[879] | 1 | <?xml version="1.0" encoding="UTF-8"?>
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| 2 | <?xml-stylesheet type="text/xsl" href="cda.xsl"?>
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| 3 | <!--WV Added new munltiple documentation of added have to do with encounter times, etc.-->
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| 4 |
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| 5 | <!--
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| 6 | ********************************************************
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| 7 | CDA Header
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| 8 | ********************************************************
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| 9 | -->
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| 10 |
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| 11 | <!--
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| 12 | ******************
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| 13 | Document Information
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| 14 | **********************
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| 15 | -->
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| 16 | <ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
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| 17 | <!-- Created with XML Copy Editor Open Source Sourceforge project. -->
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| 18 | <!--WVP This is the clinical document type ID-->
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| 19 | <realmCode code="US"/>
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| 20 | <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
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| 21 | <!-- QRDA Category I generic template ID. -->
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| 22 | <!--WVP these next two lines are fixed-->
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| 23 | <templateId root="2.16.840.1.113883.10.20.12" />
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| 24 | <!--only in the july spec so not sure if it should be here-->
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| 25 | <templateId root="2.16.840.1.113883.3.249.11.100.1"/>
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| 26 | <!--WVV 2.16.840.1.113883.3.543 is fixed and is the beginninng of WorldVistAs OID, change the extension for a new document and the version for changes to this one-->
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| 27 | <!-- WV? for this group of 10 documents we are submitting-->
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| 28 | <id root="2.16.840.1.113883.3.543" extension="01.01.01.100000001.1"/>
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| 29 | <!--WVP next two lines fixed-->
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| 30 | <code code="55182-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Quality Measure Report"/>
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| 31 | <title>QRDA Incidence Report</title>
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| 32 | <!--WVV time-->
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| 33 | <effectiveTime value="20100703"/>
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| 34 | <!--WVP for next two lines-->
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| 35 | <confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
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| 36 | <languageCode code="en-US"/>
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| 37 | <!--WV? Don't change this in the document set we are working on-->
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| 38 | <setId root="2.16.840.1.113883.3.543" extension="01.01.01.100000001"/>
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| 39 | <versionNumber value="1"/>
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| 40 | <!--WVP I made one up but we will have to have an OID for the Clincal Document SET which we will make up for ourselves eventually-->
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| 41 |
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| 42 | <!--
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| 43 | *******************
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| 44 | Patient Information
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| 45 | ****************
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| 46 | -->
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| 47 | <!-- This is the patient for which the report is describing. -->
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| 48 | <recordTarget>
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| 49 | <patientRole>
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| 50 | <!--WVV Id coding system is in the downloadable resoure and SSN is the extension. Edit the extension here-->
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| 51 | <!--Can't change during the reporting period-->
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| 52 | <id root="2.16.840.1.113883.4.1" extension="002386407"/>
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| 53 | <!--WVV address is not required-->
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| 54 | <addr>
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| 55 | <streetAddressLine>1200 Sanders Lane</streetAddressLine>
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| 56 | <city>Rockville</city>
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| 57 | <state>MD</state>
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| 58 | <postalCode>20850</postalCode>
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| 59 | </addr>
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| 60 | <patient>
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| 61 | <!-- WVV something called use="L" found in some samples - not sure what it is or need for it -->
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| 62 | <name>
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| 63 | <!-- WV Edit -->
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| 64 | <given>Jody</given>
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| 65 | <family>Jones</family>
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| 66 | </name >
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| 67 |
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| 68 | <!--VV Gender code can be M, F or UN for undifferentiated-->
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| 69 | <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"/>
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| 70 | <!--WVV Birth Time at least to the day-->
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| 71 | <birthTime value="19450101"/>
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| 72 | <!--WVV Edit-->
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| 73 | <!--WVV race is in there too, tab L in downloadable resources 2054-5 is Back or African American -->
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| 74 | <!--WVV 2106-3 is white and there are no hispanic and a huge number of indian tribes-->
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| 75 | <raceCode code="2106.3" codeSystem="2.16.840.1.113883.5.104"/>
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| 76 | <!--WVVEdit from downloadable resource tab M for Ethnicity -->
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| 77 | <!--WV 2186-5 is Not Hispanic or Latino -->
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| 78 | <ethnicGroupCode code="2186-5" codeSystem="2.16.840.1.113883.5.50"/>
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| 79 | </patient>
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| 80 | <!--WV Added to sample document and required NPI as extension and root is permanent-->
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| 81 | <providerOrganization>
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| 82 | <id root="2.16.840.1.113883.4.6" extension="6558574524" />
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| 83 | <name>WorldVistA Test Clinic</name>
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| 84 | <!--WVV address of organization which must have NPI is optional-->
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| 85 | <addr>
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| 86 | <streetAddressLine>123 Maple Ave</streetAddressLine>
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| 87 | <city>Gaithersburg</city>
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| 88 | <state>MD</state>
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| 89 | <postalCode>20877</postalCode>
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| 90 | </addr>
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| 91 | <!--WVP required asOrganizationPartOf added to sample-->
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| 92 | <asOrganizationPartOf>
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| 93 | <wholeOrganization>
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| 94 | <!--WVV tax ID (SS# or EIN)for the organizaton is the extension and the root is required and WVP2.16.840.1.113883.4.2-->
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| 95 | <id root="2.16.840.1.113883.4.2" extension="002345678"/>
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| 96 | </wholeOrganization>
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| 97 | </asOrganizationPartOf>
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| 98 | </providerOrganization>
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| 99 | </patientRole>
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| 100 | </recordTarget>
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| 101 |
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| 102 | <!--
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| 103 | *****************************
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| 104 | Author
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| 105 | **************
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| 106 | -->
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| 107 | <!-- This example assumes the doctor is creating the report and it is Required. -->
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| 108 | <author>
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| 109 | <!--WVV Edit time has to be precise at least to the day-->
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| 110 | <time value="20100703" />
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| 111 | <assignedAuthor>
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| 112 | <!--WVP eventually id this is required, the root is fixed -->
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| 113 | <!--andn the extension is the SOFTWARE version number assigned by CMS to WV EHR-->
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| 114 | <id root="2.16.840.1.113883.3.249.6" extension="100001" />
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| 115 | <!--WVVassignedPerson not required-->
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| 116 | <assignedPerson>
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| 117 | <name>
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| 118 | <!--WV Edit-->
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| 119 | <given>Nancy</given>
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| 120 | <family>Anthracite</family>
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| 121 | <suffix>MD</suffix>
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| 122 | </name>
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| 123 | </assignedPerson>
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| 124 | <representedOrganization>
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| 125 | <!--WV? id root is OID for the organization so I made one up for this document set-->
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| 126 | <id root="2.16.840.1.113883.3.543" extension="1558574526" />
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| 127 | <name>WorldVistA Test Clinic</name>
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| 128 | </representedOrganization>
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| 129 | </assignedAuthor>
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| 130 | </author>
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| 131 | <!-- The reporting healthcare facility is represented using the CCD "Source of Information" construct, via the Informant participant. -->
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| 132 | <informant>
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| 133 | <assignedEntity>
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| 134 | <!--WV this null flavor is required as is-->
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| 135 | <id nullFlavor="NA"/>
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| 136 | <representedOrganization>
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| 137 | <!--WV root is the OID of the organization. ID is required but name is not and id is OID stated earlier-->
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| 138 | <id root="2.16.840.1.113883.3.543" extension="1558574526" />
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| 139 | <name>World VistA Test Clinic</name>
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| 140 | </representedOrganization>
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| 141 | </assignedEntity>
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| 142 | </informant>
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| 143 |
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| 144 | <!-- This example assumes that the institution responsible for the data is serving as custodian. -->
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| 145 | <!--WV This element is required as is the sSD which is not stated if it is an OID but assumed it is-->
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| 146 | <!--WV Name is not required, only ID is required.-->
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| 147 | <custodian>
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| 148 | <assignedCustodian>
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| 149 | <representedCustodianOrganization>
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| 150 | <id root="2.16.840.1.113883.3.543" extension="1558574526" />
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| 151 | <name>WorldVistA Test Clinic</name>
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| 152 | </representedCustodianOrganization>
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| 153 | </assignedCustodian>
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| 154 | </custodian>
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| 155 |
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| 156 | <!-- In this example, the author is also serving as legal authenticator. -->
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| 157 | <!--WV section is this is not required-->
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| 158 | <legalAuthenticator>
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| 159 | <time value="20100703" />
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| 160 | <!--WV the signature code of S is required-->
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| 161 | <signatureCode code="S" />
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| 162 | <assignedEntity>
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| 163 | <!--WV document does not specify the requirements of the id but it is required-->
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| 164 | <!--WVP and the sample suggests it is the number below and extension is ???-->
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| 165 | <id root="2.16.840.1.113883.3.543" extension="111111" />
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| 166 | <assignedPerson>
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| 167 | <name>
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| 168 | <given>Nancy</given>
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| 169 | <family>Anthracite</family>
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| 170 | <suffix>MD</suffix>
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| 171 | </name>
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| 172 | </assignedPerson>
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| 173 | <representedOrganization>
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| 174 | <!--WV? and is fixed for the WorldVistA Test Clinic in this submitted document series-->
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| 175 | <id root="2.16.840.1.113883.3.543" extension="1558574526" />
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| 176 | <name>WorldVistA Test Clinic</name>
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| 177 | </representedOrganization>
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| 178 | </assignedEntity>
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| 179 | </legalAuthenticator>
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| 180 |
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| 181 |
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| 182 |
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| 183 | <!--Added to sample as it is new since 2008-->
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| 184 | <!--WVP permanent for participant in the primary care provider participant-->
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| 185 | <!--WVP performer type codes are numerous but PRF is performer or the person who did it-->
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| 186 | <participant typeCode="PRF">
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| 187 | <!--WVP required as is for function-->
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| 188 | <!-- WVP I believe PCP is primary care provider but not sure-->
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| 189 | <functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88"/>
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| 190 | <!--WVP Associated Entity is required ti be there with this PROV-->
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| 191 | <associatedEntity classCode="PROV">
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| 192 | <!--WV? OID of the provider fixed for this series of documents-->
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| 193 | <id root="2.16.840.1.113883.3.249.6" extension="111111" />
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| 194 | <!--WV associated person is not required so presumabley the code will suffice not sure??-->
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| 195 | <associatedPerson>
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| 196 | <name>
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| 197 | <prefix>Dr.</prefix>
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| 198 | <given>Nancy</given>
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| 199 | <family>Anthracite</family>
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| 200 | </name>
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| 201 | </associatedPerson>
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| 202 | </associatedEntity>
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| 203 | </participant>
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| 204 |
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| 205 | <!--The service event is the encounter that describes tehe encunter as well as the provider, location and time-->
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| 206 | <!--!There can be one or more documentation elements depending on the number of encounters during the reporting period-->
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| 207 | <!--WVV IMPORTANT!! The encounter codeds are recorded here-->
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| 208 | <!-- They are in appendix B of the downloadable resource document-->
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| 209 | <!-- Each documentation of is a single service event-->
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| 210 |
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| 211 | <!--Occurence of Measures episode documention-->
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| 212 | <!--Like an encounter section only for QRDA-->
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| 213 | <!--Same doctor, same clinic, different date and different enconter code-->
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| 214 |
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| 215 |
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| 216 | <!--First Visit documentationOf section-->
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| 217 |
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| 218 | <documentationOf>
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| 219 | <serviceEvent>
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| 220 | <!--WV serviceEvent codes from Tab B from the downloadabe resource coding system is -->
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| 221 | <!--WVF codeSystem is 2.16.840.1.113883 -->
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| 222 | <!--WV code root shall be WVP 2.16.840.1.113883.6.12 and the extension shall be the encounter code -->
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| 223 | <!-- WV? like the length of visit and complexity codes for example-->
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| 224 |
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| 225 | <code code="99202" codeSystem="2.16.840.1.113883.6.12" codeSystemName="C4"/>
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| 226 | <effectiveTime>
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| 227 | <!--WV Edit-->
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| 228 | <!-- This has to be precise at least to the day. Something with time would be better. Not sure of the necessary format so did not add time-->
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| 229 | <low value="20100205"/>
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| 230 | <high value="20100205"/>
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| 231 | </effectiveTime>
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| 232 | <performer typeCode="PRF">
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| 233 | <assignedEntity>
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| 234 | <!-- WV? Provider NPI Required root 2.16.840.1.113883.9.96 is ?? and the NPI is an extension for the provider-->
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| 235 | <!--This is variable but may remain unchanged for this document set-->
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| 236 | <id root="2.16.840.1.113883.3.543" extension="6558574524"/>
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| 237 | <!--<id root="2.16.840.1.113883.3.543" extension="1457402711"/>-->
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| 238 | <!--WV this element should be present and the code is probably for a General Physician for!-->
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| 239 | <!--It may be the type of provider as the example as I think 2.16.840.1.113883.6.69is the NDC-->
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| 240 | <!-- codeSystemName is SNOMED CT and code is an 8 digit num and display name is for a physician-->
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| 241 | <!--O6120 is SPECIALIZED PHYSICIAN when I looked it up so I don't know where to look for this 8 digit number-->
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| 242 | <!-- http://terminology.vetmed.vt.edu/SCT/menu.cfm to look up codes-->
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| 243 | <!--59058001 is general physician ;Family Medicine specialist is 62247001-->
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| 244 | <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNOMED CT" displayName="Internal Medician Specialist"/>
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| 245 | <addr>
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| 246 | <streetAddressLine>123 Maple Ave</streetAddressLine>
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| 247 | <city>Gaithersburg</city>
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| 248 | <state>MD</state>
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| 249 | <postalCode>20877</postalCode>
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| 250 | </addr>
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| 251 | <assignedPerson>
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| 252 | <name>
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| 253 | <given>Nancy</given>
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| 254 | <family>Anthracite</family>
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| 255 | <suffix>MD</suffix>
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| 256 | </name>
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| 257 | </assignedPerson>
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| 258 | </assignedEntity>
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| 259 | </performer>
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| 260 | </serviceEvent>
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| 261 | </documentationOf>
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| 262 |
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| 263 |
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| 264 | <!--Second Visit documentationOf section-->
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| 265 |
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| 266 | <documentationOf>
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| 267 | <serviceEvent>
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| 268 | <!--WV serviceEvent codes from Tab B from the downloadabe resource coding system is -->
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| 269 | <!--WVF codeSystem is 2.16.840.1.113883 -->
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| 270 | <!--WV code root shall be WVP 2.16.840.1.113883.6.12 and the extension shall be the encounter code -->
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| 271 | <!-- WV? like the length of visit and complexity codes for example-->
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| 272 |
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| 273 | <code code="99204" codeSystem="2.16.840.1.113883.6.12" codeSystemName="C4"/>
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| 274 | <effectiveTime>
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| 275 | <!--WV Edit-->
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| 276 | <!-- This has to be precise at least to the day. Something with time would be better. Not sure of the necessary format so did not add time-->
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| 277 | <low value="20100703"/>
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| 278 | <high value="20100703"/>
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| 279 | </effectiveTime>
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| 280 | <performer typeCode="PRF">
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| 281 | <assignedEntity>
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| 282 | <!-- WV? Provider NPI Required root 2.16.840.1.113883.9.96 is ?? and the NPI is an extension for the provider-->
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| 283 | <!--This is variable but may remain unchanged for this document set-->
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| 284 | <id root="2.16.840.1.113883.3.543" extension="6558574524"/>
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| 285 | <!--<id root="2.16.840.1.113883.3.543" extension="1457402711"/>-->
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| 286 | <!--WV this element should be present and the code is probably for a General Physician for!-->
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| 287 | <!--It may be the type of provider as the example as I think 2.16.840.1.113883.6.69is the NDC-->
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| 288 | <!-- codeSystemName is SNOMED CT and code is an 8 digit num and display name is for a physician-->
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| 289 | <!--O6120 is SPECIALIZED PHYSICIAN when I looked it up so I don't know where to look for this 8 digit number-->
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| 290 | <!-- http://terminology.vetmed.vt.edu/SCT/menu.cfm to look up codes-->
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| 291 | <!--59058001 is general physician ;Family Medicine specialist is 62247001-->
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| 292 | <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNOMED CT" displayName="Internal Medician Specialist"/>
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| 293 | <addr>
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| 294 | <streetAddressLine>123 Maple Ave</streetAddressLine>
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| 295 | <city>Gaithersburg</city>
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| 296 | <state>MD</state>
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| 297 | <postalCode>20877</postalCode>
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| 298 | </addr>
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| 299 | <assignedPerson>
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| 300 | <name>
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| 301 | <given>Nancy</given>
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| 302 | <family>Anthracite</family>
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| 303 | <suffix>MD</suffix>
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| 304 | </name>
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| 305 | </assignedPerson>
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| 306 | </assignedEntity>
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| 307 | </performer>
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| 308 | </serviceEvent>
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| 309 | </documentationOf>
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| 310 | <!--
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| 311 | ********************************************************
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| 312 | CDA Body
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| 313 | ********************************************************
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| 314 | -->
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| 315 | <component>
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| 316 | <structuredBody>
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| 317 | <!--
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| 318 | ********************************************************
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| 319 | Measure Set Section
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| 320 | ********************************************************
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| 321 | -->
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| 322 | <component>
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| 323 | <section>
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| 324 | <!-- WVP QRDA Category I measure-specific template ID for 2010 #1. -->
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| 325 | <!--WP Next 3 lines do not change during the reporting period, for the measures section-->
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| 326 | <templateId root="2.16.840.1.113883.3.249.11.12" />
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| 327 | <code code="55185-3" codeSystem="2.16.840.1.113883.6.1" />
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| 328 | <title>Measure set: CMS EHR Measure Set</title>
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| 329 | <text>2010 Measures Set Measures</text>
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| 330 | <!--
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| 331 | ***************************************************
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| 332 | Measure Section
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| 333 | ***************************************************
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| 334 | -->
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| 335 | <component>
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| 336 | <section>
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| 337 | <!--template ID for each measure being reported-->
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| 338 | <templateId root="2.16.840.1.113883.3.249.11.2" />
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| 339 | <templateId root="2.16.840.1.113883.3.249.11.3" />
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| 340 | <templateId root="2.16.840.1.113883.3.249.11.4" />
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| 341 | <templateId root="2.16.840.1.113883.3.249.11.5" />
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| 342 | <templateId root="2.16.840.1.113883.3.249.11.6" />
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| 343 | <templateId root="2.16.840.1.113883.3.249.11.7" />
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| 344 | <templateId root="2.16.840.1.113883.3.249.11.8" />
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| 345 | <templateId root="2.16.840.1.113883.3.249.11.9" />
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| 346 | <templateId root="2.16.840.1.113883.3.249.11.10" />
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| 347 | <templateId root="2.16.840.1.113883.3.249.11.11" />
|
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| 348 | <templateId root="2.16.840.1.113883.3.249.11.15" />
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| 349 | <code code="55186-1" codeSystem="2.16.840.1.113883.6.1" />
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| 350 | <title>Measure Section</title>
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| 351 | <!--Here is where the HTML begins for the above and it is optional-->
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| 352 | <text>
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| 353 | <list>
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| 354 | <item>CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus</item>
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| 355 | <item>CMS Measure #2: Diabetes Mellitus: Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus</item>
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| 356 | <item>CMS Measure #3: Diabetes Mellitus: High Blood Pressure Control in Diabetes Mellitus</item>
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| 357 | <item>CMS Measure #5: Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)</item>
|
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| 358 | <item>CMS Measure #7: Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI)</item>
|
---|
| 359 | <item>CMS Measure #110: Preventive Care and Screening: Influenza Immunization for Patients >= 50 Years</item>
|
---|
| 360 | <item>CMS Measure #111: Preventive Care and Screening: Pneumonia Vaccination for Patients 65 Years and Older</item>
|
---|
| 361 | <item>CMS Measure #112: Preventive Care and Screening: Screening Mammography</item>
|
---|
| 362 | <item>CMS Measure #113: Preventive Care and Screening: Colorectal Cancer Screening</item>
|
---|
| 363 | <item>CMS Measure #124: Health Information Technology (HIT): Adoption/Use of Electronic Health Records (EHR)</item>
|
---|
| 364 | <item>CMS Measure eRx:Adoption/Use of Medication Electronic Prescribing Measure</item>
|
---|
| 365 | </list>
|
---|
| 366 | </text>
|
---|
| 367 | <!--Begin listing of acts-->
|
---|
| 368 | <entry typeCode="DRIV">
|
---|
| 369 | <act classCode="ACT" moodCode="DEF">
|
---|
| 370 | <id root="3944fd20-865c-11df-a4ee-0800200c9a66"/>
|
---|
| 371 | <code code="PQRI-1" codeSystem="2.16.840.1.113883.3.249.12" displayName="Hemoglobin A1c Poor Control in Diabetes Mellitus"/>
|
---|
| 372 | <text>Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0%</text>
|
---|
| 373 | <statusCode code="completed"/>
|
---|
| 374 | </act>
|
---|
| 375 | </entry>
|
---|
| 376 | <entry typeCode="DRIV">
|
---|
| 377 | <act classCode="ACT" moodCode="DEF">
|
---|
| 378 | <id root="3944fd21-865c-11df-a4ee-0800200c9a66"/>
|
---|
| 379 | <code code="PQRI-2" codeSystem="2.16.840.1.113883.3.249.12" displayName="Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus"/>
|
---|
| 380 | <text>Percentage of patients 18 through 75 years with diabetes mellitus who had most recent LDL-C level in control (less than 100 mg./dL)</text>
|
---|
| 381 | <statusCode code="completed"/>
|
---|
| 382 | </act>
|
---|
| 383 | </entry>
|
---|
| 384 | <entry typeCode="DRIV">
|
---|
| 385 | <act classCode="ACT" moodCode="DEF">
|
---|
| 386 | <id root="3944fd22-865c-11df-a4ee-0800200c9a66"/>
|
---|
| 387 | <code code="PQRI-3" codeSystem="2.16.840.1.113883.3.249.12" displayName="Hemoglobin A1c Poor Control in Diabetes Mellitus"/>
|
---|
| 388 | <text>Percentage of patients 18 through 75 years with diabetes mellitus who had most recent blood pressure in control (less than 140/80 mmHg)</text>
|
---|
| 389 | <statusCode code="completed"/>
|
---|
| 390 | </act>
|
---|
| 391 | </entry>
|
---|
| 392 | <entry typeCode="DRIV">
|
---|
| 393 | <act classCode="ACT" moodCode="DEF">
|
---|
| 394 | <id root="3944fd23-865c-11df-a4ee-0800200c9a66"/>
|
---|
| 395 | <code code="PQRI-5" codeSystem="2.16.840.1.113883.3.249.12" displayName="Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)"/>
|
---|
| 396 | <text>Percentage of patients 18 years and older with a diagnosis of heart frilure and LVSD who were prescribed ACE inhibitor or ARB therapy</text>
|
---|
| 397 | <statusCode code="completed"/>
|
---|
| 398 | </act>
|
---|
| 399 | </entry>
|
---|
| 400 | <entry typeCode="DRIV">
|
---|
| 401 | <act classCode="ACT" moodCode="DEF">
|
---|
| 402 | <id root="3944fd24-865c-11df-a4ee-0800200c9a66"/>
|
---|
| 403 | <code code="PQRI-7" codeSystem="2.16.840.1.113883.3.249.12" displayName="Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction"/>
|
---|
| 404 | <text>Percentage of patients 18 aged 18 years and older wit a diagnosis of CAD and prior MI who were prescribed beta-blocker therapy</text>
|
---|
| 405 | <statusCode code="completed"/>
|
---|
| 406 | </act>
|
---|
| 407 | </entry>
|
---|
| 408 | <entry typeCode="DRIV">
|
---|
| 409 | <act classCode="ACT" moodCode="DEF">
|
---|
| 410 | <id root="3944fd25-865c-11df-a4ee-0800200c9a66"/>
|
---|
| 411 | <code code="PQRI-110" codeSystem="2.16.840.1.113883.3.249.12" displayName="Influenza Immunization for Patients >= 50 Years"/>
|
---|
| 412 | <text>Percentage of patients aged 50 years and older who received an influenza immunization during the flu season (September through February)</text>
|
---|
| 413 | <statusCode code="completed"/>
|
---|
| 414 | </act>
|
---|
| 415 | </entry>
|
---|
| 416 | <entry typeCode="DRIV">
|
---|
| 417 | <act classCode="ACT" moodCode="DEF">
|
---|
| 418 | <id root="3944fd26-865c-11df-a4ee-0800200c9a66"/>
|
---|
| 419 | <code code="PQRI-111" codeSystem="2.16.840.1.113883.3.249.12" displayName="Pneumonia Vaccination for Patients 65 Years and Older"/>
|
---|
| 420 | <text>Percentage of patients afed 65 years and older who have ever received a pneumoccal vaccine</text>
|
---|
| 421 | <statusCode code="completed"/>
|
---|
| 422 | </act>
|
---|
| 423 | </entry>
|
---|
| 424 | <entry typeCode="DRIV">
|
---|
| 425 | <act classCode="ACT" moodCode="DEF">
|
---|
| 426 | <id root="3944fd27-865c-11df-a4ee-0800200c9a66"/>
|
---|
| 427 | <code code="PQRI-112" codeSystem="2.16.840.1.113883.3.249.12" displayName="Screening Mammography"/>
|
---|
| 428 | <text>Percentage of womaen aged 40 through 69 years who had a mammogram to screen for breast cancer within 24 months</text>
|
---|
| 429 | <statusCode code="completed"/>
|
---|
| 430 | </act>
|
---|
| 431 | </entry>
|
---|
| 432 | <entry typeCode="DRIV">
|
---|
| 433 | <act classCode="ACT" moodCode="DEF">
|
---|
| 434 | <id root="3944fd28-865c-11df-a4ee-0800200c9a66"/>
|
---|
| 435 | <code code="PQRI-113" codeSystem="2.16.840.1.113883.3.249.12" displayName="Colorectal Cancer Screening"/>
|
---|
| 436 | <text>Percentage of patients aged 50 through 80 who received the appropriate colorectal cancer screening</text>
|
---|
| 437 | <statusCode code="completed"/>
|
---|
| 438 | </act>
|
---|
| 439 | </entry>
|
---|
| 440 | <entry typeCode="DRIV">
|
---|
| 441 | <act classCode="ACT" moodCode="DEF">
|
---|
| 442 | <id root="3944fd29-865c-11df-a4ee-0800200c9a66"/>
|
---|
| 443 | <code code="PQRI-124" codeSystem="2.16.840.1.113883.3.249.12" displayName="Adoption/Use of Electronic Health Records (EHR)"/>
|
---|
| 444 | <text>Documents whether provider has adopted and is using health information technology. To qualify, the provider must havea adopted and be using a certified/qualified electronic health record (EHR)</text>
|
---|
| 445 | <statusCode code="completed"/>
|
---|
| 446 | </act>
|
---|
| 447 | </entry>
|
---|
| 448 | <entry typeCode="DRIV">
|
---|
| 449 | <act classCode="ACT" moodCode="DEF">
|
---|
| 450 | <id root="3944fd30-865c-11df-a4ee-0800200c9a66"/>
|
---|
| 451 | <code code="eRx" codeSystem="2.16.840.1.113883.3.249.12" displayName="Adoption/Use of Medication Electronic Prescribing Measure"/>
|
---|
| 452 | <text>Documents whether provider has adopted and is using ePrescribing</text>
|
---|
| 453 | <statusCode code="completed"/>
|
---|
| 454 | </act>
|
---|
| 455 | </entry>
|
---|
| 456 | <!--
|
---|
| 457 | *******************************
|
---|
| 458 | Reporting Parameters Section
|
---|
| 459 | *****************************
|
---|
| 460 | -->
|
---|
| 461 | <component>
|
---|
| 462 | <section>
|
---|
| 463 | <code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
| 464 | <title>Reporting Parameters</title>
|
---|
| 465 | <text>
|
---|
| 466 | <list>
|
---|
| 467 | <item>Reporting Period Jan 1, 2010 to Dec 31, 2010</item>
|
---|
| 468 | </list>
|
---|
| 469 | </text>
|
---|
| 470 | <entry>
|
---|
| 471 | <act classCode="ACT" moodCode="EVN">
|
---|
| 472 | <code code="252116004" codeSystem="2.16.840.1.113883.6.96" displayName="Observation Parameters"/>
|
---|
| 473 | <effectiveTime>
|
---|
| 474 | <low value="20100101"/>
|
---|
| 475 | <high value="20101231"/>
|
---|
| 476 | </effectiveTime>
|
---|
| 477 | </act>
|
---|
| 478 | </entry>
|
---|
| 479 | </section>
|
---|
| 480 | </component>
|
---|
| 481 | <!--
|
---|
| 482 | ********************************************************
|
---|
| 483 | Patient Data
|
---|
| 484 | ********************************************************
|
---|
| 485 | -->
|
---|
| 486 | <component>
|
---|
| 487 | <section>
|
---|
| 488 | <code code="55188-7" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
| 489 | <title>Patient Data</title>
|
---|
| 490 | </section>
|
---|
| 491 | </component>
|
---|
| 492 | <!--
|
---|
| 493 | **************************************************
|
---|
| 494 | PROBLEM SECTION
|
---|
| 495 | **************************************************
|
---|
| 496 | -->
|
---|
| 497 | <component>
|
---|
| 498 | <section>
|
---|
| 499 | <!--Problems are observations and the next two lines are fixed -WVP-->
|
---|
| 500 | <templateId root="2.16.840.1.113883.10.20.1.11"/>
|
---|
| 501 | <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem list"/>
|
---|
| 502 | <title>Problems</title>
|
---|
| 503 | <text>
|
---|
| 504 | <table border="1" width="100%">
|
---|
| 505 | <tbody>
|
---|
| 506 | <tr>
|
---|
| 507 | <th>Condition</th>
|
---|
| 508 | <th>Effective Dates</th>
|
---|
| 509 | <th>Condition Status</th>
|
---|
| 510 | </tr>
|
---|
| 511 | <tr>
|
---|
| 512 | <td>Diabetes mellitus</td>
|
---|
| 513 | <td>1995</td>
|
---|
| 514 | <td>Active/Chronic</td>
|
---|
| 515 | </tr>
|
---|
| 516 | <tr>
|
---|
| 517 | <td>Congestive Heart Failure</td>
|
---|
| 518 | <td>2007</td>
|
---|
| 519 | <td>Active/Chronic</td>
|
---|
| 520 | </tr>
|
---|
| 521 | <tr>
|
---|
| 522 | <td>Myocardial Infactioon</td>
|
---|
| 523 | <td>1996</td>
|
---|
| 524 | <td>Resolved</td>
|
---|
| 525 | </tr>
|
---|
| 526 | </tbody>
|
---|
| 527 | </table>
|
---|
| 528 | </text>
|
---|
| 529 | <!--DRIV is derived from and both source and target are observations Next three lines are WVP-->
|
---|
| 530 | <entry typeCode="DRIV">
|
---|
| 531 | <act classCode="ACT" moodCode="EVN">
|
---|
| 532 | <templateId root="2.16.840.1.113883.10.20.1.27"/>
|
---|
| 533 | <!-- Problem act template -->
|
---|
| 534 | <!--This is a UID for this problem-->
|
---|
| 535 | <id root="82dd6640-8669-11df-a4ee-0800200c9a66"/>
|
---|
| 536 | <code nullFlavor="NA"/>
|
---|
| 537 | <!--relates an aCT to a subject act that the first act is primarily concerned with-->
|
---|
| 538 | <entryRelationship typeCode="SUBJ">
|
---|
| 539 | <observation classCode="OBS" moodCode="EVN">
|
---|
| 540 | <!--10.20.1.50 is for observation-->
|
---|
| 541 | <templateId root="2.16.840.1.113883.10.20.1.28"/>
|
---|
| 542 | <!-- Problem observation template -->
|
---|
| 543 | <id root="82dd6641-8669-11df-a4ee-0800200c9a66"/>
|
---|
| 544 | <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
|
---|
| 545 | <statusCode code="completed"/>
|
---|
| 546 | <effectiveTime>
|
---|
| 547 | <low value="19950101"/>
|
---|
| 548 | </effectiveTime>
|
---|
| 549 | <!--CD is a concept descriptor and the code systeem is ICD9 for 6.103 -->
|
---|
| 550 | <value xsi:type="CD" code="250.00" codeSystem="2.16.840.1.113883.6.103" displayName="Diabetes Mellitus"/>
|
---|
| 551 | <!--REFR is refers to-->
|
---|
| 552 | <entryRelationship typeCode="REFR">
|
---|
| 553 | <!-- EVN is event or a service that actually happens-->
|
---|
| 554 | <observation classCode="OBS" moodCode="EVN">
|
---|
| 555 | <!--10.20.1.50 is observation template OID-->
|
---|
| 556 | <templateId root="2.16.840.1.113883.10.20.1.50"/>
|
---|
| 557 | <!-- Problem status observation template -->
|
---|
| 558 | <!--33999-4 is for status template-->
|
---|
| 559 | <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Status"/>
|
---|
| 560 | <statusCode code="completed"/>
|
---|
| 561 | <!--55561003 is fro active CE is for coded with equivalents data type and 6.96 is SNOMED CT-->
|
---|
| 562 | <value xsi:type="CE" code="90734009" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Chronic"/>
|
---|
| 563 | </observation>
|
---|
| 564 | </entryRelationship>
|
---|
| 565 | </observation>
|
---|
| 566 | </entryRelationship>
|
---|
| 567 | </act>
|
---|
| 568 | </entry>
|
---|
| 569 | <!--DRIV is derived from and both source and target are observations Next three lines are WVP-->
|
---|
| 570 | <entry typeCode="DRIV">
|
---|
| 571 | <act classCode="ACT" moodCode="EVN">
|
---|
| 572 | <templateId root="2.16.840.1.113883.10.20.1.27"/>
|
---|
| 573 | <!-- Problem act template -->
|
---|
| 574 | <!--This is a UID for this problem-->
|
---|
| 575 | <id root="82dd6642-8669-11df-a4ee-0800200c9a66"/>
|
---|
| 576 | <code nullFlavor="NA"/>
|
---|
| 577 | <!--relates an aCT to a subject act that the first act is primarily concerned with-->
|
---|
| 578 | <entryRelationship typeCode="SUBJ">
|
---|
| 579 | <observation classCode="OBS" moodCode="EVN">
|
---|
| 580 | <!--10.20.1.50 is for observation-->
|
---|
| 581 | <templateId root="2.16.840.1.113883.10.20.1.28"/>
|
---|
| 582 | <!-- Problem observation template -->
|
---|
| 583 | <id root="82dd6643-8669-11df-a4ee-0800200c9a66"/>
|
---|
| 584 | <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
|
---|
| 585 | <statusCode code="completed"/>
|
---|
| 586 | <effectiveTime>
|
---|
| 587 | <low value="20070101"/>
|
---|
| 588 | </effectiveTime>
|
---|
| 589 | <!--CD is a concept descriptor and the code systeem is ICD9 for 6.103 -->
|
---|
| 590 | <value xsi:type="CD" code="428.0" codeSystem="2.16.840.1.113883.6.103" displayName="Congestive Heart Failure"/>
|
---|
| 591 | <!--REFR is refers to-->
|
---|
| 592 | <entryRelationship typeCode="REFR">
|
---|
| 593 | <!-- EVN is event or a service that actually happens-->
|
---|
| 594 | <observation classCode="OBS" moodCode="EVN">
|
---|
| 595 | <!--10.20.1.50 is observation template OID-->
|
---|
| 596 | <templateId root="2.16.840.1.113883.10.20.1.50"/>
|
---|
| 597 | <!-- Problem status observation template -->
|
---|
| 598 | <!--33999-4 is for status template-->
|
---|
| 599 | <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Status"/>
|
---|
| 600 | <statusCode code="completed"/>
|
---|
| 601 | <!--55561003 is fro active CE is for coded with equivalents data type and 6.96 is SNOMED CT-->
|
---|
| 602 | <value xsi:type="CE" code="90734009" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Chronic"/>
|
---|
| 603 | </observation>
|
---|
| 604 | </entryRelationship>
|
---|
| 605 | </observation>
|
---|
| 606 | </entryRelationship>
|
---|
| 607 | </act>
|
---|
| 608 | </entry>
|
---|
| 609 | <entry typeCode="DRIV">
|
---|
| 610 | <act classCode="ACT" moodCode="EVN">
|
---|
| 611 | <templateId root="2.16.840.1.113883.10.20.1.27"/>
|
---|
| 612 | <!-- Problem act template -->
|
---|
| 613 | <!--This is a UID for this problem-->
|
---|
| 614 | <id root="82dd6640-8669-11df-a4ee-0800200c9a66"/>
|
---|
| 615 | <code nullFlavor="NA"/>
|
---|
| 616 | <!--relates an aCT to a subject act that the first act is primarily concerned with-->
|
---|
| 617 | <entryRelationship typeCode="SUBJ">
|
---|
| 618 | <observation classCode="OBS" moodCode="EVN">
|
---|
| 619 | <!--10.20.1.50 is for observation-->
|
---|
| 620 | <templateId root="2.16.840.1.113883.10.20.1.28"/>
|
---|
| 621 | <!-- Problem observation template -->
|
---|
| 622 | <id root="82dd6641-8669-11df-a4ee-0800200c9a66"/>
|
---|
| 623 | <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
|
---|
| 624 | <statusCode code="completed"/>
|
---|
| 625 | <effectiveTime>
|
---|
| 626 | <low value="19960101"/>
|
---|
| 627 | </effectiveTime>
|
---|
| 628 | <!--CD is a concept descriptor and the code systeem is ICD9 for 6.103 -->
|
---|
| 629 | <value xsi:type="CD" code="412" codeSystem="2.16.840.1.113883.6.103" displayName="Old Myocardial Infarction"/>
|
---|
| 630 | <!--REFR is refers to-->
|
---|
| 631 | <entryRelationship typeCode="REFR">
|
---|
| 632 | <!-- EVN is event or a service that actually happens-->
|
---|
| 633 | <observation classCode="OBS" moodCode="EVN">
|
---|
| 634 | <!--10.20.1.50 is observation template OID-->
|
---|
| 635 | <templateId root="2.16.840.1.113883.10.20.1.50"/>
|
---|
| 636 | <!-- Problem status observation template -->
|
---|
| 637 | <!--33999-4 is for status template-->
|
---|
| 638 | <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Status"/>
|
---|
| 639 | <statusCode code="completed"/>
|
---|
| 640 | <!--55561003 is fro active CE is for coded with equivalents data type and 6.96 is SNOMED CT-->
|
---|
| 641 | <value xsi:type="CE" code="73425007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Inactive"/>
|
---|
| 642 | </observation>
|
---|
| 643 | </entryRelationship>
|
---|
| 644 | </observation>
|
---|
| 645 | </entryRelationship>
|
---|
| 646 | </act>
|
---|
| 647 | </entry>
|
---|
| 648 | </section>
|
---|
| 649 | </component>
|
---|
| 650 | <!--
|
---|
| 651 | *********************************************
|
---|
| 652 | Medication Section
|
---|
| 653 | *********************************************
|
---|
| 654 | -->
|
---|
| 655 | <component>
|
---|
| 656 | <section>
|
---|
| 657 | <!--<templateId root="2.16.840.1.113883.3.88.11.83.112" assigningAuthorityName="HITSP/C83"/>-->
|
---|
| 658 | <!--<templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.19" assigningAuthorityName="IHE PCC"/>-->
|
---|
| 659 | <templateId root="2.16.840.1.113883.10.20.1.8" assigningAuthorityName="HL7 CCD"/>
|
---|
| 660 | <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of medication use"/>
|
---|
| 661 | <title>Medications</title>
|
---|
| 662 | <text>
|
---|
| 663 | <table border="1" width="100%">
|
---|
| 664 | <thead>
|
---|
| 665 | <tr>
|
---|
| 666 | <th>Medication</th>
|
---|
| 667 | <th>Date</th>
|
---|
| 668 | <th>Status</th>
|
---|
| 669 | <th>Form</th>
|
---|
| 670 | <th>Strength</th>
|
---|
| 671 | <th>Quantity</th>
|
---|
| 672 | <th>SIG</th>
|
---|
| 673 | <th>Refills</th>
|
---|
| 674 | <th>Prescribed by</th>
|
---|
| 675 | </tr>
|
---|
| 676 | </thead>
|
---|
| 677 | <tbody>
|
---|
| 678 | <tr>
|
---|
| 679 | <td>GLYBURIDE-METFORMIN 2.5 mg-500 mg oral tablet</td>
|
---|
| 680 | <td>7-3-2010</td>
|
---|
| 681 | <td>ACTIVE</td>
|
---|
| 682 | <td>TABLET</td>
|
---|
| 683 | <td>2.5/500 MG</td>
|
---|
| 684 | <td>90 TAB</td>
|
---|
| 685 | <td> ONE BY MOUTH Q12H</td>
|
---|
| 686 | <td>two</td>
|
---|
| 687 | <td>Nancy Anthracite, MD</td>
|
---|
| 688 | </tr>
|
---|
| 689 | <tr>
|
---|
| 690 | <td>ATENOLOL 100MG TAB</td>
|
---|
| 691 | <td>7-3-2010</td>
|
---|
| 692 | <td>ACTIVE</td>
|
---|
| 693 | <td>TAB</td>
|
---|
| 694 | <td>100 MG</td>
|
---|
| 695 | <td>90 TAB</td>
|
---|
| 696 | <td>ONE TAB (BY MOUTH) QD</td>
|
---|
| 697 | <td>TWO</td>
|
---|
| 698 | <td>Nancy Anthracite, MD</td>
|
---|
| 699 | </tr>
|
---|
| 700 | <tr>
|
---|
| 701 | <td>LISINOPRIL 20MG TAB</td>
|
---|
| 702 | <td>7-3-2010</td>
|
---|
| 703 | <td>ACTIVE</td>
|
---|
| 704 | <td>TAB</td>
|
---|
| 705 | <td>20 MG</td>
|
---|
| 706 | <td>90 TAB</td>
|
---|
| 707 | <td>20 MG ORAL (BY MOUTH) QAM</td>
|
---|
| 708 | <td>2</td>
|
---|
| 709 | <td>Nancy Anthracite, MD</td>
|
---|
| 710 | </tr>
|
---|
| 711 | </tbody>
|
---|
| 712 | </table>
|
---|
| 713 | </text>
|
---|
| 714 | <entry typeCode="DRIV">
|
---|
| 715 | <!-- WVP EVN mood code is for event or a service that actually happens-->
|
---|
| 716 | <substanceAdministration classCode="SBADM" moodCode="EVN">
|
---|
| 717 | <!--WVP Substance Adminstration Template 10.20.1.24 what is administered but 10.20.1.34 would be for supply activity-->
|
---|
| 718 | <templateId root="2.16.840.1.113883.10.20.1.24" assigningAuthorityName="CCD"/>
|
---|
| 719 | <templateId root="2.16.840.1.113883.3.249.19.5.10" extension="10016"/>
|
---|
| 720 | <!--<id root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1" assigningAuthorityName="IHE PCC"/>-->
|
---|
| 721 | <!--<id root="MED1" extension="CCRObjectID"/>-->
|
---|
| 722 | <id root="2.16.840.1.113883.19.5.10" extension="100016"/>
|
---|
| 723 | <statusCode code="completed"/>
|
---|
| 724 | <effectiveTime xsi:type="IVL_TS">
|
---|
| 725 | <low value="20100703"/>
|
---|
| 726 | <high nullFlavor="UNK"/>
|
---|
| 727 |
|
---|
| 728 | </effectiveTime>
|
---|
| 729 | <effectiveTime xsi:type="PIVL_TS" operator="A">
|
---|
| 730 | <period value="12" unit="h"/>
|
---|
| 731 | </effectiveTime>
|
---|
| 732 | <!--SHOULD have this routeOfAdminstartionbut I can't find the codes for it-->
|
---|
| 733 | <!--Downloadable resource is missing them-->
|
---|
| 734 | <!--<routeCode displayName="" code="" codeSystemName="2.16.840.1.113883.5.112"/>-->
|
---|
| 735 | <doseQuantity value="1">
|
---|
| 736 | <!--Unit was missing from generated CCD MG was added (hope it is right!)-->
|
---|
| 737 | <low value="1" unit="TAB"/>
|
---|
| 738 | <high value="1" unit="TAB"/>
|
---|
| 739 | </doseQuantity>
|
---|
| 740 | <consumable>
|
---|
| 741 | <manufacturedProduct>
|
---|
| 742 | <!--<templateId root="2.16.840.1.113883.3.88.11.83.8.2" assigningAuthorityName="HITSP C83"/>-->
|
---|
| 743 | <templateId root="2.16.840.1.113883.10.20.1.53" assigningAuthorityName="CCD"/>
|
---|
| 744 | <!--<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.2" assigningAuthorityName="IHE PCC"/>-->
|
---|
| 745 | <manufacturedMaterial>
|
---|
| 746 | <!--this will be right RxNorm in 2011-->
|
---|
| 747 | <!--Other options to use
|
---|
| 748 | 00087607311 glyBURIDE-metformin 2.5 mg-500 mg oral tablet
|
---|
| 749 | 00087607411 glyBURIDE-metformin 5 mg-500 mg oral tablet
|
---|
| 750 | 00087607731 glipiZIDE-metformin 2.5 mg-500 mg oral tablet
|
---|
| 751 | 00087607831 glipiZIDE-metformin 5 mg-500 mg oral tablet
|
---|
| 752 | 00087608131 glipiZIDE-metformin 2.5 mg-250 mg oral tablet-->
|
---|
| 753 |
|
---|
| 754 | <code code="00087607411" displayName="glyburide-metformin 2.5 mg-500 mg oral tablet" codeSystemName="NDC" codeSystem="2.16.840.1.113883.6.69">
|
---|
| 755 | <!--<name/>-->
|
---|
| 756 | <originalText>glyburide-metformin</originalText>
|
---|
| 757 | </code>
|
---|
| 758 | </manufacturedMaterial>
|
---|
| 759 | </manufacturedProduct>
|
---|
| 760 | </consumable>
|
---|
| 761 | </substanceAdministration>
|
---|
| 762 | </entry>
|
---|
| 763 | <entry typeCode="DRIV">
|
---|
| 764 | <substanceAdministration classCode="SBADM" moodCode="EVN">
|
---|
| 765 | <templateId root="2.16.840.1.113883.10.20.1.24" assigningAuthorityName="CCD"/>
|
---|
| 766 | <!--<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1" assigningAuthorityName="IHE PCC"/>-->
|
---|
| 767 | <!--<id root="MED2" extension="CCRObjectID"/>-->
|
---|
| 768 | <id root="2.16.840.1.113883.19.5.10" extension="100016"/>
|
---|
| 769 | <statusCode code="completed"/>
|
---|
| 770 | <effectiveTime xsi:type="IVL_TS">
|
---|
| 771 | <low value="20100701"/>
|
---|
| 772 | <high nullFlavor="UNK"/>
|
---|
| 773 | </effectiveTime>
|
---|
| 774 | <effectiveTime xsi:type="PIVL_TS" operator="A">
|
---|
| 775 | <period value="12" unit="h"/>
|
---|
| 776 | </effectiveTime>
|
---|
| 777 | <!--SHOULD have this routeOfAdminstartionbut I can't find the codes for it-->
|
---|
| 778 | <!--Downloadable resource is missing them-->
|
---|
| 779 | <!--<routeCode displayName="" code="" codeSystemName="2.16.840.1.113883.5.112"/>-->
|
---|
| 780 | <doseQuantity value="1">
|
---|
| 781 | <!--Unit was missing from generated CCD MG was added (hope it is right!)-->
|
---|
| 782 | <low value="1" unit="TAB"/>
|
---|
| 783 | <high value="1" unit="TAB"/>
|
---|
| 784 | </doseQuantity>
|
---|
| 785 | <consumable>
|
---|
| 786 | <manufacturedProduct>
|
---|
| 787 | <!--<templateId root="2.16.840.1.113883.3.88.11.83.8.2" assigningAuthorityName="HITSP C83"/>-->
|
---|
| 788 | <templateId root="2.16.840.1.113883.10.20.1.53" assigningAuthorityName="CCD"/>
|
---|
| 789 | <!--<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.2" assigningAuthorityName="IHE PCC"/>-->
|
---|
| 790 | <manufacturedMaterial>
|
---|
| 791 | <!--not valid until 2011-->
|
---|
| 792 | <!--<code displayName="ATENOLOL 100MG TAB" code="197379" codeSystemName="RXNORM" codeSystem=""/>-->
|
---|
| 793 | <!--Other Options
|
---|
| 794 | 00005321843 atenolol 25 mg oral tablet Atenolol
|
---|
| 795 | 00005321934 atenolol 50 mg oral tablet Atenolol
|
---|
| 796 | 00005321943 atenolol 50 mg oral tablet Atenolol
|
---|
| 797 | 00005322034 atenolol 100 mg oral tablet Atenolol
|
---|
| 798 | 00005322043 atenolol 100 mg oral tablet Atenolol
|
---|
| 799 | -->
|
---|
| 800 | <code code="00005322034" displayName="ATENOLOL 100MG TAB" codeSystemName="NDC" codeSystem="2.16.840.1.113883.6.69">
|
---|
| 801 | <!--<name/>-->
|
---|
| 802 | <originalText>atenolol</originalText>
|
---|
| 803 | </code>
|
---|
| 804 | </manufacturedMaterial>
|
---|
| 805 | </manufacturedProduct>
|
---|
| 806 | </consumable>
|
---|
| 807 | </substanceAdministration>
|
---|
| 808 | </entry>
|
---|
| 809 | <entry typeCode="DRIV">
|
---|
| 810 | <substanceAdministration classCode="SBADM" moodCode="EVN">
|
---|
| 811 | <templateId root="2.16.840.1.113883.10.20.1.24" assigningAuthorityName="CCD"/>
|
---|
| 812 | <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1" assigningAuthorityName="IHE PCC"/>
|
---|
| 813 | <id root="2.16.840.1.113883.19.5.10" extension="100016"/>
|
---|
| 814 | <statusCode code="completed"/>
|
---|
| 815 | <effectiveTime xsi:type="IVL_TS">
|
---|
| 816 | <low value="20100703"/>
|
---|
| 817 | <high nullFlavor="UNK"/>
|
---|
| 818 | </effectiveTime>
|
---|
| 819 | <!--<routeCode displayName="" code="" codeSystemName="2.16.840.1.113883.5.112"/>-->
|
---|
| 820 | <doseQuantity>
|
---|
| 821 | <low value="20" unit="MG"/>
|
---|
| 822 | <high value="20" unit="MG"/>
|
---|
| 823 | </doseQuantity>
|
---|
| 824 | <consumable>
|
---|
| 825 | <manufacturedProduct>
|
---|
| 826 | <templateId root="2.16.840.1.113883.3.88.11.83.8.2" assigningAuthorityName="HITSP C83"/>
|
---|
| 827 | <templateId root="2.16.840.1.113883.10.20.1.53" assigningAuthorityName="CCD"/>
|
---|
| 828 | <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.2" assigningAuthorityName="IHE PCC"/>
|
---|
| 829 | <!--Other options
|
---|
| 830 | 00006001528 lisinopril 2.5 mg oral tablet
|
---|
| 831 | 00006001531 lisinopril 2.5 mg oral tablet
|
---|
| 832 | 00006001558 lisinopril 2.5 mg oral tablet
|
---|
| 833 | 00006001928 lisinopril 5 mg oral tablet
|
---|
| 834 | 00006001954 lisinopril 5 mg oral tablet
|
---|
| 835 | 00006001958 lisinopril 5 mg oral tablet
|
---|
| 836 | 00006001972 lisinopril 5 mg oral tablet
|
---|
| 837 | 00006001982 lisinopril 5 mg oral tablet
|
---|
| 838 | 00006001987 lisinopril 5 mg oral tablet
|
---|
| 839 | 00006001994 lisinopril 5 mg oral tablet
|
---|
| 840 | 00006010628 lisinopril 10 mg oral tablet
|
---|
| 841 | 00006010631 lisinopril 10 mg oral tablet
|
---|
| 842 | 00006010654 lisinopril 10 mg oral tablet
|
---|
| 843 | 00006010658 lisinopril 10 mg oral tablet
|
---|
| 844 | 00006010672 lisinopril 10 mg oral tablet
|
---|
| 845 | 00006010682 lisinopril 10 mg oral tablet
|
---|
| 846 | 00006010686 lisinopril 10 mg oral tablet
|
---|
| 847 | 00006010687 lisinopril 10 mg oral tablet
|
---|
| 848 | 00006010694 lisinopril 10 mg oral tablet
|
---|
| 849 | -->
|
---|
| 850 |
|
---|
| 851 |
|
---|
| 852 | <manufacturedMaterial>
|
---|
| 853 | <code displayName="LISINOPRIL 10 MG TAB" code="00006010628" codeSystemName="NDC" codeSystem="2.16.840.1.113883.6.69">
|
---|
| 854 | <originalText>lisinopril</originalText>
|
---|
| 855 | </code>
|
---|
| 856 | </manufacturedMaterial>
|
---|
| 857 | </manufacturedProduct>
|
---|
| 858 | </consumable>
|
---|
| 859 | </substanceAdministration>
|
---|
| 860 | </entry>
|
---|
| 861 | </section>
|
---|
| 862 | </component>
|
---|
| 863 | <!--
|
---|
| 864 | ******************************
|
---|
| 865 | Results Section
|
---|
| 866 | ***********************
|
---|
| 867 | -->
|
---|
| 868 | <component>
|
---|
| 869 | <section>
|
---|
| 870 | <templateId root="2.16.840.1.113883.10.20.1.14"/>
|
---|
| 871 | <code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Relevant diagnostic tests and/or laboratory data"/>
|
---|
| 872 | <title>Results</title>
|
---|
| 873 | <text>
|
---|
| 874 | <table border="1" width="100%">
|
---|
| 875 | <tbody>
|
---|
| 876 | <tr>
|
---|
| 877 | <th>Test</th>
|
---|
| 878 | <th>Date</th>
|
---|
| 879 | <th>Result</th>
|
---|
| 880 | <th>Ref. Range</th>
|
---|
| 881 |
|
---|
| 882 | </tr>
|
---|
| 883 |
|
---|
| 884 | <tr>
|
---|
| 885 | <td>Calculated LDL</td>
|
---|
| 886 | <td>7-3-2010</td>
|
---|
| 887 | <td>LDL CHOLESTEROL 90 MG/DL</td>
|
---|
| 888 | <td>0-130</td>
|
---|
| 889 |
|
---|
| 890 | </tr>
|
---|
| 891 | <tr>
|
---|
| 892 | <td>HEMOGLOBIN A1C 9.1 percent H</td>
|
---|
| 893 | <td>7-3-2010</td>
|
---|
| 894 | <td>A1C 9.1 percent H</td>
|
---|
| 895 | <td>3.5-6.0</td>
|
---|
| 896 | </tr>
|
---|
| 897 | <tr>
|
---|
| 898 | <td>EJECTION FRACTION</td>
|
---|
| 899 | <td>20100210</td>
|
---|
| 900 | <td>39%</td>
|
---|
| 901 | <td>55-75</td>
|
---|
| 902 | </tr>
|
---|
| 903 |
|
---|
| 904 | </tbody>
|
---|
| 905 | </table>
|
---|
| 906 | </text>
|
---|
| 907 |
|
---|
| 908 | <entry contextConductionInd="true" typeCode="DRIV">
|
---|
| 909 | <organizer classCode="CLUSTER" moodCode="EVN">
|
---|
| 910 | <templateId root="2.16.840.1.113883.10.20.1.32"/>
|
---|
| 911 | <id root="38eb54f1-888c-11df-a4ee-0800200c9a66"/>
|
---|
| 912 | <code code="27571006" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" displayName="chemistry"/>
|
---|
| 913 | <statusCode code="completed"/>
|
---|
| 914 | <effectiveTime value="201007031300"/>
|
---|
| 915 | <!--LDL -->
|
---|
| 916 | <component>
|
---|
| 917 | <observation classCode="OBS" moodCode="EVN">
|
---|
| 918 | <templateId root="2.16.840.1.113883.3.88.11.83.15" assigningAuthorityName="HITSP C83"/>
|
---|
| 919 | <templateId root="2.16.840.1.113883.10.20.1.31" assigningAuthorityName="CCD"/>
|
---|
| 920 | <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13" assigningAuthorityName="IHE PCC"/>
|
---|
| 921 | <!--WV GUID goes below-->
|
---|
| 922 | <id root="a32801b1-8855-11df-a4ee-0800200c9a66"/>
|
---|
| 923 | <code displayName="CALCULATED LDL IN MG/DL" code="13457-7" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
| 924 | <!--WV Some other alternatives-->
|
---|
| 925 | <!--<code displayName="DIRECTLY MEASURED LDL IN MG/DL" code="18262-6" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>-->
|
---|
| 926 | <!--<code displayName="LDL CHOLESTEROL, NO METHOD, MG/DL" code="2089-1" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>-->
|
---|
| 927 |
|
---|
| 928 | <text>
|
---|
| 929 | <reference value="90 mg/dl"/>
|
---|
| 930 | </text>
|
---|
| 931 | <effectiveTime value="201007031300"/>
|
---|
| 932 | <value xsi:type="PQ" value="90" unit="MG/DL"/>
|
---|
| 933 | <referenceRange>
|
---|
| 934 | <observationRange>
|
---|
| 935 | <text>0-130</text>
|
---|
| 936 | </observationRange>
|
---|
| 937 | </referenceRange>
|
---|
| 938 | </observation>
|
---|
| 939 | </component>
|
---|
| 940 | </organizer>
|
---|
| 941 | </entry>
|
---|
| 942 |
|
---|
| 943 | <!--
|
---|
| 944 | ********************************
|
---|
| 945 | Hemoglobin A1C in Hematology
|
---|
| 946 | ***********************************
|
---|
| 947 | -->
|
---|
| 948 | <entry typeCode="DRIV">
|
---|
| 949 | <organizer classCode="CLUSTER" moodCode="EVN">
|
---|
| 950 | <templateId root="2.16.840.1.113883.10.20.1.32"/>
|
---|
| 951 | <id root="38eb54f7-888c-11df-a4ee-0800200c9a66"/>
|
---|
| 952 | <code code="272275004" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" displayName="hematology"/>
|
---|
| 953 | <statusCode code="completed"/>
|
---|
| 954 | <effectiveTime value="201007031300"/>
|
---|
| 955 | <component>
|
---|
| 956 | <observation classCode="OBS" moodCode="EVN">
|
---|
| 957 | <!--<templateId root="2.16.840.1.113883.3.88.11.83.15" assigningAuthorityName="HITSP C83"/>-->
|
---|
| 958 | <templateId root="2.16.840.1.113883.10.20.1.31" assigningAuthorityName="CCD"/>
|
---|
| 959 | <!--<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13" assigningAuthorityName="IHE PCC"/>-->
|
---|
| 960 | <id root="a32801b6-8855-11df-a4ee-0800200c9a66"/>
|
---|
| 961 | <code displayName="HEMOGLOBIN A1C By UNKNOWN METHOD" code="4548-4" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
|
---|
| 962 | <text>
|
---|
| 963 | <reference value="9.1 percent"/>
|
---|
| 964 | </text>
|
---|
| 965 |
|
---|
| 966 |
|
---|
| 967 | <value xsi:type="PQ" value="9.1" unit="%"/>
|
---|
| 968 | <interpretationCode displayName="Abnormal High" code="H" codeSystemName="2.16.840.1.113883.5.83"/>
|
---|
| 969 | <referenceRange>
|
---|
| 970 | <observationRange>
|
---|
| 971 | <text>3.5-6.0</text>
|
---|
| 972 | </observationRange>
|
---|
| 973 | </referenceRange>
|
---|
| 974 | </observation>
|
---|
| 975 | </component>
|
---|
| 976 | </organizer>
|
---|
| 977 | </entry>
|
---|
| 978 |
|
---|
| 979 |
|
---|
| 980 | <!--
|
---|
| 981 | ******************************
|
---|
| 982 | ejection fraction
|
---|
| 983 | *******************************
|
---|
| 984 | THIS IS WHERE THE PROBLEM IS WITH STATUS
|
---|
| 985 | cvc-complex-type.2.4.a: Invalid content was found starting with element 'observation'. One of '{"urn:hl7-org:v3":statusCode}' is expected.
|
---|
| 986 | -->
|
---|
| 987 |
|
---|
| 988 | <entry contextConductionInd="true" typeCode="DRIV">
|
---|
| 989 | <organizer classCode="CLUSTER" moodCode="EVN">
|
---|
| 990 | <templateId root="2.16.840.1.113883.10.20.1.32"/>
|
---|
| 991 | <id root="38eb54f1-888c-11df-a4ee-0800200c9a66"/>
|
---|
| 992 | <code code="363679005" codeSystemName="SNOMED CT" displayName="IMAGING"/>
|
---|
| 993 | <statusCode code="completed"/>
|
---|
| 994 |
|
---|
| 995 | <component>
|
---|
| 996 | <observation classCode="OBS" moodCode="EVN">
|
---|
| 997 | <!--<templateId root="2.16.840.1.113883.3.88.11.83.15" assigningAuthorityName="HITSP C83"/>-->
|
---|
| 998 | <templateId root="2.16.840.1.113883.10.20.1.31" assigningAuthorityName="CCD"/>
|
---|
| 999 | <!--<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13" assigningAuthorityName="IHE PCC"/>-->
|
---|
| 1000 | <id root="38eb54f2-888c-11df-a4ee-0800200c9a66"/>
|
---|
| 1001 | <code code="250908004" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="LEFT VERTRICULAR EJECTION FRACTION"/>
|
---|
| 1002 | <text>LEFT VERTRICULAR EJECTION FRACTION</text>
|
---|
| 1003 | <effectiveTime value="201002101300"/>
|
---|
| 1004 | <value xsi:type="PQ" value="39" unit="%"/>
|
---|
| 1005 | <referenceRange>
|
---|
| 1006 | <observationRange>
|
---|
| 1007 | <text>55-75</text>
|
---|
| 1008 | </observationRange>
|
---|
| 1009 | </referenceRange>
|
---|
| 1010 | </observation>
|
---|
| 1011 | </component>
|
---|
| 1012 | </organizer>
|
---|
| 1013 | </entry>
|
---|
| 1014 |
|
---|
| 1015 | </section>
|
---|
| 1016 | </component>
|
---|
| 1017 | <!--
|
---|
| 1018 | ******************************
|
---|
| 1019 | Procedures Section
|
---|
| 1020 | **********************
|
---|
| 1021 | -->
|
---|
| 1022 | <component>
|
---|
| 1023 | <section>
|
---|
| 1024 | <templateId root="2.16.840.1.113883.10.20.1.12"/>
|
---|
| 1025 | <code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of procedures"/>
|
---|
| 1026 | <title>Procedures</title>
|
---|
| 1027 | <text>
|
---|
| 1028 | <table border="1" width="100%">
|
---|
| 1029 | <tbody>
|
---|
| 1030 | <tr>
|
---|
| 1031 | <th>Procedure</th>
|
---|
| 1032 | <th>Date </th>
|
---|
| 1033 | <th>Ordered By</th>
|
---|
| 1034 | <th>Performed By</th>
|
---|
| 1035 | </tr>
|
---|
| 1036 | <tr>
|
---|
| 1037 | <td>Mammogram</td>
|
---|
| 1038 | <td>2-10-2010</td>
|
---|
| 1039 | <td>Nancy Anthracite, MD</td>
|
---|
| 1040 | <td>Grover, Christie & Merritt</td>
|
---|
| 1041 | </tr>
|
---|
| 1042 | <tr>
|
---|
| 1043 | <td>Colonoscopy</td>
|
---|
| 1044 | <td>2-18-2010</td>
|
---|
| 1045 | <td>Nancy Anthracite, MD</td>
|
---|
| 1046 | <td>John Gallager, MD</td>
|
---|
| 1047 | </tr>
|
---|
| 1048 | </tbody>
|
---|
| 1049 | </table>
|
---|
| 1050 | </text>
|
---|
| 1051 |
|
---|
| 1052 | <!--There are three options to choose from here those being Acts, Observations
|
---|
| 1053 | or Procedures. Uncomment the one you need. These are in Tab M of the Downloadable Resource-->
|
---|
| 1054 | <!--<entry typeCode="DRIV"/>
|
---|
| 1055 | <procedure classCode="PROC" moodCode="EVN/>"
|
---|
| 1056 | <templateId root="2.16.840.1.113883.10.20.1.29"/>-->
|
---|
| 1057 | <!-- this is a purpose type of activity and a problem is a Problem Activity with a different template-->
|
---|
| 1058 | <!--<act classCode="ACT" moodCode="EVN">
|
---|
| 1059 | <templateId root="2.16.840.1.113883.10.20.1.30"/>-->
|
---|
| 1060 | <!--There are lots of observation templates as well. This is the Result observation which I hope is right-->
|
---|
| 1061 | <!--<observation classCode="OBS" moodCode="EVN">
|
---|
| 1062 | <templateId root="2.16.840.1.113883.10.20.1.31"/>-->
|
---|
| 1063 |
|
---|
| 1064 | <entry typeCode="DRIV">
|
---|
| 1065 | <procedure classCode="PROC" moodCode="EVN">
|
---|
| 1066 | <templateId root="2.16.840.1.113883.10.20.1.29"/>
|
---|
| 1067 | <id root="a32801b9-8855-11df-a4ee-0800200c9a66"/>
|
---|
| 1068 | <code code="24623002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="SCREENING MAMMOGRAPHY"/>
|
---|
| 1069 | <statusCode code="completed"/>
|
---|
| 1070 | <effectiveTime value="20100210"/>
|
---|
| 1071 | <participant typeCode="DEV">
|
---|
| 1072 | <participantRole classCode="MANU">
|
---|
| 1073 | <templateId root="2.16.840.1.113883.10.20.1.52"/>
|
---|
| 1074 | <id root="7eedbc62-8a15-11df-a4ee-0800200c9a66"/>
|
---|
| 1075 | </participantRole>
|
---|
| 1076 | </participant>
|
---|
| 1077 | </procedure>
|
---|
| 1078 |
|
---|
| 1079 |
|
---|
| 1080 |
|
---|
| 1081 |
|
---|
| 1082 | </entry>
|
---|
| 1083 | </section>
|
---|
| 1084 | </component>
|
---|
| 1085 |
|
---|
| 1086 |
|
---|
| 1087 |
|
---|
| 1088 | <!--
|
---|
| 1089 | *********************************************
|
---|
| 1090 | Immunization Section
|
---|
| 1091 | ***********************************************
|
---|
| 1092 | -->
|
---|
| 1093 | <component>
|
---|
| 1094 | <section>
|
---|
| 1095 | <templateId root="2.16.840.1.113883.10.20.1.6"/>
|
---|
| 1096 | <code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunizations"/>
|
---|
| 1097 | <title>History of Immunizations</title>
|
---|
| 1098 | <text>
|
---|
| 1099 | <table border="1" width="100%">
|
---|
| 1100 | <thead>
|
---|
| 1101 | <tr>
|
---|
| 1102 | <th>Vaccine</th>
|
---|
| 1103 | <th>Date</th>
|
---|
| 1104 | <th>Status</th>
|
---|
| 1105 | </tr>
|
---|
| 1106 | </thead>
|
---|
| 1107 | <tbody>
|
---|
| 1108 | <tr>
|
---|
| 1109 | <td>Influenza virus vaccine, split</td>
|
---|
| 1110 | <td>Oct. 15. 2009</td>
|
---|
| 1111 | <td>Completed</td>
|
---|
| 1112 | </tr>
|
---|
| 1113 | <tr>
|
---|
| 1114 | <td>Pneumococcal vaccine</td>
|
---|
| 1115 | <td>Jan. 10,2010</td>
|
---|
| 1116 | <td>Completed</td>
|
---|
| 1117 | </tr>
|
---|
| 1118 | </tbody>
|
---|
| 1119 | </table>
|
---|
| 1120 | </text>
|
---|
| 1121 | <entry typeCode="DRIV">
|
---|
| 1122 | <substanceAdministration classCode="SBADM" moodCode="EVN">
|
---|
| 1123 | <templateId root="2.16.840.1.113883.10.20.1.24"/>
|
---|
| 1124 | <!-- WVP Medication activity template -->
|
---|
| 1125 | <id root="2.16.840.1.113883.3.543" extension="01.02.03.100020"/>
|
---|
| 1126 |
|
---|
| 1127 | <statusCode code="completed"/>
|
---|
| 1128 | <effectiveTime xsi:type="IVL_TS">
|
---|
| 1129 | <center value="20091015"/>
|
---|
| 1130 | </effectiveTime>
|
---|
| 1131 | <routeCode code="IM" codeSystem="2.16.840.1.113883.5.112" codeSystemName="RouteOfAdministration" displayName="Intramuscular injection"/>
|
---|
| 1132 | <consumable>
|
---|
| 1133 | <manufacturedProduct>
|
---|
| 1134 | <templateId root="2.16.840.1.113883.10.20.1.53"/>
|
---|
| 1135 | <!-- Product template -->
|
---|
| 1136 | <manufacturedMaterial>
|
---|
| 1137 | <!--Code is from table D Downloadabe Resource CVX code system is 6.59-->
|
---|
| 1138 | <code code="15" codeSystem="2.16.840.1.113883.6.59" displayName="INFLUENZA VIRUS VACCIINE, SPLIT">
|
---|
| 1139 | <originalText>INFLUENZA VIRUS VACCIINE, SPLIT</originalText>
|
---|
| 1140 | </code>
|
---|
| 1141 | </manufacturedMaterial>
|
---|
| 1142 | </manufacturedProduct>
|
---|
| 1143 | </consumable>
|
---|
| 1144 | </substanceAdministration>
|
---|
| 1145 | </entry>
|
---|
| 1146 | <entry typeCode="DRIV">
|
---|
| 1147 | <substanceAdministration classCode="SBADM" moodCode="EVN">
|
---|
| 1148 | <templateId root="2.16.840.1.113883.10.20.1.24"/>
|
---|
| 1149 | <!-- WVP Medication activity template -->
|
---|
| 1150 | <id root="2.16.840.1.113883.3.543" extension="01.02.03.100021"/>
|
---|
| 1151 |
|
---|
| 1152 | <statusCode code="completed"/>
|
---|
| 1153 | <effectiveTime xsi:type="IVL_TS">
|
---|
| 1154 | <center value="20100110"/>
|
---|
| 1155 | </effectiveTime>
|
---|
| 1156 | <routeCode code="IM" codeSystem="2.16.840.1.113883.5.112" codeSystemName="RouteOfAdministration" displayName="Intramuscular injection"/>
|
---|
| 1157 | <consumable>
|
---|
| 1158 | <manufacturedProduct>
|
---|
| 1159 | <!-- WVP Product template -->
|
---|
| 1160 | <templateId root="2.16.840.1.113883.10.20.1.53"/>
|
---|
| 1161 | <manufacturedMaterial>
|
---|
| 1162 | <!--Code is from table D Downloadabe Resource CVX code system is 6.59-->
|
---|
| 1163 | <code code="33" codeSystem="2.16.840.1.113883.6.59" displayName="PNEUMOCCAL VACCINE">
|
---|
| 1164 | <originalText>PNEUMOCCAL VACCINE</originalText>
|
---|
| 1165 | </code>
|
---|
| 1166 | </manufacturedMaterial>
|
---|
| 1167 | </manufacturedProduct>
|
---|
| 1168 | </consumable>
|
---|
| 1169 | </substanceAdministration>
|
---|
| 1170 | </entry>
|
---|
| 1171 | </section>
|
---|
| 1172 | </component>
|
---|
| 1173 | <!--
|
---|
| 1174 | *****************************************************
|
---|
| 1175 | Vital Signs Section
|
---|
| 1176 | ****************************************
|
---|
| 1177 | -->
|
---|
| 1178 | <component>
|
---|
| 1179 | <section>
|
---|
| 1180 | <templateId root="2.16.840.1.113883.10.20.1.16"/>
|
---|
| 1181 | <code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital signs"/>
|
---|
| 1182 | <title>Vital Signs</title>
|
---|
| 1183 | <text>
|
---|
| 1184 | <table border="1" width="100%">
|
---|
| 1185 | <tbody>
|
---|
| 1186 | <tr>
|
---|
| 1187 | <th>Date</th>
|
---|
| 1188 | <th>Vital Sign</th>
|
---|
| 1189 | <th>Result</th>
|
---|
| 1190 | <th>Source</th>
|
---|
| 1191 | </tr>
|
---|
| 1192 | <tr>
|
---|
| 1193 | <td>2-5-2010</td>
|
---|
| 1194 | <td>Systolic Blood Pressure</td>
|
---|
| 1195 | <td>130</td>
|
---|
| 1196 | <td>WorldVistA Test Clinic</td>
|
---|
| 1197 |
|
---|
| 1198 | </tr>
|
---|
| 1199 | <tr>
|
---|
| 1200 | <td>2-5-2010</td>
|
---|
| 1201 | <td>Diastolic Blood Pressure</td>
|
---|
| 1202 | <td>78</td>
|
---|
| 1203 | <td>WorldVistA Test Clinic</td>
|
---|
| 1204 | </tr>
|
---|
| 1205 | <tr>
|
---|
| 1206 | <td>2-5-2010</td>
|
---|
| 1207 | <td>Heart Rate</td>
|
---|
| 1208 | <td>55</td>
|
---|
| 1209 | <td>WorldVistA Test Clinic</td>
|
---|
| 1210 | </tr>
|
---|
| 1211 | <tr>
|
---|
| 1212 | <td>7-3-2010</td>
|
---|
| 1213 | <td>Systolic Blood Pressure</td>
|
---|
| 1214 | <td>128</td>
|
---|
| 1215 | <td>WorldVistA Test Clinic</td>
|
---|
| 1216 |
|
---|
| 1217 | </tr>
|
---|
| 1218 | <tr>
|
---|
| 1219 | <td>7-3-2010</td>
|
---|
| 1220 | <td>Diastolic Blood Pressure</td>
|
---|
| 1221 | <td>80</td>
|
---|
| 1222 | <td>WorldVistA Test Clinic</td>
|
---|
| 1223 | </tr>
|
---|
| 1224 | <tr>
|
---|
| 1225 | <td>7-3-2010</td>
|
---|
| 1226 | <td>Heart Rate</td>
|
---|
| 1227 | <td>57</td>
|
---|
| 1228 | <td>WorldVistA Test Clinic</td>
|
---|
| 1229 | </tr>
|
---|
| 1230 | </tbody>
|
---|
| 1231 | </table>
|
---|
| 1232 | </text>
|
---|
| 1233 |
|
---|
| 1234 |
|
---|
| 1235 | <!--Vital Signs from 2-5-2010 under an organizer follow. Onlty these 3 vistal signs are allowed-->
|
---|
| 1236 | <!--WVV Must change the UUIDs for the vital signs and the entries-->
|
---|
| 1237 |
|
---|
| 1238 | <entry typeCode="DRIV">
|
---|
| 1239 | <organizer classCode="CLUSTER" moodCode="EVN">
|
---|
| 1240 | <templateId root="2.16.840.1.113883.10.20.1.32" assigningAuthorityName="CCD"/>
|
---|
| 1241 | <templateId root="2.16.840.1.113883.10.20.1.35" assigningAuthorityName="CCD"/>
|
---|
| 1242 | <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13.1" assigningAuthorityName="IHE PCC"/>
|
---|
| 1243 | <id root="7eedbc60-8a15-11df-a4ee-0800200c9a66"/>
|
---|
| 1244 | <code code="46680005" codeSystem="2.16.840.1.113883.6.96" displayName="Vital signs" codeSystemName="SNOMED CT"/>
|
---|
| 1245 | <statusCode code="completed"/>
|
---|
| 1246 | <effectiveTime>
|
---|
| 1247 | <low value="20100205"/>
|
---|
| 1248 | <high nullFlavor="UNK"/>
|
---|
| 1249 | </effectiveTime>
|
---|
| 1250 |
|
---|
| 1251 | <component>
|
---|
| 1252 | <observation classCode="OBS" moodCode="EVN">
|
---|
| 1253 | <templateId root="2.16.840.1.113883.3.88.11.83.15" assigningAuthorityName="HITSP C83"/>
|
---|
| 1254 | <templateId root="2.16.840.1.113883.10.20.1.31" assigningAuthorityName="CCD"/>
|
---|
| 1255 | <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13" assigningAuthorityName="IHE PCC"/>
|
---|
| 1256 | <id root="a32801b7-8855-11df-a4ee-0800200c9a66"/>
|
---|
| 1257 | <code displayName="SYSTOLIC BLOOD PRESSURE" code="72313002" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
| 1258 | <value xsi:type="PQ" value="130" unit="MM/HG"/>
|
---|
| 1259 | </observation>
|
---|
| 1260 | </component>
|
---|
| 1261 |
|
---|
| 1262 | <component>
|
---|
| 1263 | <observation classCode="OBS" moodCode="EVN">
|
---|
| 1264 | <templateId root="2.16.840.1.113883.3.88.11.83.15" assigningAuthorityName="HITSP C83"/>
|
---|
| 1265 | <templateId root="2.16.840.1.113883.10.20.1.31" assigningAuthorityName="CCD"/>
|
---|
| 1266 | <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13" assigningAuthorityName="IHE PCC"/>
|
---|
| 1267 | <id root="a32801b8-8855-11df-a4ee-0800200c9a66"/>
|
---|
| 1268 | <code displayName="DIASTOLIC BLOOD PRESSURE" code="271649006" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
| 1269 | <value xsi:type="PQ" value="78" unit="MM/HG"/>
|
---|
| 1270 | </observation>
|
---|
| 1271 | </component>
|
---|
| 1272 |
|
---|
| 1273 | <component>
|
---|
| 1274 | <observation classCode="OBS" moodCode="EVN">
|
---|
| 1275 | <templateId root="2.16.840.1.113883.3.88.11.83.15" assigningAuthorityName="HITSP C83"/>
|
---|
| 1276 | <templateId root="2.16.840.1.113883.10.20.1.31" assigningAuthorityName="CCD"/>
|
---|
| 1277 | <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13" assigningAuthorityName="IHE PCC"/>
|
---|
| 1278 | <id root="7eedbc64-8a15-11df-a4ee-0800200c9a66"/>
|
---|
| 1279 | <code displayName="HEART RATE" code="364075005" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
| 1280 | <value xsi:type="PQ" value="55" unit="/min"/>
|
---|
| 1281 | </observation>
|
---|
| 1282 | </component>
|
---|
| 1283 | </organizer>
|
---|
| 1284 | </entry>
|
---|
| 1285 |
|
---|
| 1286 | <!--Vital Signs from 7-3-2010 under an organizer follow. Onlty these 3 vistal signs are allowed-->
|
---|
| 1287 | <!--WVV Must change the UUIDs for the vital signs and the entries-->
|
---|
| 1288 |
|
---|
| 1289 | <entry typeCode="DRIV">
|
---|
| 1290 | <organizer classCode="CLUSTER" moodCode="EVN">
|
---|
| 1291 | <templateId root="2.16.840.1.113883.10.20.1.32" assigningAuthorityName="CCD"/>
|
---|
| 1292 | <templateId root="2.16.840.1.113883.10.20.1.35" assigningAuthorityName="CCD"/>
|
---|
| 1293 | <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13.1" assigningAuthorityName="IHE PCC"/>
|
---|
| 1294 | <id root="7eede370-8a15-11df-a4ee-0800200c9a66"/>
|
---|
| 1295 | <code code="46680005" codeSystem="2.16.840.1.113883.6.96" displayName="Vital signs" codeSystemName="SNOMED CT"/>
|
---|
| 1296 | <statusCode code="completed"/>
|
---|
| 1297 | <effectiveTime>
|
---|
| 1298 | <low value="20100703"/>
|
---|
| 1299 | <high nullFlavor="UNK"/>
|
---|
| 1300 | </effectiveTime>
|
---|
| 1301 |
|
---|
| 1302 | <component>
|
---|
| 1303 | <observation classCode="OBS" moodCode="EVN">
|
---|
| 1304 | <templateId root="2.16.840.1.113883.3.88.11.83.15" assigningAuthorityName="HITSP C83"/>
|
---|
| 1305 | <templateId root="2.16.840.1.113883.10.20.1.31" assigningAuthorityName="CCD"/>
|
---|
| 1306 | <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13" assigningAuthorityName="IHE PCC"/>
|
---|
| 1307 | <id root="7eede371-8a15-11df-a4ee-0800200c9a66"/>
|
---|
| 1308 | <code displayName="SYSTOLIC BLOOD PRESSURE" code="72313002" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
| 1309 | <value xsi:type="PQ" value="128" unit="MM/HG"/>
|
---|
| 1310 | </observation>
|
---|
| 1311 | </component>
|
---|
| 1312 |
|
---|
| 1313 | <component>
|
---|
| 1314 | <observation classCode="OBS" moodCode="EVN">
|
---|
| 1315 | <templateId root="2.16.840.1.113883.3.88.11.83.15" assigningAuthorityName="HITSP C83"/>
|
---|
| 1316 | <templateId root="2.16.840.1.113883.10.20.1.31" assigningAuthorityName="CCD"/>
|
---|
| 1317 | <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13" assigningAuthorityName="IHE PCC"/>
|
---|
| 1318 | <id root="7eede372-8a15-11df-a4ee-0800200c9a66"/>
|
---|
| 1319 | <code displayName="DIASTOLIC BLOOD PRESSURE" code="271649006" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
| 1320 | <value xsi:type="PQ" value="80" unit="MM/HG"/>
|
---|
| 1321 | </observation>
|
---|
| 1322 | </component>
|
---|
| 1323 |
|
---|
| 1324 | <component>
|
---|
| 1325 | <observation classCode="OBS" moodCode="EVN">
|
---|
| 1326 | <templateId root="2.16.840.1.113883.3.88.11.83.15" assigningAuthorityName="HITSP C83"/>
|
---|
| 1327 | <templateId root="2.16.840.1.113883.10.20.1.31" assigningAuthorityName="CCD"/>
|
---|
| 1328 | <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13" assigningAuthorityName="IHE PCC"/>
|
---|
| 1329 | <id root="7eede373-8a15-11df-a4ee-0800200c9a66"/>
|
---|
| 1330 | <code displayName="HEART RATE" code="364075005" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
|
---|
| 1331 | <value xsi:type="PQ" value="57" unit="/min"/>
|
---|
| 1332 | </observation>
|
---|
| 1333 | </component>
|
---|
| 1334 |
|
---|
| 1335 | </organizer>
|
---|
| 1336 | </entry>
|
---|
| 1337 | </section>
|
---|
| 1338 | </component>
|
---|
| 1339 |
|
---|
| 1340 | <!--
|
---|
| 1341 | ************************
|
---|
| 1342 | Structured Data Section
|
---|
| 1343 | *************************
|
---|
| 1344 | -->
|
---|
| 1345 |
|
---|
| 1346 | <component>
|
---|
| 1347 | <section>
|
---|
| 1348 | <!--Template ID is in the downloadable resource bottom of S tab -->
|
---|
| 1349 | <templateId root="2.16.840.1.113883.3.249.11.16"/>
|
---|
| 1350 | <code code="STRUCT" codeSystem="2.16.840.1.113883.3.249.12"/>
|
---|
| 1351 | <title> Structured data section </title>
|
---|
| 1352 | <text>
|
---|
| 1353 | <table border="1" width="100%">
|
---|
| 1354 | <tbody>
|
---|
| 1355 | <tr>
|
---|
| 1356 | <td>Certified System Used</td>
|
---|
| 1357 | <td>System Type</td>
|
---|
| 1358 | <td>Certification Type</td>
|
---|
| 1359 | <td>Encounter Date Used</td>
|
---|
| 1360 | </tr>
|
---|
| 1361 | <tr>
|
---|
| 1362 | <td>WorldVistA EHR</td>
|
---|
| 1363 | <td> EHR</td>
|
---|
| 1364 | <td>CCHIT Certified</td>
|
---|
| 1365 | <td>2-5-2010</td>
|
---|
| 1366 | </tr>
|
---|
| 1367 | <tr>
|
---|
| 1368 | <td>WorldVistA EHR</td>
|
---|
| 1369 | <td>EHR</td>
|
---|
| 1370 | <td>Qualified System</td>
|
---|
| 1371 | <td>7-3-2010</td>
|
---|
| 1372 | </tr>
|
---|
| 1373 | <tr>
|
---|
| 1374 | <td>Allscripts</td>
|
---|
| 1375 | <td>eRx</td>
|
---|
| 1376 | <td>Qualified</td>
|
---|
| 1377 | <td>7-3-2010</td>
|
---|
| 1378 | </tr>
|
---|
| 1379 | </tbody>
|
---|
| 1380 | </table>
|
---|
| 1381 | </text>
|
---|
| 1382 | <entry>
|
---|
| 1383 | <act classCode="ACT" moodCode="EVN">
|
---|
| 1384 | <templateId root="2.16.840.1.113883.3.249.11.13"/>
|
---|
| 1385 | <id root="2.16.840.1.113883.3.543" extension="0.01.02.100000001.1"/>
|
---|
| 1386 | <!--WV? this is in downloadable resource R and is the same for eRx and EHR-->
|
---|
| 1387 | <!--WV? The G code changes and that is in tab R for 2010 as well-->
|
---|
| 1388 | <!--There need to be two face to face encounters so this is one and the next one is one-->
|
---|
| 1389 | <!--Also reflected in the documentationOf part at the end of the header-->
|
---|
| 1390 | <code code="G8447" codeSystem="2.16.840.1.113883.6.14" displayName="Patient encounter was documented using a CCHIT certified EHR"/>
|
---|
| 1391 | <effectiveTime value="20100205"/>
|
---|
| 1392 | </act>
|
---|
| 1393 | </entry>
|
---|
| 1394 | <entry>
|
---|
| 1395 | <act classCode="ACT" moodCode="EVN">
|
---|
| 1396 | <templateId root="2.16.840.1.113883.3.249.11.13"/>
|
---|
| 1397 | <id root="2.16.840.1.113883.3.543" extension="0.01.02.100000001.2"/>
|
---|
| 1398 | <code code="G8448" codeSystem="2.16.840.1.113883.6.14" displayName="Patient encounter was documented using a Qualified (Non-CCHIT certified) EHR"/>
|
---|
| 1399 | <effectiveTime value="20100703"/>
|
---|
| 1400 | </act>
|
---|
| 1401 | </entry>
|
---|
| 1402 | <entry>
|
---|
| 1403 | <act classCode="ACT" moodCode="EVN">
|
---|
| 1404 | <templateId root="2.16.840.1.113883.3.249.11.14"/>
|
---|
| 1405 | <id root="2.16.840.1.113883.19.5" extension="96756615"/>
|
---|
| 1406 | <code code="G8553" codeSystem="2.16.840.1.113883.6.14" displayName="Electronic prescription has been generated using a qualified eRx system"/>
|
---|
| 1407 | <effectiveTime value="20100703"/>
|
---|
| 1408 | </act>
|
---|
| 1409 | </entry>
|
---|
| 1410 | </section>
|
---|
| 1411 | </component>
|
---|
| 1412 |
|
---|
| 1413 |
|
---|
| 1414 |
|
---|
| 1415 | <component>
|
---|
| 1416 | <section>
|
---|
| 1417 | <templateId root="2.16.840.1.113883.10.20.1.1"/>
|
---|
| 1418 | <code code="42348-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Advance directives"/>
|
---|
| 1419 | <title/>
|
---|
| 1420 | </section>
|
---|
| 1421 | </component>
|
---|
| 1422 | <!--
|
---|
| 1423 | ************************************
|
---|
| 1424 | Payers section
|
---|
| 1425 |
|
---|
| 1426 | *******************************
|
---|
| 1427 | -->
|
---|
| 1428 |
|
---|
| 1429 | <component>
|
---|
| 1430 | <section>
|
---|
| 1431 | <templateId root="2.16.840.1.113883.10.20.1.9"/>
|
---|
| 1432 | <!-- 48768-6 is payment sources -->
|
---|
| 1433 | <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment sources"/>
|
---|
| 1434 | <title>Payment Sources</title>
|
---|
| 1435 | <text>
|
---|
| 1436 | <table border="1" width="100%">
|
---|
| 1437 | <tbody>
|
---|
| 1438 | <tr>
|
---|
| 1439 | <th>Payer name</th>
|
---|
| 1440 | <th>Group/Type</th>
|
---|
| 1441 | <th>Primary Policy Owner/Responsible Party</th>
|
---|
| 1442 | <th>Covered party ID</th>
|
---|
| 1443 | <th>Payor Telephone</th>
|
---|
| 1444 | <th>Electronic Claims Payor Number</th>
|
---|
| 1445 | <th>Authorized</th>
|
---|
| 1446 | </tr>
|
---|
| 1447 | <tr>
|
---|
| 1448 | <td>Mail Handlers Benefit Plan</td>
|
---|
| 1449 | <td>454</td>
|
---|
| 1450 | <td>Jody Jean Jones</td>
|
---|
| 1451 | <td>8888888</td>
|
---|
| 1452 | <td>1-800-410-7778</td>
|
---|
| 1453 | <td>62413</td>
|
---|
| 1454 | <td>Colonoscopy</td>
|
---|
| 1455 | </tr>
|
---|
| 1456 | <tr>
|
---|
| 1457 | <td>Medicare</td>
|
---|
| 1458 | <td></td>
|
---|
| 1459 | <td>Jody Jean Jones</td>
|
---|
| 1460 | <td>002003004</td>
|
---|
| 1461 | <td></td>
|
---|
| 1462 | <td></td>
|
---|
| 1463 | <td>Colonoscopy</td>
|
---|
| 1464 | </tr>
|
---|
| 1465 | </tbody>
|
---|
| 1466 | </table>
|
---|
| 1467 | </text>
|
---|
| 1468 |
|
---|
| 1469 | <!--Mail Handlers-->
|
---|
| 1470 |
|
---|
| 1471 | <entry typeCode="DRIV">
|
---|
| 1472 | <!--WVP moodCode is DEF is definition to describe the characteristics of who must be involved in an act-->
|
---|
| 1473 | <act classCode="ACT" moodCode="DEF">
|
---|
| 1474 | <!--WVP coverage activity templats is the 10.20.1.20-->
|
---|
| 1475 | <templateId root="2.16.840.1.113883.10.20.1.20"/>
|
---|
| 1476 | <id root="d5dc6d50-890c-11df-a4ee-0800200c9a66"/>
|
---|
| 1477 | <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment sources"/>
|
---|
| 1478 | <statusCode code="completed"/>
|
---|
| 1479 | <!--WVP COMP is has component like a sub service to this service-->
|
---|
| 1480 | <entryRelationship typeCode="COMP">
|
---|
| 1481 | <!-- WVP EVN for the act is event-->
|
---|
| 1482 | <act classCode="ACT" moodCode="EVN">
|
---|
| 1483 | <!--Policy activity is the 10.20.1.26 template-->
|
---|
| 1484 | <templateId root="2.16.840.1.113883.10.20.1.26"/>
|
---|
| 1485 | <!-- another random GUID-->
|
---|
| 1486 | <id root="d5dc6d51-890c-11df-a4ee-0800200c9a66"/>
|
---|
| 1487 | <!--WV variable and display name is in quotes AUTOPOL - "automobile" policy;EHCPOL additional insurance in addition to Medicare in this case-->
|
---|
| 1488 | <!--HSAPOL "Health Spending Account";PUBLICPOL "public healthcare" but not Medicare - maybe a state program for example-->
|
---|
| 1489 | <!--WBCPOL is "workers compensation"-->
|
---|
| 1490 | <code code="EHCPOL" codeSystem="2.16.840.1.113883.5.4" displayName="Extended healthcare"/>
|
---|
| 1491 | <!--other statusCode normal, aborted, active, cancelled, completed, held, suspended, nullified, obsolete-->
|
---|
| 1492 | <statusCode code="completed"/>
|
---|
| 1493 | <!--WVP performer type codes are numerous but PRF is performer or the person who did it-->
|
---|
| 1494 | <performer typeCode="PRF">
|
---|
| 1495 | <assignedEntity>
|
---|
| 1496 | <!--another GUID??-->
|
---|
| 1497 | <id root="2.16.840.1.113883.12.86" extension="62413"/>
|
---|
| 1498 | <representedOrganization>
|
---|
| 1499 | <name>Mail Handler Benefit Plan</name>
|
---|
| 1500 | </representedOrganization>
|
---|
| 1501 | </assignedEntity>
|
---|
| 1502 | </performer>
|
---|
| 1503 | <participant typeCode="COV">
|
---|
| 1504 | <participantRole>
|
---|
| 1505 | <!--Cant find SELF in the reference documents so this might be variable, but I doubt it is-->
|
---|
| 1506 | <!-- I suspect this is shat is used whenever the person is the primary policy holder-->
|
---|
| 1507 | <!-- service deliver location role type is what the 5.111 code is and it is called a "RoleCode" in the downloadable resource-->
|
---|
| 1508 | <!-- in this case theextension is the patients SSN for a medicare patient-->
|
---|
| 1509 | <id root="2.16.840.1.113883.4.1" extension="002030004"/>
|
---|
| 1510 | <code code="SELF" codeSystem="2.16.840.1.113883.5.111" displayName="Self"/>
|
---|
| 1511 | </participantRole>
|
---|
| 1512 | </participant>
|
---|
| 1513 | <!--WVP REFR is "refers to" target act is refered to by the source act-->
|
---|
| 1514 | <entryRelationship typeCode="REFR">
|
---|
| 1515 | <act classCode="ACT" moodCode="EVN">
|
---|
| 1516 | <!--Authorization activity Template-->
|
---|
| 1517 | <templateId root="2.16.840.1.113883.10.20.1.19"/>
|
---|
| 1518 | <id root="2.16.840.1.113883.19.5.10" extension="100010"/>
|
---|
| 1519 | <code nullFlavor="NA"/>
|
---|
| 1520 | <!--WVP SUBJ is "has subject"-->
|
---|
| 1521 | <entryRelationship typeCode="SUBJ">
|
---|
| 1522 | <!--PROC is "procedure" and PRMS is "promise"-->
|
---|
| 1523 | <procedure classCode="PROC" moodCode="PRMS">
|
---|
| 1524 | <!--SNOMED code for colonoscopy-->
|
---|
| 1525 | <code code="73761001" codeSystem="2.16.840.1.113883.6.96" displayName="Colonoscopy"/>
|
---|
| 1526 | </procedure>
|
---|
| 1527 | </entryRelationship>
|
---|
| 1528 | </act>
|
---|
| 1529 | </entryRelationship>
|
---|
| 1530 | </act>
|
---|
| 1531 | </entryRelationship>
|
---|
| 1532 | </act>
|
---|
| 1533 | </entry>
|
---|
| 1534 | <!--Medicare-->
|
---|
| 1535 |
|
---|
| 1536 | <!--WVP - DRIV is derived from-->
|
---|
| 1537 | <entry typeCode="DRIV">
|
---|
| 1538 | <!--WVP moodCode is DEF is definition to describe the characteristics of who must be involved in an act-->
|
---|
| 1539 | <act classCode="ACT" moodCode="DEF">
|
---|
| 1540 | <!--WVP coverage activity templats is the 10.20.1.20-->
|
---|
| 1541 | <templateId root="2.16.840.1.113883.10.20.1.20"/>
|
---|
| 1542 | <id root="1751b180-8a54-11df-a4ee-0800200c9a66"/>
|
---|
| 1543 | <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment sources"/>
|
---|
| 1544 | <statusCode code="completed"/>
|
---|
| 1545 | <!--WVP COMP is has component like a sub service to this service-->
|
---|
| 1546 | <entryRelationship typeCode="COMP">
|
---|
| 1547 | <!-- WVP EVN for the act is event-->
|
---|
| 1548 | <act classCode="ACT" moodCode="EVN">
|
---|
| 1549 | <!--Policy activity is the 10.20.1.26 template-->
|
---|
| 1550 | <templateId root="2.16.840.1.113883.10.20.1.26"/>
|
---|
| 1551 | <!-- another random GUID-->
|
---|
| 1552 | <id root="dbbb6311-8a4d-11df-a4ee-0800200c9a66"/>
|
---|
| 1553 | <!--WV variable and display name is in quotes AUTOPOL - "automobile" policy;EHCPOL additional insurance in addition to Medicare in this case-->
|
---|
| 1554 | <!--HSAPOL "Health Spending Account";PUBLICPOL "public healthcare" but not Medicare - maybe a state program for example-->
|
---|
| 1555 | <!--WBCPOL is "workers compensation"-->
|
---|
| 1556 | <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4" displayName="Public Healthcare"/>
|
---|
| 1557 | <!--other statusCode normal, aborted, active, cancelled, completed, held, suspended, nullified, obsolete-->
|
---|
| 1558 | <statusCode code="completed"/>
|
---|
| 1559 | <!--WVP performer type codes are numerous but PRF is performer or the person who did it-->
|
---|
| 1560 | <performer typeCode="PRF">
|
---|
| 1561 | <assignedEntity>
|
---|
| 1562 | <!--another GUID??-->
|
---|
| 1563 | <id root="2.16.840.1.113883.12.86" extension="MC"/>
|
---|
| 1564 | <representedOrganization>
|
---|
| 1565 | <name>CMS</name>
|
---|
| 1566 | </representedOrganization>
|
---|
| 1567 | </assignedEntity>
|
---|
| 1568 | </performer>
|
---|
| 1569 | <participant typeCode="COV">
|
---|
| 1570 | <participantRole>
|
---|
| 1571 | <!--Cant find SELF in the reference documents so this might be variable, but I doubt it is-->
|
---|
| 1572 | <!-- I suspect this is shat is used whenever the person is the primary policy holder-->
|
---|
| 1573 | <!-- service deliver location role type is what the 5.111 code is and it is called a "RoleCode" in the downloadable resource-->
|
---|
| 1574 | <id root="1751b180-8a54-11df-a4ee-0800200c9a66"/>
|
---|
| 1575 | <!-- in this case theextension is the patients SSN for a medicare patient so it is the same each time for one patient-->
|
---|
| 1576 | <id root="2.16.840.1.113883.4.1" extension="002030004"/>
|
---|
| 1577 | <code code="SELF" codeSystem="2.16.840.1.113883.5.111" displayName="Self"/>
|
---|
| 1578 | </participantRole>
|
---|
| 1579 | </participant>
|
---|
| 1580 | <!--WVP REFR is "refers to" target act is refered to by the source act-->
|
---|
| 1581 | <entryRelationship typeCode="REFR">
|
---|
| 1582 | <act classCode="ACT" moodCode="EVN">
|
---|
| 1583 | <!--Authorization activity Template-->
|
---|
| 1584 | <templateId root="2.16.840.1.113883.10.20.1.19"/>
|
---|
| 1585 | <id root="e1e0f7e0-8a53-11df-a4ee-0800200c9a66"/>
|
---|
| 1586 | <code nullFlavor="NA"/>
|
---|
| 1587 | <!--WVP SUBJ is "has subject"-->
|
---|
| 1588 | <entryRelationship typeCode="SUBJ">
|
---|
| 1589 | <!--PROC is "procedure" and PRMS is "promise"-->
|
---|
| 1590 | <procedure classCode="PROC" moodCode="PRMS">
|
---|
| 1591 | <!--SNOMED code for colonoscopy-->
|
---|
| 1592 | <code code="73761001" codeSystem="2.16.840.1.113883.6.96" displayName="Colonoscopy"/>
|
---|
| 1593 | </procedure>
|
---|
| 1594 | </entryRelationship>
|
---|
| 1595 | </act>
|
---|
| 1596 | </entryRelationship>
|
---|
| 1597 | </act>
|
---|
| 1598 | </entryRelationship>
|
---|
| 1599 | </act>
|
---|
| 1600 | </entry>
|
---|
| 1601 |
|
---|
| 1602 |
|
---|
| 1603 | </section>
|
---|
| 1604 | </component>
|
---|
| 1605 | </section>
|
---|
| 1606 | </component>
|
---|
| 1607 | </section>
|
---|
| 1608 | </component>
|
---|
| 1609 | </structuredBody>
|
---|
| 1610 | </component>
|
---|
| 1611 | </ClinicalDocument>
|
---|