source: qrda/CCR/NQF-59-cohorts/PAT_100662_CCR_V1_0_0.xml@ 1544

Last change on this file since 1544 was 946, checked in by George Lilly, 14 years ago

created subdirectory for measure cohorts
File size: 5.4 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>de7c3d33-e0e4-4e0d-9e2c-5dd3d8b831ab</CCRDocumentObjectID>
5<Language>
6<Text>English</Text>
7</Language>
8<Version>V1.0</Version>
9<DateTime>
10<ExactDateTime>2010-09-08T19:47:27-05:00</ExactDateTime>
11</DateTime>
12<Patient>
13<ActorID>ACTORPATIENT_100662</ActorID>
14</Patient>
15<From>
16<ActorLink>
17<ActorID>ACTORPROVIDER_10000000020</ActorID>
18</ActorLink>
19<ActorLink>
20<ActorID>ACTORSYSTEM_1</ActorID>
21</ActorLink>
22</From>
23<To>
24<ActorLink>
25<ActorID>ACTORPATIENT_100662</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>2010-09-05T00:00:00-05:00</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</Problems>
63<Procedures>
64<Procedure>
65<CCRDataObjectID>PROCEDURE_4060_4</CCRDataObjectID>
66<DateTime>
67<Type>
68<Text>Procedure Date</Text>
69</Type>
70<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
71</DateTime>
72<Description>
73<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>
74<Code>
75<Value>99213</Value>
76<CodingSystem>CPT-4</CodingSystem>
77</Code>
78</Description>
79<Status>
80<Text>Completed</Text>
81</Status>
82<Source>
83<Actor>
84<ActorID>ACTORPROVIDER_10000000020</ActorID>
85</Actor>
86</Source>
87</Procedure>
88</Procedures>
89<Encounters>
90<Encounter>
91<CCRDataObjectID>ENCOUNTER_4060</CCRDataObjectID>
92<DateTime>
93<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
94</DateTime>
95<Type>
96<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>
97<Code>
98<Value>99213</Value>
99<CodingSystem>CPT-4</CodingSystem>
100</Code>
101</Type>
102<Description>
103<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>
104<Code>
105<Value>99213</Value>
106<CodingSystem>CPT-4</CodingSystem>
107</Code>
108</Description>
109<Location>
110<Actor>
111<ActorID>ACTORORGANIZATION_1</ActorID>
112</Actor>
113</Location>
114<Practioner>
115<Actor>
116<ActorID>ACTORPROVIDER_10000000020</ActorID>
117</Actor>
118</Practioner>
119<Source>
120<Actor>
121<ActorID>ACTORPROVIDER_10000000020</ActorID>
122</Actor>
123</Source>
124<CommentID>NOTE_4060</CommentID>
125</Encounter>
126</Encounters>
127</Body>
128<Actors>
129<Actor>
130<ActorObjectID>ACTORORGANIZATION_1</ActorObjectID>
131<Organization>
132<Name>CAMP MASTER</Name>
133</Organization>
134<Address>
135<Type>
136<Text>Office</Text>
137</Type>
138<Line1>VA MEDICAL CENTER</Line1>
139<City>ALBANY</City>
140<State>NEW YORK</State>
141<PostalCode>12180-0097</PostalCode>
142</Address>
143<Source>
144<Actor>
145<ActorID>ACTORSYSTEM_1</ActorID>
146</Actor>
147</Source>
148</Actor>
149<Actor>
150<ActorObjectID>ACTORPATIENT_100662</ActorObjectID>
151<Person>
152<Name>
153<CurrentName>
154<Given>OUTPATIENT</Given>
155<Family>FIFTYFIVE</Family>
156</CurrentName>
157</Name>
158<DateOfBirth>
159<ExactDateTime>1945-03-09</ExactDateTime>
160</DateOfBirth>
161<Gender>
162<Text>MALE</Text>
163<Code>
164<Value>M</Value>
165<CodingSystem>HL7 AdministrativeGender</CodingSystem>
166</Code>
167</Gender>
168</Person>
169<IDs>
170<Type>
171<Text>SSN</Text>
172</Type>
173<ID>666000655</ID>
174<Source>
175<Actor>
176<ActorID>ACTORPATIENT_100662</ActorID>
177</Actor>
178</Source>
179</IDs>
180<Address>
181<Type>
182<Text>Home</Text>
183</Type>
184<Line1>Any Street</Line1>
185<City>Any Town</City>
186</Address>
187<Source>
188<Actor>
189<ActorID>ACTORPATIENT_100662</ActorID>
190</Actor>
191</Source>
192</Actor>
193<Actor>
194<ActorObjectID>ACTORPROVIDER_10000000020</ActorObjectID>
195<Person>
196<Name>
197<CurrentName>
198<Given>SYSTEM</Given>
199<Family>MANAGER</Family>
200</CurrentName>
201</Name>
202</Person>
203<Specialty>
204<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
205</Specialty>
206<Address>
207<Type>
208<Text>Work</Text>
209</Type>
210<Line1>VA MEDICAL CENTER</Line1>
211<City>ALBANY</City>
212<State>NY</State>
213<PostalCode>12180-0097</PostalCode>
214</Address>
215<Source>
216<Actor>
217<ActorID>ACTORSYSTEM_1</ActorID>
218</Actor>
219</Source>
220<InternalCCRLink>
221<LinkID>ACTORORGANIZATION_1</LinkID>
222<LinkRelationship>representedOrganization</LinkRelationship>
223</InternalCCRLink>
224</Actor>
225<Actor>
226<ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
227<InformationSystem>
228<Name>WorldVistA EHR/VOE</Name>
229<Version>1.0</Version>
230</InformationSystem>
231<Source>
232<Actor>
233<ActorID>ACTORSYSTEM_1</ActorID>
234</Actor>
235</Source>
236</Actor>
237</Actors>
238<Comments>
239<Comment>
240<CommentObjectID>@@COMMENTOBJECTID@@</CommentObjectID>
241<DateTime>
242<ExactDateTime>@@CMTDATETIME@@</ExactDateTime>
243</DateTime>
244<Source>
245<Actor>
246<ActorID>@@ACTORSOURCEID@@</ActorID>
247</Actor>
248</Source>
249</Comment>
250<Comment>
251<CommentObjectID>NOTE_4060</CommentObjectID>
252<DateTime>
253<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
254</DateTime>
255<Description>
256<Text>
257DIABETIC TEST
258PATIENT HBA1C RESULTS
259 PATIENTS HBA1C IS GREATER THAN 9%
260 HBA1C VALUE: 10.1
261</Text>
262</Description>
263<Source>
264<Actor>
265<ActorID>ACTORPROVIDER_10000000020</ActorID>
266</Actor>
267</Source>
268</Comment>
269</Comments>
270</ContinuityOfCareRecord>
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