source: qrda/CCR/NQF-59-cohorts/PAT_100696_CCR_V1_0_0.xml@ 1577

Last change on this file since 1577 was 949, checked in by George Lilly, 14 years ago

updated cohorts
File size: 6.7 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>74895201-6da4-4972-b79b-441179c457ac</CCRDocumentObjectID>
5<Language>
6<Text>English</Text>
7</Language>
8<Version>V1.0</Version>
9<DateTime>
10<ExactDateTime>2010-09-13T21:59:25-05:00</ExactDateTime>
11</DateTime>
12<Patient>
13<ActorID>ACTORPATIENT_100696</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_100696</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>2010-09-13T00:00:00-05:00</ExactDateTime>
42</DateTime>
43<Type>
44<Text>Problem</Text>
45</Type>
46<Description>
47<Text>Sprains (ICD-9-CM 848.9)</Text>
48<Code>
49<Value>848.9</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<Medications>
64<Medication>
65<CCRDataObjectID>MED_OUTSIDE1</CCRDataObjectID>
66<DateTime>
67<Type>
68<Text>Documented Date</Text>
69</Type>
70<ExactDateTime>2010-09-13T21:55:33-05:00</ExactDateTime>
71</DateTime>
72<Type>
73<Text>Medication</Text>
74</Type>
75<Status>
76<Text>ACTIVE</Text>
77</Status>
78<Source>
79<Actor>
80<ActorID>ACTORPROVIDER_10000000183</ActorID>
81</Actor>
82</Source>
83<Product>
84<ProductName>
85<Text>GLIPIZIDE</Text>
86</ProductName>
87<Strength>
88<Value>5</Value>
89<Units>
90<Unit>MG</Unit>
91</Units>
92</Strength>
93<Form>
94<Text>TAB</Text>
95</Form>
96<Concentration>
97<Value>5</Value>
98<Units>
99<Unit>MG</Unit>
100</Units>
101</Concentration>
102</Product>
103<Quantity>
104<Units>
105<Unit>TAB</Unit>
106</Units>
107</Quantity>
108<Directions>
109<Direction>
110<Description>
111<Text>2.5MG MOUTH EVERY DAY</Text>
112</Description>
113<DoseIndicator>
114<Text>4</Text>
115</DoseIndicator>
116</Direction>
117</Directions>
118</Medication>
119</Medications>
120<Procedures>
121<Procedure>
122<CCRDataObjectID>PROCEDURE_4064_4</CCRDataObjectID>
123<DateTime>
124<Type>
125<Text>Procedure Date</Text>
126</Type>
127<ExactDateTime>2010-09-13T00:00:00-05:00</ExactDateTime>
128</DateTime>
129<Description>
130<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>
131<Code>
132<Value>99213</Value>
133<CodingSystem>CPT-4</CodingSystem>
134</Code>
135</Description>
136<Status>
137<Text>Completed</Text>
138</Status>
139<Source>
140<Actor>
141<ActorID>ACTORPROVIDER_10000000183</ActorID>
142</Actor>
143</Source>
144</Procedure>
145</Procedures>
146<Encounters>
147<Encounter>
148<CCRDataObjectID>ENCOUNTER_4064</CCRDataObjectID>
149<DateTime>
150<ExactDateTime>2010-09-13T00:00:00-05:00</ExactDateTime>
151</DateTime>
152<Type>
153<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>
154<Code>
155<Value>99213</Value>
156<CodingSystem>CPT-4</CodingSystem>
157</Code>
158</Type>
159<Description>
160<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>
161<Code>
162<Value>99213</Value>
163<CodingSystem>CPT-4</CodingSystem>
164</Code>
165</Description>
166<Location>
167<Actor>
168<ActorID>ACTORORGANIZATION_1</ActorID>
169</Actor>
170</Location>
171<Practioner>
172<Actor>
173<ActorID>ACTORPROVIDER_10000000183</ActorID>
174</Actor>
175</Practioner>
176<Source>
177<Actor>
178<ActorID>ACTORPROVIDER_10000000183</ActorID>
179</Actor>
180</Source>
181<CommentID>NOTE_4064</CommentID>
182</Encounter>
183</Encounters>
184</Body>
185<Actors>
186<Actor>
187<ActorObjectID>ACTORORGANIZATION_1</ActorObjectID>
188<Organization>
189<Name>CAMP MASTER</Name>
190</Organization>
191<Address>
192<Type>
193<Text>Office</Text>
194</Type>
195<Line1>VA MEDICAL CENTER</Line1>
196<City>ALBANY</City>
197<State>NEW YORK</State>
198<PostalCode>12180-0097</PostalCode>
199</Address>
200<Source>
201<Actor>
202<ActorID>ACTORSYSTEM_1</ActorID>
203</Actor>
204</Source>
205</Actor>
206<Actor>
207<ActorObjectID>ACTORPATIENT_100696</ActorObjectID>
208<Person>
209<Name>
210<CurrentName>
211<Given>OUTPATIENT</Given>
212<Family>EIGHTYNINE</Family>
213</CurrentName>
214</Name>
215<DateOfBirth>
216<ExactDateTime>1945-03-09</ExactDateTime>
217</DateOfBirth>
218<Gender>
219<Text>MALE</Text>
220<Code>
221<Value>M</Value>
222<CodingSystem>HL7 AdministrativeGender</CodingSystem>
223</Code>
224</Gender>
225</Person>
226<IDs>
227<Type>
228<Text>SSN</Text>
229</Type>
230<ID>666000689</ID>
231<Source>
232<Actor>
233<ActorID>ACTORPATIENT_100696</ActorID>
234</Actor>
235</Source>
236</IDs>
237<Address>
238<Type>
239<Text>Home</Text>
240</Type>
241<Line1>Any Street</Line1>
242<City>Any Town</City>
243</Address>
244<Source>
245<Actor>
246<ActorID>ACTORPATIENT_100696</ActorID>
247</Actor>
248</Source>
249</Actor>
250<Actor>
251<ActorObjectID>ACTORPROVIDER_10000000020</ActorObjectID>
252<Person>
253<Name>
254<CurrentName>
255<Given>SYSTEM</Given>
256<Family>MANAGER</Family>
257</CurrentName>
258</Name>
259</Person>
260<Specialty>
261<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
262</Specialty>
263<Address>
264<Type>
265<Text>Work</Text>
266</Type>
267<Line1>VA MEDICAL CENTER</Line1>
268<City>ALBANY</City>
269<State>NY</State>
270<PostalCode>12180-0097</PostalCode>
271</Address>
272<Source>
273<Actor>
274<ActorID>ACTORSYSTEM_1</ActorID>
275</Actor>
276</Source>
277<InternalCCRLink>
278<LinkID>ACTORORGANIZATION_1</LinkID>
279<LinkRelationship>representedOrganization</LinkRelationship>
280</InternalCCRLink>
281</Actor>
282<Actor>
283<ActorObjectID>ACTORPROVIDER_10000000183</ActorObjectID>
284<Person>
285<Name>
286<CurrentName>
287<Given>MATTHEW</Given>
288<Middle>M</Middle>
289<Family>KING</Family>
290</CurrentName>
291</Name>
292</Person>
293<Specialty>
294<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
295</Specialty>
296<Address>
297<Type>
298<Text>Work</Text>
299</Type>
300<Line1>VA MEDICAL CENTER</Line1>
301<City>ALBANY</City>
302<State>NY</State>
303<PostalCode>12180-0097</PostalCode>
304</Address>
305<Source>
306<Actor>
307<ActorID>ACTORSYSTEM_1</ActorID>
308</Actor>
309</Source>
310<InternalCCRLink>
311<LinkID>ACTORORGANIZATION_1</LinkID>
312<LinkRelationship>representedOrganization</LinkRelationship>
313</InternalCCRLink>
314</Actor>
315<Actor>
316<ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
317<InformationSystem>
318<Name>WorldVistA EHR/VOE</Name>
319<Version>1.0</Version>
320</InformationSystem>
321<Source>
322<Actor>
323<ActorID>ACTORSYSTEM_1</ActorID>
324</Actor>
325</Source>
326</Actor>
327</Actors>
328<Comments>
329<Comment>
330<CommentObjectID>@@COMMENTOBJECTID@@</CommentObjectID>
331<DateTime>
332<ExactDateTime>@@CMTDATETIME@@</ExactDateTime>
333</DateTime>
334<Source>
335<Actor>
336<ActorID>@@ACTORSOURCEID@@</ActorID>
337</Actor>
338</Source>
339</Comment>
340<Comment>
341<CommentObjectID>NOTE_4064</CommentObjectID>
342<DateTime>
343<ExactDateTime>2010-09-13T00:00:00-05:00</ExactDateTime>
344</DateTime>
345<Description>
346<Text>
347MEDICATION NON-VA
348</Text>
349</Description>
350<Source>
351<Actor>
352<ActorID>ACTORPROVIDER_10000000183</ActorID>
353</Actor>
354</Source>
355</Comment>
356</Comments>
357</ContinuityOfCareRecord>
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