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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" 
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  CDA Header
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<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<id root="2.16.840.1.113883.19.4" extension="c266"/> 
<code code="11488-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Consultation note"/>
<effectiveTime value="20051014224411-0500"/>
<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
<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"/>
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    <providerOrganization>
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  <time value="2000040714"/>
  <assignedAuthor>
    <id extension="KP00017" root="2.16.840.1.113883.19.5"/>
    <assignedPerson>
      <name>
        <given>Robert</given>
        <family>Dolin</family>
        <suffix>MD</suffix>
      </name>
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      <id root="2.16.840.1.113883.19.5"/>
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<documentationOf>
    <serviceEvent classCode="PCPR">
    <code code="xxx" codeSystem="xxx" codeSystemName="xxx" displayName="xxx"/>
<effectiveTime>
        <low value="19600127"/>
        <high value="20050329"/>
      </effectiveTime>
      <performer typeCode="PRF">
        <functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88"/>
        <time>        
          <low value="1998"/>
          <high value="2005"/>
        </time>
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          <code code="59058001"
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            codeSystemName="SNOMED CT"
            displayName="General Physician"/>
          <addr>
            <streetAddressLine>21 North Ave</streetAddressLine>
            <city>Burlington</city>
            <state>MA</state>
            <postalCode>01803</postalCode>
            <country>USA</country>
          </addr>
          <telecom value="tel:(999)555-1212" use="WP"/>
          <assignedPerson>
            <name>
              <prefix>Dr.</prefix>
              <given>Bernard</given>
              <family>Wiseman</family>
              <suffix>Sr.</suffix>
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        </assignedEntity>
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  CDA Body
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     <section>  <code code="10164-2" codeSystem="2.16.840.1.113883.6.1"
       codeSystemName="LOINC"/>
      <title>History of Present Illness</title>
      <text>
       <content styleCode="Bold">Henry Levin, the 7<sup>th</sup></content>
       is a 67 year old male referred for further asthma management.
       Onset of asthma in his <content revised="delete">twenties</content>
       <content revised="insert">teens</content>.
       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. 
      </text>
    </section>
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</ClinicalDocument>