source: ccr/tags/CCR_1_0_5/output/PAT_1_CCR_V1_0_5.xml@ 201

Last change on this file since 201 was 201, checked in by George Lilly, 16 years ago

Out with new med codes for build 1_0_5

File size: 12.5 KB
Line 
1<?xml version="1.0" encoding="UTF-8"?>
2<?xml-stylesheet type="text/xsl" href="ccr.xsl"?>
3<ContinuityOfCareRecord xmlns="urn:astm-org:CCR">
4<CCRDocumentObjectID>871bd605-e8f8-4b80-9918-4b03f781129e</CCRDocumentObjectID>
5<Language>
6<Text>English</Text>
7</Language>
8<Version>V1.0</Version>
9<DateTime>
10<ExactDateTime>2008-10-07T15:40:19-0500</ExactDateTime>
11</DateTime>
12<Patient>
13<ActorID>ACTORPATIENT_1</ActorID>
14</Patient>
15<From>
16<ActorLink>
17<ActorID>ACTORORGANIZATION_10000000020</ActorID>
18</ActorLink>
19<ActorLink>
20<ActorID>ACTORSYSTEM_1</ActorID>
21</ActorLink>
22</From>
23<To>
24<ActorLink>
25<ActorID>ACTORPATIENT_1</ActorID>
26<ActorRole>
27<Text>Patient</Text>
28</ActorRole>
29</ActorLink>
30</To>
31<Purpose>
32<Description>
33<Text>CEND PHR</Text>
34</Description>
35</Purpose>
36<Body>
37<Problems>
38<Problem>
39<CCRDataObjectID>PROBLEM1</CCRDataObjectID>
40<Type>
41<Text>Problem</Text>
42</Type>
43<Description>
44<Text>DIABETES MELLI W/0 COMP TYP I</Text>
45<Code>
46<Value>250.01</Value>
47<CodingSystem>ICD9CM</CodingSystem>
48</Code>
49</Description>
50<Source>
51<Actor>
52<ActorID>ACTORPROVIDER_11531</ActorID>
53</Actor>
54</Source>
55</Problem>
56<Problem>
57<CCRDataObjectID>PROBLEM2</CCRDataObjectID>
58<Type>
59<Text>Problem</Text>
60</Type>
61<Description>
62<Text>Major depression with melancholia</Text>
63<Code>
64<Value>296.20</Value>
65<CodingSystem>ICD9CM</CodingSystem>
66</Code>
67</Description>
68<Source>
69<Actor>
70<ActorID>ACTORPROVIDER_11531</ActorID>
71</Actor>
72</Source>
73</Problem>
74<Problem>
75<CCRDataObjectID>PROBLEM3</CCRDataObjectID>
76<Type>
77<Text>Problem</Text>
78</Type>
79<Description>
80<Text>Dementia associated with alcoholism</Text>
81<Code>
82<Value>291.2</Value>
83<CodingSystem>ICD9CM</CodingSystem>
84</Code>
85</Description>
86<Source>
87<Actor>
88<ActorID>ACTORPROVIDER_983</ActorID>
89</Actor>
90</Source>
91</Problem>
92<Problem>
93<CCRDataObjectID>PROBLEM4</CCRDataObjectID>
94<Type>
95<Text>Problem</Text>
96</Type>
97<Description>
98<Text>Drug Abuse, Sports</Text>
99<Code>
100<Value>799.9</Value>
101<CodingSystem>ICD9CM</CodingSystem>
102</Code>
103</Description>
104<Source>
105<Actor>
106<ActorID>ACTORPROVIDER_983</ActorID>
107</Actor>
108</Source>
109</Problem>
110</Problems>
111<Medications>
112<Medication>
113<CCRDataObjectID>MED_PENDING1</CCRDataObjectID>
114<DateTime>
115<Type>
116<Text>Issue Date</Text>
117</Type>
118<ExactDateTime>1999-11-12</ExactDateTime>
119</DateTime>
120<Type>
121<Text>Medication</Text>
122</Type>
123<Status>
124<Text>On Hold</Text>
125</Status>
126<Source>
127<Actor>
128<ActorID>ACTORPROVIDER_11817</ActorID>
129</Actor>
130</Source>
131<Product>
132<ProductName>
133<Text>CETACAINE TOP AEROSOL</Text>
134<Code>
135<Value>10223-0201-01</Value>
136<CodingSystem>NDC</CodingSystem>
137<Version>none</Version>
138</Code>
139</ProductName>
140<Form>
141<Text>AEROSOL,TOP</Text>
142</Form>
143<Size>
144<Text>56 GM BOTTLE</Text>
145</Size>
146</Product>
147<Quantity>
148<Value>30</Value>
149<Units>
150<Unit>GM</Unit>
151</Units>
152</Quantity>
153<Refills>
154<Refill>
155<Number>5</Number>
156</Refill>
157</Refills>
158</Medication>
159<Medication>
160<CCRDataObjectID>MED_PENDING2</CCRDataObjectID>
161<DateTime>
162<Type>
163<Text>Issue Date</Text>
164</Type>
165<ExactDateTime>1999-11-12</ExactDateTime>
166</DateTime>
167<Type>
168<Text>Medication</Text>
169</Type>
170<Status>
171<Text>On Hold</Text>
172</Status>
173<Source>
174<Actor>
175<ActorID>ACTORPROVIDER_11817</ActorID>
176</Actor>
177</Source>
178<Product>
179<ProductName>
180<Text>PSYLLIUM ORAL PWD</Text>
181<Code>
182<Value>00224-1822-03</Value>
183<CodingSystem>NDC</CodingSystem>
184<Version>none</Version>
185</Code>
186</ProductName>
187<Strength>
188<Value>4.75</Value>
189<Units>
190<Unit>GM/5GM</Unit>
191</Units>
192</Strength>
193<Form>
194<Text>POWDER,ORAL</Text>
195</Form>
196<Concentration>
197<Value>4.75</Value>
198<Units>
199<Unit>GM/5GM</Unit>
200</Units>
201</Concentration>
202<Size>
203<Text>250 GM JAR</Text>
204</Size>
205</Product>
206<Quantity>
207<Value>14</Value>
208<Units>
209<Unit>GM</Unit>
210</Units>
211</Quantity>
212<Refills>
213<Refill>
214<Number>2</Number>
215</Refill>
216</Refills>
217</Medication>
218<Direction>
219<DoseIndicator>
220<Text>1</Text>
221</DoseIndicator>
222<DeliveryMethod>
223<Text>TAKE</Text>
224</DeliveryMethod>
225<Dose>
226<Value>AS DIRECTED</Value>
227<Units>
228<Unit>GM/5GM</Unit>
229</Units>
230</Dose>
231<Route>
232<Text>ORAL (BY MOUTH)</Text>
233</Route>
234<Frequency>
235<Text>BID</Text>
236</Frequency>
237<Interval>
238<Value>720</Value>
239<Units>
240<Unit>Minute</Unit>
241</Units>
242</Interval>
243<Indication>
244<PRNFlag>
245<Text>0</Text>
246</PRNFlag>
247</Indication>
248<DirectionSequenceModifier>1</DirectionSequenceModifier>
249</Direction>
250<Medication>
251<CCRDataObjectID>MED_PENDING3</CCRDataObjectID>
252<DateTime>
253<Type>
254<Text>Issue Date</Text>
255</Type>
256<ExactDateTime>1999-11-12</ExactDateTime>
257</DateTime>
258<Type>
259<Text>Medication</Text>
260</Type>
261<Status>
262<Text>On Hold</Text>
263</Status>
264<Source>
265<Actor>
266<ActorID>ACTORPROVIDER_11817</ActorID>
267</Actor>
268</Source>
269<Product>
270<ProductName>
271<Text>SULFACETAMIDE NA 10% OPH SOLN</Text>
272<Code>
273<Value>349-8220-35</Value>
274<CodingSystem>NDC</CodingSystem>
275<Version>none</Version>
276</Code>
277</ProductName>
278<Form>
279<Text>SOLN,OPH</Text>
280</Form>
281<Concentration>
282<Value>10</Value>
283<Units>
284<Unit>%</Unit>
285</Units>
286</Concentration>
287<Size>
288<Text>15 ML BOTTLE</Text>
289</Size>
290</Product>
291<Quantity>
292<Value>15</Value>
293<Units>
294<Unit>ML</Unit>
295</Units>
296</Quantity>
297<Refills>
298<Refill>
299<Number>5</Number>
300</Refill>
301</Refills>
302</Medication>
303</Medications>
304<VitalSigns>
305<Result>
306<CCRDataObjectID>VITAL1</CCRDataObjectID>
307<DateTime>
308<Type>
309<Text>OBSERVED</Text>
310</Type>
311<ExactDateTime>2003-04-04T15:18:00-0500</ExactDateTime>
312</DateTime>
313<Description>
314<Text>TEMPERATURE</Text>
315</Description>
316<Source>
317<Actor>
318<ActorID>ACTORSYSTEM_1</ActorID>
319</Actor>
320</Source>
321<Test>
322<CCRDataObjectID>VITALTEST1</CCRDataObjectID>
323<Type>
324<Text>OBSERVED</Text>
325</Type>
326<Description>
327<Text>TEMPERATURE</Text>
328<Code>
329<Value>309646008</Value>
330<CodingSystem>SNOMED</CodingSystem>
331</Code>
332</Description>
333<Source>
334<Actor>
335<ActorID>ACTORPROVIDER_20391</ActorID>
336</Actor>
337</Source>
338<TestResult>
339<Value>98.6</Value>
340<Units>
341<Unit>F</Unit>
342</Units>
343</TestResult>
344</Test>
345</Result>
346<Result>
347<CCRDataObjectID>VITAL2</CCRDataObjectID>
348<DateTime>
349<Type>
350<Text>OBSERVED</Text>
351</Type>
352<ExactDateTime>2003-04-04T15:18:00-0500</ExactDateTime>
353</DateTime>
354<Description>
355<Text>RESPIRATION</Text>
356</Description>
357<Source>
358<Actor>
359<ActorID>ACTORSYSTEM_1</ActorID>
360</Actor>
361</Source>
362<Test>
363<CCRDataObjectID>VITALTEST2</CCRDataObjectID>
364<Type>
365<Text>OBSERVED</Text>
366</Type>
367<Description>
368<Text>RESPIRATION</Text>
369<Code>
370<Value>366147009</Value>
371<CodingSystem>SNOMED</CodingSystem>
372</Code>
373</Description>
374<Source>
375<Actor>
376<ActorID>ACTORPROVIDER_20391</ActorID>
377</Actor>
378</Source>
379<TestResult>
380<Value>19</Value>
381</TestResult>
382</Test>
383</Result>
384<Result>
385<CCRDataObjectID>VITAL3</CCRDataObjectID>
386<DateTime>
387<Type>
388<Text>OBSERVED</Text>
389</Type>
390<ExactDateTime>2003-04-04T15:17:00-0500</ExactDateTime>
391</DateTime>
392<Description>
393<Text>TEMPERATURE</Text>
394</Description>
395<Source>
396<Actor>
397<ActorID>ACTORSYSTEM_1</ActorID>
398</Actor>
399</Source>
400<Test>
401<CCRDataObjectID>VITALTEST3</CCRDataObjectID>
402<Type>
403<Text>OBSERVED</Text>
404</Type>
405<Description>
406<Text>TEMPERATURE</Text>
407<Code>
408<Value>309646008</Value>
409<CodingSystem>SNOMED</CodingSystem>
410</Code>
411</Description>
412<Source>
413<Actor>
414<ActorID>ACTORPROVIDER_20391</ActorID>
415</Actor>
416</Source>
417<TestResult>
418<Value>98.2</Value>
419<Units>
420<Unit>F</Unit>
421</Units>
422</TestResult>
423</Test>
424</Result>
425<Result>
426<CCRDataObjectID>VITAL4</CCRDataObjectID>
427<DateTime>
428<Type>
429<Text>OBSERVED</Text>
430</Type>
431<ExactDateTime>2003-04-04T15:17:00-0500</ExactDateTime>
432</DateTime>
433<Description>
434<Text>RESPIRATION</Text>
435</Description>
436<Source>
437<Actor>
438<ActorID>ACTORSYSTEM_1</ActorID>
439</Actor>
440</Source>
441<Test>
442<CCRDataObjectID>VITALTEST4</CCRDataObjectID>
443<Type>
444<Text>OBSERVED</Text>
445</Type>
446<Description>
447<Text>RESPIRATION</Text>
448<Code>
449<Value>366147009</Value>
450<CodingSystem>SNOMED</CodingSystem>
451</Code>
452</Description>
453<Source>
454<Actor>
455<ActorID>ACTORPROVIDER_20391</ActorID>
456</Actor>
457</Source>
458<TestResult>
459<Value>19</Value>
460</TestResult>
461</Test>
462</Result>
463<Result>
464<CCRDataObjectID>VITAL5</CCRDataObjectID>
465<DateTime>
466<Type>
467<Text>OBSERVED</Text>
468</Type>
469<ExactDateTime>2003-04-04T15:16:00-0500</ExactDateTime>
470</DateTime>
471<Description>
472<Text>TEMPERATURE</Text>
473</Description>
474<Source>
475<Actor>
476<ActorID>ACTORSYSTEM_1</ActorID>
477</Actor>
478</Source>
479<Test>
480<CCRDataObjectID>VITALTEST5</CCRDataObjectID>
481<Type>
482<Text>OBSERVED</Text>
483</Type>
484<Description>
485<Text>TEMPERATURE</Text>
486<Code>
487<Value>309646008</Value>
488<CodingSystem>SNOMED</CodingSystem>
489</Code>
490</Description>
491<Source>
492<Actor>
493<ActorID>ACTORPROVIDER_20391</ActorID>
494</Actor>
495</Source>
496<TestResult>
497<Value>98</Value>
498<Units>
499<Unit>F</Unit>
500</Units>
501</TestResult>
502</Test>
503</Result>
504<Result>
505<CCRDataObjectID>VITAL6</CCRDataObjectID>
506<DateTime>
507<Type>
508<Text>OBSERVED</Text>
509</Type>
510<ExactDateTime>2003-04-04T15:16:00-0500</ExactDateTime>
511</DateTime>
512<Description>
513<Text>RESPIRATION</Text>
514</Description>
515<Source>
516<Actor>
517<ActorID>ACTORSYSTEM_1</ActorID>
518</Actor>
519</Source>
520<Test>
521<CCRDataObjectID>VITALTEST6</CCRDataObjectID>
522<Type>
523<Text>OBSERVED</Text>
524</Type>
525<Description>
526<Text>RESPIRATION</Text>
527<Code>
528<Value>366147009</Value>
529<CodingSystem>SNOMED</CodingSystem>
530</Code>
531</Description>
532<Source>
533<Actor>
534<ActorID>ACTORPROVIDER_20391</ActorID>
535</Actor>
536</Source>
537<TestResult>
538<Value>18</Value>
539</TestResult>
540</Test>
541</Result>
542<Result>
543<CCRDataObjectID>VITAL7</CCRDataObjectID>
544<DateTime>
545<Type>
546<Text>OBSERVED</Text>
547</Type>
548<ExactDateTime>2003-04-04T15:16:00-0500</ExactDateTime>
549</DateTime>
550<Description>
551<Text>PAIN</Text>
552</Description>
553<Source>
554<Actor>
555<ActorID>ACTORSYSTEM_1</ActorID>
556</Actor>
557</Source>
558<Test>
559<CCRDataObjectID>VITALTEST7</CCRDataObjectID>
560<Type>
561<Text>OBSERVED</Text>
562</Type>
563<Description>
564<Text>PAIN</Text>
565<Code>
566<Value>22253000</Value>
567<CodingSystem>SNOMED</CodingSystem>
568</Code>
569</Description>
570<Source>
571<Actor>
572<ActorID>ACTORPROVIDER_20391</ActorID>
573</Actor>
574</Source>
575<TestResult>
576<Value>0</Value>
577</TestResult>
578</Test>
579</Result>
580</VitalSigns>
581</Body>
582<Actors>
583<Actor>
584<ActorObjectID>ACTORORGANIZATION_10000000020</ActorObjectID>
585<Organization>
586<Name>ZZ ALBANY-PRRTP</Name>
587</Organization>
588<Source>
589<Actor>
590<ActorID>ACTORSYSTEM_1</ActorID>
591</Actor>
592</Source>
593</Actor>
594<Actor>
595<ActorObjectID>ACTORPATIENT_1</ActorObjectID>
596<Person>
597<Name>
598<CurrentName>
599<Given>PATIENT</Given>
600<Family>ZZZRETFIVEFIFTYONE</Family>
601</CurrentName>
602</Name>
603<DateOfBirth>
604<ExactDateTime>1935-04-07</ExactDateTime>
605</DateOfBirth>
606<Gender>
607<Text>FEMALE</Text>
608<Code>
609<Value>FEMALE</Value>
610<CodingSystem>2.16.840.1.113883.5.1</CodingSystem>
611</Code>
612</Gender>
613</Person>
614<IDs>
615<Type>
616<Text>SSN</Text>
617</Type>
618<ID>666223456</ID>
619<Source>
620<Actor>
621<ActorID>ACTORPATIENT_1</ActorID>
622</Actor>
623</Source>
624</IDs>
625<Address>
626<Type>
627<Text>Home</Text>
628</Type>
629<City>TROY</City>
630<State>NEW YORK</State>
631<PostalCode>99998</PostalCode>
632</Address>
633<Telephone>
634<Value>222-555-8235</Value>
635<Type>
636<Text>Residential Telephone</Text>
637</Type>
638</Telephone>
639<Source>
640<Actor>
641<ActorID>ACTORPATIENT_1</ActorID>
642</Actor>
643</Source>
644</Actor>
645<Actor>
646<ActorObjectID>ACTORPROVIDER_11531</ActorObjectID>
647<Person>
648<Name>
649<CurrentName>
650<Given>ONEHUNDREDNINETYONE</Given>
651<Family>PROVIDER</Family>
652<Title>Scholar Extraordinaire</Title>
653</CurrentName>
654</Name>
655</Person>
656<Specialty>
657<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
658</Specialty>
659<Address>
660<Type>
661<Text>Work</Text>
662</Type>
663<Line1>123 MAIN</Line1>
664<City>ALBANY</City>
665<State>NY</State>
666<PostalCode>12180</PostalCode>
667</Address>
668<Source>
669<Actor>
670<ActorID>ACTORSYSTEM_1</ActorID>
671</Actor>
672</Source>
673</Actor>
674<Actor>
675<ActorObjectID>ACTORPROVIDER_11817</ActorObjectID>
676<Person>
677<Name>
678<CurrentName>
679<Given>FORTYONE</Given>
680<Family>RADTECH</Family>
681</CurrentName>
682</Name>
683</Person>
684<Address>
685<Type>
686<Text>Work</Text>
687</Type>
688<Line1>123 MAIN</Line1>
689<City>ALBANY</City>
690<State>NY</State>
691<PostalCode>12180</PostalCode>
692</Address>
693<Source>
694<Actor>
695<ActorID>ACTORSYSTEM_1</ActorID>
696</Actor>
697</Source>
698</Actor>
699<Actor>
700<ActorObjectID>ACTORPROVIDER_20391</ActorObjectID>
701<Person>
702<Name>
703<CurrentName>
704<Given>TWENTYFOUR</Given>
705<Family>LABTECH</Family>
706<Title>PHYSICIAN</Title>
707</CurrentName>
708</Name>
709</Person>
710<Address>
711<Type>
712<Text>Work</Text>
713</Type>
714<Line1>123 MAIN</Line1>
715<City>ALBANY</City>
716<State>NY</State>
717<PostalCode>12180</PostalCode>
718</Address>
719<Source>
720<Actor>
721<ActorID>ACTORSYSTEM_1</ActorID>
722</Actor>
723</Source>
724</Actor>
725<Actor>
726<ActorObjectID>ACTORPROVIDER_983</ActorObjectID>
727<Person>
728<Name>
729<CurrentName>
730<Given>ONE</Given>
731<Family>PROVIDER</Family>
732<Title>Scholar Extraordinaire</Title>
733</CurrentName>
734</Name>
735</Person>
736<Specialty>
737<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
738</Specialty>
739<Address>
740<Type>
741<Text>Work</Text>
742</Type>
743<Line1>123 MAIN</Line1>
744<City>ALBANY</City>
745<State>NY</State>
746<PostalCode>12180</PostalCode>
747</Address>
748<Source>
749<Actor>
750<ActorID>ACTORSYSTEM_1</ActorID>
751</Actor>
752</Source>
753</Actor>
754<Actor>
755<ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
756<InformationSystem>
757<Name>WorldVistA EHR/VOE</Name>
758<Version>1.0</Version>
759</InformationSystem>
760<Source>
761<Actor>
762<ActorID>ACTORSYSTEM_1</ActorID>
763</Actor>
764</Source>
765</Actor>
766</Actors>
767</ContinuityOfCareRecord>
Note: See TracBrowser for help on using the repository browser.