CCR sample 2
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Revision as of 21:13, 22 February 2012 by DavidWhitten (talk | contribs) (Reverted edits by NeilArmstrong (talk) to last revision by Glilly)
back: CCR-CCD 1.1
<?xml version="1.0" encoding="UTF-8"?> <?xml-stylesheet type="text/xsl" href="ccr.xsl"?> <ContinuityOfCareRecord xmlns="urn:astm-org:CCR"> <CCRDocumentObjectID>082832a6-4b2e-425a-8c8b-7515f19daeda</CCRDocumentObjectID> <Language> <Text>English</Text> </Language> <Version>V1.0</Version> <DateTime> <ExactDateTime>2011-06-21T17:50:19-04:00</ExactDateTime> </DateTime> <Patient> <ActorID>ACTORPATIENT_39</ActorID> </Patient> <From> <ActorLink> <ActorID>ACTORPROVIDER_77</ActorID> </ActorLink> <ActorLink> <ActorID>ACTORSYSTEM_1</ActorID> </ActorLink> </From> <To> <ActorLink> <ActorID>ACTORPATIENT_39</ActorID> <ActorRole> <Text>Patient</Text> </ActorRole> </ActorLink> </To> <Purpose> <Description> <Text>CEND PHR</Text> </Description> </Purpose> <Body> <Problems> <Problem> <CCRDataObjectID>PROBLEM1</CCRDataObjectID> <DateTime> <ExactDateTime>2011-06-01T00:00:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Problem</Text> </Type> <Description> <Text>Congestive Heart Failure</Text> <Code> <Value>428.0</Value> <CodingSystem>ICD9CM</CodingSystem> </Code> </Description> <Status> <Text>Active/Acute</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Source> </Problem> <Problem> <CCRDataObjectID>PROBLEM2</CCRDataObjectID> <DateTime> <ExactDateTime>2011-06-07T00:00:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Problem</Text> </Type> <Description> <Text>PTCA OR CORONARY ATHER</Text> <Code> <Value>00.66</Value> <CodingSystem>ICD9CM</CodingSystem> </Code> </Description> <Status> <Text>Active</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Source> </Problem> <Problem> <CCRDataObjectID>PROBLEM3</CCRDataObjectID> <DateTime> <ExactDateTime>2011-06-07T00:00:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Problem</Text> </Type> <Description> <Text>RT HEART CARDIAC CATH</Text> <Code> <Value>37.21</Value> <CodingSystem>ICD9CM</CodingSystem> </Code> </Description> <Status> <Text>Active</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Source> </Problem> <Problem> <CCRDataObjectID>PROBLEM4</CCRDataObjectID> <DateTime> <ExactDateTime>2011-06-21T00:00:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Problem</Text> </Type> <Description> <Text>Osteoarthrosis, localized, not specified whether primary or secondary, involving</Text> <Code> <Value>715.35</Value> <CodingSystem>ICD9CM</CodingSystem> </Code> </Description> <Status> <Text>Active/Acute</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_63</ActorID> </Actor> </Source> </Problem> <Problem> <CCRDataObjectID>PROBLEM5</CCRDataObjectID> <DateTime> <ExactDateTime>2011-06-21T00:00:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Problem</Text> </Type> <Description> <Text>Coronary Atherosclerosis of Native Coronary Vessel</Text> <Code> <Value>414.01</Value> <CodingSystem>ICD9CM</CodingSystem> </Code> </Description> <Status> <Text>Active/Chronic</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_63</ActorID> </Actor> </Source> </Problem> <Problem> <CCRDataObjectID>PROBLEM6</CCRDataObjectID> <DateTime> <ExactDateTime>2011-06-21T00:00:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Problem</Text> </Type> <Description> <Text>TOTAL HIP REPLACEMENT</Text> <Code> <Value>81.51</Value> <CodingSystem>ICD9CM</CodingSystem> </Code> </Description> <Status> <Text>Active</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_63</ActorID> </Actor> </Source> </Problem> <Problem> <CCRDataObjectID>PROBLEM7</CCRDataObjectID> <DateTime> <ExactDateTime>2011-06-07T00:00:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Problem</Text> </Type> <Description> <Text>Acute myocardial infarction, unspecified site, episode of care unspecified</Text> <Code> <Value>410.90</Value> <CodingSystem>ICD9CM</CodingSystem> </Code> </Description> <Status> <Text>Inactive/Acute</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Source> </Problem> </Problems> <Alerts> <Alert> <CCRDataObjectID>ALERT1</CCRDataObjectID> <DateTime> <ExactDateTime>2011-06-01T00:26:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Allergy</Text> </Type> <Description> <Text>Patient has an ALLERGIC reaction to PENICILLIN. RXNORM: 70618</Text> <Code> <Value>416098002</Value> <CodingSystem>SNOMED CT</CodingSystem> </Code> </Description> <Source> <Actor> <ActorID>ACTORPROVIDER_77</ActorID> </Actor> </Source> <Agent> <Products> <Product> <CCRDataObjectID>PRODUCT_16</CCRDataObjectID> <Source> <Actor> <ActorID>ACTORPROVIDER_77</ActorID> </Actor> </Source> <Product> <ProductName> <Text>PENICILLIN RXNORM: 70618</Text> <Code> <Value>70618</Value> <CodingSystem>RXNORM</CodingSystem> </Code> </ProductName> </Product> </Product> </Products> </Agent> <Reaction> <Description> <Text>DRY MOUTH</Text> </Description> </Reaction> </Alert> <Alert> <CCRDataObjectID>ALERT2</CCRDataObjectID> <DateTime> <ExactDateTime>2011-06-07T21:48:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Adverse Reaction</Text> </Type> <Description> <Text>Patient has an ADVERSE reaction to PERSANTINE. RXNORM: 3521</Text> <Code> <Value>282100009</Value> <CodingSystem>SNOMED CT</CodingSystem> </Code> </Description> <Source> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Source> <Agent> <Products> <Product> <CCRDataObjectID>PRODUCT_235</CCRDataObjectID> <Source> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Source> <Product> <ProductName> <Text>PERSANTINE RXNORM: 3521</Text> <Code> <Value>3521</Value> <CodingSystem>RXNORM</CodingSystem> </Code> </ProductName> </Product> </Product> </Products> </Agent> <Reaction> <Description> <Text>WHEEZING</Text> </Description> </Reaction> </Alert> </Alerts> <Medications> <Medication> <CCRDataObjectID>MED_INPATIENT_UD337</CCRDataObjectID> <DateTime> <Type> <Text>Order Date</Text> </Type> <ExactDateTime>2011-06-03T12:45:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Medication</Text> </Type> <Status> <Text>EXPIRED</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Source> <Product> <ProductName> <Text>CAPTOPRIL 25MG TAB RXNORM: 317173</Text> <Code> <Value>317173</Value> <CodingSystem>RXNORM</CodingSystem> <Version>08AB_081201F</Version> </Code> </ProductName> <Form> <Text>TAB</Text> </Form> </Product> <Directions> <Direction> <Description> <Text>Give: 25MG PO Q8H</Text> </Description> <DoseIndicator> <Text>4</Text> </DoseIndicator> </Direction> </Directions> </Medication> <Medication> <CCRDataObjectID>MED_INPATIENT_UD339</CCRDataObjectID> <DateTime> <Type> <Text>Order Date</Text> </Type> <ExactDateTime>2011-06-03T12:45:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Medication</Text> </Type> <Status> <Text>EXPIRED</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Source> <Product> <ProductName> <Text>DIGOXIN 0.125MG TAB RXNORM: 197604</Text> <Code> <Value>197604</Value> <CodingSystem>RXNORM</CodingSystem> <Version>08AB_081201F</Version> </Code> </ProductName> <Form> <Text>TAB</Text> </Form> </Product> <Directions> <Direction> <Description> <Text>Give: 0.125MG PO Q24H</Text> </Description> <DoseIndicator> <Text>4</Text> </DoseIndicator> </Direction> </Directions> </Medication> <Medication> <CCRDataObjectID>MED_INPATIENT_UD342</CCRDataObjectID> <DateTime> <Type> <Text>Order Date</Text> </Type> <ExactDateTime>2011-06-03T12:45:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Medication</Text> </Type> <Status> <Text>EXPIRED</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Source> <Product> <ProductName> <Text>FUROSEMIDE 20MG TAB RXNORM: 310429</Text> <Code> <Value>310429</Value> <CodingSystem>RXNORM</CodingSystem> <Version>08AB_081201F</Version> </Code> </ProductName> <Form> <Text>TAB</Text> </Form> </Product> <Directions> <Direction> <Description> <Text>Give: 20MG PO Q24H</Text> </Description> <DoseIndicator> <Text>4</Text> </DoseIndicator> </Direction> </Directions> </Medication> <Medication> <CCRDataObjectID>MED_INPATIENT_UD340</CCRDataObjectID> <DateTime> <Type> <Text>Order Date</Text> </Type> <ExactDateTime>2011-06-03T12:45:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Medication</Text> </Type> <Status> <Text>EXPIRED</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Source> <Product> <ProductName> <Text>POTASSIUM CHLORIDE TAB,SA RXNORM: 628953</Text> <Code> <Value>628953</Value> <CodingSystem>RXNORM</CodingSystem> <Version>08AB_081201F</Version> </Code> </ProductName> <Form> <Text>TAB,SA</Text> </Form> </Product> <Directions> <Direction> <Description> <Text>Give: 10MEQ PO Q24H</Text> </Description> <DoseIndicator> <Text>4</Text> </DoseIndicator> </Direction> </Directions> </Medication> <Medication> <CCRDataObjectID>MED_INPATIENT_UD338</CCRDataObjectID> <DateTime> <Type> <Text>Order Date</Text> </Type> <ExactDateTime>2011-06-03T12:45:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Medication</Text> </Type> <Status> <Text>EXPIRED</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Source> <Product> <ProductName> <Text>SPIRONOLACTONE 25MG TAB RXNORM: 313096</Text> <Code> <Value>313096</Value> <CodingSystem>RXNORM</CodingSystem> <Version>08AB_081201F</Version> </Code> </ProductName> <Form> <Text>TAB</Text> </Form> </Product> <Directions> <Direction> <Description> <Text>Give: 25MG PO Q24H</Text> </Description> <DoseIndicator> <Text>4</Text> </DoseIndicator> </Direction> </Directions> </Medication> <Medication> <CCRDataObjectID>MED_INPATIENT_UD341</CCRDataObjectID> <DateTime> <Type> <Text>Order Date</Text> </Type> <ExactDateTime>2011-06-03T13:11:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Medication</Text> </Type> <Status> <Text>EXPIRED</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Source> <Product> <ProductName> <Text>NITROGLYCERIN TAB,SUBLINGUAL RXNORM: 198039</Text> <Code> <Value>198039</Value> <CodingSystem>RXNORM</CodingSystem> <Version>08AB_081201F</Version> </Code> </ProductName> <Form> <Text>TAB,SUBLINGUAL</Text> </Form> </Product> <Directions> <Direction> <DoseIndicator> <Text>4</Text> </DoseIndicator> </Direction> </Directions> </Medication> <Medication> <CCRDataObjectID>MED_INPATIENT_UD624</CCRDataObjectID> <DateTime> <Type> <Text>Order Date</Text> </Type> <ExactDateTime>2011-06-21T17:00:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Medication</Text> </Type> <Status> <Text>ACTIVE</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_63</ActorID> </Actor> </Source> <Product> <ProductName> <Text>AMLODIPINE 5MG TAB RXNORM: 212549</Text> <Code> <Value>212549</Value> <CodingSystem>RXNORM</CodingSystem> <Version>08AB_081201F</Version> </Code> </ProductName> <Form> <Text>TAB</Text> </Form> </Product> <Directions> <Direction> <Description> <Text>Give: 5MG PO QD</Text> </Description> <DoseIndicator> <Text>4</Text> </DoseIndicator> </Direction> </Directions> </Medication> <Medication> <CCRDataObjectID>MED_INPATIENT_UD623</CCRDataObjectID> <DateTime> <Type> <Text>Order Date</Text> </Type> <ExactDateTime>2011-06-21T17:00:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Medication</Text> </Type> <Status> <Text>ACTIVE</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_63</ActorID> </Actor> </Source> <Product> <ProductName> <Text>CLOPIDOGREL TAB RXNORM: 213169</Text> <Code> <Value>213169</Value> <CodingSystem>RXNORM</CodingSystem> <Version>08AB_081201F</Version> </Code> </ProductName> <Form> <Text>TAB</Text> </Form> </Product> <Directions> <Direction> <Description> <Text>Give: 75MG PO QD</Text> </Description> <DoseIndicator> <Text>4</Text> </DoseIndicator> </Direction> </Directions> </Medication> <Medication> <CCRDataObjectID>MED_INPATIENT_UD622</CCRDataObjectID> <DateTime> <Type> <Text>Order Date</Text> </Type> <ExactDateTime>2011-06-21T17:00:00-04:00</ExactDateTime> </DateTime> <Type> <Text>Medication</Text> </Type> <Status> <Text>ACTIVE</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_63</ActorID> </Actor> </Source> <Product> <ProductName> <Text>WARFARIN 3MG TAB RXNORM: 855320</Text> <Code> <Value>855320</Value> <CodingSystem>RXNORM</CodingSystem> <Version>08AB_081201F</Version> </Code> </ProductName> <Form> <Text>TAB</Text> </Form> </Product> <Directions> <Direction> <Description> <Text>Give: 3MG PO QD</Text> </Description> <DoseIndicator> <Text>4</Text> </DoseIndicator> </Direction> </Directions> </Medication> </Medications> <Results> <Result> <CCRDataObjectID>RESULT_1</CCRDataObjectID> <DateTime> <Type> <Text>Assessment Time</Text> </Type> <ExactDateTime>2011-06-20T21:00:00-04:00</ExactDateTime> </DateTime> <Description> <Text>Gen Chem Specimen</Text> <Code> <Value>81323.0000</Value> <CodingSystem>99VA64</CodingSystem> </Code> </Description> <Source> <Actor> <ActorID>ACTORORGANIZATION_1</ActorID> </Actor> </Source> <Test> <CCRDataObjectID>RESULTTEST_1_1</CCRDataObjectID> <DateTime> <Type> <Text>Assessment Time</Text> </Type> <ExactDateTime>2011-06-20T21:00:00-04:00</ExactDateTime> </DateTime> <Description> <Text>HEMOGLOBIN:MCNC:PT:BLD:QN LOINC: 718-7</Text> <Code> <Value>718-7</Value> <CodingSystem>LOINC</CodingSystem> </Code> </Description> <Status> <Text>F</Text> </Status> <Source> <Actor> <ActorID>ACTORORGANIZATION_1000</ActorID> </Actor> </Source> <TestResult> <Value>11.2</Value> <Units> <Unit>g/dL</Unit> </Units> </TestResult> <NormalResult> <Normal> <Description> <Text>14.0-18</Text> </Description> <Source> <Actor> <ActorID>ACTORORGANIZATION_1000</ActorID> </Actor> </Source> </Normal> </NormalResult> <Flag> <Text>L</Text> </Flag> </Test> <Test> <CCRDataObjectID>RESULTTEST_1_2</CCRDataObjectID> <DateTime> <Type> <Text>Assessment Time</Text> </Type> <ExactDateTime>2011-06-20T21:00:00-04:00</ExactDateTime> </DateTime> <Description> <Text>HEMATOCRIT:VFR:PT:BLD:QN:AUTOMATED COUNT LOINC: 4544-3</Text> <Code> <Value>4544-3</Value> <CodingSystem>LOINC</CodingSystem> </Code> </Description> <Status> <Text>F</Text> </Status> <Source> <Actor> <ActorID>ACTORORGANIZATION_1000</ActorID> </Actor> </Source> <TestResult> <Value>34</Value> <Units> <Unit>%</Unit> </Units> </TestResult> <NormalResult> <Normal> <Description> <Text>42-52</Text> </Description> <Source> <Actor> <ActorID>ACTORORGANIZATION_1000</ActorID> </Actor> </Source> </Normal> </NormalResult> <Flag> <Text>L</Text> </Flag> </Test> </Result> <Result> <CCRDataObjectID>RESULT_2</CCRDataObjectID> <DateTime> <Type> <Text>Assessment Time</Text> </Type> <ExactDateTime>2011-06-19T23:21:45-04:00</ExactDateTime> </DateTime> <Description> <Text>Gen Chem Specimen</Text> <Code> <Value>81323.0000</Value> <CodingSystem>99VA64</CodingSystem> </Code> </Description> <Source> <Actor> <ActorID>ACTORORGANIZATION_1</ActorID> </Actor> </Source> <Test> <CCRDataObjectID>RESULTTEST_2_1</CCRDataObjectID> <DateTime> <Type> <Text>Assessment Time</Text> </Type> <ExactDateTime>2011-06-19T23:21:45-04:00</ExactDateTime> </DateTime> <Description> <Text>HEMOGLOBIN:MCNC:PT:BLD:QN LOINC: 718-7</Text> <Code> <Value>718-7</Value> <CodingSystem>LOINC</CodingSystem> </Code> </Description> <Status> <Text>F</Text> </Status> <Source> <Actor> <ActorID>ACTORORGANIZATION_VASTANUM</ActorID> </Actor> </Source> <TestResult> <Value>12.8</Value> <Units> <Unit>g/dL</Unit> </Units> </TestResult> <NormalResult> <Normal> <Description> <Text>14.0-18</Text> </Description> <Source> <Actor> <ActorID>ACTORORGANIZATION_VASTANUM</ActorID> </Actor> </Source> </Normal> </NormalResult> <Flag> <Text>HH</Text> </Flag> </Test> </Result> <Result> <CCRDataObjectID>RESULT_3</CCRDataObjectID> <DateTime> <Type> <Text>Assessment Time</Text> </Type> <ExactDateTime>2011-06-19T00:00:00-04:00</ExactDateTime> </DateTime> <Description> <Text>Gen Chem Specimen</Text> <Code> <Value>81323.0000</Value> <CodingSystem>99VA64</CodingSystem> </Code> </Description> <Source> <Actor> <ActorID>ACTORORGANIZATION_1</ActorID> </Actor> </Source> <Test> <CCRDataObjectID>RESULTTEST_3_1</CCRDataObjectID> <DateTime> <Type> <Text>Assessment Time</Text> </Type> <ExactDateTime>2011-06-19T00:00:00-04:00</ExactDateTime> </DateTime> <Description> <Text>HEMATOCRIT:VFR:PT:BLD:QN:AUTOMATED COUNT LOINC: 4544-3</Text> <Code> <Value>4544-3</Value> <CodingSystem>LOINC</CodingSystem> </Code> </Description> <Status> <Text>F</Text> </Status> <Source> <Actor> <ActorID>ACTORORGANIZATION_VASTANUM</ActorID> </Actor> </Source> <TestResult> <Value>38%</Value> </TestResult> <NormalResult> <Normal> <Source> <Actor> <ActorID>ACTORORGANIZATION_VASTANUM</ActorID> </Actor> </Source> </Normal> </NormalResult> </Test> </Result> <Result> <CCRDataObjectID>RESULT_4</CCRDataObjectID> <DateTime> <Type> <Text>Assessment Time</Text> </Type> <ExactDateTime>2011-06-19T00:00:00-04:00</ExactDateTime> </DateTime> <Description> <Text>COAGULATION TISSUE FACTOR INDUCED.INR:RLTM:PT:BLD:QN:COAG</Text> <Code> <Value>34714-6</Value> <CodingSystem>LN</CodingSystem> </Code> </Description> <Source> <Actor> <ActorID>ACTORORGANIZATION_1</ActorID> </Actor> </Source> <Test> <CCRDataObjectID>RESULTTEST_4_1</CCRDataObjectID> <DateTime> <Type> <Text>Assessment Time</Text> </Type> <ExactDateTime>2011-06-19T00:00:00-04:00</ExactDateTime> </DateTime> <Description> <Text>COAGULATION TISSUE FACTOR INDUCED.INR:RLTM:PT:BLD:QN:COAG LOINC: 34714-6</Text> <Code> <Value>34714-6</Value> <CodingSystem>LOINC</CodingSystem> </Code> </Description> <Status> <Text>F</Text> </Status> <Source> <Actor> <ActorID>ACTORORGANIZATION_VASTANUM</ActorID> </Actor> </Source> <TestResult> <Value>3.1</Value> </TestResult> <NormalResult> <Normal> <Description> <Text>0.9-1.1</Text> </Description> <Source> <Actor> <ActorID>ACTORORGANIZATION_VASTANUM</ActorID> </Actor> </Source> </Normal> </NormalResult> <Flag> <Text>H</Text> </Flag> </Test> </Result> <Result> <CCRDataObjectID>RESULT_5</CCRDataObjectID> <DateTime> <Type> <Text>Assessment Time</Text> </Type> <ExactDateTime>2011-06-19T22:47:31-04:00</ExactDateTime> </DateTime> <Description> <Text>POTASSIUM:SCNC:PT:BLD:QN</Text> <Code> <Value>6298-4</Value> <CodingSystem>LN</CodingSystem> </Code> </Description> <Source> <Actor> <ActorID>ACTORORGANIZATION_1</ActorID> </Actor> </Source> <Test> <CCRDataObjectID>RESULTTEST_5_1</CCRDataObjectID> <DateTime> <Type> <Text>Assessment Time</Text> </Type> <ExactDateTime>2011-06-19T22:47:31-04:00</ExactDateTime> </DateTime> <Description> <Text>POTASSIUM:SCNC:PT:BLD:QN LOINC: 6298-4</Text> <Code> <Value>6298-4</Value> <CodingSystem>LOINC</CodingSystem> </Code> </Description> <Status> <Text>F</Text> </Status> <Source> <Actor> <ActorID>ACTORORGANIZATION_VASTANUM</ActorID> </Actor> </Source> <TestResult> <Value>3.9</Value> <Units> <Unit>meq/L</Unit> </Units> </TestResult> <NormalResult> <Normal> <Description> <Text>3.8-5.3</Text> </Description> <Source> <Actor> <ActorID>ACTORORGANIZATION_VASTANUM</ActorID> </Actor> </Source> </Normal> </NormalResult> </Test> </Result> <Result> <CCRDataObjectID>RESULT_6</CCRDataObjectID> <DateTime> <Type> <Text>Assessment Time</Text> </Type> <ExactDateTime>2011-06-19T21:02:19-04:00</ExactDateTime> </DateTime> <Description> <Text>CHOLESTEROL:MCNC:PT:SER/PLAS:QN</Text> <Code> <Value>2093-3</Value> <CodingSystem>LN</CodingSystem> </Code> </Description> <Source> <Actor> <ActorID>ACTORORGANIZATION_1</ActorID> </Actor> </Source> <Test> <CCRDataObjectID>RESULTTEST_6_1</CCRDataObjectID> <DateTime> <Type> <Text>Assessment Time</Text> </Type> <ExactDateTime>2011-06-19T21:02:19-04:00</ExactDateTime> </DateTime> <Description> <Text>CHOLESTEROL:SCNC:PT:SER/PLAS:QN LOINC: 14647-2</Text> <Code> <Value>14647-2</Value> <CodingSystem>LOINC</CodingSystem> </Code> </Description> <Status> <Text>F</Text> </Status> <Source> <Actor> <ActorID>ACTORORGANIZATION_VASTANUM</ActorID> </Actor> </Source> <TestResult> <Value>220</Value> <Units> <Unit>mg/dL</Unit> </Units> </TestResult> <NormalResult> <Normal> <Description> <Text>120-288</Text> </Description> <Source> <Actor> <ActorID>ACTORORGANIZATION_VASTANUM</ActorID> </Actor> </Source> </Normal> </NormalResult> </Test> </Result> </Results> <Procedures> <Procedure> <CCRDataObjectID>PROCEDURE_314_8</CCRDataObjectID> <DateTime> <Type> <Text>Procedure Date</Text> </Type> <ExactDateTime>2011-06-21T00:00:00-04:00</ExactDateTime> </DateTime> <Description> <Text>Arthroplasty, Acetabular and Proximal Femoral Prosthetic Replacement (Total Hip Arthroplasty), with or without Autograft or Allograft (CPT-4 27130)</Text> <Code> <Value>27130</Value> <CodingSystem>CPT-4</CodingSystem> </Code> </Description> <Status> <Text>Completed</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_63</ActorID> </Actor> </Source> </Procedure> <Procedure> <CCRDataObjectID>PROCEDURE_168_5</CCRDataObjectID> <DateTime> <Type> <Text>Procedure Date</Text> </Type> <ExactDateTime>2011-06-07T00:00:00-04:00</ExactDateTime> </DateTime> <Description> <Text>CORONARY ARTERY DILATION</Text> <Code> <Value>92982</Value> <CodingSystem>CPT-4</CodingSystem> </Code> </Description> <Status> <Text>Completed</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Source> </Procedure> <Procedure> <CCRDataObjectID>PROCEDURE_168_6</CCRDataObjectID> <DateTime> <Type> <Text>Procedure Date</Text> </Type> <ExactDateTime>2011-06-07T00:00:00-04:00</ExactDateTime> </DateTime> <Description> <Text>RIGHT HEART CATHETERIZATION</Text> <Code> <Value>93501</Value> <CodingSystem>CPT-4</CodingSystem> </Code> </Description> <Status> <Text>Completed</Text> </Status> <Source> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Source> </Procedure> </Procedures> <Encounters> <Encounter> <CCRDataObjectID>ENCOUNTER_314</CCRDataObjectID> <DateTime> <ExactDateTime>2011-06-21T00:00:00-04:00</ExactDateTime> </DateTime> <Type> <Text> Arthroplasty, Acetabular and Proximal Femoral Prosthetic Replacement (Total Hip Arthroplasty), with or without Autograft or Allograft (CPT-4 27130)</Text> </Type> <Description> <Text> Arthroplasty, Acetabular and Proximal Femoral Prosthetic Replacement (Total Hip Arthroplasty), with or without Autograft or Allograft (CPT-4 27130)</Text> </Description> <Location> <Actor> <ActorID>ACTORORGANIZATION_1</ActorID> </Actor> </Location> <Practioner> <Actor> <ActorID>ACTORPROVIDER_63</ActorID> </Actor> </Practioner> <Source> <Actor> <ActorID>ACTORPROVIDER_63</ActorID> </Actor> </Source> <CommentID>NOTE_314</CommentID> </Encounter> <Encounter> <CCRDataObjectID>ENCOUNTER_313</CCRDataObjectID> <DateTime> <ExactDateTime>2011-05-31T00:00:00-04:00</ExactDateTime> </DateTime> <Type> <Text>PRIMARY CARE</Text> </Type> <Description> <Text>PRIMARY CARE</Text> </Description> <Location> <Actor> <ActorID>ACTORORGANIZATION_1</ActorID> </Actor> </Location> </Encounter> <Encounter> <CCRDataObjectID>ENCOUNTER_312</CCRDataObjectID> <DateTime> <ExactDateTime>2011-05-31T00:00:00-04:00</ExactDateTime> </DateTime> <Type> <Text>PRIMARY CARE</Text> </Type> <Description> <Text>PRIMARY CARE</Text> </Description> <Location> <Actor> <ActorID>ACTORORGANIZATION_1</ActorID> </Actor> </Location> </Encounter> <Encounter> <CCRDataObjectID>ENCOUNTER_171</CCRDataObjectID> <DateTime> <ExactDateTime>2011-05-31T00:00:00-04:00</ExactDateTime> </DateTime> <Type> <Text>ADVERSE REACTION/ALLERGY</Text> </Type> <Description> <Text>ADVERSE REACTION/ALLERGY</Text> </Description> <Location> <Actor> <ActorID>ACTORORGANIZATION_1</ActorID> </Actor> </Location> </Encounter> <Encounter> <CCRDataObjectID>ENCOUNTER_168</CCRDataObjectID> <DateTime> <ExactDateTime>2011-06-07T00:00:00-04:00</ExactDateTime> </DateTime> <Type> <Text> RIGHT HEART CATHETERIZATION</Text> </Type> <Description> <Text> RIGHT HEART CATHETERIZATION</Text> </Description> <Location> <Actor> <ActorID>ACTORORGANIZATION_1</ActorID> </Actor> </Location> <Practioner> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Practioner> <Source> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Source> <CommentID>NOTE_168</CommentID> </Encounter> </Encounters> </Body> <Actors> <Actor> <ActorObjectID>ACTORORGANIZATION_1</ActorObjectID> <Organization> <Name>VOE OFFICE INSTITUTION</Name> </Organization> <Address> <Type> <Text>Office</Text> </Type> <Line1>123 Main St.</Line1> <City>NEW YORK</City> <State>NEW YORK</State> <PostalCode>10128</PostalCode> </Address> <Telephone> <Value>201-446-0889</Value> <Type> <Text>Office</Text> </Type> </Telephone> <Source> <Actor> <ActorID>ACTORSYSTEM_1</ActorID> </Actor> </Source> </Actor> <Actor> <ActorObjectID>ACTORORGANIZATION_1000</ActorObjectID> <Organization> <Name>VOE OFFICE INSTITUTION</Name> </Organization> <Address> <Type> <Text>Office</Text> </Type> <Line1>123 Main St.</Line1> <City>NEW YORK</City> <State>NEW YORK</State> <PostalCode>10128</PostalCode> </Address> <Telephone> <Value>201-446-0889</Value> <Type> <Text>Office</Text> </Type> </Telephone> <Source> <Actor> <ActorID>ACTORSYSTEM_1</ActorID> </Actor> </Source> </Actor> <Actor> <ActorObjectID>ACTORORGANIZATION_VASTANUM</ActorObjectID> <Organization> <Name>VOE OFFICE INSTITUTION</Name> </Organization> <Address> <Type> <Text>Office</Text> </Type> <Line1>123 Main St.</Line1> <City>NEW YORK</City> <State>NEW YORK</State> <PostalCode>10128</PostalCode> </Address> <Telephone> <Value>201-446-0889</Value> <Type> <Text>Office</Text> </Type> </Telephone> <Source> <Actor> <ActorID>ACTORSYSTEM_1</ActorID> </Actor> </Source> </Actor> <Actor> <ActorObjectID>ACTORPATIENT_39</ActorObjectID> <Person> <Name> <CurrentName> <Given>DAVID</Given> <Family>KELLY</Family> </CurrentName> </Name> <DateOfBirth> <ExactDateTime>1925-02-09</ExactDateTime> </DateOfBirth> <Gender> <Text>MALE</Text> <Code> <Value>M</Value> <CodingSystem>HL7 AdministrativeGender</CodingSystem> </Code> </Gender> </Person> <IDs> <Type> <Text>SSN</Text> </Type> <ID>204020925P</ID> <Source> <Actor> <ActorID>ACTORPATIENT_39</ActorID> </Actor> </Source> </IDs> <Address> <Type> <Text>Home</Text> </Type> <Line1>55 Marion Ave</Line1> <City>SAPULPA</City> <State>OKLAHOMA</State> <PostalCode>74066</PostalCode> </Address> <Source> <Actor> <ActorID>ACTORPATIENT_39</ActorID> </Actor> </Source> </Actor> <Actor> <ActorObjectID>ACTORPROVIDER_11</ActorObjectID> <Person> <Name> <CurrentName> <Given>ONE</Given> <Family>DOCTOR</Family> <Title>Physician</Title> </CurrentName> </Name> </Person> <Specialty> <Text>Allopathic and Osteopathic Physicians-Family Practice</Text> </Specialty> <Address> <Type> <Text>Work</Text> </Type> <Line1>123 Main St.</Line1> <City>NEW YORK</City> <State>NY</State> <PostalCode>10128</PostalCode> </Address> <Source> <Actor> <ActorID>ACTORSYSTEM_1</ActorID> </Actor> </Source> <InternalCCRLink> <LinkID>ACTORORGANIZATION_1</LinkID> <LinkRelationship>representedOrganization</LinkRelationship> </InternalCCRLink> </Actor> <Actor> <ActorObjectID>ACTORPROVIDER_63</ActorObjectID> <Person> <Name> <CurrentName> <Given>MATTHEW</Given> <Middle>MICHAEL</Middle> <Family>KING</Family> <Title>ANALYST</Title> </CurrentName> </Name> </Person> <IDs> <Type> <Text>NPI</Text> </Type> <ID>1231231238</ID> <IssuedBy> <Description> <Text>HHS</Text> </Description> </IssuedBy> </IDs> <Specialty> <Text>Allopathic and Osteopathic Physicians-Family Practice</Text> </Specialty> <Address> <Type> <Text>Work</Text> </Type> <Line1>123 Main St.</Line1> <City>NEW YORK</City> <State>NY</State> <PostalCode>10128</PostalCode> </Address> <Source> <Actor> <ActorID>ACTORSYSTEM_1</ActorID> </Actor> </Source> <InternalCCRLink> <LinkID>ACTORORGANIZATION_1</LinkID> <LinkRelationship>representedOrganization</LinkRelationship> </InternalCCRLink> </Actor> <Actor> <ActorObjectID>ACTORPROVIDER_77</ActorObjectID> <Person> <Name> <CurrentName> <Given>GEORGE</Given> <Family>LILLY</Family> </CurrentName> </Name> </Person> <IDs> <Type> <Text>NPI</Text> </Type> <ID>6665554443</ID> <IssuedBy> <Description> <Text>HHS</Text> </Description> </IssuedBy> </IDs> <Address> <Type> <Text>Work</Text> </Type> <Line1>123 Main St.</Line1> <City>NEW YORK</City> <State>NY</State> <PostalCode>10128</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_168</CommentObjectID> <DateTime> <ExactDateTime>2011-06-07T00:00:00-04:00</ExactDateTime> </DateTime> <Description> <Text> CARDIAC CATHETERIZATION Add to Problem List PERCUTANEOUS TRANSLUMINAL CORONARY ANGLIOPLASTY Add to Problem List </Text> </Description> <Source> <Actor> <ActorID>ACTORPROVIDER_11</ActorID> </Actor> </Source> </Comment> <Comment> <CommentObjectID>NOTE_314</CommentObjectID> <DateTime> <ExactDateTime>2011-06-21T00:00:00-04:00</ExactDateTime> </DateTime> <Description> <Text> RT HIP </Text> </Description> <Source> <Actor> <ActorID>ACTORPROVIDER_63</ActorID> </Actor> </Source> </Comment> </Comments> </ContinuityOfCareRecord>