| 1 | <?xml version="1.0" encoding="UTF-8"?>
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| 2 | <?xml-stylesheet type="text/xsl" href="ccr.xsl"?>
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| 3 | <ContinuityOfCareRecord xmlns="urn:astm-org:CCR">
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| 4 | <CCRDocumentObjectID>f8fb14e4-6437-4944-85dc-4010da72032b</CCRDocumentObjectID>
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| 5 | <Language>
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| 6 | <Text>English</Text>
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| 7 | </Language>
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| 8 | <Version>V1.0</Version>
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| 9 | <DateTime>
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| 10 | <ExactDateTime>2010-09-14T16:27:58-05:00</ExactDateTime>
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| 11 | </DateTime>
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| 12 | <Patient>
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| 13 | <ActorID>ACTORPATIENT_100622</ActorID>
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| 14 | </Patient>
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| 15 | <From>
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| 16 | <ActorLink>
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| 17 | <ActorID>ACTORPROVIDER_10000000020</ActorID>
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| 18 | </ActorLink>
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| 19 | <ActorLink>
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| 20 | <ActorID>ACTORSYSTEM_1</ActorID>
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| 21 | </ActorLink>
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| 22 | </From>
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| 23 | <To>
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| 24 | <ActorLink>
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| 25 | <ActorID>ACTORPATIENT_100622</ActorID>
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| 26 | <ActorRole>
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| 27 | <Text>Patient</Text>
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| 28 | </ActorRole>
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| 29 | </ActorLink>
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| 30 | </To>
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| 31 | <Purpose>
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| 32 | <Description>
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| 33 | <Text>CEND PHR</Text>
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| 34 | </Description>
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| 35 | </Purpose>
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| 36 | <Body>
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| 37 | <Problems>
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| 38 | <Problem>
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| 39 | <CCRDataObjectID>PROBLEM1</CCRDataObjectID>
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| 40 | <DateTime>
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| 41 | <ExactDateTime>2010-09-13T00:00:00-05:00</ExactDateTime>
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| 42 | </DateTime>
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| 43 | <Type>
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| 44 | <Text>Problem</Text>
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| 45 | </Type>
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| 46 | <Description>
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| 47 | <Text>Sprains (ICD-9-CM 848.9)</Text>
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| 48 | <Code>
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| 49 | <Value>848.9</Value>
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| 50 | <CodingSystem>ICD9CM</CodingSystem>
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| 51 | </Code>
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| 52 | </Description>
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| 53 | <Status>
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| 54 | <Text>Active</Text>
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| 55 | </Status>
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| 56 | <Source>
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| 57 | <Actor>
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| 58 | <ActorID>ACTORPROVIDER_10000000183</ActorID>
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| 59 | </Actor>
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| 60 | </Source>
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| 61 | </Problem>
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| 62 | </Problems>
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| 63 | <Medications>
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| 64 | <Medication>
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| 65 | <CCRDataObjectID>MED1</CCRDataObjectID>
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| 66 | <DateTime>
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| 67 | <Type>
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| 68 | <Text>Issue Date</Text>
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| 69 | </Type>
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| 70 | <ExactDateTime>2010-09-06</ExactDateTime>
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| 71 | </DateTime>
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| 72 | <DateTime>
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| 73 | <Type>
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| 74 | <Text>Last Fill Date</Text>
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| 75 | </Type>
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| 76 | <ExactDateTime>2010-09-06</ExactDateTime>
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| 77 | </DateTime>
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| 78 | <IDs>
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| 79 | <Type>
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| 80 | <Text>Prescription Number</Text>
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| 81 | </Type>
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| 82 | <ID>500605</ID>
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| 83 | </IDs>
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| 84 | <Type>
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| 85 | <Text>Medication</Text>
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| 86 | </Type>
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| 87 | <Status>
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| 88 | <Text>ACTIVE</Text>
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| 89 | </Status>
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| 90 | <Source>
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| 91 | <Actor>
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| 92 | <ActorID>ACTORPROVIDER_10000000183</ActorID>
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| 93 | </Actor>
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| 94 | </Source>
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| 95 | <Product>
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| 96 | <ProductName>
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| 97 | <Text>GLIPIZIDE 5MG TAB</Text>
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| 98 | <Code>
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| 99 | <Value>310490</Value>
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| 100 | <CodingSystem>RXNORM</CodingSystem>
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| 101 | <Version>09AA_091005F</Version>
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| 102 | </Code>
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| 103 | </ProductName>
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| 104 | <Strength>
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| 105 | <Value>5</Value>
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| 106 | <Units>
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| 107 | <Unit>MG</Unit>
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| 108 | </Units>
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| 109 | </Strength>
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| 110 | <Form>
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| 111 | <Text>TAB</Text>
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| 112 | </Form>
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| 113 | <Concentration>
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| 114 | <Value>5</Value>
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| 115 | <Units>
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| 116 | <Unit>MG</Unit>
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| 117 | </Units>
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| 118 | </Concentration>
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| 119 | </Product>
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| 120 | <Quantity>
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| 121 | <Value>90</Value>
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| 122 | <Units>
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| 123 | <Unit>TAB</Unit>
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| 124 | </Units>
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| 125 | </Quantity>
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| 126 | <Refills>
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| 127 | <Refill>
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| 128 | <Number>0</Number>
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| 129 | </Refill>
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| 130 | </Refills>
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| 131 | <Directions>
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| 132 | <Direction>
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| 133 | <DoseIndicator>
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| 134 | <Text>1</Text>
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| 135 | </DoseIndicator>
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| 136 | <DeliveryMethod>
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| 137 | <Text>TAKE</Text>
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| 138 | </DeliveryMethod>
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| 139 | <Dose>
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| 140 | <Value>5</Value>
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| 141 | <Units>
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| 142 | <Unit>MG</Unit>
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| 143 | </Units>
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| 144 | </Dose>
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| 145 | <Route>
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| 146 | <Text>ORAL (BY MOUTH)</Text>
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| 147 | </Route>
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| 148 | <Frequency>
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| 149 | <Value>QD</Value>
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| 150 | </Frequency>
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| 151 | <Interval>
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| 152 | <Value>1440</Value>
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| 153 | <Units>
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| 154 | <Unit>Minute</Unit>
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| 155 | </Units>
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| 156 | </Interval>
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| 157 | <Indication>
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| 158 | <PRNFlag>
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| 159 | <Text>0</Text>
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| 160 | </PRNFlag>
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| 161 | </Indication>
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| 162 | <DirectionSequenceModifier>1</DirectionSequenceModifier>
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| 163 | </Direction>
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| 164 | </Directions>
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| 165 | </Medication>
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| 166 | </Medications>
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| 167 | <Procedures>
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| 168 | <Procedure>
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| 169 | <CCRDataObjectID>PROCEDURE_4062_4</CCRDataObjectID>
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| 170 | <DateTime>
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| 171 | <Type>
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| 172 | <Text>Procedure Date</Text>
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| 173 | </Type>
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| 174 | <ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
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| 175 | </DateTime>
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| 176 | <Description>
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| 177 | <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>
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| 178 | <Code>
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| 179 | <Value>99213</Value>
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| 180 | <CodingSystem>CPT-4</CodingSystem>
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| 181 | </Code>
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| 182 | </Description>
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| 183 | <Status>
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| 184 | <Text>Completed</Text>
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| 185 | </Status>
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| 186 | <Source>
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| 187 | <Actor>
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| 188 | <ActorID>ACTORPROVIDER_10000000183</ActorID>
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| 189 | </Actor>
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| 190 | </Source>
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| 191 | </Procedure>
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| 192 | </Procedures>
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| 193 | <Encounters>
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| 194 | <Encounter>
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| 195 | <CCRDataObjectID>ENCOUNTER_4062</CCRDataObjectID>
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| 196 | <DateTime>
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| 197 | <ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
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| 198 | </DateTime>
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| 199 | <Type>
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| 200 | <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>
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| 201 | <Code>
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| 202 | <Value>99213</Value>
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| 203 | <CodingSystem>CPT-4</CodingSystem>
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| 204 | </Code>
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| 205 | </Type>
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| 206 | <Description>
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| 207 | <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>
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| 208 | <Code>
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| 209 | <Value>99213</Value>
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| 210 | <CodingSystem>CPT-4</CodingSystem>
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| 211 | </Code>
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| 212 | </Description>
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| 213 | <Location>
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| 214 | <Actor>
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| 215 | <ActorID>ACTORORGANIZATION_1</ActorID>
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| 216 | </Actor>
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| 217 | </Location>
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| 218 | <Practioner>
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| 219 | <Actor>
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| 220 | <ActorID>ACTORPROVIDER_10000000183</ActorID>
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| 221 | </Actor>
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| 222 | </Practioner>
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| 223 | <Source>
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| 224 | <Actor>
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| 225 | <ActorID>ACTORPROVIDER_10000000183</ActorID>
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| 226 | </Actor>
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| 227 | </Source>
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| 228 | <CommentID>NOTE_4062</CommentID>
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| 229 | </Encounter>
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| 230 | </Encounters>
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| 231 | </Body>
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| 232 | <Actors>
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| 233 | <Actor>
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| 234 | <ActorObjectID>ACTORORGANIZATION_1</ActorObjectID>
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| 235 | <Organization>
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| 236 | <Name>CAMP MASTER</Name>
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| 237 | </Organization>
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| 238 | <Address>
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| 239 | <Type>
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| 240 | <Text>Office</Text>
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| 241 | </Type>
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| 242 | <Line1>VA MEDICAL CENTER</Line1>
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| 243 | <City>ALBANY</City>
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| 244 | <State>NEW YORK</State>
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| 245 | <PostalCode>12180-0097</PostalCode>
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| 246 | </Address>
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| 247 | <Source>
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| 248 | <Actor>
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| 249 | <ActorID>ACTORSYSTEM_1</ActorID>
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| 250 | </Actor>
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| 251 | </Source>
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| 252 | </Actor>
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| 253 | <Actor>
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| 254 | <ActorObjectID>ACTORPATIENT_100622</ActorObjectID>
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| 255 | <Person>
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| 256 | <Name>
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| 257 | <CurrentName>
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| 258 | <Given>OUTPATIENT</Given>
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| 259 | <Family>FIFTEEN</Family>
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| 260 | </CurrentName>
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| 261 | </Name>
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| 262 | <DateOfBirth>
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| 263 | <ExactDateTime>1945-03-09</ExactDateTime>
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| 264 | </DateOfBirth>
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| 265 | <Gender>
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| 266 | <Text>MALE</Text>
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| 267 | <Code>
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| 268 | <Value>M</Value>
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| 269 | <CodingSystem>HL7 AdministrativeGender</CodingSystem>
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| 270 | </Code>
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| 271 | </Gender>
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| 272 | </Person>
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| 273 | <IDs>
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| 274 | <Type>
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| 275 | <Text>SSN</Text>
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| 276 | </Type>
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| 277 | <ID>666000615</ID>
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| 278 | <Source>
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| 279 | <Actor>
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| 280 | <ActorID>ACTORPATIENT_100622</ActorID>
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| 281 | </Actor>
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| 282 | </Source>
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| 283 | </IDs>
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| 284 | <Address>
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| 285 | <Type>
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| 286 | <Text>Home</Text>
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| 287 | </Type>
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| 288 | <Line1>Any Street</Line1>
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| 289 | <City>Any Town</City>
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| 290 | </Address>
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| 291 | <Source>
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| 292 | <Actor>
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| 293 | <ActorID>ACTORPATIENT_100622</ActorID>
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| 294 | </Actor>
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| 295 | </Source>
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| 296 | </Actor>
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| 297 | <Actor>
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| 298 | <ActorObjectID>ACTORPROVIDER_10000000020</ActorObjectID>
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| 299 | <Person>
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| 300 | <Name>
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| 301 | <CurrentName>
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| 302 | <Given>SYSTEM</Given>
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| 303 | <Family>MANAGER</Family>
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| 304 | </CurrentName>
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| 305 | </Name>
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| 306 | </Person>
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| 307 | <Specialty>
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| 308 | <Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
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| 309 | </Specialty>
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| 310 | <Address>
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| 311 | <Type>
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| 312 | <Text>Work</Text>
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| 313 | </Type>
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| 314 | <Line1>VA MEDICAL CENTER</Line1>
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| 315 | <City>ALBANY</City>
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| 316 | <State>NY</State>
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| 317 | <PostalCode>12180-0097</PostalCode>
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| 318 | </Address>
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| 319 | <Source>
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| 320 | <Actor>
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| 321 | <ActorID>ACTORSYSTEM_1</ActorID>
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| 322 | </Actor>
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| 323 | </Source>
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| 324 | <InternalCCRLink>
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| 325 | <LinkID>ACTORORGANIZATION_1</LinkID>
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| 326 | <LinkRelationship>representedOrganization</LinkRelationship>
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| 327 | </InternalCCRLink>
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| 328 | </Actor>
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| 329 | <Actor>
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| 330 | <ActorObjectID>ACTORPROVIDER_10000000183</ActorObjectID>
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| 331 | <Person>
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| 332 | <Name>
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| 333 | <CurrentName>
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| 334 | <Given>MATTHEW</Given>
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| 335 | <Middle>M</Middle>
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| 336 | <Family>KING</Family>
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| 337 | </CurrentName>
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| 338 | </Name>
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| 339 | </Person>
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| 340 | <Specialty>
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| 341 | <Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
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| 342 | </Specialty>
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| 343 | <Address>
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| 344 | <Type>
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| 345 | <Text>Work</Text>
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| 346 | </Type>
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| 347 | <Line1>VA MEDICAL CENTER</Line1>
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| 348 | <City>ALBANY</City>
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| 349 | <State>NY</State>
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| 350 | <PostalCode>12180-0097</PostalCode>
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| 351 | </Address>
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| 352 | <Source>
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| 353 | <Actor>
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| 354 | <ActorID>ACTORSYSTEM_1</ActorID>
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| 355 | </Actor>
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| 356 | </Source>
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| 357 | <InternalCCRLink>
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| 358 | <LinkID>ACTORORGANIZATION_1</LinkID>
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| 359 | <LinkRelationship>representedOrganization</LinkRelationship>
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| 360 | </InternalCCRLink>
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| 361 | </Actor>
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| 362 | <Actor>
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| 363 | <ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
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| 364 | <InformationSystem>
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| 365 | <Name>WorldVistA EHR/VOE</Name>
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| 366 | <Version>1.0</Version>
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| 367 | </InformationSystem>
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| 368 | <Source>
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|---|
| 369 | <Actor>
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|---|
| 370 | <ActorID>ACTORSYSTEM_1</ActorID>
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| 371 | </Actor>
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| 372 | </Source>
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| 373 | </Actor>
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| 374 | </Actors>
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| 375 | <Comments>
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| 376 | <Comment>
|
|---|
| 377 | <CommentObjectID>@@COMMENTOBJECTID@@</CommentObjectID>
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|---|
| 378 | <DateTime>
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|---|
| 379 | <ExactDateTime>@@CMTDATETIME@@</ExactDateTime>
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|---|
| 380 | </DateTime>
|
|---|
| 381 | <Source>
|
|---|
| 382 | <Actor>
|
|---|
| 383 | <ActorID>@@ACTORSOURCEID@@</ActorID>
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|---|
| 384 | </Actor>
|
|---|
| 385 | </Source>
|
|---|
| 386 | </Comment>
|
|---|
| 387 | <Comment>
|
|---|
| 388 | <CommentObjectID>NOTE_4062</CommentObjectID>
|
|---|
| 389 | <DateTime>
|
|---|
| 390 | <ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
|
|---|
| 391 | </DateTime>
|
|---|
| 392 | <Description>
|
|---|
| 393 | <Text>
|
|---|
| 394 | JUST GIVING MEDICATIONS
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|---|
| 395 | </Text>
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|---|
| 396 | </Description>
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|---|
| 397 | <Source>
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|---|
| 398 | <Actor>
|
|---|
| 399 | <ActorID>ACTORPROVIDER_10000000183</ActorID>
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|---|
| 400 | </Actor>
|
|---|
| 401 | </Source>
|
|---|
| 402 | </Comment>
|
|---|
| 403 | </Comments>
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| 404 | </ContinuityOfCareRecord>
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