VistA-ccr/NIST-ccr/304.f_ds2_CCR.xml

727 lines
19 KiB
XML

<?xml version="1.0" encoding="UTF-8"?>
<!-- edited with XMLSpy v2010 rel. 2 (http://www.altova.com) by Len Gallagher (NIST) -->
<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">
<ccr:CCRDocumentObjectID>CCR_AMBv11_DS01</ccr:CCRDocumentObjectID>
<ccr:Language>
<ccr:Text>US English</ccr:Text>
<ccr:Code>
<ccr:Value>en-US</ccr:Value>
</ccr:Code>
</ccr:Language>
<ccr:Version>V1.0</ccr:Version>
<ccr:DateTime>
<ccr:ExactDateTime>2010-03-25T13:15:00-05:00</ccr:ExactDateTime>
</ccr:DateTime>
<ccr:Patient>
<ccr:ActorID>PatientID_1</ccr:ActorID>
</ccr:Patient>
<ccr:From>
<ccr:ActorLink>
<ccr:ActorID>AuthorID_01</ccr:ActorID>
<ccr:ActorRole>
<ccr:Text>Personal Physician</ccr:Text>
</ccr:ActorRole>
</ccr:ActorLink>
</ccr:From>
<ccr:To>
<ccr:ActorLink>
<ccr:ActorID>RecipientID_01</ccr:ActorID>
<ccr:ActorRole>
<ccr:Text>Interested Party</ccr:Text>
</ccr:ActorRole>
</ccr:ActorLink>
</ccr:To>
<ccr:Purpose>
<ccr:Description>
<ccr:Text>Transfer of Care</ccr:Text>
</ccr:Description>
</ccr:Purpose>
<ccr:Body>
<ccr:Problems>
<ccr:Problem>
<ccr:CCRDataObjectID>ProbID_1</ccr:CCRDataObjectID>
<ccr:DateTime>
<ccr:ApproximateDateTime>
<ccr:Text>12/22/2009</ccr:Text>
</ccr:ApproximateDateTime>
</ccr:DateTime>
<ccr:Type>
<ccr:Text>Diagnosis</ccr:Text>
</ccr:Type>
<ccr:Description>
<ccr:Text>Asthma, unspecified</ccr:Text>
<ccr:Code>
<ccr:Value>493.00</ccr:Value>
<ccr:CodingSystem>ICD9-CM</ccr:CodingSystem>
</ccr:Code>
<ccr:Code>
<ccr:Value>195967001</ccr:Value>
<ccr:CodingSystem>SNOMED CT</ccr:CodingSystem>
</ccr:Code>
</ccr:Description>
<ccr:Status>
<ccr:Text>Active</ccr:Text>
</ccr:Status>
<ccr:Source>
<ccr:Actor>
<ccr:ActorID>AuthorID_01</ccr:ActorID>
</ccr:Actor>
</ccr:Source>
</ccr:Problem>
<ccr:Problem>
<ccr:CCRDataObjectID>ProbID_2</ccr:CCRDataObjectID>
<ccr:DateTime>
<ccr:ApproximateDateTime>
<ccr:Text>08/10/2008</ccr:Text>
</ccr:ApproximateDateTime>
</ccr:DateTime>
<ccr:Type>
<ccr:Text>Finding</ccr:Text>
</ccr:Type>
<ccr:Description>
<ccr:Text>Diabetes Mellitus, Type 2</ccr:Text>
<ccr:Code>
<ccr:Value>250.02</ccr:Value>
<ccr:CodingSystem>ICD9-CM</ccr:CodingSystem>
</ccr:Code>
<ccr:Code>
<ccr:Value>44054006</ccr:Value>
<ccr:CodingSystem>SNOMED CT</ccr:CodingSystem>
</ccr:Code>
</ccr:Description>
<ccr:Status>
<ccr:Text>Active</ccr:Text>
</ccr:Status>
<ccr:Source>
<ccr:Actor>
<ccr:ActorID>AuthorID_01</ccr:ActorID>
</ccr:Actor>
</ccr:Source>
</ccr:Problem>
</ccr:Problems>
<ccr:Alerts>
<ccr:Alert>
<ccr:CCRDataObjectID>AlertID_1</ccr:CCRDataObjectID>
<ccr:DateTime>
<ccr:ApproximateDateTime>
<ccr:Text>6/27/02</ccr:Text>
</ccr:ApproximateDateTime>
</ccr:DateTime>
<ccr:Type>
<ccr:Text>Drug Allergy</ccr:Text>
<ccr:Code>
<ccr:Value>416098002</ccr:Value>
<ccr:CodingSystem>SNOMED CT</ccr:CodingSystem>
</ccr:Code>
</ccr:Type>
<ccr:Description>
<ccr:Text>Codeine allergy</ccr:Text>
<ccr:Code>
<ccr:Value>293597001</ccr:Value>
<ccr:CodingSystem>SNOMED CT</ccr:CodingSystem>
</ccr:Code>
</ccr:Description>
<ccr:Status>
<ccr:Text>Active</ccr:Text>
</ccr:Status>
<ccr:Source>
<ccr:Actor>
<ccr:ActorID>AuthorID_01</ccr:ActorID>
</ccr:Actor>
</ccr:Source>
<ccr:Agent>
<ccr:Products>
<ccr:Product>
<ccr:CCRDataObjectID/>
<ccr:Source/>
<ccr:Product>
<ccr:ProductName>
<ccr:Text>Codeine</ccr:Text>
<ccr:Code>
<ccr:Value>2670</ccr:Value>
<ccr:CodingSystem>RxNorm</ccr:CodingSystem>
</ccr:Code>
</ccr:ProductName>
</ccr:Product>
</ccr:Product>
</ccr:Products>
</ccr:Agent>
<ccr:Reaction>
<ccr:Description>
<ccr:Text>Hives, nausea</ccr:Text>
</ccr:Description>
</ccr:Reaction>
</ccr:Alert>
<ccr:Alert>
<ccr:CCRDataObjectID>AlertID_2</ccr:CCRDataObjectID>
<ccr:DateTime>
<ccr:ApproximateDateTime>
<ccr:Text>3/25/04</ccr:Text>
</ccr:ApproximateDateTime>
</ccr:DateTime>
<ccr:Type>
<ccr:Text>Drug Allergy</ccr:Text>
<ccr:Code>
<ccr:Value>416098002</ccr:Value>
<ccr:CodingSystem>SNOMED CT</ccr:CodingSystem>
</ccr:Code>
</ccr:Type>
<ccr:Description>
<ccr:Text>Indomethacin allergy</ccr:Text>
<ccr:Code>
<ccr:Value>293620004</ccr:Value>
<ccr:CodingSystem>SNOMED CT</ccr:CodingSystem>
</ccr:Code>
</ccr:Description>
<ccr:Status>
<ccr:Text>Active</ccr:Text>
</ccr:Status>
<ccr:Source>
<ccr:Actor>
<ccr:ActorID>AuthorID_01</ccr:ActorID>
</ccr:Actor>
</ccr:Source>
<ccr:Reaction>
<ccr:Description>
<ccr:Text>Nausea, dizziness, headache</ccr:Text>
</ccr:Description>
</ccr:Reaction>
</ccr:Alert>
</ccr:Alerts>
<ccr:Medications>
<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>
<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:Medication>
<ccr:CCRDataObjectID>MedID_01</ccr:CCRDataObjectID>
<ccr:DateTime>
<ccr:ApproximateDateTime>
<ccr:Text>09/16/2009</ccr:Text>
</ccr:ApproximateDateTime>
</ccr:DateTime>
<ccr:Status>
<ccr:Text>Active</ccr:Text>
</ccr:Status>
<ccr:Source>
<ccr:Actor>
<ccr:ActorID>AuthorID_01</ccr:ActorID>
</ccr:Actor>
</ccr:Source>
<ccr:Product>
<ccr:ProductName>
<ccr:Text>glyburide</ccr:Text>
<ccr:Code>
<ccr:Value>205875</ccr:Value>
<ccr:CodingSystem>RxNorm</ccr:CodingSystem>
</ccr:Code>
</ccr:ProductName>
<ccr:BrandName>
<ccr:Text>Diabeta</ccr:Text>
</ccr:BrandName>
<ccr:Strength>
<ccr:Value>2.5</ccr:Value>
<ccr:Units>
<ccr:Unit>mg</ccr:Unit>
</ccr:Units>
</ccr:Strength>
<ccr:Form>
<ccr:Text>Tablet</ccr:Text>
</ccr:Form>
</ccr:Product>
<ccr:Directions>
<ccr:Direction>
<ccr:Frequency>
<ccr:Value>1 tab Q AM PO</ccr:Value>
</ccr:Frequency>
</ccr:Direction>
</ccr:Directions>
<ccr:PatientInstructions>
<ccr:Instruction>
<ccr:Text>1 tablet by mouth every morning</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>12/2/2009</ccr:Text>
</ccr:ApproximateDateTime>
</ccr:DateTime>
<ccr:Type>
<ccr:Text>Chemistry</ccr:Text>
</ccr:Type>
<ccr:Description>
<ccr:Text>Fasting Blood Glucose</ccr:Text>
<ccr:Code>
<ccr:Value>14771-0</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>Fasting Blood Glucose</ccr:Text>
<ccr:Code>
<ccr:Value>14771-0</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>70</ccr:Value>
<ccr:Units>
<ccr:Unit>mg/dl</ccr:Unit>
</ccr:Units>
</ccr:TestResult>
<ccr:NormalResult>
<ccr:Normal>
<ccr:Value>70-100</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_02</ccr:CCRDataObjectID>
<ccr:DateTime>
<ccr:ApproximateDateTime>
<ccr:Text>9/16/09</ccr:Text>
</ccr:ApproximateDateTime>
</ccr:DateTime>
<ccr:Type>
<ccr:Text>Chemistry</ccr:Text>
</ccr:Type>
<ccr:Description>
<ccr:Text>Eosinophil Count</ccr:Text>
<ccr:Code>
<ccr:Value>26449-9</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>Eosinophil Count</ccr:Text>
<ccr:Code>
<ccr:Value>26449-9</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>2%</ccr:Value>
<ccr:Units>
<ccr:Unit>mg/dl</ccr:Unit>
</ccr:Units>
</ccr:TestResult>
<ccr:NormalResult>
<ccr:Normal>
<ccr:Value>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: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>Joseph</ccr:Given>
<ccr:Given></ccr:Given>
<ccr:Family>Rollo</ccr:Family>
</ccr:BirthName>
</ccr:Name>
<ccr:DateOfBirth>
<ccr:ExactDateTime>1984-12-28T11:20:00-05:00</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>9813450798</ccr:ID>
<ccr:IssuedBy>
<ccr:ActorID>ClinicID_01</ccr:ActorID>
<ccr:ActorRole>
<ccr:Text>Medical Record Number</ccr:Text>
</ccr:ActorRole>
</ccr:IssuedBy>
<ccr:Source/>
</ccr:IDs>
<ccr:Address>
<ccr:Line1>867 Juniper Street</ccr:Line1>
<ccr:City>Morton</ccr:City>
<ccr:State>IL</ccr:State>
<ccr:PostalCode>61550</ccr:PostalCode>
</ccr:Address>
<ccr:Telephone>
<ccr:Value>+1-309-377-8488</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>Metropolitan Clinic</ccr:Name>
</ccr:Organization>
<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:Source/>
</ccr:Actor>
</ccr:Actors>
</ccr:ContinuityOfCareRecord>