1014 lines
26 KiB
XML
1014 lines
26 KiB
XML
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<?xml version="1.0" encoding="UTF-8"?>
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<!-- edited with XMLSpy v2010 rel. 2 (http://www.altova.com) by Len Gallagher (NIST) -->
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<ccr:ContinuityOfCareRecord xsi:schemaLocation="urn:astm-org:CCR CCRV1.xsd" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ccr="urn:astm-org:CCR">
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<ccr:CCRDocumentObjectID>CCR_AMBv11_DS01</ccr:CCRDocumentObjectID>
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<ccr:Language>
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<ccr:Text>US English</ccr:Text>
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<ccr:Code>
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<ccr:Value>en-US</ccr:Value>
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</ccr:Code>
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</ccr:Language>
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<ccr:Version>V1.0</ccr:Version>
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<ccr:DateTime>
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<ccr:ExactDateTime>2010-03-25T13:15:00-05:00</ccr:ExactDateTime>
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</ccr:DateTime>
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<ccr:Patient>
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<ccr:ActorID>PatientID_1</ccr:ActorID>
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</ccr:Patient>
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<ccr:From>
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<ccr:ActorLink>
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<ccr:ActorID>AuthorID_01</ccr:ActorID>
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<ccr:ActorRole>
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<ccr:Text>Personal Physician</ccr:Text>
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</ccr:ActorRole>
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</ccr:ActorLink>
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</ccr:From>
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<ccr:To>
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<ccr:ActorLink>
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<ccr:ActorID>RecipientID_01</ccr:ActorID>
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<ccr:ActorRole>
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<ccr:Text>Interested Party</ccr:Text>
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</ccr:ActorRole>
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</ccr:ActorLink>
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</ccr:To>
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<ccr:Purpose>
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<ccr:Description>
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<ccr:Text>Transfer of Care</ccr:Text>
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</ccr:Description>
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</ccr:Purpose>
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<ccr:Body>
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<ccr:Problems>
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<ccr:Problem>
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<ccr:CCRDataObjectID>ProbID_1</ccr:CCRDataObjectID>
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<ccr:DateTime>
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<ccr:ApproximateDateTime>
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<ccr:Text>5/5/06</ccr:Text>
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</ccr:ApproximateDateTime>
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</ccr:DateTime>
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<ccr:Type>
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<ccr:Text>Finding</ccr:Text>
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</ccr:Type>
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<ccr:Description>
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<ccr:Text>Coronary Artery Disease (CAD)</ccr:Text>
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<ccr:Code>
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<ccr:Value>414.01</ccr:Value>
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<ccr:CodingSystem>ICD9-CM</ccr:CodingSystem>
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</ccr:Code>
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<ccr:Code>
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<ccr:Value>53741008</ccr:Value>
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<ccr:CodingSystem>SNOMED CT</ccr:CodingSystem>
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</ccr:Code>
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</ccr:Description>
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<ccr:Status>
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<ccr:Text>Chronic</ccr:Text>
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</ccr:Status>
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<ccr:Source>
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<ccr:Actor>
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<ccr:ActorID>AuthorID_01</ccr:ActorID>
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</ccr:Actor>
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</ccr:Source>
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</ccr:Problem>
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<ccr:Problem>
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<ccr:CCRDataObjectID>ProbID_2</ccr:CCRDataObjectID>
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<ccr:DateTime>
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<ccr:ApproximateDateTime>
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<ccr:Text>5/5/06</ccr:Text>
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</ccr:ApproximateDateTime>
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</ccr:DateTime>
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<ccr:Type>
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<ccr:Text>Symptom</ccr:Text>
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</ccr:Type>
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<ccr:Description>
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<ccr:Text>Hypertension, Essential</ccr:Text>
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<ccr:Code>
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<ccr:Value>401.9</ccr:Value>
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<ccr:CodingSystem>ICD9-CM</ccr:CodingSystem>
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</ccr:Code>
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<ccr:Code>
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<ccr:Value>59621000</ccr:Value>
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<ccr:CodingSystem>SNOMED CT</ccr:CodingSystem>
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</ccr:Code>
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</ccr:Description>
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<ccr:Status>
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<ccr:Text>Active</ccr:Text>
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</ccr:Status>
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<ccr:Source>
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<ccr:Actor>
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<ccr:ActorID>AuthorID_01</ccr:ActorID>
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</ccr:Actor>
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</ccr:Source>
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</ccr:Problem>
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<ccr:Problem>
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<ccr:CCRDataObjectID>ProbID_3</ccr:CCRDataObjectID>
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<ccr:DateTime>
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<ccr:ApproximateDateTime>
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<ccr:Text>12/22/02</ccr:Text>
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</ccr:ApproximateDateTime>
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</ccr:DateTime>
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<ccr:Type>
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<ccr:Text>Diagnosis</ccr:Text>
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</ccr:Type>
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<ccr:Description>
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<ccr:Text>Asthma, unspecified</ccr:Text>
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<ccr:Code>
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<ccr:Value>493.00</ccr:Value>
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<ccr:CodingSystem>ICD9-CM</ccr:CodingSystem>
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</ccr:Code>
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<ccr:Code>
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<ccr:Value>195967001</ccr:Value>
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<ccr:CodingSystem>SNOMED CT</ccr:CodingSystem>
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</ccr:Code>
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</ccr:Description>
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<ccr:Status>
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<ccr:Text>Active</ccr:Text>
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</ccr:Status>
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<ccr:Source>
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<ccr:Actor>
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<ccr:ActorID>AuthorID_01</ccr:ActorID>
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</ccr:Actor>
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</ccr:Source>
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</ccr:Problem>
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</ccr:Problems>
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<ccr:Alerts>
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<ccr:Alert>
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<ccr:CCRDataObjectID>AlertID_1</ccr:CCRDataObjectID>
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<ccr:DateTime>
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<ccr:ApproximateDateTime>
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<ccr:Text>6/27/02</ccr:Text>
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</ccr:ApproximateDateTime>
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</ccr:DateTime>
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<ccr:Type>
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<ccr:Text>Drug Allergy</ccr:Text>
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<ccr:Code>
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<ccr:Value>416098002</ccr:Value>
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<ccr:CodingSystem>SNOMED CT</ccr:CodingSystem>
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</ccr:Code>
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</ccr:Type>
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<ccr:Description>
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<ccr:Text>Codeine allergy</ccr:Text>
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<ccr:Code>
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<ccr:Value>293597001</ccr:Value>
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<ccr:CodingSystem>SNOMED CT</ccr:CodingSystem>
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</ccr:Code>
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</ccr:Description>
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<ccr:Status>
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<ccr:Text>Active</ccr:Text>
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</ccr:Status>
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<ccr:Source>
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<ccr:Actor>
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<ccr:ActorID>AuthorID_01</ccr:ActorID>
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</ccr:Actor>
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</ccr:Source>
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<ccr:Agent>
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<ccr:Products>
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<ccr:Product>
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<ccr:CCRDataObjectID/>
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<ccr:Source/>
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<ccr:Product>
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<ccr:ProductName>
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<ccr:Text>Codeine</ccr:Text>
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<ccr:Code>
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<ccr:Value>2670</ccr:Value>
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<ccr:CodingSystem>RxNorm</ccr:CodingSystem>
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</ccr:Code>
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</ccr:ProductName>
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</ccr:Product>
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</ccr:Product>
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</ccr:Products>
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</ccr:Agent>
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<ccr:Reaction>
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<ccr:Description>
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<ccr:Text>Hives, nausea</ccr:Text>
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</ccr:Description>
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</ccr:Reaction>
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</ccr:Alert>
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<ccr:Alert>
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<ccr:CCRDataObjectID>AlertID_2</ccr:CCRDataObjectID>
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<ccr:DateTime>
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<ccr:ApproximateDateTime>
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<ccr:Text>3/25/04</ccr:Text>
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</ccr:ApproximateDateTime>
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</ccr:DateTime>
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<ccr:Type>
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<ccr:Text>Drug Allergy</ccr:Text>
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<ccr:Code>
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<ccr:Value>416098002</ccr:Value>
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<ccr:CodingSystem>SNOMED CT</ccr:CodingSystem>
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</ccr:Code>
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</ccr:Type>
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<ccr:Description>
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<ccr:Text>Indomethacin allergy</ccr:Text>
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<ccr:Code>
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<ccr:Value>293620004</ccr:Value>
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<ccr:CodingSystem>SNOMED CT</ccr:CodingSystem>
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</ccr:Code>
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</ccr:Description>
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<ccr:Status>
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<ccr:Text>Active</ccr:Text>
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</ccr:Status>
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<ccr:Source>
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<ccr:Actor>
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<ccr:ActorID>AuthorID_01</ccr:ActorID>
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</ccr:Actor>
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</ccr:Source>
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<ccr:Reaction>
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<ccr:Description>
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<ccr:Text>Nausea, dizziness, headache</ccr:Text>
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</ccr:Description>
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</ccr:Reaction>
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</ccr:Alert>
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</ccr:Alerts>
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<ccr:Medications>
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<ccr:Medication>
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<ccr:CCRDataObjectID>MedID_01</ccr:CCRDataObjectID>
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<ccr:DateTime>
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<ccr:ApproximateDateTime>
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<ccr:Text>5/5/2006</ccr:Text>
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</ccr:ApproximateDateTime>
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</ccr:DateTime>
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<ccr:Status>
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<ccr:Text>Active</ccr:Text>
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</ccr:Status>
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<ccr:Source>
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<ccr:Actor>
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<ccr:ActorID>AuthorID_01</ccr:ActorID>
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</ccr:Actor>
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</ccr:Source>
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<ccr:Product>
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<ccr:ProductName>
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<ccr:Text>furosemide</ccr:Text>
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<ccr:Code>
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<ccr:Value>200801</ccr:Value>
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<ccr:CodingSystem>RxNorm</ccr:CodingSystem>
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</ccr:Code>
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</ccr:ProductName>
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<ccr:BrandName>
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<ccr:Text>Lasix</ccr:Text>
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</ccr:BrandName>
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<ccr:Strength>
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<ccr:Value>20</ccr:Value>
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<ccr:Units>
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<ccr:Unit>mg</ccr:Unit>
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</ccr:Units>
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</ccr:Strength>
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<ccr:Form>
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<ccr:Text>Tablet</ccr:Text>
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</ccr:Form>
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</ccr:Product>
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<ccr:Directions>
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<ccr:Direction>
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<ccr:Frequency>
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<ccr:Value>1 tab BID PO</ccr:Value>
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</ccr:Frequency>
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</ccr:Direction>
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</ccr:Directions>
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<ccr:PatientInstructions>
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<ccr:Instruction>
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<ccr:Text>1 tablet by mouth 2 times per day</ccr:Text>
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</ccr:Instruction>
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</ccr:PatientInstructions>
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</ccr:Medication>
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<ccr:Medication>
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<ccr:CCRDataObjectID>MedID_02</ccr:CCRDataObjectID>
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<ccr:DateTime>
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<ccr:ApproximateDateTime>
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||
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<ccr:Text>5/5/2006</ccr:Text>
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||
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</ccr:ApproximateDateTime>
|
||
|
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</ccr:DateTime>
|
||
|
|
<ccr:Status>
|
||
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<ccr:Text>Active</ccr:Text>
|
||
|
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</ccr:Status>
|
||
|
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<ccr:Source>
|
||
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<ccr:Actor>
|
||
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<ccr:ActorID>AuthorID_01</ccr:ActorID>
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||
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</ccr:Actor>
|
||
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</ccr:Source>
|
||
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<ccr:Product>
|
||
|
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<ccr:ProductName>
|
||
|
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<ccr:Text>potassium chloride</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>628958</ccr:Value>
|
||
|
|
<ccr:CodingSystem>RxNorm</ccr:CodingSystem>
|
||
|
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</ccr:Code>
|
||
|
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</ccr:ProductName>
|
||
|
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<ccr:BrandName>
|
||
|
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<ccr:Text>Klor-Con</ccr:Text>
|
||
|
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</ccr:BrandName>
|
||
|
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<ccr:Strength>
|
||
|
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<ccr:Value>10</ccr:Value>
|
||
|
|
<ccr:Units>
|
||
|
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<ccr:Unit>mEq</ccr:Unit>
|
||
|
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</ccr:Units>
|
||
|
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</ccr:Strength>
|
||
|
|
<ccr:Form>
|
||
|
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<ccr:Text>Tablet</ccr:Text>
|
||
|
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</ccr:Form>
|
||
|
|
</ccr:Product>
|
||
|
|
<ccr:Directions>
|
||
|
|
<ccr:Direction>
|
||
|
|
<ccr:Frequency>
|
||
|
|
<ccr:Value>1 tab BID PO</ccr:Value>
|
||
|
|
</ccr:Frequency>
|
||
|
|
</ccr:Direction>
|
||
|
|
</ccr:Directions>
|
||
|
|
<ccr:PatientInstructions>
|
||
|
|
<ccr:Instruction>
|
||
|
|
<ccr:Text>1 tablet by mouth 2 times per day</ccr:Text>
|
||
|
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</ccr:Instruction>
|
||
|
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</ccr:PatientInstructions>
|
||
|
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</ccr:Medication>
|
||
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<ccr:Medication>
|
||
|
|
<ccr:CCRDataObjectID>MedID_03</ccr:CCRDataObjectID>
|
||
|
|
<ccr:DateTime>
|
||
|
|
<ccr:ApproximateDateTime>
|
||
|
|
<ccr:Text>12/22/2002</ccr:Text>
|
||
|
|
</ccr:ApproximateDateTime>
|
||
|
|
</ccr:DateTime>
|
||
|
|
<ccr:Status>
|
||
|
|
<ccr:Text>Active</ccr:Text>
|
||
|
|
</ccr:Status>
|
||
|
|
<ccr:Source>
|
||
|
|
<ccr:Actor>
|
||
|
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<ccr:ActorID>AuthorID_01</ccr:ActorID>
|
||
|
|
</ccr:Actor>
|
||
|
|
</ccr:Source>
|
||
|
|
<ccr:Product>
|
||
|
|
<ccr:ProductName>
|
||
|
|
<ccr:Text>metaproterenol sulfate</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>206833</ccr:Value>
|
||
|
|
<ccr:CodingSystem>RxNorm</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:ProductName>
|
||
|
|
<ccr:BrandName>
|
||
|
|
<ccr:Text>Alupent Inhalation Aerosol</ccr:Text>
|
||
|
|
</ccr:BrandName>
|
||
|
|
<ccr:Strength>
|
||
|
|
<ccr:Value>15</ccr:Value>
|
||
|
|
<ccr:Units>
|
||
|
|
<ccr:Unit>mg/ml</ccr:Unit>
|
||
|
|
</ccr:Units>
|
||
|
|
</ccr:Strength>
|
||
|
|
<ccr:Form>
|
||
|
|
<ccr:Text>Puffs</ccr:Text>
|
||
|
|
</ccr:Form>
|
||
|
|
</ccr:Product>
|
||
|
|
<ccr:Directions>
|
||
|
|
<ccr:Direction>
|
||
|
|
<ccr:Frequency>
|
||
|
|
<ccr:Value>2 puffs Q4h Inhaled</ccr:Value>
|
||
|
|
</ccr:Frequency>
|
||
|
|
</ccr:Direction>
|
||
|
|
</ccr:Directions>
|
||
|
|
<ccr:PatientInstructions>
|
||
|
|
<ccr:Instruction>
|
||
|
|
<ccr:Text>2 puffs inhaled every 4 hours</ccr:Text>
|
||
|
|
</ccr:Instruction>
|
||
|
|
</ccr:PatientInstructions>
|
||
|
|
</ccr:Medication>
|
||
|
|
</ccr:Medications>
|
||
|
|
|
||
|
|
|
||
|
|
<ccr:Immunizations>
|
||
|
|
<ccr:Immunization>
|
||
|
|
<ccr:CCRDataObjectID>ImmunizID_01</ccr:CCRDataObjectID>
|
||
|
|
<ccr:DateTime>
|
||
|
|
<ccr:ApproximateDateTime>
|
||
|
|
<ccr:Text>03/25/2010</ccr:Text>
|
||
|
|
</ccr:ApproximateDateTime>
|
||
|
|
</ccr:DateTime>
|
||
|
|
<ccr:Source>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorID>AuthorID_01</ccr:ActorID>
|
||
|
|
</ccr:Actor>
|
||
|
|
</ccr:Source>
|
||
|
|
<ccr:Product>
|
||
|
|
<ccr:ProductName>
|
||
|
|
<ccr:Text>Hepatitis A, Adult</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>52</ccr:Value>
|
||
|
|
<ccr:CodingSystem>CVX</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>798367</ccr:Value>
|
||
|
|
<ccr:CodingSystem>RxNorm</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:ProductName>
|
||
|
|
<ccr:Manufacturer>
|
||
|
|
<ccr:ActorID>ManufID_1</ccr:ActorID>
|
||
|
|
<ccr:ActorRole>
|
||
|
|
<ccr:Text>GLAXOSMITHKLINE</ccr:Text>
|
||
|
|
</ccr:ActorRole>
|
||
|
|
</ccr:Manufacturer>
|
||
|
|
</ccr:Product>
|
||
|
|
<ccr:Directions>
|
||
|
|
<ccr:Direction>
|
||
|
|
<ccr:Route>
|
||
|
|
<ccr:Text>Intramuscular</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>IM</ccr:Value>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Route>
|
||
|
|
<ccr:Site>
|
||
|
|
<ccr:Text>Left Arm</ccr:Text>
|
||
|
|
</ccr:Site>
|
||
|
|
</ccr:Direction>
|
||
|
|
</ccr:Directions>
|
||
|
|
<ccr:SeriesNumber>HA165V1</ccr:SeriesNumber>
|
||
|
|
<ccr:Reaction>
|
||
|
|
<ccr:Description>
|
||
|
|
<ccr:Text>None</ccr:Text>
|
||
|
|
</ccr:Description>
|
||
|
|
</ccr:Reaction>
|
||
|
|
</ccr:Immunization>
|
||
|
|
<ccr:Immunization>
|
||
|
|
<ccr:CCRDataObjectID>ImmunizID_02</ccr:CCRDataObjectID>
|
||
|
|
<ccr:DateTime>
|
||
|
|
<ccr:ApproximateDateTime>
|
||
|
|
<ccr:Text>10/25/2009</ccr:Text>
|
||
|
|
</ccr:ApproximateDateTime>
|
||
|
|
</ccr:DateTime>
|
||
|
|
<ccr:Source>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorID>AuthorID_01</ccr:ActorID>
|
||
|
|
</ccr:Actor>
|
||
|
|
</ccr:Source>
|
||
|
|
<ccr:Product>
|
||
|
|
<ccr:ProductName>
|
||
|
|
<ccr:Text>Pneumococcal Polysaccharide Vaccine</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>33</ccr:Value>
|
||
|
|
<ccr:CodingSystem>CVX</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>854977</ccr:Value>
|
||
|
|
<ccr:CodingSystem>RxNorm</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:ProductName>
|
||
|
|
<ccr:Manufacturer>
|
||
|
|
<ccr:ActorID>ManufID_2</ccr:ActorID>
|
||
|
|
<ccr:ActorRole>
|
||
|
|
<ccr:Text>Merck</ccr:Text>
|
||
|
|
</ccr:ActorRole>
|
||
|
|
</ccr:Manufacturer>
|
||
|
|
</ccr:Product>
|
||
|
|
<ccr:Directions>
|
||
|
|
<ccr:Direction>
|
||
|
|
<ccr:Route>
|
||
|
|
<ccr:Text>Intramuscular</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>IM</ccr:Value>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Route>
|
||
|
|
<ccr:Site>
|
||
|
|
<ccr:Text>Right Arm</ccr:Text>
|
||
|
|
</ccr:Site>
|
||
|
|
</ccr:Direction>
|
||
|
|
</ccr:Directions>
|
||
|
|
<ccr:SeriesNumber>887765B</ccr:SeriesNumber>
|
||
|
|
<ccr:Reaction>
|
||
|
|
<ccr:Description>
|
||
|
|
<ccr:Text>None</ccr:Text>
|
||
|
|
</ccr:Description>
|
||
|
|
</ccr:Reaction>
|
||
|
|
</ccr:Immunization>
|
||
|
|
</ccr:Immunizations>
|
||
|
|
|
||
|
|
<ccr:Results>
|
||
|
|
<ccr:Result>
|
||
|
|
<ccr:CCRDataObjectID>ResultID_01</ccr:CCRDataObjectID>
|
||
|
|
<ccr:DateTime>
|
||
|
|
<ccr:ApproximateDateTime>
|
||
|
|
<ccr:Text>xx/xx/xxxx</ccr:Text>
|
||
|
|
</ccr:ApproximateDateTime>
|
||
|
|
</ccr:DateTime>
|
||
|
|
<ccr:Type>
|
||
|
|
<ccr:Text>Chemistry</ccr:Text>
|
||
|
|
</ccr:Type>
|
||
|
|
<ccr:Description>
|
||
|
|
<ccr:Text>Total Protein</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>2885-2</ccr:Value>
|
||
|
|
<ccr:CodingSystem>LOINC</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Description>
|
||
|
|
<ccr:Source>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorID>AuthorID_01</ccr:ActorID>
|
||
|
|
</ccr:Actor>
|
||
|
|
</ccr:Source>
|
||
|
|
<ccr:Test>
|
||
|
|
<ccr:CCRDataObjectID/>
|
||
|
|
<ccr:Description>
|
||
|
|
<ccr:Text>Total Protein</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>2885-2</ccr:Value>
|
||
|
|
<ccr:CodingSystem>LOINC</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Description>
|
||
|
|
<ccr:Status>
|
||
|
|
<ccr:Text>final result</ccr:Text>
|
||
|
|
</ccr:Status>
|
||
|
|
<ccr:Source/>
|
||
|
|
<ccr:TestResult>
|
||
|
|
<ccr:Value>7.5</ccr:Value>
|
||
|
|
<ccr:Units>
|
||
|
|
<ccr:Unit>g/dl</ccr:Unit>
|
||
|
|
</ccr:Units>
|
||
|
|
</ccr:TestResult>
|
||
|
|
<ccr:NormalResult>
|
||
|
|
<ccr:Normal>
|
||
|
|
<ccr:Value>6.3-8.3</ccr:Value>
|
||
|
|
<ccr:Units>
|
||
|
|
<ccr:Unit>g/dl</ccr:Unit>
|
||
|
|
</ccr:Units>
|
||
|
|
<ccr:Source/>
|
||
|
|
</ccr:Normal>
|
||
|
|
</ccr:NormalResult>
|
||
|
|
</ccr:Test>
|
||
|
|
</ccr:Result>
|
||
|
|
|
||
|
|
<ccr:Result>
|
||
|
|
<ccr:CCRDataObjectID>ResultID_02</ccr:CCRDataObjectID>
|
||
|
|
<ccr:DateTime>
|
||
|
|
<ccr:ApproximateDateTime>
|
||
|
|
<ccr:Text>xx/xx/xxxx</ccr:Text>
|
||
|
|
</ccr:ApproximateDateTime>
|
||
|
|
</ccr:DateTime>
|
||
|
|
<ccr:Type>
|
||
|
|
<ccr:Text>Chemistry</ccr:Text>
|
||
|
|
</ccr:Type>
|
||
|
|
<ccr:Description>
|
||
|
|
<ccr:Text>Albumin</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>1751-7</ccr:Value>
|
||
|
|
<ccr:CodingSystem>LOINC</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Description>
|
||
|
|
<ccr:Source>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorID>AuthorID_01</ccr:ActorID>
|
||
|
|
</ccr:Actor>
|
||
|
|
</ccr:Source>
|
||
|
|
<ccr:Test>
|
||
|
|
<ccr:CCRDataObjectID/>
|
||
|
|
<ccr:Description>
|
||
|
|
<ccr:Text>Albumin</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>1751-7</ccr:Value>
|
||
|
|
<ccr:CodingSystem>LOINC</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Description>
|
||
|
|
<ccr:Status>
|
||
|
|
<ccr:Text>final result</ccr:Text>
|
||
|
|
</ccr:Status>
|
||
|
|
<ccr:Source/>
|
||
|
|
<ccr:TestResult>
|
||
|
|
<ccr:Value>4.2</ccr:Value>
|
||
|
|
<ccr:Units>
|
||
|
|
<ccr:Unit>g/dl</ccr:Unit>
|
||
|
|
</ccr:Units>
|
||
|
|
</ccr:TestResult>
|
||
|
|
<ccr:NormalResult>
|
||
|
|
<ccr:Normal>
|
||
|
|
<ccr:Value>4.0-5.4</ccr:Value>
|
||
|
|
<ccr:Units>
|
||
|
|
<ccr:Unit>g/dl</ccr:Unit>
|
||
|
|
</ccr:Units>
|
||
|
|
<ccr:Source/>
|
||
|
|
</ccr:Normal>
|
||
|
|
</ccr:NormalResult>
|
||
|
|
</ccr:Test>
|
||
|
|
</ccr:Result>
|
||
|
|
|
||
|
|
<ccr:Result>
|
||
|
|
<ccr:CCRDataObjectID>ResultID_03</ccr:CCRDataObjectID>
|
||
|
|
<ccr:DateTime>
|
||
|
|
<ccr:ApproximateDateTime>
|
||
|
|
<ccr:Text>xx/xx/xxxx</ccr:Text>
|
||
|
|
</ccr:ApproximateDateTime>
|
||
|
|
</ccr:DateTime>
|
||
|
|
<ccr:Type>
|
||
|
|
<ccr:Text>Chemistry</ccr:Text>
|
||
|
|
</ccr:Type>
|
||
|
|
<ccr:Description>
|
||
|
|
<ccr:Text>ALT</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>1742-6</ccr:Value>
|
||
|
|
<ccr:CodingSystem>LOINC</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Description>
|
||
|
|
<ccr:Source>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorID>AuthorID_01</ccr:ActorID>
|
||
|
|
</ccr:Actor>
|
||
|
|
</ccr:Source>
|
||
|
|
<ccr:Test>
|
||
|
|
<ccr:CCRDataObjectID/>
|
||
|
|
<ccr:Description>
|
||
|
|
<ccr:Text>ALT</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>1742-6</ccr:Value>
|
||
|
|
<ccr:CodingSystem>LOINC</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Description>
|
||
|
|
<ccr:Status>
|
||
|
|
<ccr:Text>final result</ccr:Text>
|
||
|
|
</ccr:Status>
|
||
|
|
<ccr:Source/>
|
||
|
|
<ccr:TestResult>
|
||
|
|
<ccr:Value>19</ccr:Value>
|
||
|
|
<ccr:Units>
|
||
|
|
<ccr:Unit>U/L</ccr:Unit>
|
||
|
|
</ccr:Units>
|
||
|
|
</ccr:TestResult>
|
||
|
|
<ccr:NormalResult>
|
||
|
|
<ccr:Normal>
|
||
|
|
<ccr:Value>0-50</ccr:Value>
|
||
|
|
<ccr:Units>
|
||
|
|
<ccr:Unit>U/L</ccr:Unit>
|
||
|
|
</ccr:Units>
|
||
|
|
<ccr:Source/>
|
||
|
|
</ccr:Normal>
|
||
|
|
</ccr:NormalResult>
|
||
|
|
</ccr:Test>
|
||
|
|
</ccr:Result>
|
||
|
|
|
||
|
|
<ccr:Result>
|
||
|
|
<ccr:CCRDataObjectID>ResultID_04</ccr:CCRDataObjectID>
|
||
|
|
<ccr:DateTime>
|
||
|
|
<ccr:ApproximateDateTime>
|
||
|
|
<ccr:Text>xx/xx/xxxx</ccr:Text>
|
||
|
|
</ccr:ApproximateDateTime>
|
||
|
|
</ccr:DateTime>
|
||
|
|
<ccr:Type>
|
||
|
|
<ccr:Text>Chemistry</ccr:Text>
|
||
|
|
</ccr:Type>
|
||
|
|
<ccr:Description>
|
||
|
|
<ccr:Text>Alkaline Phosphate</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>6768-6</ccr:Value>
|
||
|
|
<ccr:CodingSystem>LOINC</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Description>
|
||
|
|
<ccr:Source>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorID>AuthorID_01</ccr:ActorID>
|
||
|
|
</ccr:Actor>
|
||
|
|
</ccr:Source>
|
||
|
|
<ccr:Test>
|
||
|
|
<ccr:CCRDataObjectID/>
|
||
|
|
<ccr:Description>
|
||
|
|
<ccr:Text>Alkaline Phosphate</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>6768-6</ccr:Value>
|
||
|
|
<ccr:CodingSystem>LOINC</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Description>
|
||
|
|
<ccr:Status>
|
||
|
|
<ccr:Text>final result</ccr:Text>
|
||
|
|
</ccr:Status>
|
||
|
|
<ccr:Source/>
|
||
|
|
<ccr:TestResult>
|
||
|
|
<ccr:Value>88</ccr:Value>
|
||
|
|
<ccr:Units>
|
||
|
|
<ccr:Unit>U/L</ccr:Unit>
|
||
|
|
</ccr:Units>
|
||
|
|
</ccr:TestResult>
|
||
|
|
<ccr:NormalResult>
|
||
|
|
<ccr:Normal>
|
||
|
|
<ccr:Value>35-129</ccr:Value>
|
||
|
|
<ccr:Units>
|
||
|
|
<ccr:Unit>U/L</ccr:Unit>
|
||
|
|
</ccr:Units>
|
||
|
|
<ccr:Source/>
|
||
|
|
</ccr:Normal>
|
||
|
|
</ccr:NormalResult>
|
||
|
|
</ccr:Test>
|
||
|
|
</ccr:Result>
|
||
|
|
|
||
|
|
<ccr:Result>
|
||
|
|
<ccr:CCRDataObjectID>ResultID_05</ccr:CCRDataObjectID>
|
||
|
|
<ccr:DateTime>
|
||
|
|
<ccr:ApproximateDateTime>
|
||
|
|
<ccr:Text>xx/xx/xxxx</ccr:Text>
|
||
|
|
</ccr:ApproximateDateTime>
|
||
|
|
</ccr:DateTime>
|
||
|
|
<ccr:Type>
|
||
|
|
<ccr:Text>Chemistry</ccr:Text>
|
||
|
|
</ccr:Type>
|
||
|
|
<ccr:Description>
|
||
|
|
<ccr:Text>Bilirubin, Total</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>1975-2</ccr:Value>
|
||
|
|
<ccr:CodingSystem>LOINC</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Description>
|
||
|
|
<ccr:Source>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorID>AuthorID_01</ccr:ActorID>
|
||
|
|
</ccr:Actor>
|
||
|
|
</ccr:Source>
|
||
|
|
<ccr:Test>
|
||
|
|
<ccr:CCRDataObjectID/>
|
||
|
|
<ccr:Description>
|
||
|
|
<ccr:Text>Bilirubin, Total</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>1975-2</ccr:Value>
|
||
|
|
<ccr:CodingSystem>LOINC</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Description>
|
||
|
|
<ccr:Status>
|
||
|
|
<ccr:Text>final result</ccr:Text>
|
||
|
|
</ccr:Status>
|
||
|
|
<ccr:Source/>
|
||
|
|
<ccr:TestResult>
|
||
|
|
<ccr:Value>0.4</ccr:Value>
|
||
|
|
<ccr:Units>
|
||
|
|
<ccr:Unit>mg/dl</ccr:Unit>
|
||
|
|
</ccr:Units>
|
||
|
|
</ccr:TestResult>
|
||
|
|
<ccr:NormalResult>
|
||
|
|
<ccr:Normal>
|
||
|
|
<ccr:Value>0.2-1.3</ccr:Value>
|
||
|
|
<ccr:Units>
|
||
|
|
<ccr:Unit>mg/dl</ccr:Unit>
|
||
|
|
</ccr:Units>
|
||
|
|
<ccr:Source/>
|
||
|
|
</ccr:Normal>
|
||
|
|
</ccr:NormalResult>
|
||
|
|
</ccr:Test>
|
||
|
|
</ccr:Result>
|
||
|
|
|
||
|
|
<ccr:Result>
|
||
|
|
<ccr:CCRDataObjectID>ResultID_06</ccr:CCRDataObjectID>
|
||
|
|
<ccr:DateTime>
|
||
|
|
<ccr:ApproximateDateTime>
|
||
|
|
<ccr:Text>xx/xx/xxxx</ccr:Text>
|
||
|
|
</ccr:ApproximateDateTime>
|
||
|
|
</ccr:DateTime>
|
||
|
|
<ccr:Type>
|
||
|
|
<ccr:Text>Chemistry</ccr:Text>
|
||
|
|
</ccr:Type>
|
||
|
|
<ccr:Description>
|
||
|
|
<ccr:Text>Bilirubin, Direct</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>1968-7</ccr:Value>
|
||
|
|
<ccr:CodingSystem>LOINC</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Description>
|
||
|
|
<ccr:Source>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorID>AuthorID_01</ccr:ActorID>
|
||
|
|
</ccr:Actor>
|
||
|
|
</ccr:Source>
|
||
|
|
<ccr:Test>
|
||
|
|
<ccr:CCRDataObjectID/>
|
||
|
|
<ccr:Description>
|
||
|
|
<ccr:Text>Bilirubin, Direct</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>1968-7</ccr:Value>
|
||
|
|
<ccr:CodingSystem>LOINC</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Description>
|
||
|
|
<ccr:Status>
|
||
|
|
<ccr:Text>final result</ccr:Text>
|
||
|
|
</ccr:Status>
|
||
|
|
<ccr:Source/>
|
||
|
|
<ccr:TestResult>
|
||
|
|
<ccr:Value>0.2</ccr:Value>
|
||
|
|
<ccr:Units>
|
||
|
|
<ccr:Unit>mg/dl</ccr:Unit>
|
||
|
|
</ccr:Units>
|
||
|
|
</ccr:TestResult>
|
||
|
|
<ccr:NormalResult>
|
||
|
|
<ccr:Normal>
|
||
|
|
<ccr:Value>0.0-0.3</ccr:Value>
|
||
|
|
<ccr:Units>
|
||
|
|
<ccr:Unit>mg/dl</ccr:Unit>
|
||
|
|
</ccr:Units>
|
||
|
|
<ccr:Source/>
|
||
|
|
</ccr:Normal>
|
||
|
|
</ccr:NormalResult>
|
||
|
|
</ccr:Test>
|
||
|
|
</ccr:Result>
|
||
|
|
|
||
|
|
</ccr:Results>
|
||
|
|
|
||
|
|
<ccr:Procedures>
|
||
|
|
<ccr:Procedure>
|
||
|
|
<ccr:CCRDataObjectID>ProcID_1</ccr:CCRDataObjectID>
|
||
|
|
<ccr:DateTime>
|
||
|
|
<ccr:ApproximateDateTime>
|
||
|
|
<ccr:Text>7/26/06</ccr:Text>
|
||
|
|
</ccr:ApproximateDateTime>
|
||
|
|
</ccr:DateTime>
|
||
|
|
<ccr:Type>
|
||
|
|
<ccr:Text>Surgical</ccr:Text>
|
||
|
|
</ccr:Type>
|
||
|
|
<ccr:Description>
|
||
|
|
<ccr:Text>Excision of benign lesion on arm</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>11401</ccr:Value>
|
||
|
|
<ccr:CodingSystem>CPT-4</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>86.3</ccr:Value>
|
||
|
|
<ccr:CodingSystem>ICD-9</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Description>
|
||
|
|
<ccr:Status>
|
||
|
|
<ccr:Text>Completed</ccr:Text>
|
||
|
|
</ccr:Status>
|
||
|
|
<ccr:Source>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorID>AuthorID_01</ccr:ActorID>
|
||
|
|
</ccr:Actor>
|
||
|
|
</ccr:Source>
|
||
|
|
<ccr:Locations>
|
||
|
|
<ccr:Location>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorID>ClinicID_01</ccr:ActorID>
|
||
|
|
</ccr:Actor>
|
||
|
|
</ccr:Location>
|
||
|
|
</ccr:Locations>
|
||
|
|
<ccr:Substance>
|
||
|
|
<ccr:Text>NA</ccr:Text>
|
||
|
|
</ccr:Substance>
|
||
|
|
<ccr:Method>
|
||
|
|
<ccr:Text>NA</ccr:Text>
|
||
|
|
</ccr:Method>
|
||
|
|
<ccr:Position>
|
||
|
|
<ccr:Text>NA</ccr:Text>
|
||
|
|
</ccr:Position>
|
||
|
|
<ccr:Site>
|
||
|
|
<ccr:Text>Left Arm</ccr:Text>
|
||
|
|
</ccr:Site>
|
||
|
|
</ccr:Procedure>
|
||
|
|
|
||
|
|
<ccr:Procedure>
|
||
|
|
<ccr:CCRDataObjectID>ProcID_2</ccr:CCRDataObjectID>
|
||
|
|
<ccr:DateTime>
|
||
|
|
<ccr:ApproximateDateTime>
|
||
|
|
<ccr:Text>05/15/03</ccr:Text>
|
||
|
|
</ccr:ApproximateDateTime>
|
||
|
|
</ccr:DateTime>
|
||
|
|
<ccr:Type>
|
||
|
|
<ccr:Text>Surgical</ccr:Text>
|
||
|
|
</ccr:Type>
|
||
|
|
<ccr:Description>
|
||
|
|
<ccr:Text>Emergency Appendectomy</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>44950</ccr:Value>
|
||
|
|
<ccr:CodingSystem>CPT-4</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>47.09</ccr:Value>
|
||
|
|
<ccr:CodingSystem>ICD-9</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Description>
|
||
|
|
<ccr:Status>
|
||
|
|
<ccr:Text>Completed</ccr:Text>
|
||
|
|
</ccr:Status>
|
||
|
|
<ccr:Source>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorID>AuthorID_01</ccr:ActorID>
|
||
|
|
</ccr:Actor>
|
||
|
|
</ccr:Source>
|
||
|
|
<ccr:Locations>
|
||
|
|
<ccr:Location>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorID>ClinicID_01</ccr:ActorID>
|
||
|
|
</ccr:Actor>
|
||
|
|
</ccr:Location>
|
||
|
|
</ccr:Locations>
|
||
|
|
<ccr:Substance>
|
||
|
|
<ccr:Text>NA</ccr:Text>
|
||
|
|
</ccr:Substance>
|
||
|
|
<ccr:Method>
|
||
|
|
<ccr:Text>NA</ccr:Text>
|
||
|
|
</ccr:Method>
|
||
|
|
<ccr:Position>
|
||
|
|
<ccr:Text>NA</ccr:Text>
|
||
|
|
</ccr:Position>
|
||
|
|
<ccr:Site>
|
||
|
|
<ccr:Text>NA</ccr:Text>
|
||
|
|
</ccr:Site>
|
||
|
|
</ccr:Procedure>
|
||
|
|
</ccr:Procedures>
|
||
|
|
</ccr:Body>
|
||
|
|
<ccr:Actors>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorObjectID>PatientID_1</ccr:ActorObjectID>
|
||
|
|
<ccr:Person>
|
||
|
|
<ccr:Name>
|
||
|
|
<ccr:BirthName>
|
||
|
|
<ccr:Given>James</ccr:Given>
|
||
|
|
<ccr:Given>D.</ccr:Given>
|
||
|
|
<ccr:Family>Stuart</ccr:Family>
|
||
|
|
</ccr:BirthName>
|
||
|
|
</ccr:Name>
|
||
|
|
<ccr:DateOfBirth>
|
||
|
|
<ccr:ExactDateTime>1953-02-15T11:20:00-05:00</ccr:ExactDateTime>
|
||
|
|
</ccr:DateOfBirth>
|
||
|
|
<ccr:Gender>
|
||
|
|
<ccr:Text>Male</ccr:Text>
|
||
|
|
<ccr:Code>
|
||
|
|
<ccr:Value>M</ccr:Value>
|
||
|
|
<ccr:CodingSystem>HL7 AdministrativeGender</ccr:CodingSystem>
|
||
|
|
</ccr:Code>
|
||
|
|
</ccr:Gender>
|
||
|
|
</ccr:Person>
|
||
|
|
<ccr:IDs>
|
||
|
|
<ccr:ID>9996799589</ccr:ID>
|
||
|
|
<ccr:IssuedBy>
|
||
|
|
<ccr:ActorID>ClinicID_01</ccr:ActorID>
|
||
|
|
<ccr:ActorRole>
|
||
|
|
<ccr:Text>Medical Record Number Generator</ccr:Text>
|
||
|
|
</ccr:ActorRole>
|
||
|
|
</ccr:IssuedBy>
|
||
|
|
<ccr:Source/>
|
||
|
|
</ccr:IDs>
|
||
|
|
<ccr:Address>
|
||
|
|
<ccr:Line1>5739 Hazel Street</ccr:Line1>
|
||
|
|
<ccr:City>Williamsport</ccr:City>
|
||
|
|
<ccr:State>PA</ccr:State>
|
||
|
|
<ccr:PostalCode>17701</ccr:PostalCode>
|
||
|
|
</ccr:Address>
|
||
|
|
<ccr:Telephone>
|
||
|
|
<ccr:Value>+1-570-898-2189</ccr:Value>
|
||
|
|
</ccr:Telephone>
|
||
|
|
<ccr:Source/>
|
||
|
|
</ccr:Actor>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorObjectID>AuthorID_01</ccr:ActorObjectID>
|
||
|
|
<ccr:Person>
|
||
|
|
<ccr:Name>
|
||
|
|
<ccr:BirthName>
|
||
|
|
<ccr:Given>Thomas</ccr:Given>
|
||
|
|
<ccr:Family>Henry</ccr:Family>
|
||
|
|
<ccr:Suffix>MD</ccr:Suffix>
|
||
|
|
</ccr:BirthName>
|
||
|
|
</ccr:Name>
|
||
|
|
</ccr:Person>
|
||
|
|
<ccr:Address>
|
||
|
|
<ccr:Line1>5544 Sutter Street</ccr:Line1>
|
||
|
|
<ccr:City>Williamsport</ccr:City>
|
||
|
|
<ccr:State>PA</ccr:State>
|
||
|
|
<ccr:PostalCode>17701</ccr:PostalCode>
|
||
|
|
</ccr:Address>
|
||
|
|
<ccr:Telephone>
|
||
|
|
<ccr:Value>+1-301-975-3260</ccr:Value>
|
||
|
|
</ccr:Telephone>
|
||
|
|
<ccr:Source/>
|
||
|
|
</ccr:Actor>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorObjectID>RecipientID_01</ccr:ActorObjectID>
|
||
|
|
<ccr:Person>
|
||
|
|
<ccr:Name>
|
||
|
|
<ccr:BirthName>
|
||
|
|
<ccr:Given>Interested</ccr:Given>
|
||
|
|
<ccr:Family>AnyPerson</ccr:Family>
|
||
|
|
</ccr:BirthName>
|
||
|
|
</ccr:Name>
|
||
|
|
</ccr:Person>
|
||
|
|
<ccr:Source/>
|
||
|
|
</ccr:Actor>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorObjectID>ManufID_1</ccr:ActorObjectID>
|
||
|
|
<ccr:Organization>
|
||
|
|
<ccr:Name>GLAXOSMITHKLINE</ccr:Name>
|
||
|
|
</ccr:Organization>
|
||
|
|
<ccr:Source/>
|
||
|
|
</ccr:Actor>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorObjectID>ManufID_2</ccr:ActorObjectID>
|
||
|
|
<ccr:Organization>
|
||
|
|
<ccr:Name>Merck</ccr:Name>
|
||
|
|
</ccr:Organization>
|
||
|
|
<ccr:Source/>
|
||
|
|
</ccr:Actor>
|
||
|
|
<ccr:Actor>
|
||
|
|
<ccr:ActorObjectID>ClinicID_01</ccr:ActorObjectID>
|
||
|
|
<ccr:Organization>
|
||
|
|
<ccr:Name>Community Laboratory</ccr:Name>
|
||
|
|
</ccr:Organization>
|
||
|
|
<ccr:Address>
|
||
|
|
<ccr:Line1>101 Main Street</ccr:Line1>
|
||
|
|
<ccr:City>Little Rock</ccr:City>
|
||
|
|
<ccr:State>Ar</ccr:State>
|
||
|
|
<ccr:PostalCode>72201</ccr:PostalCode>
|
||
|
|
</ccr:Address>
|
||
|
|
<ccr:Source/>
|
||
|
|
</ccr:Actor>
|
||
|
|
</ccr:Actors>
|
||
|
|
</ccr:ContinuityOfCareRecord>
|