Index: qrda/CCR/PAT_100095_CCR_V1_0_0.xml
===================================================================
--- qrda/CCR/PAT_100095_CCR_V1_0_0.xml (revision 942)
+++ qrda/CCR/PAT_100095_CCR_V1_0_0.xml (revision 942)
@@ -0,0 +1,263 @@
+
+
+
+e0d1aec2-abec-4340-9ce0-aeb180d823e4
+
+English
+
+V1.0
+
+2010-09-08T19:21:13-05:00
+
+
+ACTORPATIENT_100095
+
+
+
+ACTORPROVIDER_10000000020
+
+
+ACTORSYSTEM_1
+
+
+
+
+ACTORPATIENT_100095
+
+Patient
+
+
+
+
+
+CEND PHR
+
+
+
+
+
+ALERT1
+
+2002-02-13T13:22:00-05:00
+
+
+Allergy
+
+
+Patient has an ALLERGIC reaction to STRAWBERRIES.
+
+418634005
+SNOMED CT
+
+
+
+
+ACTORPROVIDER_11733
+
+
+
+
+
+PRODUCT_6
+
+
+ACTORPROVIDER_11733
+
+
+
+
+STRAWBERRIES
+
+4637360
+VUID
+
+
+
+
+
+
+
+
+DRY MOUTH
+
+4538597
+VUID
+
+
+
+
+
+
+
+ENCOUNTER_4059
+
+2002-02-07T00:00:00-05:00
+
+
+C&P EXAMINATION REPORTS
+
+
+C&P EXAMINATION REPORTS
+
+
+
+ACTORORGANIZATION_1
+
+
+
+
+
+
+
+ACTORORGANIZATION_1
+
+CAMP MASTER
+
+
+
+Office
+
+VA MEDICAL CENTER
+ALBANY
+NEW YORK
+12180-0097
+
+
+
+ACTORSYSTEM_1
+
+
+
+
+ACTORPATIENT_100095
+
+
+
+EIGHTY-PATIENT
+BCMA
+
+
+
+1935-04-07
+
+
+FEMALE
+
+F
+HL7 AdministrativeGender
+
+
+
+
+
+SSN
+
+666330080
+
+
+ACTORPATIENT_100095
+
+
+
+
+
+Home
+
+
+
+
+ACTORPATIENT_100095
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+SYSTEM
+MANAGER
+
+
+
+
+Physicians (M.D. and D.O.)-Physician/Osteopath
+
+
+
+Work
+
+VA MEDICAL CENTER
+ALBANY
+NY
+12180-0097
+
+
+
+ACTORSYSTEM_1
+
+
+
+ACTORORGANIZATION_1
+representedOrganization
+
+
+
+ACTORPROVIDER_11733
+
+
+
+SEVENTEEN
+RADTECH
+
+
+
+
+Physicians (M.D. and D.O.)-Physician/Osteopath
+
+
+
+Work
+
+VA MEDICAL CENTER
+ALBANY
+NY
+12180-0097
+
+
+
+ACTORSYSTEM_1
+
+
+
+ACTORORGANIZATION_1
+representedOrganization
+
+
+
+ACTORSYSTEM_1
+
+WorldVistA EHR/VOE
+1.0
+
+
+
+ACTORSYSTEM_1
+
+
+
+
+
+
+@@COMMENTOBJECTID@@
+
+@@CMTDATETIME@@
+
+
+
+@@ACTORSOURCEID@@
+
+
+
+
+
Index: qrda/CCR/PAT_100616_CCR_V1_0_0.xml
===================================================================
--- qrda/CCR/PAT_100616_CCR_V1_0_0.xml (revision 942)
+++ qrda/CCR/PAT_100616_CCR_V1_0_0.xml (revision 942)
@@ -0,0 +1,267 @@
+
+
+
+feb32248-b950-4f91-9134-8691ff331986
+
+English
+
+V1.0
+
+2010-09-08T19:22:05-05:00
+
+
+ACTORPATIENT_100616
+
+
+
+ACTORPROVIDER_10000000020
+
+
+ACTORSYSTEM_1
+
+
+
+
+ACTORPATIENT_100616
+
+Patient
+
+
+
+
+
+CEND PHR
+
+
+
+
+
+PROBLEM1
+
+2010-09-05T00:00:00-05:00
+
+
+Problem
+
+
+Diabetes Mellitus without mention of Complication, type II or unspecified type,
+
+250.02
+ICD9CM
+
+
+
+Active
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+
+
+PROCEDURE_4057_4
+
+
+Procedure Date
+
+2010-09-05T00:00:00-05:00
+
+
+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)
+
+99213
+CPT-4
+
+
+
+Completed
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+
+
+ENCOUNTER_4057
+
+2010-09-05T00:00:00-05:00
+
+
+ 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)
+
+99213
+CPT-4
+
+
+
+ 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)
+
+99213
+CPT-4
+
+
+
+
+ACTORORGANIZATION_1
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+NOTE_4057
+
+
+
+
+
+ACTORORGANIZATION_1
+
+CAMP MASTER
+
+
+
+Office
+
+VA MEDICAL CENTER
+ALBANY
+NEW YORK
+12180-0097
+
+
+
+ACTORSYSTEM_1
+
+
+
+
+ACTORPATIENT_100616
+
+
+
+OUTPATIENT
+NINE
+
+
+
+1945-03-09
+
+
+MALE
+
+M
+HL7 AdministrativeGender
+
+
+
+
+
+SSN
+
+666000609
+
+
+ACTORPATIENT_100616
+
+
+
+
+
+Home
+
+Any Street
+Any Town
+
+
+
+ACTORPATIENT_100616
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+SYSTEM
+MANAGER
+
+
+
+
+Physicians (M.D. and D.O.)-Physician/Osteopath
+
+
+
+Work
+
+VA MEDICAL CENTER
+ALBANY
+NY
+12180-0097
+
+
+
+ACTORSYSTEM_1
+
+
+
+ACTORORGANIZATION_1
+representedOrganization
+
+
+
+ACTORSYSTEM_1
+
+WorldVistA EHR/VOE
+1.0
+
+
+
+ACTORSYSTEM_1
+
+
+
+
+
+
+@@COMMENTOBJECTID@@
+
+@@CMTDATETIME@@
+
+
+
+@@ACTORSOURCEID@@
+
+
+
+
+NOTE_4057
+
+2010-09-05T00:00:00-05:00
+
+
+
+PATIENT IS NOW DIABETIC
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+
Index: qrda/CCR/PAT_100662_CCR_V1_0_0.xml
===================================================================
--- qrda/CCR/PAT_100662_CCR_V1_0_0.xml (revision 942)
+++ qrda/CCR/PAT_100662_CCR_V1_0_0.xml (revision 942)
@@ -0,0 +1,270 @@
+
+
+
+8141b450-7a8c-4c5f-94ed-d60bc6bd1b21
+
+English
+
+V1.0
+
+2010-09-08T19:21:31-05:00
+
+
+ACTORPATIENT_100662
+
+
+
+ACTORPROVIDER_10000000020
+
+
+ACTORSYSTEM_1
+
+
+
+
+ACTORPATIENT_100662
+
+Patient
+
+
+
+
+
+CEND PHR
+
+
+
+
+
+PROBLEM1
+
+2010-09-05T00:00:00-05:00
+
+
+Problem
+
+
+Diabetes Mellitus without mention of Complication, type II or unspecified type,
+
+250.00
+ICD9CM
+
+
+
+Active
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+
+
+PROCEDURE_4060_4
+
+
+Procedure Date
+
+2010-09-05T00:00:00-05:00
+
+
+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)
+
+99213
+CPT-4
+
+
+
+Completed
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+
+
+ENCOUNTER_4060
+
+2010-09-05T00:00:00-05:00
+
+
+ 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)
+
+99213
+CPT-4
+
+
+
+ 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)
+
+99213
+CPT-4
+
+
+
+
+ACTORORGANIZATION_1
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+NOTE_4060
+
+
+
+
+
+ACTORORGANIZATION_1
+
+CAMP MASTER
+
+
+
+Office
+
+VA MEDICAL CENTER
+ALBANY
+NEW YORK
+12180-0097
+
+
+
+ACTORSYSTEM_1
+
+
+
+
+ACTORPATIENT_100662
+
+
+
+OUTPATIENT
+FIFTYFIVE
+
+
+
+1945-03-09
+
+
+MALE
+
+M
+HL7 AdministrativeGender
+
+
+
+
+
+SSN
+
+666000655
+
+
+ACTORPATIENT_100662
+
+
+
+
+
+Home
+
+Any Street
+Any Town
+
+
+
+ACTORPATIENT_100662
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+SYSTEM
+MANAGER
+
+
+
+
+Physicians (M.D. and D.O.)-Physician/Osteopath
+
+
+
+Work
+
+VA MEDICAL CENTER
+ALBANY
+NY
+12180-0097
+
+
+
+ACTORSYSTEM_1
+
+
+
+ACTORORGANIZATION_1
+representedOrganization
+
+
+
+ACTORSYSTEM_1
+
+WorldVistA EHR/VOE
+1.0
+
+
+
+ACTORSYSTEM_1
+
+
+
+
+
+
+@@COMMENTOBJECTID@@
+
+@@CMTDATETIME@@
+
+
+
+@@ACTORSOURCEID@@
+
+
+
+
+NOTE_4060
+
+2010-09-05T00:00:00-05:00
+
+
+
+DIABETIC TEST
+PATIENT HBA1C RESULTS
+ PATIENTS HBA1C IS GREATER THAN 9%
+ HBA1C VALUE: 10.1
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+
Index: qrda/CCR/PAT_100839_CCR_V1_0_0.xml
===================================================================
--- qrda/CCR/PAT_100839_CCR_V1_0_0.xml (revision 942)
+++ qrda/CCR/PAT_100839_CCR_V1_0_0.xml (revision 942)
@@ -0,0 +1,843 @@
+
+
+
+138157c7-3234-420e-82f9-fd23733c4538
+
+English
+
+V1.0
+
+2010-09-08T19:21:51-05:00
+
+
+ACTORPATIENT_100839
+
+
+
+ACTORPROVIDER_10000000020
+
+
+ACTORSYSTEM_1
+
+
+
+
+ACTORPATIENT_100839
+
+Patient
+
+
+
+
+
+CEND PHR
+
+
+
+
+
+PROBLEM1
+
+2010-09-04T00:00:00-05:00
+
+
+Problem
+
+
+Diabetes Mellitus without mention of Complication, type II or unspecified type,
+
+250.00
+ICD9CM
+
+
+
+Active
+
+
+
+ACTORPROVIDER_991
+
+
+
+
+PROBLEM2
+
+2010-07-05T00:00:00-05:00
+
+
+Problem
+
+
+Congestive Heart Failure (ICD-9-CM 428.0)
+
+428.0
+ICD9CM
+
+
+
+Active
+
+
+
+ACTORPROVIDER_991
+
+
+
+
+PROBLEM3
+
+2010-07-05T00:00:00-05:00
+
+
+Problem
+
+
+Postmyocardial infarction syndrome (ICD-9-CM 411.0)
+
+411.0
+ICD9CM
+
+
+
+Active
+
+
+
+ACTORPROVIDER_991
+
+
+
+
+
+
+PROCEDURE_4056_27
+
+
+Procedure Date
+
+2010-09-04T00:00:00-05:00
+
+
+INTERMEDIATE (15min)
+
+99213
+CPT-4
+
+
+
+Completed
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+PROCEDURE_4055_24
+
+
+Procedure Date
+
+2010-08-28T00:00:00-05:00
+
+
+EXPANDED, HX & EXAM
+
+99202
+CPT-4
+
+
+
+Completed
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+PROCEDURE_4047_14
+
+
+Procedure Date
+
+2010-07-31T00:00:00-05:00
+
+
+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)
+
+99213
+CPT-4
+
+
+
+Completed
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+PROCEDURE_4046_7
+
+
+Procedure Date
+
+2010-07-05T00:00:00-05:00
+
+
+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)
+
+99214
+CPT-4
+
+
+
+Completed
+
+
+
+ACTORPROVIDER_991
+
+
+
+
+PROCEDURE_4046_8
+
+
+Procedure Date
+
+2010-07-05T00:00:00-05:00
+
+
+Hemoglobin; Glycosylated (A1c) (CPT-4 83036)
+
+83036
+CPT-4
+
+
+
+Completed
+
+
+
+ACTORPROVIDER_991
+
+
+
+
+PROCEDURE_4046_9
+
+
+Procedure Date
+
+2010-07-05T00:00:00-05:00
+
+
+Lipoprotein, Blood; Quantitation of Lipoprotein particle Numbers and Lipoprotein particle Subclasses (Eg, by Nuclear Magnetic Resonance Spectroscopy) (CPT-4 83704)
+
+83704
+CPT-4
+
+
+
+Completed
+
+
+
+ACTORPROVIDER_991
+
+
+
+
+PROCEDURE_4046_10
+
+
+Procedure Date
+
+2010-07-05T00:00:00-05:00
+
+
+Determination of Central C-V Hemodynamics (Non-Imaging) (CPT-4 78414)
+
+78414
+CPT-4
+
+
+
+Completed
+
+
+
+ACTORPROVIDER_991
+
+
+
+
+
+
+ENCOUNTER_4056
+
+2010-09-04T00:00:00-05:00
+
+
+***ESTABLISHED PATIENT*** INTERMEDIATE (15min)
+
+99213
+CPT-4
+
+
+
+***ESTABLISHED PATIENT*** INTERMEDIATE (15min)
+
+99213
+CPT-4
+
+
+
+
+ACTORORGANIZATION_1
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+ENCOUNTER_4055
+
+2010-08-28T00:00:00-05:00
+
+
+OFFICE VISIT - NEW PT EXPANDED, HX & EXAM
+
+99202
+CPT-4
+
+
+
+OFFICE VISIT - NEW PT EXPANDED, HX & EXAM
+
+99202
+CPT-4
+
+
+
+
+ACTORORGANIZATION_1
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+NOTE_4055
+
+
+ENCOUNTER_4054
+
+2010-08-27T00:00:00-05:00
+
+
+C&P EXAMINATION REPORTS
+
+
+C&P EXAMINATION REPORTS
+
+
+
+ACTORORGANIZATION_1
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+ENCOUNTER_4053
+
+2010-08-27T00:00:00-05:00
+
+
+NURSING TITLES
+
+
+NURSING TITLES
+
+
+
+ACTORORGANIZATION_1
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+ENCOUNTER_4052
+
+2010-08-14T00:00:00-05:00
+
+
+ADDENDUM
+
+
+ADDENDUM
+
+
+
+ACTORORGANIZATION_1
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+ENCOUNTER_4049
+
+2010-08-25T00:00:00-05:00
+
+
+ADDICTION SEVERITY INDEX
+
+
+ADDICTION SEVERITY INDEX
+
+
+
+ACTORORGANIZATION_1
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+ENCOUNTER_4048
+
+2010-08-14T00:00:00-05:00
+
+
+INTERDISCIPLINARY MEMBER
+
+
+INTERDISCIPLINARY MEMBER
+
+
+
+ACTORORGANIZATION_1
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+ENCOUNTER_4047
+
+2010-07-31T00:00:00-05:00
+
+
+ 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)
+
+99213
+CPT-4
+
+
+
+ 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)
+
+99213
+CPT-4
+
+
+
+
+ACTORORGANIZATION_1
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+NOTE_4047
+
+
+ENCOUNTER_4046
+
+2010-07-05T00:00:00-05:00
+
+
+ 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)
+
+99214
+CPT-4
+
+
+
+ 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)
+
+99214
+CPT-4
+
+
+
+
+ACTORORGANIZATION_1
+
+
+
+
+ACTORPROVIDER_991
+
+
+
+
+ACTORPROVIDER_991
+
+
+NOTE_4046
+
+
+
+
+
+ACTORORGANIZATION_1
+
+CAMP MASTER
+
+
+
+Office
+
+VA MEDICAL CENTER
+ALBANY
+NEW YORK
+12180-0097
+
+
+
+ACTORSYSTEM_1
+
+
+
+
+ACTORPATIENT_100839
+
+
+
+JODY
+JEAN
+JONES
+
+
+
+1945-01-01
+
+
+FEMALE
+
+F
+HL7 AdministrativeGender
+
+
+
+
+
+SSN
+
+002030004
+
+
+ACTORPATIENT_100839
+
+
+
+
+
+Home
+
+
+
+
+ACTORPATIENT_100839
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+SYSTEM
+MANAGER
+
+
+
+
+Physicians (M.D. and D.O.)-Physician/Osteopath
+
+
+
+Work
+
+VA MEDICAL CENTER
+ALBANY
+NY
+12180-0097
+
+
+
+ACTORSYSTEM_1
+
+
+
+ACTORORGANIZATION_1
+representedOrganization
+
+
+
+ACTORPROVIDER_991
+
+
+
+EIGHT
+PROVIDER
+Scholar Extraordinaire
+
+
+
+
+Physicians (M.D. and D.O.)-Physician/Osteopath
+
+
+
+Work
+
+VA MEDICAL CENTER
+ALBANY
+NY
+12180-0097
+
+
+
+ACTORSYSTEM_1
+
+
+
+ACTORORGANIZATION_1
+representedOrganization
+
+
+
+ACTORSYSTEM_1
+
+WorldVistA EHR/VOE
+1.0
+
+
+
+ACTORSYSTEM_1
+
+
+
+
+
+
+@@COMMENTOBJECTID@@
+
+@@CMTDATETIME@@
+
+
+
+@@ACTORSOURCEID@@
+
+
+
+
+NOTE_4046
+
+2010-07-05T00:00:00-05:00
+
+
+
+ADDING CLINICAL MEASURES FOR TESTING
+Measure 1
+Measure 2
+Measure 3
+Measure 5
+Measure 7
+Measure 124
+------------------------------------------Measure #1
+Data for Jones--
+ ENCOUNTER CODE 99214
+ DX CODE 250.00
+
+ NUMERATOR INCLUSION
+ A1C CODE 83036
+
+DOCUMENTATION:
+ HBA1c > 9% PROBLEM (Our patient is less than 9.0%)
+---------------------------------------------------
+Measure #2
+Data for Jones--
+ ENCOUNTER CODE 99214
+ DX CODE 250.00
+
+ NUMERATOR INCLUSION
+ LDL CODE 83704
+
+DOCUMENTATION:
+ LDL < 100 mg/dl LDL from Lab Package
+-------------------------------------------------------
+Measure #3
+Data for Jones--
+ ENCOUNTER CODE 99214
+ DX CODE 250.00
+
+NUMERATOR:
+
+DOCUMENTATION:
+ Systolic (SNOMED) CODE 271649006 or 72313002
+ AND
+ Systolic BP <140 mmHg (from Vitals-Bottom number of BP)
+
+ Diastolic (SNOMED) CODE 271650006
+ AND
+
+Diastolic BP < 80 (From Vitals Package-Top number of BP)
+NOTE: SNOMED CODES ARE NOT ACCESSIBLE IN VISTA
+-------------------------------------------------------
+Measure #5
+Data for Jones--
+ ENCOUNTER CODE 99214
+ DX CODE 428.0
+EJRC FRAC CODE 83704
+ AND
+Documentation of LVEF < 40% Need Health Factor for this
+
+ NUMERATOR INCLUSION
+ TOPIC_DRUG_CODES = ACE/ARB (NOT AVAILABLE IN VISTA)
+
+-------------------------------------------------------
+
+Measure #7
+Data for Jones--
+ ENCOUNTER CODE 99214
+ dx 411.0, 412.00
+procedure: 78414
+
+
+ NUMERATOR INCLUSION
+ TOPIC_DRUG_CODES = BETA BLOCKERS
+-------------------------------------------------------------
+Measure #124
+ENCOUNTER CODE 99214
+NUMERATOR CODE G8447
+-------------------------------------------------------------
+
+
+
+
+ACTORPROVIDER_991
+
+
+
+
+NOTE_4047
+
+2010-07-31T00:00:00-05:00
+
+
+
+TESTING ENCOUNTERS
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+NOTE_4055
+
+2010-08-28T00:00:00-05:00
+
+
+
+SMOKING PQRI CAT
+ CURRENT EVERY DAY SMOKER 07/31/2010
+ CURRENT SMOKING STATUS UNKNOWN 08/25/2010
+ CURRENT SOME DAY SMOKER 08/27/2010
+ PPD
+=========================================
+
+
+
+
+ACTORPROVIDER_10000000020
+
+
+
+
+