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  <title>Kinsights CCDA</title>
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        <manufacturerModelName>Kinsights</manufacturerModelName>
        <softwareName>Kinsights Record Export</softwareName>
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            <!-- Allergies (entries required) section template -->
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            <title>Allergies &amp; Adverse Reactions</title>
            
            <entry typeCode="DRIV">
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                  <!-- ** Allergy problem act ** -->
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                  <statusCode code="active"/>
                  
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                        <!-- allergy observation template -->
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                                 <code code="1564HD0N96" displayName="cat hair" codeSystem="2.2.16.840.1.113883.4.9" codeSystemName="UNII"></code>
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                           </participantRole>
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                        <entryRelationship typeCode="MFST" inversionInd="true">
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                              <!-- Reaction Observation template -->
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                              <entryRelationship typeCode="SUBJ" inversionInd="true">
                                 <observation classCode="OBS" moodCode="EVN">
                                    <!-- Severity Observation template -->
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                           </observation>
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            </entry>
            
         </section>
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          <code code="10160-0" displayName="History of medication use" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
          <title>Medications</title>
          <text></text>
          
          <entry>
            <substanceAdministration classCode="SBADM" moodCode="INT" negationInd="false">
              <templateId root="2.16.840.1.113883.10.20.22.4.16"/>
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              <statusCode code="active" />
              
              <effectiveTime xsi:type="IVL_TS">
                <low value="20130701000000"/>
                
              </effectiveTime>
              <routeCode nullFlavor="UNC">
                <originalText>
                  <reference value="Topical Ointment"/>
                </originalText>
              </routeCode>
              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.23"/>
                  <manufacturedMaterial classCode="MMAT">
                    <code code="204135" displayName="Desonide (Topical) Topical Ointment 0.0005 mg/mg" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" />
                    <name>Desonide</name>
                    <lotNumberText nullFlavor="UNK"/>
                  </manufacturedMaterial>
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              </consumable>
              <entryRelationship typeCode="RSON">
                <observation classCode="COND" moodCode="EVN">
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                  <code code="404684003" displayName="Finding" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
                  
                  <statusCode code="active" />
                  
                  <value xsi:type="CE" code="195967001" displayName="Asthma" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
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              <entryRelationship typeCode="SUBJ" inversionInd="true">
                <act classCode="ACT" moodCode="INT">
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                  <code code="394835006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Patient Medication Education"/>
                  <text>
                    take it
                  </text>
                  <statusCode code="completed"/>
                </act>
              </entryRelationship>
            </substanceAdministration>
          </entry>
          
          <entry>
            <substanceAdministration classCode="SBADM" moodCode="INT" negationInd="false">
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              <statusCode code="active" />
              
              <effectiveTime xsi:type="IVL_TS">
                <low value="20110715000000"/>
                
              </effectiveTime>
              <routeCode nullFlavor="UNC">
                <originalText>
                  <reference value="Topical Gel"/>
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              </routeCode>
              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.23"/>
                  <manufacturedMaterial classCode="MMAT">
                    <code code="198706" displayName="Hydrocortisone (Topical) Topical Gel 0.01 mg/mg" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" />
                    <name>Hydrocortisone</name>
                    <lotNumberText nullFlavor="UNK"/>
                  </manufacturedMaterial>
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              </consumable>
              <entryRelationship typeCode="RSON">
                <observation classCode="COND" moodCode="EVN">
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                  <code code="404684003" displayName="Finding" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
                  
                  <statusCode code="completed" />
                  
                  <value xsi:type="CE" code="43116000" displayName="Eczema" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
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              <entryRelationship typeCode="SUBJ" inversionInd="true">
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                  <code code="394835006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Patient Medication Education"/>
                  <text>
                    Apply twice daily to affected area
                  </text>
                  <statusCode code="completed"/>
                </act>
              </entryRelationship>
            </substanceAdministration>
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        </section>
      </component>
      <component>
        <section classCode="DOCSECT" moodCode="EVN">
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          <id root="2.16.840.1.113883.3.3297.1.1.1.6.1.12" />
          <code code="11369-6" displayName="History of immunizations" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
          <title>History Of Immunizations</title>
          
          <entry>
            <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
              <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
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              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                Flu (Influenza) on 2011-08-13
              </text>
              <statusCode code="completed"/>
              <effectiveTime value="20110813000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
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                        Influenza
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                    <name></name>
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              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                DTaP (Diphtheria, Tetanus, Pertussis) on 2011-09-01
              </text>
              <statusCode code="completed"/>
              <effectiveTime value="20110901000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
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                  <manufacturedMaterial classCode="MMAT">
                    <code code="107" displayName="DTaP" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Diphtheria, Tetanus, Pertussis
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                    <name></name>
                    <lotNumberText nullFlavor="UNK" />
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              </consumable>
              <performer nullFlavor="UNK" />
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          <entry>
            <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
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              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                Hib (Haemophilus influenzae type b) on 2011-09-01
              </text>
              <statusCode code="completed"/>
              <effectiveTime value="20110901000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
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                  <manufacturedMaterial classCode="MMAT">
                    <code code="17" displayName="Hib" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Haemophilus influenzae type b
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                    <name></name>
                    <lotNumberText nullFlavor="UNK" />
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                </manufacturedProduct>
              </consumable>
              <performer nullFlavor="UNK" />
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          <entry>
            <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
              <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
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              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                HepB (Hepatitis B) on 2011-07-01
              </text>
              <statusCode code="completed"/>
              <effectiveTime value="20110701000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
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                  <manufacturedMaterial classCode="MMAT">
                    <code code="45" displayName="HepB" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Hepatitis B
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                    <name></name>
                    <lotNumberText nullFlavor="UNK" />
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              </consumable>
              <performer nullFlavor="UNK" />
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          <entry>
            <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
              <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
              <id root="2.16.840.1.113883.3.3297.1.1.1.6.1.12" extension="5"/>
              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                HepB (Hepatitis B) on 2011-09-01
              </text>
              <statusCode code="completed"/>
              <effectiveTime value="20110901000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
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                  <manufacturedMaterial classCode="MMAT">
                    <code code="45" displayName="HepB" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Hepatitis B
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                    <name></name>
                    <lotNumberText nullFlavor="UNK" />
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              <performer nullFlavor="UNK" />
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              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                IPV (Inactivated Poliovirus) on 2011-09-01
              </text>
              <statusCode code="completed"/>
              <effectiveTime value="20110901000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
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                    <code code="10" displayName="IPV" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Inactivated Poliovirus
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                    </code>
                    <name></name>
                    <lotNumberText nullFlavor="UNK" />
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                </manufacturedProduct>
              </consumable>
              <performer nullFlavor="UNK" />
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          <entry>
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              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                PCV (Pneumococcal) on 2011-09-01
              </text>
              <statusCode code="completed"/>
              <effectiveTime value="20110901000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
                  <manufacturedMaterial classCode="MMAT">
                    <code code="133" displayName="PCV" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Pneumococcal
                      </originalText>
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                    <name></name>
                    <lotNumberText nullFlavor="UNK" />
                  </manufacturedMaterial>
                </manufacturedProduct>
              </consumable>
              <performer nullFlavor="UNK" />
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          <entry>
            <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
              <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
              <id root="2.16.840.1.113883.3.3297.1.1.1.6.1.12" extension="8"/>
              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                RV (Rotavirus) on 2011-09-01
              </text>
              <statusCode code="completed"/>
              <effectiveTime value="20110901000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
                  <manufacturedMaterial classCode="MMAT">
                    <code code="122" displayName="RV" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Rotavirus
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                    <name></name>
                    <lotNumberText nullFlavor="UNK" />
                  </manufacturedMaterial>
                </manufacturedProduct>
              </consumable>
              <performer nullFlavor="UNK" />
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          </entry>
          
          <entry>
            <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
              <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
              <id root="2.16.840.1.113883.3.3297.1.1.1.6.1.12" extension="9"/>
              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                DTaP (Diphtheria, Tetanus, Pertussis) on 2011-09-09
              </text>
              <statusCode code="completed"/>
              <effectiveTime value="20110909000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
                  <manufacturedMaterial classCode="MMAT">
                    <code code="107" displayName="DTaP" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Diphtheria, Tetanus, Pertussis
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                    <name></name>
                    <lotNumberText nullFlavor="UNK" />
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              <performer nullFlavor="UNK" />
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          <entry>
            <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
              <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
              <id root="2.16.840.1.113883.3.3297.1.1.1.6.1.12" extension="10"/>
              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                Hib (Haemophilus influenzae type b) on 2011-09-09
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              <statusCode code="completed"/>
              <effectiveTime value="20110909000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
                  <manufacturedMaterial classCode="MMAT">
                    <code code="17" displayName="Hib" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Haemophilus influenzae type b
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                    <name></name>
                    <lotNumberText nullFlavor="UNK" />
                  </manufacturedMaterial>
                </manufacturedProduct>
              </consumable>
              <performer nullFlavor="UNK" />
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          </entry>
          
          <entry>
            <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
              <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
              <id root="2.16.840.1.113883.3.3297.1.1.1.6.1.12" extension="11"/>
              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                PCV (Pneumococcal) on 2011-09-09
              </text>
              <statusCode code="completed"/>
              <effectiveTime value="20110909000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
                  <manufacturedMaterial classCode="MMAT">
                    <code code="133" displayName="PCV" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Pneumococcal
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                    </code>
                    <name></name>
                    <lotNumberText nullFlavor="UNK" />
                  </manufacturedMaterial>
                </manufacturedProduct>
              </consumable>
              <performer nullFlavor="UNK" />
            </substanceAdministration>
          </entry>
          
          <entry>
            <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
              <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
              <id root="2.16.840.1.113883.3.3297.1.1.1.6.1.12" extension="12"/>
              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                RV (Rotavirus) on 2011-09-09
              </text>
              <statusCode code="completed"/>
              <effectiveTime value="20110909000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
                  <manufacturedMaterial classCode="MMAT">
                    <code code="122" displayName="RV" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Rotavirus
                      </originalText>
                    </code>
                    <name></name>
                    <lotNumberText nullFlavor="UNK" />
                  </manufacturedMaterial>
                </manufacturedProduct>
              </consumable>
              <performer nullFlavor="UNK" />
            </substanceAdministration>
          </entry>
          
          <entry>
            <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
              <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
              <id root="2.16.840.1.113883.3.3297.1.1.1.6.1.12" extension="15"/>
              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                IPV (Inactivated Poliovirus) on 2011-11-01
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              <statusCode code="completed"/>
              <effectiveTime value="20111101000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
                  <manufacturedMaterial classCode="MMAT">
                    <code code="10" displayName="IPV" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Inactivated Poliovirus
                      </originalText>
                    </code>
                    <name></name>
                    <lotNumberText nullFlavor="UNK" />
                  </manufacturedMaterial>
                </manufacturedProduct>
              </consumable>
              <performer nullFlavor="UNK" />
            </substanceAdministration>
          </entry>
          
          <entry>
            <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
              <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
              <id root="2.16.840.1.113883.3.3297.1.1.1.6.1.12" extension="16"/>
              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                IPV (Inactivated Poliovirus) on 2011-11-04
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              <statusCode code="completed"/>
              <effectiveTime value="20111104000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
                  <manufacturedMaterial classCode="MMAT">
                    <code code="10" displayName="IPV" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Inactivated Poliovirus
                      </originalText>
                    </code>
                    <name></name>
                    <lotNumberText nullFlavor="UNK" />
                  </manufacturedMaterial>
                </manufacturedProduct>
              </consumable>
              <performer nullFlavor="UNK" />
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          </entry>
          
          <entry>
            <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
              <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
              <id root="2.16.840.1.113883.3.3297.1.1.1.6.1.12" extension="93"/>
              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                Hib (Haemophilus influenzae type b) on 2012-01-01
              </text>
              <statusCode code="completed"/>
              <effectiveTime value="20120101000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
                  <manufacturedMaterial classCode="MMAT">
                    <code code="17" displayName="Hib" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Haemophilus influenzae type b
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                    <name></name>
                    <lotNumberText nullFlavor="UNK" />
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              <performer nullFlavor="UNK" />
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          <entry>
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              <id root="2.16.840.1.113883.3.3297.1.1.1.6.1.12" extension="99"/>
              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                PCV (Pneumococcal) on 2012-01-01
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              <statusCode code="completed"/>
              <effectiveTime value="20120101000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
                  <manufacturedMaterial classCode="MMAT">
                    <code code="133" displayName="PCV" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Pneumococcal
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                    <name></name>
                    <lotNumberText nullFlavor="UNK" />
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              <performer nullFlavor="UNK" />
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          <entry>
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              <code code="IMMUNIZ" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode"/>
              <text>
                RV (Rotavirus) on 2012-01-03
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              <statusCode code="completed"/>
              <effectiveTime value="20120103000000"/>
              <routeCode nullFlavor="NA"/>
              <approachSiteCode nullFlavor="NA"/>
              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
                  <manufacturedMaterial classCode="MMAT">
                    <code code="122" displayName="RV" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Rotavirus
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                    <name></name>
                    <lotNumberText nullFlavor="UNK" />
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              <performer nullFlavor="UNK" />
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          <entry>
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                HepA (Hepatitis A) on 2013-01-09
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              <statusCode code="completed"/>
              <effectiveTime value="20130109000000"/>
              <routeCode nullFlavor="NA"/>
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              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
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                    <code code="85" displayName="HepA" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
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                        Hepatitis A
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          <entry>
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                DTaP (Diphtheria, Tetanus, Pertussis) on 2013-05-01
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              <statusCode code="completed"/>
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              <routeCode nullFlavor="NA"/>
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              <doseQuantity nullFlavor="UNK" />
              <consumable typeCode="CSM">
                <manufacturedProduct classCode="MANU">
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                  <manufacturedMaterial classCode="MMAT">
                    <code code="107" displayName="DTaP" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
                      <originalText>
                        Diphtheria, Tetanus, Pertussis
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                    <lotNumberText nullFlavor="UNK" />
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        </section>
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          <title>Problem List</title>
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                      <value xsi:type="CD" code="55561003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Active"/>
                      
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              <statusCode code="active"/>
              
              <effectiveTime>
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              <statusCode code="active"/>
              
              <effectiveTime>
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              <statusCode code="active"/>
              
              <effectiveTime>
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