1 | <?xml version="1.0" encoding="UTF-8"?>
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2 | <?xml-stylesheet type="text/xsl" href="ccr.xsl"?>
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3 | <ContinuityOfCareRecord xmlns="urn:astm-org:CCR">
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4 | <CCRDocumentObjectID>871bd605-e8f8-4b80-9918-4b03f781129e</CCRDocumentObjectID>
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5 | <Language>
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6 | <Text>English</Text>
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7 | </Language>
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8 | <Version>V1.0</Version>
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9 | <DateTime>
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10 | <ExactDateTime>2008-09-23T13:49:41-0500</ExactDateTime>
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11 | </DateTime>
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12 | <Patient>
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13 | <ActorID>ACTORPATIENT_1</ActorID>
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14 | </Patient>
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15 | <From>
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16 | <ActorLink>
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17 | <ActorID>ACTORORGANIZATION_10000000020</ActorID>
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18 | </ActorLink>
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19 | <ActorLink>
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20 | <ActorID>ACTORSYSTEM_1</ActorID>
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21 | </ActorLink>
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22 | </From>
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23 | <To>
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24 | <ActorLink>
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25 | <ActorID>ACTORPATIENT_1</ActorID>
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26 | <ActorRole>
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27 | <Text>Patient</Text>
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28 | </ActorRole>
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29 | </ActorLink>
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30 | </To>
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31 | <Purpose>
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32 | <Description>
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33 | <Text>CEND PHR</Text>
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34 | </Description>
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35 | </Purpose>
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36 | <Body>
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37 | <Problems>
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38 | <Problem>
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39 | <CCRDataObjectID>PROBLEM1</CCRDataObjectID>
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40 | <Type>
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41 | <Text>Problem</Text>
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42 | </Type>
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43 | <Description>
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44 | <Text>DIABETES MELLI W/0 COMP TYP I</Text>
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45 | <Code>
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46 | <Value>250.01</Value>
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47 | <CodingSystem>ICD9CM</CodingSystem>
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48 | </Code>
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49 | </Description>
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50 | <Source>
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51 | <Actor>
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52 | <ActorID>ACTORPROVIDER_11531</ActorID>
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53 | </Actor>
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54 | </Source>
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55 | </Problem>
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56 | <Problem>
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57 | <CCRDataObjectID>PROBLEM2</CCRDataObjectID>
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58 | <Type>
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59 | <Text>Problem</Text>
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60 | </Type>
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61 | <Description>
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62 | <Text>Major depression with melancholia</Text>
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63 | <Code>
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64 | <Value>296.20</Value>
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65 | <CodingSystem>ICD9CM</CodingSystem>
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66 | </Code>
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67 | </Description>
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68 | <Source>
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69 | <Actor>
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70 | <ActorID>ACTORPROVIDER_11531</ActorID>
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71 | </Actor>
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72 | </Source>
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73 | </Problem>
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74 | <Problem>
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75 | <CCRDataObjectID>PROBLEM3</CCRDataObjectID>
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76 | <Type>
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77 | <Text>Problem</Text>
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78 | </Type>
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79 | <Description>
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80 | <Text>Dementia associated with alcoholism</Text>
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81 | <Code>
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82 | <Value>291.2</Value>
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83 | <CodingSystem>ICD9CM</CodingSystem>
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84 | </Code>
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85 | </Description>
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86 | <Source>
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87 | <Actor>
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88 | <ActorID>ACTORPROVIDER_983</ActorID>
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89 | </Actor>
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90 | </Source>
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91 | </Problem>
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92 | <Problem>
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93 | <CCRDataObjectID>PROBLEM4</CCRDataObjectID>
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94 | <Type>
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95 | <Text>Problem</Text>
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96 | </Type>
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97 | <Description>
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98 | <Text>Drug Abuse, Sports</Text>
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99 | <Code>
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100 | <Value>799.9</Value>
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101 | <CodingSystem>ICD9CM</CodingSystem>
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102 | </Code>
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103 | </Description>
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104 | <Source>
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105 | <Actor>
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106 | <ActorID>ACTORPROVIDER_983</ActorID>
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107 | </Actor>
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108 | </Source>
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109 | </Problem>
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110 | </Problems>
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111 | <Medications>
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112 | <Medication>
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113 | <CCRDataObjectID>MED1</CCRDataObjectID>
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114 | <Type>
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115 | <Text>Medication</Text>
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116 | </Type>
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117 | <Status>
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118 | <Text>PENDING</Text>
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119 | </Status>
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120 | <Source>
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121 | <Actor>
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122 | <ActorID>ACTORSYSTEM_1</ActorID>
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123 | </Actor>
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124 | </Source>
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125 | <Product>
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126 | <ProductName>
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127 | <Text>SULFACETAMIDE NA 10% OPH SOLN</Text>
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128 | </ProductName>
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129 | </Product>
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130 | <Directions>
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131 | <Direction>
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132 | <Description>
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133 | <Text>\ Sig: </Text>
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134 | </Description>
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135 | </Direction>
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136 | </Directions>
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137 | </Medication>
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138 | <Medication>
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139 | <CCRDataObjectID>MED2</CCRDataObjectID>
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140 | <Type>
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141 | <Text>Medication</Text>
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142 | </Type>
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143 | <Status>
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144 | <Text>PENDING</Text>
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145 | </Status>
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146 | <Source>
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147 | <Actor>
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148 | <ActorID>ACTORSYSTEM_1</ActorID>
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149 | </Actor>
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150 | </Source>
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151 | <Product>
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152 | <ProductName>
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153 | <Text>PSYLLIUM ORAL PWD</Text>
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154 | </ProductName>
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155 | </Product>
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156 | <Directions>
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157 | <Direction>
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158 | <Description>
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159 | <Text>TAKE AS DIRECTED BY BY MOUTH TWICE A DAY </Text>
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160 | </Description>
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161 | </Direction>
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162 | </Directions>
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163 | </Medication>
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164 | <Medication>
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165 | <CCRDataObjectID>MED3</CCRDataObjectID>
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166 | <Type>
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167 | <Text>Medication</Text>
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168 | </Type>
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169 | <Status>
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170 | <Text>PENDING</Text>
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171 | </Status>
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172 | <Source>
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173 | <Actor>
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174 | <ActorID>ACTORSYSTEM_1</ActorID>
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175 | </Actor>
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176 | </Source>
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177 | <Product>
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178 | <ProductName>
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179 | <Text>CETACAINE TOP AEROSOL</Text>
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180 | </ProductName>
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181 | </Product>
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182 | <Directions>
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183 | <Direction>
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184 | <Description>
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185 | <Text>\ Sig: </Text>
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186 | </Description>
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187 | </Direction>
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188 | </Directions>
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189 | </Medication>
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190 | </Medications>
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191 | <VitalSigns>
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192 | <Result>
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193 | <CCRDataObjectID>VITAL1</CCRDataObjectID>
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194 | <DateTime>
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195 | <Type>
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196 | <Text>OBSERVED</Text>
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197 | </Type>
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198 | <ExactDateTime>2003-04-04T15:18:00-0500</ExactDateTime>
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199 | </DateTime>
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200 | <Description>
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201 | <Text>TEMPERATURE</Text>
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202 | </Description>
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203 | <Source>
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204 | <Actor>
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205 | <ActorID>ACTORSYSTEM_1</ActorID>
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206 | </Actor>
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207 | </Source>
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208 | <Test>
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209 | <CCRDataObjectID>VITALTEST1</CCRDataObjectID>
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210 | <Type>
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211 | <Text>OBSERVED</Text>
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212 | </Type>
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213 | <Description>
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214 | <Text>TEMPERATURE</Text>
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215 | <Code>
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216 | <Value>309646008</Value>
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217 | <CodingSystem>SNOMED</CodingSystem>
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218 | </Code>
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219 | </Description>
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220 | <Source>
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221 | <Actor>
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222 | <ActorID>ACTORPROVIDER_20391</ActorID>
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223 | </Actor>
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224 | </Source>
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225 | <TestResult>
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226 | <Value>98.6</Value>
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227 | <Units>
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228 | <Unit>F</Unit>
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229 | </Units>
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230 | </TestResult>
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231 | </Test>
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232 | </Result>
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233 | <Result>
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234 | <CCRDataObjectID>VITAL2</CCRDataObjectID>
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235 | <DateTime>
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236 | <Type>
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237 | <Text>OBSERVED</Text>
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238 | </Type>
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239 | <ExactDateTime>2003-04-04T15:18:00-0500</ExactDateTime>
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240 | </DateTime>
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241 | <Description>
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242 | <Text>RESPIRATION</Text>
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243 | </Description>
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244 | <Source>
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245 | <Actor>
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246 | <ActorID>ACTORSYSTEM_1</ActorID>
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247 | </Actor>
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248 | </Source>
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249 | <Test>
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250 | <CCRDataObjectID>VITALTEST2</CCRDataObjectID>
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251 | <Type>
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252 | <Text>OBSERVED</Text>
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253 | </Type>
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254 | <Description>
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255 | <Text>RESPIRATION</Text>
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256 | <Code>
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257 | <Value>366147009</Value>
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258 | <CodingSystem>SNOMED</CodingSystem>
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259 | </Code>
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260 | </Description>
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261 | <Source>
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262 | <Actor>
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263 | <ActorID>ACTORPROVIDER_20391</ActorID>
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264 | </Actor>
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265 | </Source>
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266 | <TestResult>
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267 | <Value>19</Value>
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268 | </TestResult>
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269 | </Test>
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270 | </Result>
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271 | <Result>
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272 | <CCRDataObjectID>VITAL3</CCRDataObjectID>
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273 | <DateTime>
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274 | <Type>
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275 | <Text>OBSERVED</Text>
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276 | </Type>
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277 | <ExactDateTime>2003-04-04T15:17:00-0500</ExactDateTime>
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278 | </DateTime>
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279 | <Description>
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280 | <Text>TEMPERATURE</Text>
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281 | </Description>
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282 | <Source>
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283 | <Actor>
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284 | <ActorID>ACTORSYSTEM_1</ActorID>
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285 | </Actor>
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286 | </Source>
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287 | <Test>
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288 | <CCRDataObjectID>VITALTEST3</CCRDataObjectID>
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289 | <Type>
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290 | <Text>OBSERVED</Text>
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291 | </Type>
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292 | <Description>
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293 | <Text>TEMPERATURE</Text>
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294 | <Code>
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295 | <Value>309646008</Value>
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296 | <CodingSystem>SNOMED</CodingSystem>
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297 | </Code>
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298 | </Description>
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299 | <Source>
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300 | <Actor>
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301 | <ActorID>ACTORPROVIDER_20391</ActorID>
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302 | </Actor>
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303 | </Source>
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304 | <TestResult>
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305 | <Value>98.2</Value>
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306 | <Units>
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307 | <Unit>F</Unit>
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308 | </Units>
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309 | </TestResult>
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310 | </Test>
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311 | </Result>
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312 | <Result>
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313 | <CCRDataObjectID>VITAL4</CCRDataObjectID>
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314 | <DateTime>
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315 | <Type>
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316 | <Text>OBSERVED</Text>
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317 | </Type>
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318 | <ExactDateTime>2003-04-04T15:17:00-0500</ExactDateTime>
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319 | </DateTime>
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320 | <Description>
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321 | <Text>RESPIRATION</Text>
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322 | </Description>
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323 | <Source>
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324 | <Actor>
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325 | <ActorID>ACTORSYSTEM_1</ActorID>
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326 | </Actor>
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327 | </Source>
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328 | <Test>
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329 | <CCRDataObjectID>VITALTEST4</CCRDataObjectID>
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330 | <Type>
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331 | <Text>OBSERVED</Text>
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332 | </Type>
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333 | <Description>
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334 | <Text>RESPIRATION</Text>
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335 | <Code>
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336 | <Value>366147009</Value>
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337 | <CodingSystem>SNOMED</CodingSystem>
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338 | </Code>
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339 | </Description>
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340 | <Source>
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341 | <Actor>
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342 | <ActorID>ACTORPROVIDER_20391</ActorID>
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343 | </Actor>
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344 | </Source>
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345 | <TestResult>
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346 | <Value>19</Value>
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347 | </TestResult>
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348 | </Test>
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349 | </Result>
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350 | <Result>
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351 | <CCRDataObjectID>VITAL5</CCRDataObjectID>
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352 | <DateTime>
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353 | <Type>
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354 | <Text>OBSERVED</Text>
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355 | </Type>
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356 | <ExactDateTime>2003-04-04T15:16:00-0500</ExactDateTime>
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357 | </DateTime>
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358 | <Description>
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359 | <Text>TEMPERATURE</Text>
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360 | </Description>
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361 | <Source>
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362 | <Actor>
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363 | <ActorID>ACTORSYSTEM_1</ActorID>
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364 | </Actor>
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365 | </Source>
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366 | <Test>
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367 | <CCRDataObjectID>VITALTEST5</CCRDataObjectID>
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368 | <Type>
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369 | <Text>OBSERVED</Text>
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370 | </Type>
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371 | <Description>
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372 | <Text>TEMPERATURE</Text>
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373 | <Code>
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374 | <Value>309646008</Value>
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375 | <CodingSystem>SNOMED</CodingSystem>
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376 | </Code>
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377 | </Description>
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378 | <Source>
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379 | <Actor>
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380 | <ActorID>ACTORPROVIDER_20391</ActorID>
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381 | </Actor>
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382 | </Source>
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383 | <TestResult>
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384 | <Value>98</Value>
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385 | <Units>
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386 | <Unit>F</Unit>
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387 | </Units>
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388 | </TestResult>
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389 | </Test>
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390 | </Result>
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391 | <Result>
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392 | <CCRDataObjectID>VITAL6</CCRDataObjectID>
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393 | <DateTime>
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394 | <Type>
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---|
395 | <Text>OBSERVED</Text>
|
---|
396 | </Type>
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397 | <ExactDateTime>2003-04-04T15:16:00-0500</ExactDateTime>
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398 | </DateTime>
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399 | <Description>
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400 | <Text>RESPIRATION</Text>
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401 | </Description>
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---|
402 | <Source>
|
---|
403 | <Actor>
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---|
404 | <ActorID>ACTORSYSTEM_1</ActorID>
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405 | </Actor>
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406 | </Source>
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407 | <Test>
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408 | <CCRDataObjectID>VITALTEST6</CCRDataObjectID>
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---|
409 | <Type>
|
---|
410 | <Text>OBSERVED</Text>
|
---|
411 | </Type>
|
---|
412 | <Description>
|
---|
413 | <Text>RESPIRATION</Text>
|
---|
414 | <Code>
|
---|
415 | <Value>366147009</Value>
|
---|
416 | <CodingSystem>SNOMED</CodingSystem>
|
---|
417 | </Code>
|
---|
418 | </Description>
|
---|
419 | <Source>
|
---|
420 | <Actor>
|
---|
421 | <ActorID>ACTORPROVIDER_20391</ActorID>
|
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422 | </Actor>
|
---|
423 | </Source>
|
---|
424 | <TestResult>
|
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425 | <Value>18</Value>
|
---|
426 | </TestResult>
|
---|
427 | </Test>
|
---|
428 | </Result>
|
---|
429 | <Result>
|
---|
430 | <CCRDataObjectID>VITAL7</CCRDataObjectID>
|
---|
431 | <DateTime>
|
---|
432 | <Type>
|
---|
433 | <Text>OBSERVED</Text>
|
---|
434 | </Type>
|
---|
435 | <ExactDateTime>2003-04-04T15:16:00-0500</ExactDateTime>
|
---|
436 | </DateTime>
|
---|
437 | <Description>
|
---|
438 | <Text>PAIN</Text>
|
---|
439 | </Description>
|
---|
440 | <Source>
|
---|
441 | <Actor>
|
---|
442 | <ActorID>ACTORSYSTEM_1</ActorID>
|
---|
443 | </Actor>
|
---|
444 | </Source>
|
---|
445 | <Test>
|
---|
446 | <CCRDataObjectID>VITALTEST7</CCRDataObjectID>
|
---|
447 | <Type>
|
---|
448 | <Text>OBSERVED</Text>
|
---|
449 | </Type>
|
---|
450 | <Description>
|
---|
451 | <Text>PAIN</Text>
|
---|
452 | <Code>
|
---|
453 | <Value>22253000</Value>
|
---|
454 | <CodingSystem>SNOMED</CodingSystem>
|
---|
455 | </Code>
|
---|
456 | </Description>
|
---|
457 | <Source>
|
---|
458 | <Actor>
|
---|
459 | <ActorID>ACTORPROVIDER_20391</ActorID>
|
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460 | </Actor>
|
---|
461 | </Source>
|
---|
462 | <TestResult>
|
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463 | <Value>0</Value>
|
---|
464 | </TestResult>
|
---|
465 | </Test>
|
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466 | </Result>
|
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467 | </VitalSigns>
|
---|
468 | </Body>
|
---|
469 | <Actors>
|
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470 | <Actor>
|
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471 | <ActorObjectID>ACTORORGANIZATION_10000000020</ActorObjectID>
|
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472 | <Organization>
|
---|
473 | <Name>ZZ ALBANY-PRRTP</Name>
|
---|
474 | </Organization>
|
---|
475 | <Source>
|
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476 | <Actor>
|
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477 | <ActorID>ACTORSYSTEM_1</ActorID>
|
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478 | </Actor>
|
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479 | </Source>
|
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480 | </Actor>
|
---|
481 | <Actor>
|
---|
482 | <ActorObjectID>ACTORPATIENT_1</ActorObjectID>
|
---|
483 | <Person>
|
---|
484 | <Name>
|
---|
485 | <CurrentName>
|
---|
486 | <Given>PATIENT</Given>
|
---|
487 | <Family>ZZZRETFIVEFIFTYONE</Family>
|
---|
488 | </CurrentName>
|
---|
489 | </Name>
|
---|
490 | <DateOfBirth>
|
---|
491 | <ExactDateTime>1935-04-07</ExactDateTime>
|
---|
492 | </DateOfBirth>
|
---|
493 | <Gender>
|
---|
494 | <Text>F</Text>
|
---|
495 | <Code>
|
---|
496 | <Value>F</Value>
|
---|
497 | <CodingSystem>2.16.840.1.113883.5.1</CodingSystem>
|
---|
498 | </Code>
|
---|
499 | </Gender>
|
---|
500 | </Person>
|
---|
501 | <IDs>
|
---|
502 | <Type>
|
---|
503 | <Text>SSN</Text>
|
---|
504 | </Type>
|
---|
505 | <ID>666223456</ID>
|
---|
506 | <Source>
|
---|
507 | <Actor>
|
---|
508 | <ActorID>ACTORPATIENT_1</ActorID>
|
---|
509 | </Actor>
|
---|
510 | </Source>
|
---|
511 | </IDs>
|
---|
512 | <Address>
|
---|
513 | <Type>
|
---|
514 | <Text>Home</Text>
|
---|
515 | </Type>
|
---|
516 | <City>TROY</City>
|
---|
517 | <State>NEW YORK</State>
|
---|
518 | <PostalCode>99998</PostalCode>
|
---|
519 | </Address>
|
---|
520 | <Telephone>
|
---|
521 | <Value>222-555-8235</Value>
|
---|
522 | <Type>
|
---|
523 | <Text>Residential Telephone</Text>
|
---|
524 | </Type>
|
---|
525 | </Telephone>
|
---|
526 | <Source>
|
---|
527 | <Actor>
|
---|
528 | <ActorID>ACTORPATIENT_1</ActorID>
|
---|
529 | </Actor>
|
---|
530 | </Source>
|
---|
531 | </Actor>
|
---|
532 | <Actor>
|
---|
533 | <ActorObjectID>ACTORPROVIDER_11531</ActorObjectID>
|
---|
534 | <Person>
|
---|
535 | <Name>
|
---|
536 | <CurrentName>
|
---|
537 | <Given>ONEHUNDREDNINETYONE</Given>
|
---|
538 | <Family>PROVIDER</Family>
|
---|
539 | <Title>Scholar Extraordinaire</Title>
|
---|
540 | </CurrentName>
|
---|
541 | </Name>
|
---|
542 | </Person>
|
---|
543 | <Specialty>
|
---|
544 | <Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
|
---|
545 | </Specialty>
|
---|
546 | <Address>
|
---|
547 | <Type>
|
---|
548 | <Text>Work</Text>
|
---|
549 | </Type>
|
---|
550 | <Line1>123 MAIN</Line1>
|
---|
551 | <City>ALBANY</City>
|
---|
552 | <State>NY</State>
|
---|
553 | <PostalCode>12180</PostalCode>
|
---|
554 | </Address>
|
---|
555 | <Source>
|
---|
556 | <Actor>
|
---|
557 | <ActorID>ACTORSYSTEM_1</ActorID>
|
---|
558 | </Actor>
|
---|
559 | </Source>
|
---|
560 | </Actor>
|
---|
561 | <Actor>
|
---|
562 | <ActorObjectID>ACTORPROVIDER_20391</ActorObjectID>
|
---|
563 | <Person>
|
---|
564 | <Name>
|
---|
565 | <CurrentName>
|
---|
566 | <Given>TWENTYFOUR</Given>
|
---|
567 | <Family>LABTECH</Family>
|
---|
568 | <Title>PHYSICIAN</Title>
|
---|
569 | </CurrentName>
|
---|
570 | </Name>
|
---|
571 | </Person>
|
---|
572 | <Address>
|
---|
573 | <Type>
|
---|
574 | <Text>Work</Text>
|
---|
575 | </Type>
|
---|
576 | <Line1>123 MAIN</Line1>
|
---|
577 | <City>ALBANY</City>
|
---|
578 | <State>NY</State>
|
---|
579 | <PostalCode>12180</PostalCode>
|
---|
580 | </Address>
|
---|
581 | <Source>
|
---|
582 | <Actor>
|
---|
583 | <ActorID>ACTORSYSTEM_1</ActorID>
|
---|
584 | </Actor>
|
---|
585 | </Source>
|
---|
586 | </Actor>
|
---|
587 | <Actor>
|
---|
588 | <ActorObjectID>ACTORPROVIDER_983</ActorObjectID>
|
---|
589 | <Person>
|
---|
590 | <Name>
|
---|
591 | <CurrentName>
|
---|
592 | <Given>ONE</Given>
|
---|
593 | <Family>PROVIDER</Family>
|
---|
594 | <Title>Scholar Extraordinaire</Title>
|
---|
595 | </CurrentName>
|
---|
596 | </Name>
|
---|
597 | </Person>
|
---|
598 | <Specialty>
|
---|
599 | <Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
|
---|
600 | </Specialty>
|
---|
601 | <Address>
|
---|
602 | <Type>
|
---|
603 | <Text>Work</Text>
|
---|
604 | </Type>
|
---|
605 | <Line1>123 MAIN</Line1>
|
---|
606 | <City>ALBANY</City>
|
---|
607 | <State>NY</State>
|
---|
608 | <PostalCode>12180</PostalCode>
|
---|
609 | </Address>
|
---|
610 | <Source>
|
---|
611 | <Actor>
|
---|
612 | <ActorID>ACTORSYSTEM_1</ActorID>
|
---|
613 | </Actor>
|
---|
614 | </Source>
|
---|
615 | </Actor>
|
---|
616 | <Actor>
|
---|
617 | <ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
|
---|
618 | <InformationSystem>
|
---|
619 | <Name>WorldVistA EHR/VOE</Name>
|
---|
620 | <Version>1.0</Version>
|
---|
621 | </InformationSystem>
|
---|
622 | <Source>
|
---|
623 | <Actor>
|
---|
624 | <ActorID>ACTORSYSTEM_1</ActorID>
|
---|
625 | </Actor>
|
---|
626 | </Source>
|
---|
627 | </Actor>
|
---|
628 | </Actors>
|
---|
629 | </ContinuityOfCareRecord>
|
---|