View source for CCR sample 2

back: [[CCR-CCD 1.1]]
[[Category:VistA Meaningful Use]]
 <nowiki>
<?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>
 </nowiki>