source: ccr2ccd-xslt/trunk/make/ccr-template.xml@ 1033

Last change on this file since 1033 was 981, checked in by George Lilly, 14 years ago

latest version
File size: 17.1 KB
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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>@@CCRDOCOBJECTID@@</CCRDocumentObjectID>
5<Language>
6<Text>English</Text>
7</Language>
8<Version>V1.0</Version>
9<DateTime>
10<ExactDateTime>@@DATETIME@@</ExactDateTime>
11</DateTime>
12<Patient>
13<ActorID>@@ACTORPATIENT@@</ActorID>
14</Patient>
15<From>
16<ActorLink>
17<ActorID>@@ACTORFROM@@</ActorID>
18</ActorLink>
19<ActorLink>
20<ActorID>@@ACTORFROM2@@</ActorID>
21</ActorLink>
22</From>
23<To>
24<ActorLink>
25<ActorID>@@ACTORTO@@</ActorID>
26<ActorRole>
27<Text>@@ACTORTOTEXT@@</Text>
28</ActorRole>
29</ActorLink>
30</To>
31<Purpose>
32<Description>
33<Text>@@PURPOSEDESCRIPTION@@</Text>
34</Description>
35</Purpose>
36<Body>
37<Problems>
38<Problem>
39<CCRDataObjectID>@@PROBLEMOBJECTID@@</CCRDataObjectID>
40<DateTime>
41<ExactDateTime>@@PROBLEMDATEMOD@@</ExactDateTime>
42</DateTime>
43<Type>
44<Text>Problem</Text>
45</Type>
46<Description>
47<Text>@@PROBLEMDESCRIPTION@@</Text>
48<Code>
49<Value>@@PROBLEMCODEVALUE@@</Value>
50<CodingSystem>ICD9CM</CodingSystem>
51<Version>@@PROBLEMCODINGVERSION@@</Version>
52</Code>
53</Description>
54<Status>
55<Text>@@PROBLEMSTATUS@@</Text>
56</Status>
57<Source>
58<Actor>
59<ActorID>@@PROBLEMSOURCEACTORID@@</ActorID>
60</Actor>
61</Source>
62</Problem>
63</Problems>
64<Immunizations>
65<Immunization>
66<CCRDataObjectID>@@IMMUNEOBJECTID@@</CCRDataObjectID>
67<DateTime>
68<Type>
69<Text>@@IMMUNEDATETIMETYPETEXT@@</Text>
70</Type>
71<ExactDateTime>@@IMMUNEDATETIME@@</ExactDateTime>
72</DateTime>
73<Source>
74<Actor>
75<ActorID>@@IMMUNESOURCEACTORID@@</ActorID>
76</Actor>
77</Source>
78<Product>
79<ProductName>
80<Text>@@IMMUNEPRODUCTNAMETEXT@@</Text>
81<Code>
82<Value>@@IMMUNEPRODUCTCODE@@</Value>
83<CodingSystem>@@IMMUNEPRODUCTCODESYSTEM@@</CodingSystem>
84</Code>
85</ProductName>
86</Product>
87</Immunization>
88</Immunizations>
89<FamilyHistory>
90<FamilyProblemHistory>
91<CCRDataObjectID>@@FAMILYHISTORYOBJECTID@@</CCRDataObjectID>
92<Source>
93<Actor>
94<ActorID>@@FAMILYHISTORYACTORID@@</ActorID>
95</Actor>
96</Source>
97<FamilyMember>
98<ActorID>@@FAMILYMEMBERACTORID@@</ActorID>
99<ActorRole>
100<Text>@@FAMILYMEMBERACTORROLETEXT@@</Text>
101</ActorRole>
102<Source>
103<Actor>
104<ActorID>@@FAMILYMEMBERSOURCACTORID@@</ActorID>
105</Actor>
106</Source>
107</FamilyMember>
108<Problem>
109<Type>
110<Text>Problem</Text>
111</Type>
112<Description>
113<Text>@@FAMILYMEMBERPROBLEMDESCRIPTION@@</Text>
114<Code>
115<Value>@@FAMILYMEMBERPROBLEMCODE@@</Value>
116<CodingSystem>@@FAMILYMEMBERCODESYSTEM@@</CodingSystem>
117<Version>@@FAMILYMEMBERCODEVERSION@@</Version>
118</Code>
119</Description>
120<Source>
121<Actor>
122<ActorID>@@FAMILYMEMBERPROBLEMSOURCEID@@</ActorID>
123</Actor>
124</Source>
125</Problem>
126</FamilyProblemHistory>
127</FamilyHistory>
128<SocialHistory>
129<SocialHistoryElement>
130<CCRDataObjectID>@@SOCIALHISTORYOBJECTID@@</CCRDataObjectID>
131<Type>
132<Text>@@SOCIALHISTORYTYPETEXT@@</Text>
133</Type>
134<Description>
135<Text>@@SOCIALHISTORYDESCRIPTIONTEXT@@</Text>
136</Description>
137<Source>
138<Actor>
139<ActorID>@@SOCIALHISTORYSOURCACTORID@@</ActorID>
140</Actor>
141</Source>
142</SocialHistoryElement>
143<SocialHistoryElement>
144<CCRDataObjectID>BB0005</CCRDataObjectID>
145<Type>
146<Text>Ethnic Origin</Text>
147</Type>
148<Description>
149<Text>Not Hispanic or Latino</Text>
150</Description>
151<Source>
152<Actor>
153<ActorID>AA0001</ActorID>
154</Actor>
155</Source>
156</SocialHistoryElement>
157<SocialHistoryElement>
158<CCRDataObjectID>BB0006</CCRDataObjectID>
159<Type>
160<Text>Race</Text>
161</Type>
162<Description>
163<Text>White</Text>
164</Description>
165<Source>
166<Actor>
167<ActorID>AA0001</ActorID>
168</Actor>
169</Source>
170</SocialHistoryElement>
171<SocialHistoryElement>
172<CCRDataObjectID>BB0007</CCRDataObjectID>
173<Type>
174<Text>Occupation</Text>
175</Type>
176<Description>
177<Text>Physician</Text>
178</Description>
179<Source>
180<Actor>
181<ActorID>AA0001</ActorID>
182</Actor>
183</Source>
184</SocialHistoryElement>
185</SocialHistory>
186<Alerts>
187<Alert>
188<CCRDataObjectID>@@ALERTOBJECTID@@</CCRDataObjectID>
189<DateTime>
190<ExactDateTime>@@ALERTDATETIME@@</ExactDateTime>
191</DateTime>
192<Type>
193<Text>@@ALERTTYPE@@</Text>
194</Type>
195<Status>
196<Text>@@ALERTSTATUSTEXT@@</Text>
197</Status>
198<Description>
199<Text>@@ALERTDESCRIPTIONTEXT@@</Text>
200<Code>
201<Value>@@ALERTCODEVALUE@@</Value>
202<CodingSystem>@@ALERTCODESYSTEM@@</CodingSystem>
203</Code>
204</Description>
205<Source>
206<Actor>
207<ActorID>@@ALERTSOURCEID@@</ActorID>
208</Actor>
209</Source>
210<Agent>
211<Products>
212<Product>
213<CCRDataObjectID>@@ALERTAGENTPRODUCTOBJECTID@@</CCRDataObjectID>
214<Source>
215<Actor>
216<ActorID>@@ALERTSOURCEID@@</ActorID>
217</Actor>
218</Source>
219<Product>
220<ProductName>
221<Text>@@ALERTAGENTPRODUCTNAMETEXT@@</Text>
222<Code>
223<Value>@@ALERTAGENTPRODUCTCODEVALUE@@</Value>
224<CodingSystem>@@ALERTAGENTPRODUCTCODESYSTEM@@</CodingSystem>
225</Code>
226</ProductName>
227</Product>
228</Product>
229</Products>
230</Agent>
231<Reaction>
232<Description>
233<Text>@@ALERTREACTIOINDESCRIPTIONTEXT@@</Text>
234<Code>
235<Value>@@ALERTREACTIONCODEVALUE@@</Value>
236<CodingSystem>@@ALERTREACTIONCODESYSTEM@@</CodingSystem>
237</Code>
238</Description>
239</Reaction>
240</Alert>
241</Alerts>
242<Medications>
243<Medication>
244<CCRDataObjectID>@@MEDOBJECTID@@</CCRDataObjectID>
245<DateTime>
246<Type>
247<Text>@@MEDISSUEDATETXT@@</Text>
248</Type>
249<ExactDateTime>@@MEDISSUEDATE@@</ExactDateTime>
250</DateTime>
251<DateTime>
252<Type>
253<Text>@@MEDLASTFILLDATETXT@@</Text>
254</Type>
255<ExactDateTime>@@MEDLASTFILLDATE@@</ExactDateTime>
256</DateTime>
257<IDs>
258<Type>
259<Text>@@MEDRXNOTXT@@</Text>
260</Type>
261<ID>@@MEDRXNO@@</ID>
262</IDs>
263<Type>
264<Text>@@MEDTYPETEXT@@</Text>
265</Type>
266<Description>
267<Text>@@MEDDETAILUNADORNED@@</Text>
268</Description>
269<Status>
270<Text>@@MEDSTATUSTEXT@@</Text>
271</Status>
272<Source>
273<Actor>
274<ActorID>@@MEDSOURCEACTORID@@</ActorID>
275</Actor>
276</Source>
277<Product>
278<ProductName>
279<Text>@@MEDPRODUCTNAMETEXT@@</Text>
280<Code>
281<Value>@@MEDPRODUCTNAMECODEVALUE@@</Value>
282<CodingSystem>@@MEDPRODUCTNAMECODINGINGSYSTEM@@</CodingSystem>
283<Version>@@MEDPRODUCTNAMECODEVERSION@@</Version>
284</Code>
285</ProductName>
286<BrandName>
287<Text>@@MEDBRANDNAMETEXT@@</Text>
288</BrandName>
289<Strength>
290<Value>@@MEDSTRENGTHVALUE@@</Value>
291<Units>
292<Unit>@@MEDSTRENGTHUNIT@@</Unit>
293</Units>
294</Strength>
295<Form>
296<Text>@@MEDFORMTEXT@@</Text>
297</Form>
298<Concentration>
299<Value>@@MEDCONCVALUE@@</Value>
300<Units>
301<Unit>@@MEDCONCUNIT@@</Unit>
302</Units>
303</Concentration>
304</Product>
305<Quantity>
306<Value>@@MEDQUANTITYVALUE@@</Value>
307<Units>
308<Unit>@@MEDQUANTITYUNIT@@</Unit>
309</Units>
310</Quantity>
311<Directions>
312<Direction>
313<Description>
314<Text>@@MEDDIRECTIONDESCRIPTIONTEXT@@</Text>
315</Description>
316<DoseIndicator>
317<Text>@@MEDDOSEINDICATOR@@</Text>
318</DoseIndicator>
319<DeliveryMethod>
320<Text>@@MEDDELIVERYMETHOD@@</Text>
321</DeliveryMethod>
322<Dose>
323<Value>@@MEDDOSEVALUE@@</Value>
324<Units>
325<Unit>@@MEDDOSEUNIT@@</Unit>
326</Units>
327<Rate>
328<Value>@@MEDRATEVALUE@@</Value>
329<Units>
330<Unit>@@MEDRATEUNIT@@</Unit>
331</Units>
332</Rate>
333</Dose>
334<Vehicle>
335<Text>@@MEDVEHICLETEXT@@</Text>
336</Vehicle>
337<Route>
338<Text>@@MEDDIRECTIONROUTETEXT@@</Text>
339</Route>
340<Frequency>
341<Value>@@MEDFREQUENCYVALUE@@</Value>
342</Frequency>
343<Interval>
344<Value>@@MEDINTERVALVALUE@@</Value>
345<Units>
346<Unit>@@MEDINTERVALUNIT@@</Unit>
347</Units>
348</Interval>
349<Duration>
350<Value>@@MEDDURATIONVALUE@@</Value>
351<Units>
352<Unit>@@MEDDURATIONUNIT@@</Unit>
353</Units>
354</Duration>
355<Indication>
356<PRNFlag>
357<Text>@@MEDPRNFLAG@@</Text>
358</PRNFlag>
359<Problem>
360<CCRDataObjectID>@@MEDPROBLEMOBJECTID@@</CCRDataObjectID>
361<Type>
362<Text>@@MEDPROBLEMTYPETXT@@</Text>
363</Type>
364<Description>
365<Text>@@MEDPROBLEMDESCRIPTION@@</Text>
366<Code>
367<Value>@@MEDPROBLEMCODEVALUE@@</Value>
368<CodingSystem>@@MEDPROBLEMCODINGSYSTEM@@</CodingSystem>
369<Version>@@MEDPROBLEMCODINGVERSION@@</Version>
370</Code>
371</Description>
372<Source>
373<Actor>
374<ActorID>@@MEDPROBLEMSOURCEACTORID@@</ActorID>
375</Actor>
376</Source>
377</Problem>
378</Indication>
379<StopIndicator>
380<Text>@@MEDSTOPINDICATOR@@</Text>
381</StopIndicator>
382<DirectionSequenceModifier>@@MEDDIRSEQ@@</DirectionSequenceModifier>
383<MultipleDirectionModifier>
384<Text>@@MEDMULDIRMOD@@</Text>
385</MultipleDirectionModifier>
386</Direction>
387</Directions>
388<PatientInstructions>
389<Instruction>
390<Text>@@MEDPTINSTRUCTIONS@@</Text>
391</Instruction>
392</PatientInstructions>
393<FullfillmentInstructions>
394<Text>@@MEDFULLFILLMENTINSTRUCTIONS@@</Text>
395</FullfillmentInstructions>
396<Refills>
397<Refill>
398<Number>@@MEDRFNO@@</Number>
399</Refill>
400</Refills>
401</Medication>
402</Medications>
403<VitalSigns>
404<Result>
405<CCRDataObjectID>@@VITALSIGNSDATAOBJECTID@@</CCRDataObjectID>
406<DateTime>
407<Type>
408<Text>@@VITALSIGNSDATETIMETYPETEXT@@</Text>
409</Type>
410<ExactDateTime>@@VITALSIGNSEXACTDATETIME@@</ExactDateTime>
411</DateTime>
412<Description>
413<Text>@@VITALSIGNSDESCRIPTIONTEXT@@</Text>
414</Description>
415<Source>
416<Actor>
417<ActorID>@@VITALSIGNSSOURCEACTORID@@</ActorID>
418</Actor>
419</Source>
420<Test>
421<CCRDataObjectID>@@VITALSIGNSTESTOBJECTID@@</CCRDataObjectID>
422<Type>
423<Text>@@VITALSIGNSTESTTYPETEXT@@</Text>
424</Type>
425<Description>
426<Text>@@VITALSIGNSDESCRIPTIONTEXT@@</Text>
427<Code>
428<Value>@@VITALSIGNSDESCCODEVALUE@@</Value>
429<CodingSystem>@@VITALSIGNSDESCCODINGSYSTEM@@</CodingSystem>
430<Version>@@VITALSIGNSCODEVERSION@@</Version>
431</Code>
432</Description>
433<Source>
434<Actor>
435<ActorID>@@VITALSIGNSTESTSOURCEACTORID@@</ActorID>
436</Actor>
437</Source>
438<TestResult>
439<Value>@@VITALSIGNSTESTRESULTVALUE@@</Value>
440<Units>
441<Unit>@@VITALSIGNSTESTRESULTUNIT@@</Unit>
442</Units>
443</TestResult>
444</Test>
445</Result>
446</VitalSigns>
447<Results>
448<Result>
449<CCRDataObjectID>@@RESULTOBJECTID@@</CCRDataObjectID>
450<DateTime>
451<Type>
452<Text>Assessment Time</Text>
453</Type>
454<ExactDateTime>@@RESULTASSESSMENTDATETIME@@</ExactDateTime>
455</DateTime>
456<Description>
457<Text>@@RESULTDESCRIPTIONTEXT@@</Text>
458<Code>
459<Value>@@RESULTCODE@@</Value>
460<CodingSystem>@@RESULTCODINGSYSTEM@@</CodingSystem>
461</Code>
462</Description>
463<Status>
464<Text>@@RESULTSTATUS@@</Text>
465</Status>
466<Source>
467<Actor>
468<ActorID>@@RESULTSOURCEACTORID@@</ActorID>
469</Actor>
470</Source>
471<Test>
472<CCRDataObjectID>@@RESULTTESTOBJECTID@@</CCRDataObjectID>
473<DateTime>
474<Type>
475<Text>Assessment Time</Text>
476</Type>
477<ExactDateTime>@@RESULTTESTDATETIME@@</ExactDateTime>
478</DateTime>
479<Description>
480<Text>@@RESULTTESTDESCRIPTIONTEXT@@</Text>
481<Code>
482<Value>@@RESULTTESTCODEVALUE@@</Value>
483<CodingSystem>@@RESULTTESTCODINGSYSTEM@@</CodingSystem>
484</Code>
485</Description>
486<Status>
487<Text>@@RESULTTESTSTATUSTEXT@@</Text>
488</Status>
489<Source>
490<Actor>
491<ActorID>@@RESULTTESTSOURCEACTORID@@</ActorID>
492</Actor>
493</Source>
494<TestResult>
495<Value>@@RESULTTESTVALUE@@</Value>
496<Units>
497<Unit>@@RESULTTESTUNITS@@</Unit>
498</Units>
499</TestResult>
500<NormalResult>
501<Normal>
502<Description>
503<Text>@@RESULTTESTNORMALDESCTEXT@@</Text>
504</Description>
505<Source>
506<Actor>
507<ActorID>@@RESULTTESTNORMALSOURCEACTORID@@</ActorID>
508</Actor>
509</Source>
510</Normal>
511</NormalResult>
512<Flag>
513<Text>@@RESULTTESTFLAG@@</Text>
514</Flag>
515</Test>
516</Result>
517</Results>
518<Procedures>
519<Procedure>
520<CCRDataObjectID>@@PROCOBJECTID@@</CCRDataObjectID>
521<DateTime>
522<Type>
523<Text>@@PROCDATETEXT@@</Text>
524</Type>
525<ExactDateTime>@@PROCDATETIME@@</ExactDateTime>
526</DateTime>
527<Description>
528<Text>@@PROCDESCTEXT@@</Text>
529<ObjectAttribute>
530<Attribute>@@PROCDESCOBJATTR@@</Attribute>
531<AttributeValue>
532<Value>@@PROCDESCOBJATTRVAL@@</Value>
533<Code>
534<Value>@@PROCDESCOBJATTRCODE@@</Value>
535<CodingSystem>@@PROCDESCOBJATTRCODESYS@@</CodingSystem>
536</Code>
537</AttributeValue>
538</ObjectAttribute>
539<Code>
540<Value>@@PROCCODE@@</Value>
541<CodingSystem>@@PROCCODESYS@@</CodingSystem>
542</Code>
543</Description>
544<Status>
545<Text>@@PROCSTATUS@@</Text>
546</Status>
547<Source>
548<Actor>
549<ActorID>@@PROCACTOROBJID@@</ActorID>
550</Actor>
551</Source>
552<InternalCCRLink>
553<LinkID>@@PROCLINKID@@</LinkID>
554<LinkRelationship>@@PROCLINKREL@@</LinkRelationship>
555</InternalCCRLink>
556</Procedure>
557</Procedures>
558<Encounters>
559<Encounter>
560<CCRDataObjectID>@@ENCOBJECTID@@</CCRDataObjectID>
561<DateTime>
562<ExactDateTime>@@ENCDATETIME@@</ExactDateTime>
563</DateTime>
564<Type>
565<Text>@@ENCTYPETXT@@</Text>
566<Code>
567<Value>@@ENCTYPECODE@@</Value>
568<CodingSystem>@@ENCTYPECODESYS@@</CodingSystem>
569</Code>
570</Type>
571<Description>
572<Text>@@ENCDESCTXT@@</Text>
573<Code>
574<Value>@@ENCDESCCODE@@</Value>
575<CodingSystem>@@ENCDESCCODESYS@@</CodingSystem>
576</Code>
577</Description>
578<Location>
579<Actor>
580<ActorID>@@ENCLOCACTORID@@</ActorID>
581</Actor>
582</Location>
583<Practioner>
584<Actor>
585<ActorID>@@ENCPRVACTORID@@</ActorID>
586</Actor>
587</Practioner>
588<Indication>
589<Text>@@ENCINDTXT@@</Text>
590<Code>
591<Value>@@ENCINDCODE@@</Value>
592<CodingSystem>@@ENCINDCODESYS@@</CodingSystem>
593</Code>
594</Indication>
595<Source>
596<Actor>
597<ActorID>@@ENCACTORID@@</ActorID>
598</Actor>
599</Source>
600<CommentID>@@ENCCOMMENTID@@</CommentID>
601</Encounter>
602</Encounters>
603<HealthCareProviders>
604<Provider>
605<ActorID>AA0005</ActorID>
606<ActorRole>
607<Text>Primary Provider</Text>
608</ActorRole>
609</Provider>
610</HealthCareProviders>
611</Body>
612<Actors>
613<ACTOR-PATIENT>
614<Actor>
615<ActorObjectID>@@ACTOROBJECTID@@</ActorObjectID>
616<Person>
617<Name>
618<CurrentName>
619<Given>@@ACTORGIVENNAME@@</Given>
620<Middle>@@ACTORMIDDLENAME@@</Middle>
621<Family>@@ACTORFAMILYNAME@@</Family>
622</CurrentName>
623</Name>
624<DateOfBirth>
625<ExactDateTime>@@ACTORDATEOFBIRTH@@</ExactDateTime>
626</DateOfBirth>
627<Gender>
628<Text>@@ACTORGENDER@@</Text>
629<Code>
630<Value>@@ACTORGENDERCODE@@</Value>
631<CodingSystem>HL7 AdministrativeGender</CodingSystem>
632</Code>
633</Gender>
634</Person>
635<IDs>
636<Type>
637<Text>@@ACTORSSNTEXT@@</Text>
638</Type>
639<ID>@@ACTORSSN@@</ID>
640<Source>
641<Actor>
642<ActorID>@@ACTORSSNSOURCEID@@</ActorID>
643</Actor>
644</Source>
645</IDs>
646<Address>
647<Type>
648<Text>@@ACTORADDRESSTYPE@@</Text>
649</Type>
650<Line1>@@ACTORADDRESSLINE1@@</Line1>
651<Line2>@@ACTORADDRESSLINE2@@</Line2>
652<City>@@ACTORADDRESSCITY@@</City>
653<State>@@ACTORADDRESSSTATE@@</State>
654<PostalCode>@@ACTORADDRESSZIPCODE@@</PostalCode>
655</Address>
656<Telephone>
657<Value>@@ACTORRESTEL@@</Value>
658<Type>
659<Text>@@ACTORRESTELTEXT@@</Text>
660</Type>
661</Telephone>
662<Telephone>
663<Value>@@ACTORWORKTEL@@</Value>
664<Type>
665<Text>@@ACTORWORKTELTEXT@@</Text>
666</Type>
667</Telephone>
668<Telephone>
669<Value>@@ACTORCELLTEL@@</Value>
670<Type>
671<Text>@@ACTORCELLTELTEXT@@</Text>
672</Type>
673</Telephone>
674<EMail>
675<Value>@@ACTOREMAIL@@</Value>
676</EMail>
677<Source>
678<Actor>
679<ActorID>@@ACTORADDRESSSOURCEID@@</ActorID>
680</Actor>
681</Source>
682</Actor>
683</ACTOR-PATIENT>
684<ACTOR-SYSTEM>
685<Actor>
686<ActorObjectID>@@ACTOROBJECTID@@</ActorObjectID>
687<InformationSystem>
688<Name>@@ACTORINFOSYSNAME@@</Name>
689<Version>@@ACTORINFOSYSVER@@</Version>
690</InformationSystem>
691<Source>
692<Actor>
693<ActorID>@@ACTORINFOSYSSOURCEID@@</ActorID>
694</Actor>
695</Source>
696</Actor>
697</ACTOR-SYSTEM>
698<ACTOR-NOK>
699<Actor>
700<ActorObjectID>AA0003</ActorObjectID>
701<Person>
702<Name>
703<DisplayName>@@ACTORDISPLAYNAME@@</DisplayName>
704</Name>
705</Person>
706<Relation>
707<Text>@@ACTORRELATION@@</Text>
708</Relation>
709<Source>
710<Actor>
711<ActorID>@@ACTORRELATIONSOURCEID@@</ActorID>
712</Actor>
713</Source>
714</Actor>
715</ACTOR-NOK>
716<ACTOR-PROVIDER>
717<Actor>
718<ActorObjectID>@@ACTOROBJECTID@@</ActorObjectID>
719<Person>
720<Name>
721<CurrentName>
722<Given>@@ACTORGIVENNAME@@</Given>
723<Middle>@@ACTORMIDDLENAME@@</Middle>
724<Family>@@ACTORFAMILYNAME@@</Family>
725<Title>@@ACTORTITLE@@</Title>
726</CurrentName>
727</Name>
728</Person>
729<IDs>
730<Type>
731<Text>@@IDTYPE@@</Text>
732</Type>
733<ID>@@ID@@</ID>
734<IssuedBy>
735<Description>
736<Text>@@IDDESC@@</Text>
737</Description>
738</IssuedBy>
739</IDs>
740<Specialty>
741<Text>@@ACTORSPECIALITY@@</Text>
742</Specialty>
743<Address>
744<Type>
745<Text>@@ACTORADDRESSTYPE@@</Text>
746</Type>
747<Line1>@@ACTORADDRESSLINE1@@</Line1>
748<City>@@ACTORADDRESSCITY@@</City>
749<State>@@ACTORADDRESSSTATE@@</State>
750<PostalCode>@@ACTORPOSTALCODE@@</PostalCode>
751</Address>
752<Telephone>
753<Value>@@ACTORTELEPHONE@@</Value>
754<Type>
755<Text>@@ACTORTELEPHONETYPE@@</Text>
756</Type>
757</Telephone>
758<Email>
759<Value>@@ACTOREMAIL@@</Value>
760</Email>
761<Source>
762<Actor>
763<ActorID>@@ACTORSOURCEID@@</ActorID>
764</Actor>
765</Source>
766<InternalCCRLink>
767<LinkID>@@ACTORORGLINK@@</LinkID>
768<LinkRelationship>representedOrganization</LinkRelationship>
769</InternalCCRLink>
770</Actor>
771</ACTOR-PROVIDER>
772<ACTOR-ORG>
773<Actor>
774<ActorObjectID>@@ACTOROBJECTID@@</ActorObjectID>
775<Organization>
776<Name>@@ORGANIZATIONNAME@@</Name>
777</Organization>
778<Address>
779<Type>
780<Text>@@ACTORADDRESSTYPE@@</Text>
781</Type>
782<Line1>@@ACTORADDRESSLINE1@@</Line1>
783<City>@@ACTORADDRESSCITY@@</City>
784<State>@@ACTORADDRESSSTATE@@</State>
785<PostalCode>@@ACTORPOSTALCODE@@</PostalCode>
786</Address>
787<Telephone>
788<Value>@@ACTORTELEPHONE@@</Value>
789<Type>
790<Text>@@ACTORTELEPHONETYPE@@</Text>
791</Type>
792</Telephone>
793<Source>
794<Actor>
795<ActorID>@@ACTORSOURCEID@@</ActorID>
796</Actor>
797</Source>
798</Actor>
799</ACTOR-ORG>
800</Actors>
801<Signatures>
802<CCRSignature>
803<SignatureObjectID>S0001</SignatureObjectID>
804<ExactDateTime>2008-03-18T23:10:58Z</ExactDateTime>
805<Source>
806<ActorID>AA0001</ActorID>
807</Source>
808<Signature>
809<Signature xmlns="http://www.w3.org/2000/09/xmldsig#">
810<SignedInfo>
811<CanonicalizationMethod Algorithm="http://www.w3.org/TR/2001/REC-xml-c14n-20010315"/>
812<SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/>
813<Reference URI="">
814<Transforms>
815<Transform Algorithm="http://www.w3.org/2000/09/xmldsig#enveloped-signature"/>
816</Transforms>
817<DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/>
818<DigestValue>YFveLLyo+75P7rSciv0/m1O6Ot4=</DigestValue>
819</Reference>
820</SignedInfo>
821<SignatureValue>Bj6sACXl74hrlbUYnu8HqnRab5VGy69BOYjOH7dETxgppXMEd7AoVYaePZvgJft78JR4oQY76hbFyGcIslYauPpJxx2hCd5d56xFeaQg01R6AQOvGnhjlq63TbpFdUq0B4tYsmiibJPbQJhTQe+TcWTBvWaQt8Fkk5blO571YvI=</SignatureValue>
822<KeyInfo>
823<KeyValue>
824<RSAKeyValue>
825<Modulus>meH817QYol+/uUEg6j8Mg89s7GTlaN9B+/CGlzrtnQH+swMigZRnEPxHVO8PhEymP/W9nlhAjTScV/CUzA9yJ9WiaOn17c+KReKhfBqL24DX9BpbJ+kLYVz7mBO5Qydk5AzUT2hFwW93irD8iRKP+/t+2Mi2CjNfj8VTjJpHpm0=</Modulus>
826<Exponent>AQAB</Exponent>
827</RSAKeyValue>
828</KeyValue>
829</KeyInfo>
830</Signature>
831</Signature>
832</CCRSignature>
833</Signatures>
834<Comments>
835<Comment>
836<CommentObjectID>@@COMMENTOBJECTID@@</CommentObjectID>
837<DateTime>
838<ExactDateTime>@@CMTDATETIME@@</ExactDateTime>
839</DateTime>
840<Description>
841<Text>
842</Text>
843</Description>
844<Source>
845<Actor>
846<ActorID>@@ACTORSOURCEID@@</ActorID>
847</Actor>
848</Source>
849</Comment>
850</Comments>
851</ContinuityOfCareRecord>
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