VistA-Miscellaneous/qrda/CCR/M1-QRDA/PAT_100146_CCR_V1_0_0.xml

495 lines
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XML

<?xml version="1.0" encoding="UTF-8"?>
<?xml-stylesheet type="text/xsl" href="ccr.xsl"?>
<ContinuityOfCareRecord xmlns="urn:astm-org:CCR">
<CCRDocumentObjectID>d010c8bd-eda0-4e36-8a53-c7c677666b29</CCRDocumentObjectID>
<Language>
<Text>English</Text>
</Language>
<Version>V1.0</Version>
<DateTime>
<ExactDateTime>2010-10-18T15:33:12-05:00</ExactDateTime>
</DateTime>
<Patient>
<ActorID>ACTORPATIENT_100146</ActorID>
</Patient>
<From>
<ActorLink>
<ActorID>ACTORPROVIDER_1</ActorID>
</ActorLink>
<ActorLink>
<ActorID>ACTORSYSTEM_1</ActorID>
</ActorLink>
</From>
<To>
<ActorLink>
<ActorID>ACTORPATIENT_100146</ActorID>
<ActorRole>
<Text>Patient</Text>
</ActorRole>
</ActorLink>
</To>
<Purpose>
<Description>
<Text>CEND PHR</Text>
</Description>
</Purpose>
<Body>
<Problems>
<Problem>
<CCRDataObjectID>PROBLEM1</CCRDataObjectID>
<DateTime>
<ExactDateTime>2010-10-13T00:00:00-05:00</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>
<Problem>
<CCRDataObjectID>PROBLEM2</CCRDataObjectID>
<DateTime>
<ExactDateTime>2010-10-04T00:00:00-05:00</ExactDateTime>
</DateTime>
<Type>
<Text>Problem</Text>
</Type>
<Description>
<Text>Diabetes Mellitus</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>
<Procedures>
<Procedure>
<CCRDataObjectID>PROCEDURE_4141_10</CCRDataObjectID>
<DateTime>
<Type>
<Text>Procedure Date</Text>
</Type>
<ExactDateTime>2010-10-14T00:00:00-05:00</ExactDateTime>
</DateTime>
<Description>
<Text>INTERMEDIATE (30min)</Text>
<Code>
<Value>99242</Value>
<CodingSystem>CPT-4</CodingSystem>
</Code>
</Description>
<Status>
<Text>Completed</Text>
</Status>
<Source>
<Actor>
<ActorID>ACTORPROVIDER_10000000020</ActorID>
</Actor>
</Source>
</Procedure>
<Procedure>
<CCRDataObjectID>PROCEDURE_4092_7</CCRDataObjectID>
<DateTime>
<Type>
<Text>Procedure Date</Text>
</Type>
<ExactDateTime>2010-10-04T00:00:00-05:00</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>
</Procedures>
<Encounters>
<Encounter>
<CCRDataObjectID>ENCOUNTER_4141</CCRDataObjectID>
<DateTime>
<ExactDateTime>2010-10-14T00:00:00-05:00</ExactDateTime>
</DateTime>
<Type>
<Text>***NEW PATIENT*** INTERMEDIATE (30min)</Text>
<Code>
<Value>99242</Value>
<CodingSystem>CPT-4</CodingSystem>
</Code>
</Type>
<Description>
<Text>***NEW PATIENT*** INTERMEDIATE (30min)</Text>
<Code>
<Value>99242</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_4092</CCRDataObjectID>
<DateTime>
<ExactDateTime>2010-10-04T00:00:00-05:00</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_4092</CommentID>
</Encounter>
<Encounter>
<CCRDataObjectID>ENCOUNTER_4091</CCRDataObjectID>
<DateTime>
<ExactDateTime>2010-10-04T00:00:00-05:00</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_4091</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</PostalCode>
</Address>
<Source>
<Actor>
<ActorID>ACTORSYSTEM_1</ActorID>
</Actor>
</Source>
</Actor>
<Actor>
<ActorObjectID>ACTORPATIENT_100146</ActorObjectID>
<Person>
<Name>
<CurrentName>
<Given>MALE-D</Given>
<Family>MEASURE-TWO</Family>
</CurrentName>
</Name>
<DateOfBirth>
<ExactDateTime>1960-01-01</ExactDateTime>
</DateOfBirth>
<Gender>
<Text>MALE</Text>
<Code>
<Value>M</Value>
<CodingSystem>HL7 AdministrativeGender</CodingSystem>
</Code>
</Gender>
</Person>
<IDs>
<Type>
<Text>SSN</Text>
</Type>
<ID>666000200</ID>
<Source>
<Actor>
<ActorID>ACTORPATIENT_100146</ActorID>
</Actor>
</Source>
</IDs>
<Address>
<Type>
<Text>Home</Text>
</Type>
<Line1>Any Street</Line1>
<City>Any Town</City>
<State>WEST VIRGINIA</State>
</Address>
<Telephone>
<Value>222-555-8235</Value>
<Type>
<Text>Residential Telephone</Text>
</Type>
</Telephone>
<Telephone>
<Value>222-555-7720</Value>
<Type>
<Text>Work Telephone</Text>
</Type>
</Telephone>
<Source>
<Actor>
<ActorID>ACTORPATIENT_100146</ActorID>
</Actor>
</Source>
</Actor>
<Actor>
<ActorObjectID>ACTORPROVIDER_1</ActorObjectID>
<Person>
<Name>
<CurrentName>
<Given>ONE</Given>
<Family>PROGRAMMER</Family>
<Title>COMPUTER SPECIALIST</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</PostalCode>
</Address>
<Telephone>
<Value>6655544</Value>
<Type>
<Text>Office</Text>
</Type>
</Telephone>
<Source>
<Actor>
<ActorID>ACTORSYSTEM_1</ActorID>
</Actor>
</Source>
<InternalCCRLink>
<LinkID>ACTORORGANIZATION_1</LinkID>
<LinkRelationship>representedOrganization</LinkRelationship>
</InternalCCRLink>
</Actor>
<Actor>
<ActorObjectID>ACTORPROVIDER_10000000020</ActorObjectID>
<Person>
<Name>
<CurrentName>
<Given>NANCY</Given>
<Family>ANTHRACITE</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</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</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_4091</CommentObjectID>
<DateTime>
<ExactDateTime>2010-10-04T00:00:00-05:00</ExactDateTime>
</DateTime>
<Description>
<Text>
PLACE DIABETIC ORDERS HERE.
PATIENT HBA1C RESULTS
PATIENTS HBA1C IS GREATER THAN 9%
HBA1C VALUE: 9.1
*** No Outpatient measurements ***
</Text>
</Description>
<Source>
<Actor>
<ActorID>ACTORPROVIDER_10000000183</ActorID>
</Actor>
</Source>
</Comment>
<Comment>
<CommentObjectID>NOTE_4092</CommentObjectID>
<DateTime>
<ExactDateTime>2010-10-04T00:00:00-05:00</ExactDateTime>
</DateTime>
<Description>
<Text>
PATIENT MAMMOGRAM INFORMATION:
PATIENT HAD A SCREENING MAMMOGRAM.
RESULT NEM (No Evidence of Malignancy)
DATE OF PROCEDURE: September 6, 2010
</Text>
</Description>
<Source>
<Actor>
<ActorID>ACTORPROVIDER_10000000183</ActorID>
</Actor>
</Source>
</Comment>
</Comments>
</ContinuityOfCareRecord>