Index: da/CCR/PAT_100095_CCR_V1_0_0.xml
===================================================================
--- /qrda/CCR/PAT_100095_CCR_V1_0_0.xml	(revision 945)
+++ 	(revision )
@@ -1,263 +1,0 @@
-<?xml version="1.0" encoding="UTF-8"?>
-<?xml-stylesheet type="text/xsl" href="ccr.xsl"?>
-<ContinuityOfCareRecord xmlns="urn:astm-org:CCR">
-<CCRDocumentObjectID>133d3e0d-3a9d-4176-9573-c73fcef21651</CCRDocumentObjectID>
-<Language>
-<Text>English</Text>
-</Language>
-<Version>V1.0</Version>
-<DateTime>
-<ExactDateTime>2010-09-08T19:47:43-05:00</ExactDateTime>
-</DateTime>
-<Patient>
-<ActorID>ACTORPATIENT_100095</ActorID>
-</Patient>
-<From>
-<ActorLink>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</ActorLink>
-<ActorLink>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</ActorLink>
-</From>
-<To>
-<ActorLink>
-<ActorID>ACTORPATIENT_100095</ActorID>
-<ActorRole>
-<Text>Patient</Text>
-</ActorRole>
-</ActorLink>
-</To>
-<Purpose>
-<Description>
-<Text>CEND PHR</Text>
-</Description>
-</Purpose>
-<Body>
-<Alerts>
-<Alert>
-<CCRDataObjectID>ALERT1</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2002-02-13T13:22:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<Text>Allergy</Text>
-</Type>
-<Description>
-<Text>Patient has an ALLERGIC reaction to STRAWBERRIES.</Text>
-<Code>
-<Value>418634005</Value>
-<CodingSystem>SNOMED CT</CodingSystem>
-</Code>
-</Description>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_11733</ActorID>
-</Actor>
-</Source>
-<Agent>
-<Products>
-<Product>
-<CCRDataObjectID>PRODUCT_6</CCRDataObjectID>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_11733</ActorID>
-</Actor>
-</Source>
-<Product>
-<ProductName>
-<Text>STRAWBERRIES</Text>
-<Code>
-<Value>4637360</Value>
-<CodingSystem>VUID</CodingSystem>
-</Code>
-</ProductName>
-</Product>
-</Product>
-</Products>
-</Agent>
-<Reaction>
-<Description>
-<Text>DRY MOUTH</Text>
-<Code>
-<Value>4538597</Value>
-<CodingSystem>VUID</CodingSystem>
-</Code>
-</Description>
-</Reaction>
-</Alert>
-</Alerts>
-<Encounters>
-<Encounter>
-<CCRDataObjectID>ENCOUNTER_4059</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2002-02-07T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<Text>C&amp;P EXAMINATION REPORTS</Text>
-</Type>
-<Description>
-<Text>C&amp;P EXAMINATION REPORTS</Text>
-</Description>
-<Location>
-<Actor>
-<ActorID>ACTORORGANIZATION_1</ActorID>
-</Actor>
-</Location>
-</Encounter>
-</Encounters>
-</Body>
-<Actors>
-<Actor>
-<ActorObjectID>ACTORORGANIZATION_1</ActorObjectID>
-<Organization>
-<Name>CAMP MASTER</Name>
-</Organization>
-<Address>
-<Type>
-<Text>Office</Text>
-</Type>
-<Line1>VA MEDICAL CENTER</Line1>
-<City>ALBANY</City>
-<State>NEW YORK</State>
-<PostalCode>12180-0097</PostalCode>
-</Address>
-<Source>
-<Actor>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</Actor>
-</Source>
-</Actor>
-<Actor>
-<ActorObjectID>ACTORPATIENT_100095</ActorObjectID>
-<Person>
-<Name>
-<CurrentName>
-<Given>EIGHTY-PATIENT</Given>
-<Family>BCMA</Family>
-</CurrentName>
-</Name>
-<DateOfBirth>
-<ExactDateTime>1935-04-07</ExactDateTime>
-</DateOfBirth>
-<Gender>
-<Text>FEMALE</Text>
-<Code>
-<Value>F</Value>
-<CodingSystem>HL7 AdministrativeGender</CodingSystem>
-</Code>
-</Gender>
-</Person>
-<IDs>
-<Type>
-<Text>SSN</Text>
-</Type>
-<ID>666330080</ID>
-<Source>
-<Actor>
-<ActorID>ACTORPATIENT_100095</ActorID>
-</Actor>
-</Source>
-</IDs>
-<Address>
-<Type>
-<Text>Home</Text>
-</Type>
-</Address>
-<Source>
-<Actor>
-<ActorID>ACTORPATIENT_100095</ActorID>
-</Actor>
-</Source>
-</Actor>
-<Actor>
-<ActorObjectID>ACTORPROVIDER_10000000020</ActorObjectID>
-<Person>
-<Name>
-<CurrentName>
-<Given>SYSTEM</Given>
-<Family>MANAGER</Family>
-</CurrentName>
-</Name>
-</Person>
-<Specialty>
-<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
-</Specialty>
-<Address>
-<Type>
-<Text>Work</Text>
-</Type>
-<Line1>VA MEDICAL CENTER</Line1>
-<City>ALBANY</City>
-<State>NY</State>
-<PostalCode>12180-0097</PostalCode>
-</Address>
-<Source>
-<Actor>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</Actor>
-</Source>
-<InternalCCRLink>
-<LinkID>ACTORORGANIZATION_1</LinkID>
-<LinkRelationship>representedOrganization</LinkRelationship>
-</InternalCCRLink>
-</Actor>
-<Actor>
-<ActorObjectID>ACTORPROVIDER_11733</ActorObjectID>
-<Person>
-<Name>
-<CurrentName>
-<Given>SEVENTEEN</Given>
-<Family>RADTECH</Family>
-</CurrentName>
-</Name>
-</Person>
-<Specialty>
-<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
-</Specialty>
-<Address>
-<Type>
-<Text>Work</Text>
-</Type>
-<Line1>VA MEDICAL CENTER</Line1>
-<City>ALBANY</City>
-<State>NY</State>
-<PostalCode>12180-0097</PostalCode>
-</Address>
-<Source>
-<Actor>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</Actor>
-</Source>
-<InternalCCRLink>
-<LinkID>ACTORORGANIZATION_1</LinkID>
-<LinkRelationship>representedOrganization</LinkRelationship>
-</InternalCCRLink>
-</Actor>
-<Actor>
-<ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
-<InformationSystem>
-<Name>WorldVistA EHR/VOE</Name>
-<Version>1.0</Version>
-</InformationSystem>
-<Source>
-<Actor>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</Actor>
-</Source>
-</Actor>
-</Actors>
-<Comments>
-<Comment>
-<CommentObjectID>@@COMMENTOBJECTID@@</CommentObjectID>
-<DateTime>
-<ExactDateTime>@@CMTDATETIME@@</ExactDateTime>
-</DateTime>
-<Source>
-<Actor>
-<ActorID>@@ACTORSOURCEID@@</ActorID>
-</Actor>
-</Source>
-</Comment>
-</Comments>
-</ContinuityOfCareRecord>
Index: da/CCR/PAT_100616_CCR_V1_0_0.xml
===================================================================
--- /qrda/CCR/PAT_100616_CCR_V1_0_0.xml	(revision 945)
+++ 	(revision )
@@ -1,267 +1,0 @@
-<?xml version="1.0" encoding="UTF-8"?>
-<?xml-stylesheet type="text/xsl" href="ccr.xsl"?>
-<ContinuityOfCareRecord xmlns="urn:astm-org:CCR">
-<CCRDocumentObjectID>4a8c9703-b1a5-42f7-8683-a07ae30dc3e7</CCRDocumentObjectID>
-<Language>
-<Text>English</Text>
-</Language>
-<Version>V1.0</Version>
-<DateTime>
-<ExactDateTime>2010-09-08T19:47:34-05:00</ExactDateTime>
-</DateTime>
-<Patient>
-<ActorID>ACTORPATIENT_100616</ActorID>
-</Patient>
-<From>
-<ActorLink>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</ActorLink>
-<ActorLink>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</ActorLink>
-</From>
-<To>
-<ActorLink>
-<ActorID>ACTORPATIENT_100616</ActorID>
-<ActorRole>
-<Text>Patient</Text>
-</ActorRole>
-</ActorLink>
-</To>
-<Purpose>
-<Description>
-<Text>CEND PHR</Text>
-</Description>
-</Purpose>
-<Body>
-<Problems>
-<Problem>
-<CCRDataObjectID>PROBLEM1</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<Text>Problem</Text>
-</Type>
-<Description>
-<Text>Diabetes Mellitus without mention of Complication, type II or unspecified type,</Text>
-<Code>
-<Value>250.02</Value>
-<CodingSystem>ICD9CM</CodingSystem>
-</Code>
-</Description>
-<Status>
-<Text>Active</Text>
-</Status>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Problem>
-</Problems>
-<Procedures>
-<Procedure>
-<CCRDataObjectID>PROCEDURE_4057_4</CCRDataObjectID>
-<DateTime>
-<Type>
-<Text>Procedure Date</Text>
-</Type>
-<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Description>
-<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>
-<Code>
-<Value>99213</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Description>
-<Status>
-<Text>Completed</Text>
-</Status>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Procedure>
-</Procedures>
-<Encounters>
-<Encounter>
-<CCRDataObjectID>ENCOUNTER_4057</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<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>
-<Code>
-<Value>99213</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Type>
-<Description>
-<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>
-<Code>
-<Value>99213</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Description>
-<Location>
-<Actor>
-<ActorID>ACTORORGANIZATION_1</ActorID>
-</Actor>
-</Location>
-<Practioner>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Practioner>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-<CommentID>NOTE_4057</CommentID>
-</Encounter>
-</Encounters>
-</Body>
-<Actors>
-<Actor>
-<ActorObjectID>ACTORORGANIZATION_1</ActorObjectID>
-<Organization>
-<Name>CAMP MASTER</Name>
-</Organization>
-<Address>
-<Type>
-<Text>Office</Text>
-</Type>
-<Line1>VA MEDICAL CENTER</Line1>
-<City>ALBANY</City>
-<State>NEW YORK</State>
-<PostalCode>12180-0097</PostalCode>
-</Address>
-<Source>
-<Actor>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</Actor>
-</Source>
-</Actor>
-<Actor>
-<ActorObjectID>ACTORPATIENT_100616</ActorObjectID>
-<Person>
-<Name>
-<CurrentName>
-<Given>OUTPATIENT</Given>
-<Family>NINE</Family>
-</CurrentName>
-</Name>
-<DateOfBirth>
-<ExactDateTime>1945-03-09</ExactDateTime>
-</DateOfBirth>
-<Gender>
-<Text>MALE</Text>
-<Code>
-<Value>M</Value>
-<CodingSystem>HL7 AdministrativeGender</CodingSystem>
-</Code>
-</Gender>
-</Person>
-<IDs>
-<Type>
-<Text>SSN</Text>
-</Type>
-<ID>666000609</ID>
-<Source>
-<Actor>
-<ActorID>ACTORPATIENT_100616</ActorID>
-</Actor>
-</Source>
-</IDs>
-<Address>
-<Type>
-<Text>Home</Text>
-</Type>
-<Line1>Any Street</Line1>
-<City>Any Town</City>
-</Address>
-<Source>
-<Actor>
-<ActorID>ACTORPATIENT_100616</ActorID>
-</Actor>
-</Source>
-</Actor>
-<Actor>
-<ActorObjectID>ACTORPROVIDER_10000000020</ActorObjectID>
-<Person>
-<Name>
-<CurrentName>
-<Given>SYSTEM</Given>
-<Family>MANAGER</Family>
-</CurrentName>
-</Name>
-</Person>
-<Specialty>
-<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
-</Specialty>
-<Address>
-<Type>
-<Text>Work</Text>
-</Type>
-<Line1>VA MEDICAL CENTER</Line1>
-<City>ALBANY</City>
-<State>NY</State>
-<PostalCode>12180-0097</PostalCode>
-</Address>
-<Source>
-<Actor>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</Actor>
-</Source>
-<InternalCCRLink>
-<LinkID>ACTORORGANIZATION_1</LinkID>
-<LinkRelationship>representedOrganization</LinkRelationship>
-</InternalCCRLink>
-</Actor>
-<Actor>
-<ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
-<InformationSystem>
-<Name>WorldVistA EHR/VOE</Name>
-<Version>1.0</Version>
-</InformationSystem>
-<Source>
-<Actor>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</Actor>
-</Source>
-</Actor>
-</Actors>
-<Comments>
-<Comment>
-<CommentObjectID>@@COMMENTOBJECTID@@</CommentObjectID>
-<DateTime>
-<ExactDateTime>@@CMTDATETIME@@</ExactDateTime>
-</DateTime>
-<Source>
-<Actor>
-<ActorID>@@ACTORSOURCEID@@</ActorID>
-</Actor>
-</Source>
-</Comment>
-<Comment>
-<CommentObjectID>NOTE_4057</CommentObjectID>
-<DateTime>
-<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Description>
-<Text>
-PATIENT IS NOW DIABETIC
-</Text>
-</Description>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Comment>
-</Comments>
-</ContinuityOfCareRecord>
Index: da/CCR/PAT_100662_CCR_V1_0_0.xml
===================================================================
--- /qrda/CCR/PAT_100662_CCR_V1_0_0.xml	(revision 945)
+++ 	(revision )
@@ -1,270 +1,0 @@
-<?xml version="1.0" encoding="UTF-8"?>
-<?xml-stylesheet type="text/xsl" href="ccr.xsl"?>
-<ContinuityOfCareRecord xmlns="urn:astm-org:CCR">
-<CCRDocumentObjectID>de7c3d33-e0e4-4e0d-9e2c-5dd3d8b831ab</CCRDocumentObjectID>
-<Language>
-<Text>English</Text>
-</Language>
-<Version>V1.0</Version>
-<DateTime>
-<ExactDateTime>2010-09-08T19:47:27-05:00</ExactDateTime>
-</DateTime>
-<Patient>
-<ActorID>ACTORPATIENT_100662</ActorID>
-</Patient>
-<From>
-<ActorLink>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</ActorLink>
-<ActorLink>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</ActorLink>
-</From>
-<To>
-<ActorLink>
-<ActorID>ACTORPATIENT_100662</ActorID>
-<ActorRole>
-<Text>Patient</Text>
-</ActorRole>
-</ActorLink>
-</To>
-<Purpose>
-<Description>
-<Text>CEND PHR</Text>
-</Description>
-</Purpose>
-<Body>
-<Problems>
-<Problem>
-<CCRDataObjectID>PROBLEM1</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<Text>Problem</Text>
-</Type>
-<Description>
-<Text>Diabetes Mellitus without mention of Complication, type II or unspecified type,</Text>
-<Code>
-<Value>250.00</Value>
-<CodingSystem>ICD9CM</CodingSystem>
-</Code>
-</Description>
-<Status>
-<Text>Active</Text>
-</Status>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Problem>
-</Problems>
-<Procedures>
-<Procedure>
-<CCRDataObjectID>PROCEDURE_4060_4</CCRDataObjectID>
-<DateTime>
-<Type>
-<Text>Procedure Date</Text>
-</Type>
-<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Description>
-<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>
-<Code>
-<Value>99213</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Description>
-<Status>
-<Text>Completed</Text>
-</Status>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Procedure>
-</Procedures>
-<Encounters>
-<Encounter>
-<CCRDataObjectID>ENCOUNTER_4060</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<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>
-<Code>
-<Value>99213</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Type>
-<Description>
-<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>
-<Code>
-<Value>99213</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Description>
-<Location>
-<Actor>
-<ActorID>ACTORORGANIZATION_1</ActorID>
-</Actor>
-</Location>
-<Practioner>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Practioner>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-<CommentID>NOTE_4060</CommentID>
-</Encounter>
-</Encounters>
-</Body>
-<Actors>
-<Actor>
-<ActorObjectID>ACTORORGANIZATION_1</ActorObjectID>
-<Organization>
-<Name>CAMP MASTER</Name>
-</Organization>
-<Address>
-<Type>
-<Text>Office</Text>
-</Type>
-<Line1>VA MEDICAL CENTER</Line1>
-<City>ALBANY</City>
-<State>NEW YORK</State>
-<PostalCode>12180-0097</PostalCode>
-</Address>
-<Source>
-<Actor>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</Actor>
-</Source>
-</Actor>
-<Actor>
-<ActorObjectID>ACTORPATIENT_100662</ActorObjectID>
-<Person>
-<Name>
-<CurrentName>
-<Given>OUTPATIENT</Given>
-<Family>FIFTYFIVE</Family>
-</CurrentName>
-</Name>
-<DateOfBirth>
-<ExactDateTime>1945-03-09</ExactDateTime>
-</DateOfBirth>
-<Gender>
-<Text>MALE</Text>
-<Code>
-<Value>M</Value>
-<CodingSystem>HL7 AdministrativeGender</CodingSystem>
-</Code>
-</Gender>
-</Person>
-<IDs>
-<Type>
-<Text>SSN</Text>
-</Type>
-<ID>666000655</ID>
-<Source>
-<Actor>
-<ActorID>ACTORPATIENT_100662</ActorID>
-</Actor>
-</Source>
-</IDs>
-<Address>
-<Type>
-<Text>Home</Text>
-</Type>
-<Line1>Any Street</Line1>
-<City>Any Town</City>
-</Address>
-<Source>
-<Actor>
-<ActorID>ACTORPATIENT_100662</ActorID>
-</Actor>
-</Source>
-</Actor>
-<Actor>
-<ActorObjectID>ACTORPROVIDER_10000000020</ActorObjectID>
-<Person>
-<Name>
-<CurrentName>
-<Given>SYSTEM</Given>
-<Family>MANAGER</Family>
-</CurrentName>
-</Name>
-</Person>
-<Specialty>
-<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
-</Specialty>
-<Address>
-<Type>
-<Text>Work</Text>
-</Type>
-<Line1>VA MEDICAL CENTER</Line1>
-<City>ALBANY</City>
-<State>NY</State>
-<PostalCode>12180-0097</PostalCode>
-</Address>
-<Source>
-<Actor>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</Actor>
-</Source>
-<InternalCCRLink>
-<LinkID>ACTORORGANIZATION_1</LinkID>
-<LinkRelationship>representedOrganization</LinkRelationship>
-</InternalCCRLink>
-</Actor>
-<Actor>
-<ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
-<InformationSystem>
-<Name>WorldVistA EHR/VOE</Name>
-<Version>1.0</Version>
-</InformationSystem>
-<Source>
-<Actor>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</Actor>
-</Source>
-</Actor>
-</Actors>
-<Comments>
-<Comment>
-<CommentObjectID>@@COMMENTOBJECTID@@</CommentObjectID>
-<DateTime>
-<ExactDateTime>@@CMTDATETIME@@</ExactDateTime>
-</DateTime>
-<Source>
-<Actor>
-<ActorID>@@ACTORSOURCEID@@</ActorID>
-</Actor>
-</Source>
-</Comment>
-<Comment>
-<CommentObjectID>NOTE_4060</CommentObjectID>
-<DateTime>
-<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Description>
-<Text>
-DIABETIC TEST
-PATIENT HBA1C RESULTS
-  PATIENTS HBA1C IS GREATER THAN 9%
-    HBA1C VALUE: 10.1
-</Text>
-</Description>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Comment>
-</Comments>
-</ContinuityOfCareRecord>
Index: da/CCR/PAT_100839_CCR_V1_0_0.xml
===================================================================
--- /qrda/CCR/PAT_100839_CCR_V1_0_0.xml	(revision 945)
+++ 	(revision )
@@ -1,843 +1,0 @@
-<?xml version="1.0" encoding="UTF-8"?>
-<?xml-stylesheet type="text/xsl" href="ccr.xsl"?>
-<ContinuityOfCareRecord xmlns="urn:astm-org:CCR">
-<CCRDocumentObjectID>d4196be2-8a2b-44c2-ab9f-9c633af36a58</CCRDocumentObjectID>
-<Language>
-<Text>English</Text>
-</Language>
-<Version>V1.0</Version>
-<DateTime>
-<ExactDateTime>2010-09-08T19:47:15-05:00</ExactDateTime>
-</DateTime>
-<Patient>
-<ActorID>ACTORPATIENT_100839</ActorID>
-</Patient>
-<From>
-<ActorLink>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</ActorLink>
-<ActorLink>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</ActorLink>
-</From>
-<To>
-<ActorLink>
-<ActorID>ACTORPATIENT_100839</ActorID>
-<ActorRole>
-<Text>Patient</Text>
-</ActorRole>
-</ActorLink>
-</To>
-<Purpose>
-<Description>
-<Text>CEND PHR</Text>
-</Description>
-</Purpose>
-<Body>
-<Problems>
-<Problem>
-<CCRDataObjectID>PROBLEM1</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2010-09-04T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<Text>Problem</Text>
-</Type>
-<Description>
-<Text>Diabetes Mellitus without mention of Complication, type II or unspecified type,</Text>
-<Code>
-<Value>250.00</Value>
-<CodingSystem>ICD9CM</CodingSystem>
-</Code>
-</Description>
-<Status>
-<Text>Active</Text>
-</Status>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_991</ActorID>
-</Actor>
-</Source>
-</Problem>
-<Problem>
-<CCRDataObjectID>PROBLEM2</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2010-07-05T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<Text>Problem</Text>
-</Type>
-<Description>
-<Text>Congestive Heart Failure (ICD-9-CM 428.0)</Text>
-<Code>
-<Value>428.0</Value>
-<CodingSystem>ICD9CM</CodingSystem>
-</Code>
-</Description>
-<Status>
-<Text>Active</Text>
-</Status>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_991</ActorID>
-</Actor>
-</Source>
-</Problem>
-<Problem>
-<CCRDataObjectID>PROBLEM3</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2010-07-05T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<Text>Problem</Text>
-</Type>
-<Description>
-<Text>Postmyocardial infarction syndrome (ICD-9-CM 411.0)</Text>
-<Code>
-<Value>411.0</Value>
-<CodingSystem>ICD9CM</CodingSystem>
-</Code>
-</Description>
-<Status>
-<Text>Active</Text>
-</Status>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_991</ActorID>
-</Actor>
-</Source>
-</Problem>
-</Problems>
-<Procedures>
-<Procedure>
-<CCRDataObjectID>PROCEDURE_4056_27</CCRDataObjectID>
-<DateTime>
-<Type>
-<Text>Procedure Date</Text>
-</Type>
-<ExactDateTime>2010-09-04T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Description>
-<Text>INTERMEDIATE (15min)</Text>
-<Code>
-<Value>99213</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Description>
-<Status>
-<Text>Completed</Text>
-</Status>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Procedure>
-<Procedure>
-<CCRDataObjectID>PROCEDURE_4055_24</CCRDataObjectID>
-<DateTime>
-<Type>
-<Text>Procedure Date</Text>
-</Type>
-<ExactDateTime>2010-08-28T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Description>
-<Text>EXPANDED, HX &amp; EXAM</Text>
-<Code>
-<Value>99202</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Description>
-<Status>
-<Text>Completed</Text>
-</Status>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Procedure>
-<Procedure>
-<CCRDataObjectID>PROCEDURE_4047_14</CCRDataObjectID>
-<DateTime>
-<Type>
-<Text>Procedure Date</Text>
-</Type>
-<ExactDateTime>2010-07-31T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Description>
-<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>
-<Code>
-<Value>99213</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Description>
-<Status>
-<Text>Completed</Text>
-</Status>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Procedure>
-<Procedure>
-<CCRDataObjectID>PROCEDURE_4046_7</CCRDataObjectID>
-<DateTime>
-<Type>
-<Text>Procedure Date</Text>
-</Type>
-<ExactDateTime>2010-07-05T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Description>
-<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>
-<Code>
-<Value>99214</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Description>
-<Status>
-<Text>Completed</Text>
-</Status>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_991</ActorID>
-</Actor>
-</Source>
-</Procedure>
-<Procedure>
-<CCRDataObjectID>PROCEDURE_4046_8</CCRDataObjectID>
-<DateTime>
-<Type>
-<Text>Procedure Date</Text>
-</Type>
-<ExactDateTime>2010-07-05T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Description>
-<Text>Hemoglobin; Glycosylated (A1c) (CPT-4 83036)</Text>
-<Code>
-<Value>83036</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Description>
-<Status>
-<Text>Completed</Text>
-</Status>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_991</ActorID>
-</Actor>
-</Source>
-</Procedure>
-<Procedure>
-<CCRDataObjectID>PROCEDURE_4046_9</CCRDataObjectID>
-<DateTime>
-<Type>
-<Text>Procedure Date</Text>
-</Type>
-<ExactDateTime>2010-07-05T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Description>
-<Text>Lipoprotein, Blood; Quantitation of Lipoprotein particle Numbers and Lipoprotein particle Subclasses (Eg, by Nuclear Magnetic Resonance Spectroscopy) (CPT-4 83704)</Text>
-<Code>
-<Value>83704</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Description>
-<Status>
-<Text>Completed</Text>
-</Status>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_991</ActorID>
-</Actor>
-</Source>
-</Procedure>
-<Procedure>
-<CCRDataObjectID>PROCEDURE_4046_10</CCRDataObjectID>
-<DateTime>
-<Type>
-<Text>Procedure Date</Text>
-</Type>
-<ExactDateTime>2010-07-05T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Description>
-<Text>Determination of Central C-V Hemodynamics (Non-Imaging) (CPT-4 78414)</Text>
-<Code>
-<Value>78414</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Description>
-<Status>
-<Text>Completed</Text>
-</Status>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_991</ActorID>
-</Actor>
-</Source>
-</Procedure>
-</Procedures>
-<Encounters>
-<Encounter>
-<CCRDataObjectID>ENCOUNTER_4056</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2010-09-04T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<Text>***ESTABLISHED PATIENT*** INTERMEDIATE (15min)</Text>
-<Code>
-<Value>99213</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Type>
-<Description>
-<Text>***ESTABLISHED PATIENT*** INTERMEDIATE (15min)</Text>
-<Code>
-<Value>99213</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Description>
-<Location>
-<Actor>
-<ActorID>ACTORORGANIZATION_1</ActorID>
-</Actor>
-</Location>
-<Practioner>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Practioner>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Encounter>
-<Encounter>
-<CCRDataObjectID>ENCOUNTER_4055</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2010-08-28T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<Text>OFFICE VISIT - NEW PT EXPANDED, HX &amp; EXAM</Text>
-<Code>
-<Value>99202</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Type>
-<Description>
-<Text>OFFICE VISIT - NEW PT EXPANDED, HX &amp; EXAM</Text>
-<Code>
-<Value>99202</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Description>
-<Location>
-<Actor>
-<ActorID>ACTORORGANIZATION_1</ActorID>
-</Actor>
-</Location>
-<Practioner>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Practioner>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-<CommentID>NOTE_4055</CommentID>
-</Encounter>
-<Encounter>
-<CCRDataObjectID>ENCOUNTER_4054</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2010-08-27T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<Text>C&amp;P EXAMINATION REPORTS</Text>
-</Type>
-<Description>
-<Text>C&amp;P EXAMINATION REPORTS</Text>
-</Description>
-<Location>
-<Actor>
-<ActorID>ACTORORGANIZATION_1</ActorID>
-</Actor>
-</Location>
-<Practioner>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Practioner>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Encounter>
-<Encounter>
-<CCRDataObjectID>ENCOUNTER_4053</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2010-08-27T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<Text>NURSING TITLES</Text>
-</Type>
-<Description>
-<Text>NURSING TITLES</Text>
-</Description>
-<Location>
-<Actor>
-<ActorID>ACTORORGANIZATION_1</ActorID>
-</Actor>
-</Location>
-<Practioner>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Practioner>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Encounter>
-<Encounter>
-<CCRDataObjectID>ENCOUNTER_4052</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2010-08-14T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<Text>ADDENDUM</Text>
-</Type>
-<Description>
-<Text>ADDENDUM</Text>
-</Description>
-<Location>
-<Actor>
-<ActorID>ACTORORGANIZATION_1</ActorID>
-</Actor>
-</Location>
-<Practioner>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Practioner>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Encounter>
-<Encounter>
-<CCRDataObjectID>ENCOUNTER_4049</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2010-08-25T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<Text>ADDICTION SEVERITY INDEX</Text>
-</Type>
-<Description>
-<Text>ADDICTION SEVERITY INDEX</Text>
-</Description>
-<Location>
-<Actor>
-<ActorID>ACTORORGANIZATION_1</ActorID>
-</Actor>
-</Location>
-<Practioner>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Practioner>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Encounter>
-<Encounter>
-<CCRDataObjectID>ENCOUNTER_4048</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2010-08-14T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<Text>INTERDISCIPLINARY MEMBER</Text>
-</Type>
-<Description>
-<Text>INTERDISCIPLINARY MEMBER</Text>
-</Description>
-<Location>
-<Actor>
-<ActorID>ACTORORGANIZATION_1</ActorID>
-</Actor>
-</Location>
-<Practioner>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Practioner>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Encounter>
-<Encounter>
-<CCRDataObjectID>ENCOUNTER_4047</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2010-07-31T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<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>
-<Code>
-<Value>99213</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Type>
-<Description>
-<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>
-<Code>
-<Value>99213</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Description>
-<Location>
-<Actor>
-<ActorID>ACTORORGANIZATION_1</ActorID>
-</Actor>
-</Location>
-<Practioner>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Practioner>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-<CommentID>NOTE_4047</CommentID>
-</Encounter>
-<Encounter>
-<CCRDataObjectID>ENCOUNTER_4046</CCRDataObjectID>
-<DateTime>
-<ExactDateTime>2010-07-05T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Type>
-<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>
-<Code>
-<Value>99214</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Type>
-<Description>
-<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>
-<Code>
-<Value>99214</Value>
-<CodingSystem>CPT-4</CodingSystem>
-</Code>
-</Description>
-<Location>
-<Actor>
-<ActorID>ACTORORGANIZATION_1</ActorID>
-</Actor>
-</Location>
-<Practioner>
-<Actor>
-<ActorID>ACTORPROVIDER_991</ActorID>
-</Actor>
-</Practioner>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_991</ActorID>
-</Actor>
-</Source>
-<CommentID>NOTE_4046</CommentID>
-</Encounter>
-</Encounters>
-</Body>
-<Actors>
-<Actor>
-<ActorObjectID>ACTORORGANIZATION_1</ActorObjectID>
-<Organization>
-<Name>CAMP MASTER</Name>
-</Organization>
-<Address>
-<Type>
-<Text>Office</Text>
-</Type>
-<Line1>VA MEDICAL CENTER</Line1>
-<City>ALBANY</City>
-<State>NEW YORK</State>
-<PostalCode>12180-0097</PostalCode>
-</Address>
-<Source>
-<Actor>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</Actor>
-</Source>
-</Actor>
-<Actor>
-<ActorObjectID>ACTORPATIENT_100839</ActorObjectID>
-<Person>
-<Name>
-<CurrentName>
-<Given>JODY</Given>
-<Middle>JEAN</Middle>
-<Family>JONES</Family>
-</CurrentName>
-</Name>
-<DateOfBirth>
-<ExactDateTime>1945-01-01</ExactDateTime>
-</DateOfBirth>
-<Gender>
-<Text>FEMALE</Text>
-<Code>
-<Value>F</Value>
-<CodingSystem>HL7 AdministrativeGender</CodingSystem>
-</Code>
-</Gender>
-</Person>
-<IDs>
-<Type>
-<Text>SSN</Text>
-</Type>
-<ID>002030004</ID>
-<Source>
-<Actor>
-<ActorID>ACTORPATIENT_100839</ActorID>
-</Actor>
-</Source>
-</IDs>
-<Address>
-<Type>
-<Text>Home</Text>
-</Type>
-</Address>
-<Source>
-<Actor>
-<ActorID>ACTORPATIENT_100839</ActorID>
-</Actor>
-</Source>
-</Actor>
-<Actor>
-<ActorObjectID>ACTORPROVIDER_10000000020</ActorObjectID>
-<Person>
-<Name>
-<CurrentName>
-<Given>SYSTEM</Given>
-<Family>MANAGER</Family>
-</CurrentName>
-</Name>
-</Person>
-<Specialty>
-<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
-</Specialty>
-<Address>
-<Type>
-<Text>Work</Text>
-</Type>
-<Line1>VA MEDICAL CENTER</Line1>
-<City>ALBANY</City>
-<State>NY</State>
-<PostalCode>12180-0097</PostalCode>
-</Address>
-<Source>
-<Actor>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</Actor>
-</Source>
-<InternalCCRLink>
-<LinkID>ACTORORGANIZATION_1</LinkID>
-<LinkRelationship>representedOrganization</LinkRelationship>
-</InternalCCRLink>
-</Actor>
-<Actor>
-<ActorObjectID>ACTORPROVIDER_991</ActorObjectID>
-<Person>
-<Name>
-<CurrentName>
-<Given>EIGHT</Given>
-<Family>PROVIDER</Family>
-<Title>Scholar Extraordinaire</Title>
-</CurrentName>
-</Name>
-</Person>
-<Specialty>
-<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
-</Specialty>
-<Address>
-<Type>
-<Text>Work</Text>
-</Type>
-<Line1>VA MEDICAL CENTER</Line1>
-<City>ALBANY</City>
-<State>NY</State>
-<PostalCode>12180-0097</PostalCode>
-</Address>
-<Source>
-<Actor>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</Actor>
-</Source>
-<InternalCCRLink>
-<LinkID>ACTORORGANIZATION_1</LinkID>
-<LinkRelationship>representedOrganization</LinkRelationship>
-</InternalCCRLink>
-</Actor>
-<Actor>
-<ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
-<InformationSystem>
-<Name>WorldVistA EHR/VOE</Name>
-<Version>1.0</Version>
-</InformationSystem>
-<Source>
-<Actor>
-<ActorID>ACTORSYSTEM_1</ActorID>
-</Actor>
-</Source>
-</Actor>
-</Actors>
-<Comments>
-<Comment>
-<CommentObjectID>@@COMMENTOBJECTID@@</CommentObjectID>
-<DateTime>
-<ExactDateTime>@@CMTDATETIME@@</ExactDateTime>
-</DateTime>
-<Source>
-<Actor>
-<ActorID>@@ACTORSOURCEID@@</ActorID>
-</Actor>
-</Source>
-</Comment>
-<Comment>
-<CommentObjectID>NOTE_4046</CommentObjectID>
-<DateTime>
-<ExactDateTime>2010-07-05T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Description>
-<Text>
-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 &gt; 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 &lt; 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 &lt;140 mmHg (from Vitals-Bottom number of BP)
-
- Diastolic (SNOMED) CODE 271650006
-   AND
- 
-Diastolic BP &lt; 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 &lt; 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
--------------------------------------------------------------
-</Text>
-</Description>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_991</ActorID>
-</Actor>
-</Source>
-</Comment>
-<Comment>
-<CommentObjectID>NOTE_4047</CommentObjectID>
-<DateTime>
-<ExactDateTime>2010-07-31T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Description>
-<Text>
-TESTING ENCOUNTERS
-</Text>
-</Description>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Comment>
-<Comment>
-<CommentObjectID>NOTE_4055</CommentObjectID>
-<DateTime>
-<ExactDateTime>2010-08-28T00:00:00-05:00</ExactDateTime>
-</DateTime>
-<Description>
-<Text>
-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 
-=========================================
-</Text>
-</Description>
-<Source>
-<Actor>
-<ActorID>ACTORPROVIDER_10000000020</ActorID>
-</Actor>
-</Source>
-</Comment>
-</Comments>
-</ContinuityOfCareRecord>
Index: /qrda/CCR/QDF-59-cohorts/PAT_100095_CCR_V1_0_0.xml
===================================================================
--- /qrda/CCR/QDF-59-cohorts/PAT_100095_CCR_V1_0_0.xml	(revision 946)
+++ /qrda/CCR/QDF-59-cohorts/PAT_100095_CCR_V1_0_0.xml	(revision 946)
@@ -0,0 +1,263 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<?xml-stylesheet type="text/xsl" href="ccr.xsl"?>
+<ContinuityOfCareRecord xmlns="urn:astm-org:CCR">
+<CCRDocumentObjectID>133d3e0d-3a9d-4176-9573-c73fcef21651</CCRDocumentObjectID>
+<Language>
+<Text>English</Text>
+</Language>
+<Version>V1.0</Version>
+<DateTime>
+<ExactDateTime>2010-09-08T19:47:43-05:00</ExactDateTime>
+</DateTime>
+<Patient>
+<ActorID>ACTORPATIENT_100095</ActorID>
+</Patient>
+<From>
+<ActorLink>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</ActorLink>
+<ActorLink>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</ActorLink>
+</From>
+<To>
+<ActorLink>
+<ActorID>ACTORPATIENT_100095</ActorID>
+<ActorRole>
+<Text>Patient</Text>
+</ActorRole>
+</ActorLink>
+</To>
+<Purpose>
+<Description>
+<Text>CEND PHR</Text>
+</Description>
+</Purpose>
+<Body>
+<Alerts>
+<Alert>
+<CCRDataObjectID>ALERT1</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2002-02-13T13:22:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<Text>Allergy</Text>
+</Type>
+<Description>
+<Text>Patient has an ALLERGIC reaction to STRAWBERRIES.</Text>
+<Code>
+<Value>418634005</Value>
+<CodingSystem>SNOMED CT</CodingSystem>
+</Code>
+</Description>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_11733</ActorID>
+</Actor>
+</Source>
+<Agent>
+<Products>
+<Product>
+<CCRDataObjectID>PRODUCT_6</CCRDataObjectID>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_11733</ActorID>
+</Actor>
+</Source>
+<Product>
+<ProductName>
+<Text>STRAWBERRIES</Text>
+<Code>
+<Value>4637360</Value>
+<CodingSystem>VUID</CodingSystem>
+</Code>
+</ProductName>
+</Product>
+</Product>
+</Products>
+</Agent>
+<Reaction>
+<Description>
+<Text>DRY MOUTH</Text>
+<Code>
+<Value>4538597</Value>
+<CodingSystem>VUID</CodingSystem>
+</Code>
+</Description>
+</Reaction>
+</Alert>
+</Alerts>
+<Encounters>
+<Encounter>
+<CCRDataObjectID>ENCOUNTER_4059</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2002-02-07T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<Text>C&amp;P EXAMINATION REPORTS</Text>
+</Type>
+<Description>
+<Text>C&amp;P EXAMINATION REPORTS</Text>
+</Description>
+<Location>
+<Actor>
+<ActorID>ACTORORGANIZATION_1</ActorID>
+</Actor>
+</Location>
+</Encounter>
+</Encounters>
+</Body>
+<Actors>
+<Actor>
+<ActorObjectID>ACTORORGANIZATION_1</ActorObjectID>
+<Organization>
+<Name>CAMP MASTER</Name>
+</Organization>
+<Address>
+<Type>
+<Text>Office</Text>
+</Type>
+<Line1>VA MEDICAL CENTER</Line1>
+<City>ALBANY</City>
+<State>NEW YORK</State>
+<PostalCode>12180-0097</PostalCode>
+</Address>
+<Source>
+<Actor>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</Actor>
+</Source>
+</Actor>
+<Actor>
+<ActorObjectID>ACTORPATIENT_100095</ActorObjectID>
+<Person>
+<Name>
+<CurrentName>
+<Given>EIGHTY-PATIENT</Given>
+<Family>BCMA</Family>
+</CurrentName>
+</Name>
+<DateOfBirth>
+<ExactDateTime>1935-04-07</ExactDateTime>
+</DateOfBirth>
+<Gender>
+<Text>FEMALE</Text>
+<Code>
+<Value>F</Value>
+<CodingSystem>HL7 AdministrativeGender</CodingSystem>
+</Code>
+</Gender>
+</Person>
+<IDs>
+<Type>
+<Text>SSN</Text>
+</Type>
+<ID>666330080</ID>
+<Source>
+<Actor>
+<ActorID>ACTORPATIENT_100095</ActorID>
+</Actor>
+</Source>
+</IDs>
+<Address>
+<Type>
+<Text>Home</Text>
+</Type>
+</Address>
+<Source>
+<Actor>
+<ActorID>ACTORPATIENT_100095</ActorID>
+</Actor>
+</Source>
+</Actor>
+<Actor>
+<ActorObjectID>ACTORPROVIDER_10000000020</ActorObjectID>
+<Person>
+<Name>
+<CurrentName>
+<Given>SYSTEM</Given>
+<Family>MANAGER</Family>
+</CurrentName>
+</Name>
+</Person>
+<Specialty>
+<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
+</Specialty>
+<Address>
+<Type>
+<Text>Work</Text>
+</Type>
+<Line1>VA MEDICAL CENTER</Line1>
+<City>ALBANY</City>
+<State>NY</State>
+<PostalCode>12180-0097</PostalCode>
+</Address>
+<Source>
+<Actor>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</Actor>
+</Source>
+<InternalCCRLink>
+<LinkID>ACTORORGANIZATION_1</LinkID>
+<LinkRelationship>representedOrganization</LinkRelationship>
+</InternalCCRLink>
+</Actor>
+<Actor>
+<ActorObjectID>ACTORPROVIDER_11733</ActorObjectID>
+<Person>
+<Name>
+<CurrentName>
+<Given>SEVENTEEN</Given>
+<Family>RADTECH</Family>
+</CurrentName>
+</Name>
+</Person>
+<Specialty>
+<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
+</Specialty>
+<Address>
+<Type>
+<Text>Work</Text>
+</Type>
+<Line1>VA MEDICAL CENTER</Line1>
+<City>ALBANY</City>
+<State>NY</State>
+<PostalCode>12180-0097</PostalCode>
+</Address>
+<Source>
+<Actor>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</Actor>
+</Source>
+<InternalCCRLink>
+<LinkID>ACTORORGANIZATION_1</LinkID>
+<LinkRelationship>representedOrganization</LinkRelationship>
+</InternalCCRLink>
+</Actor>
+<Actor>
+<ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
+<InformationSystem>
+<Name>WorldVistA EHR/VOE</Name>
+<Version>1.0</Version>
+</InformationSystem>
+<Source>
+<Actor>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</Actor>
+</Source>
+</Actor>
+</Actors>
+<Comments>
+<Comment>
+<CommentObjectID>@@COMMENTOBJECTID@@</CommentObjectID>
+<DateTime>
+<ExactDateTime>@@CMTDATETIME@@</ExactDateTime>
+</DateTime>
+<Source>
+<Actor>
+<ActorID>@@ACTORSOURCEID@@</ActorID>
+</Actor>
+</Source>
+</Comment>
+</Comments>
+</ContinuityOfCareRecord>
Index: /qrda/CCR/QDF-59-cohorts/PAT_100616_CCR_V1_0_0.xml
===================================================================
--- /qrda/CCR/QDF-59-cohorts/PAT_100616_CCR_V1_0_0.xml	(revision 946)
+++ /qrda/CCR/QDF-59-cohorts/PAT_100616_CCR_V1_0_0.xml	(revision 946)
@@ -0,0 +1,267 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<?xml-stylesheet type="text/xsl" href="ccr.xsl"?>
+<ContinuityOfCareRecord xmlns="urn:astm-org:CCR">
+<CCRDocumentObjectID>4a8c9703-b1a5-42f7-8683-a07ae30dc3e7</CCRDocumentObjectID>
+<Language>
+<Text>English</Text>
+</Language>
+<Version>V1.0</Version>
+<DateTime>
+<ExactDateTime>2010-09-08T19:47:34-05:00</ExactDateTime>
+</DateTime>
+<Patient>
+<ActorID>ACTORPATIENT_100616</ActorID>
+</Patient>
+<From>
+<ActorLink>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</ActorLink>
+<ActorLink>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</ActorLink>
+</From>
+<To>
+<ActorLink>
+<ActorID>ACTORPATIENT_100616</ActorID>
+<ActorRole>
+<Text>Patient</Text>
+</ActorRole>
+</ActorLink>
+</To>
+<Purpose>
+<Description>
+<Text>CEND PHR</Text>
+</Description>
+</Purpose>
+<Body>
+<Problems>
+<Problem>
+<CCRDataObjectID>PROBLEM1</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<Text>Problem</Text>
+</Type>
+<Description>
+<Text>Diabetes Mellitus without mention of Complication, type II or unspecified type,</Text>
+<Code>
+<Value>250.02</Value>
+<CodingSystem>ICD9CM</CodingSystem>
+</Code>
+</Description>
+<Status>
+<Text>Active</Text>
+</Status>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Problem>
+</Problems>
+<Procedures>
+<Procedure>
+<CCRDataObjectID>PROCEDURE_4057_4</CCRDataObjectID>
+<DateTime>
+<Type>
+<Text>Procedure Date</Text>
+</Type>
+<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Description>
+<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>
+<Code>
+<Value>99213</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Description>
+<Status>
+<Text>Completed</Text>
+</Status>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Procedure>
+</Procedures>
+<Encounters>
+<Encounter>
+<CCRDataObjectID>ENCOUNTER_4057</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<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>
+<Code>
+<Value>99213</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Type>
+<Description>
+<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>
+<Code>
+<Value>99213</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Description>
+<Location>
+<Actor>
+<ActorID>ACTORORGANIZATION_1</ActorID>
+</Actor>
+</Location>
+<Practioner>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Practioner>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+<CommentID>NOTE_4057</CommentID>
+</Encounter>
+</Encounters>
+</Body>
+<Actors>
+<Actor>
+<ActorObjectID>ACTORORGANIZATION_1</ActorObjectID>
+<Organization>
+<Name>CAMP MASTER</Name>
+</Organization>
+<Address>
+<Type>
+<Text>Office</Text>
+</Type>
+<Line1>VA MEDICAL CENTER</Line1>
+<City>ALBANY</City>
+<State>NEW YORK</State>
+<PostalCode>12180-0097</PostalCode>
+</Address>
+<Source>
+<Actor>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</Actor>
+</Source>
+</Actor>
+<Actor>
+<ActorObjectID>ACTORPATIENT_100616</ActorObjectID>
+<Person>
+<Name>
+<CurrentName>
+<Given>OUTPATIENT</Given>
+<Family>NINE</Family>
+</CurrentName>
+</Name>
+<DateOfBirth>
+<ExactDateTime>1945-03-09</ExactDateTime>
+</DateOfBirth>
+<Gender>
+<Text>MALE</Text>
+<Code>
+<Value>M</Value>
+<CodingSystem>HL7 AdministrativeGender</CodingSystem>
+</Code>
+</Gender>
+</Person>
+<IDs>
+<Type>
+<Text>SSN</Text>
+</Type>
+<ID>666000609</ID>
+<Source>
+<Actor>
+<ActorID>ACTORPATIENT_100616</ActorID>
+</Actor>
+</Source>
+</IDs>
+<Address>
+<Type>
+<Text>Home</Text>
+</Type>
+<Line1>Any Street</Line1>
+<City>Any Town</City>
+</Address>
+<Source>
+<Actor>
+<ActorID>ACTORPATIENT_100616</ActorID>
+</Actor>
+</Source>
+</Actor>
+<Actor>
+<ActorObjectID>ACTORPROVIDER_10000000020</ActorObjectID>
+<Person>
+<Name>
+<CurrentName>
+<Given>SYSTEM</Given>
+<Family>MANAGER</Family>
+</CurrentName>
+</Name>
+</Person>
+<Specialty>
+<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
+</Specialty>
+<Address>
+<Type>
+<Text>Work</Text>
+</Type>
+<Line1>VA MEDICAL CENTER</Line1>
+<City>ALBANY</City>
+<State>NY</State>
+<PostalCode>12180-0097</PostalCode>
+</Address>
+<Source>
+<Actor>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</Actor>
+</Source>
+<InternalCCRLink>
+<LinkID>ACTORORGANIZATION_1</LinkID>
+<LinkRelationship>representedOrganization</LinkRelationship>
+</InternalCCRLink>
+</Actor>
+<Actor>
+<ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
+<InformationSystem>
+<Name>WorldVistA EHR/VOE</Name>
+<Version>1.0</Version>
+</InformationSystem>
+<Source>
+<Actor>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</Actor>
+</Source>
+</Actor>
+</Actors>
+<Comments>
+<Comment>
+<CommentObjectID>@@COMMENTOBJECTID@@</CommentObjectID>
+<DateTime>
+<ExactDateTime>@@CMTDATETIME@@</ExactDateTime>
+</DateTime>
+<Source>
+<Actor>
+<ActorID>@@ACTORSOURCEID@@</ActorID>
+</Actor>
+</Source>
+</Comment>
+<Comment>
+<CommentObjectID>NOTE_4057</CommentObjectID>
+<DateTime>
+<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Description>
+<Text>
+PATIENT IS NOW DIABETIC
+</Text>
+</Description>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Comment>
+</Comments>
+</ContinuityOfCareRecord>
Index: /qrda/CCR/QDF-59-cohorts/PAT_100662_CCR_V1_0_0.xml
===================================================================
--- /qrda/CCR/QDF-59-cohorts/PAT_100662_CCR_V1_0_0.xml	(revision 946)
+++ /qrda/CCR/QDF-59-cohorts/PAT_100662_CCR_V1_0_0.xml	(revision 946)
@@ -0,0 +1,270 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<?xml-stylesheet type="text/xsl" href="ccr.xsl"?>
+<ContinuityOfCareRecord xmlns="urn:astm-org:CCR">
+<CCRDocumentObjectID>de7c3d33-e0e4-4e0d-9e2c-5dd3d8b831ab</CCRDocumentObjectID>
+<Language>
+<Text>English</Text>
+</Language>
+<Version>V1.0</Version>
+<DateTime>
+<ExactDateTime>2010-09-08T19:47:27-05:00</ExactDateTime>
+</DateTime>
+<Patient>
+<ActorID>ACTORPATIENT_100662</ActorID>
+</Patient>
+<From>
+<ActorLink>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</ActorLink>
+<ActorLink>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</ActorLink>
+</From>
+<To>
+<ActorLink>
+<ActorID>ACTORPATIENT_100662</ActorID>
+<ActorRole>
+<Text>Patient</Text>
+</ActorRole>
+</ActorLink>
+</To>
+<Purpose>
+<Description>
+<Text>CEND PHR</Text>
+</Description>
+</Purpose>
+<Body>
+<Problems>
+<Problem>
+<CCRDataObjectID>PROBLEM1</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<Text>Problem</Text>
+</Type>
+<Description>
+<Text>Diabetes Mellitus without mention of Complication, type II or unspecified type,</Text>
+<Code>
+<Value>250.00</Value>
+<CodingSystem>ICD9CM</CodingSystem>
+</Code>
+</Description>
+<Status>
+<Text>Active</Text>
+</Status>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Problem>
+</Problems>
+<Procedures>
+<Procedure>
+<CCRDataObjectID>PROCEDURE_4060_4</CCRDataObjectID>
+<DateTime>
+<Type>
+<Text>Procedure Date</Text>
+</Type>
+<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Description>
+<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>
+<Code>
+<Value>99213</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Description>
+<Status>
+<Text>Completed</Text>
+</Status>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Procedure>
+</Procedures>
+<Encounters>
+<Encounter>
+<CCRDataObjectID>ENCOUNTER_4060</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<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>
+<Code>
+<Value>99213</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Type>
+<Description>
+<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>
+<Code>
+<Value>99213</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Description>
+<Location>
+<Actor>
+<ActorID>ACTORORGANIZATION_1</ActorID>
+</Actor>
+</Location>
+<Practioner>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Practioner>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+<CommentID>NOTE_4060</CommentID>
+</Encounter>
+</Encounters>
+</Body>
+<Actors>
+<Actor>
+<ActorObjectID>ACTORORGANIZATION_1</ActorObjectID>
+<Organization>
+<Name>CAMP MASTER</Name>
+</Organization>
+<Address>
+<Type>
+<Text>Office</Text>
+</Type>
+<Line1>VA MEDICAL CENTER</Line1>
+<City>ALBANY</City>
+<State>NEW YORK</State>
+<PostalCode>12180-0097</PostalCode>
+</Address>
+<Source>
+<Actor>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</Actor>
+</Source>
+</Actor>
+<Actor>
+<ActorObjectID>ACTORPATIENT_100662</ActorObjectID>
+<Person>
+<Name>
+<CurrentName>
+<Given>OUTPATIENT</Given>
+<Family>FIFTYFIVE</Family>
+</CurrentName>
+</Name>
+<DateOfBirth>
+<ExactDateTime>1945-03-09</ExactDateTime>
+</DateOfBirth>
+<Gender>
+<Text>MALE</Text>
+<Code>
+<Value>M</Value>
+<CodingSystem>HL7 AdministrativeGender</CodingSystem>
+</Code>
+</Gender>
+</Person>
+<IDs>
+<Type>
+<Text>SSN</Text>
+</Type>
+<ID>666000655</ID>
+<Source>
+<Actor>
+<ActorID>ACTORPATIENT_100662</ActorID>
+</Actor>
+</Source>
+</IDs>
+<Address>
+<Type>
+<Text>Home</Text>
+</Type>
+<Line1>Any Street</Line1>
+<City>Any Town</City>
+</Address>
+<Source>
+<Actor>
+<ActorID>ACTORPATIENT_100662</ActorID>
+</Actor>
+</Source>
+</Actor>
+<Actor>
+<ActorObjectID>ACTORPROVIDER_10000000020</ActorObjectID>
+<Person>
+<Name>
+<CurrentName>
+<Given>SYSTEM</Given>
+<Family>MANAGER</Family>
+</CurrentName>
+</Name>
+</Person>
+<Specialty>
+<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
+</Specialty>
+<Address>
+<Type>
+<Text>Work</Text>
+</Type>
+<Line1>VA MEDICAL CENTER</Line1>
+<City>ALBANY</City>
+<State>NY</State>
+<PostalCode>12180-0097</PostalCode>
+</Address>
+<Source>
+<Actor>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</Actor>
+</Source>
+<InternalCCRLink>
+<LinkID>ACTORORGANIZATION_1</LinkID>
+<LinkRelationship>representedOrganization</LinkRelationship>
+</InternalCCRLink>
+</Actor>
+<Actor>
+<ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
+<InformationSystem>
+<Name>WorldVistA EHR/VOE</Name>
+<Version>1.0</Version>
+</InformationSystem>
+<Source>
+<Actor>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</Actor>
+</Source>
+</Actor>
+</Actors>
+<Comments>
+<Comment>
+<CommentObjectID>@@COMMENTOBJECTID@@</CommentObjectID>
+<DateTime>
+<ExactDateTime>@@CMTDATETIME@@</ExactDateTime>
+</DateTime>
+<Source>
+<Actor>
+<ActorID>@@ACTORSOURCEID@@</ActorID>
+</Actor>
+</Source>
+</Comment>
+<Comment>
+<CommentObjectID>NOTE_4060</CommentObjectID>
+<DateTime>
+<ExactDateTime>2010-09-05T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Description>
+<Text>
+DIABETIC TEST
+PATIENT HBA1C RESULTS
+  PATIENTS HBA1C IS GREATER THAN 9%
+    HBA1C VALUE: 10.1
+</Text>
+</Description>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Comment>
+</Comments>
+</ContinuityOfCareRecord>
Index: /qrda/CCR/QDF-59-cohorts/PAT_100839_CCR_V1_0_0.xml
===================================================================
--- /qrda/CCR/QDF-59-cohorts/PAT_100839_CCR_V1_0_0.xml	(revision 946)
+++ /qrda/CCR/QDF-59-cohorts/PAT_100839_CCR_V1_0_0.xml	(revision 946)
@@ -0,0 +1,843 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<?xml-stylesheet type="text/xsl" href="ccr.xsl"?>
+<ContinuityOfCareRecord xmlns="urn:astm-org:CCR">
+<CCRDocumentObjectID>d4196be2-8a2b-44c2-ab9f-9c633af36a58</CCRDocumentObjectID>
+<Language>
+<Text>English</Text>
+</Language>
+<Version>V1.0</Version>
+<DateTime>
+<ExactDateTime>2010-09-08T19:47:15-05:00</ExactDateTime>
+</DateTime>
+<Patient>
+<ActorID>ACTORPATIENT_100839</ActorID>
+</Patient>
+<From>
+<ActorLink>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</ActorLink>
+<ActorLink>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</ActorLink>
+</From>
+<To>
+<ActorLink>
+<ActorID>ACTORPATIENT_100839</ActorID>
+<ActorRole>
+<Text>Patient</Text>
+</ActorRole>
+</ActorLink>
+</To>
+<Purpose>
+<Description>
+<Text>CEND PHR</Text>
+</Description>
+</Purpose>
+<Body>
+<Problems>
+<Problem>
+<CCRDataObjectID>PROBLEM1</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2010-09-04T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<Text>Problem</Text>
+</Type>
+<Description>
+<Text>Diabetes Mellitus without mention of Complication, type II or unspecified type,</Text>
+<Code>
+<Value>250.00</Value>
+<CodingSystem>ICD9CM</CodingSystem>
+</Code>
+</Description>
+<Status>
+<Text>Active</Text>
+</Status>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_991</ActorID>
+</Actor>
+</Source>
+</Problem>
+<Problem>
+<CCRDataObjectID>PROBLEM2</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2010-07-05T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<Text>Problem</Text>
+</Type>
+<Description>
+<Text>Congestive Heart Failure (ICD-9-CM 428.0)</Text>
+<Code>
+<Value>428.0</Value>
+<CodingSystem>ICD9CM</CodingSystem>
+</Code>
+</Description>
+<Status>
+<Text>Active</Text>
+</Status>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_991</ActorID>
+</Actor>
+</Source>
+</Problem>
+<Problem>
+<CCRDataObjectID>PROBLEM3</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2010-07-05T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<Text>Problem</Text>
+</Type>
+<Description>
+<Text>Postmyocardial infarction syndrome (ICD-9-CM 411.0)</Text>
+<Code>
+<Value>411.0</Value>
+<CodingSystem>ICD9CM</CodingSystem>
+</Code>
+</Description>
+<Status>
+<Text>Active</Text>
+</Status>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_991</ActorID>
+</Actor>
+</Source>
+</Problem>
+</Problems>
+<Procedures>
+<Procedure>
+<CCRDataObjectID>PROCEDURE_4056_27</CCRDataObjectID>
+<DateTime>
+<Type>
+<Text>Procedure Date</Text>
+</Type>
+<ExactDateTime>2010-09-04T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Description>
+<Text>INTERMEDIATE (15min)</Text>
+<Code>
+<Value>99213</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Description>
+<Status>
+<Text>Completed</Text>
+</Status>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Procedure>
+<Procedure>
+<CCRDataObjectID>PROCEDURE_4055_24</CCRDataObjectID>
+<DateTime>
+<Type>
+<Text>Procedure Date</Text>
+</Type>
+<ExactDateTime>2010-08-28T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Description>
+<Text>EXPANDED, HX &amp; EXAM</Text>
+<Code>
+<Value>99202</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Description>
+<Status>
+<Text>Completed</Text>
+</Status>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Procedure>
+<Procedure>
+<CCRDataObjectID>PROCEDURE_4047_14</CCRDataObjectID>
+<DateTime>
+<Type>
+<Text>Procedure Date</Text>
+</Type>
+<ExactDateTime>2010-07-31T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Description>
+<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>
+<Code>
+<Value>99213</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Description>
+<Status>
+<Text>Completed</Text>
+</Status>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Procedure>
+<Procedure>
+<CCRDataObjectID>PROCEDURE_4046_7</CCRDataObjectID>
+<DateTime>
+<Type>
+<Text>Procedure Date</Text>
+</Type>
+<ExactDateTime>2010-07-05T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Description>
+<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>
+<Code>
+<Value>99214</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Description>
+<Status>
+<Text>Completed</Text>
+</Status>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_991</ActorID>
+</Actor>
+</Source>
+</Procedure>
+<Procedure>
+<CCRDataObjectID>PROCEDURE_4046_8</CCRDataObjectID>
+<DateTime>
+<Type>
+<Text>Procedure Date</Text>
+</Type>
+<ExactDateTime>2010-07-05T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Description>
+<Text>Hemoglobin; Glycosylated (A1c) (CPT-4 83036)</Text>
+<Code>
+<Value>83036</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Description>
+<Status>
+<Text>Completed</Text>
+</Status>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_991</ActorID>
+</Actor>
+</Source>
+</Procedure>
+<Procedure>
+<CCRDataObjectID>PROCEDURE_4046_9</CCRDataObjectID>
+<DateTime>
+<Type>
+<Text>Procedure Date</Text>
+</Type>
+<ExactDateTime>2010-07-05T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Description>
+<Text>Lipoprotein, Blood; Quantitation of Lipoprotein particle Numbers and Lipoprotein particle Subclasses (Eg, by Nuclear Magnetic Resonance Spectroscopy) (CPT-4 83704)</Text>
+<Code>
+<Value>83704</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Description>
+<Status>
+<Text>Completed</Text>
+</Status>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_991</ActorID>
+</Actor>
+</Source>
+</Procedure>
+<Procedure>
+<CCRDataObjectID>PROCEDURE_4046_10</CCRDataObjectID>
+<DateTime>
+<Type>
+<Text>Procedure Date</Text>
+</Type>
+<ExactDateTime>2010-07-05T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Description>
+<Text>Determination of Central C-V Hemodynamics (Non-Imaging) (CPT-4 78414)</Text>
+<Code>
+<Value>78414</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Description>
+<Status>
+<Text>Completed</Text>
+</Status>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_991</ActorID>
+</Actor>
+</Source>
+</Procedure>
+</Procedures>
+<Encounters>
+<Encounter>
+<CCRDataObjectID>ENCOUNTER_4056</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2010-09-04T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<Text>***ESTABLISHED PATIENT*** INTERMEDIATE (15min)</Text>
+<Code>
+<Value>99213</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Type>
+<Description>
+<Text>***ESTABLISHED PATIENT*** INTERMEDIATE (15min)</Text>
+<Code>
+<Value>99213</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Description>
+<Location>
+<Actor>
+<ActorID>ACTORORGANIZATION_1</ActorID>
+</Actor>
+</Location>
+<Practioner>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Practioner>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Encounter>
+<Encounter>
+<CCRDataObjectID>ENCOUNTER_4055</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2010-08-28T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<Text>OFFICE VISIT - NEW PT EXPANDED, HX &amp; EXAM</Text>
+<Code>
+<Value>99202</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Type>
+<Description>
+<Text>OFFICE VISIT - NEW PT EXPANDED, HX &amp; EXAM</Text>
+<Code>
+<Value>99202</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Description>
+<Location>
+<Actor>
+<ActorID>ACTORORGANIZATION_1</ActorID>
+</Actor>
+</Location>
+<Practioner>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Practioner>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+<CommentID>NOTE_4055</CommentID>
+</Encounter>
+<Encounter>
+<CCRDataObjectID>ENCOUNTER_4054</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2010-08-27T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<Text>C&amp;P EXAMINATION REPORTS</Text>
+</Type>
+<Description>
+<Text>C&amp;P EXAMINATION REPORTS</Text>
+</Description>
+<Location>
+<Actor>
+<ActorID>ACTORORGANIZATION_1</ActorID>
+</Actor>
+</Location>
+<Practioner>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Practioner>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Encounter>
+<Encounter>
+<CCRDataObjectID>ENCOUNTER_4053</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2010-08-27T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<Text>NURSING TITLES</Text>
+</Type>
+<Description>
+<Text>NURSING TITLES</Text>
+</Description>
+<Location>
+<Actor>
+<ActorID>ACTORORGANIZATION_1</ActorID>
+</Actor>
+</Location>
+<Practioner>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Practioner>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Encounter>
+<Encounter>
+<CCRDataObjectID>ENCOUNTER_4052</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2010-08-14T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<Text>ADDENDUM</Text>
+</Type>
+<Description>
+<Text>ADDENDUM</Text>
+</Description>
+<Location>
+<Actor>
+<ActorID>ACTORORGANIZATION_1</ActorID>
+</Actor>
+</Location>
+<Practioner>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Practioner>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Encounter>
+<Encounter>
+<CCRDataObjectID>ENCOUNTER_4049</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2010-08-25T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<Text>ADDICTION SEVERITY INDEX</Text>
+</Type>
+<Description>
+<Text>ADDICTION SEVERITY INDEX</Text>
+</Description>
+<Location>
+<Actor>
+<ActorID>ACTORORGANIZATION_1</ActorID>
+</Actor>
+</Location>
+<Practioner>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Practioner>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Encounter>
+<Encounter>
+<CCRDataObjectID>ENCOUNTER_4048</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2010-08-14T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<Text>INTERDISCIPLINARY MEMBER</Text>
+</Type>
+<Description>
+<Text>INTERDISCIPLINARY MEMBER</Text>
+</Description>
+<Location>
+<Actor>
+<ActorID>ACTORORGANIZATION_1</ActorID>
+</Actor>
+</Location>
+<Practioner>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Practioner>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Encounter>
+<Encounter>
+<CCRDataObjectID>ENCOUNTER_4047</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2010-07-31T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<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>
+<Code>
+<Value>99213</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Type>
+<Description>
+<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>
+<Code>
+<Value>99213</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Description>
+<Location>
+<Actor>
+<ActorID>ACTORORGANIZATION_1</ActorID>
+</Actor>
+</Location>
+<Practioner>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Practioner>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+<CommentID>NOTE_4047</CommentID>
+</Encounter>
+<Encounter>
+<CCRDataObjectID>ENCOUNTER_4046</CCRDataObjectID>
+<DateTime>
+<ExactDateTime>2010-07-05T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Type>
+<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>
+<Code>
+<Value>99214</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Type>
+<Description>
+<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>
+<Code>
+<Value>99214</Value>
+<CodingSystem>CPT-4</CodingSystem>
+</Code>
+</Description>
+<Location>
+<Actor>
+<ActorID>ACTORORGANIZATION_1</ActorID>
+</Actor>
+</Location>
+<Practioner>
+<Actor>
+<ActorID>ACTORPROVIDER_991</ActorID>
+</Actor>
+</Practioner>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_991</ActorID>
+</Actor>
+</Source>
+<CommentID>NOTE_4046</CommentID>
+</Encounter>
+</Encounters>
+</Body>
+<Actors>
+<Actor>
+<ActorObjectID>ACTORORGANIZATION_1</ActorObjectID>
+<Organization>
+<Name>CAMP MASTER</Name>
+</Organization>
+<Address>
+<Type>
+<Text>Office</Text>
+</Type>
+<Line1>VA MEDICAL CENTER</Line1>
+<City>ALBANY</City>
+<State>NEW YORK</State>
+<PostalCode>12180-0097</PostalCode>
+</Address>
+<Source>
+<Actor>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</Actor>
+</Source>
+</Actor>
+<Actor>
+<ActorObjectID>ACTORPATIENT_100839</ActorObjectID>
+<Person>
+<Name>
+<CurrentName>
+<Given>JODY</Given>
+<Middle>JEAN</Middle>
+<Family>JONES</Family>
+</CurrentName>
+</Name>
+<DateOfBirth>
+<ExactDateTime>1945-01-01</ExactDateTime>
+</DateOfBirth>
+<Gender>
+<Text>FEMALE</Text>
+<Code>
+<Value>F</Value>
+<CodingSystem>HL7 AdministrativeGender</CodingSystem>
+</Code>
+</Gender>
+</Person>
+<IDs>
+<Type>
+<Text>SSN</Text>
+</Type>
+<ID>002030004</ID>
+<Source>
+<Actor>
+<ActorID>ACTORPATIENT_100839</ActorID>
+</Actor>
+</Source>
+</IDs>
+<Address>
+<Type>
+<Text>Home</Text>
+</Type>
+</Address>
+<Source>
+<Actor>
+<ActorID>ACTORPATIENT_100839</ActorID>
+</Actor>
+</Source>
+</Actor>
+<Actor>
+<ActorObjectID>ACTORPROVIDER_10000000020</ActorObjectID>
+<Person>
+<Name>
+<CurrentName>
+<Given>SYSTEM</Given>
+<Family>MANAGER</Family>
+</CurrentName>
+</Name>
+</Person>
+<Specialty>
+<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
+</Specialty>
+<Address>
+<Type>
+<Text>Work</Text>
+</Type>
+<Line1>VA MEDICAL CENTER</Line1>
+<City>ALBANY</City>
+<State>NY</State>
+<PostalCode>12180-0097</PostalCode>
+</Address>
+<Source>
+<Actor>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</Actor>
+</Source>
+<InternalCCRLink>
+<LinkID>ACTORORGANIZATION_1</LinkID>
+<LinkRelationship>representedOrganization</LinkRelationship>
+</InternalCCRLink>
+</Actor>
+<Actor>
+<ActorObjectID>ACTORPROVIDER_991</ActorObjectID>
+<Person>
+<Name>
+<CurrentName>
+<Given>EIGHT</Given>
+<Family>PROVIDER</Family>
+<Title>Scholar Extraordinaire</Title>
+</CurrentName>
+</Name>
+</Person>
+<Specialty>
+<Text>Physicians (M.D. and D.O.)-Physician/Osteopath</Text>
+</Specialty>
+<Address>
+<Type>
+<Text>Work</Text>
+</Type>
+<Line1>VA MEDICAL CENTER</Line1>
+<City>ALBANY</City>
+<State>NY</State>
+<PostalCode>12180-0097</PostalCode>
+</Address>
+<Source>
+<Actor>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</Actor>
+</Source>
+<InternalCCRLink>
+<LinkID>ACTORORGANIZATION_1</LinkID>
+<LinkRelationship>representedOrganization</LinkRelationship>
+</InternalCCRLink>
+</Actor>
+<Actor>
+<ActorObjectID>ACTORSYSTEM_1</ActorObjectID>
+<InformationSystem>
+<Name>WorldVistA EHR/VOE</Name>
+<Version>1.0</Version>
+</InformationSystem>
+<Source>
+<Actor>
+<ActorID>ACTORSYSTEM_1</ActorID>
+</Actor>
+</Source>
+</Actor>
+</Actors>
+<Comments>
+<Comment>
+<CommentObjectID>@@COMMENTOBJECTID@@</CommentObjectID>
+<DateTime>
+<ExactDateTime>@@CMTDATETIME@@</ExactDateTime>
+</DateTime>
+<Source>
+<Actor>
+<ActorID>@@ACTORSOURCEID@@</ActorID>
+</Actor>
+</Source>
+</Comment>
+<Comment>
+<CommentObjectID>NOTE_4046</CommentObjectID>
+<DateTime>
+<ExactDateTime>2010-07-05T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Description>
+<Text>
+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 &gt; 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 &lt; 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 &lt;140 mmHg (from Vitals-Bottom number of BP)
+
+ Diastolic (SNOMED) CODE 271650006
+   AND
+ 
+Diastolic BP &lt; 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 &lt; 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
+-------------------------------------------------------------
+</Text>
+</Description>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_991</ActorID>
+</Actor>
+</Source>
+</Comment>
+<Comment>
+<CommentObjectID>NOTE_4047</CommentObjectID>
+<DateTime>
+<ExactDateTime>2010-07-31T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Description>
+<Text>
+TESTING ENCOUNTERS
+</Text>
+</Description>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Comment>
+<Comment>
+<CommentObjectID>NOTE_4055</CommentObjectID>
+<DateTime>
+<ExactDateTime>2010-08-28T00:00:00-05:00</ExactDateTime>
+</DateTime>
+<Description>
+<Text>
+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 
+=========================================
+</Text>
+</Description>
+<Source>
+<Actor>
+<ActorID>ACTORPROVIDER_10000000020</ActorID>
+</Actor>
+</Source>
+</Comment>
+</Comments>
+</ContinuityOfCareRecord>
