<?xml version="1.0"?>
<!--
Readers should be aware of the evolving "Using SNOMED CT in HL7 Version 3" implementation guide, currently in a draft state. The guide, co-developed by HL7 and the College of American Pathologists, will be balloted by HL7 as an Informative Document. Recommendations in the final published guide should usurp patterns of SNOMED CT usage found in this sample instance.
-->
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<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
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	<!-- 
********************************************************
  CDA Header
********************************************************
-->
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	<title>Good Health Clinic Consultation Note</title>
	<effectiveTime value="20000407125632+0200"/>
	<confidentialityCode code="R" codeSystem="2.16.840.1.113883.5.25"/>
	<languageCode code="nl-NL"/>
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	<versionNumber value="2"/>
	<recordTarget typeCode="RCT">
		<patientRole>
			<id extension="950034253" root="2.16.840.1.113883.2.4.6.3" />
			<id extension="12345" root="2.16.840.1.113883.19.5"/>
			<addr>
				<streetName>Huisadres</streetName>
				<houseNumber>1</houseNumber>
				<postalCode>1000AA</postalCode>
				<city>Stad</city>
			</addr>
			<telecom use="HP" value="tel:+3110-23423423"/>
			<patient>
				<name use="L">
					<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>E.Novation <suffix>B.V.</suffix></name>
			</providerOrganization>
		</patientRole>
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	<author typeCode="AUT">
		<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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			<representedOrganization>
				<id root="2.16.840.1.113883.19.5"/>
			</representedOrganization>
		</assignedAuthor>
	</author>
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			<representedCustodianOrganization>
				<id root="2.16.840.1.113883.19.5"/>
				<name>Good Health Clinic</name>
			</representedCustodianOrganization>
		</assignedCustodian>
	</custodian>
	<legalAuthenticator typeCode="LA">
		<time value="20000408"/>
		<signatureCode code="S"/>
		<assignedEntity>
			<id extension="KP00017" root="2.16.840.1.113883.19.5"/>
			<assignedPerson>
				<name>
					<prefix qualifier="AC">Dr.</prefix>
					<given>A.</given>
					<family>Dolin</family>
					<suffix>MD</suffix>
				</name>
			</assignedPerson>
			<representedOrganization>
				<id root="2.16.840.1.113883.19.5"/>
				<asOrganizationPartOf>
					<id/>
					<code/>
					<wholeOrganization/>
				</asOrganizationPartOf>
			</representedOrganization>
		</assignedEntity>
	</legalAuthenticator>
	<relatedDocument typeCode="RPLC">
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			<id extension="a123" root="2.16.840.1.113883.19.4"/>
			<setId extension="BB35" root="2.16.840.1.113883.19.7"/>
			<versionNumber value="1"/>
		</parentDocument>
	</relatedDocument>
	<componentOf>
		<encompassingEncounter>
			<id extension="KPENC1332" root="2.16.840.1.113883.19.6"/>
			<effectiveTime value="20000407"/>
			<encounterParticipant typeCode="CON">
				<time value="20000407"/>
				<assignedEntity>
					<id extension="KP00017" root="2.16.840.1.113883.19.5"/>
					<assignedPerson>
						<name>
							<given>Robert</given>
							<family>Dolin</family>
							<suffix>MD</suffix>
						</name>
					</assignedPerson>
					<representedOrganization>
						<id root="2.16.840.1.113883.19.5"/>
					</representedOrganization>
				</assignedEntity>
			</encounterParticipant>
			<location>
				<healthCareFacility classCode="DSDLOC">
					<code code="GIM" codeSystem="2.16.840.1.113883.5.10588" displayName="General internal medicine clinic"/>
				</healthCareFacility>
			</location>
		</encompassingEncounter>
	</componentOf>
	<!-- 
********************************************************
  CDA Body
********************************************************
-->
	<component>
		<nonXMLBody>
			<!-- "Base64 encoded text" -->
			<text representation="B64" mediaType="text/plain">QmFzZTY0IGVuY29kZWQgdGV4dA==</text>
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</ClinicalDocument>
