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>feb32248-b950-4f91-9134-8691ff331986</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>2010-09-08T19:22:05-05:00</ExactDateTime>
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11 | </DateTime>
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12 | <Patient>
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13 | <ActorID>ACTORPATIENT_100616</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_100616</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>2010-09-05T00:00:00-05:00</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>Diabetes Mellitus without mention of Complication, type II or unspecified type,</Text>
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48 | <Code>
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49 | <Value>250.02</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_10000000020</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 | <Procedures>
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64 | <Procedure>
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65 | <CCRDataObjectID>PROCEDURE_4057_4</CCRDataObjectID>
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66 | <DateTime>
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67 | <Type>
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68 | <Text>Procedure Date</Text>
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69 | </Type>
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70 | <ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
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71 | </DateTime>
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72 | <Description>
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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>
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74 | <Code>
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75 | <Value>99213</Value>
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76 | <CodingSystem>CPT-4</CodingSystem>
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77 | </Code>
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78 | </Description>
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79 | <Status>
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80 | <Text>Completed</Text>
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81 | </Status>
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82 | <Source>
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83 | <Actor>
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84 | <ActorID>ACTORPROVIDER_10000000020</ActorID>
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85 | </Actor>
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86 | </Source>
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87 | </Procedure>
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88 | </Procedures>
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89 | <Encounters>
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90 | <Encounter>
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91 | <CCRDataObjectID>ENCOUNTER_4057</CCRDataObjectID>
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92 | <DateTime>
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93 | <ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
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94 | </DateTime>
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95 | <Type>
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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>
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97 | <Code>
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98 | <Value>99213</Value>
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99 | <CodingSystem>CPT-4</CodingSystem>
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100 | </Code>
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101 | </Type>
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102 | <Description>
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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>
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104 | <Code>
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105 | <Value>99213</Value>
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106 | <CodingSystem>CPT-4</CodingSystem>
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107 | </Code>
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108 | </Description>
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109 | <Location>
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110 | <Actor>
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111 | <ActorID>ACTORORGANIZATION_1</ActorID>
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112 | </Actor>
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113 | </Location>
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114 | <Practioner>
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115 | <Actor>
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116 | <ActorID>ACTORPROVIDER_10000000020</ActorID>
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117 | </Actor>
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118 | </Practioner>
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119 | <Source>
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120 | <Actor>
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121 | <ActorID>ACTORPROVIDER_10000000020</ActorID>
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122 | </Actor>
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123 | </Source>
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124 | <CommentID>NOTE_4057</CommentID>
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125 | </Encounter>
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126 | </Encounters>
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127 | </Body>
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128 | <Actors>
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129 | <Actor>
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130 | <ActorObjectID>ACTORORGANIZATION_1</ActorObjectID>
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131 | <Organization>
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132 | <Name>CAMP MASTER</Name>
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133 | </Organization>
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134 | <Address>
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135 | <Type>
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136 | <Text>Office</Text>
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137 | </Type>
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138 | <Line1>VA MEDICAL CENTER</Line1>
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139 | <City>ALBANY</City>
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140 | <State>NEW YORK</State>
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141 | <PostalCode>12180-0097</PostalCode>
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142 | </Address>
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143 | <Source>
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144 | <Actor>
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145 | <ActorID>ACTORSYSTEM_1</ActorID>
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146 | </Actor>
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147 | </Source>
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148 | </Actor>
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149 | <Actor>
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150 | <ActorObjectID>ACTORPATIENT_100616</ActorObjectID>
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151 | <Person>
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152 | <Name>
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153 | <CurrentName>
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154 | <Given>OUTPATIENT</Given>
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155 | <Family>NINE</Family>
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156 | </CurrentName>
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157 | </Name>
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158 | <DateOfBirth>
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159 | <ExactDateTime>1945-03-09</ExactDateTime>
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160 | </DateOfBirth>
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161 | <Gender>
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162 | <Text>MALE</Text>
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163 | <Code>
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164 | <Value>M</Value>
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165 | <CodingSystem>HL7 AdministrativeGender</CodingSystem>
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166 | </Code>
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167 | </Gender>
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168 | </Person>
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169 | <IDs>
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170 | <Type>
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171 | <Text>SSN</Text>
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172 | </Type>
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173 | <ID>666000609</ID>
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174 | <Source>
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175 | <Actor>
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176 | <ActorID>ACTORPATIENT_100616</ActorID>
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177 | </Actor>
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178 | </Source>
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179 | </IDs>
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180 | <Address>
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181 | <Type>
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182 | <Text>Home</Text>
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183 | </Type>
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184 | <Line1>Any Street</Line1>
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185 | <City>Any Town</City>
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186 | </Address>
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187 | <Source>
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188 | <Actor>
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189 | <ActorID>ACTORPATIENT_100616</ActorID>
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190 | </Actor>
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191 | </Source>
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192 | </Actor>
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193 | <Actor>
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194 | <ActorObjectID>ACTORPROVIDER_10000000020</ActorObjectID>
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195 | <Person>
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196 | <Name>
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197 | <CurrentName>
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198 | <Given>SYSTEM</Given>
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199 | <Family>MANAGER</Family>
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200 | </CurrentName>
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201 | </Name>
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202 | </Person>
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203 | <Specialty>
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204 | <Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
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205 | </Specialty>
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206 | <Address>
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207 | <Type>
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208 | <Text>Work</Text>
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209 | </Type>
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210 | <Line1>VA MEDICAL CENTER</Line1>
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211 | <City>ALBANY</City>
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212 | <State>NY</State>
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213 | <PostalCode>12180-0097</PostalCode>
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214 | </Address>
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215 | <Source>
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216 | <Actor>
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217 | <ActorID>ACTORSYSTEM_1</ActorID>
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218 | </Actor>
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219 | </Source>
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220 | <InternalCCRLink>
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221 | <LinkID>ACTORORGANIZATION_1</LinkID>
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222 | <LinkRelationship>representedOrganization</LinkRelationship>
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223 | </InternalCCRLink>
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224 | </Actor>
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225 | <Actor>
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226 | <ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
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227 | <InformationSystem>
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228 | <Name>WorldVistA EHR/VOE</Name>
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229 | <Version>1.0</Version>
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230 | </InformationSystem>
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231 | <Source>
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232 | <Actor>
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233 | <ActorID>ACTORSYSTEM_1</ActorID>
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234 | </Actor>
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235 | </Source>
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236 | </Actor>
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237 | </Actors>
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238 | <Comments>
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239 | <Comment>
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240 | <CommentObjectID>@@COMMENTOBJECTID@@</CommentObjectID>
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241 | <DateTime>
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242 | <ExactDateTime>@@CMTDATETIME@@</ExactDateTime>
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243 | </DateTime>
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244 | <Source>
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245 | <Actor>
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246 | <ActorID>@@ACTORSOURCEID@@</ActorID>
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247 | </Actor>
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248 | </Source>
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249 | </Comment>
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250 | <Comment>
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251 | <CommentObjectID>NOTE_4057</CommentObjectID>
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252 | <DateTime>
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253 | <ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
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254 | </DateTime>
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255 | <Description>
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256 | <Text>
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257 | PATIENT IS NOW DIABETIC
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258 | </Text>
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259 | </Description>
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260 | <Source>
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261 | <Actor>
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262 | <ActorID>ACTORPROVIDER_10000000020</ActorID>
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263 | </Actor>
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264 | </Source>
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265 | </Comment>
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266 | </Comments>
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267 | </ContinuityOfCareRecord>
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