source: qrda/CCR/M1-QRDA/PAT_100855_CCR_V1_0_0.xml@ 1435

Last change on this file since 1435 was 983, checked in by George Lilly, 14 years ago

testing QRDA Incidence documents for PQRI Measure 1
File size: 8.1 KB
RevLine 
[983]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>b315d695-9575-425e-9e78-26475b38323e</CCRDocumentObjectID>
5<Language>
6<Text>English</Text>
7</Language>
8<Version>V1.0</Version>
9<DateTime>
10<ExactDateTime>2010-10-18T15:37:59-05:00</ExactDateTime>
11</DateTime>
12<Patient>
13<ActorID>ACTORPATIENT_100855</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_100855</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>2010-10-14T00:00:00-05:00</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>250.00</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>2010-10-14T00:00:00-05:00</ExactDateTime>
66</DateTime>
67<Type>
68<Text>Problem</Text>
69</Type>
70<Description>
71<Text>Diabetes (ICD-9-CM 250.00)</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_10000000020</ActorID>
83</Actor>
84</Source>
85</Problem>
86<Problem>
87<CCRDataObjectID>PROBLEM3</CCRDataObjectID>
88<DateTime>
89<ExactDateTime>2010-10-13T00:00:00-05:00</ExactDateTime>
90</DateTime>
91<Type>
92<Text>Problem</Text>
93</Type>
94<Description>
95<Text>Diabetes Mellitus without mention of Complication, type II or unspecified type,</Text>
96<Code>
97<Value>250.00</Value>
98<CodingSystem>ICD9CM</CodingSystem>
99</Code>
100</Description>
101<Status>
102<Text>Active</Text>
103</Status>
104<Source>
105<Actor>
106<ActorID>ACTORPROVIDER_10000000020</ActorID>
107</Actor>
108</Source>
109</Problem>
110</Problems>
111<Procedures>
112<Procedure>
113<CCRDataObjectID>PROCEDURE_4127_7</CCRDataObjectID>
114<DateTime>
115<Type>
116<Text>Procedure Date</Text>
117</Type>
118<ExactDateTime>2010-10-14T00:00:00-05:00</ExactDateTime>
119</DateTime>
120<Description>
121<Text>LIMITED (10min)</Text>
122<Code>
123<Value>99212</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_10000000020</ActorID>
133</Actor>
134</Source>
135</Procedure>
136<Procedure>
137<CCRDataObjectID>PROCEDURE_4110_4</CCRDataObjectID>
138<DateTime>
139<Type>
140<Text>Procedure Date</Text>
141</Type>
142<ExactDateTime>2010-10-13T00:00:00-05:00</ExactDateTime>
143</DateTime>
144<Description>
145<Text>INTERMEDIATE (20min)</Text>
146<Code>
147<Value>99202</Value>
148<CodingSystem>CPT-4</CodingSystem>
149</Code>
150</Description>
151<Status>
152<Text>Completed</Text>
153</Status>
154<Source>
155<Actor>
156<ActorID>ACTORPROVIDER_10000000020</ActorID>
157</Actor>
158</Source>
159</Procedure>
160</Procedures>
161<Encounters>
162<Encounter>
163<CCRDataObjectID>ENCOUNTER_4127</CCRDataObjectID>
164<DateTime>
165<ExactDateTime>2010-10-14T00:00:00-05:00</ExactDateTime>
166</DateTime>
167<Type>
168<Text>***ESTABLISHED PATIENT*** LIMITED (10min)</Text>
169<Code>
170<Value>99212</Value>
171<CodingSystem>CPT-4</CodingSystem>
172</Code>
173</Type>
174<Description>
175<Text>***ESTABLISHED PATIENT*** LIMITED (10min)</Text>
176<Code>
177<Value>99212</Value>
178<CodingSystem>CPT-4</CodingSystem>
179</Code>
180</Description>
181<Location>
182<Actor>
183<ActorID>ACTORORGANIZATION_1</ActorID>
184</Actor>
185</Location>
186<Practioner>
187<Actor>
188<ActorID>ACTORPROVIDER_10000000020</ActorID>
189</Actor>
190</Practioner>
191<Source>
192<Actor>
193<ActorID>ACTORPROVIDER_10000000020</ActorID>
194</Actor>
195</Source>
196<CommentID>NOTE_4127</CommentID>
197</Encounter>
198<Encounter>
199<CCRDataObjectID>ENCOUNTER_4110</CCRDataObjectID>
200<DateTime>
201<ExactDateTime>2010-10-13T00:00:00-05:00</ExactDateTime>
202</DateTime>
203<Type>
204<Text>***NEW PATIENT*** INTERMEDIATE (20min)</Text>
205<Code>
206<Value>99202</Value>
207<CodingSystem>CPT-4</CodingSystem>
208</Code>
209</Type>
210<Description>
211<Text>***NEW PATIENT*** INTERMEDIATE (20min)</Text>
212<Code>
213<Value>99202</Value>
214<CodingSystem>CPT-4</CodingSystem>
215</Code>
216</Description>
217<Location>
218<Actor>
219<ActorID>ACTORORGANIZATION_1</ActorID>
220</Actor>
221</Location>
222<Practioner>
223<Actor>
224<ActorID>ACTORPROVIDER_10000000020</ActorID>
225</Actor>
226</Practioner>
227<Source>
228<Actor>
229<ActorID>ACTORPROVIDER_10000000020</ActorID>
230</Actor>
231</Source>
232<CommentID>NOTE_4110</CommentID>
233</Encounter>
234</Encounters>
235</Body>
236<Actors>
237<Actor>
238<ActorObjectID>ACTORORGANIZATION_1</ActorObjectID>
239<Organization>
240<Name>CAMP MASTER</Name>
241</Organization>
242<Address>
243<Type>
244<Text>Office</Text>
245</Type>
246<Line1>VA MEDICAL CENTER</Line1>
247<City>ALBANY</City>
248<State>NEW YORK</State>
249<PostalCode>12180</PostalCode>
250</Address>
251<Source>
252<Actor>
253<ActorID>ACTORSYSTEM_1</ActorID>
254</Actor>
255</Source>
256</Actor>
257<Actor>
258<ActorObjectID>ACTORPATIENT_100855</ActorObjectID>
259<Person>
260<Name>
261<CurrentName>
262<Given>FEMALE-E</Given>
263<Family>MEASURE-ONE</Family>
264</CurrentName>
265</Name>
266<DateOfBirth>
267<ExactDateTime>1960-01-01</ExactDateTime>
268</DateOfBirth>
269<Gender>
270<Text>FEMALE</Text>
271<Code>
272<Value>F</Value>
273<CodingSystem>HL7 AdministrativeGender</CodingSystem>
274</Code>
275</Gender>
276</Person>
277<IDs>
278<Type>
279<Text>SSN</Text>
280</Type>
281<ID>498212298</ID>
282<Source>
283<Actor>
284<ActorID>ACTORPATIENT_100855</ActorID>
285</Actor>
286</Source>
287</IDs>
288<Address>
289<Type>
290<Text>Home</Text>
291</Type>
292</Address>
293<Source>
294<Actor>
295<ActorID>ACTORPATIENT_100855</ActorID>
296</Actor>
297</Source>
298</Actor>
299<Actor>
300<ActorObjectID>ACTORPROVIDER_1</ActorObjectID>
301<Person>
302<Name>
303<CurrentName>
304<Given>ONE</Given>
305<Family>PROGRAMMER</Family>
306<Title>COMPUTER SPECIALIST</Title>
307</CurrentName>
308</Name>
309</Person>
310<Specialty>
311<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
312</Specialty>
313<Address>
314<Type>
315<Text>Work</Text>
316</Type>
317<Line1>VA MEDICAL CENTER</Line1>
318<City>ALBANY</City>
319<State>NY</State>
320<PostalCode>12180</PostalCode>
321</Address>
322<Telephone>
323<Value>6655544</Value>
324<Type>
325<Text>Office</Text>
326</Type>
327</Telephone>
328<Source>
329<Actor>
330<ActorID>ACTORSYSTEM_1</ActorID>
331</Actor>
332</Source>
333<InternalCCRLink>
334<LinkID>ACTORORGANIZATION_1</LinkID>
335<LinkRelationship>representedOrganization</LinkRelationship>
336</InternalCCRLink>
337</Actor>
338<Actor>
339<ActorObjectID>ACTORPROVIDER_10000000020</ActorObjectID>
340<Person>
341<Name>
342<CurrentName>
343<Given>NANCY</Given>
344<Family>ANTHRACITE</Family>
345</CurrentName>
346</Name>
347</Person>
348<Specialty>
349<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
350</Specialty>
351<Address>
352<Type>
353<Text>Work</Text>
354</Type>
355<Line1>VA MEDICAL CENTER</Line1>
356<City>ALBANY</City>
357<State>NY</State>
358<PostalCode>12180</PostalCode>
359</Address>
360<Source>
361<Actor>
362<ActorID>ACTORSYSTEM_1</ActorID>
363</Actor>
364</Source>
365<InternalCCRLink>
366<LinkID>ACTORORGANIZATION_1</LinkID>
367<LinkRelationship>representedOrganization</LinkRelationship>
368</InternalCCRLink>
369</Actor>
370<Actor>
371<ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
372<InformationSystem>
373<Name>WorldVistA EHR/VOE</Name>
374<Version>1.0</Version>
375</InformationSystem>
376<Source>
377<Actor>
378<ActorID>ACTORSYSTEM_1</ActorID>
379</Actor>
380</Source>
381</Actor>
382</Actors>
383<Comments>
384<Comment>
385<CommentObjectID>@@COMMENTOBJECTID@@</CommentObjectID>
386<DateTime>
387<ExactDateTime>@@CMTDATETIME@@</ExactDateTime>
388</DateTime>
389<Source>
390<Actor>
391<ActorID>@@ACTORSOURCEID@@</ActorID>
392</Actor>
393</Source>
394</Comment>
395<Comment>
396<CommentObjectID>NOTE_4110</CommentObjectID>
397<DateTime>
398<ExactDateTime>2010-10-13T00:00:00-05:00</ExactDateTime>
399</DateTime>
400<Description>
401<Text>
402PATIENT HBA1C RESULTS
403 PATIENTS HBA1C IS GREATER THAN 9%
404 HBA1C VALUE: 9.3
405 *** No Outpatient measurements ***
406</Text>
407</Description>
408<Source>
409<Actor>
410<ActorID>ACTORPROVIDER_10000000020</ActorID>
411</Actor>
412</Source>
413</Comment>
414<Comment>
415<CommentObjectID>NOTE_4127</CommentObjectID>
416<DateTime>
417<ExactDateTime>2010-10-14T00:00:00-05:00</ExactDateTime>
418</DateTime>
419<Description>
420<Text>
421PATIENT HBA1C RESULTS
422 PATIENTS HBA1C IS GREATER THAN 9%
423 HBA1C VALUE: 9.1
424 *** No Outpatient measurements ***
425</Text>
426</Description>
427<Source>
428<Actor>
429<ActorID>ACTORPROVIDER_10000000020</ActorID>
430</Actor>
431</Source>
432</Comment>
433</Comments>
434</ContinuityOfCareRecord>
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