  <!ELEMENT report (section*)>
  <!ELEMENT section (section.title, section.content)>
  <!ELEMENT section.title  (#PCDATA )>
  <!ELEMENT section.content  (#PCDATA | anesthesia | prep 
                            | incision | action | observation )*>
  <!ELEMENT anesthesia (#PCDATA)>
  <!ELEMENT prep ( (#PCDATA | action)* )>
  <!ELEMENT incision ( (#PCDATA | geography | instrument)* )>
  <!ELEMENT action ( (#PCDATA | instrument )* )>
  <!ELEMENT observation (#PCDATA)>
  <!ELEMENT geography (#PCDATA)>
  <!ELEMENT instrument (#PCDATA)>