<?xml version="1.0" encoding="UTF-8"?>
<?xml-stylesheet type="text/xsl" href="../../xsl/CDA.xsl"?>
<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:sciphox="urn::sciphox-org/sciphox"
  xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 ../../schemas/CDA.xsd">
  <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
  <id extension="60467,36049" root="1.2.276.0.58"/>
  <code code="11488-4" codeSystem="2.16.840.1.113883.6.1" displayName="Consultation note"/>
  <title>Arztbrief aus DURIA auf CDA Rel 2 Basis</title>
  <effectiveTime value="20060924"/>
  <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
  <languageCode code="de"/>
  <setId extension="D1" root="2.16.840.1.113883.3.933"/>
  <versionNumber value="1"/>
  <recordTarget>
    <!--- Patienten-Daten -->
    <patientRole>
      <id extension="6" root="2.16.840.1.113883.3.933"/>
      <addr>
        <streetName>Steinstr.</streetName>
        <houseNumber/>
        <postalCode>52156</postalCode>
        <city>Monschau</city>
      </addr>
      <patient>
        <name>
          <prefix>Dr.</prefix>
          <given>Alfred</given>
          <family>Hafer</family>
        </name>
        <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>
        <birthTime value="19450601"/>
      </patient>
      <providerOrganization>
        <telecom use="WP" value="tel:061511111111"/>
        <telecom use="WP" value="fax:061512222222"/>
        <addr>
          <streetName>Musterstr.</streetName>
          <houseNumber>1</houseNumber>
          <postalCode>64283</postalCode>
          <city>Darmstadt</city>
        </addr>
      </providerOrganization>
    </patientRole>
  </recordTarget>
  <author>
    <!--- author -->
    <time value="20060924"/>
    <assignedAuthor>
      <id extension="6319123" root="2.16.840.1.113883.3.933"/>
      <assignedPerson>
        <name>
          <prefix>Dr.med. Hans</prefix>
          <given/>
          <family>Topp-Glücklich</family>
        </name>
      </assignedPerson>
      <representedOrganization>
        <name>Dr.med. Hans Topp-Glücklich </name>
        <telecom use="WP" value="tel:061511111111"/>
        <telecom use="WP" value="fax:061512222222"/>
        <addr>
          <streetName>Musterstr.</streetName>
          <houseNumber>1</houseNumber>
          <postalCode>64283</postalCode>
          <city>Darmstadt</city>
        </addr>
      </representedOrganization>
    </assignedAuthor>
  </author>
  <custodian>
    <!--- Organisation von der das Dokument stammt -->
    <assignedCustodian>
      <representedCustodianOrganization>
        <id extension="M345" root="1.2.276.0.58"/>
        <name>Dr.med. Hans Topp-Glücklich </name>
        <telecom nullFlavor="UNK"/>
        <addr>
          <streetName>Musterstr.</streetName>
          <houseNumber>1</houseNumber>
          <postalCode>64283</postalCode>
          <city>Darmstadt</city>
        </addr>
      </representedCustodianOrganization>
    </assignedCustodian>
  </custodian>
  <informationRecipient typeCode="PRCP">
    <!--- Empfaenger -->
    <intendedRecipient>
      <id extension="21233445" root="2.16.840.1.113883.3.933"/>
      <informationRecipient>
        <name>
          <prefix>Dr.med.</prefix>
          <given>Kai</given>
          <family>Heitmann</family>
        </name>
      </informationRecipient>
      <receivedOrganization>
        <telecom use="WP" value="fax:02473.14233"/>
        <addr>
          <streetName>Mühlenweg</streetName>
          <houseNumber>1a</houseNumber>
          <postalCode>52152</postalCode>
          <city>Simmerath</city>
        </addr>
      </receivedOrganization>
    </intendedRecipient>
  </informationRecipient>
  <legalAuthenticator>
    <!--- legalAuthenticator -->
    <time value="20060721"/>
    <signatureCode code="S"/>
    <assignedEntity>
      <id extension="6319123" root="2.16.840.1.113883.3.933"/>
      <assignedPerson>
        <name>
          <prefix>Dr.med. Hans</prefix>
          <given/>
          <family>Topp-Glücklich</family>
        </name>
      </assignedPerson>
      <representedOrganization>
        <name>Dr.med. Hans Topp-Glücklich </name>
        <telecom use="WP" value="fax:061512222222"/>
        <addr>
          <streetName>Musterstr.</streetName>
          <houseNumber>1</houseNumber>
          <postalCode>64283</postalCode>
          <city>Darmstadt</city>
        </addr>
      </representedOrganization>
    </assignedEntity>
  </legalAuthenticator>
  <component>
    <structuredBody>
      <component>
        <!-- Laborwerte auf CDA Level 2 -->
        <section>
          <code code="18723-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
          <title>24.09.2006: Laborwerte</title>
          <text>
            <paragraph>Wir berichten kurz zusammenfassend über die Laborergebnisse des obigen Patienten.</paragraph>
            <table border="1">
              <thead>
                <tr>
                  <th>Test</th>
                  <th>Beschreibung</th>
                  <th>Wert</th>
                  <th>Einheit</th>
                  <th>Normbereich</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td>
                    <content ID="LAB20060924001">ERY</content>
                  </td>
                  <td>Erythrozyten</td>
                  <td>4.37</td>
                  <td>10*12/l</td>
                  <td>4.2 - 6.2</td>
                </tr>
                <tr>
                  <td>
                    <content ID="LAB20060924002">HB</content>
                  </td>
                  <td>Hämoglobin</td>
                  <td>12.6</td>
                  <td>g/dl</td>
                  <td>14 - 18</td>
                </tr>
                <tr>
                  <td>
                    <content ID="LAB20060924003">HK</content>
                  </td>
                  <td>Hämatokrit</td>
                  <td>37.6</td>
                  <td>%</td>
                  <td>37 - 40</td>
                </tr>
                <tr>
                  <td>
                    <content ID="LAB20060924004">MCV</content>
                  </td>
                  <td>MCV</td>
                  <td>86.0</td>
                  <td>fl</td>
                  <td>83 - 98</td>
                </tr>
                <tr>
                  <td>
                    <content ID="LAB20060924005">MCH</content>
                  </td>
                  <td>MCH</td>
                  <td>28.8</td>
                  <td>pg</td>
                  <td>28 - 34</td>
                </tr>
                <tr>
                  <td>
                    <content ID="LAB20060924006">MCHC</content>
                  </td>
                  <td>MCHC</td>
                  <td>31.5</td>
                  <td>g/dl</td>
                  <td>32 - 36</td>
                </tr>
                <tr>
                  <td>
                    <content ID="LAB200609242007">LEUKO</content>
                  </td>
                  <td>Leukozyten</td>
                  <td>8.49</td>
                  <td>10*9/l</td>
                  <td>4.4 - 11.2</td>
                </tr>
                <tr>
                  <td>
                    <content ID="LAB20060924008">THR</content>
                  </td>
                  <td>Thrombozyten</td>
                  <td>278</td>
                  <td>10*9/l</td>
                  <td>140 - 440</td>
                </tr>
                <tr>
                  <td>
                    <content ID="LAB20060924009">NEUT</content>
                  </td>
                  <td>Neutrophile</td>
                  <td>62.0</td>
                  <td>%</td>
                  <td>50 - 70</td>
                </tr>
                <tr>
                  <td>
                    <content ID="LAB20060924010">LYMP</content>
                  </td>
                  <td>Lymphozyten</td>
                  <td>24.6</td>
                  <td>%</td>
                  <td>20 - 40</td>
                </tr>
                <tr>
                  <td>
                    <content ID="LAB20060924011">MONO</content>
                  </td>
                  <td>Monozyten</td>
                  <td>7.2</td>
                  <td>%</td>
                  <td>4.7 - 12.5</td>
                </tr>
                <tr>
                  <td>
                    <content ID="LAB20060924012">EOS</content>
                  </td>
                  <td>Eosinophile</td>
                  <td>5.7</td>
                  <td>%</td>
                  <td>2 - 4</td>
                </tr>
                <tr>
                  <td>
                    <content ID="LAB20060924013">BASO</content>
                  </td>
                  <td>Basophile</td>
                  <td>0.5</td>
                  <td>%</td>
                  <td>0 - 1</td>
                </tr>
              </tbody>
            </table>
          </text>
          <!-- Laborwert auf Level 3 -->
          <entry>
            <act classCode="ACT" moodCode="EVN">
              <code code="24317-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vollständiges Blutbild"/>
              <statusCode code="completed"/>
              <entryRelationship typeCode="COMP">
                <organizer classCode="BATTERY" moodCode="EVN">
                  <code code="24317-2" codeSystem="2.16.840.1.113883.6.1"/>
                  <statusCode code="completed"/>
                  <effectiveTime value="200609241025"/>
                  <component>
                    <observation classCode="OBS" moodCode="EVN">
                      <code code="789-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="ERY Erythrozyten">
                        <originalText>
                          <reference value="#LAB20060924001"/>
                        </originalText>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime>
                        <center value="200609241025"/>
                      </effectiveTime>
                      <value xsi:type="PQ" value="4.37" unit="10*12/l"/>
                      <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                      <referenceRange>
                        <observationRange>
                          <value xsi:type="IVL_PQ">
                            <low value="4.2" unit="10*12/l"/>
                            <high value="6.2" unit="10*12/l"/>
                          </value>
                          <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                        </observationRange>
                      </referenceRange>
                    </observation>
                  </component>
                  <component>
                    <observation classCode="OBS" moodCode="EVN">
                      <code code="718-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HB Hämoglobin">
                        <originalText>
                          <reference value="#LAB20060924002"/>
                        </originalText>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime>
                        <center value="200609241025"/>
                      </effectiveTime>
                      <value xsi:type="PQ" value="12.6" unit="g/dl"/>
                      <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                      <referenceRange>
                        <observationRange>
                          <value xsi:type="IVL_PQ">
                            <low value="14" unit="g/dl"/>
                            <high value="18" unit="g/dl"/>
                          </value>
                          <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                        </observationRange>
                      </referenceRange>
                    </observation>
                  </component>
                  <component>
                    <observation classCode="OBS" moodCode="EVN">
                      <code code="4544-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HK Hämatokrit">
                        <originalText>
                          <reference value="#LAB20060924003"/>
                        </originalText>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime>
                        <center value="200609241025"/>
                      </effectiveTime>
                      <value xsi:type="PQ" value="37.6" unit="%"/>
                      <referenceRange>
                        <observationRange>
                          <value xsi:type="IVL_PQ">
                            <low value="37" unit="%"/>
                            <high value="40" unit="%"/>
                          </value>
                          <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                        </observationRange>
                      </referenceRange>
                    </observation>
                  </component>
                  <component>
                    <observation classCode="OBS" moodCode="EVN">
                      <code code="787-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MCV MCV">
                        <originalText>
                          <reference value="#LAB20060924004"/>
                        </originalText>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime>
                        <center value="200609241025"/>
                      </effectiveTime>
                      <value xsi:type="PQ" value="86.0" unit="fl"/>
                      <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                      <referenceRange>
                        <observationRange>
                          <value xsi:type="IVL_PQ">
                            <low value="83" unit="fl"/>
                            <high value="98" unit="fl"/>
                          </value>
                          <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                        </observationRange>
                      </referenceRange>
                    </observation>
                  </component>
                  <component>
                    <observation classCode="OBS" moodCode="EVN">
                      <code code="785-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MCH MCH">
                        <originalText>
                          <reference value="#LAB20060924005"/>
                        </originalText>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime>
                        <center value="200609241025"/>
                      </effectiveTime>
                      <value xsi:type="PQ" value="28.8" unit="pg"/>
                      <referenceRange>
                        <observationRange>
                          <value xsi:type="IVL_PQ">
                            <low value="28" unit="pg"/>
                            <high value="34" unit="pg"/>
                          </value>
                          <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                        </observationRange>
                      </referenceRange>
                    </observation>
                  </component>
                  <component>
                    <observation classCode="OBS" moodCode="EVN">
                      <code code="786-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MCHC MCHC">
                        <originalText>
                          <reference value="#LAB20060924006"/>
                        </originalText>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime>
                        <center value="200609241025"/>
                      </effectiveTime>
                      <value xsi:type="PQ" value="31.5" unit="g/dl"/>
                      <interpretationCode code="L" codeSystem="2.16.840.1.113883.5.83"/>
                      <referenceRange>
                        <observationRange>
                          <value xsi:type="IVL_PQ">
                            <low value="32" unit="g/dl"/>
                            <high value="36" unit="g/dl"/>
                          </value>
                          <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                        </observationRange>
                      </referenceRange>
                    </observation>
                  </component>
                  <component>
                    <observation classCode="OBS" moodCode="EVN">
                      <id extension="LAB200609241234.6520.GPT" root="2.16.840.1.113883.2.6.234.93345"/>
                      <code code="11156-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
                        displayName="LEUKO Leukozyten">
                        <originalText>
                          <reference value="#LAB20060924007"/>
                        </originalText>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime>
                        <center value="200609241025"/>
                      </effectiveTime>
                      <value xsi:type="PQ" value="8.49" unit="10*9/l"/>
                      <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                      <referenceRange>
                        <observationRange>
                          <value xsi:type="IVL_PQ">
                            <low value="4.4" unit="10*9/l"/>
                            <high value="11.2" unit="10*9/l"/>
                          </value>
                          <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                        </observationRange>
                      </referenceRange>
                    </observation>
                  </component>
                  <component>
                    <observation classCode="OBS" moodCode="EVN">
                      <code code="777-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="THR Thrombozyten">
                        <originalText>
                          <reference value="#LAB20060924008"/>
                        </originalText>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime>
                        <center value="200609241025"/>
                      </effectiveTime>
                      <value xsi:type="PQ" value="278" unit="10*9/l"/>
                      <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                      <referenceRange>
                        <observationRange>
                          <value xsi:type="IVL_PQ">
                            <low value="140" unit="10*9/l"/>
                            <high value="440" unit="10*9/l"/>
                          </value>
                          <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                        </observationRange>
                      </referenceRange>
                    </observation>
                  </component>
                  <component>
                    <observation classCode="OBS" moodCode="EVN">
                      <code code="751-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="NEUT Neutrophile">
                        <originalText>
                          <reference value="#LAB20060924009"/>
                        </originalText>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime>
                        <center value="200609241025"/>
                      </effectiveTime>
                      <value xsi:type="PQ" value="62.0" unit="%"/>
                      <referenceRange>
                        <observationRange>
                          <value xsi:type="IVL_PQ">
                            <low value="50" unit="%"/>
                            <high value="70" unit="%"/>
                          </value>
                          <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                        </observationRange>
                      </referenceRange>
                    </observation>
                  </component>
                  <component>
                    <observation classCode="OBS" moodCode="EVN">
                      <code code="736-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="LYMP Lymphozyten">
                        <originalText>
                          <reference value="#LAB20060924010"/>
                        </originalText>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime>
                        <center value="200609241025"/>
                      </effectiveTime>
                      <value xsi:type="PQ" value="24.6" unit="%"/>
                      <referenceRange>
                        <observationRange>
                          <value xsi:type="IVL_PQ">
                            <low value="20" unit="%"/>
                            <high value="40" unit="%"/>
                          </value>
                          <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                        </observationRange>
                      </referenceRange>
                    </observation>
                  </component>
                  <component>
                    <observation classCode="OBS" moodCode="EVN">
                      <code code="5905-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MONO Monozyten">
                        <originalText>
                          <reference value="#LAB20060924011"/>
                        </originalText>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime>
                        <center value="200609241025"/>
                      </effectiveTime>
                      <value xsi:type="PQ" value="7.2" unit="%"/>
                      <referenceRange>
                        <observationRange>
                          <value xsi:type="IVL_PQ">
                            <low value="4.7" unit="%"/>
                            <high value="12.5" unit="%"/>
                          </value>
                          <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                        </observationRange>
                      </referenceRange>
                    </observation>
                  </component>
                  <component>
                    <observation classCode="OBS" moodCode="EVN">
                      <code code="713-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="EOS Eosinophile">
                        <originalText>
                          <reference value="#LAB20060924012"/>
                        </originalText>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime>
                        <center value="200609241025"/>
                      </effectiveTime>
                      <value xsi:type="PQ" value="5.7" unit="%"/>
                      <referenceRange>
                        <observationRange>
                          <value xsi:type="IVL_PQ">
                            <low value="2" unit="%"/>
                            <high value="4" unit="%"/>
                          </value>
                          <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                        </observationRange>
                      </referenceRange>
                    </observation>
                  </component>
                  <component>
                    <observation classCode="OBS" moodCode="EVN">
                      <code code="704-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="BASO Basophile">
                        <originalText>
                          <reference value="#LAB20060924013"/>
                        </originalText>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime>
                        <center value="200609241025"/>
                      </effectiveTime>
                      <value xsi:type="PQ" value="0.5" unit="%"/>
                      <referenceRange>
                        <observationRange>
                          <value xsi:type="IVL_PQ">
                            <low value="0" unit="%"/>
                            <high value="1" unit="%"/>
                          </value>
                          <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                        </observationRange>
                      </referenceRange>
                    </observation>
                  </component>
                </organizer>
              </entryRelationship>
            </act>
          </entry>
        </section>
      </component>
      <component>
        <section>
          <code code="18723-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
          <title>24.09.2006: Homovanillinmandelsäure</title>
          <text>
            <paragraph>Die Homovanillinmandelsäure/Kreatinin Verlaufswerte zeigen tendentiell einen Rückgang. <br/> Die Werte
              sollten in 14-tägigen Abständen kontrolliert werden</paragraph>
            
            Die letzte <content ID="xyz">HVM Messung war mit 5.4 mmol/mol noch leicht erhöht</content>
            
            <table border="1">
              <thead>
                <tr>
                  <th>Test</th>
                  <th>Beschreibung</th>
                  <th>24.09.2006</th>
                  <th>Einheit</th>
                  <th>Normbereich</th>
                  <th>19.09.2006</th>
                  <th>08.09.2006</th>
                  <th>01.09.2006</th>
                </tr>
              </thead>
              <tbody>
                <tr>
                  <td>HVM</td>
                  <td>Homovanillinmandelsäure/Krea</td>
                  <td>
                    <content ID="LAB20060924090">5.4</content>
                  </td>
                  <td>mmol/mol</td>
                  <td>&lt;5</td>
                  <td>
                    <content ID="LAB20060924089">5.6</content>
                  </td>
                  <td>
                    <content ID="LAB20060924056">6.0</content>
                  </td>
                  <td>
                    <content ID="LAB20060924045">6.1</content>
                  </td>
                </tr>
              </tbody>
            </table>
          </text>
          <!-- Laborwert auf Level 3 -->
          <entry>
            <act classCode="ACT" moodCode="EVN">
              <code code="XXXXX" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Chem"/>
              <statusCode code="completed"/>
              <entryRelationship typeCode="COMP">
                <observation classCode="OBS" moodCode="EVN">
                  <code code="11146-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
                    displayName="HOMOVANILLATE/CREATININE">
                    <originalText>
                      <reference value="#LAB20060924090"/>
                    </originalText>
                  </code>
                  <statusCode code="completed"/>
                  <effectiveTime>
                    <center value="200609241025"/>
                  </effectiveTime>
                  <value xsi:type="PQ" value="5.4" unit="mmol/mol"/>
                  <interpretationCode code="H" codeSystem="2.16.840.1.113883.5.83"/>
                  <entryRelationship typeCode="REFR">
                    <!-- vorgehendes Resultat -->
                    <observation classCode="OBS" moodCode="EVN">
                      <code code="11146-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
                        displayName="HOMOVANILLATE/CREATININE">
                        <originalText>
                          <reference value="#LAB20060924089"/>
                        </originalText>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime>
                        <center value="20060919"/>
                      </effectiveTime>
                      <value xsi:type="PQ" value="5.6" unit="mmol/mol"/>
                    </observation>
                  </entryRelationship>
                  <entryRelationship typeCode="REFR">
                    <!-- vorgehendes Resultat -->
                    <observation classCode="OBS" moodCode="EVN">
                      <code code="11146-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
                        displayName="HOMOVANILLATE/CREATININE">
                        <originalText>
                          <reference value="#LAB20060924056"/>
                        </originalText>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime>
                        <center value="20060908"/>
                      </effectiveTime>
                      <value xsi:type="PQ" value="6.0" unit="mmol/mol"/>
                    </observation>
                  </entryRelationship>
                  <entryRelationship typeCode="REFR">
                    <!-- vorgehendes Resultat -->
                    <observation classCode="OBS" moodCode="EVN">
                      <code code="11146-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
                        displayName="HOMOVANILLATE/CREATININE">
                        <originalText>
                          <reference value="#LAB20060924045"/>
                        </originalText>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime>
                        <center value="20060901"/>
                      </effectiveTime>
                      <value xsi:type="PQ" value="6.1" unit="mmol/mol"/>
                    </observation>
                  </entryRelationship>
                  <referenceRange>
                    <observationRange>
                      <value xsi:type="IVL_PQ">
                        <high value="5" unit="mmol/mol"/>
                      </value>
                      <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
                    </observationRange>
                  </referenceRange>
                </observation>
              </entryRelationship>
            </act>
          </entry>
        </section>
      </component>
    </structuredBody>
  </component>
</ClinicalDocument>
