source: qrda/CCR/NQF-59-cohorts/PAT_100676_CCR_V1_0_0.xml@ 952

Last change on this file since 952 was 952, checked in by George Lilly, 14 years ago

patient with Lab result
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A NQF-59-cohorts/PAT_100676_CCR_V1_0_0.xml
File size: 10.5 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>d998b4a0-d1cc-427d-a1fd-35209e48d626</CCRDocumentObjectID>
5<Language>
6<Text>English</Text>
7</Language>
8<Version>V1.0</Version>
9<DateTime>
10<ExactDateTime>2010-09-20T18:15:09-05:00</ExactDateTime>
11</DateTime>
12<Patient>
13<ActorID>ACTORPATIENT_100676</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_100676</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>2010-09-16T00:00:00-05:00</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_10000000183</ActorID>
59</Actor>
60</Source>
61</Problem>
62</Problems>
63<Results>
64<Result>
65<CCRDataObjectID>RESULT_1</CCRDataObjectID>
66<DateTime>
67<Type>
68<Text>Assessment Time</Text>
69</Type>
70<ExactDateTime>2010-09-16T10:45:00-05:00</ExactDateTime>
71</DateTime>
72<Description>
73<Text>Gen Chem Specimen</Text>
74<Code>
75<Value>81323.0000</Value>
76<CodingSystem>99VA64</CodingSystem>
77</Code>
78</Description>
79<Source>
80<Actor>
81<ActorID>ACTORPROVIDER_10000000183</ActorID>
82</Actor>
83</Source>
84<Test>
85<CCRDataObjectID>RESULTTEST_1_1</CCRDataObjectID>
86<DateTime>
87<Type>
88<Text>Assessment Time</Text>
89</Type>
90<ExactDateTime>2010-09-16T10:45:00-05:00</ExactDateTime>
91</DateTime>
92<Description>
93<Text>HEMOGLOBIN A1C</Text>
94<Code>
95<Value>CH462</Value>
96<CodingSystem>99VA63</CodingSystem>
97</Code>
98</Description>
99<Status>
100<Text>F</Text>
101</Status>
102<Source>
103<Actor>
104<ActorID>ACTORORGANIZATION_500</ActorID>
105</Actor>
106</Source>
107<TestResult>
108<Value>9.6</Value>
109<Units>
110<Unit>%</Unit>
111</Units>
112</TestResult>
113<NormalResult>
114<Normal>
115<Description>
116<Text>3.5-6</Text>
117</Description>
118<Source>
119<Actor>
120<ActorID>ACTORORGANIZATION_500</ActorID>
121</Actor>
122</Source>
123</Normal>
124</NormalResult>
125<Flag>
126<Text>H</Text>
127</Flag>
128</Test>
129</Result>
130<Result>
131<CCRDataObjectID>RESULT_2</CCRDataObjectID>
132<DateTime>
133<Type>
134<Text>Assessment Time</Text>
135</Type>
136<ExactDateTime>2010-09-16T10:45:00-05:00</ExactDateTime>
137</DateTime>
138<Description>
139<Text>Gen Chem Specimen</Text>
140<Code>
141<Value>81323.0000</Value>
142<CodingSystem>99VA64</CodingSystem>
143</Code>
144</Description>
145<Source>
146<Actor>
147<ActorID>ACTORPROVIDER_10000000183</ActorID>
148</Actor>
149</Source>
150<Test>
151<CCRDataObjectID>RESULTTEST_2_1</CCRDataObjectID>
152<DateTime>
153<Type>
154<Text>Assessment Time</Text>
155</Type>
156<ExactDateTime>2010-09-16T10:45:00-05:00</ExactDateTime>
157</DateTime>
158<Description>
159<Text>HEMOGLOBIN A1C</Text>
160<Code>
161<Value>CH462</Value>
162<CodingSystem>99VA63</CodingSystem>
163</Code>
164</Description>
165<Status>
166<Text>F</Text>
167</Status>
168<Source>
169<Actor>
170<ActorID>ACTORORGANIZATION_500</ActorID>
171</Actor>
172</Source>
173<TestResult>
174<Value>9.6</Value>
175<Units>
176<Unit>%</Unit>
177</Units>
178</TestResult>
179<NormalResult>
180<Normal>
181<Description>
182<Text>3.5-6</Text>
183</Description>
184<Source>
185<Actor>
186<ActorID>ACTORORGANIZATION_500</ActorID>
187</Actor>
188</Source>
189</Normal>
190</NormalResult>
191<Flag>
192<Text>H</Text>
193</Flag>
194</Test>
195</Result>
196</Results>
197<Procedures>
198<Procedure>
199<CCRDataObjectID>PROCEDURE_4067_7</CCRDataObjectID>
200<DateTime>
201<Type>
202<Text>Procedure Date</Text>
203</Type>
204<ExactDateTime>2010-09-17T00:00:00-05:00</ExactDateTime>
205</DateTime>
206<Description>
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>
208<Code>
209<Value>99213</Value>
210<CodingSystem>CPT-4</CodingSystem>
211</Code>
212</Description>
213<Status>
214<Text>Completed</Text>
215</Status>
216<Source>
217<Actor>
218<ActorID>ACTORPROVIDER_10000000183</ActorID>
219</Actor>
220</Source>
221</Procedure>
222<Procedure>
223<CCRDataObjectID>PROCEDURE_4066_4</CCRDataObjectID>
224<DateTime>
225<Type>
226<Text>Procedure Date</Text>
227</Type>
228<ExactDateTime>2010-09-16T00:00:00-05:00</ExactDateTime>
229</DateTime>
230<Description>
231<Text>Office/Outpatient Visit of an Established Patient requiring (2 of 3) a Detailed History, an Exam and Medical Decision Making of Moderate Complexity (CPT-4 99214)</Text>
232<Code>
233<Value>99214</Value>
234<CodingSystem>CPT-4</CodingSystem>
235</Code>
236</Description>
237<Status>
238<Text>Completed</Text>
239</Status>
240<Source>
241<Actor>
242<ActorID>ACTORPROVIDER_10000000183</ActorID>
243</Actor>
244</Source>
245</Procedure>
246</Procedures>
247<Encounters>
248<Encounter>
249<CCRDataObjectID>ENCOUNTER_4067</CCRDataObjectID>
250<DateTime>
251<ExactDateTime>2010-09-17T00:00:00-05:00</ExactDateTime>
252</DateTime>
253<Type>
254<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>
255<Code>
256<Value>99213</Value>
257<CodingSystem>CPT-4</CodingSystem>
258</Code>
259</Type>
260<Description>
261<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>
262<Code>
263<Value>99213</Value>
264<CodingSystem>CPT-4</CodingSystem>
265</Code>
266</Description>
267<Location>
268<Actor>
269<ActorID>ACTORORGANIZATION_1</ActorID>
270</Actor>
271</Location>
272<Practioner>
273<Actor>
274<ActorID>ACTORPROVIDER_10000000183</ActorID>
275</Actor>
276</Practioner>
277<Source>
278<Actor>
279<ActorID>ACTORPROVIDER_10000000183</ActorID>
280</Actor>
281</Source>
282<CommentID>NOTE_4067</CommentID>
283</Encounter>
284<Encounter>
285<CCRDataObjectID>ENCOUNTER_4066</CCRDataObjectID>
286<DateTime>
287<ExactDateTime>2010-09-16T00:00:00-05:00</ExactDateTime>
288</DateTime>
289<Type>
290<Text> Office/Outpatient Visit of an Established Patient requiring (2 of 3) a Detailed History, an Exam and Medical Decision Making of Moderate Complexity (CPT-4 99214)</Text>
291<Code>
292<Value>99214</Value>
293<CodingSystem>CPT-4</CodingSystem>
294</Code>
295</Type>
296<Description>
297<Text> Office/Outpatient Visit of an Established Patient requiring (2 of 3) a Detailed History, an Exam and Medical Decision Making of Moderate Complexity (CPT-4 99214)</Text>
298<Code>
299<Value>99214</Value>
300<CodingSystem>CPT-4</CodingSystem>
301</Code>
302</Description>
303<Location>
304<Actor>
305<ActorID>ACTORORGANIZATION_1</ActorID>
306</Actor>
307</Location>
308<Practioner>
309<Actor>
310<ActorID>ACTORPROVIDER_10000000183</ActorID>
311</Actor>
312</Practioner>
313<Source>
314<Actor>
315<ActorID>ACTORPROVIDER_10000000183</ActorID>
316</Actor>
317</Source>
318<CommentID>NOTE_4066</CommentID>
319</Encounter>
320</Encounters>
321</Body>
322<Actors>
323<Actor>
324<ActorObjectID>ACTORORGANIZATION_1</ActorObjectID>
325<Organization>
326<Name>CAMP MASTER</Name>
327</Organization>
328<Address>
329<Type>
330<Text>Office</Text>
331</Type>
332<Line1>VA MEDICAL CENTER</Line1>
333<City>ALBANY</City>
334<State>NEW YORK</State>
335<PostalCode>12180-0097</PostalCode>
336</Address>
337<Source>
338<Actor>
339<ActorID>ACTORSYSTEM_1</ActorID>
340</Actor>
341</Source>
342</Actor>
343<Actor>
344<ActorObjectID>ACTORORGANIZATION_500</ActorObjectID>
345<Organization>
346<Name>CAMP MASTER</Name>
347</Organization>
348<Address>
349<Type>
350<Text>Office</Text>
351</Type>
352<Line1>VA MEDICAL CENTER</Line1>
353<City>ALBANY</City>
354<State>NEW YORK</State>
355<PostalCode>12180-0097</PostalCode>
356</Address>
357<Source>
358<Actor>
359<ActorID>ACTORSYSTEM_1</ActorID>
360</Actor>
361</Source>
362</Actor>
363<Actor>
364<ActorObjectID>ACTORPATIENT_100676</ActorObjectID>
365<Person>
366<Name>
367<CurrentName>
368<Given>OUTPATIENT</Given>
369<Family>SIXTYNINE</Family>
370</CurrentName>
371</Name>
372<DateOfBirth>
373<ExactDateTime>1945-03-09</ExactDateTime>
374</DateOfBirth>
375<Gender>
376<Text>MALE</Text>
377<Code>
378<Value>M</Value>
379<CodingSystem>HL7 AdministrativeGender</CodingSystem>
380</Code>
381</Gender>
382</Person>
383<IDs>
384<Type>
385<Text>SSN</Text>
386</Type>
387<ID>666000669</ID>
388<Source>
389<Actor>
390<ActorID>ACTORPATIENT_100676</ActorID>
391</Actor>
392</Source>
393</IDs>
394<Address>
395<Type>
396<Text>Home</Text>
397</Type>
398<Line1>Any Street</Line1>
399<City>Any Town</City>
400</Address>
401<Source>
402<Actor>
403<ActorID>ACTORPATIENT_100676</ActorID>
404</Actor>
405</Source>
406</Actor>
407<Actor>
408<ActorObjectID>ACTORPROVIDER_10000000020</ActorObjectID>
409<Person>
410<Name>
411<CurrentName>
412<Given>SYSTEM</Given>
413<Family>MANAGER</Family>
414</CurrentName>
415</Name>
416</Person>
417<Specialty>
418<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
419</Specialty>
420<Address>
421<Type>
422<Text>Work</Text>
423</Type>
424<Line1>VA MEDICAL CENTER</Line1>
425<City>ALBANY</City>
426<State>NY</State>
427<PostalCode>12180-0097</PostalCode>
428</Address>
429<Source>
430<Actor>
431<ActorID>ACTORSYSTEM_1</ActorID>
432</Actor>
433</Source>
434<InternalCCRLink>
435<LinkID>ACTORORGANIZATION_1</LinkID>
436<LinkRelationship>representedOrganization</LinkRelationship>
437</InternalCCRLink>
438</Actor>
439<Actor>
440<ActorObjectID>ACTORPROVIDER_10000000183</ActorObjectID>
441<Person>
442<Name>
443<CurrentName>
444<Given>MATTHEW</Given>
445<Middle>M</Middle>
446<Family>KING</Family>
447</CurrentName>
448</Name>
449</Person>
450<Specialty>
451<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
452</Specialty>
453<Address>
454<Type>
455<Text>Work</Text>
456</Type>
457<Line1>VA MEDICAL CENTER</Line1>
458<City>ALBANY</City>
459<State>NY</State>
460<PostalCode>12180-0097</PostalCode>
461</Address>
462<Source>
463<Actor>
464<ActorID>ACTORSYSTEM_1</ActorID>
465</Actor>
466</Source>
467<InternalCCRLink>
468<LinkID>ACTORORGANIZATION_1</LinkID>
469<LinkRelationship>representedOrganization</LinkRelationship>
470</InternalCCRLink>
471</Actor>
472<Actor>
473<ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
474<InformationSystem>
475<Name>WorldVistA EHR/VOE</Name>
476<Version>1.0</Version>
477</InformationSystem>
478<Source>
479<Actor>
480<ActorID>ACTORSYSTEM_1</ActorID>
481</Actor>
482</Source>
483</Actor>
484</Actors>
485<Comments>
486<Comment>
487<CommentObjectID>@@COMMENTOBJECTID@@</CommentObjectID>
488<DateTime>
489<ExactDateTime>@@CMTDATETIME@@</ExactDateTime>
490</DateTime>
491<Source>
492<Actor>
493<ActorID>@@ACTORSOURCEID@@</ActorID>
494</Actor>
495</Source>
496</Comment>
497<Comment>
498<CommentObjectID>NOTE_4066</CommentObjectID>
499<DateTime>
500<ExactDateTime>2010-09-16T00:00:00-05:00</ExactDateTime>
501</DateTime>
502<Description>
503<Text>
504TEST FOR NUMERATOR DM HB&gt;9
505</Text>
506</Description>
507<Source>
508<Actor>
509<ActorID>ACTORPROVIDER_10000000183</ActorID>
510</Actor>
511</Source>
512</Comment>
513<Comment>
514<CommentObjectID>NOTE_4067</CommentObjectID>
515<DateTime>
516<ExactDateTime>2010-09-17T00:00:00-05:00</ExactDateTime>
517</DateTime>
518<Description>
519<Text>
520 DM HBA1C MANAGEMENT:
521 PATIENT HBA1C RESULTS
522 DOCUMENTED HBA1C IS LESS THAN OR EQUAL TO 9%
523 HBA1C VALUE: 9.1
524 PATIENT HAS AN LDL &lt;100.
525 LDL VALUE: 95
526</Text>
527</Description>
528<Source>
529<Actor>
530<ActorID>ACTORPROVIDER_10000000183</ActorID>
531</Actor>
532</Source>
533</Comment>
534</Comments>
535</ContinuityOfCareRecord>
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