111111111 BHIE Document 1 Bob Dillan Dillan Institute Reveiwer authorSpecialty_value availablityStatus_value Class_111 Class_scheme_111 classCodeDisplayName_value confidentialityCode_value confidentialityCodeScheme_value confidentialityCodeDisplayName_value 20080120050505-0700 formatCode_value formatCodeScheme_value formatCodeDisplayName_value 6543 20080501 20080515 urn:oasis:names:tc:ebxml-regrep:StatusType:Approved Document 1 comments hash_value facilityCode_value facilityCodeScheme_value facilityCodeDisplayName_value intendedRecipientPerson_value intendedRecipientOrganization_value languageCode_value legalAuthenticator_value text/xml parentDocumentId_value parentDocumentRelationship_value practiceSetting_value practiceSettingScheme_value practiceSettingDisplayName_value 1234 sourcePatientId_value pid3_value pid5_value pid8_value pid7_value pid11_value typeCode_value typeCodeScheme_value typeCodeDisplayName_value documentUri_value Katy Bradford 437 TURNER LANE LEESBURG VA 20176 US MRS. KATY BRADFORD AdministrativeGender codes are: M (Male), F (Female) or UN (Undifferentiated). 439 TURNER LANE LEESBURG VA 20176 US MS. TERRY SHAW PHD PCP 10300 MAIN ST. SUITE 100 ASHBURN VA 20176 AF DR. JANE WATSON MD Doctors Inc.
Conditions or Problems
Problem Name Problem Type Problem Date
Sprained ankle Diagnosis 20080401
Migraines Problem 20080421
Allergies, Adverse Reactions, Alerts
Substance Event Type Severity
Trucare Drug Allergy Mild
peanuts Food Allergy Severe
Trucare peanuts
Insurance Providers
Insurance Provider Name Insurance Provider Type Insurance Provider Group Number
AJAX INSURANCE AJAX INSURANCE G1854093
AJAX INSURANCE
Medications
Product Display Name Free Text Brand Name Ordered Value Ordered Unit Expiration Time
Hyaline Hyalinia 30.0 TAB 20080430
Hyaline Hyalinia
Advance Directive Blood transfusion OK 9435 BELL ROAD 2ND FLOOR LEESBURG VA 20155 US MR FRED SMITH ESQ
]]> code_value codeSchema_value codeDisplayName_value 222222222 BHIE Document 2 Bob Dillan Dillan Institute Reveiwer authorSpecialty_value availablityStatus_value Class_111 Class_scheme_111 classCodeDisplayName_value confidentialityCode_value confidentialityCodeScheme_value confidentialityCodeDisplayName_value 20080220 formatCode_value formatCodeScheme_value formatCodeDisplayName_value 6543 20080601 20080615 urn:oasis:names:tc:ebxml-regrep:StatusType:Approved Document 2 comments hash_value facilityCode_value facilityCodeScheme_value facilityCodeDisplayName_value intendedRecipientPerson_value intendedRecipientOrganization_value languageCode_value legalAuthenticator_value text/xml parentDocumentId_value parentDocumentRelationship_value practiceSetting_value practiceSettingScheme_value practiceSettingDisplayName_value 1234 sourcePatientId_value pid3_value pid5_value pid8_value pid7_value pid11_value typeCode_value typeCodeScheme_value typeCodeDisplayName_value documentUri_value Katy Bradford 437 TURNER LANE LEESBURG VA 20176 US MRS. KATY BRADFORD AdministrativeGender codes are: M (Male), F (Female) or UN (Undifferentiated). 439 TURNER LANE LEESBURG VA 20176 US MS. TERRY SHAW PHD PCP 10300 MAIN ST. SUITE 100 ASHBURN VA 20176 AF DR. JANE WATSON MD Doctors Inc.
Conditions or Problems
Problem Name Problem Type Problem Date
Sprained ankle Diagnosis 20080401
Migraines Problem 20080421
Allergies, Adverse Reactions, Alerts
Substance Event Type Severity
Trucare Drug Allergy Mild
peanuts Food Allergy Severe
Trucare peanuts
Insurance Providers
Insurance Provider Name Insurance Provider Type Insurance Provider Group Number
AJAX INSURANCE AJAX INSURANCE G1854093
AJAX INSURANCE
Medications
Product Display Name Free Text Brand Name Ordered Value Ordered Unit Expiration Time
Hyaline Hyalinia 30.0 TAB 20080430
Hyaline Hyalinia
Advance Directive Blood transfusion OK 9435 BELL ROAD 2ND FLOOR LEESBURG VA 20155 US MR FRED SMITH ESQ
]]> code_value codeSchema_value codeDisplayName_value 333333333 BHIE Document 3 Bob Dillan Dillan Institute Reveiwer authorSpecialty_value availablityStatus_value Class_111 Class_scheme_111 classCodeDisplayName_value confidentialityCode_value confidentialityCodeScheme_value confidentialityCodeDisplayName_value 200803200101 formatCode_value formatCodeScheme_value formatCodeDisplayName_value 6543 2008070101 20080715020000 urn:oasis:names:tc:ebxml-regrep:StatusType:Approved Document 3 comments hash_value facilityCode_value facilityCodeScheme_value facilityCodeDisplayName_value intendedRecipientPerson_value intendedRecipientOrganization_value languageCode_value legalAuthenticator_value text/xml parentDocumentId_value parentDocumentRelationship_value practiceSetting_value practiceSettingScheme_value practiceSettingDisplayName_value 1234 sourcePatientId_value pid3_value pid5_value pid8_value pid7_value pid11_value typeCode_value typeCodeScheme_value typeCodeDisplayName_value documentUri_value Katy Bradford 437 TURNER LANE LEESBURG VA 20176 US MRS. KATY BRADFORD AdministrativeGender codes are: M (Male), F (Female) or UN (Undifferentiated). 439 TURNER LANE LEESBURG VA 20176 US MS. TERRY SHAW PHD PCP 10300 MAIN ST. SUITE 100 ASHBURN VA 20176 AF DR. JANE WATSON MD Doctors Inc.
Conditions or Problems
Problem Name Problem Type Problem Date
Sprained ankle Diagnosis 20080401
Migraines Problem 20080421
Allergies, Adverse Reactions, Alerts
Substance Event Type Severity
Trucare Drug Allergy Mild
peanuts Food Allergy Severe
Trucare peanuts
Insurance Providers
Insurance Provider Name Insurance Provider Type Insurance Provider Group Number
AJAX INSURANCE AJAX INSURANCE G1854093
AJAX INSURANCE
Medications
Product Display Name Free Text Brand Name Ordered Value Ordered Unit Expiration Time
Hyaline Hyalinia 30.0 TAB 20080430
Hyaline Hyalinia
Advance Directive Blood transfusion OK 9435 BELL ROAD 2ND FLOOR LEESBURG VA 20155 US MR FRED SMITH ESQ
]]> code_value codeSchema_value codeDisplayName_value 444444444 BHIE Document 4 Bob Dillan Dillan Institute Reveiwer authorSpecialty_value availablityStatus_value Class_111 Class_scheme_111 classCodeDisplayName_value confidentialityCode_value confidentialityCodeScheme_value confidentialityCodeDisplayName_value 2008042005 formatCode_value formatCodeScheme_value formatCodeDisplayName_value 6543 2008080101 2008081502 urn:oasis:names:tc:ebxml-regrep:StatusType:Approved Document 4 comments hash_value facilityCode_value facilityCodeScheme_value facilityCodeDisplayName_value intendedRecipientPerson_value intendedRecipientOrganization_value languageCode_value legalAuthenticator_value text/xml parentDocumentId_value parentDocumentRelationship_value practiceSetting_value practiceSettingScheme_value practiceSettingDisplayName_value 1234 sourcePatientId_value pid3_value pid5_value pid8_value pid7_value pid11_value typeCode_value typeCodeScheme_value typeCodeDisplayName_value documentUri_value Katy Bradford 437 TURNER LANE LEESBURG VA 20176 US MRS. KATY BRADFORD AdministrativeGender codes are: M (Male), F (Female) or UN (Undifferentiated). 439 TURNER LANE LEESBURG VA 20176 US MS. TERRY SHAW PHD PCP 10300 MAIN ST. SUITE 100 ASHBURN VA 20176 AF DR. JANE WATSON MD Doctors Inc.
Conditions or Problems
Problem Name Problem Type Problem Date
Sprained ankle Diagnosis 20080401
Migraines Problem 20080421
Allergies, Adverse Reactions, Alerts
Substance Event Type Severity
Trucare Drug Allergy Mild
peanuts Food Allergy Severe
Trucare peanuts
Insurance Providers
Insurance Provider Name Insurance Provider Type Insurance Provider Group Number
AJAX INSURANCE AJAX INSURANCE G1854093
AJAX INSURANCE
Medications
Product Display Name Free Text Brand Name Ordered Value Ordered Unit Expiration Time
Hyaline Hyalinia 30.0 TAB 20080430
Hyaline Hyalinia
Advance Directive Blood transfusion OK 9435 BELL ROAD 2ND FLOOR LEESBURG VA 20155 US MR FRED SMITH ESQ
]]> code_value codeSchema_value codeDisplayName_value