source: qrda/CCR/M1-QRDA/PAT_100146_CCR_V1_0_0.xml

Last change on this file was 983, checked in by George Lilly, 14 years ago

testing QRDA Incidence documents for PQRI Measure 1

File size: 9.9 KB
Line 
1<?xml version="1.0" encoding="UTF-8"?>
2<?xml-stylesheet type="text/xsl" href="ccr.xsl"?>
3<ContinuityOfCareRecord xmlns="urn:astm-org:CCR">
4<CCRDocumentObjectID>d010c8bd-eda0-4e36-8a53-c7c677666b29</CCRDocumentObjectID>
5<Language>
6<Text>English</Text>
7</Language>
8<Version>V1.0</Version>
9<DateTime>
10<ExactDateTime>2010-10-18T15:33:12-05:00</ExactDateTime>
11</DateTime>
12<Patient>
13<ActorID>ACTORPATIENT_100146</ActorID>
14</Patient>
15<From>
16<ActorLink>
17<ActorID>ACTORPROVIDER_1</ActorID>
18</ActorLink>
19<ActorLink>
20<ActorID>ACTORSYSTEM_1</ActorID>
21</ActorLink>
22</From>
23<To>
24<ActorLink>
25<ActorID>ACTORPATIENT_100146</ActorID>
26<ActorRole>
27<Text>Patient</Text>
28</ActorRole>
29</ActorLink>
30</To>
31<Purpose>
32<Description>
33<Text>CEND PHR</Text>
34</Description>
35</Purpose>
36<Body>
37<Problems>
38<Problem>
39<CCRDataObjectID>PROBLEM1</CCRDataObjectID>
40<DateTime>
41<ExactDateTime>2010-10-13T00:00:00-05:00</ExactDateTime>
42</DateTime>
43<Type>
44<Text>Problem</Text>
45</Type>
46<Description>
47<Text>Diabetes Mellitus without mention of Complication, type II or unspecified type,</Text>
48<Code>
49<Value>250.02</Value>
50<CodingSystem>ICD9CM</CodingSystem>
51</Code>
52</Description>
53<Status>
54<Text>Active</Text>
55</Status>
56<Source>
57<Actor>
58<ActorID>ACTORPROVIDER_10000000020</ActorID>
59</Actor>
60</Source>
61</Problem>
62<Problem>
63<CCRDataObjectID>PROBLEM2</CCRDataObjectID>
64<DateTime>
65<ExactDateTime>2010-10-04T00:00:00-05:00</ExactDateTime>
66</DateTime>
67<Type>
68<Text>Problem</Text>
69</Type>
70<Description>
71<Text>Diabetes Mellitus</Text>
72<Code>
73<Value>250.00</Value>
74<CodingSystem>ICD9CM</CodingSystem>
75</Code>
76</Description>
77<Status>
78<Text>Active</Text>
79</Status>
80<Source>
81<Actor>
82<ActorID>ACTORPROVIDER_10000000183</ActorID>
83</Actor>
84</Source>
85</Problem>
86</Problems>
87<Procedures>
88<Procedure>
89<CCRDataObjectID>PROCEDURE_4141_10</CCRDataObjectID>
90<DateTime>
91<Type>
92<Text>Procedure Date</Text>
93</Type>
94<ExactDateTime>2010-10-14T00:00:00-05:00</ExactDateTime>
95</DateTime>
96<Description>
97<Text>INTERMEDIATE (30min)</Text>
98<Code>
99<Value>99242</Value>
100<CodingSystem>CPT-4</CodingSystem>
101</Code>
102</Description>
103<Status>
104<Text>Completed</Text>
105</Status>
106<Source>
107<Actor>
108<ActorID>ACTORPROVIDER_10000000020</ActorID>
109</Actor>
110</Source>
111</Procedure>
112<Procedure>
113<CCRDataObjectID>PROCEDURE_4092_7</CCRDataObjectID>
114<DateTime>
115<Type>
116<Text>Procedure Date</Text>
117</Type>
118<ExactDateTime>2010-10-04T00:00:00-05:00</ExactDateTime>
119</DateTime>
120<Description>
121<Text>Office/Outpatient Visit of an Established Patient requiring (2 of 3) an Expanded History, an Exam and Medical Decision Making of Low Complexity (CPT-4 99213)</Text>
122<Code>
123<Value>99213</Value>
124<CodingSystem>CPT-4</CodingSystem>
125</Code>
126</Description>
127<Status>
128<Text>Completed</Text>
129</Status>
130<Source>
131<Actor>
132<ActorID>ACTORPROVIDER_10000000183</ActorID>
133</Actor>
134</Source>
135</Procedure>
136</Procedures>
137<Encounters>
138<Encounter>
139<CCRDataObjectID>ENCOUNTER_4141</CCRDataObjectID>
140<DateTime>
141<ExactDateTime>2010-10-14T00:00:00-05:00</ExactDateTime>
142</DateTime>
143<Type>
144<Text>***NEW PATIENT*** INTERMEDIATE (30min)</Text>
145<Code>
146<Value>99242</Value>
147<CodingSystem>CPT-4</CodingSystem>
148</Code>
149</Type>
150<Description>
151<Text>***NEW PATIENT*** INTERMEDIATE (30min)</Text>
152<Code>
153<Value>99242</Value>
154<CodingSystem>CPT-4</CodingSystem>
155</Code>
156</Description>
157<Location>
158<Actor>
159<ActorID>ACTORORGANIZATION_1</ActorID>
160</Actor>
161</Location>
162<Practioner>
163<Actor>
164<ActorID>ACTORPROVIDER_10000000020</ActorID>
165</Actor>
166</Practioner>
167<Source>
168<Actor>
169<ActorID>ACTORPROVIDER_10000000020</ActorID>
170</Actor>
171</Source>
172</Encounter>
173<Encounter>
174<CCRDataObjectID>ENCOUNTER_4092</CCRDataObjectID>
175<DateTime>
176<ExactDateTime>2010-10-04T00:00:00-05:00</ExactDateTime>
177</DateTime>
178<Type>
179<Text> Office/Outpatient Visit of an Established Patient requiring (2 of 3) an Expanded History, an Exam and Medical Decision Making of Low Complexity (CPT-4 99213)</Text>
180<Code>
181<Value>99213</Value>
182<CodingSystem>CPT-4</CodingSystem>
183</Code>
184</Type>
185<Description>
186<Text> Office/Outpatient Visit of an Established Patient requiring (2 of 3) an Expanded History, an Exam and Medical Decision Making of Low Complexity (CPT-4 99213)</Text>
187<Code>
188<Value>99213</Value>
189<CodingSystem>CPT-4</CodingSystem>
190</Code>
191</Description>
192<Location>
193<Actor>
194<ActorID>ACTORORGANIZATION_1</ActorID>
195</Actor>
196</Location>
197<Practioner>
198<Actor>
199<ActorID>ACTORPROVIDER_10000000183</ActorID>
200</Actor>
201</Practioner>
202<Source>
203<Actor>
204<ActorID>ACTORPROVIDER_10000000183</ActorID>
205</Actor>
206</Source>
207<CommentID>NOTE_4092</CommentID>
208</Encounter>
209<Encounter>
210<CCRDataObjectID>ENCOUNTER_4091</CCRDataObjectID>
211<DateTime>
212<ExactDateTime>2010-10-04T00:00:00-05:00</ExactDateTime>
213</DateTime>
214<Type>
215<Text> Office/Outpatient Visit of an Established Patient requiring (2 of 3) an Expanded History, an Exam and Medical Decision Making of Low Complexity (CPT-4 99213)</Text>
216<Code>
217<Value>99213</Value>
218<CodingSystem>CPT-4</CodingSystem>
219</Code>
220</Type>
221<Description>
222<Text> Office/Outpatient Visit of an Established Patient requiring (2 of 3) an Expanded History, an Exam and Medical Decision Making of Low Complexity (CPT-4 99213)</Text>
223<Code>
224<Value>99213</Value>
225<CodingSystem>CPT-4</CodingSystem>
226</Code>
227</Description>
228<Location>
229<Actor>
230<ActorID>ACTORORGANIZATION_1</ActorID>
231</Actor>
232</Location>
233<Practioner>
234<Actor>
235<ActorID>ACTORPROVIDER_10000000183</ActorID>
236</Actor>
237</Practioner>
238<Source>
239<Actor>
240<ActorID>ACTORPROVIDER_10000000183</ActorID>
241</Actor>
242</Source>
243<CommentID>NOTE_4091</CommentID>
244</Encounter>
245</Encounters>
246</Body>
247<Actors>
248<Actor>
249<ActorObjectID>ACTORORGANIZATION_1</ActorObjectID>
250<Organization>
251<Name>CAMP MASTER</Name>
252</Organization>
253<Address>
254<Type>
255<Text>Office</Text>
256</Type>
257<Line1>VA MEDICAL CENTER</Line1>
258<City>ALBANY</City>
259<State>NEW YORK</State>
260<PostalCode>12180</PostalCode>
261</Address>
262<Source>
263<Actor>
264<ActorID>ACTORSYSTEM_1</ActorID>
265</Actor>
266</Source>
267</Actor>
268<Actor>
269<ActorObjectID>ACTORPATIENT_100146</ActorObjectID>
270<Person>
271<Name>
272<CurrentName>
273<Given>MALE-D</Given>
274<Family>MEASURE-TWO</Family>
275</CurrentName>
276</Name>
277<DateOfBirth>
278<ExactDateTime>1960-01-01</ExactDateTime>
279</DateOfBirth>
280<Gender>
281<Text>MALE</Text>
282<Code>
283<Value>M</Value>
284<CodingSystem>HL7 AdministrativeGender</CodingSystem>
285</Code>
286</Gender>
287</Person>
288<IDs>
289<Type>
290<Text>SSN</Text>
291</Type>
292<ID>666000200</ID>
293<Source>
294<Actor>
295<ActorID>ACTORPATIENT_100146</ActorID>
296</Actor>
297</Source>
298</IDs>
299<Address>
300<Type>
301<Text>Home</Text>
302</Type>
303<Line1>Any Street</Line1>
304<City>Any Town</City>
305<State>WEST VIRGINIA</State>
306</Address>
307<Telephone>
308<Value>222-555-8235</Value>
309<Type>
310<Text>Residential Telephone</Text>
311</Type>
312</Telephone>
313<Telephone>
314<Value>222-555-7720</Value>
315<Type>
316<Text>Work Telephone</Text>
317</Type>
318</Telephone>
319<Source>
320<Actor>
321<ActorID>ACTORPATIENT_100146</ActorID>
322</Actor>
323</Source>
324</Actor>
325<Actor>
326<ActorObjectID>ACTORPROVIDER_1</ActorObjectID>
327<Person>
328<Name>
329<CurrentName>
330<Given>ONE</Given>
331<Family>PROGRAMMER</Family>
332<Title>COMPUTER SPECIALIST</Title>
333</CurrentName>
334</Name>
335</Person>
336<Specialty>
337<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
338</Specialty>
339<Address>
340<Type>
341<Text>Work</Text>
342</Type>
343<Line1>VA MEDICAL CENTER</Line1>
344<City>ALBANY</City>
345<State>NY</State>
346<PostalCode>12180</PostalCode>
347</Address>
348<Telephone>
349<Value>6655544</Value>
350<Type>
351<Text>Office</Text>
352</Type>
353</Telephone>
354<Source>
355<Actor>
356<ActorID>ACTORSYSTEM_1</ActorID>
357</Actor>
358</Source>
359<InternalCCRLink>
360<LinkID>ACTORORGANIZATION_1</LinkID>
361<LinkRelationship>representedOrganization</LinkRelationship>
362</InternalCCRLink>
363</Actor>
364<Actor>
365<ActorObjectID>ACTORPROVIDER_10000000020</ActorObjectID>
366<Person>
367<Name>
368<CurrentName>
369<Given>NANCY</Given>
370<Family>ANTHRACITE</Family>
371</CurrentName>
372</Name>
373</Person>
374<Specialty>
375<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
376</Specialty>
377<Address>
378<Type>
379<Text>Work</Text>
380</Type>
381<Line1>VA MEDICAL CENTER</Line1>
382<City>ALBANY</City>
383<State>NY</State>
384<PostalCode>12180</PostalCode>
385</Address>
386<Source>
387<Actor>
388<ActorID>ACTORSYSTEM_1</ActorID>
389</Actor>
390</Source>
391<InternalCCRLink>
392<LinkID>ACTORORGANIZATION_1</LinkID>
393<LinkRelationship>representedOrganization</LinkRelationship>
394</InternalCCRLink>
395</Actor>
396<Actor>
397<ActorObjectID>ACTORPROVIDER_10000000183</ActorObjectID>
398<Person>
399<Name>
400<CurrentName>
401<Given>MATTHEW</Given>
402<Middle>M</Middle>
403<Family>KING</Family>
404</CurrentName>
405</Name>
406</Person>
407<Specialty>
408<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
409</Specialty>
410<Address>
411<Type>
412<Text>Work</Text>
413</Type>
414<Line1>VA MEDICAL CENTER</Line1>
415<City>ALBANY</City>
416<State>NY</State>
417<PostalCode>12180</PostalCode>
418</Address>
419<Source>
420<Actor>
421<ActorID>ACTORSYSTEM_1</ActorID>
422</Actor>
423</Source>
424<InternalCCRLink>
425<LinkID>ACTORORGANIZATION_1</LinkID>
426<LinkRelationship>representedOrganization</LinkRelationship>
427</InternalCCRLink>
428</Actor>
429<Actor>
430<ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
431<InformationSystem>
432<Name>WorldVistA EHR/VOE</Name>
433<Version>1.0</Version>
434</InformationSystem>
435<Source>
436<Actor>
437<ActorID>ACTORSYSTEM_1</ActorID>
438</Actor>
439</Source>
440</Actor>
441</Actors>
442<Comments>
443<Comment>
444<CommentObjectID>@@COMMENTOBJECTID@@</CommentObjectID>
445<DateTime>
446<ExactDateTime>@@CMTDATETIME@@</ExactDateTime>
447</DateTime>
448<Source>
449<Actor>
450<ActorID>@@ACTORSOURCEID@@</ActorID>
451</Actor>
452</Source>
453</Comment>
454<Comment>
455<CommentObjectID>NOTE_4091</CommentObjectID>
456<DateTime>
457<ExactDateTime>2010-10-04T00:00:00-05:00</ExactDateTime>
458</DateTime>
459<Description>
460<Text>
461PLACE DIABETIC ORDERS HERE.
462PATIENT HBA1C RESULTS
463 PATIENTS HBA1C IS GREATER THAN 9%
464 HBA1C VALUE: 9.1
465 *** No Outpatient measurements ***
466</Text>
467</Description>
468<Source>
469<Actor>
470<ActorID>ACTORPROVIDER_10000000183</ActorID>
471</Actor>
472</Source>
473</Comment>
474<Comment>
475<CommentObjectID>NOTE_4092</CommentObjectID>
476<DateTime>
477<ExactDateTime>2010-10-04T00:00:00-05:00</ExactDateTime>
478</DateTime>
479<Description>
480<Text>
481PATIENT MAMMOGRAM INFORMATION:
482 PATIENT HAD A SCREENING MAMMOGRAM.
483 RESULT NEM (No Evidence of Malignancy)
484 DATE OF PROCEDURE: September 6, 2010
485</Text>
486</Description>
487<Source>
488<Actor>
489<ActorID>ACTORPROVIDER_10000000183</ActorID>
490</Actor>
491</Source>
492</Comment>
493</Comments>
494</ContinuityOfCareRecord>
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