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>2008-10-07T23:01:05-0500</ExactDateTime>
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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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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>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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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>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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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>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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222 | </Directions>
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223 | </Medication>
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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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279 | <Directions>
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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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312 | </Directions>
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313 | </Medication>
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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>
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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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