Theodur 200mg BID</item> <item>Proventil inhaler 2puffs QID PRN</item> </list> </text> </section> </component> <!-- ******************************************************** Family History section ******************************************************** --> <component> <section> <code code="10157-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Family history</title> <text> <list> <!-- TODO: Add each family history row as a list item here--> <item>Father - still living - thyroid cancer.</item> <item>Mother - died at 67 - car accident.</item> </list> </text> </section> </component> <!-- ******************************************************** Problem and Surgical History section ******************************************************** --> <component> <section> <code code="10153-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title> Problem and Surgical History</title> <text> <list> <!-- TODO: add items from problem and surgery history here--> <item>Asthma</item> <item>High blood pressure : father</item> <item>Heart attack</item> </list> </text> </section> </component> <!-- ******************************************************** Hospitalization History section ******************************************************** --> <component> <section> <code code="11336-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Hospitalization History</title> <text> <list> <!-- TODO: Add each hospitalization history row as a list item here--> <item>St. Paul - Chest Pain - 2004</item> <item>St. Paul - Broken Arm - 1999</item> </list> </text> </section> </component> <!-- ******************************************************** Social History section ******************************************************** --> <component> <section> <code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <title>Social History</title> <text> <list> <!-- TODO: add social history items here--> <item>Smoking :: 1 PPD, 5 years. Quit 2 years ago.</item> <item>Alcohol :: No</item> </list> </text> </section> </component> </structuredBody> </component> </ClinicalDocument>