<?xml version="1.0"?>
<levelone>
  <clinical_document_header>
    <id EX="a123" RT="2.16.840.1.113883.3.933"/>
    <set_id EX="B" RT="2.16.840.1.113883.3.933"/>
    <version_nbr V="1"/>
    <document_type_cd V="1418" S="LOINC" DN="Consultation note"/>
    <origination_dttm V="2008-04-07"/>
    <confidentiality_cd ID="CONF1" V="N" S="HL7_Confientiality"/> 
    <document_relationship>
      <document_relationship.type_cd V="RPLC"/>
      <related_document>
        <id EX="a234" RT="2.16.840.1.113883.3.933"/>
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      </related_document>
    </document_relationship>
    <fulfills_order>
      <fulfills_order.type_cd V="FLFS"/>
      <order><id EX="x23ABC" RT="2.16.840.1.113883.3.933"/></order>
    </fulfills_order>
    <patient_encounter>
      <id EX="KPENC1332" RT="2.16.840.1.113883.3.933"/>
      <practice_setting_cd V="EMG" 
        S="HL7_PracticeSetting" DN="Emergency"/> 
      <encounter_tmr V="2008-04-07"/>
      <service_location>
        <id EX="KXLPa123" RT="2.16.840.1.113883.3.933"/>
        <addr>
          <HNR V="25"/>
          <STR V="King St"/>
          <DIR V="S"/>
          <CTY V="Saint John"/>
          <STA V="NB"/>
          <ZIP V="E2L2P3"/>
        </addr>
      </service_location>
    </patient_encounter>
    <legal_authenticator>
      <legal_authenticator.type_cd V="SPV"/>
      <participation_tmr V="2008-04-08"/>
      <signature_cd V="S"/>
      <person>
        <id EX="KP00017" RT="2.16.840.1.113883.3.933"/>
        <person_name>
          <nm>
            <GIV V="Robert"/>
            <FAM V="Dolin"/>
            <SFX V="MD" QUAL="PT"/>
          </nm>
          <person_name.type_cd V="L" S="HL7_personnamepurpose"/> 
        </person_name>
        <addr>
          <HNR V="25"/>
          <STR V="King St"/>
          <DIR V="S"/>
          <CTY V="Saint John"/>
          <STA V="NB"/>
          <ZIP V="E2L2P3"/>
        </addr>
        <phon V="tel:(506)648-5234" USE="WPN"/>
      </person>
    </legal_authenticator>
    <originator>
      <originator.type_cd V="AUT"/>
      <participation_tmr V="2008-04-07"/>
      <person>
        <id EX="KP00017" RT="2.16.840.1.113883.3.933"/>
        <person_name>
          <nm>
            <GIV V="Robert"/>
            <FAM V="Dolin"/>
            <SFX V="MD"/>
          </nm>
          <person_name.type_cd V="L" S="HL7_personnamepurpose"/> 
        </person_name>
      </person>
    </originator>
    <originating_organization>
      <originating_organization.type_cd V="CST"/>
      <organization>
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        <organization.nm V="Saint John Regional EMS"/>
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    <provider>
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      <participation_tmr V="2008-04-07"/>
      <person>
        <id EX="KP00017" RT="2.16.840.1.113883.3.933"/>
      </person>
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    <patient>
      <patient.type_cd V="PATSBJ"/>
      <person>
        <id EX="12345" RT="2.16.840.1.113883.3.933"/>
        <person_name>
          <nm>
            <GIV V="David"/>
            <FAM V="Shepred"/>
            <SFX V=""/>
          </nm>
          <person_name.type_cd V="L" S="HL7_personnamepurpose"/> 
        </person_name>
      </person>
      <birth_dttm V="2000-3-12"/>
      <administrative_gender_cd V="M" S="HL7_AdministrativeGender"/> 
    </patient>
    <originating_device ID="DEV1"> 
      <originating_device.type_cd V="ODV"/>
      <device>
        <id EX="devX3498" RT="2.16.840.1.113883.3.933"/>
        <responsibility>
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          <person>
            <id EX="KP03257" RT="2.16.840.1.113883.3.933"/>
          </person>
        </responsibility>
      </device>
    </originating_device>
    <local_header descriptor="AMMA" render="Agent">
      <local_attr name="MTYPE" value="HOT"/>
      <local_attr name="RID" value="1234.01"/>
      <local_attr name="LINFO" value="40,20,35,120"/>
      <local_attr name="ACODE" value="ACK"/>
    </local_header>
  </clinical_document_header>
  <body confidentiality="CONF1">
    <section>
      <caption>
        <caption_cd V="8684-3" S="2.16.840.1.113883.6.1"/>
        Emergency Patient History Record
      </caption>
      <paragraph>
        <content>
          David Sheperd is a 7 year old male referred for further 
          asthma management. He was hospitalized twice last year, 
          and already twice this year. He has not been able to 
          be weaned off steroids for the past several months. 
        </content>
      </paragraph>
    </section>
    <section>
      <caption>
         <caption_cd V="11496-7" S="2.16.840"/>Call Report
      </caption>
      <paragraph>
          <content>
            <Patient_History>
              <Call_ID>12345</Call_ID>
              <Cheif_Complaint>Asthma (Non Traumatic)</Cheif_Complaint>
              <G_BodySystem>Cardiovascular,Renal</G_BodySystem>
              <G_Inj_Date>2007-02-18T11:27:00-04:00</G_Inj_Date>
              <G_Inj_Time>0001-01-01T04:30:00-04:00</G_Inj_Time>
              <G_Co_Responders>None</G_Co_Responders>
              <G_Treat_Rendered>No</G_Treat_Rendered>
              <G_Pt_Condi_Dest>Stable</G_Pt_Condi_Dest>
              <G_Pt_disp>Yes</G_Pt_disp>
              <G_Susp_Intoxi>Yes as reported by patient</G_Susp_Intoxi>
              <G_DNR_Order>TRUE</G_DNR_Order>
              <Alr_Drugs>Morphine</Alr_Drugs>
              <Alr_Env>Cashews,Milk</Alr_Env>
              <Alr_Others />
              <Med_Name>Biaxin,Dilantin,Ferrous sulphate</Med_Name>
              <Med_Others />
              <LM_Comment>supper</LM_Comment>
              <EP_Comment />
              <PH_History>COPD (Chronic Obstructive Pulmonary Disease),Hip Replacement</PH_History>
              <PH_Comment />
            </Patient_History>
          </content>
        </paragraph>
      </section>
  </body>
</levelone>

