<?xml version="1.0" encoding="UTF-8"?>
<!-- This XML document was retrieved from a public repository of certified EHR samples for Meaningful Use 
That repository states "The public will be able to view-download the submitted files from this repository." 
The original files have been edited to make them human-readable and easier to download. Please refer to source repository for original versions 
The copy date of original repository was February 1, 2018. Here is original repository: https://github.com/siteadmin/2015-C-CDA-Certification-Samples 
All of these samples were supposed be C-CDA 2.1 clinical documents. The following disclaimer applies to ALL INFORMATION contained herein: 
THIS INFORMATION IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY, 
FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY, 
WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF OR IN CONNECTION WITH THE INFORMATION OR THE USE OR OTHER DEALINGS IN THE INFORMATION. 
Beyond that, I hope they are useful and "hooray" for government transparency! John D'Amore, Diameter Health, Inc. -->
<ClinicalDocument 
  xmlns="urn:hl7-org:v3" 
  xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" 
	
  xmlns:voc="urn:hl7-org:v3/voc" 
  xmlns:sdtc="urn:hl7-org:sdtc">
  <realmCode code="US"/>
  <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
  <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="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"/>
  <id extension="TT104" root="2.16.840.1.113883.19.5.99999.1"/>
  <code code="34133-9" displayName="Summary of Episode" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
  <title>EMR Direct Test EHR Referral Note</title>
  <effectiveTime value="20150722"/>
  <confidentialityCode code="N" displayName="normal" codeSystem="2.16.840.1.113883.5.25" codeSystemName="Confidentiality"/>
  <languageCode code="en-US"/>
  <setId extension="sTT104" root="2.16.840.1.113883.19.5.99999.19"/>
  <versionNumber value="1"/>
  <recordTarget>
    <patientRole>
      <id extension="115253336" root="2.16.840.1.113883.4.1"/>
      <addr use="HP">
        <streetAddressLine>1357 Amber Dr</streetAddressLine>
        <city>Beaverton</city>
        <state>OR</state>
        <postalCode>97006</postalCode>
        <country>US</country>
      </addr>
      <telecom value="tel:+1(555)-777-1234" use="MC"/>
      <telecom value="tel:+1(555)-723-1544" use="HP"/>
      <patient>
        <name use="L">
          <given>Jeremy</given>
          <given qualifier="BR">V</given>
          <family>Bates</family>
          <suffix>Jr</suffix>
        </name>
        <administrativeGenderCode code="M" displayName="Male" codeSystem="2.16.840.1.113883.5.1" codeSystemName="AdministrativeGender"/>
        <birthTime value="19800801"/>
        <maritalStatusCode nullFlavor="UNK"/>
        <religiousAffiliationCode code="1013" displayName="Christian (non-Catholic, non-specific)" codeSystem="2.16.840.1.113883.5.1076" codeSystemName="HL7 Religious Affiliation"/>
        <raceCode nullFlavor="UNK"/>
        <sdtc:raceCode nullFlavor="UNK"/>
        <ethnicGroupCode nullFlavor="UNK"/>
        <languageCommunication>
          <languageCode code="en-US"/>
          <modeCode code="ESP" displayName="Expressed spoken"
						codeSystem="2.16.840.1.113883.5.60" codeSystemName="LanguageAbilityMode"/>
          <preferenceInd value="true"/>
        </languageCommunication>
      </patient>
      <providerOrganization>
        <id extension="99999999" root="2.16.840.1.113883.4.6"/>
        <name>Neighborhood Physicians Practice</name>
        <telecom use="WP" value="tel:+1(555)-555-1002"/>
        <addr>
          <streetAddressLine>2472 Rocky Place</streetAddressLine>
          <city>Beaverton</city>
          <state>OR</state>
          <postalCode>97006</postalCode>
          <country>US</country>
        </addr>
      </providerOrganization>
    </patientRole>
  </recordTarget>
  <author>
    <time value="20150722"/>
    <assignedAuthor>
      <id extension="111111" root="2.16.840.1.113883.4.6"/>
      <code code="200000000X" codeSystem="2.16.840.1.113883.6.101"
				displayName="Allopathic &amp; Osteopathic Physicians"/>
      <addr>
        <streetAddressLine>2472 Rocky Place</streetAddressLine>
        <city>Beaverton</city>
        <state>OR</state>
        <postalCode>97006</postalCode>
        <country>US</country>
      </addr>
      <telecom use="WP" value="tel:+1(555)-555-1002"/>
      <assignedAuthoringDevice>
        <manufacturerModelName>Neighborhood Physicians Practice EMR</manufacturerModelName>
        <softwareName>EMR Direct Test EMR</softwareName>
      </assignedAuthoringDevice>
      <representedOrganization>
        <id root="2.16.840.1.113883.19.5"/>
        <name>Neighborhood Physicians Practice</name>
      </representedOrganization>
    </assignedAuthor>
  </author>
  <dataEnterer>
    <assignedEntity>
      <id root="2.16.840.1.113883.4.6" extension="999999943252"/>
      <addr>
        <streetAddressLine>2472 Rocky Place</streetAddressLine>
        <city>Beaverton</city>
        <state>OR</state>
        <postalCode>97006</postalCode>
        <country>US</country>
      </addr>
      <telecom use="WP" value="tel:+1(555)-555-1002"/>
      <assignedPerson>
        <name>
          <given>Tracy</given>
          <family>Davis</family>
        </name>
      </assignedPerson>
    </assignedEntity>
  </dataEnterer>
  <informant>
    <assignedEntity>
      <id extension="KP00017" root="2.16.840.1.113883.19.5"/>
      <addr>
        <streetAddressLine>2472 Rocky Place</streetAddressLine>
        <city>Beaverton</city>
        <state>OR</state>
        <postalCode>97006</postalCode>
        <country>US</country>
      </addr>
      <telecom use="WP" value="tel:+1(555)-555-1002"/>
      <assignedPerson>
        <name>
          <given>Albert</given>
          <family>Davis</family>
        </name>
      </assignedPerson>
    </assignedEntity>
  </informant>
  <informant>
    <relatedEntity classCode="PRS">
      <code code="SPS" displayName="SPOUSE" codeSystem="2.16.840.1.113883.1.11.19563"
				codeSystemName="Personal Relationship Role Type Value Set"/>
      <relatedPerson>
        <name>
          <given>Kathy</given>
          <family>Bates</family>
        </name>
      </relatedPerson>
    </relatedEntity>
  </informant>
  <custodian>
    <assignedCustodian>
      <representedCustodianOrganization>
        <id extension="99999999" root="2.16.840.1.113883.4.6"/>
        <name>Neighborhood Physicians Practice</name>
        <telecom value="tel:+1(555)-555-1002" use="WP"/>
        <addr use="WP">
          <streetAddressLine>2472 Rocky Place</streetAddressLine>
          <city>Beaverton</city>
          <state>OR</state>
          <postalCode>97006</postalCode>
          <country>US</country>
        </addr>
      </representedCustodianOrganization>
    </assignedCustodian>
  </custodian>
  <informationRecipient>
    <intendedRecipient>
      <informationRecipient>
        <name>
          <prefix>Dr</prefix>
          <given>Albert</given>
          <family>Davis</family>
        </name>
      </informationRecipient>
      <receivedOrganization>
        <name>Neighborhood Physicians Practice</name>
      </receivedOrganization>
    </intendedRecipient>
  </informationRecipient>
  <legalAuthenticator>
    <time value="20150722"/>
    <signatureCode code="S"/>
    <assignedEntity>
      <id extension="999999999" root="2.16.840.1.113883.4.6"/>
      <addr>
        <streetAddressLine>2472 Rocky Place</streetAddressLine>
        <city>Beaverton</city>
        <state>OR</state>
        <postalCode>97006</postalCode>
        <country>US</country>
      </addr>
      <telecom use="WP" value="tel:+1(555)-555-1002"/>
      <assignedPerson>
        <name>
          <prefix>Dr</prefix>
          <given>Albert</given>
          <family>Davis</family>
        </name>
      </assignedPerson>
    </assignedEntity>
  </legalAuthenticator>
  <authenticator>
    <time value="20150722"/>
    <signatureCode code="S"/>
    <assignedEntity>
      <id extension="999999999" root="2.16.840.1.113883.4.6"/>
      <addr>
        <streetAddressLine>2472 Rocky Place</streetAddressLine>
        <city>Beaverton</city>
        <state>OR</state>
        <postalCode>97006</postalCode>
        <country>US</country>
      </addr>
      <telecom use="WP" value="tel:+1(555)-555-1002"/>
      <assignedPerson>
        <name>
          <prefix>Dr</prefix>
          <given>Albert</given>
          <family>Davis</family>
        </name>
      </assignedPerson>
    </assignedEntity>
  </authenticator>
  <participant typeCode="IND">
    <associatedEntity classCode="PRS">
      <code code="GPARNT" displayName="grandparent" codeSystem="2.16.840.1.113883.1.11.19563"
				codeSystemName="Personal Relationship Role Type Value Set"/>
      <addr use="HP">
        <streetAddressLine>1357 Amber Dr</streetAddressLine>
        <city>Beaverton</city>
        <state>OR</state>
        <postalCode>97006</postalCode>
        <country>US</country>
      </addr>
      <telecom value="tel:+1(555)-723-1544" use="HP"/>
      <associatedPerson>
        <name>
          <prefix>Mr.</prefix>
          <given>Mathew</given>
          <family>Bates</family>
        </name>
      </associatedPerson>
    </associatedEntity>
  </participant>
  <participant typeCode="IND">
    <associatedEntity classCode="PRS">
      <code code="SPS" displayName="SPOUSE" codeSystem="2.16.840.1.113883.1.11.19563"
				codeSystemName="Personal Relationship Role Type Value Set"/>
      <addr use="HP">
        <streetAddressLine>1357 Amber Dr</streetAddressLine>
        <city>Beaverton</city>
        <state>OR</state>
        <postalCode>97006</postalCode>
        <country>US</country>
      </addr>
      <telecom value="tel:+1(555)-723-1544" use="HP"/>
      <associatedPerson>
        <name>
          <prefix>Ms</prefix>
          <given>Kathy</given>
          <family>Bates</family>
        </name>
      </associatedPerson>
    </associatedEntity>
  </participant>
  <documentationOf>
    <serviceEvent classCode="PCPR">
      <code code="78318003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"
				displayName="Annual Health Maintenance, History and Physical"/>
      <effectiveTime>
        <low value="201507221400-0500"/>
        <high value="201507221430-0500"/>
      </effectiveTime>
      <performer typeCode="PRF">
        <functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88" codeSystemName="ParticipationFunction" displayName="Primary Care Provider">
          <originalText>Primary Care Provider</originalText>
        </functionCode>
        <assignedEntity>
          <id extension="5555555555" root="2.16.840.1.113883.4.6"/>
          <code code="207QA0505X" displayName="Adult Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
          <addr>
            <streetAddressLine>2472 Rocky Place</streetAddressLine>
            <city>Beaverton</city>
            <state>OR</state>
            <postalCode>97006</postalCode>
            <country>US</country>
          </addr>
          <telecom use="WP" value="tel:+1(555)-555-1002"/>
          <assignedPerson>
            <name>
              <prefix qualifier="TITLE">Dr</prefix>
              <given>Albert</given>
              <family>Davis</family>
            </name>
          </assignedPerson>
          <representedOrganization>
            <id extension="99999999" root="2.16.840.1.113883.4.6"/>
            <name>Neighborhood Physicians Practice</name>
            <telecom value="tel:+1(555)-555-1002" use="WP"/>
            <addr>
              <streetAddressLine>2472 Rocky Place</streetAddressLine>
              <city>Beaverton</city>
              <state>OR</state>
              <postalCode>97006</postalCode>
              <country>US</country>
            </addr>
          </representedOrganization>
        </assignedEntity>
      </performer>
      <performer typeCode="PRF">
        <time>
          <low nullFlavor="UNK"/>
        </time>
        <assignedEntity>
          <id extension="91138" root="1.3.6.1.4.1.22812.4.99930.4"/>
          <code codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC Health Care Provider Taxonomy" code="163W00000X" displayName="Registered Nurse"/>
          <addr>
            <streetAddressLine>2472 Rocky Place</streetAddressLine>
            <city>Beaverton</city>
            <state>OR</state>
            <postalCode>97006</postalCode>
            <country>US</country>
          </addr>
          <telecom use="WP" value="tel:+1(555)-555-1002"/>
          <assignedPerson>
            <name>
              <given>Tracy</given>
              <family>Davis</family>
            </name>
          </assignedPerson>
        </assignedEntity>
      </performer>
    </serviceEvent>
  </documentationOf>
  <componentOf>
    <encompassingEncounter>
      <id extension="9937012" root="2.16.840.1.113883.19"/>
      <effectiveTime>
        <low value="201507221400-0500"/>
        <high value="201507221430-0500"/>
      </effectiveTime>
    </encompassingEncounter>
  </componentOf>
  <component>
    <structuredBody>
      <component>
        <section nullFlavor="NI">
          <templateId root="2.16.840.1.113883.10.20.22.2.6.1" extension="2015-08-01"/>
          <templateId root="2.16.840.1.113883.10.20.22.2.6.1"/>
          <code code="48765-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Allergies, adverse reactions, alerts"/>
          <title>Allergies</title>
          <text>No Known Allergy Information</text>
        </section>
      </component>
      <component>
        <section nullFlavor="NI">
          <templateId root="2.16.840.1.113883.10.20.22.2.1" extension="2014-06-09"/>
          <templateId root="2.16.840.1.113883.10.20.22.2.1.1" extension="2014-06-09"/>
          <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of medication use Narrative"/>
          <title>Medications</title>
          <text>No Known Medication Information</text>
        </section>
      </component>
      <component>
        <section>
          <templateId root="2.16.840.1.113883.10.20.22.2.5.1" extension="2015-08-01"/>
          <templateId root="2.16.840.1.113883.10.20.22.2.5.1"/>
          <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PROBLEM LIST"/>
          <title>PROBLEMS</title>
          <text ID="Concern_1">
            <content ID="problems1">No known 
              <content ID="problemType1">problems</content>
            </content>
          </text>
          <entry typeCode="DRIV">
            <act classCode="ACT" moodCode="EVN">
              <templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01" />
              <templateId root="2.16.840.1.113883.10.20.22.4.3" />
              <id root="36e3e930-7b14-13db-9fe1-0800200c9a66"/>
              <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
              <text>
                <reference value="#Concern_1"></reference>
              </text>
              <statusCode code="active"/>
              <!-- The concern is not active, in terms of there being an active condition to be managed.-->
              <effectiveTime>
                <low value="20150722"/>
              </effectiveTime>
              <entryRelationship typeCode="SUBJ">
                <observation classCode="OBS" moodCode="EVN" negationInd="true">
                  <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/>
                  <templateId root="2.16.840.1.113883.10.20.22.4.4"/>
                  <id root="4adc1021-7b15-14db-9fe1-0800200c9a67"/>
                  <code code="55607006" displayName="Problem" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96">
                    <translation code="75326-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem"/>
                  </code>
                  <text>
                    <reference value="#problems1"></reference>
                  </text>
                  <statusCode code="completed"/>
                  <effectiveTime>
                    <low value="20150722"/>
                  </effectiveTime>
                  <value xsi:type="CD" code="55607006"
										displayName="Problem"
										codeSystem="2.16.840.1.113883.6.96"
										codeSystemName="SNOMED-CT">
                    <originalText>
                      <reference value="#problems1"></reference>
                    </originalText>
                  </value>
                </observation>
              </entryRelationship>
            </act>
          </entry>
        </section>
      </component>
      <component>
        <section>
          <templateId root="2.16.840.1.113883.10.20.22.2.22.1" extension="2015-08-01"/>
          <templateId root="2.16.840.1.113883.10.20.22.2.22.1"/>
          <code code="46240-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of encounters"/>
          <title>ENCOUNTERS</title>
          <text>
            <table border="1" width="100%">
              <thead>
                <tr>
                  <th>Encounter</th>
                  <th>Location</th>
                  <th>Date</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td ID="Encounter1">Caregiver Annual Health Check</td>
                  <td>Neighborhood Physicians Practice</td>
                  <td>July 22, 2015 2pm EST</td>
                </tr>
              </tbody>
            </table>
          </text>
          <entry typeCode="DRIV">
            <encounter classCode="ENC" moodCode="EVN">
              <templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2015-08-01"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.49"/>
              <id root="2a620155-9d11-449e-92b3-5d9815ff4de8"/>
              <code code="699134002" displayName="Caregiver Annual Health Check" 
									codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96">
                <originalText>
                  <reference value="#Encounter1"/>
                </originalText>
              </code>
              <effectiveTime value="20150722"/>
              <participant typeCode="LOC">
                <participantRole classCode="SDLOC">
                  <templateId root="2.16.840.1.113883.10.20.22.4.32"/>
                  <code code="1160-1" codeSystem="2.16.840.1.113883.6.259" codeSystemName="HL7 HealthcareServiceLocation" displayName="Urgent Care Center"/>
                  <addr>
                    <streetAddressLine>2472 Rocky Place</streetAddressLine>
                    <city>Beaverton</city>
                    <state>OR</state>
                    <postalCode>97006</postalCode>
                    <country>US</country>
                  </addr>
                  <telecom value="tel:+1(555)-555-1002" use="WP"/>
                  <playingEntity classCode="PLC">
                    <name>Neighborhood Physicians Practice</name>
                  </playingEntity>
                </participantRole>
              </participant>
            </encounter>
          </entry>
        </section>
      </component>
      <component>
        <section>
          <templateId root="2.16.840.1.113883.10.20.22.2.2.1" extension="2014-06-09"/>
          <templateId root="2.16.840.1.113883.10.20.22.2.2.1"/>
          <code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunizations"/>
          <title>IMMUNIZATIONS</title>
          <text>No known immunization history</text>
          <entry typeCode="DRIV">
            <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="true">
              <templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
              <id root="de10790f-1496-4729-8fe6-f1b87b6219f7"/>
              <statusCode code="active"/>
              <effectiveTime nullFlavor="NA"/>
              <routeCode nullFlavor="NA"/>
              <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 nullFlavor="OTH">
                      <originalText>Vaccination</originalText>
                      <translation code="71181003" displayName="vaccine"
											codeSystem="2.16.840.1.113883.6.96"
											codeSystemName="SNOMED-CT"/>
                    </code>
                    <lotNumberText nullFlavor="NA"/>
                  </manufacturedMaterial>
                </manufacturedProduct>
              </consumable>
            </substanceAdministration>
          </entry>
        </section>
      </component>
      <component>
        <section>
			<!--
				Vital signs example with oxygen concentration included.
				Note that this is almost identical to the Panel of Vital Signs in Metric Units example[1],
				with the exception that this example contains a demonstration of the Structured Docs
				Workgroup's recommendation for sending oxygen concentration. However, since this
				recommendation generates a schematron warning against CONF:1098-32934, it should be
				considered a weaker recommendation than the example it's based on, and implementers
				who are certain that receivers support some alternate means of structuring O2
				concentration (for instance, by nesting it within an entryRelationship linked to
				SpO2, akin to the approach in FHIR US Core[2]) may choose to send this differently.
				
				[1]: http://cdasearch.hl7.org/examples/view/713669406c546a843ed2b78cfd99080f87834191
				[2]: http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry
			-->
			<templateId root="2.16.840.1.113883.10.20.22.2.4.1"/>
			<templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01"/>
			<code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
				displayName="Vital Signs"/>
			<title>Vital Signs (Last Filed)</title>
			<text>
				<table>
					<thead>
						<tr>
							<th>O2 Concentration</th>
						</tr>
					</thead>
					<tbody>
						<tr>
							<td ID="O2Conc_1">36%</td>
						</tr>
					</tbody>
				</table>
			</text>
			<entry typeCode="DRIV">
				<!-- When a set of vital signs are recorded together, include them in single clustered organizer-->
				<organizer classCode="CLUSTER" moodCode="EVN">
					<templateId root="2.16.840.1.113883.10.20.22.4.26"/>
					<templateId root="2.16.840.1.113883.10.20.22.4.26" extension="2015-08-01"/>
					<id root="e6c800c4-4a71-41bf-80e2-e741dd1168e9"/>
					<code code="46680005" displayName="Vital Signs" codeSystem="2.16.840.1.113883.6.96"
						codeSystemName="SNOMED CT">
						<translation code="74728-7"
							displayName="Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel "
							codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
					</code>
					<statusCode code="completed"/>
					<effectiveTime value="20140520193605-0500"/>
					<!-- Each vital sign should be its own component. Note that systolic and diastolic BP must be separate components-->
					<!-- O2 concentration may be included as a Vital Sign Observation within a separate component. -->
					<component>
						<observation classCode="OBS" moodCode="EVN">
							<templateId root="2.16.840.1.113883.10.20.22.4.27" />
							<templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09" />
							<id root="07b1fa74-eb88-4331-944f-880704ca7467" />
							<!-- Per CONF:1098-32934, the code for a Vital Sign Observation SHOULD be selected
								 from ValueSet Vital Sign Result Type (urn:oid:2.16.840.1.113883.3.88.12.80.62),
								 which does NOT contain the LOINC code 3150-0 (Inhaled oxygen concentration).
								 However, because this template is the most widely supported way to send and
								 receive vitals observations, senders may still choose to send O2 concentration
								 in this way. -->
							<code code="3150-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
								displayName="Inhaled oxygen concentration" />
							<text>
								<reference value="#O2Conc_1" />
							</text>
							<statusCode code="completed" />
							<effectiveTime value="20140520193605-0500" />
							<value xsi:type="PQ" value="36" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" />
						</observation>
					</component>
					<!-- Other components like inhaled oxygen flow rate (3151-8) may also be included similarly to the component above... -->
				</organizer>
			</entry>
		</section>
      </component>
      <component>
        <section>
          <templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01"/>
          <templateId root="2.16.840.1.113883.10.20.22.2.17"/>
          <code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Social History"/>
          <title>SOCIAL HISTORY</title>
          <text>
            <table border="1" width="100%">
              <thead>
                <tr>
                  <th>Social History Observation</th>
                  <th>Description</th>
                  <th>Dates Observed</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td>Sex Assigned At Birth</td>
                  <td>Male</td>
                  <td>August 1, 1980</td>
                </tr>
                <tr>
                  <td>Current Smoking Status</td>
                  <td>Current every day</td>
                  <td>July 22, 2015</td>
                </tr>
              </tbody>
            </table>
          </text>
          <entry>
            <observation classCode="OBS" moodCode="EVN">
              <templateId root="2.16.840.1.113883.10.20.22.4.200" extension="2016-06-01"/>
              <code code="76689-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Sex Assigned At Birth"/>
              <statusCode code="completed"/>
              <effectiveTime value="19800801"/>
              <value code="M" codeSystem="2.16.840.1.113883.5.1" xsi:type="CD" displayName="Male"/>
            </observation>
          </entry>
          <entry typeCode="DRIV">
            <observation classCode="OBS" moodCode="EVN">
              <templateId root="2.16.840.1.113883.10.20.22.4.78" extension="2014-06-09"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.78"/>
              <id extension="123456789" root="2.16.840.1.113883.19"/>
              <code code="72166-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Tobacco smoking status NHIS"/>
              <statusCode code="completed"/>
              <effectiveTime value="20150722"/>
              <value xsi:type="CD" code="449868002" displayName="Current every day smoker" codeSystem="2.16.840.1.113883.6.96"/>
            </observation>
          </entry>
        </section>
      </component>
      <component>
        <section>
          <templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09"/>
          <templateId root="2.16.840.1.113883.10.20.22.2.7.1"/>
          <code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PROCEDURES"/>
          <title>PROCEDURES</title>
          <text>
            <paragraph ID="Proc1">No Procedure information</paragraph>
          </text>
          <entry>
            <procedure classCode="PROC" moodCode="EVN" negationInd="true">
              <templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.14"/>
              <id root="d5b614bd-01ce-410d-8727-e1fd01dcc72a" />
              <code code="71388002" codeSystem="2.16.840.1.113883.6.96"   
								displayName="Procedure">
                <originalText>
                  <reference value="#Proc1" />
                </originalText>
              </code>
              <statusCode code="completed" />
              <effectiveTime nullFlavor="NA" />
              <participant typeCode="DEV">
                <participantRole classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.37"/>
                  <id nullFlavor="NA" root="2.16.840.1.113883.3.3719"/>
                  <playingDevice>
                    <code code="40388003" codeSystem="2.16.840.1.113883.6.96"   
											displayName="Implant"/>
                  </playingDevice>
                  <scopingEntity>
                    <id root="2.16.840.1.113883.3.3719"/>
                  </scopingEntity>
                </participantRole>
              </participant>
            </procedure>
          </entry>
        </section>
      </component>
      <component>
        <section>
          <templateId root="2.16.840.1.113883.10.20.22.2.23" extension="2014-06-09"/>
          <code code="46264-8" codeSystem="2.16.840.1.113883.6.1" />
          <title>MEDICAL EQUIPMENT</title>
          <text>
            <paragraph ID="Proc2">Patient has no history of implantable devices</paragraph>
          </text>
          <entry>
            <procedure classCode="PROC" moodCode="EVN" negationInd="true">
              <templateId root="2.16.840.1.113883.10.20.22.4.14"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/>
              <id root="d5b614bd-01ce-410d-8728-e1fd01dcc72a" />
              <code code="71388002" codeSystem="2.16.840.1.113883.6.96"   
						displayName="Procedure"/>
              <text>
                <reference value="#Proc2"/>
              </text>
              <statusCode code="completed" />
              <effectiveTime nullFlavor="NA" />
              <participant typeCode="DEV">
                <participantRole classCode="MANU">
                  <templateId root="2.16.840.1.113883.10.20.22.4.37"/>
                  <id nullFlavor="NA" root="2.16.840.1.113883.3.3719"/>
                  <playingDevice>
                    <code code="40388003" codeSystem="2.16.840.1.113883.6.96"   
									displayName="Implant"/>
                  </playingDevice>
                  <scopingEntity>
                    <id root="2.16.840.1.113883.3.3719"/>
                  </scopingEntity>
                </participantRole>
              </participant>
            </procedure>
          </entry>
        </section>
      </component>
      <component>
        <section nullFlavor="NI">
          <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" displayName="RESULTS"/>
          <title>RESULTS</title>
          <text>No Lab Test required. No Lab results.</text>
        </section>
      </component>
      <component>
        <section nullFlavor="NI">
          <templateId root="2.16.840.1.113883.10.20.22.2.14" extension="2014-06-09"/>
          <templateId root="2.16.840.1.113883.10.20.22.2.14"/>
          <code code="47420-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Functional Status"/>
          <title>FUNCTIONAL STATUS</title>
          <text>No information</text>
        </section>
      </component>
      <component>
        <section>
          <templateId root="2.16.840.1.113883.10.20.22.2.8"/>
          <code codeSystem="2.16.840.1.113883.6.1" 
						 codeSystemName="LOINC" code="51848-0" 
						 displayName="ASSESSMENTS"/>
          <title>ASSESSMENTS</title>
          <text>The patient was found to be healthy and advised to follow his current routine of exercise, work, sleep and quality of life.</text>
        </section>
      </component>
      <component>
        <section>
          <templateId root="2.16.840.1.113883.10.20.22.2.10" extension="2014-06-09"/>
          <templateId root="2.16.840.1.113883.10.20.22.2.10"/>
          <code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Treatment plan"/>
          <title>TREATMENT PLAN</title>
          <text>
            <content styleCode="Bold"> Hand-off Communication:</content>
            <br/>
            <br/>
            <table border="1" width="100%">
              <thead>
                <tr>
                  <th>Planned Care</th>
                  <th>Start Date</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td>Schedule a visit for next year.</td>
                  <td>July 22, 2016</td>
                </tr>
              </tbody>
            </table>
          </text>
          <entry>
            <encounter classCode="ENC" moodCode="INT">
              <templateId root="2.16.840.1.113883.10.20.22.4.40" extension="2014-06-09" />
              <templateId root="2.16.840.1.113883.10.20.22.4.40"/>
              <id root="1.3.6.1.42424242.4.99930.4.3.4"/>
              <code codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" code="11429006" displayName="consultation"/>
              <statusCode code="active"/>
              <effectiveTime>
                <low value="20160722"/>
              </effectiveTime>
              <performer>
                <assignedEntity>
                  <id root="2.16.840.1.113883.19.5.9999.456" extension="2981823"/>
                  <addr use="WP">
                    <streetAddressLine>2472 Rocky Place</streetAddressLine>
                    <city>Beaverton</city>
                    <state>OR</state>
                    <postalCode>97006</postalCode>
                    <country>US</country>
                  </addr>
                  <telecom value="tel:+1(555)-555-1002" use="WP"/>
                  <representedOrganization>
                    <id extension="99999999" root="2.16.840.1.113883.4.6"/>
                    <name>Neighborhood Physicians Practice</name>
                    <telecom value="tel:+1(555)-555-1002" use="WP"/>
                    <addr use="WP">
                      <streetAddressLine>2472 Rocky Place</streetAddressLine>
                      <city>Beaverton</city>
                      <state>OR</state>
                      <postalCode>97006</postalCode>
                      <country>US</country>
                    </addr>
                  </representedOrganization>
                </assignedEntity>
              </performer>
              <entryRelationship typeCode="RSON">
                <observation classCode="OBS" moodCode="EVN">
                  <templateId root="2.16.840.1.113883.10.20.22.4.19" extension="2014-06-09"/>
                  <templateId root="2.16.840.1.113883.10.20.22.4.19"/>
                  <id root="1.3.6.1.4.1.42424242.4.12354.4.4.4.5.4"/>
                  <code codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" code="185349003" displayName="encounter for 'check-up' (procedure)"/>
                  <text>Schedule a visit for next year.</text>
                  <statusCode code="completed"/>
                  <effectiveTime>
                    <low value="20160722"/>
                  </effectiveTime>
                </observation>
              </entryRelationship>
            </encounter>
          </entry>
        </section>
      </component>
      <component>
        <section nullFlavor="NI">
          <templateId root="2.16.840.1.113883.10.20.22.2.60"/>
          <code code="61146-7" displayName="Goals" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
          <title>Goals Section</title>
          <text>No Goals</text>
        </section>
      </component>
      <component>
        <section nullFlavor="NI">
          <templateId root="2.16.840.1.113883.10.20.22.2.58" extension="2015-08-01"/>
          <code code="75310-3" displayName="Health Concerns Document"
						codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
          <title>Health Concerns</title>
          <text>No Information</text>
        </section>
      </component>
      <component>
        <section nullFlavor="NI">
          <templateId root="2.16.840.1.113883.10.20.22.2.56" extension="2015-08-01" />
          <code code="10190-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MENTAL STATUS" />
          <title>MENTAL STATUS</title>
          <text>No information</text>
        </section>
      </component>
      <component>
        <section nullFlavor="NI">
          <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.1" extension="2014-06-09"/>
          <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.1"/>
          <code code="42349-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Reason for Referral"/>
          <title>REASON FOR REFERRAL</title>
          <text>No Reason for Referral data</text>
        </section>
      </component>
    </structuredBody>
  </component>
</ClinicalDocument>