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<section>
<templateId root="2.16.840.1.113883.10.20.22.2.10" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.2.10"/>
<!-- Plan of Care Section -->
<code code="18776-5" codeSystem="2.16.840.1.113883.6.1" displayName="Plan of Treatment"/>
<title>PLAN OF CARE</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Date/time</th>
<th>Goal</th>
<th>Instructions</th>
</tr>
</thead>
<tbody>
<tr ID="Goal1">
<td>August 15, 2012 10:00am</td>
<td ID="Goal1_desc">Weight Loss</td>
<td ID="Action1">
<content ID="Action1_Type">Patient Education:</content>
<content ID="Action1_desc">Diet and exercise counseling provided during
visit.</content>
</td>
</tr>
<tr ID="Goal2">
<td>August 15, 2012 10:00am</td>
<td ID="Goal2_desc">Asthma management</td>
<td ID="Action2">
<content ID="Action2_Type">Patient Education:</content>
<content ID="Action2_desc">Resources and instructions provided during
visit.</content>
</td>
</tr>
</tbody>
</table>
</text>
<entry>
<observation classCode="OBS" moodCode="GOL">
<!-- Goal Observation C-CDA R2.1-->
<!-- Plan of Care Activity Observation C-CDA R1.1-->
<templateId root="2.16.840.1.113883.10.20.22.4.121"/>
<templateId root="2.16.840.1.113883.10.20.22.4.44"/>
<id root="2a620155-9d11-439e-92b3-5d9815ff4dd4"/>
<code code="289169006" displayName="weight loss" codeSystem="2.16.840.1.113883.6.96"
codeSystemName="SNOMED CT">
<originalText>
<reference value="#Goal1_desc"/>
</originalText>
</code>
<text>
<reference value="#Goal1"/>
</text>
<statusCode code="active"/>
<effectiveTime value="201208151000-0800"/>
<entryRelationship typeCode="RSON" inversionInd="true">
<act classCode="ACT" moodCode="EVN">
<!-- Procedure Activity Act - selected over instructions template
since it requries moodCode=INT. This act records education provided
during the visit.-->
<templateId root="2.16.840.1.113883.10.20.22.4.12" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.12"/>
<id root="2a620155-9d11-439e-92b3-5d9815ff4df2"/>
<code code="311401005" displayName="patient education"
codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
<originalText>
<reference value="#Action1_Type"/>
</originalText>
</code>
<statusCode code="completed"/>
<!--
<text>
<reference value="#Action1"></reference>
</text>
-->
<!-- In this example, the instruction was given at the same time that the goal was set.
effectiveTime is the same in this case. -->
<effectiveTime value="201208151000-0800"/>
</act>
</entryRelationship>
</observation>
</entry>
<entry>
<observation classCode="OBS" moodCode="INT">
<!-- Plan of Care Activity Observation -->
<templateId root="2.16.840.1.113883.10.20.22.4.44" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.44"/>
<id root="2a620155-9d11-439e-92b3-5d9815ff4dd3"/>
<code code="406162001" displayName="asthma management"
codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
<originalText>
<reference value="#Goal2_desc"/>
</originalText>
</code>
<text>
<reference value="#Goal2"/>
</text>
<statusCode code="active"/>
<effectiveTime value="201208151000-0800"/>
<entryRelationship typeCode="RSON" inversionInd="true">
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.12" extension="2014-06-09"/>
<templateId root="2.16.840.1.113883.10.20.22.4.12"/>
<id root="2a620155-9d11-439e-92b3-5d9815ff4df6"/>
<code code="311401005" displayName="patient education"
codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
<originalText>
<reference value="#Action2_Type"/>
</originalText>
</code>
<statusCode code="completed"/>
<!--
<text>
<reference value="#Action2"></reference>
</text>
-->
<!-- In this example, the instruction was given at the same time that the goal was set.
effectiveTime is the same in this case. -->
<effectiveTime value="201208151000-0800"/>
</act>
</entryRelationship>
</observation>
</entry>
</section>