source: ccr/tags/CCR_1_0_5/output/PAT_369_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: 4.4 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>2008-10-07T15:41:34-0500</ExactDateTime>
11</DateTime>
12<Patient>
13<ActorID>ACTORPATIENT_369</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_369</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>Dementia associated with alcoholism</Text>
45<Code>
46<Value>291.20</Value>
47<CodingSystem>ICD9CM</CodingSystem>
48</Code>
49</Description>
50<Source>
51<Actor>
52<ActorID>ACTORPROVIDER_11712</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>Alcohol Drinking</Text>
63<Code>
64<Value>799.9</Value>
65<CodingSystem>ICD9CM</CodingSystem>
66</Code>
67</Description>
68<Source>
69<Actor>
70<ActorID>ACTORPROVIDER_11712</ActorID>
71</Actor>
72</Source>
73</Problem>
74</Problems>
75<Medications>
76<Medication>
77<CCRDataObjectID>MED_PENDING1</CCRDataObjectID>
78<DateTime>
79<Type>
80<Text>Issue Date</Text>
81</Type>
82<ExactDateTime>1999-02-22</ExactDateTime>
83</DateTime>
84<Type>
85<Text>Medication</Text>
86</Type>
87<Status>
88<Text>On Hold</Text>
89</Status>
90<Source>
91<Actor>
92<ActorID>ACTORPROVIDER_11712</ActorID>
93</Actor>
94</Source>
95<Product>
96<ProductName>
97<Text>AMPICILLIN NA 1GM/VI INJ</Text>
98<Code>
99<Value>63323-0389-10</Value>
100<CodingSystem>NDC</CodingSystem>
101<Version>none</Version>
102</Code>
103</ProductName>
104<Strength>
105<Value>1</Value>
106<Units>
107<Unit>GM/VIAL</Unit>
108</Units>
109</Strength>
110<Form>
111<Text>INJ</Text>
112</Form>
113<Concentration>
114<Value>1</Value>
115<Units>
116<Unit>GM/VIAL</Unit>
117</Units>
118</Concentration>
119<Size>
120<Text>10 X 1 GM VIAL</Text>
121</Size>
122</Product>
123<Quantity>
124<Value>100</Value>
125<Units>
126<Unit>VI</Unit>
127</Units>
128</Quantity>
129<Refills>
130<Refill>
131<Number>2</Number>
132</Refill>
133</Refills>
134</Medication>
135<Direction>
136<DoseIndicator>
137<Text>1</Text>
138</DoseIndicator>
139<DeliveryMethod>
140<Text>INJECT</Text>
141</DeliveryMethod>
142<Dose>
143<Value>50</Value>
144<Units>
145<Unit>GM/VIAL</Unit>
146</Units>
147</Dose>
148<Route>
149<Text>IV PIGGYBACK</Text>
150</Route>
151<Frequency>
152<Text>Q6HRS</Text>
153</Frequency>
154<Interval>
155<Units>
156<Unit>Minute</Unit>
157</Units>
158</Interval>
159<Indication>
160<PRNFlag>
161<Text>0</Text>
162</PRNFlag>
163</Indication>
164<DirectionSequenceModifier>1</DirectionSequenceModifier>
165</Direction>
166</Medications>
167</Body>
168<Actors>
169<Actor>
170<ActorObjectID>ACTORORGANIZATION_10000000020</ActorObjectID>
171<Organization>
172<Name>ZZ ALBANY-PRRTP</Name>
173</Organization>
174<Source>
175<Actor>
176<ActorID>ACTORSYSTEM_1</ActorID>
177</Actor>
178</Source>
179</Actor>
180<Actor>
181<ActorObjectID>ACTORPATIENT_369</ActorObjectID>
182<Person>
183<Name>
184<CurrentName>
185<Given>PATIENT</Given>
186<Family>ZZZRETIREDFOUR</Family>
187</CurrentName>
188</Name>
189<DateOfBirth>
190<ExactDateTime>1935-04-07</ExactDateTime>
191</DateOfBirth>
192<Gender>
193<Text>MALE</Text>
194<Code>
195<Value>MALE</Value>
196<CodingSystem>2.16.840.1.113883.5.1</CodingSystem>
197</Code>
198</Gender>
199</Person>
200<IDs>
201<Type>
202<Text>SSN</Text>
203</Type>
204<ID>666678123</ID>
205<Source>
206<Actor>
207<ActorID>ACTORPATIENT_369</ActorID>
208</Actor>
209</Source>
210</IDs>
211<Address>
212<Type>
213<Text>Home</Text>
214</Type>
215<City>TROY</City>
216<State>NEW YORK</State>
217<PostalCode>99998</PostalCode>
218</Address>
219<Source>
220<Actor>
221<ActorID>ACTORPATIENT_369</ActorID>
222</Actor>
223</Source>
224</Actor>
225<Actor>
226<ActorObjectID>ACTORPROVIDER_11712</ActorObjectID>
227<Person>
228<Name>
229<CurrentName>
230<Given>TWOHUNDREDNINETYSEVEN</Given>
231<Family>PROVIDER</Family>
232<Title>Scholar Extraordinaire</Title>
233</CurrentName>
234</Name>
235</Person>
236<Specialty>
237<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
238</Specialty>
239<Address>
240<Type>
241<Text>Work</Text>
242</Type>
243<Line1>123 MAIN</Line1>
244<City>ALBANY</City>
245<State>NY</State>
246<PostalCode>12180</PostalCode>
247</Address>
248<Source>
249<Actor>
250<ActorID>ACTORSYSTEM_1</ActorID>
251</Actor>
252</Source>
253</Actor>
254<Actor>
255<ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
256<InformationSystem>
257<Name>WorldVistA EHR/VOE</Name>
258<Version>1.0</Version>
259</InformationSystem>
260<Source>
261<Actor>
262<ActorID>ACTORSYSTEM_1</ActorID>
263</Actor>
264</Source>
265</Actor>
266</Actors>
267</ContinuityOfCareRecord>
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