[201] | 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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[205] | 10 | <ExactDateTime>2008-10-07T23:01:05-0500</ExactDateTime>
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[201] | 11 | </DateTime>
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| 12 | <Patient>
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| 13 | <ActorID>ACTORPATIENT_365</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_365</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>2000-01-26</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_11733</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>CIPROFLOXACIN HCL 500MG TAB</Text>
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| 60 | <Code>
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| 61 | <Value>51672-4086-01</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>500</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>500</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>100 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>30</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>1</Number>
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| 94 | </Refill>
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| 95 | </Refills>
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[205] | 96 | <Directions>
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[201] | 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>500</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>QD</Text>
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| 115 | </Frequency>
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| 116 | <Interval>
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| 117 | <Value>1440</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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[205] | 129 | </Directions>
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| 130 | </Medication>
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[201] | 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>2000-01-26</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_11733</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>CHLORPROMAZINE 100MG TAB</Text>
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| 153 | <Code>
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| 154 | <Value>00832-0303-10</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>100</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>TAB</Text>
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| 167 | </Form>
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| 168 | <Concentration>
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| 169 | <Value>100</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>1000 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>30</Value>
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| 180 | <Units>
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| 181 | <Unit>TAB</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>2</Number>
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| 187 | </Refill>
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| 188 | </Refills>
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[205] | 189 | <Directions>
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[201] | 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>200</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>QD</Text>
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| 208 | </Frequency>
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| 209 | <Interval>
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| 210 | <Value>1440</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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[205] | 222 | </Directions>
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| 223 | </Medication>
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[201] | 224 | <Medication>
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| 225 | <CCRDataObjectID>MED_PENDING3</CCRDataObjectID>
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| 226 | <DateTime>
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| 227 | <Type>
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| 228 | <Text>Issue Date</Text>
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| 229 | </Type>
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| 230 | <ExactDateTime>2000-02-22</ExactDateTime>
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| 231 | </DateTime>
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| 232 | <Type>
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| 233 | <Text>Medication</Text>
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| 234 | </Type>
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| 235 | <Status>
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| 236 | <Text>On Hold</Text>
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| 237 | </Status>
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| 238 | <Source>
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| 239 | <Actor>
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| 240 | <ActorID>ACTORPROVIDER_11531</ActorID>
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| 241 | </Actor>
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| 242 | </Source>
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| 243 | <Product>
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| 244 | <ProductName>
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| 245 | <Text>DIAZEPAM 10MG S.T.</Text>
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| 246 | <Code>
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| 247 | <Value>555-0164-04</Value>
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| 248 | <CodingSystem>NDC</CodingSystem>
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| 249 | <Version>none</Version>
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| 250 | </Code>
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| 251 | </ProductName>
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| 252 | <Strength>
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| 253 | <Value>10</Value>
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| 254 | <Units>
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| 255 | <Unit>MG</Unit>
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| 256 | </Units>
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| 257 | </Strength>
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| 258 | <Form>
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| 259 | <Text>TAB</Text>
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| 260 | </Form>
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| 261 | <Concentration>
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| 262 | <Value>10</Value>
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| 263 | <Units>
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| 264 | <Unit>MG</Unit>
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| 265 | </Units>
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| 266 | </Concentration>
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| 267 | <Size>
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| 268 | <Text>500 BOTTLE</Text>
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| 269 | </Size>
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| 270 | </Product>
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| 271 | <Quantity>
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| 272 | <Value>120</Value>
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| 273 | </Quantity>
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| 274 | <Refills>
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| 275 | <Refill>
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| 276 | <Number>0</Number>
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| 277 | </Refill>
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| 278 | </Refills>
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[205] | 279 | <Directions>
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[201] | 280 | <Direction>
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| 281 | <DoseIndicator>
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| 282 | <Text>1</Text>
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| 283 | </DoseIndicator>
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| 284 | <DeliveryMethod>
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| 285 | <Text>TAKE</Text>
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| 286 | </DeliveryMethod>
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| 287 | <Dose>
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| 288 | <Value>10</Value>
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| 289 | <Units>
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| 290 | <Unit>MG</Unit>
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| 291 | </Units>
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| 292 | </Dose>
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| 293 | <Route>
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| 294 | <Text>ORAL (BY MOUTH)</Text>
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| 295 | </Route>
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| 296 | <Frequency>
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| 297 | <Text>QID</Text>
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| 298 | </Frequency>
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| 299 | <Interval>
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| 300 | <Value>360</Value>
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| 301 | <Units>
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| 302 | <Unit>Minute</Unit>
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| 303 | </Units>
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| 304 | </Interval>
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| 305 | <Indication>
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| 306 | <PRNFlag>
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| 307 | <Text>0</Text>
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| 308 | </PRNFlag>
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| 309 | </Indication>
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| 310 | <DirectionSequenceModifier>1</DirectionSequenceModifier>
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| 311 | </Direction>
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[205] | 312 | </Directions>
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| 313 | </Medication>
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[201] | 314 | </Medications>
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| 315 | </Body>
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| 316 | <Actors>
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| 317 | <Actor>
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| 318 | <ActorObjectID>ACTORORGANIZATION_10000000020</ActorObjectID>
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| 319 | <Organization>
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| 320 | <Name>ZZ ALBANY-PRRTP</Name>
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| 321 | </Organization>
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| 322 | <Source>
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| 323 | <Actor>
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| 324 | <ActorID>ACTORSYSTEM_1</ActorID>
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| 325 | </Actor>
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| 326 | </Source>
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| 327 | </Actor>
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| 328 | <Actor>
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| 329 | <ActorObjectID>ACTORPATIENT_365</ActorObjectID>
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| 330 | <Person>
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| 331 | <Name>
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| 332 | <CurrentName>
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| 333 | <Given>PATIENT</Given>
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| 334 | <Family>ZZZRETIREDSEVENTYONE</Family>
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| 335 | </CurrentName>
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| 336 | </Name>
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| 337 | <DateOfBirth>
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| 338 | <ExactDateTime>1935-04-07</ExactDateTime>
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| 339 | </DateOfBirth>
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| 340 | <Gender>
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| 341 | <Text>MALE</Text>
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| 342 | <Code>
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| 343 | <Value>MALE</Value>
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| 344 | <CodingSystem>2.16.840.1.113883.5.1</CodingSystem>
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| 345 | </Code>
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| 346 | </Gender>
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| 347 | </Person>
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| 348 | <IDs>
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| 349 | <Type>
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| 350 | <Text>SSN</Text>
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| 351 | </Type>
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| 352 | <ID>666095678</ID>
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| 353 | <Source>
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| 354 | <Actor>
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| 355 | <ActorID>ACTORPATIENT_365</ActorID>
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| 356 | </Actor>
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| 357 | </Source>
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| 358 | </IDs>
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| 359 | <Address>
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| 360 | <Type>
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| 361 | <Text>Home</Text>
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| 362 | </Type>
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| 363 | <City>ALEXANDRIA</City>
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| 364 | <State>VIRGINIA</State>
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| 365 | <PostalCode>99998</PostalCode>
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| 366 | </Address>
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| 367 | <Source>
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| 368 | <Actor>
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| 369 | <ActorID>ACTORPATIENT_365</ActorID>
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| 370 | </Actor>
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| 371 | </Source>
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| 372 | </Actor>
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| 373 | <Actor>
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| 374 | <ActorObjectID>ACTORPROVIDER_11531</ActorObjectID>
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| 375 | <Person>
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| 376 | <Name>
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| 377 | <CurrentName>
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| 378 | <Given>ONEHUNDREDNINETYONE</Given>
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| 379 | <Family>PROVIDER</Family>
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| 380 | <Title>Scholar Extraordinaire</Title>
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| 381 | </CurrentName>
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| 382 | </Name>
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| 383 | </Person>
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| 384 | <Specialty>
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| 385 | <Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
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| 386 | </Specialty>
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| 387 | <Address>
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| 388 | <Type>
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| 389 | <Text>Work</Text>
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| 390 | </Type>
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| 391 | <Line1>123 MAIN</Line1>
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| 392 | <City>ALBANY</City>
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| 393 | <State>NY</State>
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| 394 | <PostalCode>12180</PostalCode>
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| 395 | </Address>
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| 396 | <Source>
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| 397 | <Actor>
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| 398 | <ActorID>ACTORSYSTEM_1</ActorID>
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| 399 | </Actor>
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| 400 | </Source>
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| 401 | </Actor>
|
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| 402 | <Actor>
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| 403 | <ActorObjectID>ACTORPROVIDER_11733</ActorObjectID>
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| 404 | <Person>
|
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| 405 | <Name>
|
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| 406 | <CurrentName>
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| 407 | <Given>SEVENTEEN</Given>
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| 408 | <Family>RADTECH</Family>
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| 409 | </CurrentName>
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| 410 | </Name>
|
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| 411 | </Person>
|
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| 412 | <Specialty>
|
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| 413 | <Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
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| 414 | </Specialty>
|
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| 415 | <Address>
|
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| 416 | <Type>
|
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| 417 | <Text>Work</Text>
|
---|
| 418 | </Type>
|
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| 419 | <Line1>123 MAIN</Line1>
|
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| 420 | <City>ALBANY</City>
|
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| 421 | <State>NY</State>
|
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| 422 | <PostalCode>12180</PostalCode>
|
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| 423 | </Address>
|
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| 424 | <Source>
|
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| 425 | <Actor>
|
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| 426 | <ActorID>ACTORSYSTEM_1</ActorID>
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| 427 | </Actor>
|
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| 428 | </Source>
|
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| 429 | </Actor>
|
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| 430 | <Actor>
|
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| 431 | <ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
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| 432 | <InformationSystem>
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| 433 | <Name>WorldVistA EHR/VOE</Name>
|
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| 434 | <Version>1.0</Version>
|
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| 435 | </InformationSystem>
|
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| 436 | <Source>
|
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| 437 | <Actor>
|
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| 438 | <ActorID>ACTORSYSTEM_1</ActorID>
|
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| 439 | </Actor>
|
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| 440 | </Source>
|
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| 441 | </Actor>
|
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| 442 | </Actors>
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| 443 | </ContinuityOfCareRecord>
|
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