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>2008-10-07T23:02:05-0500</ExactDateTime>
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11 | </DateTime>
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12 | <Patient>
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13 | <ActorID>ACTORPATIENT_369</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_369</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 | <Problems>
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38 | <Problem>
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39 | <CCRDataObjectID>PROBLEM1</CCRDataObjectID>
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40 | <Type>
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41 | <Text>Problem</Text>
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42 | </Type>
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43 | <Description>
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44 | <Text>Dementia associated with alcoholism</Text>
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45 | <Code>
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46 | <Value>291.20</Value>
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47 | <CodingSystem>ICD9CM</CodingSystem>
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48 | </Code>
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49 | </Description>
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50 | <Source>
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51 | <Actor>
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52 | <ActorID>ACTORPROVIDER_11712</ActorID>
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53 | </Actor>
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54 | </Source>
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55 | </Problem>
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56 | <Problem>
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57 | <CCRDataObjectID>PROBLEM2</CCRDataObjectID>
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58 | <Type>
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59 | <Text>Problem</Text>
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60 | </Type>
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61 | <Description>
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62 | <Text>Alcohol Drinking</Text>
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63 | <Code>
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64 | <Value>799.9</Value>
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65 | <CodingSystem>ICD9CM</CodingSystem>
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66 | </Code>
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67 | </Description>
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68 | <Source>
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69 | <Actor>
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70 | <ActorID>ACTORPROVIDER_11712</ActorID>
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71 | </Actor>
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72 | </Source>
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73 | </Problem>
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74 | </Problems>
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75 | <Medications>
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76 | <Medication>
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77 | <CCRDataObjectID>MED_PENDING1</CCRDataObjectID>
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78 | <DateTime>
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79 | <Type>
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80 | <Text>Issue Date</Text>
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81 | </Type>
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82 | <ExactDateTime>1999-02-22</ExactDateTime>
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83 | </DateTime>
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84 | <Type>
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85 | <Text>Medication</Text>
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86 | </Type>
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87 | <Status>
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88 | <Text>On Hold</Text>
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89 | </Status>
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90 | <Source>
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91 | <Actor>
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92 | <ActorID>ACTORPROVIDER_11712</ActorID>
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93 | </Actor>
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94 | </Source>
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95 | <Product>
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96 | <ProductName>
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97 | <Text>AMPICILLIN NA 1GM/VI INJ</Text>
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98 | <Code>
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99 | <Value>63323-0389-10</Value>
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100 | <CodingSystem>NDC</CodingSystem>
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101 | <Version>none</Version>
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102 | </Code>
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103 | </ProductName>
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104 | <Strength>
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105 | <Value>1</Value>
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106 | <Units>
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107 | <Unit>GM/VIAL</Unit>
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108 | </Units>
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109 | </Strength>
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110 | <Form>
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111 | <Text>INJ</Text>
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112 | </Form>
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113 | <Concentration>
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114 | <Value>1</Value>
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115 | <Units>
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116 | <Unit>GM/VIAL</Unit>
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117 | </Units>
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118 | </Concentration>
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119 | <Size>
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120 | <Text>10 X 1 GM VIAL</Text>
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121 | </Size>
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122 | </Product>
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123 | <Quantity>
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124 | <Value>100</Value>
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125 | <Units>
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126 | <Unit>VI</Unit>
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127 | </Units>
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128 | </Quantity>
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129 | <Refills>
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130 | <Refill>
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131 | <Number>2</Number>
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132 | </Refill>
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133 | </Refills>
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134 | <Directions>
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135 | <Direction>
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136 | <DoseIndicator>
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137 | <Text>1</Text>
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138 | </DoseIndicator>
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139 | <DeliveryMethod>
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140 | <Text>INJECT</Text>
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141 | </DeliveryMethod>
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142 | <Dose>
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143 | <Value>50</Value>
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144 | <Units>
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145 | <Unit>GM/VIAL</Unit>
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146 | </Units>
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147 | </Dose>
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148 | <Route>
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149 | <Text>IV PIGGYBACK</Text>
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150 | </Route>
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151 | <Frequency>
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152 | <Text>Q6HRS</Text>
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153 | </Frequency>
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154 | <Interval>
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155 | <Units>
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156 | <Unit>Minute</Unit>
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157 | </Units>
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158 | </Interval>
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159 | <Indication>
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160 | <PRNFlag>
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161 | <Text>0</Text>
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162 | </PRNFlag>
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163 | </Indication>
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164 | <DirectionSequenceModifier>1</DirectionSequenceModifier>
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165 | </Direction>
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166 | </Directions>
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167 | </Medication>
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168 | </Medications>
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169 | </Body>
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170 | <Actors>
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171 | <Actor>
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172 | <ActorObjectID>ACTORORGANIZATION_10000000020</ActorObjectID>
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173 | <Organization>
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174 | <Name>ZZ ALBANY-PRRTP</Name>
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175 | </Organization>
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176 | <Source>
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177 | <Actor>
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178 | <ActorID>ACTORSYSTEM_1</ActorID>
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179 | </Actor>
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180 | </Source>
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181 | </Actor>
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182 | <Actor>
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183 | <ActorObjectID>ACTORPATIENT_369</ActorObjectID>
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184 | <Person>
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185 | <Name>
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186 | <CurrentName>
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187 | <Given>PATIENT</Given>
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188 | <Family>ZZZRETIREDFOUR</Family>
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189 | </CurrentName>
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190 | </Name>
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191 | <DateOfBirth>
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192 | <ExactDateTime>1935-04-07</ExactDateTime>
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193 | </DateOfBirth>
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194 | <Gender>
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195 | <Text>MALE</Text>
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196 | <Code>
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197 | <Value>MALE</Value>
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198 | <CodingSystem>2.16.840.1.113883.5.1</CodingSystem>
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199 | </Code>
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200 | </Gender>
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201 | </Person>
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202 | <IDs>
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203 | <Type>
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204 | <Text>SSN</Text>
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205 | </Type>
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206 | <ID>666678123</ID>
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207 | <Source>
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208 | <Actor>
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209 | <ActorID>ACTORPATIENT_369</ActorID>
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210 | </Actor>
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211 | </Source>
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212 | </IDs>
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213 | <Address>
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214 | <Type>
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215 | <Text>Home</Text>
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216 | </Type>
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217 | <City>TROY</City>
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218 | <State>NEW YORK</State>
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219 | <PostalCode>99998</PostalCode>
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220 | </Address>
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221 | <Source>
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222 | <Actor>
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223 | <ActorID>ACTORPATIENT_369</ActorID>
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224 | </Actor>
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225 | </Source>
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226 | </Actor>
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227 | <Actor>
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228 | <ActorObjectID>ACTORPROVIDER_11712</ActorObjectID>
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229 | <Person>
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230 | <Name>
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231 | <CurrentName>
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232 | <Given>TWOHUNDREDNINETYSEVEN</Given>
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233 | <Family>PROVIDER</Family>
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234 | <Title>Scholar Extraordinaire</Title>
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235 | </CurrentName>
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236 | </Name>
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237 | </Person>
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238 | <Specialty>
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239 | <Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
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240 | </Specialty>
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241 | <Address>
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242 | <Type>
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243 | <Text>Work</Text>
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244 | </Type>
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245 | <Line1>123 MAIN</Line1>
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246 | <City>ALBANY</City>
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247 | <State>NY</State>
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248 | <PostalCode>12180</PostalCode>
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249 | </Address>
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250 | <Source>
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251 | <Actor>
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252 | <ActorID>ACTORSYSTEM_1</ActorID>
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253 | </Actor>
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254 | </Source>
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255 | </Actor>
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256 | <Actor>
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257 | <ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
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258 | <InformationSystem>
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259 | <Name>WorldVistA EHR/VOE</Name>
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260 | <Version>1.0</Version>
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261 | </InformationSystem>
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262 | <Source>
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263 | <Actor>
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264 | <ActorID>ACTORSYSTEM_1</ActorID>
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265 | </Actor>
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266 | </Source>
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267 | </Actor>
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268 | </Actors>
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269 | </ContinuityOfCareRecord>
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