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<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:mif="urn:hl7-org:v3/mif"
	xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
	xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
	<typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3" />
	<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.16.1.4' />
	<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.16.1.1' />
	<id root='1' extension='1' />
	<code code='34117-2' displayName='HISTORY AND PHYSICAL'
		codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' />
	<title>Antepartum History and Physical</title>
	<effectiveTime value='20140409012005' />
	<confidentialityCode code='N' displayName='Normal'
		codeSystem='2.16.840.1.113883.5.25' codeSystemName='Confidentiality' />
	<languageCode code='en-US' />
	<recordTarget>
		<patientRole>
			<id extension="12345" root="2.16.840.1.113883.19.5" />
			<patient>
				<name>
					<given>Henry</given>
					<family>Levin</family>
					<suffix>the 7th</suffix>
				</name>
				<administrativeGenderCode code="M"
					codeSystem="2.16.840.1.113883.5.1" />
				<birthTime value="19320924" />
			</patient>
			<providerOrganization>
				<id root="2.16.840.1.113883.19.5" />
				<name>Organization Name</name>
			</providerOrganization>
		</patientRole>
	</recordTarget>
	<author>
		<time value="20000407121000" />
		<assignedAuthor>
			<id extension="123456789" root="2.16.840.1.113883.19.5.1" />
			<assignedPerson>
				<name>
					<given>Robert</given>
					<family>Dolin</family>
					<suffix>MD</suffix>
				</name>
			</assignedPerson>
			<representedOrganization>
				<id root="2.16.840.1.113883.19.5" />
				<name>Organization Name</name>
			</representedOrganization>
		</assignedAuthor>
	</author>
	<custodian>
		<assignedCustodian>
			<representedCustodianOrganization>
				<id root="2.16.840.1.113883.19.5" />
				<name>Organization Name</name>
			</representedCustodianOrganization>
		</assignedCustodian>
	</custodian>
	<component>
		<structuredBody>
			<component>
				<section>
					<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1' />
					<!-- Required Chief Complaint Section content -->
					<id root='1' extension='2' />
					<code code='10154-3' displayName='CHIEF COMPLAINT' codeSystem='2.16.840.1.113883.6.1'
						codeSystemName='LOINC' />
					<text>
						Text as described above
					</text>
				</section>
			</component>
			<component>
				<section>
					<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.4' />
					<!-- Required History of Present Illness Section content -->
					<id root='1' extension='2' />
					<code code='10164-2' displayName='HISTORY OF PRESENT ILLNESS'
						codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' />
					<text>
						Text as described above
					</text>
				</section>
			</component>
			<component>
				<section>
					<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.8' />
					<!-- Required History of Past Illness Section content -->
					<id root='1' extension='2' />
					<code code='11348-0' displayName='HISTORY OF PAST ILLNESS'
						codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' />
					<text>
						Text as described above
					</text>
				</section>
			</component>
			<component>
				<section>
					<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.16.2.1.1' />
					<id root='1' extension='2' />
					<code code='XX-HistoryOfInfection' displayName='HISTORY OF INFECTION'
						codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' />
					<text>
						Text as described above
					</text>
				</section>
			</component>
			<component>
				<section>
					<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4' />
					<!-- Required Pregnancy History Section content -->
					<id root='1' extension='2' />
					<code code='10162-6' displayName='HISTORY OF PREGNANCIES'
						codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' />
					<text>
						Text as described above
					</text>
					<entry>
						<!-- Required Pregnancy Observation element -->
						<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.5' />
						<observation classCode="OBS" moodCode="EVN">
							<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13' />
							<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13.5" />
							<id root='1' extension='2' />
							<code code='11636-8' displayName='BIRTHS LIVE (REPORTED)'
								codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' />
							<statusCode code='completed' />
							<effectiveTime value="2011" />
							<repeatNumber />
							<value code="1325" codeSystem="1.3.6.1.4.1.12009.2"
								codeSystemName="LOINC" displayName="CODED ANSWER" xsi:type="CD" />
							<!-- <value xsi:type='INT' value='1'/> -->
							<interpretationCode code="Value" />
							<methodCode code="Value" />
							<targetSiteCode code="1506555919" />
						</observation>
					</entry>
					<entry>
						<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.5' />
						<observation classCode="OBS" moodCode="EVN">
							<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13' />
							<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13.5" />
							<id root='1' extension='2' />
							<code code='11636-8-A' displayName='A' codeSystem='2.16.840.1.113883.6.1'
								codeSystemName='LOINC' />
							<statusCode code='completed' />
							<effectiveTime value="2011" />
							<repeatNumber />
							<value xsi:type='INT' value='1' />
							<interpretationCode code="Value" />
							<methodCode code="Value" />
							<targetSiteCode code="1506555919" />
						</observation>
					</entry>
					<entry>
						<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.5' />
						<observation classCode="OBS" moodCode="EVN">
							<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13' />
							<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13.5" />
							<id root='1' extension='2' />
							<code code='11636-8-B' displayName='B' codeSystem='2.16.840.1.113883.6.1'
								codeSystemName='LOINC' />
							<statusCode code='completed' />
							<effectiveTime value="2011" />
							<repeatNumber />
							<value xsi:type='ST'>TEST</value>
							<interpretationCode code="Value" />
							<methodCode code="Value" />
							<targetSiteCode code="1506555919" />
						</observation>
					</entry>
					<entry>
						<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.5' />
						<observation classCode="OBS" moodCode="EVN">
							<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13' />
							<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13.5" />
							<id root='1' extension='2' />
							<code code='11636-8-C' displayName='C' codeSystem='2.16.840.1.113883.6.1'
								codeSystemName='LOINC' />
							<statusCode code='completed' />
							<effectiveTime value="2011" />
							<repeatNumber />
							<value xsi:type='TS' value='20110101' />
							<interpretationCode code="Value" />
							<methodCode code="Value" />
							<targetSiteCode code="1506555919" />
						</observation>
					</entry>
				</section>
			</component>
			<component>
				<section>
					<templateId root='2.16.840.1.113883.10.20.1.15' />
					<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.16' />
					<!-- Required Social History Section content -->
					<id root='1' extension='2' />
					<code code='29762-2' displayName='SOCIAL HISTORY' codeSystem='2.16.840.1.113883.6.1'
						codeSystemName='LOINC' />
					<title>boink</title>
					<text>
						Text as described above
					</text>
				</section>
			</component>
			<component>
				<section>
					<templateId root='2.16.840.1.113883.10.20.1.4' />
					<!-- Required Coded Family Medical History Section content -->
					<id root='1' extension='2' />
					<code code='10157-6' displayName='HISTORY OF FAMILY MEMBER DISEASES'
						codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' />
					<title>boink</title>
					<text>
						Text as described above
					</text>
				</section>
			</component>
			<component>
				<section>
					<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.18' />
					<!-- Required Review of Systems Section content -->
					<id root='1' extension='2' />
					<code code='10187-3' displayName='REVIEW OF SYSTEMS'
						codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' />
					<text>
						Text as described above
					</text>
				</section>
			</component>
			<component>
				<section>
					<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.24' />
					<!-- Required Physical Examination Section content -->
					<id root='1' extension='2' />
					<code code='29545-1' displayName='PHYSICAL EXAMINATION'
						codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC' />
					<text>
						Text as described above
					</text>
				</section>
			</component>
			<component>
				<section>
					<templateId root='2.16.840.1.113883.10.20.1.16' />
					<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.25' />
					<!-- Conditional Vital Signs Section content -->
					<id root='1' extension='2' />
					<code code='8716-3' displayName='VITAL SIGNS' codeSystem='2.16.840.1.113883.6.1'
						codeSystemName='LOINC' />
					<title>boink</title>
					<text>
						Text as described above
					</text>
				</section>
			</component>
		</structuredBody>
	</component>
</ClinicalDocument>
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