source: qrda/CCR/PQRI-101026/M1-PAT_100839_QRDA_V1_0_0Ver2.xml@ 1362

Last change on this file since 1362 was 990, checked in by George Lilly, 14 years ago

submissions to PQRI testing
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A CCR/PQRI-101026
A CCR/PQRI-101026/M1-PAT_100146_QRDA_V1_0_0Ver2-gpl.xml
A CCR/PQRI-101026/M1-PAT_100146_QRDA_V1_0_0Ver2.xml
A CCR/PQRI-101026/M1-PAT_100850_QRDA_V1_0_0Ver2.xml
A CCR/PQRI-101026/M1-PAT_100852_QRDA_V1_0_0Ver2.xml
A CCR/PQRI-101026/M1-PAT_100846_QRDA_V1_0_0Ver2.xml
A CCR/PQRI-101026/M1-PAT_100855_QRDA_V1_0_0Ver2.xml
A CCR/PQRI-101026/M1-PAT_100847_QRDA_V1_0_0Ver2.xml
A CCR/PQRI-101026/cda.xsl
A CCR/PQRI-101026/M1-PAT_100839_QRDA_V1_0_0Ver2.xml
A CCR/PQRI-101026/M1-PAT_100848_QRDA_V1_0_0Ver2.xml
A CCR/PQRI-101026/M1-PAT_100858_QRDA_V1_0_0Ver2.xml
A CCR/PQRI-101026/M1-PAT_100849_QRDA_V1_0_0Ver2.xml
File size: 27.3 KB
RevLine 
[990]1<?xml version="1.0" encoding="utf-8"?>
2<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
3<realmCode code="US"/>
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9<title>QRDA Incidence Report</title>
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11<confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
12<languageCode code="en-US"/>
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18<addr use="H">
19<streetAddressLine/>
20<city/>
21<state/>
22<postalCode/>
23</addr>
24<telecom/>
25<patient>
26<name>
27<given>JODY</given>
28<given>JEAN</given>
29<family>JONES</family>
30</name>
31<administrativeGenderCode displayName="FEMALE" code="F" codeSystemName="HL7 AdministrativeGender" codeSystem="2.16.840.1.113883.5.1"/>
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36 <providerOrganization>
37<!-- NPI for the provider-->
38 <id root="2.16.840.1.113883.4.6" extension="1558574525" />
39 <name>WorldVistA Test Clinic</name>
40 <!--WVV Address of organization is optional except for the STATE-->
41 <addr>
42 <state>MD</state>
43 <postalCode>20877</postalCode>
44
45 </addr>
46 <!--WVP required asOrganizationPartOf added to sample-->
47 <asOrganizationPartOf>
48 <wholeOrganization>
49 <!-- Tax ID is the extension-->
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54
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100<suffix>MD</suffix>
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116<given>Nancy</given>
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118</name>
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135 <city>Gaithersburg</city>
136 <state>MD</state>
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140 <name>
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161 <addr>
162 <streetAddressLine>123 Maple Ave</streetAddressLine>
163 <city>Gaithersburg</city>
164 <state>MD</state>
165 <postalCode>20877</postalCode>
166 </addr>
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189 <addr>
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191 <city>Gaithersburg</city>
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217 <addr>
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219 <city>Gaithersburg</city>
220 <state>MD</state>
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245 <addr>
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247 <city>Gaithersburg</city>
248 <state>MD</state>
249 <postalCode>20877</postalCode>
250 </addr>
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275 <city>Gaithersburg</city>
276 <state>MD</state>
277 <postalCode>20877</postalCode>
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304 <state>MD</state>
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331 <city>Gaithersburg</city>
332 <state>MD</state>
333 <postalCode>20877</postalCode>
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357 <addr>
358 <streetAddressLine>123 Maple Ave</streetAddressLine>
359 <city>Gaithersburg</city>
360 <state>MD</state>
361 <postalCode>20877</postalCode>
362 </addr>
363 <assignedPerson>
364 <name>
365 <given>Nancy</given>
366 <family>Anthracite</family>
367 <suffix>MD</suffix>
368 </name>
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374<component>
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378<templateId root="2.16.840.1.113883.3.249.11.50"/>
379<code code="55185-3" codeSystem="2.16.840.1.113883.6.1"/>
380<title>Measure set: CMS EHR Measure Set</title>
381<text>2010 Measures Set Measures</text>
382<component>
383<section>
384<templateId root="2.16.840.1.113883.3.249.11.2"/>
385<templateId root="2.16.840.1.113883.3.249.11.3"/>
386<templateId root="2.16.840.1.113883.3.249.11.4"/>
387<templateId root="2.16.840.1.113883.3.249.11.5"/>
388<templateId root="2.16.840.1.113883.3.249.11.6"/>
389<templateId root="2.16.840.1.113883.3.249.11.7"/>
390<templateId root="2.16.840.1.113883.3.249.11.8"/>
391<templateId root="2.16.840.1.113883.3.249.11.9"/>
392<templateId root="2.16.840.1.113883.3.249.11.10"/>
393<templateId root="2.16.840.1.113883.3.249.11.11"/>
394<templateId root="2.16.840.1.113883.3.249.11.15"/>
395<templateId root="2.16.840.1.113883.3.249.11.51"/>
396<templateId root="2.16.840.1.113883.3.249.11.52"/>
397<templateId root="2.16.840.1.113883.3.249.11.53"/>
398<templateId root="2.16.840.1.113883.3.249.11.54"/>
399<templateId root="2.16.840.1.113883.3.249.11.55"/>
400<templateId root="2.16.840.1.113883.3.249.11.56"/>
401<templateId root="2.16.840.1.113883.3.249.11.57"/>
402<templateId root="2.16.840.1.113883.3.249.11.58"/>
403<templateId root="2.16.840.1.113883.3.249.11.59"/>
404<templateId root="2.16.840.1.113883.3.249.11.60"/>
405<code code="55186-1" codeSystem="2.16.840.1.113883.6.1"/>
406<title>Measure Section</title>
407<text>
408<list>
409<item>CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus</item>
410<item>CMS Measure #2: Diabetes Mellitus: Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus</item>
411<item>CMS Measure #3: Diabetes Mellitus: High Blood Pressure Control in Diabetes Mellitus</item>
412<item>CMS Measure #5: Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)</item>
413<item>CMS Measure #7: Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI)</item>
414<item>CMS Measure #110: Preventive Care and Screening: Influenza Immunization for Patients &gt;= 50 Years</item>
415<item>CMS Measure #111: Preventive Care and Screening: Pneumonia Vaccination for Patients 65 Years and Older</item>
416<item>CMS Measure #112: Preventive Care and Screening: Screening Mammography</item>
417<item>CMS Measure #113: Preventive Care and Screening: Colorectal Cancer Screening</item>
418<item>CMS Measure #124: Health Information Technology (HIT): Adoption/Use of Electronic Health Records (EHR)</item>
419<item>CMS Measure eRx:Adoption/Use of Medication Electronic Prescribing Measure</item>
420<item>CMS Measure #39: Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older</item>
421<item>CMS Measure #47: Advance Care Plan </item>
422<item>CMS Measure #48: Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older</item>
423<item>CMS Measure #128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up </item>
424<item>CMS Measure #173: Preventive Care and Screening: Unhealthy Alcohol Use - Screening</item>
425<item>CMS Measure #0013: Hypertension (HTN): Blood Pressure Measurement - QRDA Cat I template </item>
426<item>CMS Measure #0022: Drugs to be avoided in the Elderly </item>
427<item>CMS Measure #0024: Body Mass Index (BMI) 2 through 18 years of age </item>
428<item>CMS Measure #0028: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention</item>
429<item>CMS Measure #0038: Childhood Immunization Status - QRDA Cat I template</item>
430</list>
431</text>
432<entry typeCode="DRIV">
433<act classCode="ACT" moodCode="DEF">
434<code code="PQRI-1" codeSystem="2.16.840.1.113883.3.249.12" displayName="Hemoglobin A1c Poor Control in Diabetes Mellitus"/>
435<text>Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0%</text>
436<statusCode code="completed"/>
437</act>
438</entry>
439<component>
440<section>
441<code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
442<title>Reporting Parameters</title>
443<text>
444<list>
445<item>Reporting Period Jan 1, 2010 to Dec 31, 2010</item>
446</list>
447</text>
448<entry>
449<act classCode="ACT" moodCode="EVN">
450<code code="252116004" codeSystem="2.16.840.1.113883.6.96" displayName="Observation Parameters"/>
451<effectiveTime>
452<low value="20100101"/>
453<high value="20101231"/>
454</effectiveTime>
455</act>
456</entry>
457</section>
458</component>
459<component>
460<section>
461<code code="55188-7" codeSystem="2.16.840.1.113883.6.1"/>
462<title>Patient Data</title>
463</section>
464</component>
465<component>
466<section>
467<templateId root="2.16.840.1.113883.3.88.11.83.103" assigningAuthorityName="HITSP/C83"/>
468<templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.6" assigningAuthorityName="IHE PCC"/>
469<templateId root="2.16.840.1.113883.10.20.1.11" assigningAuthorityName="HL7 CCD"/>
470<code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem list"/>
471<title>Problems</title>
472<text/>
473<entry typeCode="DRIV">
474<act classCode="ACT" moodCode="EVN">
475<templateId root="2.16.840.1.113883.10.20.1.27"/>
476<id root="PROBLEM1" extension="CCRObjectID"/>
477<code nullFlavor="NA"/>
478<performer typeCode="PRF">
479<assignedEntity>
480<id extension="ACTORPROVIDER_10000000183" root="CCRActorID"/>
481<addr use="WP">
482<streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
483<city>ALBANY</city>
484<state>NY</state>
485<postalCode>12180</postalCode>
486</addr>
487<telecom/>
488<assignedPerson>
489<name>
490<given>MATTHEW</given>
491<given>M</given>
492<family>KING</family>
493</name>
494</assignedPerson>
495</assignedEntity>
496</performer>
497<entryRelationship typeCode="SUBJ">
498<observation classCode="OBS" moodCode="EVN">
499<templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
500<id root="PROBLEM1" extension="CCRObjectID"/>
501<code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
502<text>
503<reference value="#PROBLEM1"/>
504</text>
505<statusCode code="completed"/>
506<effectiveTime>
507<low value="20101016"/>
508<high value="20101016"/>
509</effectiveTime>
510<value xsi:type="CD" displayName="HTN (ICD-9-CM 401.9)" code="401.9" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
511<entryRelationship typeCode="REFR">
512<observation classCode="OBS" moodCode="EVN">
513<templateId root="2.16.840.1.113883.10.20.1.50"/>
514<code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
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516<value xsi:type="CD" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM">
517<originalText>Active</originalText>
518</value>
519</observation>
520</entryRelationship>
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