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>2008-10-07T23:01:31-0500</ExactDateTime>
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11 | </DateTime>
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12 | <Patient>
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13 | <ActorID>ACTORPATIENT_164</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_164</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 | <Medications>
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38 | <Medication>
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39 | <CCRDataObjectID>MED_PENDING1</CCRDataObjectID>
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40 | <DateTime>
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41 | <Type>
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42 | <Text>Issue Date</Text>
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43 | </Type>
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44 | <ExactDateTime>1999-12-08</ExactDateTime>
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45 | </DateTime>
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46 | <Type>
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47 | <Text>Medication</Text>
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48 | </Type>
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49 | <Status>
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50 | <Text>On Hold</Text>
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51 | </Status>
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52 | <Source>
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53 | <Actor>
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54 | <ActorID>ACTORPROVIDER_11817</ActorID>
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55 | </Actor>
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56 | </Source>
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57 | <Product>
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58 | <ProductName>
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59 | <Text>IBUPROFEN 800MG TAB</Text>
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60 | <Code>
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61 | <Value>53746-0137-05</Value>
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62 | <CodingSystem>NDC</CodingSystem>
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63 | <Version>none</Version>
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64 | </Code>
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65 | </ProductName>
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66 | <Strength>
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67 | <Value>800</Value>
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68 | <Units>
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69 | <Unit>MG</Unit>
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70 | </Units>
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71 | </Strength>
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72 | <Form>
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73 | <Text>TAB</Text>
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74 | </Form>
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75 | <Concentration>
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76 | <Value>800</Value>
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77 | <Units>
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78 | <Unit>MG</Unit>
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79 | </Units>
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80 | </Concentration>
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81 | <Size>
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82 | <Text>500 BOTTLE</Text>
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83 | </Size>
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84 | </Product>
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85 | <Quantity>
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86 | <Value>90</Value>
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87 | <Units>
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88 | <Unit>TAB</Unit>
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89 | </Units>
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90 | </Quantity>
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91 | <Refills>
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92 | <Refill>
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93 | <Number>3</Number>
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94 | </Refill>
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95 | </Refills>
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96 | <Directions>
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97 | <Direction>
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98 | <DoseIndicator>
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99 | <Text>1</Text>
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100 | </DoseIndicator>
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101 | <DeliveryMethod>
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102 | <Text>TAKE</Text>
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103 | </DeliveryMethod>
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104 | <Dose>
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105 | <Value>600</Value>
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106 | <Units>
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107 | <Unit>MG</Unit>
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108 | </Units>
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109 | </Dose>
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110 | <Route>
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111 | <Text>ORAL (BY MOUTH)</Text>
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112 | </Route>
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113 | <Frequency>
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114 | <Text>TID</Text>
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115 | </Frequency>
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116 | <Interval>
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117 | <Value>480</Value>
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118 | <Units>
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119 | <Unit>Minute</Unit>
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120 | </Units>
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121 | </Interval>
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122 | <Indication>
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123 | <PRNFlag>
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124 | <Text>0</Text>
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125 | </PRNFlag>
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126 | </Indication>
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127 | <DirectionSequenceModifier>1</DirectionSequenceModifier>
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128 | </Direction>
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129 | </Directions>
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130 | </Medication>
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131 | <Medication>
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132 | <CCRDataObjectID>MED_PENDING2</CCRDataObjectID>
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133 | <DateTime>
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134 | <Type>
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135 | <Text>Issue Date</Text>
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136 | </Type>
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137 | <ExactDateTime>1999-12-08</ExactDateTime>
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138 | </DateTime>
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139 | <Type>
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140 | <Text>Medication</Text>
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141 | </Type>
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142 | <Status>
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143 | <Text>On Hold</Text>
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144 | </Status>
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145 | <Source>
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146 | <Actor>
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147 | <ActorID>ACTORPROVIDER_11817</ActorID>
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148 | </Actor>
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149 | </Source>
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150 | <Product>
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151 | <ProductName>
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152 | <Text>AMPICILLIN 250MG CAP</Text>
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153 | <Code>
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154 | <Value>00003-0122-60</Value>
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155 | <CodingSystem>NDC</CodingSystem>
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156 | <Version>none</Version>
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157 | </Code>
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158 | </ProductName>
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159 | <Strength>
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160 | <Value>250</Value>
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161 | <Units>
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162 | <Unit>MG</Unit>
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163 | </Units>
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164 | </Strength>
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165 | <Form>
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166 | <Text>CAP,ORAL</Text>
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167 | </Form>
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168 | <Concentration>
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169 | <Value>250</Value>
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170 | <Units>
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171 | <Unit>MG</Unit>
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172 | </Units>
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173 | </Concentration>
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174 | <Size>
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175 | <Text>500 BOTTLE</Text>
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176 | </Size>
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177 | </Product>
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178 | <Quantity>
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179 | <Value>60</Value>
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180 | <Units>
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181 | <Unit>CAP</Unit>
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182 | </Units>
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183 | </Quantity>
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184 | <Refills>
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185 | <Refill>
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186 | <Number>1</Number>
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187 | </Refill>
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188 | </Refills>
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189 | <Directions>
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190 | <Direction>
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191 | <DoseIndicator>
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192 | <Text>1</Text>
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193 | </DoseIndicator>
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194 | <DeliveryMethod>
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195 | <Text>TAKE</Text>
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196 | </DeliveryMethod>
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197 | <Dose>
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198 | <Value>500</Value>
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199 | <Units>
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200 | <Unit>MG</Unit>
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201 | </Units>
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202 | </Dose>
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203 | <Route>
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204 | <Text>ORAL (BY MOUTH)</Text>
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205 | </Route>
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206 | <Frequency>
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207 | <Text>TID</Text>
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208 | </Frequency>
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209 | <Interval>
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210 | <Value>480</Value>
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211 | <Units>
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212 | <Unit>Minute</Unit>
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213 | </Units>
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214 | </Interval>
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215 | <Indication>
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216 | <PRNFlag>
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217 | <Text>0</Text>
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218 | </PRNFlag>
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219 | </Indication>
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220 | <DirectionSequenceModifier>1</DirectionSequenceModifier>
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221 | </Direction>
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222 | </Directions>
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223 | </Medication>
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224 | </Medications>
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225 | <VitalSigns>
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226 | <Result>
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227 | <CCRDataObjectID>VITAL1</CCRDataObjectID>
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228 | <DateTime>
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229 | <Type>
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230 | <Text>OBSERVED</Text>
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231 | </Type>
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232 | <ExactDateTime>1999-03-09T13:00:00-0500</ExactDateTime>
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233 | </DateTime>
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234 | <Description>
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235 | <Text>PAIN</Text>
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236 | </Description>
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237 | <Source>
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238 | <Actor>
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239 | <ActorID>ACTORSYSTEM_1</ActorID>
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240 | </Actor>
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241 | </Source>
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242 | <Test>
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243 | <CCRDataObjectID>VITALTEST1</CCRDataObjectID>
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244 | <Type>
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245 | <Text>OBSERVED</Text>
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246 | </Type>
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247 | <Description>
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248 | <Text>PAIN</Text>
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249 | <Code>
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250 | <Value>22253000</Value>
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251 | <CodingSystem>SNOMED</CodingSystem>
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252 | </Code>
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253 | </Description>
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254 | <Source>
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255 | <Actor>
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256 | <ActorID>ACTORPROVIDER_755</ActorID>
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257 | </Actor>
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258 | </Source>
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259 | <TestResult>
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260 | <Value>4</Value>
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261 | </TestResult>
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262 | </Test>
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263 | </Result>
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264 | </VitalSigns>
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265 | </Body>
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266 | <Actors>
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267 | <Actor>
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268 | <ActorObjectID>ACTORORGANIZATION_10000000020</ActorObjectID>
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269 | <Organization>
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270 | <Name>ZZ ALBANY-PRRTP</Name>
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271 | </Organization>
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272 | <Source>
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273 | <Actor>
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274 | <ActorID>ACTORSYSTEM_1</ActorID>
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275 | </Actor>
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276 | </Source>
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277 | </Actor>
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278 | <Actor>
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279 | <ActorObjectID>ACTORPATIENT_164</ActorObjectID>
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280 | <Person>
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281 | <Name>
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282 | <CurrentName>
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283 | <Given>PATIENT</Given>
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284 | <Family>ZZZRETIREDONENINETEEN</Family>
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285 | </CurrentName>
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286 | </Name>
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287 | <DateOfBirth>
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288 | <ExactDateTime>1935-04-07</ExactDateTime>
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289 | </DateOfBirth>
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290 | <Gender>
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291 | <Text>MALE</Text>
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292 | <Code>
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293 | <Value>MALE</Value>
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294 | <CodingSystem>2.16.840.1.113883.5.1</CodingSystem>
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295 | </Code>
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296 | </Gender>
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297 | </Person>
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298 | <IDs>
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299 | <Type>
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300 | <Text>SSN</Text>
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301 | </Type>
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302 | <ID>666101024</ID>
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303 | <Source>
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304 | <Actor>
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305 | <ActorID>ACTORPATIENT_164</ActorID>
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306 | </Actor>
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307 | </Source>
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308 | </IDs>
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309 | <Address>
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310 | <Type>
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311 | <Text>Home</Text>
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312 | </Type>
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313 | <Line1>1123</Line1>
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314 | <City>TROY</City>
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315 | <State>NEW YORK</State>
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316 | <PostalCode>99998</PostalCode>
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317 | </Address>
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318 | <Source>
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319 | <Actor>
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320 | <ActorID>ACTORPATIENT_164</ActorID>
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321 | </Actor>
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322 | </Source>
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323 | </Actor>
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324 | <Actor>
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325 | <ActorObjectID>ACTORPROVIDER_11817</ActorObjectID>
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326 | <Person>
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327 | <Name>
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328 | <CurrentName>
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329 | <Given>FORTYONE</Given>
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330 | <Family>RADTECH</Family>
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331 | </CurrentName>
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332 | </Name>
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333 | </Person>
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334 | <Address>
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335 | <Type>
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336 | <Text>Work</Text>
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337 | </Type>
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338 | <Line1>123 MAIN</Line1>
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339 | <City>ALBANY</City>
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340 | <State>NY</State>
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341 | <PostalCode>12180</PostalCode>
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342 | </Address>
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343 | <Source>
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344 | <Actor>
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345 | <ActorID>ACTORSYSTEM_1</ActorID>
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346 | </Actor>
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347 | </Source>
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348 | </Actor>
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349 | <Actor>
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350 | <ActorObjectID>ACTORPROVIDER_755</ActorObjectID>
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351 | <Person>
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352 | <Name>
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353 | <CurrentName>
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354 | <Given>TWENTY</Given>
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355 | <Family>PROGRAMMER</Family>
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356 | <Title>COMPUTER SPECIALIST</Title>
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357 | </CurrentName>
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358 | </Name>
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359 | </Person>
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360 | <Specialty>
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361 | <Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
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362 | </Specialty>
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363 | <Address>
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364 | <Type>
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365 | <Text>Work</Text>
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366 | </Type>
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367 | <Line1>123 MAIN</Line1>
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368 | <City>ALBANY</City>
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369 | <State>NY</State>
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370 | <PostalCode>12180</PostalCode>
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371 | </Address>
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372 | <Source>
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373 | <Actor>
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374 | <ActorID>ACTORSYSTEM_1</ActorID>
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375 | </Actor>
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376 | </Source>
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377 | </Actor>
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378 | <Actor>
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379 | <ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
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380 | <InformationSystem>
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381 | <Name>WorldVistA EHR/VOE</Name>
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382 | <Version>1.0</Version>
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383 | </InformationSystem>
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384 | <Source>
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385 | <Actor>
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386 | <ActorID>ACTORSYSTEM_1</ActorID>
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387 | </Actor>
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388 | </Source>
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389 | </Actor>
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390 | </Actors>
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391 | </ContinuityOfCareRecord>
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