<?xml version="1.0" encoding="UTF-8"?>
<?xml-stylesheet type="text/xsl" href="ccr.xsl"?>
<ContinuityOfCareRecord xmlns="urn:astm-org:CCR">
<CCRDocumentObjectID>39c741b2-2a16-4a90-8908-58ef8cfd300b</CCRDocumentObjectID>
<Language>
<Text>English</Text>
</Language>
<Version>V1.0</Version>
<DateTime>
<ExactDateTime>2010-09-20T19:21:02-05:00</ExactDateTime>
</DateTime>
<Patient>
<ActorID>ACTORPATIENT_100676</ActorID>
</Patient>
<From>
<ActorLink>
<ActorID>ACTORPROVIDER_10000000020</ActorID>
</ActorLink>
<ActorLink>
<ActorID>ACTORSYSTEM_1</ActorID>
</ActorLink>
</From>
<To>
<ActorLink>
<ActorID>ACTORPATIENT_100676</ActorID>
<ActorRole>
<Text>Patient</Text>
</ActorRole>
</ActorLink>
</To>
<Purpose>
<Description>
<Text>CEND PHR</Text>
</Description>
</Purpose>
<Body>
<Problems>
<Problem>
<CCRDataObjectID>PROBLEM1</CCRDataObjectID>
<DateTime>
<ExactDateTime>2010-09-16T00:00:00-05:00</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_10000000183</ActorID>
</Actor>
</Source>
</Problem>
</Problems>
<Results>
<Result>
<CCRDataObjectID>RESULT_1</CCRDataObjectID>
<DateTime>
<Type>
<Text>Assessment Time</Text>
</Type>
<ExactDateTime>2010-09-16T10:45:00-05:00</ExactDateTime>
</DateTime>
<Description>
<Text>Gen Chem Specimen</Text>
<Code>
<Value>81323.0000</Value>
<CodingSystem>99VA64</CodingSystem>
</Code>
</Description>
<Source>
<Actor>
<ActorID>ACTORPROVIDER_10000000183</ActorID>
</Actor>
</Source>
<Test>
<CCRDataObjectID>RESULTTEST_1_1</CCRDataObjectID>
<DateTime>
<Type>
<Text>Assessment Time</Text>
</Type>
<ExactDateTime>2010-09-16T10:45:00-05:00</ExactDateTime>
</DateTime>
<Description>
<Text>HEMOGLOBIN A1C</Text>
<Code>
<Value>CH462</Value>
<CodingSystem>99VA63</CodingSystem>
</Code>
</Description>
<Status>
<Text>F</Text>
</Status>
<Source>
<Actor>
<ActorID>ACTORORGANIZATION_500</ActorID>
</Actor>
</Source>
<TestResult>
<Value>9.6</Value>
<Units>
<Unit>%</Unit>
</Units>
</TestResult>
<NormalResult>
<Normal>
<Description>
<Text>3.5-6</Text>
</Description>
<Source>
<Actor>
<ActorID>ACTORORGANIZATION_500</ActorID>
</Actor>
</Source>
</Normal>
</NormalResult>
<Flag>
<Text>H</Text>
</Flag>
</Test>
</Result>
</Results>
<Procedures>
<Procedure>
<CCRDataObjectID>PROCEDURE_4067_7</CCRDataObjectID>
<DateTime>
<Type>
<Text>Procedure Date</Text>
</Type>
<ExactDateTime>2010-09-17T00:00:00-05:00</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_10000000183</ActorID>
</Actor>
</Source>
</Procedure>
<Procedure>
<CCRDataObjectID>PROCEDURE_4066_4</CCRDataObjectID>
<DateTime>
<Type>
<Text>Procedure Date</Text>
</Type>
<ExactDateTime>2010-09-16T00:00:00-05:00</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_10000000183</ActorID>
</Actor>
</Source>
</Procedure>
</Procedures>
<Encounters>
<Encounter>
<CCRDataObjectID>ENCOUNTER_4067</CCRDataObjectID>
<DateTime>
<ExactDateTime>2010-09-17T00:00:00-05:00</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_10000000183</ActorID>
</Actor>
</Practioner>
<Source>
<Actor>
<ActorID>ACTORPROVIDER_10000000183</ActorID>
</Actor>
</Source>
<CommentID>NOTE_4067</CommentID>
</Encounter>
<Encounter>
<CCRDataObjectID>ENCOUNTER_4066</CCRDataObjectID>
<DateTime>
<ExactDateTime>2010-09-16T00:00:00-05:00</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_10000000183</ActorID>
</Actor>
</Practioner>
<Source>
<Actor>
<ActorID>ACTORPROVIDER_10000000183</ActorID>
</Actor>
</Source>
<CommentID>NOTE_4066</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>ACTORORGANIZATION_500</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_100676</ActorObjectID>
<Person>
<Name>
<CurrentName>
<Given>OUTPATIENT</Given>
<Family>SIXTYNINE</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>666000669</ID>
<Source>
<Actor>
<ActorID>ACTORPATIENT_100676</ActorID>
</Actor>
</Source>
</IDs>
<Address>
<Type>
<Text>Home</Text>
</Type>
<Line1>Any Street</Line1>
<City>Any Town</City>
</Address>
<Source>
<Actor>
<ActorID>ACTORPATIENT_100676</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_10000000183</ActorObjectID>
<Person>
<Name>
<CurrentName>
<Given>MATTHEW</Given>
<Middle>M</Middle>
<Family>KING</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_4066</CommentObjectID>
<DateTime>
<ExactDateTime>2010-09-16T00:00:00-05:00</ExactDateTime>
</DateTime>
<Description>
<Text>
TEST FOR NUMERATOR DM HB&gt;9
</Text>
</Description>
<Source>
<Actor>
<ActorID>ACTORPROVIDER_10000000183</ActorID>
</Actor>
</Source>
</Comment>
<Comment>
<CommentObjectID>NOTE_4067</CommentObjectID>
<DateTime>
<ExactDateTime>2010-09-17T00:00:00-05:00</ExactDateTime>
</DateTime>
<Description>
<Text>
  DM HBA1C MANAGEMENT:
    PATIENT HBA1C RESULTS
      DOCUMENTED HBA1C IS LESS THAN OR EQUAL TO 9%
        HBA1C VALUE: 9.1
  PATIENT HAS AN LDL &lt;100.
    LDL VALUE: 95
</Text>
</Description>
<Source>
<Actor>
<ActorID>ACTORPROVIDER_10000000183</ActorID>
</Actor>
</Source>
</Comment>
</Comments>
</ContinuityOfCareRecord>
