SOURCE XML
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<!-- SHML Draft version="0.95" Copyright © 2005 by Medical Language Processing -->
<!-- Using /home/lib/20040824_SHML_Terms.txt -->
<!-- SD term count = 52795 -->
<!-- H-TTMED term count = 18844 -->

<InContext doc="dolin">

     <PatRec id="MLPC15 HL0130.001" Rdate="04/08/2000">

          <SID id="MLPC15 HL0130.001A.01.001">
          <!-- ZZZ020 Consultation note . -->

               <MISCELLANEOUS-HIU id="MLPC15 HL0130.001A.01.001" sect="ADMISSION DIAGNOSES" Que="" row="1">
                    <GEN>
                         <env>
                              <env_env-med>
                              ZZZ020
                              </env_env-med>
                         </env>
                         <SD48867>
                              <pr>
                                   <pr_con>
                                   Consultation
                                   </pr_con>
                              </pr>
                         </SD48867>
                    </GEN>
                    <SD1000177>
                         <dct>
                         note
                         </dct>
                    </SD1000177>
               </MISCELLANEOUS-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001A.02.001">
          <!-- Consultant : YYY011 . -->

               <DOCUMENT-INFO-HIU id="MLPC15 HL0130.001A.02.001" sect="CONSULTANT" Que="" row="1">
                    <INST>
                         <env>
                              <env_env-med>
                              Consultant
                              </env_env-med>
                         </env>
                     :
                         <env>
                              <env_env-med>
                              YYY011
                              </env_env-med>
                         </env>
                    </INST>
               </DOCUMENT-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001A.03.001">
          <!-- Date : 04/07/2000 . -->

               <DOCUMENT-INFO-HIU id="MLPC15 HL0130.001A.03.001" sect="DATE" Que="" row="1">
                    <GEN>
                    Date:
                    </GEN>
                    <EVENT-TIME>
                         <tm>
                              <tm_tm-exact>
                              04/07/2000
                              </tm_tm-exact>
                         </tm>
                    </EVENT-TIME>
               </DOCUMENT-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001A.04.001">
          <!-- Patient : XPT-HL0130 . -->

               <DOCUMENT-INFO-HIU id="MLPC15 HL0130.001A.04.001" sect="PATIENT" Que="" row="1">
                    <per>
                    Patient
                    </per>
                :
                    <per>
                    XPT-HL0130
                    </per>
               </DOCUMENT-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001A.04.002">
          <!-- Medical Record Number : 12345 . -->

               <PATIENT-STATE-HIU id="MLPC15 HL0130.001A.04.002" sect="PATIENT" Que="" row="1">
                    <SD1006532>
                    Medical Record Number
                    </SD1006532>
                    <VERB>
                         <link>
                              <link_vbe>
                              :
                              </link_vbe>
                         </link>
                    </VERB>
                    <QUANT>
                         <num>
                         12345
                         </num>
                    </QUANT>
               </PATIENT-STATE-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001A.05.001">
          <!-- Sex : Male . -->

               <DOCUMENT-INFO-HIU id="MLPC15 HL0130.001A.05.001" sect="SEX" Que="" row="1">
                    <GENDER>
                         <per>
                         Sex
                         </per>
                     :
                         <SD5790>
                              <per>
                              Male
                              </per>
                         </SD5790>
                    </GENDER>
               </DOCUMENT-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001A.06.001">
          <!-- DOB : 09/24/1932 . -->

               <DOCUMENT-INFO-HIU id="MLPC15 HL0130.001A.06.001" sect="SEX" Que="" row="1">
                    <EVENT-TIME>
                         <SD170343>
                              <tm>
                                   <tm_tm-loc_life-stg_birth-neonatal>
                                   DOB
                                   </tm_tm-loc_life-stg_birth-neonatal>
                              </tm>
                         </SD170343>
                     :
                         <tm>
                              <tm_tm-exact>
                              09/24/1932
                              </tm_tm-exact>
                         </tm>
                    </EVENT-TIME>
               </DOCUMENT-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.01.001">
          <!-- History of Present Illness . -->

               <DOCUMENT-INFO-HIU id="MLPC15 HL0130.001B.01.001" sect="HISTORY OF PRESENT ILLNESS" Que="" row="1">
                    <GEN>
                    HISTORY OF PRESENT ILLNESS
                    </GEN>
               </DOCUMENT-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.01.002">
          <!-- XPT-HL0130 is a 67 year old male referred for further asthma management . -->

               <PATIENT-STATE-HIU id="MLPC15 HL0130.001B.01.002" sect="HISTORY OF PRESENT ILLNESS" Que="" row="1">
                    <per>
                    XPT-HL0130
                    </per>
                    <VERB>
                         <SD7306>
                              <link>
                                   <link_vbe>
                                   is
                                   </link_vbe>
                              </link>
                         </SD7306>
                    </VERB>
                    <SD2290>
                    a
                    </SD2290>
                    <AGE>
                         <num>
                         67
                         </num>
                         <SD6060>
                              <tm>
                                   <tm_tm-loc>
                                   year old
                                   </tm_tm-loc>
                              </tm>
                         </SD6060>
                    </AGE>
                    <SD5790>
                         <per>
                              <xORx>
                                   <SD1005406>
                                        <per>
                                        male
                                        </per>
                                   </SD1005406>
                              </xORx>
                         </per>
                    </SD5790>
                    <GEN>
                         <SD468>
                              <pr>
                                   <pr_ref>
                                   referred
                                   </pr_ref>
                              </pr>
                         </SD468>
                         <SD1658>
                              <link>
                                   <link_li-prp>
                                   for
                                   </link_li-prp>
                              </link>
                         </SD1658>
                    </GEN>
                    <QUANT>
                         <SD6151>
                              <md>
                                   <md_amt>
                                   further
                                   </md_amt>
                              </md>
                         </SD6151>
                    </QUANT>
                    <GEN>
                         <SD2430>
                              <dx>
                                   <a-s_resp_l-r>
                                        <b-r_m-r>
                                             <dx-prcss_imm_all>
                                                  <dx-kind_d-k-resp_r-a-d>
                                                  asthma
                                                  </dx-kind_d-k-resp_r-a-d>
                                             </dx-prcss_imm_all>
                                        </b-r_m-r>
                                   </a-s_resp_l-r>
                              </dx>
                         </SD2430>
                    </GEN>
                    <GEN>
                         <SD7441>
                              <env>
                                   <env_env-med>
                                   management
                                   </env_env-med>
                              </env>
                         </SD7441>
                    </GEN>
               </PATIENT-STATE-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.01.003">
          <!-- Onset of asthma in his teens . -->

               <PATIENT-STATE-HIU id="MLPC15 HL0130.001B.01.003" sect="HISTORY OF PRESENT ILLNESS" Que="" row="1">
                    <TIME-QUAL>
                         <SD3523>
                              <tm>
                                   <tm_beg>
                                   Onset
                                   </tm_beg>
                              </tm>
                         </SD3523>
                    </TIME-QUAL>
                    <DIAG>
                         <SD7638>
                              <link>
                                   <link_li-prp>
                                   of
                                   </link_li-prp>
                              </link>
                         </SD7638>
                         <SD2430>
                              <dx>
                                   <a-s_resp_l-r>
                                        <b-r_m-r>
                                             <dx-prcss_imm_all>
                                                  <dx-kind_d-k-resp_r-a-d>
                                                  asthma
                                                  </dx-kind_d-k-resp_r-a-d>
                                             </dx-prcss_imm_all>
                                        </b-r_m-r>
                                   </a-s_resp_l-r>
                              </dx>
                         </SD2430>
                    </DIAG>
                    <EVENT-TIME>
                         <SD1598>
                              <link>
                                   <link_li-prp>
                                   in
                                   </link_li-prp>
                              </link>
                         </SD1598>
                         <SD170538>
                              <per>
                              his
                              </per>
                         </SD170538>
                         <SD16676>
                              <tm>
                                   <tm_tm-loc_life-stg_peds>
                                   teens
                                   </tm_tm-loc_life-stg_peds>
                              </tm>
                         </SD16676>
                    </EVENT-TIME>
               </PATIENT-STATE-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.01.004">
          <!-- He was hospitalized twice last year , and already twice this year . -->

               <CONNECTIVE1>
                    <link>
                         <link_cnn>
                         and
                         </link_cnn>
                    </link>

                    <PATIENT-STATE-HIU id="MLPC15 HL0130.001B.01.004" sect="HISTORY OF PRESENT ILLNESS" Que="I" row="1" ARG="1" CONNid="1">
                         <SD9623>
                              <per>
                                   <xORx>
                                        <SD9624>
                                             <per>
                                             He
                                             </per>
                                        </SD9624>
                                   </xORx>
                              </per>
                         </SD9623>
                         <VERB>
                              <SD4299>
                                   <link>
                                        <link_vbe>
                                        was
                                        </link_vbe>
                                   </link>
                              </SD4299>
                         </VERB>
                         <VERB>
                              <SD57427>
                                   <pr>
                                        <pr_admit>
                                             <env_env-med>
                                             hospitalized
                                             </env_env-med>
                                        </pr_admit>
                                   </pr>
                              </SD57427>
                         </VERB>
                         <TIME-QUAL>
                              <SD6104>
                                   <tm>
                                        <tm_rep>
                                        twice
                                        </tm_rep>
                                   </tm>
                              </SD6104>
                         </TIME-QUAL>
                         <EVENT-TIME>
                              <SD5360>
                                   <tm>
                                        <tm_tm-loc>
                                        last
                                        </tm_tm-loc>
                                   </tm>
                              </SD5360>
                              <SD1139>
                                   <tm>
                                        <tm_tm-loc>
                                             <xORx>
                                                  <SD1153>
                                                       <tm>
                                                            <tm_tm-loc>
                                                            year
                                                            </tm_tm-loc>
                                                       </tm>
                                                  </SD1153>
                                             </xORx>
                                        </tm_tm-loc>
                                   </tm>
                              </SD1139>
                          ,
                         </EVENT-TIME>
                         <SD42538>
                         already
                         </SD42538>
                         <TIME-QUAL>
                              <SD6104>
                                   <tm>
                                        <tm_rep>
                                        twice
                                        </tm_rep>
                                   </tm>
                              </SD6104>
                         </TIME-QUAL>
                    </PATIENT-STATE-HIU>

                    <PATIENT-STATE-HIU id="MLPC15 HL0130.001B.01.004" sect="HISTORY OF PRESENT ILLNESS" Que="I" row="2" ARG="2" CONNid="1">
                         <SD9623>
                              <per>
                                   <xORx>
                                        <SD9624>
                                             <per>
                                             He
                                             </per>
                                        </SD9624>
                                   </xORx>
                              </per>
                         </SD9623>
                         <VERB>
                              <SD4299>
                                   <link>
                                        <link_vbe>
                                        was
                                        </link_vbe>
                                   </link>
                              </SD4299>
                         </VERB>
                         <VERB>
                              <SD57427>
                                   <pr>
                                        <pr_admit>
                                             <env_env-med>
                                             hospitalized
                                             </env_env-med>
                                        </pr_admit>
                                   </pr>
                              </SD57427>
                         </VERB>
                         <TIME-QUAL>
                              <SD6104>
                                   <tm>
                                        <tm_rep>
                                        twice
                                        </tm_rep>
                                   </tm>
                              </SD6104>
                         </TIME-QUAL>
                         <EVENT-TIME>
                              <SD1078>
                              this
                              </SD1078>
                              <SD1139>
                                   <tm>
                                        <tm_tm-loc>
                                             <xORx>
                                                  <SD1153>
                                                       <tm>
                                                            <tm_tm-loc>
                                                            year
                                                            </tm_tm-loc>
                                                       </tm>
                                                  </SD1153>
                                             </xORx>
                                        </tm_tm-loc>
                                   </tm>
                              </SD1139>
                         </EVENT-TIME>
                    </PATIENT-STATE-HIU>
               </CONNECTIVE1>
          </SID>

          <SID id="MLPC15 HL0130.001B.01.005">
          <!-- He has not been able to be weaned off steroids for the past several months . -->

               <MEDICATIONS-INFO-HIU id="MLPC15 HL0130.001B.01.005" sect="HISTORY OF PRESENT ILLNESS" Que="I" row="1">
                    <SD9624>
                         <per>
                              <xORx>
                                   <SD9623>
                                        <per>
                                        He
                                        </per>
                                   </SD9623>
                              </xORx>
                         </per>
                    </SD9624>
                    <VERB>
                         <SD7168>
                              <link>
                                   <link_vhv>
                                   has
                                   </link_vhv>
                              </link>
                         </SD7168>
                    </VERB>
                    <VERB>
                         <SD7606>
                              <md>
                                   <md_ng>
                                   not
                                   </md_ng>
                              </md>
                         </SD7606>
                    </VERB>
                    <VERB>
                         <SD2480>
                              <link>
                                   <link_vbe>
                                   been
                                   </link_vbe>
                              </link>
                         </SD2480>
                    </VERB>
                    <NORMAL>
                         <SD41310>
                              <md>
                                   <md_des>
                                        <nl>
                                        able
                                        </nl>
                                   </md_des>
                              </md>
                         </SD41310>
                    to
                         <SD2474>
                              <link>
                                   <link_vbe>
                                   be
                                   </link_vbe>
                              </link>
                         </SD2474>
                    </NORMAL>
                    <QUANT>
                         <SD4617>
                              <md>
                                   <md_chg-less>
                                   weaned
                                   </md_chg-less>
                              </md>
                         </SD4617>
                    </QUANT>
                    <MED>
                         <SD6100>
                              <link>
                                   <link_li-prp>
                                   off
                                   </link_li-prp>
                              </link>
                         </SD6100>
                         <SD140348>
                              <med>
                                   <med-cl_ch-cl-hrm_adrcort-ster>
                                   steroids
                                   </med-cl_ch-cl-hrm_adrcort-ster>
                              </med>
                         </SD140348>
                    </MED>
                    <EVENT-TIME>
                         <SD1658>
                              <link>
                                   <link_li-prp>
                                   for
                                   </link_li-prp>
                              </link>
                         </SD1658>
                         <SD4105>
                         the
                         </SD4105>
                         <SD5718>
                              <tm>
                                   <tm_tm-loc>
                                   past
                                   </tm_tm-loc>
                              </tm>
                         </SD5718>
                         <SD3913>
                              <md>
                                   <md_amt>
                                   several
                                   </md_amt>
                              </md>
                         </SD3913>
                         <SD5776>
                              <tm>
                                   <tm_tm-loc>
                                   months
                                   </tm_tm-loc>
                              </tm>
                         </SD5776>
                    </EVENT-TIME>
               </MEDICATIONS-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.02.001">
          <!-- Past Medical History . -->

               <DOCUMENT-INFO-HIU id="MLPC15 HL0130.001B.02.001" sect="PAST MEDICAL HISTORY" Que="" row="1">
                    <GEN>
                    PAST MEDICAL HISTORY
                    </GEN>
               </DOCUMENT-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.02.002">
          <!-- Asthma . -->

               <PATIENT-STATE-HIU id="MLPC15 HL0130.001B.02.002" sect="PAST MEDICAL HISTORY" Que="" row="1">
                    <DIAG>
                         <SD2430>
                              <dx>
                                   <a-s_resp_l-r>
                                        <b-r_m-r>
                                             <dx-prcss_imm_all>
                                                  <dx-kind_d-k-resp_r-a-d>
                                                  Asthma
                                                  </dx-kind_d-k-resp_r-a-d>
                                             </dx-prcss_imm_all>
                                        </b-r_m-r>
                                   </a-s_resp_l-r>
                              </dx>
                         </SD2430>
                    </DIAG>
               </PATIENT-STATE-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.02.003">
          <!-- Hypertension . -->

               <PATIENT-STATE-HIU id="MLPC15 HL0130.001B.02.003" sect="PAST MEDICAL HISTORY" Que="" row="1">
                    <DIAG>
                         <SD3134>
                              <dx>
                                   <a-s_cv>
                                        <b-r>
                                             <dx-kind_cardiov_htn>
                                             Hypertension
                                             </dx-kind_cardiov_htn>
                                        </b-r>
                                   </a-s_cv>
                              </dx>
                         </SD3134>
                    </DIAG>
               </PATIENT-STATE-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.02.004">
          <!-- Osteoarthritis , right knee . -->

               <PATIENT-STATE-HIU id="MLPC15 HL0130.001B.02.004" sect="HISTORY OF PRESENT ILLNESS" Que="" row="1">
                    <DIAG>
                         <SD7672>
                              <dx>
                                   <a-s_mss_jnt>
                                        <dx-prcss_degen>
                                             <dx-kind_d-k-mss_arthrit>
                                             Osteoarthritis
                                             </dx-kind_d-k-mss_arthrit>
                                        </dx-prcss_degen>
                                   </a-s_mss_jnt>
                              </dx>
                         </SD7672>
                    </DIAG>
                    <DIAG>
                    ,
                    </DIAG>
                    <PTPART>
                         <SD1005753>
                              <b-r>
                                   <b-r_ex_l-e_kn>
                                   right knee
                                   </b-r_ex_l-e_kn>
                              </b-r>
                         </SD1005753>
                    </PTPART>
               </PATIENT-STATE-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.03.001">
          <!-- Medications . -->

               <DOCUMENT-INFO-HIU id="MLPC15 HL0130.001B.03.001" sect="MEDICATIONS" Que="" row="1">
                    <GEN>
                    MEDICATIONS
                    </GEN>
               </DOCUMENT-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.03.002">
          <!-- Theodur 200 mg BID . -->

               <MEDICATIONS-INFO-HIU id="MLPC15 HL0130.001B.03.002" sect="HISTORY OF PRESENT ILLNESS" Que="" row="1">
                    <MED>
                         <SD34778>
                              <med>
                              Theodur
                              </med>
                         </SD34778>
                    </MED>
                    <QUANT>
                         <med-ds>
                         200 mg BID
                         </med-ds>
                    </QUANT>
               </MEDICATIONS-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.03.003">
          <!-- Albuterol inhaler 2 puffs QID PRN . -->

               <MEDICATIONS-INFO-HIU id="MLPC15 HL0130.001B.03.003" sect="HISTORY OF PRESENT ILLNESS" Que="" row="1">
                    <MED>
                         <SD140276>
                              <med>
                                   <med-cl_resp-agt_brondil_adr-brondil>
                                   Albuterol inhaler
                                   </med-cl_resp-agt_brondil_adr-brondil>
                              </med>
                         </SD140276>
                    </MED>
                    <QUANT>
                         <med-ds>
                         2 puffs QID PRN
                         </med-ds>
                    </QUANT>
               </MEDICATIONS-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.03.004">
          <!-- Prednisone 20 mg qd . -->

               <MEDICATIONS-INFO-HIU id="MLPC15 HL0130.001B.03.004" sect="HISTORY OF PRESENT ILLNESS" Que="" row="1">
                    <MED>
                         <SD190702>
                              <med>
                                   <med-cl_ch-cl-hrm_adrcort-ster>
                                   Prednisone
                                   </med-cl_ch-cl-hrm_adrcort-ster>
                              </med>
                         </SD190702>
                    </MED>
                    <QUANT>
                         <med-ds>
                         20 mg qd
                         </med-ds>
                    </QUANT>
               </MEDICATIONS-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.03.005">
          <!-- HCTZ 25 mg qd . -->

               <MEDICATIONS-INFO-HIU id="MLPC15 HL0130.001B.03.005" sect="HISTORY OF PRESENT ILLNESS" Que="" row="1">
                    <MED>
                         <SD1001563>
                              <med>
                                   <med-cl_cv-agt_diuret_thia-diur>
                                   HCTZ
                                   </med-cl_cv-agt_diuret_thia-diur>
                              </med>
                         </SD1001563>
                    </MED>
                    <QUANT>
                         <med-ds>
                         25 mg qd
                         </med-ds>
                    </QUANT>
               </MEDICATIONS-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.04.001">
          <!-- Allergies . -->

               <PATIENT-STATE-HIU-ALG id="MLPC15 HL0130.001B.04.001" sect="ALLERGIES" Que="" row="1">
                    <DIAG>
                         <SD2342>
                              <dx>
                                   <a-s_hm_r-i>
                                        <b-r_bdy>
                                             <dx-prcss_imm_all>
                                             Allergies
                                             </dx-prcss_imm_all>
                                        </b-r_bdy>
                                   </a-s_hm_r-i>
                              </dx>
                         </SD2342>
                    </DIAG>
               </PATIENT-STATE-HIU-ALG>
          </SID>

          <SID id="MLPC15 HL0130.001B.04.002">
          <!-- Penicillin - Hives . -->

               <PATIENT-STATE-HIU-ALG id="MLPC15 HL0130.001B.04.002" sect="ALLERGIES" Que="" row="1">
                    <MED>
                         <SD190580>
                              <med>
                                   <med-cl_antiinf_pcn_natural-pcn>
                                   Penicillin
                                   </med-cl_antiinf_pcn_natural-pcn>
                              </med>
                         </SD190580>
                    </MED>
                    <SIGN-SYMP>
                         <SD140712>
                              <s-s>
                                   <a-s_intg_skn>
                                        <b-r>
                                             <pe-sp>
                                                  <dx-prcss_imm_all>
                                                  Hives
                                                  </dx-prcss_imm_all>
                                             </pe-sp>
                                        </b-r>
                                   </a-s_intg_skn>
                              </s-s>
                         </SD140712>
                    </SIGN-SYMP>
               </PATIENT-STATE-HIU-ALG>
          </SID>

          <SID id="MLPC15 HL0130.001B.04.003">
          <!-- Aspirin - Wheezing . -->

               <PATIENT-STATE-HIU-ALG id="MLPC15 HL0130.001B.04.003" sect="ALLERGIES" Que="" row="1">
                    <MED>
                         <SD180774>
                              <med>
                                   <med-cl_cns-agt_analg_salic>
                                        <med-cl_coag-mod_antiplt_plt-aggr-inh>
                                        Aspirin
                                        </med-cl_coag-mod_antiplt_plt-aggr-inh>
                                   </med-cl_cns-agt_analg_salic>
                              </med>
                         </SD180774>
                    </MED>
                    <SIGN-SYMP>
                         <SD8256>
                              <s-s>
                                   <a-s_resp_l-r>
                                        <b-r_tk_thx_int-thor>
                                        Wheezing
                                        </b-r_tk_thx_int-thor>
                                   </a-s_resp_l-r>
                              </s-s>
                         </SD8256>
                    </SIGN-SYMP>
               </PATIENT-STATE-HIU-ALG>
          </SID>

          <SID id="MLPC15 HL0130.001B.04.004">
          <!-- Codeine - Itching and nausea . -->

               <CONNECTIVE1>
                    <link>
                         <link_cnn>
                         and
                         </link_cnn>
                    </link>

                    <PATIENT-STATE-HIU-ALG id="MLPC15 HL0130.001B.04.004" sect="ALLERGIES" Que="" row="1" ARG="1" CONNid="1">
                         <MED>
                              <SD189634>
                                   <med>
                                        <med-cl_cns-agt_analg_narc-analg>
                                             <med-cl_resp-agt_antituss>
                                             Codeine
                                             </med-cl_resp-agt_antituss>
                                        </med-cl_cns-agt_analg_narc-analg>
                                   </med>
                              </SD189634>
                         </MED>
                         <SIGN-SYMP>
                         Itching
                         </SIGN-SYMP>
                    </PATIENT-STATE-HIU-ALG>

                    <PATIENT-STATE-HIU-ALG id="MLPC15 HL0130.001B.04.004" sect="ALLERGIES" Que="" row="2" ARG="2" CONNid="1">
                         <MED>
                              <SD189634>
                                   <med>
                                        <med-cl_cns-agt_analg_narc-analg>
                                             <med-cl_resp-agt_antituss>
                                             Codeine
                                             </med-cl_resp-agt_antituss>
                                        </med-cl_cns-agt_analg_narc-analg>
                                   </med>
                              </SD189634>
                         </MED>
                         <SIGN-SYMP>
                              <SD7562>
                                   <s-s>
                                        <a-s_gi_gi-tr_u-gi>
                                        nausea
                                        </a-s_gi_gi-tr_u-gi>
                                   </s-s>
                              </SD7562>
                         </SIGN-SYMP>
                    </PATIENT-STATE-HIU-ALG>
               </CONNECTIVE1>
          </SID>

          <SID id="MLPC15 HL0130.001B.05.001">
          <!-- Family History . -->

               <TEXTPLUS-HIU id="MLPC15 HL0130.001B.05.001" sect="FAMILY HISTORY">
                    <SD2967>
                         <per>
                              <per_kin>
                              Family
                              </per_kin>
                         </per>
                    </SD2967>
                    <SD3103>
                         <tm>
                              <tm_tm-loc>
                              History
                              </tm_tm-loc>
                         </tm>
                    </SD3103>
               .
               </TEXTPLUS-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.05.002">
          <!-- Father had fatal MI in his early 50's . -->

               <FAMILY-FRIEND-HIU id="MLPC15 HL0130.001B.05.002" sect="FAMILY HISTORY" Que="" row="1">
                    <per>
                         <per_kin>
                         Father
                         </per_kin>
                    </per>
                    <VERB>
                         <SD4526>
                              <link>
                                   <link_vhv>
                                   had
                                   </link_vhv>
                              </link>
                         </SD4526>
                    </VERB>
                    <DIAG>
                         <SD54116>
                              <dx>
                                   <dx-prcss_mort>
                                   fatal
                                   </dx-prcss_mort>
                              </dx>
                         </SD54116>
                         <SD140892>
                              <dx>
                                   <a-s_cv_hrt_myc>
                                        <b-r_tk_thx_int-thor_mediast>
                                             <dx-prcss_ischem>
                                             MI
                                             </dx-prcss_ischem>
                                        </b-r_tk_thx_int-thor_mediast>
                                   </a-s_cv_hrt_myc>
                              </dx>
                         </SD140892>
                    </DIAG>
                    <EVENT-TIME>
                         <SD1598>
                              <link>
                                   <link_li-prp>
                                   in
                                   </link_li-prp>
                              </link>
                         </SD1598>
                         <SD170538>
                              <per>
                              his
                              </per>
                         </SD170538>
                         <SD1572>
                              <tm>
                                   <tm_tm-loc>
                                   early
                                   </tm_tm-loc>
                              </tm>
                         </SD1572>
                         <num>
                         50's
                         </num>
                    </EVENT-TIME>
               </FAMILY-FRIEND-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.05.003">
          <!-- No cancer or diabetes . -->

               <CONNECTIVE1>
                    <link>
                         <link_cnn>
                         and
                         </link_cnn>
                    </link>

                    <FAMILY-FRIEND-HIU id="MLPC15 HL0130.001B.05.003" sect="FAMILY HISTORY" Que="" row="1" ARG="1" CONNid="1">
                         <DIAG>
                              <SD3440>
                                   <md>
                                        <md_ng>
                                        No
                                        </md_ng>
                                   </md>
                              </SD3440>
                              <SD6783>
                                   <dx>
                                        <a-s>
                                             <dx-prcss_neopl_malig>
                                             cancer
                                             </dx-prcss_neopl_malig>
                                        </a-s>
                                   </dx>
                              </SD6783>
                         </DIAG>
                    </FAMILY-FRIEND-HIU>

                    <FAMILY-FRIEND-HIU id="MLPC15 HL0130.001B.05.003" sect="FAMILY HISTORY" Que="" row="2" ARG="2" CONNid="1">
                         <DIAG>
                              <SD3440>
                                   <md>
                                        <md_ng>
                                        No
                                        </md_ng>
                                   </md>
                              </SD3440>
                              <SD6931>
                                   <dx>
                                        <a-s_endo_pan>
                                             <b-r_tk_abd_retroper>
                                                  <dx-prcss_met>
                                                  diabetes
                                                  </dx-prcss_met>
                                             </b-r_tk_abd_retroper>
                                        </a-s_endo_pan>
                                   </dx>
                              </SD6931>
                         </DIAG>
                    </FAMILY-FRIEND-HIU>
               </CONNECTIVE1>
          </SID>

          <SID id="MLPC15 HL0130.001B.06.001">
          <!-- Social History . -->

               <DOCUMENT-INFO-HIU id="MLPC15 HL0130.001B.06.001" sect="SOCIAL HISTORY" Que="" row="1">
                    <GEN>
                    SOCIAL HISTORY
                    </GEN>
               </DOCUMENT-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001B.06.002">
          <!-- Smoking : 1 PPD between the ages of 20 and 55 , and then he quit . -->

               <CONNECTIVE1>
                    <link>
                         <link_cnn>
                         and
                         </link_cnn>
                    </link>

                    <PATIENT-STATE-HIU id="MLPC15 HL0130.001B.06.002" sect="SOCIAL HISTORY" Que="" row="1" ARG="1" CONNid="1">
                         <SIGN-SYMP>
                              <SD7956>
                                   <p-s-b>
                                        <p-s-b_tob-u>
                                        Smoking
                                        </p-s-b_tob-u>
                                   </p-s-b>
                              </SD7956>
                         </SIGN-SYMP>
                     :
                         <QUANT>
                              <num>
                              1
                              </num>
                              <SD1006543>
                              PPD
                              </SD1006543>
                         </QUANT>
                         <EVENT-TIME>
                              <SD2494>
                                   <link>
                                   between
                                   </link>
                              </SD2494>
                              <SD4105>
                              the
                              </SD4105>
                              <SD42189>
                                   <tm>
                                        <tm_tm-loc>
                                        ages
                                        </tm_tm-loc>
                                   </tm>
                              </SD42189>
                              <SD7638>
                                   <link>
                                        <link_li-prp>
                                        of
                                        </link_li-prp>
                                   </link>
                              </SD7638>
                              <num>
                              20
                              </num>
                          and
                              <num>
                              55
                              </num>
                          ,
                         </EVENT-TIME>
                    </PATIENT-STATE-HIU>

                    <PATIENT-STATE-HIU id="MLPC15 HL0130.001B.06.002" sect="SOCIAL HISTORY" Que="" row="2" ARG="2" CONNid="1">
                         <SIGN-SYMP>
                              <SD7956>
                                   <p-s-b>
                                        <p-s-b_tob-u>
                                        Smoking
                                        </p-s-b_tob-u>
                                   </p-s-b>
                              </SD7956>
                         </SIGN-SYMP>
                     :
                         <EVENT-TIME>
                              <SD8089>
                                   <tm>
                                        <tm_tm-loc>
                                        then
                                        </tm_tm-loc>
                                   </tm>
                              </SD8089>
                         </EVENT-TIME>
                         <SD9623>
                              <per>
                                   <xORx>
                                        <SD9624>
                                             <per>
                                             he
                                             </per>
                                        </SD9624>
                                   </xORx>
                              </per>
                         </SD9623>
                         <TIME-QUAL>
                              <SD4656>
                                   <tm>
                                        <tm_end>
                                        quit
                                        </tm_end>
                                   </tm>
                              </SD4656>
                         </TIME-QUAL>
                    </PATIENT-STATE-HIU>
               </CONNECTIVE1>
          </SID>

          <SID id="MLPC15 HL0130.001B.06.003">
          <!-- Alcohol : Rare . -->

               <PATIENT-STATE-HIU id="MLPC15 HL0130.001B.06.003" sect="SOCIAL HISTORY" Que="" row="1">
                    <SIGN-SYMP>
                         <SD42365>
                              <p-s-b>
                                   <p-s-b_alc-u>
                                        <chem>
                                             <pr_lab_tox>
                                                  <xORx>
                                                       <SD6035>
                                                            <p-s-b>
                                                                 <p-s-b_alc-u>
                                                                      <chem>
                                                                      Alcohol
                                                                      </chem>
                                                                 </p-s-b_alc-u>
                                                            </p-s-b>
                                                       </SD6035>
                                                  </xORx>
                                             </pr_lab_tox>
                                        </chem>
                                   </p-s-b_alc-u>
                              </p-s-b>
                         </SD42365>
                    </SIGN-SYMP>
                :
                    <QUANT>
                         <SD7814>
                              <md>
                                   <md_amt>
                                   Rare
                                   </md_amt>
                              </md>
                         </SD7814>
                    </QUANT>
               </PATIENT-STATE-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001C.01.001">
          <!-- Physical Exam . -->

               <DOCUMENT-INFO-HIU id="MLPC15 HL0130.001C.01.001" sect="PHYSICAL EXAM" Que="" row="1">
                    <GEN>
                    PHYSICAL EXAM
                    </GEN>
               </DOCUMENT-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001C.02.001">
          <!-- Vital Signs : BP 118 / 78 ; Wt 185 lb ; Resp 16 and unlabored ; T 98.6 F ; HR 86 and regular . -->

               <CONNECTIVE1>
                    <link>
                         <link_cnn>
                         ;
                         </link_cnn>
                    </link>

                    <PATIENT-STATE-HIU id="MLPC15 HL0130.001C.02.001" sect="PHYSICAL EXAMINATION" Que="" row="1" ARG="1" CONNid="1">
                         <PTFUNC>
                              <SD4293>
                                   <v-s>
                                   Vital Signs
                                   </v-s>
                              </SD4293>
                         </PTFUNC>
                     :
                         <PTFUNC>
                              <SD45839>
                                   <v-s>
                                        <a-s_cv>
                                             <v-s_bp>
                                             BP
                                             </v-s_bp>
                                        </a-s_cv>
                                   </v-s>
                              </SD45839>
                         </PTFUNC>
                         <QUANT>
                              <num_sys-press>
                              118
                              </num_sys-press>
                          /
                              <num_diast-press>
                              78
                              </num_diast-press>
                         </QUANT>
                    </PATIENT-STATE-HIU>

                    <CONNECTIVE2 ARG="2" CONNid="1">
                         <link>
                              <link_cnn>
                              ;
                              </link_cnn>
                         </link>

                         <PATIENT-STATE-HIU id="MLPC15 HL0130.001C.02.001" sect="PHYSICAL EXAMINATION" Que="" row="2" ARG="1" CONNid="2">
                              <PTMEAS>
                                   <SD140232>
                                        <bdy-ms>
                                             <bdy-ms_wgt>
                                             Wt
                                             </bdy-ms_wgt>
                                        </bdy-ms>
                                   </SD140232>
                              </PTMEAS>
                              <QUANT>
                                   <num>
                                   185
                                   </num>
                                   <SD60408>
                                        <unit>
                                        lb
                                        </unit>
                                   </SD60408>
                              </QUANT>
                         </PATIENT-STATE-HIU>

                         <CONNECTIVE3 ARG="2" CONNid="2">
                              <link>
                                   <link_cnn>
                                   ;
                                   </link_cnn>
                              </link>

                              <CONNECTIVE4 ARG="1" CONNid="3">
                                   <link>
                                        <link_cnn>
                                        and
                                        </link_cnn>
                                   </link>

                                   <PATIENT-STATE-HIU id="MLPC15 HL0130.001C.02.001" sect="PHYSICAL EXAMINATION" Que="" row="3" ARG="1" CONNid="4">
                                        <PTFUNC>
                                             <SD12567>
                                                  <phy-fun>
                                                       <a-s_resp>
                                                       Resp
                                                       </a-s_resp>
                                                  </phy-fun>
                                             </SD12567>
                                        </PTFUNC>
                                        <QUANT>
                                             <num>
                                             16
                                             </num>
                                        </QUANT>
                                   </PATIENT-STATE-HIU>

                                   <PATIENT-STATE-HIU id="MLPC15 HL0130.001C.02.001" sect="PHYSICAL EXAMINATION" Que="" row="4" ARG="2" CONNid="4">
                                        <NORMAL>
                                             <SD18318>
                                                  <s-s>
                                                       <a-s_resp>
                                                            <pe-sp>
                                                                 <nl>
                                                                 unlabored
                                                                 </nl>
                                                            </pe-sp>
                                                       </a-s_resp>
                                                  </s-s>
                                             </SD18318>
                                        </NORMAL>
                                   </PATIENT-STATE-HIU>
                              </CONNECTIVE4>

                              <CONNECTIVE5 ARG="2" CONNid="3">
                                   <link>
                                        <link_cnn>
                                        ;
                                        </link_cnn>
                                   </link>

                                   <PATIENT-STATE-HIU id="MLPC15 HL0130.001C.02.001" sect="PHYSICAL EXAMINATION" Que="" row="5" ARG="1" CONNid="5">
                                        <PTFUNC>
                                             <SD4079>
                                                  <v-s>
                                                       <a-s_sys>
                                                            <v-s_tmp>
                                                            T
                                                            </v-s_tmp>
                                                       </a-s_sys>
                                                  </v-s>
                                             </SD4079>
                                        </PTFUNC>
                                        <QUANT>
                                             <num>
                                             98.6
                                             </num>
                                             <SD53940>
                                             F
                                             </SD53940>
                                        </QUANT>
                                   </PATIENT-STATE-HIU>

                                   <PATIENT-STATE-HIU id="MLPC15 HL0130.001C.02.001" sect="PHYSICAL EXAMINATION" Que="" row="6" ARG="2" CONNid="5">
                                        <PTFUNC>
                                             <SD57467>
                                                  <v-s>
                                                       <v-s_pls-rate>
                                                       HR
                                                       </v-s_pls-rate>
                                                  </v-s>
                                             </SD57467>
                                        </PTFUNC>
                                        <QUANT>
                                             <num>
                                             86
                                             </num>
                                         and
                                             <SD12129>
                                                  <md>
                                                       <md_des>
                                                            <nl>
                                                            regular
                                                            </nl>
                                                       </md_des>
                                                  </md>
                                             </SD12129>
                                        </QUANT>
                                   </PATIENT-STATE-HIU>
                              </CONNECTIVE5>
                         </CONNECTIVE3>
                    </CONNECTIVE2>
               </CONNECTIVE1>
          </SID>

          <SID id="MLPC15 HL0130.001C.03.001">
          <!-- Skin : Erythematous rash , palmar surface , left index finger . -->

               <CONNECTIVE1>
                    <link>
                         <link_cnn>
                         ,
                         </link_cnn>
                    </link>

                    <PATIENT-STATE-HIU id="MLPC15 HL0130.001C.03.001" sect="SKIN" Que="" row="1" ARG="1" CONNid="1">
                         <PTPART>
                              <SD14499>
                                   <a-s>
                                        <a-s_intg_skn>
                                        Skin
                                        </a-s_intg_skn>
                                   </a-s>
                              </SD14499>
                         </PTPART>
                    :
                         <SIGN-SYMP>
                              <SD2916>
                                   <s-s>
                                        <a-s>
                                             <pe-sp>
                                             Erythematous
                                             </pe-sp>
                                        </a-s>
                                   </s-s>
                              </SD2916>
                              <SD7816>
                                   <s-s>
                                        <a-s_intg_skn>
                                             <b-r>
                                                  <pe-sp>
                                                  rash
                                                  </pe-sp>
                                             </b-r>
                                        </a-s_intg_skn>
                                   </s-s>
                              </SD7816>
                         </SIGN-SYMP>
                         <SIGN-SYMP>
                         ,
                         </SIGN-SYMP>
                         <PTPART>
                              <SD38489>
                                   <b-r>
                                   palmar
                                   </b-r>
                              </SD38489>
                              <SD5376>
                                   <p-o>
                                   surface
                                   </p-o>
                              </SD5376>
                         </PTPART>
                    </PATIENT-STATE-HIU>

                    <PATIENT-STATE-HIU id="MLPC15 HL0130.001C.03.001" sect="SKIN" Que="" row="2" ARG="2" CONNid="1">
                         <PTPART>
                              <SD14499>
                                   <a-s>
                                        <a-s_intg_skn>
                                        Skin
                                        </a-s_intg_skn>
                                   </a-s>
                              </SD14499>
                         </PTPART>
                    :
                         <SIGN-SYMP>
                              <SD2916>
                                   <s-s>
                                        <a-s>
                                             <pe-sp>
                                             Erythematous
                                             </pe-sp>
                                        </a-s>
                                   </s-s>
                              </SD2916>
                              <SD7816>
                                   <s-s>
                                        <a-s_intg_skn>
                                             <b-r>
                                                  <pe-sp>
                                                  rash
                                                  </pe-sp>
                                             </b-r>
                                        </a-s_intg_skn>
                                   </s-s>
                              </SD7816>
                         </SIGN-SYMP>
                         <SIGN-SYMP>
                         ,
                         </SIGN-SYMP>
                         <PTPART>
                              <SD1373>
                                   <p-o>
                                        <p-o_laterality>
                                        left
                                        </p-o_laterality>
                                   </p-o>
                              </SD1373>
                              <SD1006522>
                                   <b-r>
                                        <b-r_ex_u-e_fgr>
                                        index finger
                                        </b-r_ex_u-e_fgr>
                                   </b-r>
                              </SD1006522>
                         </PTPART>
                    </PATIENT-STATE-HIU>
               </CONNECTIVE1>
          </SID>

          <SID id="MLPC15 HL0130.001C.04.001">
          <!-- Lungs : Clear with no wheeze . -->

               <PATIENT-STATE-HIU id="MLPC15 HL0130.001C.04.001" sect="LUNGS" Que="N" row="1">
                    <PTPART>
                         <SD61163>
                              <a-s>
                                   <a-s_resp_l-r_lng>
                                        <b-r_tk_thx_int-thor>
                                        Lungs
                                        </b-r_tk_thx_int-thor>
                                   </a-s_resp_l-r_lng>
                              </a-s>
                         </SD61163>
                    </PTPART>
                :
                    <SD536>
                         <md>
                              <md_des>
                              Clear
                              </md_des>
                         </md>
                    </SD536>
                    <SIGN-SYMP>
                         <SD1620>
                         with
                         </SD1620>
                         <SD3440>
                              <md>
                                   <md_ng>
                                   no
                                   </md_ng>
                              </md>
                         </SD3440>
                    </SIGN-SYMP>
                    <SIGN-SYMP>
                         <SD820>
                              <s-s>
                                   <a-s_resp_l-r>
                                        <b-r_tk_thx_int-thor>
                                        wheeze
                                        </b-r_tk_thx_int-thor>
                                   </a-s_resp_l-r>
                              </s-s>
                         </SD820>
                    </SIGN-SYMP>
               </PATIENT-STATE-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001C.04.002">
          <!-- Good air flow . -->

               <PATIENT-STATE-HIU id="MLPC15 HL0130.001C.04.002" sect="LUNGS" Que="" row="1">
                    <SD7143>
                         <response>
                              <nl>
                              Good
                              </nl>
                         </response>
                    </SD7143>
                    <PTFUNC>
                         <SD1309>
                              <env>
                                   <env_atm>
                                   air
                                   </env_atm>
                              </env>
                         </SD1309>
                         <SD5415>
                              <phy-fun>
                                   <a-s>
                                   flow
                                   </a-s>
                              </phy-fun>
                         </SD5415>
                    </PTFUNC>
               </PATIENT-STATE-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001C.05.001">
          <!-- Cardiac : RRR with no murmur , no S3 , no S4 . -->

               <CONNECTIVE1>
                    <SD1620>
                         <null>
                         with
                         </null>
                    </SD1620>

                    <PATIENT-STATE-HIU id="MLPC15 HL0130.001C.05.001" sect="CARDIAC" Que="N" row="1" ARG="1" CONNid="1">
                         <PTPART>
                              <SD46667>
                                   <a-s>
                                        <a-s_cv_hrt>
                                             <b-r_tk_thx_int-thor_mediast>
                                             Cardiac
                                             </b-r_tk_thx_int-thor_mediast>
                                        </a-s_cv_hrt>
                                   </a-s>
                              </SD46667>
                         :
                         </PTPART>
                         <NORMAL>
                              <SD13145>
                                   <s-s>
                                        <a-s_cv_hrt_cnd>
                                             <nl>
                                             RRR
                                             </nl>
                                        </a-s_cv_hrt_cnd>
                                   </s-s>
                              </SD13145>
                         </NORMAL>
                    </PATIENT-STATE-HIU>

                    <CONNECTIVE2 ARG="2" CONNid="1">
                         <link>
                              <link_cnn>
                              ,
                              </link_cnn>
                         </link>

                         <PATIENT-STATE-HIU id="MLPC15 HL0130.001C.05.001" sect="CARDIAC" Que="N" row="2" ARG="1" CONNid="2">
                              <PTPART>
                                   <SD46667>
                                        <a-s>
                                             <a-s_cv_hrt>
                                                  <b-r_tk_thx_int-thor_mediast>
                                                  Cardiac
                                                  </b-r_tk_thx_int-thor_mediast>
                                             </a-s_cv_hrt>
                                        </a-s>
                                   </SD46667>
                              :
                              </PTPART>
                              <SIGN-SYMP>
                                   <SD3440>
                                        <md>
                                             <md_ng>
                                             no
                                             </md_ng>
                                        </md>
                                   </SD3440>
                              </SIGN-SYMP>
                              <SIGN-SYMP>
                                   <SD3379>
                                        <s-s>
                                             <a-s_cv>
                                                  <pe-sp>
                                                  murmur
                                                  </pe-sp>
                                             </a-s_cv>
                                        </s-s>
                                   </SD3379>
                              </SIGN-SYMP>
                         </PATIENT-STATE-HIU>

                         <CONNECTIVE3 ARG="2" CONNid="2">
                              <link>
                                   <link_cnn>
                                   ,
                                   </link_cnn>
                              </link>

                              <PATIENT-STATE-HIU id="MLPC15 HL0130.001C.05.001" sect="CARDIAC" Que="N" row="3" ARG="1" CONNid="3">
                                   <PTPART>
                                        <SD46667>
                                             <a-s>
                                                  <a-s_cv_hrt>
                                                       <b-r_tk_thx_int-thor_mediast>
                                                       Cardiac
                                                       </b-r_tk_thx_int-thor_mediast>
                                                  </a-s_cv_hrt>
                                             </a-s>
                                        </SD46667>
                                   :
                                   </PTPART>
                                   <SIGN-SYMP>
                                        <SD3440>
                                             <md>
                                                  <md_ng>
                                                  no
                                                  </md_ng>
                                             </md>
                                        </SD3440>
                                   </SIGN-SYMP>
                                   <SIGN-SYMP>
                                        <SD1001730>
                                             <s-s>
                                                  <a-s_cv_hrt_hrt-vlv>
                                                       <b-r_tk_thx_int-thor_mediast>
                                                            <pe-sp>
                                                            S3
                                                            </pe-sp>
                                                       </b-r_tk_thx_int-thor_mediast>
                                                  </a-s_cv_hrt_hrt-vlv>
                                             </s-s>
                                        </SD1001730>
                                   </SIGN-SYMP>
                              </PATIENT-STATE-HIU>

                              <PATIENT-STATE-HIU id="MLPC15 HL0130.001C.05.001" sect="CARDIAC" Que="N" row="4" ARG="2" CONNid="3">
                                   <PTPART>
                                        <SD46667>
                                             <a-s>
                                                  <a-s_cv_hrt>
                                                       <b-r_tk_thx_int-thor_mediast>
                                                       Cardiac
                                                       </b-r_tk_thx_int-thor_mediast>
                                                  </a-s_cv_hrt>
                                             </a-s>
                                        </SD46667>
                                   :
                                   </PTPART>
                                   <SIGN-SYMP>
                                        <SD3440>
                                             <md>
                                                  <md_ng>
                                                  no
                                                  </md_ng>
                                             </md>
                                        </SD3440>
                                   </SIGN-SYMP>
                                   <SIGN-SYMP>
                                        <SD1001731>
                                             <s-s>
                                                  <a-s_cv_hrt_hrt-vlv>
                                                       <b-r_tk_thx_int-thor_mediast>
                                                            <pe-sp>
                                                            S4
                                                            </pe-sp>
                                                       </b-r_tk_thx_int-thor_mediast>
                                                  </a-s_cv_hrt_hrt-vlv>
                                             </s-s>
                                        </SD1001731>
                                   </SIGN-SYMP>
                              </PATIENT-STATE-HIU>
                         </CONNECTIVE3>
                    </CONNECTIVE2>
               </CONNECTIVE1>
          </SID>

          <SID id="MLPC15 HL0130.001D.01.001">
          <!-- Labs . -->

               <DOCUMENT-INFO-HIU id="MLPC15 HL0130.001D.01.001" sect="LABS" Que="" row="1">
                    <GEN>
                    LABS
                    </GEN>
               </DOCUMENT-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001D.01.002">
          <!-- CXR 02/03/1999 : Hyperinflated . -->

               <IMAGING-INFO-HIU id="MLPC15 HL0130.001D.01.002" sect="LABS" Que="" row="1">
                    <PROCEDURE>
                         <SD49850>
                              <pr>
                                   <b-r_tk_thx>
                                        <pr_im>
                                        CXR
                                        </pr_im>
                                   </b-r_tk_thx>
                              </pr>
                         </SD49850>
                    </PROCEDURE>
                    <EVENT-TIME>
                         <tm>
                              <tm_tm-exact>
                              02/03/1999
                              </tm_tm-exact>
                         </tm>
                    </EVENT-TIME>
                :
                    <SIGN-SYMP>
                         <SD57784>
                              <s-s>
                                   <a-s_resp_l-r_lng>
                                        <b-r_tk_thx_int-thor>
                                        Hyperinflated
                                        </b-r_tk_thx_int-thor>
                                   </a-s_resp_l-r_lng>
                              </s-s>
                         </SD57784>
                    </SIGN-SYMP>
               </IMAGING-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001D.01.003">
          <!-- Normal cardiac silhouette , clear lungs . -->

               <CONNECTIVE1>
                    <link>
                         <link_cnn>
                         ,
                         </link_cnn>
                    </link>

                    <IMAGING-INFO-HIU id="MLPC15 HL0130.001D.01.003" sect="MEDICATIONS" Que="" row="1" ARG="1" CONNid="1">
                         <NORMAL>
                              <SD1416>
                                   <md>
                                        <md_des>
                                             <nl>
                                             Normal
                                             </nl>
                                        </md_des>
                                   </md>
                              </SD1416>
                         </NORMAL>
                         <PTPART>
                              <SD46667>
                                   <a-s>
                                        <a-s_cv_hrt>
                                             <b-r_tk_thx_int-thor_mediast>
                                             cardiac
                                             </b-r_tk_thx_int-thor_mediast>
                                        </a-s_cv_hrt>
                                   </a-s>
                              </SD46667>
                         </PTPART>
                         <SD3934>
                              <md>
                                   <pr_im>
                                        <md_des>
                                        silhouette
                                        </md_des>
                                   </pr_im>
                              </md>
                         </SD3934>
                    </IMAGING-INFO-HIU>

                    <PATIENT-STATE-HIU id="MLPC15 HL0130.001D.01.003" sect="MEDICATIONS" Que="" row="2" ARG="2" CONNid="1">
                         <SD536>
                              <md>
                                   <md_des>
                                   clear
                                   </md_des>
                              </md>
                         </SD536>
                         <PTPART>
                              <SD61163>
                                   <a-s>
                                        <a-s_resp_l-r_lng>
                                             <b-r_tk_thx_int-thor>
                                             lungs
                                             </b-r_tk_thx_int-thor>
                                        </a-s_resp_l-r_lng>
                                   </a-s>
                              </SD61163>
                         </PTPART>
                    </PATIENT-STATE-HIU>
               </CONNECTIVE1>
          </SID>

          <SID id="MLPC15 HL0130.001D.01.004">
          <!-- Peak Flow today : 260 l / m . -->

               <PATIENT-STATE-HIU id="MLPC15 HL0130.001D.01.004" sect="MEDICATIONS" Que="" row="1">
                    <PTFUNC>
                         <SD9998>
                              <pr>
                                   <a-s_resp>
                                        <pr_lab>
                                        Peak Flow
                                        </pr_lab>
                                   </a-s_resp>
                              </pr>
                         </SD9998>
                         <SD4152>
                              <tm>
                                   <tm_tm-loc>
                                   today
                                   </tm_tm-loc>
                              </tm>
                         </SD4152>
                    </PTFUNC>
                    <VERB>
                         <link>
                              <link_vbe>
                              :
                              </link_vbe>
                         </link>
                    </VERB>
                    <QUANT>
                         <num>
                         260
                         </num>
                         <SD1006531>
                              <unit>
                              l / m
                              </unit>
                         </SD1006531>
                    </QUANT>
               </PATIENT-STATE-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001F.01.001">
          <!-- Assessment . -->

               <DOCUMENT-INFO-HIU id="MLPC15 HL0130.001F.01.001" sect="ASSESSMENT" Que="" row="1">
                    <GEN>
                    ASSESSMENT
                    </GEN>
               </DOCUMENT-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001F.01.002">
          <!-- Asthma , with prior smoking history . -->

               <CONNECTIVE1>
                    <SD1620>
                         <null>
                         with
                         </null>
                    </SD1620>

                    <PATIENT-STATE-HIU id="MLPC15 HL0130.001F.01.002" sect="PLAN" Que="" row="1" ARG="1" CONNid="1">
                         <DIAG>
                              <SD2430>
                                   <dx>
                                        <a-s_resp_l-r>
                                             <b-r_m-r>
                                                  <dx-prcss_imm_all>
                                                       <dx-kind_d-k-resp_r-a-d>
                                                       Asthma
                                                       </dx-kind_d-k-resp_r-a-d>
                                                  </dx-prcss_imm_all>
                                             </b-r_m-r>
                                        </a-s_resp_l-r>
                                   </dx>
                              </SD2430>
                         </DIAG>
                         <DIAG>
                         ,
                         </DIAG>
                    </PATIENT-STATE-HIU>

                    <PATIENT-STATE-HIU id="MLPC15 HL0130.001F.01.002" sect="PLAN" Que="" row="2" ARG="2" CONNid="1">
                         <EVENT-TIME>
                              <SD3708>
                                   <tm>
                                        <tm_tm-loc>
                                        prior
                                        </tm_tm-loc>
                                   </tm>
                              </SD3708>
                         </EVENT-TIME>
                         <SIGN-SYMP>
                              <SD7956>
                                   <p-s-b>
                                        <p-s-b_tob-u>
                                        smoking
                                        </p-s-b_tob-u>
                                   </p-s-b>
                              </SD7956>
                         </SIGN-SYMP>
                         <EVENT-TIME>
                              <SD3103>
                                   <tm>
                                        <tm_tm-loc>
                                        history
                                        </tm_tm-loc>
                                   </tm>
                              </SD3103>
                         </EVENT-TIME>
                    </PATIENT-STATE-HIU>
               </CONNECTIVE1>
          </SID>

          <SID id="MLPC15 HL0130.001F.01.003">
          <!-- Difficulty weaning off steroids . -->

               <MEDICATIONS-INFO-HIU id="MLPC15 HL0130.001F.01.003" sect="PLAN" Que="" row="1">
                    <SIGN-SYMP>
                    Difficulty
                    </SIGN-SYMP>
                    <VERB>
                         <SD4461>
                              <md>
                                   <md_chg-less>
                                   weaning
                                   </md_chg-less>
                              </md>
                         </SD4461>
                    </VERB>
                    <MED>
                         <SD6100>
                              <link>
                                   <link_li-prp>
                                   off
                                   </link_li-prp>
                              </link>
                         </SD6100>
                         <SD140348>
                              <med>
                                   <med-cl_ch-cl-hrm_adrcort-ster>
                                   steroids
                                   </med-cl_ch-cl-hrm_adrcort-ster>
                              </med>
                         </SD140348>
                    </MED>
               </MEDICATIONS-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001F.01.004">
          <!-- Will try gradual taper . -->

               <PATIENT-STATE-HIU id="MLPC15 HL0130.001F.01.004" sect="PLAN" Que="I" row="1">
                    <VERB>
                    Will
                    </VERB>
                    <VERB>
                         <SD762>
                              <md>
                                   <md_modal>
                                   try
                                   </md_modal>
                              </md>
                         </SD762>
                    </VERB>
                    <TIME-QUAL>
                         <SD3068>
                              <tm>
                                   <tm_dur>
                                   gradual
                                   </tm_dur>
                              </tm>
                         </SD3068>
                    </TIME-QUAL>
                    <QUANT>
                         <SD5571>
                              <md>
                                   <md_chg-less>
                                   taper
                                   </md_chg-less>
                              </md>
                         </SD5571>
                    </QUANT>
               </PATIENT-STATE-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001F.01.005">
          <!-- Hypertension , well-controlled . -->

               <PATIENT-STATE-HIU id="MLPC15 HL0130.001F.01.005" sect="PLAN" Que="" row="1">
                    <DIAG>
                         <SD3134>
                              <dx>
                                   <a-s_cv>
                                        <b-r>
                                             <dx-kind_cardiov_htn>
                                             Hypertension
                                             </dx-kind_cardiov_htn>
                                        </b-r>
                                   </a-s_cv>
                              </dx>
                         </SD3134>
                    </DIAG>
                    <DIAG>
                    ,
                    </DIAG>
                    <TXRES>
                         <SD4307>
                              <response>
                              well-controlled
                              </response>
                         </SD4307>
                    </TXRES>
               </PATIENT-STATE-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001F.01.006">
          <!-- Contact dermatitis on finger . -->

               <PATIENT-STATE-HIU id="MLPC15 HL0130.001F.01.006" sect="PLAN" Que="" row="1">
                    <DIAG>
                         <SD1006505>
                              <dx>
                                   <a-s_intg>
                                        <b-r>
                                             <dx-prcss_imm>
                                             Contact dermatitis
                                             </dx-prcss_imm>
                                        </b-r>
                                   </a-s_intg>
                              </dx>
                         </SD1006505>
                    </DIAG>
                    <DIAG>
                         <SD1599>
                              <link>
                                   <link_li-prp>
                                   on
                                   </link_li-prp>
                              </link>
                         </SD1599>
                    </DIAG>
                    <PTPART>
                         <SD54505>
                              <b-r>
                              finger
                              </b-r>
                         </SD54505>
                    </PTPART>
               </PATIENT-STATE-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001F.02.001">
          <!-- Plan . -->

               <DOCUMENT-INFO-HIU id="MLPC15 HL0130.001F.02.001" sect="PLAN" Que="" row="1">
                    <GEN>
                    PLAN
                    </GEN>
               </DOCUMENT-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001F.02.002">
          <!-- Complete PFTs with lung volumes . -->

               <CONNECTIVE1>
                    <SD1620>
                         <null>
                         with
                         </null>
                    </SD1620>

                    <MED-SURG-PROCEDURES-HIU id="MLPC15 HL0130.001F.02.002" sect="PLAN" Que="" row="1" ARG="1" CONNid="1">
                         <QUANT>
                              <SD5072>
                                   <md>
                                        <md_amt>
                                        Complete
                                        </md_amt>
                                   </md>
                              </SD5072>
                         </QUANT>
                         <PROCEDURE>
                              <SD39412>
                                   <pr>
                                        <a-s_resp>
                                             <b-r_m-r>
                                                  <pr_m-s>
                                                  PFTs
                                                  </pr_m-s>
                                             </b-r_m-r>
                                        </a-s_resp>
                                   </pr>
                              </SD39412>
                         </PROCEDURE>
                    </MED-SURG-PROCEDURES-HIU>

                    <PATIENT-STATE-HIU id="MLPC15 HL0130.001F.02.002" sect="PLAN" Que="" row="2" ARG="2" CONNid="1">
                         <PTPART>
                              <SD61162>
                                   <a-s>
                                        <a-s_resp_l-r_lng>
                                             <b-r_tk_thx_int-thor>
                                             lung
                                             </b-r_tk_thx_int-thor>
                                        </a-s_resp_l-r_lng>
                                   </a-s>
                              </SD61162>
                         </PTPART>
                         <PTMEAS>
                              <SD19256>
                                   <bdy-ms>
                                   volumes
                                   </bdy-ms>
                              </SD19256>
                         </PTMEAS>
                    </PATIENT-STATE-HIU>
               </CONNECTIVE1>
          </SID>

          <SID id="MLPC15 HL0130.001F.02.003">
          <!-- Chem-7 . -->

               <LAB-TEST-HIU id="MLPC15 HL0130.001F.02.003" sect="PLAN" Que="" row="1">
                    <TXSPEC>
                         <SD9265>
                              <pr>
                                   <a-s_sys>
                                        <b-r_bdy>
                                             <dx-prcss_met>
                                                  <pr_lab_panel>
                                                       <pr_lab_lab-chem>
                                                       Chem-7
                                                       </pr_lab_lab-chem>
                                                  </pr_lab_panel>
                                             </dx-prcss_met>
                                        </b-r_bdy>
                                   </a-s_sys>
                              </pr>
                         </SD9265>
                    </TXSPEC>
               </LAB-TEST-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001F.02.004">
          <!-- Provide educational material on inhaler usage and peak flow self-monitoring . -->

               <CONNECTIVE1>
                    <link>
                         <link_cnn>
                         and
                         </link_cnn>
                    </link>

                    <MISCELLANEOUS-HIU id="MLPC15 HL0130.001F.02.004" sect="PLAN" Que="" row="1" ARG="1" CONNid="1">
                         <GEN>
                              <SD467>
                                   <link>
                                        <link_ttg>
                                        Provide
                                        </link_ttg>
                                   </link>
                              </SD467>
                              <SD1006512>
                              educational material
                              </SD1006512>
                              <SD1599>
                                   <link>
                                        <link_li-prp>
                                        on
                                        </link_li-prp>
                                   </link>
                              </SD1599>
                         </GEN>
                         <MED-DEVICE>
                              <SD7268>
                                   <dev>
                                        <a-s_resp>
                                             <dev_dev-med>
                                             inhaler
                                             </dev_dev-med>
                                        </a-s_resp>
                                   </dev>
                              </SD7268>
                              <SD18591>
                                   <trnsp>
                                   usage
                                   </trnsp>
                              </SD18591>
                         </MED-DEVICE>
                    </MISCELLANEOUS-HIU>

                    <MISCELLANEOUS-HIU id="MLPC15 HL0130.001F.02.004" sect="PLAN" Que="" row="2" ARG="2" CONNid="1">
                         <GEN>
                              <SD467>
                                   <link>
                                        <link_ttg>
                                        Provide
                                        </link_ttg>
                                   </link>
                              </SD467>
                              <SD1006512>
                              educational material
                              </SD1006512>
                              <SD1599>
                                   <link>
                                        <link_li-prp>
                                        on
                                        </link_li-prp>
                                   </link>
                              </SD1599>
                              <SD9998>
                                   <pr>
                                        <a-s_resp>
                                             <pr_lab>
                                             peak flow
                                             </pr_lab>
                                        </a-s_resp>
                                   </pr>
                              </SD9998>
                              <SD1006558>
                              self-monitoring
                              </SD1006558>
                         </GEN>
                    </MISCELLANEOUS-HIU>
               </CONNECTIVE1>
          </SID>

          <SID id="MLPC15 HL0130.001F.02.005">
          <!-- Decrease prednisone to 20 qOD alternating with 18 qOD . -->

               <MEDICATIONS-INFO-HIU id="MLPC15 HL0130.001F.02.005" sect="PLAN" Que="" row="1">
                    <QUANT>
                         <SD5569>
                              <md>
                                   <md_chg-less>
                                   Decrease
                                   </md_chg-less>
                              </md>
                         </SD5569>
                    </QUANT>
                    <MED>
                         <SD190702>
                              <med>
                                   <med-cl_ch-cl-hrm_adrcort-ster>
                                   prednisone
                                   </med-cl_ch-cl-hrm_adrcort-ster>
                              </med>
                         </SD190702>
                    </MED>
                    <QUANT>
                         <SD4149>
                              <link>
                                   <link_li-prp>
                                   to
                                   </link_li-prp>
                              </link>
                         </SD4149>
                         <med-ds>
                         20 qOD alternating with 18 qOD
                         </med-ds>
                    </QUANT>
               </MEDICATIONS-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001F.02.006">
          <!-- Hydrocortisone cream to finger BID . -->

               <MEDICATIONS-INFO-HIU id="MLPC15 HL0130.001F.02.006" sect="PLAN" Que="" row="1">
                    <MED>
                         <SD190099>
                              <med>
                                   <med-cl_ch-cl-hrm_adrcort-ster>
                                   Hydrocortisone
                                   </med-cl_ch-cl-hrm_adrcort-ster>
                              </med>
                         </SD190099>
                         <SD140309>
                              <med>
                                   <med-cl_tpcl-agt_derm-agt_top-emoll>
                                   cream
                                   </med-cl_tpcl-agt_derm-agt_top-emoll>
                              </med>
                         </SD140309>
                    </MED>
                    <QUANT>
                         <SD4149>
                              <link>
                                   <link_li-prp>
                                   to
                                   </link_li-prp>
                              </link>
                         </SD4149>
                         <SD54505>
                              <b-r>
                              finger
                              </b-r>
                         </SD54505>
                     BID
                    </QUANT>
               </MEDICATIONS-INFO-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001F.02.007">
          <!-- RTC 1 week . -->

               <MISCELLANEOUS-HIU id="MLPC15 HL0130.001F.02.007" sect="PLAN" Que="" row="1">
                    <GEN>
                         <SD1004836>
                              <pr>
                                   <pr_foll-up>
                                   RTC
                                   </pr_foll-up>
                              </pr>
                         </SD1004836>
                    </GEN>
                    <QUANT>
                         <num>
                         1
                         </num>
                         <SD1151>
                              <tm>
                                   <tm_tm-loc>
                                   week
                                   </tm_tm-loc>
                              </tm>
                         </SD1151>
                    </QUANT>
               </MISCELLANEOUS-HIU>
          </SID>

          <SID id="MLPC15 HL0130.001F.03.001">
          <!-- Signed by YYY011 04/08/2000 . -->

               <MISCELLANEOUS-HIU id="MLPC15 HL0130.001F.03.001" sect="PLAN" Que="" row="1">
                    <GEN>
                         <SD14350>
                              <pr>
                                   <pr_mgt>
                                   Signed
                                   </pr_mgt>
                              </pr>
                         </SD14350>
                         <SD1633>
                              <link>
                                   <link_cnn>
                                   by
                                   </link_cnn>
                              </link>
                         </SD1633>
                         <env>
                              <env_env-med>
                              YYY011
                              </env_env-med>
                         </env>
                    </GEN>
                    <EVENT-TIME>
                         <tm>
                              <tm_tm-exact>
                              04/08/2000
                              </tm_tm-exact>
                         </tm>
                    </EVENT-TIME>
               </MISCELLANEOUS-HIU>
          </SID>
     </PatRec>
</InContext>