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>2008-10-07T23:01:53-0500</ExactDateTime>
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11 | </DateTime>
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12 | <Patient>
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13 | <ActorID>ACTORPATIENT_703</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_703</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>1999-07-19</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_11817</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>CHLORPROPAMIDE 250MG TAB</Text>
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60 | <Code>
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61 | <Value>00536-3465-10</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>250</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>250</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>1000 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>90</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>5</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>250</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>TID</Text>
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115 | </Frequency>
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116 | <Interval>
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117 | <Value>480</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 | </Medications>
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132 | </Body>
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133 | <Actors>
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134 | <Actor>
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135 | <ActorObjectID>ACTORORGANIZATION_10000000020</ActorObjectID>
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136 | <Organization>
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137 | <Name>ZZ ALBANY-PRRTP</Name>
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138 | </Organization>
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139 | <Source>
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140 | <Actor>
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141 | <ActorID>ACTORSYSTEM_1</ActorID>
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142 | </Actor>
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143 | </Source>
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144 | </Actor>
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145 | <Actor>
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146 | <ActorObjectID>ACTORPATIENT_703</ActorObjectID>
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147 | <Person>
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148 | <Name>
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149 | <CurrentName>
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150 | <Given>PATIENT</Given>
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151 | <Family>ZZZRETIREDFORTYONE</Family>
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152 | </CurrentName>
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153 | </Name>
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154 | <DateOfBirth>
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155 | <ExactDateTime>1935-04-07</ExactDateTime>
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156 | </DateOfBirth>
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157 | <Gender>
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158 | <Text>FEMALE</Text>
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159 | <Code>
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160 | <Value>FEMALE</Value>
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161 | <CodingSystem>2.16.840.1.113883.5.1</CodingSystem>
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162 | </Code>
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163 | </Gender>
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164 | </Person>
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165 | <IDs>
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166 | <Type>
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167 | <Text>SSN</Text>
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168 | </Type>
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169 | <ID>666112222</ID>
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170 | <Source>
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171 | <Actor>
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172 | <ActorID>ACTORPATIENT_703</ActorID>
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173 | </Actor>
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174 | </Source>
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175 | </IDs>
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176 | <Address>
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177 | <Type>
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178 | <Text>Home</Text>
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179 | </Type>
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180 | <City>DALLAS</City>
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181 | <State>TEXAS</State>
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182 | </Address>
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183 | <Source>
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184 | <Actor>
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185 | <ActorID>ACTORPATIENT_703</ActorID>
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186 | </Actor>
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187 | </Source>
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188 | </Actor>
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189 | <Actor>
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190 | <ActorObjectID>ACTORPROVIDER_11817</ActorObjectID>
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191 | <Person>
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192 | <Name>
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193 | <CurrentName>
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194 | <Given>FORTYONE</Given>
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195 | <Family>RADTECH</Family>
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196 | </CurrentName>
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197 | </Name>
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198 | </Person>
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199 | <Address>
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200 | <Type>
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201 | <Text>Work</Text>
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202 | </Type>
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203 | <Line1>123 MAIN</Line1>
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204 | <City>ALBANY</City>
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205 | <State>NY</State>
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206 | <PostalCode>12180</PostalCode>
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207 | </Address>
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208 | <Source>
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209 | <Actor>
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210 | <ActorID>ACTORSYSTEM_1</ActorID>
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211 | </Actor>
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212 | </Source>
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213 | </Actor>
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214 | <Actor>
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215 | <ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
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216 | <InformationSystem>
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217 | <Name>WorldVistA EHR/VOE</Name>
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218 | <Version>1.0</Version>
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219 | </InformationSystem>
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220 | <Source>
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221 | <Actor>
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222 | <ActorID>ACTORSYSTEM_1</ActorID>
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223 | </Actor>
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224 | </Source>
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225 | </Actor>
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226 | </Actors>
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227 | </ContinuityOfCareRecord>
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