﻿<?xml version="1.0"?>
<?xml-stylesheet type="text/xsl" href="CDA.xsl"?>
<!--
    This is the proposed Referral note for the joint implementation venture with the Catharina Hospital Eindhoven. The header
    of the document contains information about the document itself (like id, creation time), the patient referred, the author of the document
    and also its intended recipient. The body consists of five sections, namely the Reason for Referral, the Medication, the Allergies, the Vital Trends
    and the Labs. The first three contain only literal text, while the last two are made up of both literal text and structured elements.
    The coding of the medical concepts has been done according to the LOINC vocabulary, the Units are coded based on UCUM. The
    patient is identified based on his BSN and the clinicians based on their Vectis AGB identification.
    
    Creation date: 04 June 2007.
	Updated on: 14 June 2007. 
    Author: Charalampos Xanthopoulakis
    Reviewer: Alexander Henket, E.Novation LifeLine Networks bv

	Babis integrated the comments of Alexander Henket on Thursday 14 June 2007
-->
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
    xsi:schemaLocation="urn:hl7-org:v3 cdar2-2005/schemas/CDA.xsd" xmlns="urn:hl7-org:v3"
    xmlns:voc="urn:hl7-org:v3/voc" classCode="DOCCLIN" moodCode="EVN">
    <!-- 
********************************************************
  CDA Header
********************************************************
-->
    <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
    <templateId root="2.16.840.1.113883.3.27.1776"/>
    <!-- How can we uniquely identify the document? Create a new  OID or use an existing? -->
    <id extension="c266" root="2.16.840.1.113883.19.4"/>
    <code code="34140-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
        displayName="Transfer of care referral note"/>
    <title>Philips Motiva Patient Verwijsbrief</title>
    <!-- The creation time of the document -->
    <effectiveTime value="20070604"/>
    <!-- Confidentiality Normal-->
    <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
    <languageCode code="nl"/>
    <!-- No idea what this is for -->
    <setId extension="BB35" root="2.16.840.1.113883.19.7"/>
    <versionNumber value="1"/>
    <!-- The patient and the provider oranization -->
    <recordTarget typeCode="RCT" contextControlCode="OP">
        <patientRole>
            <!-- Patients are identified based on their BSN. The BSN value is hypothetical.-->
            <id extension="256326654" root="2.16.840.1.113883.2.4.6.3" assigningAuthorityName="BSN"/>
            <addr use="HP">
                <!-- The home address -->
                <streetName partType="STR">Dommelstraat</streetName>
                <houseNumber partType="BNR">22</houseNumber>
                <postalCode partType="ZIP">5612 RV</postalCode>
                <city partType="CTY">Eindhoven</city>
                <country partType="CNT">Nederland</country>
            </addr>
            <!-- The home telephone number -->
            <telecom use="HP" value="tel:+31409968379"/>
            <patient>
                <!-- The legal name of the patient -->
                <name use="L">
                    <!-- The initial (first) name -->
                    <given qualifier="IN">Nelleke</given>
                    <!-- Voorvoegsels -->
                    <prefix qualifier="VV">van der </prefix>
                    <!-- The family name given during birth -->
                    <family qualifier="BR">Wiel</family>
                </name>
                <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"/>
                <!-- Female gender -->
                <birthTime value="19400324"/>
                <!-- Date of birth: March, 24, 1940 -->
            </patient>
            <providerOrganization>
                <!-- The id is hypothetical. The root refers to Vectis AGB-Z-->
                <id extension="00000123" root="2.16.840.1.113883.2.4.6.1"
                    assigningAuthorityName="Vektis AGB-Z"/>
                <!-- The phone at working place -->
                <telecom use="WP" value="tel:+31208958869"/>
                <addr use="WP">
                    <!-- The address of the hypothetical institution -->
                    <streetName partType="STR">Prinsengracht</streetName>
                    <houseNumber partType="BNR">22</houseNumber>
                    <postalCode partType="ZIP">1000 PJ</postalCode>
                    <city partType="CTY">Amsterdam</city>
                    <country partType="CNT">Nederland</country>
                </addr>
            </providerOrganization>
        </patientRole>
    </recordTarget>
    <author typeCode="AUT" contextControlCode="OP">
        <time value="20070604"/>
        <!-- The same TS as in ClinicalDocument/effectiveTime -->
        <assignedAuthor>
            <!-- The Vectis AGB-Z code for the author of the note - id is hypothetical -->
            <id extension="001040987" root="2.16.840.1.113883.2.4.6.1"
                assigningAuthorityName="Vektis AGB-Z"/>
            <addr use="WP">
                <!-- The address of the hypothetical institution -->
                <streetName partType="STR">Prinsengracht</streetName>
                <houseNumber partType="BNR">22</houseNumber>
                <postalCode partType="ZIP">1000 PJ</postalCode>
                <city partType="CTY">Amsterdam</city>
                <country partType="CNT">Nederland</country>
            </addr>
            <telecom use="WP" value="tel:0031208958869"/>
            <assignedPerson>
                <name use="L">
                    <given qualifier="IN">Maggy</given>
                    <prefix qualifier="VV">van de </prefix>
                    <family qualifier="BR">Bos</family>
                </name>
            </assignedPerson>
            <representedOrganization>
                <!-- is actually the provider organization of the patient -->
                <!-- The id is hypothetical. The root refers to Vectis AGB-Z-->
                <id extension="00000123" root="2.16.840.1.113883.2.4.6.1"
                    assigningAuthorityName="Vektis AGB-Z"/>
                <name>Noord Holland Gezondheid Centrum</name>
                <!-- The phone at working place -->
                <telecom use="WP" value="tel:+31208958869"/>
                <addr use="WP">
                    <!-- The address of the hypothetical institution -->
                    <streetName partType="STR">Prinsengracht</streetName>
                    <houseNumber partType="BNR">22</houseNumber>
                    <postalCode partType="ZIP">1000 PJ</postalCode>
                    <city partType="CTY">Amsterdam</city>
                    <country partType="CNT">Nederland</country>
                </addr>
            </representedOrganization>
        </assignedAuthor>
    </author>
    <custodian  typeCode="CST">
        <assignedCustodian>
            <representedCustodianOrganization>
                <!-- is actually the same with the patient provider organization and the represented organization -->
                <!-- The id is hypothetical. The root refers to Philips-->
                <id extension="00000123" root="2.16.840.1.113883.2.4.6.1"
                    assigningAuthorityName="Vektis AGB-Z"/>
                <name>Noord Holland Gezondheid Centrum</name>
                <!-- The phone at working place -->
                <telecom use="WP" value="tel:0031208958869"/>
                <addr use="WP">
                    <!-- The address of the hypothetical institution -->
                    <streetName partType="STR">Prinsengracht</streetName>
                    <houseNumber partType="BNR">22</houseNumber>
                    <postalCode partType="ZIP">1000 PJ</postalCode>
                    <city partType="CTY">Amsterdam</city>
                    <country partType="CNT">Nederland</country>
                </addr>
            </representedCustodianOrganization>
        </assignedCustodian>
    </custodian>
    <informationRecipient>
        <intendedRecipient>
            <!-- The intended recipient of the Referral note -->
            <id extension="03020547" root="2.16.840.1.113883.2.4.6.1"
                assigningAuthorityName="Vektis AGB-Z"/>
            <informationRecipient>
                <name use="L">
                    <prefix qualifier="AC">Dr.</prefix>
                    <given qualifier="IN">J</given>
                    <prefix qualifier="VV">J. </prefix>
                    <family qualifier="BR">Koolen</family>
                </name>
            </informationRecipient>
            <receivedOrganization>
                <!-- This is the Catharina Ziekenhuis identification -->
                <id extension="06011009" root="2.16.840.1.113883.2.4.6.1"
                    assigningAuthorityName="Vektis AGB-Z"/>
                <name>CATHARINA ZIEKENHUIS</name>
                <telecom use="WP" value="tel:+310402399111"/>
                <addr use="WP">
                    <streetName partType="STR">Postbus</streetName>
                    <houseNumber partType="BNR">1350</houseNumber>
                    <postalCode partType="ZIP">5602 ZA</postalCode>
                    <city partType="CTY">Eindhoven</city>
                    <country partType="CNT">Nederland</country>
                </addr>
            </receivedOrganization>
        </intendedRecipient>
    </informationRecipient>
    <legalAuthenticator>
        <time value="20070604"/>
        <signatureCode code="S"/>
        <assignedEntity>
            <!-- The Vectis AGB-Z code for the author of the note - id is hypothetical -->
            <id extension="001040987" root="2.16.840.1.113883.2.4.6.1"
                assigningAuthorityName="Vektis AGB-Z"/>
            <addr use="WP">
                <!-- The address of the hypothetical institution -->
                <streetName partType="STR">Prinsengracht</streetName>
                <houseNumber partType="BNR">22</houseNumber>
                <postalCode partType="ZIP">1000 PJ</postalCode>
                <city partType="CTY">Amsterdam</city>
                <country partType="CNT">Nederland</country>
            </addr>
            <telecom use="WP" value="tel:+31208958869"/>
            <assignedPerson>
                <name use="L">
                    <given qualifier="IN">Maggy</given>
                    <prefix qualifier="VV">van de </prefix>
                    <family qualifier="BR">Bos</family>
                </name>
            </assignedPerson>
            <representedOrganization>
                <!-- is actually the same with the patient provider organization and the represented organization -->
                <!-- The id is hypothetical. The root refers to Vektis AGB-Z-->
                <id extension="00000123" root="2.16.840.1.113883.2.4.6.1"
                    assigningAuthorityName="Vektis AGB-Z"/>
                <name>Noord Holland Gezondheid Centrum</name>
                <!-- The phone at working place -->
                <telecom use="WP" value="tel:+31208958869"/>
                <addr use="WP">
                    <!-- The address of the hypothetical institution -->
                    <streetName partType="STR">Prinsengracht</streetName>
                    <houseNumber partType="BNR">22</houseNumber>
                    <postalCode partType="ZIP">1000 PJ</postalCode>
                    <city partType="CTY">Amsterdam</city>
                    <country partType="CNT">Nederland</country>
                </addr>
            </representedOrganization>
        </assignedEntity>
    </legalAuthenticator>

    <!-- 
        ********************************************************
        CDA Body
        ********************************************************
    -->
    <component typeCode="COMP" contextConductionInd="true">
        <structuredBody>
            <!-- 
                ********************************************************
                Reason for Referral section
                ********************************************************
            -->
            <component>
                <!-- This section contains only literal text -->
                <section>
                    <code code="42349-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
                        displayName="Reason for referral"/>
                    <title>Verwijsreden</title>
                    <text>
                        <content styleCode="Bold">Nelleke van der Wiel </content>is een 67 jaar oude
                        vrouw, die een chronische hartstilstand patient is, die voor verder medische
                        onderzoeken verwezen wordt. Nelleke leed aan strenge borst pijn en hijgde
                        terwijl slapen tussen 28 mei 2007 en 30 mei 2007. Zij werd tweemaal vorig
                        jaar en reeds tweemaal dit jaar gehospitaliseerd. </text>
                </section>
            </component>

            <!-- 
                ********************************************************
                Medications section
                ********************************************************
            -->
            <component>
                <!-- This section contains only literal text -->
                <section>
                    <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
                        displayName="History of medication use"/>
                    <title>Medicatie</title>
                    <text>
                        <list>
                            <item>Bumex, 3 pillen [25 mg per pil], 1 maal per dag</item>
                            <item>Lopressor, 1 pil [5 mg per pil], 2 maal per dag</item>
                        </list>
                    </text>
                </section>
            </component>
            <!-- 
                ********************************************************
                Allergies section
                ********************************************************
            -->
            <component>
                <!-- This section contains only literal text -->
                <section>
                    <code code="45675-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
                        displayName="Allergies"/>
                    <title>Allergieen</title>
                    <text>
                        <list>
                            <item>Captopril, analapril, fosinopril</item>
                        </list>
                    </text>
                </section>
            </component>

            <!-- 
                ********************************************************
                Physical Exam section
                ********************************************************
            -->
            <component>
                <section>
                    <code code="11384-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
                        displayName="Physical examination by organ systems"/>
                    <title>Lichamelijke onderzoeken</title>
                    <!-- 
                        ********************************************************
                        Physical Exam  - Vital Signs
                        ********************************************************
                    -->
                    <component>
                        <!-- This section contains both literal text and structured elements for the vital trends supported by Motiva -->
                        <section>
                            <!-- Supported vital trends are weight, heart rate, systolic/diastolic blood pressure, and glucose -->
                            <code code="8716-3" codeSystem="2.16.840.1.113883.6.1"
                                codeSystemName="LOINC" displayName="Physical findings"/>
                            <title>Functie Onderzoeken</title>
                            <text>
                                <table>
                                    <tbody>
                                        <tr>
                                            <th>Datum / Tijd</th>
                                            <th>mei 27, 2007 14:30</th>
                                            <th>mei 28, 2007 15:30</th>
                                            <th>Basislijnen</th>
                                        </tr>
                                        <tr>
                                            <th>Gewicht</th>
                                            <td>158.0 lbs (71.7 kg)</td>
                                            <td>159.0 lbs (72.1 kg)</td>
                                            <td>155.0 lbs (70.3 kg)</td>
                                        </tr>
                                        <tr>
                                            <th>Hartslag</th>
                                            <td>86 / minuut</td>
                                            <td>84 / minuut</td>
                                            <td>81 / minuut</td>
                                        </tr>
                                        <tr>
                                            <th>Systolische</th>
                                            <td>132 mmHg</td>
                                            <td>135 mmHg</td>
                                            <td>120 mmHg</td>
                                        </tr>
                                        <tr>
                                            <th>Diastolische</th>
                                            <td>86 mmHg</td>
                                            <td>88 mmHg</td>
                                            <td>80 mmHg</td>
                                        </tr>
                                        <tr>
                                            <th>Glucose</th>
                                            <td>5.5 mmol/L</td>
                                            <td>6 mmol/L</td>
                                            <td>6.5 mmol/L</td>
                                        </tr>
                                    </tbody>
                                </table>
                            </text>
                            <entry>
                                <observation classCode="OBS" moodCode="EVN">
                                    <code code="29463-7" codeSystem="2.16.840.1.113883.6.1"
                                        codeSystemName="LOINC" displayName="Body weight"/>
                                    <statusCode code="completed"/>
                                    <effectiveTime value="200705271430"/>
                                    <value xsi:type="PQ" value="158.0" unit="[lb_ap]">
                                        <!-- The unit corresponds to a valid UCUM entry -->
                                        <translation value="71.7" code="kg"
                                            codeSystem="2.16.840.1.113883.6.8" codeSystemName="UCUM"
                                        />
                                    </value>
                                    <referenceRange>
                                        <observationRange>
                                            <value xsi:type="IVL_PQ">
                                                <low value="155.0" inclusive="true" unit="[lb_ap]"/>
                                                <high value="155.0" inclusive="true" unit="[lb_ap]"
                                                />
                                            </value>
                                        </observationRange>
                                    </referenceRange>
                                </observation>
                            </entry>
                            <entry>
                                <observation classCode="OBS" moodCode="EVN">
                                    <code code="29463-7" codeSystem="2.16.840.1.113883.6.1"
                                        codeSystemName="LOINC" displayName="Body weight"/>
                                    <statusCode code="completed"/>
                                    <effectiveTime value="200705281530"/>
                                    <value xsi:type="PQ" value="159.0" unit="[lb_ap]">
                                        <translation value="72.1" code="kg"
                                            codeSystem="2.16.840.1.113883.6.8" codeSystemName="UCUM"
                                        />
                                    </value>
                                    <referenceRange>
                                        <observationRange>
                                            <value xsi:type="IVL_PQ">
                                                <low value="155.0" inclusive="true" unit="[lb_ap]"/>
                                                <high value="155.0" inclusive="true" unit="[lb_ap]"
                                                />
                                            </value>
                                        </observationRange>
                                    </referenceRange>
                                </observation>
                            </entry>
                            <entry>
                                <observation classCode="OBS" moodCode="EVN">
                                    <code code="11948-7" codeSystem="2.16.840.1.113883.6.1"
                                        codeSystemName="LOINC" displayName="Heart rate"/>
                                    <statusCode code="completed"/>
                                    <effectiveTime value="200705271430"/>
                                    <value xsi:type="RTO_PQ_PQ">
                                        <numerator value="86"/>
                                        <denominator value="1" unit="min"/>
                                        <!-- The unit corresponds to a valid UCUM entry -->
                                    </value>
                                    <referenceRange>
                                        <observationRange>
                                            <value xsi:type="RTO_PQ_PQ">
                                                <numerator value="81"/>
                                                <denominator value="1" unit="min"/>
                                                <!-- The unit corresponds to a valid UCUM entry -->
                                            </value>
                                        </observationRange>
                                    </referenceRange>
                                </observation>
                            </entry>
                            <entry>
                                <observation classCode="OBS" moodCode="EVN">
                                    <code code="11948-7" codeSystem="2.16.840.1.113883.6.1"
                                        codeSystemName="LOINC" displayName="Heart rate"/>
                                    <statusCode code="completed"/>
                                    <effectiveTime value="200705281530"/>
                                    <value xsi:type="RTO_PQ_PQ">
                                        <numerator value="84"/>
                                        <denominator value="1" unit="min"/>
                                    </value>
                                    <referenceRange>
                                        <observationRange>
                                            <value xsi:type="RTO_PQ_PQ">
                                                <numerator value="81"/>
                                                <denominator value="1" unit="min"/>
                                                <!-- The unit corresponds to a valid UCUM entry -->
                                            </value>
                                        </observationRange>
                                    </referenceRange>
                                </observation>
                            </entry>
                            <entry>
                                <observation classCode="OBS" moodCode="EVN">
                                    <code code="8480-6" codeSystem="2.16.840.1.113883.6.1"
                                        codeSystemName="LOINC" displayName="Intravascular systolic"/>
                                    <statusCode code="completed"/>
                                    <effectiveTime value="200705271430"/>
                                    <value xsi:type="PQ" value="132" unit="mm[Hg]"/>
                                    <!-- This is not a valid UCUM entry but apprears in the official CDA example document. In UCUM, the valid entry is m[Hg], not mm[Hg]-->
                                    <referenceRange>
                                        <observationRange>
                                            <value xsi:type="IVL_PQ">
                                                <low value="120.0" inclusive="true" unit="mm[Hg]"/>
                                                <high value="120.0" inclusive="true" unit="mm[Hg]"/>
                                            </value>
                                        </observationRange>
                                    </referenceRange>
                                </observation>
                            </entry>
                            <entry>
                                <observation classCode="OBS" moodCode="EVN">
                                    <code code="8480-6" codeSystem="2.16.840.1.113883.6.1"
                                        codeSystemName="LOINC" displayName="Intravascular systolic"/>
                                    <statusCode code="completed"/>
                                    <effectiveTime value="200705281530"/>
                                    <value xsi:type="PQ" value="135" unit="mm[Hg]"/>
                                    <referenceRange>
                                        <observationRange>
                                            <value xsi:type="IVL_PQ">
                                                <low value="120.0" inclusive="true" unit="mm[Hg]"/>
                                                <high value="120.0" inclusive="true" unit="mm[Hg]"/>
                                            </value>
                                        </observationRange>
                                    </referenceRange>
                                </observation>
                            </entry>
                            <entry>
                                <observation classCode="OBS" moodCode="EVN">
                                    <code code="8462-4" codeSystem="2.16.840.1.113883.6.1"
                                        codeSystemName="LOINC" displayName="Intravascular diastolic"/>
                                    <statusCode code="completed"/>
                                    <effectiveTime value="200705271430"/>
                                    <value xsi:type="PQ" value="86" unit="mm[Hg]"/>
                                    <referenceRange>
                                        <observationRange>
                                            <value xsi:type="IVL_PQ">
                                                <low value="80.0" inclusive="true" unit="mm[Hg]"/>
                                                <high value="80.0" inclusive="true" unit="mm[Hg]"/>
                                            </value>
                                        </observationRange>
                                    </referenceRange>
                                </observation>
                            </entry>
                            <entry>
                                <observation classCode="OBS" moodCode="EVN">
                                    <code code="8462-4" codeSystem="2.16.840.1.113883.6.1"
                                        codeSystemName="LOINC" displayName="Intravascular diastolic"/>
                                    <statusCode code="completed"/>
                                    <effectiveTime value="200705281530"/>
                                    <value xsi:type="PQ" value="88" unit="mm[Hg]"/>
                                    <referenceRange>
                                        <observationRange>
                                            <value xsi:type="IVL_PQ">
                                                <low value="80.0" inclusive="true" unit="mm[Hg]"/>
                                                <high value="80.0" inclusive="true" unit="mm[Hg]"/>
                                            </value>
                                        </observationRange>
                                    </referenceRange>
                                </observation>
                            </entry>
                            <entry>
                                <observation classCode="OBS" moodCode="EVN">
                                    <code code="14743-9" codeSystem="2.16.840.1.113883.6.1"
                                        codeSystemName="LOINC" displayName="Glucose"/>
                                    <statusCode code="completed"/>
                                    <effectiveTime value="200705271430"/>
                                    <value xsi:type="RTO_PQ_PQ">
                                        <numerator value="0.0055" unit="mol"/>
                                        <!-- Actual value is 5.5 mmol/L-->
                                        <denominator value="1" unit="L"/>
                                    </value>
                                    <referenceRange>
                                        <observationRange>
                                            <value xsi:type="RTO_PQ_PQ">
                                                <numerator value="0.0065" unit="mol"/>
                                                <!-- Actual value is 6.5 mmol/L-->
                                                <denominator value="1" unit="L"/>
                                            </value>
                                        </observationRange>
                                    </referenceRange>
                                </observation>
                            </entry>
                            <entry>
                                <observation classCode="OBS" moodCode="EVN">
                                    <code code="14743-9" codeSystem="2.16.840.1.113883.6.1"
                                        codeSystemName="LOINC" displayName="Glucose"/>
                                    <statusCode code="completed"/>
                                    <effectiveTime value="200705281530"/>
                                    <value xsi:type="RTO_PQ_PQ">
                                        <numerator value="0.006" unit="mol"/>
                                        <!-- Actual value is 6 mmol/L-->
                                        <denominator value="1" unit="L"/>
                                    </value>
                                    <referenceRange>
                                        <observationRange>
                                            <value xsi:type="RTO_PQ_PQ">
                                                <numerator value="0.0065" unit="mol"/>
                                                <!-- Actual value is 6.5 mmol/L-->
                                                <denominator value="1" unit="L"/>
                                            </value>
                                        </observationRange>
                                    </referenceRange>
                                </observation>
                            </entry>
                        </section>
                    </component>
                </section>
            </component>
            <!-- 
                ********************************************************
                Labs section
                ********************************************************
            -->
            <component>
                <!-- This section contains both literal text and structured elements for the patient labs supported by Motiva-->
                <section>
                    <!-- Supported labs are Hemoglobin, Potassium, Total/LDL/HDL Cholesterol, Triglycerides, Creatinine, and Total Albumin-->
                    <code code="11502-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
                        displayName="Laboratory report.total"/>
                    <title>Laboratorium</title>
                    <text>
                        <table>
                            <tbody>
                                <tr>
                                    <th>Datum / Tiij</th>
                                    <th>mei 09, 2007 14:30</th>
                                    <th>Basislijnen</th>
                                </tr>
                                <tr>
                                    <th>Hemoglobin</th>
                                    <td>4.1 %</td>
                                    <td>5.0 %</td>
                                </tr>
                                <tr>
                                    <th>Potassium</th>
                                    <td>4.9 mmol/L</td>
                                    <td>4.2 mmol/L</td>
                                </tr>
                                <tr>
                                    <th>Total Cholesterol</th>
                                    <td>199 mg/dL</td>
                                    <td>180 mg/dL</td>
                                </tr>
                                <tr>
                                    <th>LDL Cholesterol</th>
                                    <td>50 mg/dL</td>
                                    <td>50 mg/dL</td>
                                </tr>
                                <tr>
                                    <th>HDL Cholesterol</th>
                                    <td>120 mg/dL</td>
                                    <td>100 mg/dL</td>
                                </tr>
                                <tr>
                                    <th>Triglycerides</th>
                                    <td>29 mg/dL</td>
                                    <td>20 mg/dL</td>
                                </tr>
                                <tr>
                                    <th>Creatinine</th>
                                    <td>0.8 mg/dL</td>
                                    <td>1.0 mg/dL</td>
                                </tr>
                            </tbody>
                        </table>
                    </text>
                    <entry>
                        <observation classCode="OBS" moodCode="EVN">
                            <code code="14134-1" codeSystem="2.16.840.1.113883.6.1"
                                codeSystemName="LOINC" displayName="Hemoglobin"/>
                            <statusCode code="completed"/>
                            <effectiveTime value="200705091430"/>
                            <value xsi:type="PQ" value="4.1" unit="%"/>
                            <!-- The unit corresponds to a valid UCUM entry -->
                            <referenceRange>
                                <observationRange>
                                    <value xsi:type="IVL_PQ">
                                        <low value="5.0" inclusive="true" unit="%"/>
                                        <high value="5.0" inclusive="true" unit="%"/>
                                    </value>
                                </observationRange>
                            </referenceRange>
                        </observation>
                    </entry>
                    <entry>
                        <observation classCode="OBS" moodCode="EVN">
                            <code code="12814-0" codeSystem="2.16.840.1.113883.6.1"
                                codeSystemName="LOINC" displayName="Potassium"/>
                            <statusCode code="completed"/>
                            <effectiveTime value="200705091430"/>
                            <value xsi:type="RTO_PQ_PQ">
                                <numerator value="0.0049" unit="mol"/>
                                <!-- Actual value is 4.9 mmol/L-->
                                <denominator value="1" unit="L"/>
                            </value>
                            <referenceRange>
                                <observationRange>
                                    <value xsi:type="RTO_PQ_PQ">
                                        <numerator value="0.0042" unit="mol"/>
                                        <!-- Actual value is 4.2 mmol/L-->
                                        <denominator value="1" unit="L"/>
                                    </value>
                                </observationRange>
                            </referenceRange>
                        </observation>
                    </entry>
                    <entry>
                        <observation classCode="OBS" moodCode="EVN">
                            <code code="12531-0" codeSystem="2.16.840.1.113883.6.1"
                                codeSystemName="LOINC" displayName="Cholesterol"/>
                            <statusCode code="completed"/>
                            <effectiveTime value="200705091430"/>
                            <value xsi:type="RTO_PQ_PQ">
                                <numerator value="1.99" unit="g"/>
                                <denominator value="1" unit="L"/>
                                <!-- Actual value is 199 mg/dL-->
                            </value>
                            <referenceRange>
                                <observationRange>
                                    <value xsi:type="RTO_PQ_PQ">
                                        <numerator value="1.80" unit="g"/>
                                        <denominator value="1" unit="L"/>
                                        <!-- Actual value is 180 mg/dL-->
                                    </value>
                                </observationRange>
                            </referenceRange>
                        </observation>
                    </entry>
                    <entry>
                        <observation classCode="OBS" moodCode="EVN">
                            <code code="12773-8" codeSystem="2.16.840.1.113883.6.1"
                                codeSystemName="LOINC" displayName="Cholesterol.in LDL"/>
                            <statusCode code="completed"/>
                            <effectiveTime value="200705091430"/>
                            <value xsi:type="RTO_PQ_PQ">
                                <numerator value="0.5" unit="g"/>
                                <denominator value="1" unit="L"/>
                                <!-- Actual value is 50 mg/dL-->
                            </value>
                            <referenceRange>
                                <observationRange>
                                    <value xsi:type="RTO_PQ_PQ">
                                        <numerator value="0.5" unit="g"/>
                                        <denominator value="1" unit="L"/>
                                        <!-- Actual value is 50 mg/dL-->
                                    </value>
                                </observationRange>
                            </referenceRange>
                        </observation>
                    </entry>
                    <entry>
                        <observation classCode="OBS" moodCode="EVN">
                            <code code="12771-2" codeSystem="2.16.840.1.113883.6.1"
                                codeSystemName="LOINC" displayName="Cholesterol.in HDL"/>
                            <statusCode code="completed"/>
                            <effectiveTime value="200705091430"/>
                            <value xsi:type="RTO_PQ_PQ">
                                <numerator value="1.2" unit="g"/>
                                <denominator value="1" unit="L"/>
                                <!-- Actual value is 120 mg/dL-->
                            </value>
                            <referenceRange>
                                <observationRange>
                                    <value xsi:type="RTO_PQ_PQ">
                                        <numerator value="1.0" unit="g"/>
                                        <denominator value="1" unit="L"/>
                                        <!-- Actual value is 100 mg/dL-->
                                    </value>
                                </observationRange>
                            </referenceRange>
                        </observation>
                    </entry>
                    <entry>
                        <observation classCode="OBS" moodCode="EVN">
                            <code code="12228-3" codeSystem="2.16.840.1.113883.6.1"
                                codeSystemName="LOINC" displayName="Triglyceride"/>
                            <statusCode code="completed"/>
                            <effectiveTime value="200705091430"/>
                            <value xsi:type="RTO_PQ_PQ">
                                <numerator value="0.29" unit="g"/>
                                <denominator value="1" unit="L"/>
                                <!-- Actual value is 29 mg/dL-->
                            </value>
                            <referenceRange>
                                <observationRange>
                                    <value xsi:type="RTO_PQ_PQ">
                                        <numerator value="0.20" unit="g"/>
                                        <denominator value="1" unit="L"/>
                                        <!-- Actual value is 20 mg/dL-->
                                    </value>
                                </observationRange>
                            </referenceRange>
                        </observation>
                    </entry>
                    <entry>
                        <observation classCode="OBS" moodCode="EVN">
                            <code code="12190-5" codeSystem="2.16.840.1.113883.6.1"
                                codeSystemName="LOINC" displayName="Creatinine"/>
                            <statusCode code="completed"/>
                            <effectiveTime value="200705091430"/>
                            <value xsi:type="RTO_PQ_PQ">
                                <numerator value="0.008" unit="g"/>
                                <denominator value="1" unit="L"/>
                                <!-- Actual value is 0.8 mg/dL-->
                            </value>
                            <referenceRange>
                                <observationRange>
                                    <value xsi:type="RTO_PQ_PQ">
                                        <numerator value="0.01" unit="g"/>
                                        <denominator value="1" unit="L"/>
                                        <!-- Actual value is 1 mg/dL-->
                                    </value>
                                </observationRange>
                            </referenceRange>
                        </observation>
                    </entry>
                </section>
            </component>
        </structuredBody>
    </component>
</ClinicalDocument>

