<?xml version="1.0" encoding="utf-8"?>
<?xml-stylesheet type="text/xsl" href="CDA.xsl"?>
<!--
 Title:        Care Plan
  
 ********************************************************
 Disclaimer: This sample file contains representative data elements to represent a Care Plan. 
 The file depicts a fictional character's health data. Any resemblance to a real person is coincidental. 
 To illustrate as many data elements as possible, the clinical scenario may not be plausible. 
 The data in this sample file is not intended to represent real patients, people or clinical events. 
 This sample is designed to be used in conjunction with the C-CDA Implementation Guide.
 ********************************************************
  -->
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:sdtc="urn:hl7-org:sdtc">
	<!-- ** CDA Header ** -->
	<realmCode code="US"/>
	<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
	<templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2015-08-01"/>
	<templateId root="2.16.840.1.113883.10.20.22.1.15" extension="2015-08-01"/>
	
	<id extension="cp_1" root="2.16.840.1.113883.19.5.99999.1"/>
	
	<code code="52521-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Overall Plan of Care/Advance Care Directives"/>
	<title>Good Health Hospital Care Plan</title>
	<effectiveTime value="201308201120-0800"/>
	<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
	<languageCode code="en-US"/>
	<!-- This document is the second document in the set (see setId for id for the set -->
	<setId root="004bb033-b948-4f4c-b5bf-a8dbd7d8dd40"/>
	<!-- See relatedDocument for the previous version in the set -->
	<versionNumber value="2"/>
	<!-- Patient (recordTarget) -->
	<recordTarget>
		<patientRole>
			<id extension="444222233" root="2.16.840.1.113883.4.1"/>
			<!-- Example Social Security Number using the actual SSN OID. -->
			<addr use="HP">
				<!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 -->
				<streetAddressLine>2222 Home Street</streetAddressLine>
				<city>Beaverton</city>
				<state>OR</state>
				<postalCode>97867</postalCode>
				<country>US</country>
				<!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 -->
			</addr>
			<telecom value="tel:+1(555)555-2003" use="HP"/>
			<!-- HP is "primary home" from HL7 AddressUse 2.16.840.1.113883.5.1119 -->
			<patient>
				<!-- The first name element represents what the patient is known as -->
				<name use="L">
					<given>Eve</given>
					<!-- The "SP" is "Spouse" from HL7 Code System EntityNamePartQualifier 2.16.840.1.113883.5.43 -->
					<family qualifier="SP">Betterhalf</family>
				</name>
				<!-- The second name element represents another name associated with the patient -->
				<name use="SRCH">
					<given>Eve</given>
					<!-- The "BR" is "Birth" from HL7 Code System EntityNamePartQualifier 2.16.840.1.113883.5.43 -->
					<family qualifier="BR">Everywoman</family>
				</name>
				<administrativeGenderCode code="F" displayName="Female" codeSystem="2.16.840.1.113883.5.1" codeSystemName="AdministrativeGender"/>
				<!-- Date of birth need only be precise to the day -->
				<birthTime value="19750501"/>
				<maritalStatusCode code="M" displayName="Married" codeSystem="2.16.840.1.113883.5.2" codeSystemName="MaritalStatusCode"/>
				<religiousAffiliationCode code="1013" displayName="Christian (non-Catholic, non-specific)" codeSystem="2.16.840.1.113883.5.1076" codeSystemName="HL7 Religious Affiliation"/>
				<!-- CDC Race and Ethnicity code set contains the five minimum race and ethnicity categories defined by OMB Standards -->
				<raceCode code="2106-3" displayName="White" codeSystem="2.16.840.1.113883.6.238" codeSystemName="Race &amp; Ethnicity - CDC"/>
				<!-- The raceCode extension is only used if raceCode is valued -->
				<sdtc:raceCode code="2076-8" displayName="Hawaiian or Other Pacific Islander" codeSystem="2.16.840.1.113883.6.238" codeSystemName="Race &amp; Ethnicity - CDC"/>
				<ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino" codeSystem="2.16.840.1.113883.6.238" codeSystemName="Race &amp; Ethnicity - CDC"/>
				<guardian>
					<code code="POWATT" displayName="Power of Attorney" codeSystem="2.16.840.1.113883.5.111" codeSystemName="ResponsibleParty"/>
					<addr use="HP">
						<streetAddressLine>2222 Home Street</streetAddressLine>
						<city>Beaverton</city>
						<state>OR</state>
						<postalCode>97867</postalCode>
						<country>US</country>
					</addr>
					<telecom value="tel:+1(555)555-2008" use="MC"/>
					<guardianPerson>
						<name>
							<given>Boris</given>
							<given qualifier="CL">Bo</given>
							<family>Betterhalf</family>
						</name>
					</guardianPerson>
				</guardian>
				<birthplace>
					<place>
						<addr>
							<streetAddressLine>4444 Home Street</streetAddressLine>
							<city>Beaverton</city>
							<state>OR</state>
							<postalCode>97867</postalCode>
							<country>US</country>
						</addr>
					</place>
				</birthplace>
				<languageCommunication>
					<languageCode code="en"/>
					<!-- "eng" is ISO 639-2 alpha-3 code for "English" -->
					<modeCode code="ESP" displayName="Expressed spoken" codeSystem="2.16.840.1.113883.5.60" codeSystemName="LanguageAbilityMode"/>
					<proficiencyLevelCode code="G" displayName="Good" codeSystem="2.16.840.1.113883.5.61" codeSystemName="LanguageAbilityProficiency"/>
					<!-- Patient's preferred language -->
					<preferenceInd value="true"/>
				</languageCommunication>
			</patient>
			<providerOrganization>
				<id extension="219BX" root="2.16.840.1.113883.4.6"/>
				<name>The DoctorsTogether Physician Group</name>
				<telecom use="WP" value="tel: +1(555)555-5000"/>
				<addr>
					<streetAddressLine>1007 Health Drive</streetAddressLine>
					<city>Portland</city>
					<state>OR</state>
					<postalCode>99123</postalCode>
					<country>US</country>
				</addr>
			</providerOrganization>
		</patientRole>
	</recordTarget>
	<!-- Author -->
	<author>
		<time value="20130730"/>
		<assignedAuthor>
			<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
			<code code="163W00000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)" displayName="Registered nurse"/>
			<addr>
				<streetAddressLine>1004 Healthcare Drive </streetAddressLine>
				<city>Portland</city>
				<state>OR</state>
				<postalCode>99123</postalCode>
				<country>US</country>
			</addr>
			<telecom use="WP" value="tel:+1(555)555-1004"/>
			<assignedPerson>
				<name>
					<given>Nurse</given>
					<family>Nightingale</family>
					<suffix>RN</suffix>
				</name>
			</assignedPerson>
			<representedOrganization>
				<id root="2.16.840.1.113883.19.5"/>
				<name>Good Health Hospital</name>
			</representedOrganization>
		</assignedAuthor>
	</author>
	<!-- Data Enterer -->
	<dataEnterer>
		<assignedEntity>
			<id extension="333777777" root="2.16.840.1.113883.4.6"/>
			<addr>
				<streetAddressLine>1007 Healthcare Drive</streetAddressLine>
				<city>Portland</city>
				<state>OR</state>
				<postalCode>99123</postalCode>
				<country>US</country>
			</addr>
			<telecom use="WP" value="tel:+1(555)-1050"/>
			<assignedPerson>
				<name>
					<given>Ellen</given>
					<family>Enter</family>
				</name>
			</assignedPerson>
		</assignedEntity>
	</dataEnterer>
	<!-- Informant -->
	<informant>
		<assignedEntity>
			<id extension="888888888" root="2.16.840.1.113883.19.5"/>
			<addr>
				<streetAddressLine>1007 Healthcare Drive</streetAddressLine>
				<city>Portland</city>
				<state>OR</state>
				<postalCode>99123</postalCode>
				<country>US</country>
			</addr>
			<telecom use="WP" value="tel:+1(555)-1003"/>
			<assignedPerson>
				<name>
					<given>Harold</given>
					<family>Hippocrates</family>
					<suffix qualifier="AC">D.O.</suffix>
				</name>
			</assignedPerson>
		</assignedEntity>
	</informant>
	<!-- Custodian -->
	<custodian>
		<assignedCustodian>
			<representedCustodianOrganization>
				<id extension="321CX" root="2.16.840.1.113883.4.6"/>
				<name>Good Health HIE</name>
				<telecom use="WP" value="tel:+1(555)555-1009"/>
				<addr use="WP">
					<streetAddressLine>1009 Healthcare Drive </streetAddressLine>
					<city>Portland</city>
					<state>OR</state>
					<postalCode>99123</postalCode>
					<country>US</country>
				</addr>
			</representedCustodianOrganization>
		</assignedCustodian>
	</custodian>
	<informationRecipient>
		<intendedRecipient>
			<!-- Receiving Person Provider Id -->
			<id root="a1cd2b74-c6de-44ee-b552-3adacb7983cc"/>
			<!-- Receiving Medicare/Medicaid Provider Id-->
			<id root="c72f64c2-b1db-444b-bbff-4d2e1d6bd659"/>
			<!-- Receiving Person ID-->
			<id root="fa883fee-b255-4465-8fb5-1d8135e39896"/>
			<!-- Receiving Person Address-->
			<addr>
				<streetAddressLine>100 Better Health Rd.</streetAddressLine>
				<city>Ann Arbor</city>
				<state>MI</state>
				<postalCode>97857</postalCode>
				<country>US</country>
			</addr>
			<informationRecipient>
				<!-- Receiving Person Name-->
				<name>
					<given>Nurse</given>
					<family>Caresalot</family>
					<suffix>RN</suffix>
				</name>
			</informationRecipient>
			<receivedOrganization>
				<!-- Receiving Organization Id-->
				<id root="c4c416a7-aeeb-4dcc-9662-ab836ff4d265"/>
				<!-- Receiving Organization Provider ID (NPI) -->
				<id root="ab47f3c4-1267-4b9e-9a29-e966b5a861c8"/>
				<!-- Receiving Organization Name -->
				<name>Better Health Hospital</name>
				<!-- Receiving Organization Address -->
				<addr>
					<streetAddressLine>100 Better Health Rd.</streetAddressLine>
					<city>Ann Arbor</city>
					<state>MI</state>
					<postalCode>97857</postalCode>
					<country>US</country>
				</addr>
				<!-- Receiving Care Setting Type Description: displayName.  Receiving Care Setting Type Code: code -->
				<standardIndustryClassCode displayName="Long Term Care Hospital" code="282E00000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
			</receivedOrganization>
		</intendedRecipient>
	</informationRecipient>
	<!-- Legal Authenticator -->
	<legalAuthenticator>
		<time value="20130730"/>
		<signatureCode code="S"/>
		<sdtc:signatureText mediaType="text/xml" representation="B64">omSJUEdmde9j44zmMiromSJUEdmde9j44zmMirdMDSsWdIJdksIJR3373jeu83
      6edjzMMIjdMDSsWdIJdksIJR3373jeu83MNYD83jmMdomSJUEdmde9j44zmMir ...
      MNYD83jmMdomSJUEdmde9j44zmMir6edjzMMIjdMDSsWdIJdksIJR3373jeu83
      4zmMir6edjzMMIjdMDSsWdIJdksIJR3373jeu83==</sdtc:signatureText>
		<assignedEntity>
			<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
			<code code="163W00000X" codeSystem="2.16.840.1.113883.6.101" displayName="Registered nurse"/>
			<addr>
				<streetAddressLine>1004 Healthcare Drive </streetAddressLine>
				<city>Portland</city>
				<state>OR</state>
				<postalCode>99123</postalCode>
				<country>US</country>
			</addr>
			<telecom use="WP" value="tel:+1(555)555-1004"/>
			<assignedPerson>
				<name>
					<given>Nurse</given>
					<family>Nightingale</family>
					<suffix>RN</suffix>
				</name>
			</assignedPerson>
			<representedOrganization>
				<id root="2.16.840.1.113883.19.5"/>
				<name>Good Health Hospital</name>
				<!-- the orgnaization id and name -->
			</representedOrganization>
		</assignedEntity>
	</legalAuthenticator>
	<!-- This authenticator represents patient agreement or sign-off of the Care Plan-->
	<authenticator>
		<time value="20130802"/>
		<signatureCode code="S"/>
		<sdtc:signatureText mediaType="text/xml" representation="B64">omSJUEdmde9j44zmMiromSJUEdmde9j44zmMirdMDSsWdIJdksIJR3373jeu83
      6edjzMMIjdMDSsWdIJdksIJR3373jeu83MNYD83jmMdomSJUEdmde9j44zmMir ...
      MNYD83jmMdomSJUEdmde9j44zmMir6edjzMMIjdMDSsWdIJdksIJR3373jeu83
      4zmMir6edjzMMIjdMDSsWdIJdksIJR3373jeu83==</sdtc:signatureText>
		<assignedEntity>
			<id extension="444222222" root="2.16.840.1.113883.4.1"/>
			<code code="ONESELF" displayName="Self" codeSystem="2.16.840.1.113883.5.111" codeSystemName="RoleCode"/>
			<addr use="HP">
				<!-- HP is "primary home" from codeSystem 2.16.840.1.113883.5.1119 -->
				<streetAddressLine>2222 Home Street</streetAddressLine>
				<city>Beaverton</city>
				<state>OR</state>
				<postalCode>97867</postalCode>
				<country>US</country>
				<!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 -->
			</addr>
			<telecom value="tel:+1(555)555-2003" use="HP"/>
			<assignedPerson>
				<name use="L">
					<given>Eve</given>
					<family qualifier="SP">Everywoman</family>
				</name>
			</assignedPerson>
		</assignedEntity>
	</authenticator>
	<!-- This participant identifies individuals who support the patient such as a relative or caregiver -->
	<participant typeCode="IND">
		<!-- Emergency Contact  -->
		<associatedEntity classCode="ECON">
			<addr>
				<streetAddressLine>17 Daws Rd.</streetAddressLine>
				<city>Ann Arbor</city>
				<state>MI</state>
				<postalCode>97857</postalCode>
				<country>US</country>
			</addr>
			<telecom value="tel:(999)555-1212" use="WP"/>
			<associatedPerson>
				<name>
					<prefix>Mrs.</prefix>
					<given>Martha</given>
					<family>Jones</family>
				</name>
			</associatedPerson>
		</associatedEntity>
	</participant>
	<!-- This participant identifies individuals who support the patient such as a relative or caregiver -->
	<participant typeCode="IND">
		<!-- Caregiver -->
		<associatedEntity classCode="CAREGIVER">
			<addr>
				<streetAddressLine>17 Daws Rd.</streetAddressLine>
				<city>Ann Arbor</city>
				<state>MI</state>
				<postalCode>97857</postalCode>
				<country>US</country>
			</addr>
			<telecom value="tel:(999)555-1212" use="WP"/>
			<associatedPerson>
				<name>
					<prefix>Mrs.</prefix>
					<given>Martha</given>
					<family>Jones</family>
				</name>
			</associatedPerson>
		</associatedEntity>
	</participant>
	<documentationOf>
		<serviceEvent classCode="PCPR">
			<effectiveTime>
				<low value="20130720"/>
				<high value="20130815"/>
			</effectiveTime>
			<!-- The performer(s) represents the healthcare providers involved in the current or historical care of the patient.
                The patient’s key healthcare providers would be listed here which would include the primary physician and any 
                active consulting physicians, therapists, counselors, and care team members.  -->
			<performer typeCode="PRF">
				<time value="20130715223615-0800"/>
				<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>1004 Healthcare Drive </streetAddressLine>
						<city>Portland</city>
						<state>OR</state>
						<postalCode>99123</postalCode>
						<country>US</country>
					</addr>
					<telecom use="WP" value="tel:+1(555)-1004"/>
					<assignedPerson>
						<name>
							<given>Patricia</given>
							<given qualifier="CL">Patty</given>
							<family>Primary</family>
							<suffix qualifier="AC">M.D.</suffix>
						</name>
					</assignedPerson>
				</assignedEntity>
			</performer>
		</serviceEvent>
	</documentationOf>
	<!-- The Care Plan is continually evolving and dynamic. The Care Plan CDA instance 
     is NOT dynamic. Each time a Care Plan CDA is generated it represents a snapshot 
     in time of the Care Plan at that moment. Whenever a care provider or patient 
     generates a Care Plan, it should be noted through relatedDocument 
     whether the current Care Plan replaces or appends another Care Plan. 
     The relatedDocumentTypeCode indicates whether the current document is 
     an addendum to the ParentDocument (APND (append)) or the current document 
     is a replacement of the ParentDocument (RPLC (replace)). -->
	<!-- This document is the second in a set - relatedDocument
      describes the parent document-->
	<relatedDocument typeCode="RPLC">
		<parentDocument>
			<id root="223769be-f6ee-4b04-a0ce-b56ae998c880"/>
			<code code="CarePlan-x" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Care Plan"/>
			<setId root="004bb033-b948-4f4c-b5bf-a8dbd7d8dd40"/>
			<versionNumber value="1"/>
		</parentDocument>
	</relatedDocument>
	<componentOf>
		<encompassingEncounter>
			<id extension="9937012" root="2.16.840.1.113883.19"/>
			<code codeSystem="2.16.840.1.113883.5.4" code="IMP" displayName="Inpatient"/>
			<!-- captures that this is an inpatient encounter -->
			<effectiveTime>
				<low value="20130615"/>
				<!-- No high value - this patient is still in hospital -->
			</effectiveTime>
		</encompassingEncounter>
	</componentOf>
	<!-- 
********************************************************
CDA Body
********************************************************
-->
	<component>
		<structuredBody>
			<!-- 
********************************************************
Health Concerns section
********************************************************
-->
			<component>
				<section>
					<!-- Health Concerns Section -->
					<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 Section</title>
					<text>
						<table border="1" width="100%">
							<thead>
								<tr>
									<th>Concern</th>
									<th>Status</th>
									<th>Date</th>
								</tr>
							</thead>
							<tbody>
								<tr>
									<td>Current every day smoker</td>
									<td>Active</td>
									<td>Concern from June 16, 2013</td>
								</tr>
								<tr>
									<td>Respiratory insufficiency</td>
									<td>Completed</td>
									<td>Concern from June 13, 2013</td>
								</tr>
								<tr>
									<td>Pneumonia</td>
									<td>Completed</td>
									<td>June 16, 2013</td>
								</tr>
							</tbody>
						</table>
						<table border="1" width="100%">
							<thead>
								<tr>
									<th>Related observation</th>
									<th>Date</th>
								</tr>
							</thead>
							<tbody>
								<tr>
									<td>Productive cough</td>
									<td>June 15, 2013</td>
								</tr>
							</tbody>
						</table>
						<paragraph styleCode="Bold">Patient priority:</paragraph> high priority <paragraph styleCode="Bold">Provider
              priority:</paragraph> high priority<br/>
						<br/>
						<table border="1" width="100%">
							<thead>
								<tr>
									<th>Risk</th>
									<th>Status</th>
									<th>Effective Date</th>
								</tr>
							</thead>
							<tbody>
								<tr>
									<td>Malignant neoplastic disease</td>
									<td>Active</td>
									<td>June 16, 2013</td>
								</tr>
							</tbody>
						</table>
						<br/>
						<paragraph styleCode="Bold">Patient priority:</paragraph> high priority <paragraph styleCode="Bold">Provider
              priority:</paragraph> high priority<br/>
					</text>
					<entry>
						<!-- Health Concern Act -->
						<act classCode="ACT" moodCode="EVN">
							<templateId root="2.16.840.1.113883.10.20.22.4.132" extension="2015-08-01"/>
							<id root="4eab0e52-dd7d-4285-99eb-72d32ddb195c"/>
							<code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health Concern"/>
							<!-- This Health Concern has a statusCode of active because it is an active concern -->
							<statusCode code="active"/>
							<!-- The effective time is the date that the Health Concern started being followed - 
                                 this does not necessarily correlate to the onset date of the contained health issues-->
							<effectiveTime value="20130616"/>
							<!-- Health Concern: Current every day smoker-->
							<entryRelationship typeCode="REFR">
								<!-- Tobacco Use (V2) -->
								<observation classCode="OBS" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.85" extension="2014-06-09"/>
									<templateId root="2.16.840.1.113883.10.20.22.4.85"/>
									<id root="031b375e-e1aa-4602-9855-f65ec3bbee50"/>
									<code code="11367-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of tobacco use"/>
									<statusCode code="completed"/>
									<effectiveTime>
										<!-- The low value reflects the start date of the current or past tobacco use observation -->
										<low value="20090214"/>
									</effectiveTime>
									<value xsi:type="CD" code="449868002" displayName="Current every day smoker" codeSystem="2.16.840.1.113883.6.96"/>
								</observation>
							</entryRelationship>
							<!-- Health Concern Problem: Respiratory insufficiency -->
							<entryRelationship typeCode="REFR">
								<!-- Problem Observation (V2) -->
								<observation classCode="OBS" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2014-06-09"/>
									<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
									<id root="8dfacd73-1682-4cc4-9351-e54ccea83612"/>
									<code code="75326-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem"/>
									<statusCode code="completed"/>
									<effectiveTime>
										<!-- Onset date of the problem -->
										<low value="20130613"/>
									</effectiveTime>
									<value xsi:type="CD" code="409623005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Respiratory insufficiency"/>
								</observation>
							</entryRelationship>
							<!-- Health Concern Diagnosis: Pneumonia -->
							<entryRelationship typeCode="REFR">
								<!-- Problem Observation (V2) -->
								<observation classCode="OBS" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2014-06-09"/>
									<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
									<id root="8dfacd73-1682-4cc4-9351-e54ccea83612"/>
									<code code="29308-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Diagnosis"/>
									<statusCode code="completed"/>
									<effectiveTime>
										<!-- Date of diagnosis -->
										<low value="20130616"/>
									</effectiveTime>
									<value xsi:type="CD" code="233604007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Pneumonia"/>
									<!--<!-\- This Entry Reference refers to a goal, intervention, actual outcome, 
                                    or some other entry present in the Care Plan that the Health Concern is related to-\->
                                     <entryRelationship typeCode="REFR">
                                        <act classCode="ACT" moodCode="EVN">
                                         <templateId root="2.16.840.1.113883.10.20.22.4.122" />
                                         <!-\- This ID equals the ID of the goal of a pulse ox greater than 92% -\->
                                          <id root="3700b3b0-fbed-11e2-b778-0800200c9a66" />
                                          <!-\- The code is nulled to "NP" Not Present" -\->
                                          <code nullFlavor="NP" />
                                        <statusCode code="completed" />
                                        </act>
                                    </entryRelationship>-->
								</observation>
							</entryRelationship>
							<!-- 
        This is an entry relationship of the SPRT (support) type which shows 
        that the productive cough supports the Health Concern (Problem: Respiratory 
        Insufficiency and Diagnosis: Pneumonia
        This entryRelationship represents the relationship: 
         Health Concern HAS SUPPORT Observation
       -->
							<entryRelationship typeCode="SPRT">
								<!-- Problem Observation (V2) -->
								<observation classCode="OBS" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2014-06-09"/>
									<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
									<id root="01cb0d7a-46e2-4367-b38b-9465ffbf64e3"/>
									<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
									<statusCode code="completed"/>
									<effectiveTime>
										<!-- Onset date -->
										<low value="20130615"/>
									</effectiveTime>
									<value xsi:type="CD" code="28743005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Productive cough"/>
								</observation>
							</entryRelationship>
							<!-- Priority Preference -->
							<entryRelationship typeCode="RSON">
								<!-- Priority Preference - this is the preference that the patient (specified by the Author Participation template)
                  places on the Health Concern -->
								<observation classCode="OBS" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.143"/>
									<id root="a5b64706-9438-4d13-8dcf-651da3ef83bf"/>
									<code code="225773000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Preference"/>
									<value xsi:type="CD" code="394849002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="High priority"/>
									<!--
                    Author Participation Template
                    In this case, the author is the same as the record target (the patient) already described in the header. 
                  -->
									<author>
										<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
										<time value="20130801"/>
										<assignedAuthor>
											<!-- This id points back to the record target in the header -->
											<id extension="444222222" root="2.16.840.1.113883.4.1"/>
										</assignedAuthor>
									</author>
								</observation>
							</entryRelationship>
							<!--  Priority Preference - this is the preference that the provider (specified by the Author Participation template)
                places on the Health Concern -->
							<entryRelationship typeCode="RSON">
								<!--  Priority Preference -->
								<observation classCode="OBS" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.143"/>
									<id root="7d66f448-ba82-4291-a9da-9e5db5e58803"/>
									<code code="225773000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="preference"/>
									<value xsi:type="CD" code="394849002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED" displayName="High priority"/>
									<!--
                    Author Participation Template
                    In this case, the author is the same as a participant already described in the header. 
                    However, the author could be a different provider - someone else in the header, or a new provider not elsewhere specified.
                                    -->
									<author>
										<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
										<time value="20130801"/>
										<assignedAuthor>
											<!-- This id points back to a participant in the header -->
											<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
										</assignedAuthor>
									</author>
								</observation>
							</entryRelationship>
						</act>
					</entry>
					<entry>
						<!-- Risk Concern Act -->
						<act classCode="ACT" moodCode="EVN">
							<templateId root="2.16.840.1.113883.10.20.22.4.136"/>
							<id root="cbcbf20a-d011-449f-87d1-a23cc3e5f7cf"/>
							<code code="281694009" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="At risk for"/>
							<!-- This Health Risk has a statusCode of active because it is an active risk -->
							<statusCode code="active"/>
							<!-- The effective time is the date that the Health Risk started being followed - 
                                  this does not necessarily correlate to the onset date of the contained health issues-->
							<effectiveTime value="20130616"/>
							<!-- Health Risk: Malignant neoplastic disease -->
							<entryRelationship typeCode="REFR">
								<!-- Problem Observation (V2) -->
								<observation classCode="OBS" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2014-06-09"/>
									<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
									<id root="8dfacd73-1682-4cc4-9351-e54ccea83612"/>
									<code code="281694009" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="At risk"/>
									<statusCode code="completed"/>
									<effectiveTime>
										<low value="20130613"/>
									</effectiveTime>
									<value xsi:type="CD" code="409623005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Malignant neoplastic disease"/>
								</observation>
							</entryRelationship>
							<!-- Priority Preference -->
							<entryRelationship typeCode="RSON">
								<!-- Priority Preference - this is the preference that the patient (specified by the Author Participation template)
                  places on the Health Risk -->
								<observation classCode="OBS" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.143"/>
									<id root="a5b64706-9438-4d13-8dcf-651da3ef83bf"/>
									<code code="225773000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Preference"/>
									<value xsi:type="CD" code="394849002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="High priority"/>
									<!--
                    Author Participation Template
                    In this case, the author is the same as the record target (the patient) already described in the header. 
                  -->
									<author>
										<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
										<time value="20130801"/>
										<assignedAuthor>
											<!-- This id points back to the record target in the header -->
											<id extension="444222222" root="2.16.840.1.113883.4.1"/>
										</assignedAuthor>
									</author>
								</observation>
							</entryRelationship>
							<!--  Priority Preference - this is the preference that the provider (specified by the Author Participation template)
                places on the Health Risk -->
							<entryRelationship typeCode="RSON">
								<!--  Priority Preference -->
								<observation classCode="OBS" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.143"/>
									<id root="7d66f448-ba82-4291-a9da-9e5db5e58803"/>
									<code code="225773000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="preference"/>
									<value xsi:type="CD" code="394849002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED" displayName="High priority"/>
									<!--
                    Author Participation Template
                    In this case, the author is the same as a participant already described in the header. 
                    However, the author could be a different provider - someone else in the header, or a new provider not elsewhere specified.
                                    -->
									<author>
										<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
										<time value="20130801"/>
										<assignedAuthor>
											<!-- This id points back to a participant in the header -->
											<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
										</assignedAuthor>
									</author>
								</observation>
							</entryRelationship>
							<!-- 
                 This entryRelationship represents the relationship "Health Risk REFERS TO Health Concern"
                            -->
							<entryRelationship typeCode="REFR">
								<!-- Entry Reference Concern Act -->
								<act classCode="ACT" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.122"/>
									<!-- This id points to an already defined Health Concern -->
									<id root="4eab0e52-dd7d-4285-99eb-72d32ddb195c"/>
									<code nullFlavor="NP"/>
									<statusCode code="completed"/>
								</act>
							</entryRelationship>
						</act>
					</entry>
				</section>
			</component>
			<!-- 
                ********************************************************
                Goals Section
                ********************************************************
            -->
			<component>
				<section>
					<!-- Goals Section -->
					<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>
						<table border="1" width="100%">
							<thead>
								<tr>
									<th>Goal</th>
									<th>Value</th>
									<th>Date</th>
								</tr>
							</thead>
							<tbody>
								<tr>
									<td>Pulse oximetry</td>
									<td>92%</td>
									<td>September 2, 2013</td>
								</tr>
							</tbody>
						</table>
						<paragraph styleCode="Bold">Patient priority:</paragraph> high priority <paragraph styleCode="Bold">Provider
              priority:</paragraph> high priority<br/>
					</text>
					<entry>
						<!-- Goal Observation -->
						<!-- This is an observation about the expected outcome of a pulse ox reading of 92 or greater. -->
						<observation classCode="OBS" moodCode="GOL">
							<!-- Goal Observation -->
							<templateId root="2.16.840.1.113883.10.20.22.4.121"/>
							<id root="3700b3b0-fbed-11e2-b778-0800200c9a66"/>
							<code code="44616-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Pulse oximetry panel"/>
							<statusCode code="active"/>
							<effectiveTime value="20130902"/>
							<value xsi:type="IVL_PQ">
								<low value="92" unit="%"/>
							</value>
							<!--
                  If the author is set to the recordTarget (patient), this is a patient goal.  
                  If the author is set to a provider, this is a provider goal. 
                  If both patient and provider are set as authors, this is a negotiated goal.
              -->
							<!-- Provider Author -->
							<author>
								<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
								<time value="20130730"/>
								<assignedAuthor>
									<id root="d839038b-7171-4165-a760-467925b43857"/>
									<code code="163W00000X" displayName="Registered nurse" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
									<assignedPerson>
										<name>
											<given>Nurse</given>
											<family>Florence</family>
											<suffix>RN</suffix>
										</name>
									</assignedPerson>
								</assignedAuthor>
							</author>
							<!-- Patient Author -->
							<author typeCode="AUT">
								<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
								<time/>
								<assignedAuthor>
									<!-- This id can point back to the record target already described in the CDA header (or someone else can be described here) -->
									<!-- This particlar example points back to the record target -->
									<id extension="996-756-495" root="2.16.840.1.113883.19.5"/>
								</assignedAuthor>
							</author>
							<!-- This entryRelationship represents the relationship "Goal REFERS TO Health Concern" -->
							<entryRelationship typeCode="REFR">
								<!-- Entry Reference Concern Act -->
								<act classCode="ACT" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.122"/>
									<!-- This id points to an already defined Health Concern in the Health Concerns Section -->
									<id root="4eab0e52-dd7d-4285-99eb-72d32ddb195c"/>
									<code nullFlavor="NP"/>
									<statusCode code="completed"/>
								</act>
							</entryRelationship>
							<!-- Priority Preference -->
							<entryRelationship typeCode="RSON">
								<!-- Priority Preference - this is the preference that the patient (specified by the Author Participation template)
                  places on the Goal -->
								<observation classCode="OBS" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.143"/>
									<id root="a5b64706-9438-4d13-8dcf-651da3ef83bf"/>
									<code code="225773000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Preference"/>
									<value xsi:type="CD" code="394849002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="High priority"/>
									<!--
                    Author Participation Template
                    In this case, the author is the same as the record target (the patient) already described in the header. 
                  -->
									<author>
										<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
										<time value="20130801"/>
										<assignedAuthor>
											<!-- This id points back to the record target in the header -->
											<id extension="444222222" root="2.16.840.1.113883.4.1"/>
										</assignedAuthor>
									</author>
								</observation>
							</entryRelationship>
							<!--  Priority Preference - this is the preference that the provider (specified by the Author Participation template)
                places on the Goal -->
							<entryRelationship typeCode="RSON">
								<!--  Priority Preference -->
								<observation classCode="OBS" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.143"/>
									<id root="7d66f448-ba82-4291-a9da-9e5db5e58803"/>
									<code code="225773000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="preference"/>
									<value xsi:type="CD" code="394849002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED" displayName="High priority"/>
									<!--
                    Author Participation Template
                    In this case, the author is the same as a participant already described in the header. 
                    However, the author could be a different provider - someone else in the header, or a new provider not elsewhere specified.
                                    -->
									<author>
										<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
										<time value="20130801"/>
										<assignedAuthor>
											<!-- This id points back to a participant in the header -->
											<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
										</assignedAuthor>
									</author>
								</observation>
							</entryRelationship>
						</observation>
					</entry>
				</section>
			</component>
			<!-- 
********************************************************
Interventions Section
********************************************************
-->
			<component>
				<section>
					<!-- Interventions Section (V2) -->
					<templateId root="2.16.840.1.113883.10.20.21.2.3" extension="2015-08-01"/>
					<templateId root="2.16.840.1.113883.10.20.21.2.3"/>
					<code code="62387-6" displayName="Interventions Provided" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
					<title>Interventions Section</title>
					<text>
						<table border="1" width="100%">
							<thead>
								<tr>
									<th>Planned Intervention</th>
									<th>Status</th>
									<th>Date</th>
								</tr>
							</thead>
							<tbody>
								<tr>
									<td>Elevate head of bed</td>
									<td>active</td>
									<td>September 2, 2013</td>
								</tr>
								<tr>
									<td>Oxygen administration by nasal cannula</td>
									<td>active</td>
									<td>September 1, 2013</td>
								</tr>
								<tr>
									<td>pulse oximetry monitoring</td>
									<td>active</td>
									<td>September 3, 2013</td>
								</tr>
							</tbody>
						</table>
						<table border="1" width="100%">
							<thead>
								<tr>
									<th>Completed Intervention</th>
									<th>Status</th>
									<th>Date</th>
								</tr>
							</thead>
							<tbody>
								<tr>
									<td>Elevate head of bed</td>
									<td>completed</td>
									<td>August 1, 2013</td>
								</tr>
							</tbody>
						</table>
					</text>
					<entry>
						<!-- This entry shows an act in intent mood 
                 (planned intervention -  meaning this is intended to be done), 
                  with the reason "RSN" for the act 
                  being the already defined Goal (pulse ox reading > 92) 
                  The intervention contains relationships to different components of the intervention. -->
						<!-- Planned Intervention Act -->
						<act classCode="ACT" moodCode="INT">
							<templateId root="2.16.840.1.113883.10.20.22.4.146"/>
							<id root="85fa4b62-e3a9-4385-b064-fe04cca35adb"/>
							<code code="362956003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Intervention"/>
							<statusCode code="active"/>
							<entryRelationship typeCode="REFR">
								<!-- The following planned act is one part of the intervention - "Elevate head of bed" -->
								<!-- Planned Act (V2) -->
								<act classCode="ACT" moodCode="INT">
									<templateId root="2.16.840.1.113883.10.20.22.4.39" extension="2014-06-09"/>
									<templateId root="2.16.840.1.113883.10.20.22.4.39"/>
									<id root="7658963e-54da-496f-bf18-dea1dddaa3b0"/>
									<code code="423171007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Elevate head of bed"/>
									<statusCode code="active"/>
									<effectiveTime value="20130902"/>
									<!-- Author Participation Template: 
                    In this case, the author is the same as a participant already described in the header.
                    However, the author could be a different provider - someone else in the header, or a new provider not elsewhere specified.
                 -->
									<author typeCode="AUT">
										<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
										<time value="20130901"/>
										<assignedAuthor>
											<!-- This id points back to a participant in the header -->
											<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
										</assignedAuthor>
									</author>
									<entryRelationship typeCode="COMP">
										<!-- Planned Coverage -->
										<act classCode="ACT" moodCode="INT">
											<templateId root="2.16.840.1.113883.10.20.22.4.129"/>
											<id root="03f5e10b-7e79-4610-9626-d2984ff10cc1"/>
											<code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment Sources"/>
											<statusCode code="active"/>
											<entryRelationship typeCode="COMP">
												<act classCode="ACT" moodCode="INT">
													<!-- These act/identifiers are unique identifiers for the policy or program providing the coverage. -->
													<id root="4c9a3be1-5f09-46dd-88e7-14c8ec612e4c"/>
													<code code="111" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="Source of Payment Typology Health Insurance Type Code List" displayName="Medicare HMO"/>
													<statusCode code="active"/>
												</act>
											</entryRelationship>
										</act>
									</entryRelationship>
								</act>
							</entryRelationship>
							<entryRelationship typeCode="REFR">
								<!-- The following procedure is one part of the intervention -  "Oxygen administration by nasal cannula" -->
								<!-- Planned Procedure (V2) -->
								<procedure classCode="PROC" moodCode="INT">
									<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="6a560f3d-88fd-4292-9415-f9371adaec46"/>
									<code code="371907003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Oxygen administration by nasal cannula"/>
									<statusCode code="active"/>
									<!-- The effectiveTime in a planned procedure represents the time that the procedure should occur. -->
									<effectiveTime value="20130901"/>
									<!--  Author Participation Template
                        In this case, the author is the same as a participant already described in the header.
                        However, the author could be a different provider - someone else in the header, or a new provider not elsewhere specified.
                  -->
									<author typeCode="AUT">
										<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
										<time value="20130801"/>
										<assignedAuthor>
											<!-- This id points back to a participant in the header -->
											<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
										</assignedAuthor>
									</author>
									<entryRelationship typeCode="COMP">
										<!-- Planned Coverage -->
										<act classCode="ACT" moodCode="INT">
											<templateId root="2.16.840.1.113883.10.20.22.4.129"/>
											<id root="03f5e10b-7e79-4610-9626-d2984ff10cc1"/>
											<code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment Sources"/>
											<statusCode code="active"/>
											<entryRelationship typeCode="COMP">
												<act classCode="ACT" moodCode="INT">
													<!-- These act/identifiers are unique identifiers for the policy or program providing the coverage. -->
													<id root="4c9a3be1-5f09-46dd-88e7-14c8ec612e4c"/>
													<code code="111" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="Source of Payment Typology Health Insurance Type Code List" displayName="Medicare HMO"/>
													<statusCode code="active"/>
												</act>
											</entryRelationship>
										</act>
									</entryRelationship>
								</procedure>
							</entryRelationship>
							<entryRelationship typeCode="REFR">
								<!-- The following observation is one part of the intervention - "pulse oximetry monitoring" -->
								<!-- Planned Observation (V2) -->
								<observation classCode="OBS" moodCode="INT">
									<templateId root="2.16.840.1.113883.10.20.22.4.44" extension="2014-06-09"/>
									<templateId root="2.16.840.1.113883.10.20.22.4.44"/>
									<id root="b52bee94-c34b-4e2c-8c15-5ad9d6def205"/>
									<code code="71850-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Oxygen saturation [Pure mass fraction] in Capillary blood by Oximetry"/>
									<statusCode code="active"/>
									<!-- The effectiveTime in a planned observation represents the time that the observation should occur. -->
									<effectiveTime value="20130903"/>
									<!-- Author Participation Template
                      In this case, the author is the same as a participant already described in the header.
                      However, the author could be a different provider - someone else in the header, or a new provider not elsewhere specified. -->
									<author typeCode="AUT">
										<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
										<time value="20130801"/>
										<assignedAuthor>
											<!-- This id points back to a participant in the header -->
											<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
										</assignedAuthor>
									</author>
									<entryRelationship typeCode="COMP">
										<!-- Planned Coverage -->
										<act classCode="ACT" moodCode="INT">
											<templateId root="2.16.840.1.113883.10.20.22.4.129"/>
											<id root="03f5e10b-7e79-4610-9626-d2984ff10cc1"/>
											<code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment Sources"/>
											<statusCode code="active"/>
											<entryRelationship typeCode="COMP">
												<act classCode="ACT" moodCode="INT">
													<!-- These act/identifiers are unique identifiers for the policy or program providing the coverage. -->
													<id root="4c9a3be1-5f09-46dd-88e7-14c8ec612e4c"/>
													<code code="111" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="Source of Payment Typology Health Insurance Type Code List" displayName="Medicare HMO"/>
													<statusCode code="active"/>
												</act>
											</entryRelationship>
										</act>
									</entryRelationship>
								</observation>
							</entryRelationship>
							<!-- This entryRelationship represents the relationship between an Intervention Act and a Goal Observation (Intervention HAS REASON Goal). 
                   The Entry Reference template is being used here as this Goal is defined elsewhere in the CDA document -->
							<entryRelationship typeCode="RSON">
								<!-- Entry Reference template -->
								<act classCode="ACT" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.122"/>
									<!-- This id points to an already defined Goal (pulse ox reading > 92) in the Goals Section -->
									<id root="3700b3b0-fbed-11e2-b778-0800200c9a66"/>
									<code nullFlavor="NP"/>
									<statusCode code="completed"/>
								</act>
							</entryRelationship>
							<!-- An Intervention Act SHALL reference a Goal Observation. Because the Goal Observation is already described in the 
                CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, -->
							<entryRelationship typeCode="GEVL">
								<!-- Entry Reference template -->
								<act classCode="ACT" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.122"/>
									<!-- This id points back to an already defined Goal(pulse ox reading > 92) in the Goals Section -->
									<id root="3700b3b0-fbed-11e2-b778-0800200c9a66"/>
									<code nullFlavor="NP"/>
									<statusCode code="completed"/>
								</act>
							</entryRelationship>
							<entryRelationship typeCode="REFR">
								<act classCode="ACT" moodCode="EVN">
									<!-- Handoff Communication template - This template represents provider hand-off communication.  -->
									<templateId root="2.16.840.1.113883.10.20.22.4.141"/>
									<code code="432138007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="handoff communication (procedure)"/>
									<statusCode code="completed"/>
									<effectiveTime value="20130712"/>
									<author typeCode="AUT">
										<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
										<time value="20130731"/>
										<assignedAuthor>
											<id root="d839038b-7171-4165-a760-467925b43857"/>
											<code code="163W00000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)" displayName="Registered nurse"/>
											<assignedPerson>
												<name>
													<given>Nurse</given>
													<family>Florence</family>
													<suffix>RN</suffix>
												</name>
											</assignedPerson>
										</assignedAuthor>
									</author>
									<participant typeCode="IRCP">
										<participantRole>
											<id extension="1138345" root="2.16.840.1.113883.19"/>
											<code code="163W00000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC Health Care Provider Taxonomy" displayName="Registered Nurse"/>
											<addr>
												<streetAddressLine>1006 Health Drive</streetAddressLine>
												<city>Ann Arbor</city>
												<state>MI</state>
												<postalCode>97867</postalCode>
												<country>US</country>
											</addr>
											<telecom value="tel:+1(555)555-1014" use="WP"/>
											<playingEntity>
												<name>
													<family>Nancy</family>
													<given>Nightingale</given>
													<suffix>RN</suffix>
												</name>
											</playingEntity>
										</participantRole>
									</participant>
								</act>
							</entryRelationship>
						</act>
					</entry>
					<!-- This entryRelationship represents an intervention that has already taken place -->
					<entry>
						<!-- Intervention Act -->
						<act classCode="ACT" moodCode="EVN">
							<templateId root="2.16.840.1.113883.10.20.22.4.131"/>
							<id root="b3c091b3-f9a4-41e4-a8e4-2d1b11f2eb22"/>
							<code code="362956003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Intervention"/>
							<statusCode code="completed"/>
							<entryRelationship typeCode="REFR">
								<!-- The following act is one part of the intervtion - "Elevate head of bed" -->
								<!-- Procedure Activity Act (V2) -->
								<act classCode="ACT" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.12" extension="2014-06-09"/>
									<templateId root="2.16.840.1.113883.10.20.22.4.12"/>
									<id root="7658963e-54da-496f-bf18-dea1dddaa3b0"/>
									<code code="423171007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Elevate head of bed"/>
									<statusCode code="completed"/>
									<!-- When this act took place -->
									<effectiveTime value="20130801"/>
								</act>
							</entryRelationship>
							<!-- This entryRelationship represents the relationship between an Intervention Act and a Goal Observation (Intervention HAS REASON Goal). -->
							<entryRelationship typeCode="RSON">
								<!-- Entry Reference template -->
								<act classCode="ACT" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.122"/>
									<!-- This id points back to an already defined Goal (pulse ox reading > 92) in the Goals Section -->
									<id root="3700b3b0-fbed-11e2-b778-0800200c9a66"/>
									<code nullFlavor="NP"/>
									<statusCode code="completed"/>
								</act>
							</entryRelationship>
							<!-- This entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).-->
							<!-- This intervention it is pointing to an elsewhere defined planned intervention -->
							<entryRelationship typeCode="REFR">
								<!-- Entry Reference template -->
								<act classCode="ACT" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.122"/>
									<!-- This id points to an already defined Intervention -->
									<id root="3700b3b0-fbed-11e2-b778-0800200c9a66"/>
									<code nullFlavor="NP"/>
									<statusCode code="completed"/>
								</act>
							</entryRelationship>
							<entryRelationship typeCode="GEVL">
								<!-- Entry Reference template -->
								<act classCode="ACT" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.122"/>
									<!-- This id points back to an already defined Goal 
                                        (pulse ox reading > 92) in the Goals Section -->
									<id root="3700b3b0-fbed-11e2-b778-0800200c9a66"/>
									<code nullFlavor="NP"/>
									<statusCode code="completed"/>
								</act>
							</entryRelationship>
							<entryRelationship typeCode="REFR">
								<act classCode="ACT" moodCode="EVN">
									<!-- Handoff Communication template - This template represents provider hand-off communication.  -->
									<templateId root="2.16.840.1.113883.10.20.22.4.141"/>
									<code code="432138007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="handoff communication (procedure)"/>
									<statusCode code="completed"/>
									<effectiveTime value="20130712"/>
									<author typeCode="AUT">
										<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
										<time value="20130731"/>
										<assignedAuthor>
											<id root="d839038b-7171-4165-a760-467925b43857"/>
											<code code="163W00000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)" displayName="Registered nurse"/>
											<assignedPerson>
												<name>
													<given>Nurse</given>
													<family>Florence</family>
													<suffix>RN</suffix>
												</name>
											</assignedPerson>
										</assignedAuthor>
									</author>
									<participant typeCode="IRCP">
										<participantRole>
											<id extension="1138345" root="2.16.840.1.113883.19"/>
											<code code="163W00000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC Health Care Provider Taxonomy" displayName="Registered Nurse"/>
											<addr>
												<streetAddressLine>1006 Health Drive</streetAddressLine>
												<city>Ann Arbor</city>
												<state>MI</state>
												<postalCode>97867</postalCode>
												<country>US</country>
											</addr>
											<telecom value="tel:+1(555)555-1014" use="WP"/>
											<playingEntity>
												<name>
													<family>Nancy</family>
													<given>Nightingale</given>
													<suffix>RN</suffix>
												</name>
											</playingEntity>
										</participantRole>
									</participant>
								</act>
							</entryRelationship>
						</act>
					</entry>
				</section>
			</component>
			<!-- 
  ********************************************************
  Health Status Evaluations/Outcomes Section
  ********************************************************
-->
			<component>
				<section>
					<!-- Health Status Evaluations/Outcomes Section  -->
					<templateId root="2.16.840.1.113883.10.20.22.2.61"/>
					<code code="11383-7" displayName="Patient Problem Outcome" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
					<title>Health Status Evaluations/Outcomes Section</title>
					<text>
						<table border="1" width="100%">
							<thead>
								<tr>
									<th>Item</th>
									<th>Outcome</th>
									<th>Date</th>
								</tr>
							</thead>
							<tbody>
								<tr>
									<td>Pulse oximetry</td>
									<td>95%</td>
									<td>August 6, 2013</td>
								</tr>
							</tbody>
						</table>
					</text>
					<entry>
						<!-- Outcome Observation -->
						<observation classCode="OBS" moodCode="EVN">
							<templateId root="2.16.840.1.113883.10.20.22.4.144"/>
							<id root="0aaaa123-24e2-46b3-9d49-6b753c712dec"/>
							<code code="44616-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Pulse oximetry panel"/>
							<statusCode code="completed"/>
							<effectiveTime value="20130806"/>
							<value xsi:type="PQ" value="95" unit="%"/>
							<author>
								<time value="20130806"/>
								<!-- This author points to the author in the header of the document -->
								<assignedAuthor>
									<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
								</assignedAuthor>
							</author>
							<!-- This Outcome Observation HAS REASON Intervention -->
							<entryRelationship typeCode="RSON">
								<!-- Entry Reference template -->
								<act classCode="ACT" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.122"/>
									<!-- This id points back to an already defined Intervention in the Interventions Section -->
									<id root="b3c091b3-f9a4-41e4-a8e4-2d1b11f2eb22"/>
									<code nullFlavor="NP"/>
									<statusCode code="completed"/>
								</act>
							</entryRelationship>
							<!-- This Outcome Observation EVALUATES a Goal (Pulse ox reading of 95 evaluates the goal of Pulse ox reading > 92)-->
							<entryRelationship typeCode="GEVL">
								<!-- Entry Reference template -->
								<act classCode="ACT" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.122"/>
									<!-- This id points back to an already defined Goal 
                                        (pulse ox reading > 92) in the Goals Section -->
									<id root="3700b3b0-fbed-11e2-b778-0800200c9a66"/>
									<code nullFlavor="NP"/>
									<statusCode code="completed"/>
								</act>
							</entryRelationship>
							<!-- This Outcome Observation SUPPORTS the Progress Toward Goal Observation -->
							<entryRelationship typeCode="SPRT" inversionInd="true">
								<!-- Progress Toward Goal Observation template -->
								<observation classCode="OBS" moodCode="EVN">
									<templateId root="2.16.840.1.113883.10.20.22.4.110"/>
									<id root="2afcf057-aae4-47cf-bfee-b7498e300424"/>
									<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
									<statusCode code="completed"/>
									<value xsi:type="CD" code="390802008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Goal achieved"/>
								</observation>
							</entryRelationship>
						</observation>
					</entry>
				</section>
			</component>
		</structuredBody>
	</component>
</ClinicalDocument>
