Consolidated CDA Release 2.1 StructureDefinition Publication, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.1). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.1-sd/ and changes regularly. See the Directory of published versions
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<code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
code="10164-2"
displayName="HISTORY OF PRESENT ILLNESS"/>
<title>HISTORY OF PRESENT ILLNESS</title>
<text>
<paragraph>This patient was only recently discharged for a recurrent
GI bleed as described below.</paragraph>
<paragraph>He presented to the ER today c/o a dark stool yesterday
but a normal brown stool today. On exam he was hypotensive in the
80s resolved after .... .... .... </paragraph>
<paragraph>Lab at discharge: Glucose 112, BUN 16, creatinine 1.1,
electrolytes normal. H. pylori antibody pending. Admission
hematocrit 16%, discharge hematocrit 29%. WBC 7300, platelet
count 256,000. Urinalysis normal. Urine culture: No growth. INR
1.1, PTT 40.</paragraph>
<paragraph>He was transfused with 6 units of packed red blood cells
with .... .... ....</paragraph>
<paragraph>GI evaluation 12 September: Colonoscopy showed single red
clot in .... .... ....</paragraph>
</text>
</section>