hr4e_patient.xml

<!--HR4E patient data template, based on greenCCD.xml from Alschuler Associates -->
<!-- We will validate ourselves against the greenCCD.xsd produced by Alschuler 
	Associates. We can keep a local copy of the schema. The original was downloaded 
	from the GreenCDA project page on HL7: http://wiki.hl7.org/index.php?title=GreenCDA_Project. 
	From that page, download and unzip CDAR2_IG_GREENMOD4CCD_R1_I1_2010SEP.zip 
	We use 3 namespaces: default is AlschulerAssociates xsi prefix is for XML 
	schema tags hr4e prefix for hr4e extensions to the default model. hr4e is 
	a placeholder, can change it if needed. -->
<greenCCD xmlns="AlschulerAssociates::GreenCDA" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:hr4e="hr4e::patientdata" xsi:schemaLocation="AlschulerAssociates::GreenCDA green_ccd.xsd">
	
	<!-- Header information. This information applies to the entire document. -->
	<header>

		<documentID root="f74b19b7-f119-4c3d-abe7-ddbf18f0cb7e"/>

		<!-- Title is required, but a fixed value for all HR4E instances. -->
		<title>Health Records for Everyone Continuity of Care Document</title>
		<version>
			<number>1</number>
		</version>
		<confidentiality codeSystem="2.16.840.1.113883.5.25" code="N"/>

		<documentTimestamp value="20111021601047+0800"/>
		<personalInformation>
			<patientInformation>
				<!-- personID is required and must be unique for each patient instance. 
					This root contains the prefixe for HR4E; it will need to be appended
					with a unique identifier for each patient. 
				-->
				<personID root="2.16.840.1.113883.3.881.3774976330"/>
				<personAddress>
					<streetAddressLine nullFlavor="NI"/>

					<!-- Let's use city to record present village -->
					<city>Santa Cruz</city>
					<state nullFlavor="NI"/>
					<postalCode nullFlavor="NI"/>
				</personAddress>
				<personPhone nullFlavor="NI"/>
				<personInformation>
					<personName>
						<given>Alex</given>
						<family>Gainer</family>
					</personName>

					<!-- The code system is fixed for all HR4E patients. set the code to "M" or "F" -->
					<gender codeSystem="2.16.840.1.113883.5.1" code="Male"/>

					<!-- personDateofBirth is required. Use "NI" if it is not available. -->
					<personDateOfBirth value="NI"/>

					<!-- HR4E section to record additional age information. -->			
					<hr4e:ageInformation> 
						<hr4e:statedAge>00</hr4e:statedAge> 
						<hr4e:estimatedAge>00</hr4e:estimatedAge> 
						<hr4e:yearInSchool>1</hr4e:yearInSchool> 
						<hr4e:statusInSchool>Enrolled</hr4e:statusInSchool> 
					</hr4e:ageInformation> 
				</personInformation>

				<!-- HR4E section to record living situation. -->
				<hr4e:livingSituation> 
					<hr4e:homeVillage>Santa Cruz</hr4e:homeVillage> 
					<hr4e:tribe>HR4E</hr4e:tribe> 
				</hr4e:livingSituation>
			</patientInformation>
		</personalInformation>
		<languagesSpoken>
			<languageSpoken>
				<languageCode code="sem-ET"/>
			</languageSpoken>
		<spokenLanguage code="sem-ET"/><spokenLanguage code="amh-ET"/><spokenLanguage code="eng-ET"/></languagesSpoken>
		<supports>
			<support>
				<date nullFlavor="NI"/>
				<contact>
					<contactAddress>
						<streetAddressLine nullFlavor="NI"/>
						<city>Newton</city>
						<state nullFlavor="NI"/>
						<postalCode nullFlavor="NI"/>
					</contactAddress>
					<contactTelecom nullFlavor="NI"/>
					<!-- Given the teacher name as the contact name. -->
					<contactName>
						<given>Johan</given>
						<family>Gabre</family>
					</contactName>
					<comment>
						<text>Enter comments here.</text>
					</comment>
					<!-- HR4E section to record school name. -->
					<hr4e:schoolName>Medhane Alem</hr4e:schoolName>
				</contact>
			</support>
		</supports>
		<custodian>
		<custodianID root="1.23.456.78910.11.2"/><custodianName>Project Mercy</custodianName></custodian>
		<healthcareProviders>

			<!-- This should be set to the start and end date of the clinic. -->
			<careProvisionDateRange>
				<low value="20111022"/>
				<high value="20111031"/>
			</careProvisionDateRange>

			<!-- List of health care providers. -->
			<healthcareProvider>
				<role code="AUSC" codeSystem="2.16.840.1.113883.3.881.1134321">
					<originalText>Me</originalText>
				</role>

				<!-- This date range could be specific for health care provider, if they 
					did not stay for whole clinic. By default, make it the same as the date range 
					for the clinic. 
				-->
				<dateRange>
					<low value="20111024"/>
					<high value="20111104"/>
				</dateRange>

				<!-- providerEntity is required, it is the organization associated with 
					the health care provider (HR4E?). This should be the same for all document 
					instances for a clinic visit. 
				-->
				<providerEntity>
					<!-- providerID is required, and should be a unique identifier for the 
						organization. It is a UUID in greec_ccd, but I think we should base
						it off of the HR4E oid. 
					-->
					<providerID root="2.16.840.1.113883.3.881.1134321"/>
					<providerName>
						<prefix>Dr.</prefix>
						<given>Phil</given>
						<family>Strong</family>
					</providerName>
					<providerOrganizationName>Friends of Project Mercy</providerOrganizationName>
				</providerEntity>
				<comment>
					<text>Enter comments here.</text>
				</comment>
			</healthcareProvider>
		</healthcareProviders>

		<!-- information source is required, I think. It represents the author 
			of the document. This will be the person whose role is scribe for the clinic 
		-->
		<informationSource>
			<author>
				<authorTime value="20111021601047+0800"/>
				<authorName>
					<prefix>Dr.</prefix>
					<given>Phil</given>
					<family>Strong</family>
				</authorName>
			</author>
		</informationSource>
		
	 	<!-- We also want to capture information about the clinic site. This should be configured
	 		 for every mobile clinic trip. 
 		-->
		<hr4e:clinics>
		   	<hr4e:clinicEntity>
		   		<hr4e:clinicGPSCoordinates>gps1</hr4e:clinicGPSCoordinates>
				<hr4e:clinicName>2011 Medhane Alem</hr4e:clinicName>
				<hr4e:clinicDetails>Medhane Alem School</hr4e:clinicDetails>
		    </hr4e:clinicEntity>
		</hr4e:clinics>
		
	</header>
	
	<!-- Body information.  The sections below must be in this order to validate against greenCCD.xsd -->
	<body>
	
		<!-- Results are a list of the patient's lab results.  It is optional for any patient. -->
		<results>
			
		<result><resultID root="a6eeaadb-e96a-4d9f-be08-0f4f60316fba"/><resultDateTime value="10/2011"/><resultType code="41144-7" displayName="Orasure" codeSystem="2.16.840.1.113883.5.83"/><resultStatus code="completed"/><resultValue><physicalQuantity unit="NI" value="Positive"/></resultValue><resultReferenceRange>M 13-18 g/dl; F 12-16 g/dl</resultReferenceRange><comment><text>Test Result</text></comment></result><result><resultID root="7137660c-64a2-4320-be6c-4c6352a3174a"/><resultDateTime value="10/2011"/><resultType code="718-7" displayName="Hemoglobin" codeSystem="2.16.840.1.113883.5.83"/><resultStatus code="completed"/><resultValue><physicalQuantity unit="NI" value="13"/></resultValue><resultReferenceRange>M 13-18 g/dl; F 12-16 g/dl</resultReferenceRange><comment><text>Test Result</text></comment></result><result><resultID root="115c0096-07d0-40ca-9bbf-339954f4dd2a"/><resultDateTime value="10/2011"/><resultType code="10701-1" displayName="Stool O&amp;P Status" codeSystem="2.16.840.1.113883.5.83"/><resultStatus code="completed"/><resultValue><physicalQuantity unit="NI" value="Abnormal"/></resultValue><resultReferenceRange>M 13-18 g/dl; F 12-16 g/dl</resultReferenceRange><comment><text>Abnormal</text></comment></result></results>
		<encounters>
			<encounter>
				<!-- We will need to generate a unique id for every encounter of every patient.  It is a UUID. -->
				<encounterID root="7b052681-3c48-45d4-b61f-db7ff8e4f2b0"/>
				<encounterType codeSystem="2.16.840.1.113883.5.4" code="FLD">
					<originalText>General Checkup</originalText>
				</encounterType>
				<encounterDateTime value="20111021601047+0800"/>
				<reasonForVisit>
					<text>Hello.</text>
					<reason code="NI"/>
				</reasonForVisit>
		   		<hr4e:encounterNotes>asdf</hr4e:encounterNotes>
			</encounter>
		</encounters>
		
		<!-- Medications are a list of the patient's medications.  It is optional for a given patient. -->
		<medications>
			<medication>
				<medicationInformation>
					<codedProductName codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm" displayName="Ivermectin" code="311207"/>
					<freeTextProductName>Ivermectin 3 MG Oral Tablet</freeTextProductName>
				</medicationInformation>
			</medication>
		</medications>
		<immunizations>
			<immunization>
				<administeredDate value="201104"/>
				<medicationInformation>
					<codedProductName codeSystem="2.16.840.1.113883.6.59" displayName="Measles" code="90705"/>
					<freeTextProductName>Measles vaccine</freeTextProductName>
				</medicationInformation>
				<comment>
					<text>Enter comments here.</text>
				</comment>
			</immunization>
		<immunization><administeredDate value="1/2011"/><medicationInformation><codedProductName code="90712" displayName="BCG, OPV-O" codeSystem="2.16.840.1.113883.6.59"/><freeTextProductName>BCG, OPV-O</freeTextProductName></medicationInformation><comment><text>Immunization</text></comment></immunization><immunization><administeredDate value="1/2011"/><medicationInformation><codedProductName code="90731" displayName="DPT-2,OPV-2,HBV-2" codeSystem="2.16.840.1.113883.6.59"/><freeTextProductName>DPT-2,OPV-2,HBV-2</freeTextProductName></medicationInformation><comment><text>Immunization</text></comment></immunization></immunizations>
		<vitalSigns>
			<vitalSign>
			
				<!-- A new UUID must be generated for each vital sign instance. -->
				<resultID root="00000000-0000-0000-0000-000000000000"/>
				<resultDateTime value="19991114"/>
				<resultType codeSystem="2.16.840.1.113883.6.1" displayName="Temperature" code="18688-2"/>
				<resultStatus code="completed"/>
				<resultValue>
					<physicalQuantity value="177" unit="cm"/>
				</resultValue>
				
				<resultInterpretation codeSystem="2.16.840.1.113883.5.83" code="N"/>
				
				<!-- Result range will need be be configured on a per clinic basis for each lab. -->
				<resultReferenceRange>M 13-18 g/dl; F 12-16 g/dl</resultReferenceRange>
				<comment>
					<text>Enter comments here.</text>
				</comment>
			</vitalSign>
		<vitalSign><resultID root="0b98c905-e236-4ae0-8c43-f27668d86968"/><resultDateTime value="20111021601047+0800"/><resultType code="41909-3" displayName="BMI" codeSystem="2.16.840.1.113883.6.96"/><resultStatus code="completed"/><resultValue><physicalQuantity unit="NI" value="100.0"/></resultValue><comment><text>Intake Vitals</text></comment></vitalSign><vitalSign><resultID root="d54d0ebf-c5ed-4f3b-9b37-49645c97e36e"/><resultDateTime value="20111021601047+0800"/><resultType code="NI" displayName="Z-Score" codeSystem="2.16.840.1.113883.6.96"/><resultStatus code="completed"/><resultValue><physicalQuantity unit="NI" value="Age out of range"/></resultValue><comment><text>Intake Vitals</text></comment></vitalSign><vitalSign><resultID root="f650a660-ddbc-4b64-a570-a65f715ae525"/><resultDateTime value="20111021601047+0800"/><resultType code="46039-4" displayName="Body Height" codeSystem="2.16.840.1.113883.6.96"/><resultStatus code="completed"/><resultValue><physicalQuantity unit="cm" value="100.0"/></resultValue><comment><text>Intake Vitals</text></comment></vitalSign><vitalSign><resultID root="cfdd20ba-429d-467d-9f1e-dc7186e566ae"/><resultDateTime value="20111021601047+0800"/><resultType code="46039-4" displayName="Body Weight" codeSystem="2.16.840.1.113883.6.96"/><resultStatus code="completed"/><resultValue><physicalQuantity unit="kg" value="100.0"/></resultValue><comment><text>Intake Vitals</text></comment></vitalSign><vitalSign><resultID root="6f3d6efc-e341-4506-9deb-30e17b532cf8"/><resultDateTime value="20111021601047+0800"/><resultType code="11948-7" displayName="P" codeSystem="2.16.840.1.113883.6.96"/><resultStatus code="completed"/><resultValue><physicalQuantity unit="NI" value="20P"/></resultValue><comment><text>Intake Vitals</text></comment></vitalSign></vitalSigns>
		<conditions>
			<condition>
				<problemDate>
					<low value="2011"/>
				</problemDate>
				<problemName> Enter condition here</problemName>
				<problemCode code="000" codeSystem="2.16.840.1.113883.6.103" displayName=""/>
				<comment>
					<text>Enter comments here.</text>
				</comment>
			</condition>
		<condition><problemDate><low value="2011"/></problemDate><problemName>Fever</problemName><problemCode code="V70.6" displayName="Assessments" codeSystem="2.16.840.1.113883.6.103"/><comment><text>asdf</text></comment></condition><condition><problemDate><low value="2011"/></problemDate><problemName>asdf</problemName><problemCode code="V70.6" displayName="Assessments" codeSystem="2.16.840.1.113883.6.103"/><comment><text>asdf</text></comment></condition></conditions>
		<planOfCare>
			<plannedObservation>
				<!--  We will need to generate a unique ID for each plan of care item.  This is a UUID -->
				<planId root="00000000-0000-0000-0000-000000000000"/>
				<planType code="NI" codeSystem="NI" displayName="NI"/>
				<planFreeText>Add description of follow up care here. </planFreeText>
			</plannedObservation>
		<plannedObservation><planID root="9e1f1830-5381-4346-b006-c1119fe5c0da"/><planType code="NI" displayName="Ivermectin 3 MG Oral Tablet" codeSystem="NI"/><planFreeText>asdf</planFreeText></plannedObservation></planOfCare>
	</body>
</greenCCD>