<?xml version="1.0" encoding="UTF-16"?>
<?oxygen SCHSchema="../schematrons/elab-cdauitslag.sch"?>
<?xml-stylesheet type="text/xsl" href="../xsl/cda-singleton.xsl"?>
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 ../schemas/CDA_IHE_LAB.xsd"
    xmlns="urn:hl7-org:v3" xmlns:v3="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:lab="urn:oid:2.16.840.1.113883.2.4.6.10.35.81"
    classCode="DOCCLIN" moodCode="EVN">
    <realmCode code="NL"> </realmCode>
    <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"> </typeId>
    <templateId root="2.16.840.1.113883.2.4.6.10.35.3"> </templateId>
    <templateId root="2.16.840.1.113883.2.4.6.10.100001"> </templateId>
    <id extension="12938" root="2.16.528.1.1007.3.2.1111.21.1"> </id>
    <code code="11502-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="LABORATORY REPORT.TOTAL"> </code>
    <title>Proof of Concept Labuitslag</title>
    <effectiveTime value="20110619102848"> </effectiveTime>
    <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"> </confidentialityCode>
    <languageCode code="nl-NL"> </languageCode>
    <setId extension="567" root="2.16.528.1.1007.3.2.1111.20.1"> </setId>
    <versionNumber value="1"> </versionNumber>
    <recordTarget typeCode="RCT" contextControlCode="OP">
        <templateId root="2.16.840.1.113883.2.4.6.10.35.100"> </templateId>
        <patientRole classCode="PAT">
            <id> </id>
            <addr use="HP">
                <streetName>Sloot 3</streetName>
                <houseNumber>3</houseNumber>
                <postalCode>1212DD</postalCode>
                <city>Hilversum</city>
            </addr>
            <telecom use="HP" value="tel:"> </telecom>
            <patient classCode="PSN" determinerCode="INSTANCE">
                <name use="L">
                    <given qualifier="IN">T.H.</given>
                    <prefix qualifier="VV">van</prefix>
                    <family qualifier="BR">Puffelen</family>
                </name>
                <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"> </administrativeGenderCode>
                <birthTime value="19770302"> </birthTime>
            </patient>
        </patientRole>
    </recordTarget>
    <author typeCode="AUT" contextControlCode="OP">
        <templateId root="2.16.840.1.113883.2.4.6.10.35.101"> </templateId>
        <time value="20110619102848"> </time>
        <assignedAuthor classcode="ASSIGNED"> </assignedAuthor>
    </author>
    <custodian typeCode="CST">
        <assignedCustodian classCode="ASSIGNED">
            <templateId root="2.16.840.1.113883.2.4.6.10.35.102"> </templateId>
            <representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
                <id extension="00008481" root="2.16.528.1.1007.3.3"> </id>
                <name use="L">Laboratorium Philips</name>
            </representedCustodianOrganization>
        </assignedCustodian>
    </custodian>
    <informationRecipient typeCode="PRCP">
        <templateId root="2.16.840.1.113883.2.4.6.10.35.103"> </templateId>
        <intendedRecipient classCode="ASSIGNED"> </intendedRecipient>
    </informationRecipient>
    <participant typeCode="REF" contextControlCode="OP">
        <templateId root="2.16.840.1.113883.2.4.6.10.35.104"> </templateId>
        <associatedEntity classCode="ROL"> </associatedEntity>
    </participant>
    <inFulfillmentOf typeCode="FLFS">
        <order classCode="ACT" moodCode="RQO"> </order>
    </inFulfillmentOf>
    <documentationOf typeCode="DOC">
        <serviceEvent classCode="OBS" moodCOde="EVN">
            <id extension="20110619120002" root="2.16.528.1.1007.3.2.1111.19.1"> </id>
            <lab:statuscode code="completed"> </lab:statuscode>
            <effectiveTime value="201106190933"> </effectiveTime>
            <performer typeCode="PRF">
                <assignedEntity classCode="ASSIGNED">
                    <id root="2.16.528.1.1007.3.1" extension="000012345"> </id>
                    <code code="01.020" extension="2.16.840.1.113883.2.4.15.111"> </code>
                </assignedEntity>
            </performer>
        </serviceEvent>
    </documentationOf>
    <component typeCode="COMP" contextConductionInd="true">
        <structuredBody>
            <component>
                <section>
                    <title>Test results</title>
                    <text>
                        <table>
                            <thead>
                                <th>Name</th>
                                <th>Value</th>
                                <th>Unit</th>
                                <th>Reference</th>
                            </thead>
                            <tr>
                                <td>EBCMB</td>
                                <td>dubieus</td>
                                <td/>
                                <td>
                                    <table>
                                        <tr>
                                            <td>low</td>
                                            <td>62 </td>
                                        </tr>
                                        <tr>
                                            <td>high</td>
                                            <td> 106</td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>EBCGB</td>
                                <td>positief</td>
                                <td/>
                                <td>
                                    <table>
                                        <tr>
                                            <td>low</td>
                                            <td>62 </td>
                                        </tr>
                                        <tr>
                                            <td>high</td>
                                            <td> 106</td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>EBNGB</td>
                                <td>dubieus</td>
                                <td/>
                                <td>
                                    <table>
                                        <tr>
                                            <td>low</td>
                                            <td>62 </td>
                                        </tr>
                                        <tr>
                                            <td>high</td>
                                            <td> 106</td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>CMVGB</td>
                                <td>positief</td>
                                <td>U/ml</td>
                                <td>
                                    <table>
                                        <tr>
                                            <td>low</td>
                                            <td>62 U/ml</td>
                                        </tr>
                                        <tr>
                                            <td>high</td>
                                            <td> 106U/ml</td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>CMVMB</td>
                                <td>positief</td>
                                <td/>
                                <td>
                                    <table>
                                        <tr>
                                            <td>low</td>
                                            <td>62 </td>
                                        </tr>
                                        <tr>
                                            <td>high</td>
                                            <td> 106</td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                            <tr>
                                <td>OPMV</td>
                                <td>TEKSTAnamnese/. Beeld van mononucleosis infectiosa metkeelpijn en forse leverfunctie stoornissen.dd/. Resultaten
                                    serologie niet conclusief, overweeg zoweleen acute CMV als EBV infectie.advies/. Serologie op CMV op serum van
                                    19-6 em EBV em CMVserologie op serum van een half jaar eerder.</td>
                                <td/>
                                <td>
                                    <table>
                                        <tr>
                                            <td>low</td>
                                            <td>62 </td>
                                        </tr>
                                        <tr>
                                            <td>high</td>
                                            <td> 106</td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                        </table>
                    </text>
                </section>
            </component>
            <entry typeCode="DRIV">
                <act classCode="ACT" moodCode="EVN">
                    <performer>
                        <assignedEntity>
                            <id extension="?????" root="2.16.528.1.1007.3.3"> </id>
                        </assignedEntity>
                    </performer>
                    <entryRelationship typeCode="COMP">
                        <organizer classCode="CLUSTER" moodCode="EVN">
                            <component typeCode="COMP" contextConductionInd="true">
                                <observation classCode="OBS" moodCode="EVN">
                                    <code code="EBCMB" codeSystem="2.16.840.1.113883.2.4.4.30.26" displayName="EBV VCA IgM"> </code>
                                    <statusCode code="active"> </statusCode>
                                    <value xsi:type="PQ" value="dubieus" unit=""> </value>
                                    <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"> </interpretationCode>
                                    <referenceRange typeCode="REFV">
                                        <observationRange classCode="OBS" moodCode="EVN.CRT">
                                            <value xsi:type="IVL_PQ">
                                                <low value="62 " unit=""> </low>
                                                <high value=" 106" unit=""> </high>
                                            </value>
                                        </observationRange>
                                    </referenceRange>
                                </observation>
                            </component>
                            <component typeCode="COMP" contextConductionInd="true">
                                <observation classCode="OBS" moodCode="EVN">
                                    <code code="EBCGB" codeSystem="2.16.840.1.113883.2.4.4.30.26" displayName="EBV VCA IgG"> </code>
                                    <statusCode code="active"> </statusCode>
                                    <value xsi:type="PQ" value="positief" unit=""> </value>
                                    <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"> </interpretationCode>
                                    <referenceRange typeCode="REFV">
                                        <observationRange classCode="OBS" moodCode="EVN.CRT">
                                            <value xsi:type="IVL_PQ">
                                                <low value="62 " unit=""> </low>
                                                <high value=" 106" unit=""> </high>
                                            </value>
                                        </observationRange>
                                    </referenceRange>
                                </observation>
                            </component>
                            <component typeCode="COMP" contextConductionInd="true">
                                <observation classCode="OBS" moodCode="EVN">
                                    <code code="EBNGB" codeSystem="2.16.840.1.113883.2.4.4.30.26" displayName="EBNA IgG"> </code>
                                    <statusCode code="active"> </statusCode>
                                    <value xsi:type="PQ" value="dubieus" unit=""> </value>
                                    <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"> </interpretationCode>
                                    <referenceRange typeCode="REFV">
                                        <observationRange classCode="OBS" moodCode="EVN.CRT">
                                            <value xsi:type="IVL_PQ">
                                                <low value="62 " unit=""> </low>
                                                <high value=" 106" unit=""> </high>
                                            </value>
                                        </observationRange>
                                    </referenceRange>
                                </observation>
                            </component>
                            <component typeCode="COMP" contextConductionInd="true">
                                <observation classCode="OBS" moodCode="EVN">
                                    <code code="CMVGB" codeSystem="2.16.840.1.113883.2.4.4.30.26" displayName="CMV As. IgG"> </code>
                                    <statusCode code="active"> </statusCode>
                                    <value xsi:type="PQ" value="positief" unit="U/ml"> </value>
                                    <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"> </interpretationCode>
                                    <referenceRange typeCode="REFV">
                                        <observationRange classCode="OBS" moodCode="EVN.CRT">
                                            <value xsi:type="IVL_PQ">
                                                <low value="62 " unit="U/ml"> </low>
                                                <high value=" 106" unit="U/ml"> </high>
                                            </value>
                                        </observationRange>
                                    </referenceRange>
                                </observation>
                            </component>
                            <component typeCode="COMP" contextConductionInd="true">
                                <observation classCode="OBS" moodCode="EVN">
                                    <code code="CMVMB" codeSystem="2.16.840.1.113883.2.4.4.30.26" displayName="CMV-As IgM"> </code>
                                    <statusCode code="active"> </statusCode>
                                    <value xsi:type="PQ" value="positief" unit=""> </value>
                                    <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"> </interpretationCode>
                                    <referenceRange typeCode="REFV">
                                        <observationRange classCode="OBS" moodCode="EVN.CRT">
                                            <value xsi:type="IVL_PQ">
                                                <low value="62 " unit=""> </low>
                                                <high value=" 106" unit=""> </high>
                                            </value>
                                        </observationRange>
                                    </referenceRange>
                                </observation>
                            </component>
                            <component typeCode="COMP" contextConductionInd="true">
                                <observation classCode="OBS" moodCode="EVN">
                                    <code code="OPMV" codeSystem="2.16.840.1.113883.2.4.4.30.26" displayName="OPM VAK SP"> </code>
                                    <statusCode code="active"> </statusCode>
                                    <value xsi:type="PQ"
                                        value="TEKSTAnamnese/. Beeld van mononucleosis infectiosa metkeelpijn en forse leverfunctie stoornissen.dd/. Resultaten serologie niet conclusief, overweeg zoweleen acute CMV als EBV infectie.advies/. Serologie op CMV op serum van 19-6 em EBV em CMVserologie op serum van een half jaar eerder."
                                        unit=""> </value>
                                    <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"> </interpretationCode>
                                    <referenceRange typeCode="REFV">
                                        <observationRange classCode="OBS" moodCode="EVN.CRT">
                                            <value xsi:type="IVL_PQ">
                                                <low value="62 " unit=""> </low>
                                                <high value=" 106" unit=""> </high>
                                            </value>
                                        </observationRange>
                                    </referenceRange>
                                </observation>
                            </component>
                        </organizer>
                    </entryRelationship>
                </act>
            </entry>
        </structuredBody>
    </component>
</ClinicalDocument>
