source: qrda/CCR/M1-QRDA/PAT_100855_QRDA_V1_0_0.xml@ 983

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

testing QRDA Incidence documents for PQRI Measure 1
File size: 22.4 KB
Line 
1<?xml version="1.0" encoding="utf-8"?>
2<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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8<code code="55182-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Quality Measure Report"/>
9<title>QRDA Incidence Report</title>
10<effectiveTime value="20100703"/>
11<confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
12<languageCode code="en-US"/>
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19<streetAddressLine/>
20<city/>
21<state/>
22<postalCode/>
23</addr>
24<telecom/>
25<patient>
26<name>
27<given>FEMALE-E</given>
28<family>MEASURE-ONE</family>
29</name>
30<administrativeGenderCode displayName="FEMALE" code="F" codeSystemName="HL7 AdministrativeGender" codeSystem=""/>
31<birthTime value="1960111200"/>
32</patient>
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41<given>Nancy</given>
42<family>Anthracite</family>
43<suffix>MD</suffix>
44</name>
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47<id root="2.16.840.1.113883.3.543" extension="1558574526"/>
48<name>WorldVistA Test Clinic</name>
49</representedOrganization>
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57<name>World VistA Test Clinic</name>
58</representedOrganization>
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60</informant>
61<custodian>
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93<prefix>Dr.</prefix>
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95<family>Anthracite</family>
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111<addr>
112<streetAddressLine>123 Maple Ave</streetAddressLine>
113<city>Gaithersburg</city>
114<state>MD</state>
115<postalCode>20877</postalCode>
116</addr>
117<assignedPerson>
118<name>
119<given>Nancy</given>
120<family>Anthracite</family>
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139<addr>
140<streetAddressLine>123 Maple Ave</streetAddressLine>
141<city>Gaithersburg</city>
142<state>MD</state>
143<postalCode>20877</postalCode>
144</addr>
145<assignedPerson>
146<name>
147<given>Nancy</given>
148<family>Anthracite</family>
149<suffix>MD</suffix>
150</name>
151</assignedPerson>
152</assignedEntity>
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156<component>
157<structuredBody>
158<component>
159<section>
160<templateId root="2.16.840.1.113883.3.249.11.12"/>
161<code code="55185-3" codeSystem="2.16.840.1.113883.6.1"/>
162<title>Measure set: CMS EHR Measure Set</title>
163<text>2010 Measures Set Measures</text>
164<component>
165<section>
166<templateId root="2.16.840.1.113883.3.249.11.2"/>
167<templateId root="2.16.840.1.113883.3.249.11.3"/>
168<templateId root="2.16.840.1.113883.3.249.11.4"/>
169<templateId root="2.16.840.1.113883.3.249.11.5"/>
170<templateId root="2.16.840.1.113883.3.249.11.6"/>
171<templateId root="2.16.840.1.113883.3.249.11.7"/>
172<templateId root="2.16.840.1.113883.3.249.11.8"/>
173<templateId root="2.16.840.1.113883.3.249.11.9"/>
174<templateId root="2.16.840.1.113883.3.249.11.10"/>
175<templateId root="2.16.840.1.113883.3.249.11.11"/>
176<templateId root="2.16.840.1.113883.3.249.11.15"/>
177<code code="55186-1" codeSystem="2.16.840.1.113883.6.1"/>
178<title>Measure Section</title>
179<text>
180<list>
181<item>CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus</item>
182<item>CMS Measure #2: Diabetes Mellitus: Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus</item>
183<item>CMS Measure #3: Diabetes Mellitus: High Blood Pressure Control in Diabetes Mellitus</item>
184<item>CMS Measure #5: Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)</item>
185<item>CMS Measure #7: Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI)</item>
186<item>CMS Measure #110: Preventive Care and Screening: Influenza Immunization for Patients &gt;= 50 Years</item>
187<item>CMS Measure #111: Preventive Care and Screening: Pneumonia Vaccination for Patients 65 Years and Older</item>
188<item>CMS Measure #112: Preventive Care and Screening: Screening Mammography</item>
189<item>CMS Measure #113: Preventive Care and Screening: Colorectal Cancer Screening</item>
190<item>CMS Measure #124: Health Information Technology (HIT): Adoption/Use of Electronic Health Records (EHR)</item>
191<item>CMS Measure eRx:Adoption/Use of Medication Electronic Prescribing Measure</item>
192</list>
193</text>
194<entry typeCode="DRIV">
195<act classCode="ACT" moodCode="DEF">
196<id root="3944fd20-865c-11df-a4ee-0800200c9a66"/>
197<code code="PQRI-1" codeSystem="2.16.840.1.113883.3.249.12" displayName="Hemoglobin A1c Poor Control in Diabetes Mellitus"/>
198<text>Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0%</text>
199<statusCode code="completed"/>
200</act>
201</entry>
202<entry typeCode="DRIV">
203<act classCode="ACT" moodCode="DEF">
204<id root="3944fd21-865c-11df-a4ee-0800200c9a66"/>
205<code code="PQRI-2" codeSystem="2.16.840.1.113883.3.249.12" displayName="Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus"/>
206<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>
207<statusCode code="completed"/>
208</act>
209</entry>
210<entry typeCode="DRIV">
211<act classCode="ACT" moodCode="DEF">
212<id root="3944fd22-865c-11df-a4ee-0800200c9a66"/>
213<code code="PQRI-3" codeSystem="2.16.840.1.113883.3.249.12" displayName="Hemoglobin A1c Poor Control in Diabetes Mellitus"/>
214<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>
215<statusCode code="completed"/>
216</act>
217</entry>
218<entry typeCode="DRIV">
219<act classCode="ACT" moodCode="DEF">
220<id root="3944fd23-865c-11df-a4ee-0800200c9a66"/>
221<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)"/>
222<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>
223<statusCode code="completed"/>
224</act>
225</entry>
226<entry typeCode="DRIV">
227<act classCode="ACT" moodCode="DEF">
228<id root="3944fd24-865c-11df-a4ee-0800200c9a66"/>
229<code code="PQRI-7" codeSystem="2.16.840.1.113883.3.249.12" displayName="Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction"/>
230<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>
231<statusCode code="completed"/>
232</act>
233</entry>
234<entry typeCode="DRIV">
235<act classCode="ACT" moodCode="DEF">
236<id root="3944fd25-865c-11df-a4ee-0800200c9a66"/>
237<code code="PQRI-110" codeSystem="2.16.840.1.113883.3.249.12" displayName="Influenza Immunization for Patients &gt;= 50 Years"/>
238<text>Percentage of patients aged 50 years and older who received an influenza immunization during the flu season (September through February)</text>
239<statusCode code="completed"/>
240</act>
241</entry>
242<entry typeCode="DRIV">
243<act classCode="ACT" moodCode="DEF">
244<id root="3944fd26-865c-11df-a4ee-0800200c9a66"/>
245<code code="PQRI-111" codeSystem="2.16.840.1.113883.3.249.12" displayName="Pneumonia Vaccination for Patients 65 Years and Older"/>
246<text>Percentage of patients afed 65 years and older who have ever received a pneumoccal vaccine</text>
247<statusCode code="completed"/>
248</act>
249</entry>
250<entry typeCode="DRIV">
251<act classCode="ACT" moodCode="DEF">
252<id root="3944fd27-865c-11df-a4ee-0800200c9a66"/>
253<code code="PQRI-112" codeSystem="2.16.840.1.113883.3.249.12" displayName="Screening Mammography"/>
254<text>Percentage of womaen aged 40 through 69 years who had a mammogram to screen for breast cancer within 24 months</text>
255<statusCode code="completed"/>
256</act>
257</entry>
258<entry typeCode="DRIV">
259<act classCode="ACT" moodCode="DEF">
260<id root="3944fd28-865c-11df-a4ee-0800200c9a66"/>
261<code code="PQRI-113" codeSystem="2.16.840.1.113883.3.249.12" displayName="Colorectal Cancer Screening"/>
262<text>Percentage of patients aged 50 through 80 who received the appropriate colorectal cancer screening</text>
263<statusCode code="completed"/>
264</act>
265</entry>
266<entry typeCode="DRIV">
267<act classCode="ACT" moodCode="DEF">
268<id root="3944fd29-865c-11df-a4ee-0800200c9a66"/>
269<code code="PQRI-124" codeSystem="2.16.840.1.113883.3.249.12" displayName="Adoption/Use of Electronic Health Records (EHR)"/>
270<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>
271<statusCode code="completed"/>
272</act>
273</entry>
274<entry typeCode="DRIV">
275<act classCode="ACT" moodCode="DEF">
276<id root="3944fd30-865c-11df-a4ee-0800200c9a66"/>
277<code code="eRx" codeSystem="2.16.840.1.113883.3.249.12" displayName="Adoption/Use of Medication Electronic Prescribing Measure"/>
278<text>Documents whether provider has adopted and is using ePrescribing</text>
279<statusCode code="completed"/>
280</act>
281</entry>
282<component>
283<section>
284<code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
285<title>Reporting Parameters</title>
286<text>
287<list>
288<item>Reporting Period Jan 1, 2010 to Dec 31, 2010</item>
289</list>
290</text>
291<entry>
292<act classCode="ACT" moodCode="EVN">
293<code code="252116004" codeSystem="2.16.840.1.113883.6.96" displayName="Observation Parameters"/>
294<effectiveTime>
295<low value="20100101"/>
296<high value="20101231"/>
297</effectiveTime>
298</act>
299</entry>
300</section>
301</component>
302<component>
303<section>
304<templateId root="2.16.840.1.113883.10.20.1.13"/>
305<code code="48764-5" codeSystem="2.16.840.1.113883.6.1"/>
306<title>Purpose</title>
307<text>CEND PHR</text>
308</section>
309</component>
310<component>
311<section>
312<templateId root="2.16.840.1.113883.3.88.11.83.103" assigningAuthorityName="HITSP/C83"/>
313<templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.6" assigningAuthorityName="IHE PCC"/>
314<templateId root="2.16.840.1.113883.10.20.1.11" assigningAuthorityName="HL7 CCD"/>
315<code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem list"/>
316<title>Problems</title>
317<text>
318<table>
319<tbody>
320<tr>
321<th>Type</th>
322<th>Date</th>
323<th>Code</th>
324<th>Description</th>
325<th>Status</th>
326<th>Source</th>
327</tr>
328<tr>
329<td>Problem</td>
330<td>
331<table>
332<tbody>
333<tr xmlns="">
334<td>Oct 14, 2010</td>
335</tr>
336</tbody>
337</table>
338</td>
339<td>250.00 (ICD9CM)
340 </td>
341<td ID="PROBLEM1">Diabetes Mellitus without mention of Complication, type II or unspecified type,</td>
342<td>Active</td>
343<td>NANCY ANTHRACITE </td>
344</tr>
345<tr>
346<td>Problem</td>
347<td>
348<table>
349<tbody>
350<tr xmlns="">
351<td>Oct 14, 2010</td>
352</tr>
353</tbody>
354</table>
355</td>
356<td>250.00 (ICD9CM)
357 </td>
358<td ID="PROBLEM2">Diabetes (ICD-9-CM 250.00)</td>
359<td>Active</td>
360<td>NANCY ANTHRACITE </td>
361</tr>
362<tr>
363<td>Problem</td>
364<td>
365<table>
366<tbody>
367<tr xmlns="">
368<td>Oct 13, 2010</td>
369</tr>
370</tbody>
371</table>
372</td>
373<td>250.00 (ICD9CM)
374 </td>
375<td ID="PROBLEM3">Diabetes Mellitus without mention of Complication, type II or unspecified type,</td>
376<td>Active</td>
377<td>NANCY ANTHRACITE </td>
378</tr>
379</tbody>
380</table>
381</text>
382<entry typeCode="DRIV">
383<act classCode="ACT" moodCode="EVN">
384<templateId root="2.16.840.1.113883.10.20.1.27"/>
385<id root="PROBLEM1" extension="CCRObjectID"/>
386<code nullFlavor="NA"/>
387<performer typeCode="PRF">
388<assignedEntity>
389<id extension="ACTORPROVIDER_10000000020" root="CCRActorID"/>
390<addr use="WP">
391<streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
392<city>ALBANY</city>
393<state>NY</state>
394<postalCode>12180</postalCode>
395</addr>
396<telecom/>
397<assignedPerson>
398<name>
399<given>NANCY</given>
400<family>ANTHRACITE</family>
401</name>
402</assignedPerson>
403</assignedEntity>
404</performer>
405<entryRelationship typeCode="SUBJ">
406<observation classCode="OBS" moodCode="EVN">
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408<id root="PROBLEM1" extension="CCRObjectID"/>
409<code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"/>
410<text>
411<reference value="#PROBLEM1"/>
412</text>
413<statusCode code="completed"/>
414<effectiveTime>
415<low value="20101014"/>
416<high nullFlavor="UNK"/>
417</effectiveTime>
418<value displayName="Diabetes Mellitus without mention of Complication, type II or unspecified type," code="250.00" codeSystemName="ICD9CM" codeSystem=""/>
419<entryRelationship typeCode="REFR">
420<observation classCode="OBS" moodCode="EVN">
421<templateId root="2.16.840.1.113883.10.20.1.50"/>
422<code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
423<statusCode code="completed"/>
424<value>
425<originalText>Active</originalText>
426</value>
427</observation>
428</entryRelationship>
429</observation>
430</entryRelationship>
431</act>
432</entry>
433<entry typeCode="DRIV">
434<act classCode="ACT" moodCode="EVN">
435<templateId root="2.16.840.1.113883.10.20.1.27"/>
436<id root="PROBLEM2" extension="CCRObjectID"/>
437<code nullFlavor="NA"/>
438<performer typeCode="PRF">
439<assignedEntity>
440<id extension="ACTORPROVIDER_10000000020" root="CCRActorID"/>
441<addr use="WP">
442<streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
443<city>ALBANY</city>
444<state>NY</state>
445<postalCode>12180</postalCode>
446</addr>
447<telecom/>
448<assignedPerson>
449<name>
450<given>NANCY</given>
451<family>ANTHRACITE</family>
452</name>
453</assignedPerson>
454</assignedEntity>
455</performer>
456<entryRelationship typeCode="SUBJ">
457<observation classCode="OBS" moodCode="EVN">
458<templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
459<id root="PROBLEM2" extension="CCRObjectID"/>
460<code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"/>
461<text>
462<reference value="#PROBLEM2"/>
463</text>
464<statusCode code="completed"/>
465<effectiveTime>
466<low value="20101014"/>
467<high nullFlavor="UNK"/>
468</effectiveTime>
469<value displayName="Diabetes (ICD-9-CM 250.00)" code="250.00" codeSystemName="ICD9CM" codeSystem=""/>
470<entryRelationship typeCode="REFR">
471<observation classCode="OBS" moodCode="EVN">
472<templateId root="2.16.840.1.113883.10.20.1.50"/>
473<code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
474<statusCode code="completed"/>
475<value>
476<originalText>Active</originalText>
477</value>
478</observation>
479</entryRelationship>
480</observation>
481</entryRelationship>
482</act>
483</entry>
484<entry typeCode="DRIV">
485<act classCode="ACT" moodCode="EVN">
486<templateId root="2.16.840.1.113883.10.20.1.27"/>
487<id root="PROBLEM3" extension="CCRObjectID"/>
488<code nullFlavor="NA"/>
489<performer typeCode="PRF">
490<assignedEntity>
491<id extension="ACTORPROVIDER_10000000020" root="CCRActorID"/>
492<addr use="WP">
493<streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
494<city>ALBANY</city>
495<state>NY</state>
496<postalCode>12180</postalCode>
497</addr>
498<telecom/>
499<assignedPerson>
500<name>
501<given>NANCY</given>
502<family>ANTHRACITE</family>
503</name>
504</assignedPerson>
505</assignedEntity>
506</performer>
507<entryRelationship typeCode="SUBJ">
508<observation classCode="OBS" moodCode="EVN">
509<templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
510<id root="PROBLEM3" extension="CCRObjectID"/>
511<code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"/>
512<text>
513<reference value="#PROBLEM3"/>
514</text>
515<statusCode code="completed"/>
516<effectiveTime>
517<low value="20101013"/>
518<high nullFlavor="UNK"/>
519</effectiveTime>
520<value displayName="Diabetes Mellitus without mention of Complication, type II or unspecified type," code="250.00" codeSystemName="ICD9CM" codeSystem=""/>
521<entryRelationship typeCode="REFR">
522<observation classCode="OBS" moodCode="EVN">
523<templateId root="2.16.840.1.113883.10.20.1.50"/>
524<code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
525<statusCode code="completed"/>
526<value>
527<originalText>Active</originalText>
528</value>
529</observation>
530</entryRelationship>
531</observation>
532</entryRelationship>
533</act>
534</entry>
535</section>
536</component>
537<component>
538<section>
539<templateId root="2.16.840.1.113883.10.20.1.12"/>
540<code code="47519-4" codeSystem="2.16.840.1.113883.6.1"/>
541<title>Procedures</title>
542<text>
543<table>
544<tbody>
545<tr>
546<th>Type</th>
547<th>Date</th>
548<th>Code</th>
549<th>Description</th>
550<th>Location</th>
551<th>Substance</th>
552<th>Method</th>
553<th>Position</th>
554<th>Site</th>
555<th>Status</th>
556<th>Source</th>
557</tr>
558<tr id="PROCEDURE_4127_7">
559<td/>
560<table>
561<tbody>
562<tr xmlns="">
563<td>Procedure Date:
564 </td>
565<td>Oct 14, 2010</td>
566</tr>
567</tbody>
568</table>
569<td>99212 (CPT-4)
570 </td>
571<td>LIMITED (10min)</td>
572<td/>
573<td/>
574<td/>
575<td/>
576<td/>
577<td>Completed</td>
578<td>NANCY ANTHRACITE </td>
579</tr>
580<tr id="PROCEDURE_4110_4">
581<td/>
582<table>
583<tbody>
584<tr xmlns="">
585<td>Procedure Date:
586 </td>
587<td>Oct 13, 2010</td>
588</tr>
589</tbody>
590</table>
591<td>99202 (CPT-4)
592 </td>
593<td>INTERMEDIATE (20min)</td>
594<td/>
595<td/>
596<td/>
597<td/>
598<td/>
599<td>Completed</td>
600<td>NANCY ANTHRACITE </td>
601</tr>
602</tbody>
603</table>
604</text>
605<entry typeCode="DRIV">
606<procedure classCode="PROC" moodCode="EVN">
607<templateId root="2.16.840.1.113883.3.88.11.83.17" assigningAuthorityName="HITSP C83"/>
608<templateId root="2.16.840.1.113883.10.20.1.29" assigningAuthorityName="CCD"/>
609<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.19" assigningAuthorityName="IHE PCC"/>
610<id root="PROCEDURE_4127_7" extension="CCRObjectID"/>
611<code displayName="LIMITED (10min)" code="99212" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
612<text>
613<reference value="#PROCEDURE_4127_7"/>
614</text>
615<statusCode code="completed"/>
616<effectiveTime>
617<low value="20101014"/>
618<high nullFlavor="UNK"/>
619</effectiveTime>
620</procedure>
621</entry>
622<entry typeCode="DRIV">
623<procedure classCode="PROC" moodCode="EVN">
624<templateId root="2.16.840.1.113883.3.88.11.83.17" assigningAuthorityName="HITSP C83"/>
625<templateId root="2.16.840.1.113883.10.20.1.29" assigningAuthorityName="CCD"/>
626<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.19" assigningAuthorityName="IHE PCC"/>
627<id root="PROCEDURE_4110_4" extension="CCRObjectID"/>
628<code displayName="INTERMEDIATE (20min)" code="99202" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
629<text>
630<reference value="#PROCEDURE_4110_4"/>
631</text>
632<statusCode code="completed"/>
633<effectiveTime>
634<low value="20101013"/>
635<high nullFlavor="UNK"/>
636</effectiveTime>
637</procedure>
638</entry>
639</section>
640</component>
641<component>
642<section>
643<templateId root="2.16.840.1.113883.3.88.11.83.127" assigningAuthorityName="HITSP/C83"/>
644<templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3" assigningAuthorityName="IHE PCC"/>
645<templateId root="2.16.840.1.113883.10.20.1.3" assigningAuthorityName="HL7 CCD"/>
646<code code="46240-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of encounters"/>
647<title>Encounters</title>
648<text>
649<table>
650<tbody>
651<tr>
652<th>Type</th>
653<th>Date</th>
654<th>Location</th>
655<th>Status</th>
656<th>Practitioner</th>
657<th>Description</th>
658<th>Indications</th>
659<th>Source</th>
660</tr>
661<tr id="ENCOUNTER_4127">
662<td>***ESTABLISHED PATIENT*** LIMITED (10min)</td>
663<td/>
664<td/>
665<td/>
666<td/>
667<td>***ESTABLISHED PATIENT*** LIMITED (10min)</td>
668<td/>
669<td>NANCY ANTHRACITE </td>
670</tr>
671<tr id="ENCOUNTER_4110">
672<td>***NEW PATIENT*** INTERMEDIATE (20min)</td>
673<td/>
674<td/>
675<td/>
676<td/>
677<td>***NEW PATIENT*** INTERMEDIATE (20min)</td>
678<td/>
679<td>NANCY ANTHRACITE </td>
680</tr>
681</tbody>
682</table>
683</text>
684<entry typeCode="DRIV">
685<encounter classCode="ENC" moodCode="EVN">
686<templateId root="2.16.840.1.113883.3.88.11.83.16" assigningAuthorityName="HITSP C83"/>
687<templateId root="2.16.840.1.113883.10.20.1.21" assigningAuthorityName="CCD"/>
688<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.14" assigningAuthorityName="IHE PCC"/>
689<id root="ENCOUNTER_4127" extension="CCRObjectID"/>
690<code displayName="***ESTABLISHED PATIENT*** LIMITED (10min)" code="99212" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
691<text>
692<reference value="#ENCOUNTER_4127"/>
693</text>
694<effectiveTime>
695<low value="20101014"/>
696<high nullFlavor="UNK"/>
697</effectiveTime>
698</encounter>
699</entry>
700<entry typeCode="DRIV">
701<encounter classCode="ENC" moodCode="EVN">
702<templateId root="2.16.840.1.113883.3.88.11.83.16" assigningAuthorityName="HITSP C83"/>
703<templateId root="2.16.840.1.113883.10.20.1.21" assigningAuthorityName="CCD"/>
704<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.14" assigningAuthorityName="IHE PCC"/>
705<id root="ENCOUNTER_4110" extension="CCRObjectID"/>
706<code displayName="***NEW PATIENT*** INTERMEDIATE (20min)" code="99202" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
707<text>
708<reference value="#ENCOUNTER_4110"/>
709</text>
710<effectiveTime>
711<low value="20101013"/>
712<high nullFlavor="UNK"/>
713</effectiveTime>
714</encounter>
715</entry>
716</section>
717</component>
718</section>
719</component>
720</section>
721</component>
722</structuredBody>
723</component>
724</ClinicalDocument>
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