-- XML schema extracted from ITU-T H.860 (04/2014)
<!-- ITU-T H.810 CERTIFIED PULSE OXIMETER DATA OUTPUT IN HL7 R2 MESSAGE FORMAT -->
<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<typeId root="2.16.840.1.113883.1.3" extension="18369527497003753199"/>
<templateId root="2.16.840.1.113883.10.20.9"/>
<id root="2.25.999.99.99.99.99.9"/>
<code code="53576-5" codeSystem="2.16.840.1.113883.6.1" displayName="Summarization of episode note"/><!-- LOINC code 53576-5 "Personal Health Monitoring Report Document" -->
<title>Continua CESL 1.5 PHMR Document</title>
<effectiveTime value="20131218062706+0000"/><!-- 2013/12/18 06:27:06 -->
<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/><!-- //HL7 Confidentiality Code "N" = Normal -->
<languageCode code="en-US"/>
<recordTarget>
<patientRole>
<id root="2.25" extension="18369527497003753199"/>
<addr>
<streetAddressLine></streetAddressLine>
<city></city>
<state></state>
<postalCode></postalCode>
<country></country>
</addr>
<telecom value="tel:999-999-9999" use="DIR"/>
<patient>
<name>
<prefix></prefix>
<given>John</given>
<family>Smith</family>
<suffix></suffix>
</name>
<administrativeGenderCode code="M"/>
<birthTime value="19700101"/><!-- 1971/01/01 -->
</patient>
</patientRole>
</recordTarget>
<author>
<time value="20131218062711+0000"/><!-- 2013/12/18 06:27:11 -->
<assignedAuthor>
<id root="2.25" extension="18369527497003753198"/>
<addr>
<streetAddressLine>58 Dover Rd.</streetAddressLine>
<city>Durham</city>
<state>NH</state>
<postalCode>03857</postalCode>
<country>USA</country>
</addr>
<telecom value="tel:603-868-8411" use="DIR"/>
<assignedPerson>
<name>
<prefix></prefix>
<given>GUI Manager</given>
<family>CESL</family>
<suffix></suffix>
</name>
</assignedPerson>
<representedOrganization>
<name>Heart of Gold Hospital</name>
<telecom value="tel:999-999-9999"/>
<addr>
<streetAddressLine>42 End O'' The Universe Lane</streetAddressLine>
<city>Magrathea</city>
<state>Confusion</state>
<postalCode>12345</postalCode>
<country>The Universe</country>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<custodian>
<assignedCustodian>
<representedCustodianOrganization>
<id root="2.25" extension="18369527497003753198"/>
<name>Good Health Clinic</name>
<telecom value="tel:603-868-8411" use="DIR"/>
<addr>
<streetAddressLine>58 Dover Rd.</streetAddressLine>
<city>Durham</city>
<state>NH</state>
<postalCode>03857</postalCode>
<country>USA</country>
</addr>
</representedCustodianOrganization>
</assignedCustodian>
</custodian>
<informationRecipient>
<intendedRecipient>
<id extension="4" root="2.16.840.1.113883.19"/>
<addr>
<streetAddressLine>42 End O'' The Universe Lane</streetAddressLine>
<city>Magrathea</city>
<state>Confusion</state>
<postalCode>12345</postalCode>
<country>The Universe</country>
</addr>
<telecom value="tel:999-999-9999" use="DIR"/>
<informationRecipient>
<name>
<prefix>Dr.</prefix>
<given>Zaphod</given>
<family>Beeblebrox</family>
</name>
</informationRecipient>
<receivedOrganization>
<name>Heart of Gold Hospital</name>
<telecom value="tel:999-999-9999"/>
<addr>
<streetAddressLine>42 End O'' The Universe Lane</streetAddressLine>
<city>Magrathea</city>
<state>Confusion</state>
<postalCode>12345</postalCode>
<country>The Universe</country>
</addr>
</receivedOrganization>
</intendedRecipient>
</informationRecipient>
<legalAuthenticator>
<time value="20131218062706+0000"/><!-- 2013/12/18 06:27:06 -->
<signatureCode code="S"/>
<assignedEntity>
<id root="2.25" extension="18369527497003753199"/>
<addr>
<streetAddressLine>58 Dover Rd.</streetAddressLine>
<city>Durham</city>
<state>NH</state>
<postalCode>03857</postalCode>
<country>USA</country>
</addr>
<telecom value="tel:603-868-8411" use="DIR"/>
<assignedPerson>
<name>
<prefix></prefix>
<given>GUI Manager</given>
<family>CESL</family>
<suffix></suffix>
</name>
</assignedPerson>
</assignedEntity>
</legalAuthenticator>
<documentationOf>
<serviceEvent classCode="MPROT">
<effectiveTime>
<low value="20131218062706+0000"/><!-- 2013/12/18 06:27:06 -->
<high value="20131218062706+0000"/><!-- 2013/12/18 06:27:06 -->
</effectiveTime>
</serviceEvent>
</documentationOf>
<component>
<structuredBody>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.1.16"/>
<templateId root="2.16.840.1.113883.10.20.9.2"/>
<code code="8716-3" codeSystem="2.16.840.1.113883.6.1" /><!-- LOINC Code 8716-3 "Vital Signs" -->
<title>Vital Signs</title>
<text></text>
<entry typeCode="DRIV">
<organizer classCode="CLUSTER" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.1.35"/>
<id nullFlavor="NI"/>
<code codeSystem="2.16.840.1.113883.6.96" code="46680005" displayName="Vital Signs"/><!-- SNOMED Code 46680005 "Vital Signs" -->
<statusCode code="completed"/>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.1.31"/><id/>
<code code="431314004" codeSystem="2.16.840.1.113883.6.96" displayName="Peripheral oxygen saturation"><!-- SNOMED Code 431314004 "Peripheral Oxygen Saturation" -->
<translation code="MDC_PULS_OXIM_SAT_O2" codeSystem="2.16.840.1.113883.6.24" displayName="Peripheral oxygen saturation" /><!-- ISO/IEEE 11073 MDC_PULS_OXIM_SAT_02 "Peripheral Oxygen Saturation" -->
</code>
<statusCode code="completed"/>
<effectiveTime value="20131218062707+0000"/><!-- 2013/12/18 06:27:07 -->
<value xsi:type="PQ" value="97.5" unit="%"/><!-- 97.5% -->
<participant typeCode="DEV">
<participantRole>
<id root="1.2.840.10004.1.1.1.0.0.1.0.0.1.2680" assigningAuthorityName="EUI64" extension="1311768464868844083"/>
</participantRole>
</participant>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.1.31"/><id/>
<code code="78564009" codeSystem="2.16.840.1.113883.6.96" displayName="Pulse rate"><!-- SNONMED 78564009 "Pulse Rate" -->
<translation code="MDC_PULS_OXIM_PULS_RATE" codeSystem="2.16.840.1.113883.6.24" displayName="Pulse rate" /><!-- ISO/IEEE 11073 MDC_PULS_OXIM_PULS_RATE "Pulse rate" -->
</code>
<statusCode code="completed"/>
<effectiveTime value="20131218062707+0000"/><!-- 2013/12/18 06:27:07 -->
<value xsi:type="PQ" value="80" unit="{beat }/min"/><!-- 80 beat/min -->
<participant typeCode="DEV">
<participantRole>
<id root="1.2.840.10004.1.1.1.0.0.1.0.0.1.2680" assigningAuthorityName="EUI64" extension="1311768464868844083"/>
</participantRole>
</participant>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.1.31"/><id/>
<code code="431314004" codeSystem="2.16.840.1.113883.6.96" displayName="Peripheral oxygen saturation"><!-- SNOMED 4131314004 "Peripheral oxygen saturation" -->
<translation code="MDC_PULS_OXIM_SAT_O2" codeSystem="2.16.840.1.113883.6.24" displayName="Peripheral oxygen saturation" /><!-- ISO/IEEE 11073 MDC_PULS_OXIM_SAT_02 "Peripheral Oxygen Saturation" -->
</code>
<statusCode code="completed"/>
<effectiveTime value="20131218062710+0000"/><!-- 2013/12/18 06:27:10 -->
<value xsi:type="PQ" value="99" unit="%"/><!-- 99 % -->
<participant typeCode="DEV">
<participantRole>
<id root="1.2.840.10004.1.1.1.0.0.1.0.0.1.2680" assigningAuthorityName="EUI64" extension="1311768464868844083"/>
</participantRole>
</participant>
</observation>
</component>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.1.31"/><id/>
<code code="78564009" codeSystem="2.16.840.1.113883.6.96" displayName="Pulse rate"><!-- SNOMED 78564009 "Pulse Rate" -->
<translation code="MDC_PULS_OXIM_PULS_RATE" codeSystem="2.16.840.1.113883.6.24" displayName="Pulse rate" /><!-- ISO/IEEE 11073 MDC_PULS_OXIM_PULS_RATE "Pulse rate" -->
</code>
<statusCode code="completed"/>
<effectiveTime value="20131218062710+0000"/><!-- 2013/12/18 06:27:10 -->
<value xsi:type="PQ" value="86.8" unit="{beat }/min"/><!-- 86.8 beat/min -->
<participant typeCode="DEV">
<participantRole>
<id root="1.2.840.10004.1.1.1.0.0.1.0.0.1.2680" assigningAuthorityName="EUI64" extension="1311768464868844083"/>
</participantRole>
</participant>
</observation>
</component>
</organizer>
</entry>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.9.1"/>
<templateId root="2.16.840.1.113883.10.20.1.7"/>
<code code="46264-8" codeSystem="2.16.840.1.113883.6.1"/><!-- LOINC code 46264-8 "Medical Equipment" -->
<title>Medical Equipment</title>
<text></text>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.1.14"/>
<templateId root="2.16.840.1.113883.10.20.9.14"/>
<code code="30954-2" codeSystem="2.16.840.1.113883.6.1"/><!-- LOINC code 30954-2 "Relevant Diagnostic Tests/Laboratory Data Narrative" = No Results -->
<title>Results</title>
<text>No Results.</text>
</section>
</component>
</structuredBody>
</component>
</ClinicalDocument>