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Subject: Re: Sample HL7v3 payload


There was some extraneous text at the beginning of two of the clinical scenario
payloads I posted a while back.  The corrected files are attached.

I'd say "I can't believe I did that," but I've given up using that phrase,
since I do it so often.

Martin Rose, Care Data Systems
<?xml version="1.0"?>
<!DOCTYPE addPatient.demo SYSTEM 'addPatient.demo.dtd' [ ]>
<addPatient.demo><Patient>
<is_a_role_of>
<addr>
<LIT V="12560 SW Colony Ln.">
</LIT>
<CTY V="Beaverton">
</CTY>
<STA V="OR">
</STA>
<ZIP V="97005">
</ZIP>
</addr>
<phon V="(503)626-1988" USE="PRN">
</phon>
<phon V="tel:(503)639-5877" USE="WPN">
</phon>
<birth_dttm V="19610428">
</birth_dttm>
<marital_status_cd V="S">
</marital_status_cd>
<race_cd V="C">
</race_cd>
<religious_affiliation_cd V="CATH">
</religious_affiliation_cd>
<has><nm>
<GIV V="Sarah">
</GIV>
<MID V="S">
</MID>
<FAM V="Oberheim">
</FAM>
</nm>
</has>
</is_a_role_of>
<is_known_by>
<id RT="2.16.840.1.113883.4.1" AAN="US SSA" EX="173-51-4099">
</id>
<id RT="2.16.840.1.113883.9876.344" AAN="CDSEMPI" EX="P737">
</id>
<status_cd V="A">
</status_cd>
</is_known_by>
</Patient>
</addPatient.demo>
<?xml version="1.0"?>
<!DOCTYPE levelone PUBLIC "-//HL7//DTD CDA Level One 1.0//EN" "levelone_1.0.dtd">
<levelone>
<clinical_document_header>
<id EX="demo::573"/>
<set_id EX="demo::360"/>
<version_nbr V="1"/>
<document_type_cd V="demo::Demo" SN="Careflow|Net" DN="Transcribed report"/>
<origination_dttm V="20010131"/>
<fulfills_order>
<fulfills_order.type_cd V="FLFS"/>
<order><id EX="demo::258"/>
</order>
</fulfills_order>
<legal_authenticator>
<legal_authenticator.type_cd V="FLFS"/>
<participation_tmr V="20010206"/>
<signature_cd V="S"/>
<person>
<id EX="demo::1220"/>
<person_name><nm>
<GIV V="Doctor"/>
<FAM V="Dictating"/>
<SFX V="M.D."/>
</nm>
</person_name>
</person>
</legal_authenticator>
<originator>
<originator.type_cd V="AUT"/>
<participation_tmr V="20010206"/>
<person>
<id EX="demo::1220"/>
<person_name><nm>
<GIV V="Doctor"/>
<FAM V="Dictating"/>
<SFX V="M.D."/>
</nm>
</person_name>
</person>
</originator>
<transcriptionist>
<transcriptionist.type_cd V="ENT"/>
<participation_tmr V="20010206"/>
<person><id EX="CDKDOCEDITPROCESSOR"/>
</person>
</transcriptionist>
<provider>
<provider.type_cd V="PRF"/>
<participation_tmr V="20010206"/>
<person>
<id EX="demo::1220"/>
<person_name><nm>
<GIV V="Doctor"/>
<FAM V="Dictating"/>
<SFX V="M.D."/>
</nm>
</person_name>
</person>
</provider>
<patient>
<patient.type_cd V="PATSBJ"/>
<person>
<id RT="2.16.840.1.113883.4.1" AAN="US SSA" EX="173-51-4099">
</id>
<id RT="2.16.840.1.113883.9876.344" AAN="CDSEMPI" EX="P737">
</id>
<person_name><nm>
<GIV V="Sarah">
</GIV>
<MID V="S">
</MID>
<FAM V="Oberheim">
</FAM>
</nm>
</person_name>
</person>
<birth_dttm V="19610428">
</birth_dttm>
</patient>
</clinical_document_header>
<body><section>
<paragraph><content>DIALYSIS PROGRESS NOTE</content>
</paragraph>
<paragraph><content>MEDICAL PROBLEMS:</content>
</paragraph>
<list>
<item><content>1. ESRD on CAPD.</content>
</item>
<item><content>2. Hypertension.</content>
</item>
</list>
<paragraph><content>The patient is doing great. She continues to thrive. Her weight has been stable and her appetite it good. There is no fever or chills, abdominal pain, nausea or vomiting. No shortness of breath or chest pain. Blood pressure has been slightly elevated at home, typically 150/110. PD fluid has been clear without fibrin and exit site has no drainage.</content>
</paragraph>
<paragraph><content>PHYSICAL EXAMINATION:</content>
</paragraph>
<paragraph><content>GENERAL:</content>
</paragraph>
<paragraph><content>The patient is no distress and is alert.</content>
</paragraph>
<paragraph><content>VITAL SIGNS:</content>
</paragraph>
<paragraph><content>150/100.</content>
</paragraph>
<paragraph><content>HEENT:</content>
</paragraph>
<paragraph><content>No JVD.</content>
</paragraph>
<paragraph><content>LUNGS:</content>
</paragraph>
<paragraph><content>Clear.</content>
</paragraph>
<paragraph><content>CARDIAC:</content>
</paragraph>
<paragraph><content>Without rub.</content>
</paragraph>
<paragraph><content>ABDOMEN:</content>
</paragraph>
<paragraph><content>Soft, nontender.</content>
</paragraph>
<paragraph><content>TUNNEL:</content>
</paragraph>
<paragraph><content>Without erythema or tenderness.</content>
</paragraph>
<paragraph><content>EXTREMITIES:</content>
</paragraph>
<paragraph><content>No edema.</content>
</paragraph>
<paragraph><content>LABORATORY: Pending.</content>
</paragraph>
<paragraph><content>ASSESSMENT AND PLAN:</content>
</paragraph>
<list><item><content>1. ESRD, stable on CAPD. Will check labs, which will be drawn tomorrow. Continue current prescription for now. Patient to have a referral for the transplant office as soon as possible.</content>
</item>
</list>
<paragraph><content>Hypertension, will increase Diovan to 160 mg daily. Continue all other medications. Followup in 1 month and p.r.n.</content>
</paragraph>
<paragraph><content>THIS REPORT WAS ELECTRONICALLY SIGNED</content>
</paragraph>
<paragraph><content>Doctor Dictating, M.D.</content>
</paragraph>
<paragraph><content>DD/dt</content>
</paragraph>
<paragraph><content>D: 1/30/2001</content>
</paragraph>
<paragraph><content>T: 1/30/2001</content>
</paragraph>
</section>
</body>
</levelone>


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