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| # | Location | File | Last Modified |
|---|---|---|---|
| 1 | C:\working_scrub\Unredacted\VAP Code Base\VAP_Bld2_Source_Code_CIF_2017-02-14\nvap-web\src\main\resources\gov\va\nvap\mock\report\sampleExportSQA\20170112\Western New York HealtheLink | 374225_C32_20161206.xml | Thu Jan 12 19:48:46 2017 UTC |
| 2 | eHX-CIF.zip\eHX-CIF\VAP Code Base\VAP_Bld2_Source_Code_CIF_2017-02-14\nvap-web\src\main\resources\gov\va\nvap\mock\report\sampleExportSQA\20170112\Western New York HealtheLink | 374225_C32_20161206.xml | Mon Apr 3 14:18:47 2017 UTC |
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| Character case | Differences in character case are significant |
| Line endings | Differences in line endings (CR and LF characters) are ignored |
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| 2 | version="1 .0" | |
| 3 | encoding=" UTF-8" | |
| 4 | ?> | |
| 5 | <ClinicalD ocument | |
| 6 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 7 | xmlns="urn :hl7-org:v 3" | |
| 8 | xmlns:sdtc ="urn:hl7- org:sdtc" | |
| 9 | xsi:schema Location=" urn:hl7-or g:v3 http: //hit-test ing.nist.g ov:11080/h itspValida tion/schem a/cdar2c32 /infrastru cture/cda/ C32_CDA.xs d" | |
| 10 | > | |
| 11 | ||
| 12 | <realmCode | |
| 13 | code="US" | |
| 14 | /> | |
| 15 | ||
| 16 | <typeId | |
| 17 | root="2.16 .840.1.113 883.1.3" | |
| 18 | extension= "POCD_HD00 0040" | |
| 19 | /> | |
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| 50 | Summarizat ion Of Epi sode | |
| 51 | </title> | |
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| 91 | 1500 Test Street | |
| 92 | </streetAd dressLine> | |
| 93 | <city> | |
| 94 | Helena | |
| 95 | </city> | |
| 96 | <state> | |
| 97 | AL | |
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| 99 | <postalCod e> | |
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| 104 | </country> | |
| 105 | </addr> | |
| 106 | ||
| 107 | <telecom | |
| 108 | value="tel :+1(205)-1 11-5555" | |
| 109 | use="HP" | |
| 110 | /> | |
| 111 | ||
| 112 | <patient> | |
| 113 | ||
| 114 | <name> | |
| 115 | <family> | |
| 116 | NWHINZZZTE STPATIENT | |
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| 141 | </administ rativeGend erCode> | |
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| 143 | <birthTime | |
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| 196 | > | |
| 197 | ||
| 198 | <originalT ext> | |
| 199 | NOT HISPAN IC OR LATI NO | |
| 200 | </original Text> | |
| 201 | ||
| 202 | <translati on | |
| 203 | code="2186 -5" | |
| 204 | codeSystem ="2.16.840 .1.113883. 6.238" | |
| 205 | codeSystem Name="CDC Race and E thnicity" | |
| 206 | displayNam e="Not His panic Or L atino" | |
| 207 | /> | |
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| 210 | ||
| 211 | <birthplac e> | |
| 212 | ||
| 213 | <place> | |
| 214 | ||
| 215 | <addr> | |
| 216 | <state> | |
| 217 | MA | |
| 218 | </state> | |
| 219 | </addr> | |
| 220 | ||
| 221 | </place> | |
| 222 | ||
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| 232 | <templateI d | |
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| 234 | assigningA uthorityNa me="HITSP C83" | |
| 235 | /> | |
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| 238 | code="eng" | |
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| 241 | <preferenc eInd | |
| 242 | value="tru e" | |
| 243 | /> | |
| 244 | ||
| 245 | </language Communicat ion> | |
| 246 | ||
| 247 | </patient> | |
| 248 | ||
| 249 | </patientR ole> | |
| 250 | ||
| 251 | </recordTa rget> | |
| 252 | ||
| 253 | <author> | |
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| 256 | value="201 6120615161 6-0500" | |
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| 267 | nullFlavor ="UNK" | |
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| 270 | <telecom | |
| 271 | nullFlavor ="UNK" | |
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| 274 | <assignedP erson> | |
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| 302 | ||
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| 308 | ||
| 309 | <time | |
| 310 | value="201 6120615161 6-0500" | |
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| 325 | nullFlavor ="UNK" | |
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| 339 | root="2.25 .256133121 4422665471 9893174735 5024016667 .1.2.1" | |
| 340 | extension= "HEL" | |
| 341 | /> | |
| 342 | ||
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| 344 | HEALTHeLIN K | |
| 345 | </name> | |
| 346 | ||
| 347 | <telecom | |
| 348 | nullFlavor ="UNK" | |
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| 350 | ||
| 351 | <addr | |
| 352 | nullFlavor ="UNK" | |
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| 369 | extension= "HEL" | |
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| 371 | ||
| 372 | <name> | |
| 373 | HEALTHeLIN K | |
| 374 | </name> | |
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| 376 | <telecom | |
| 377 | nullFlavor ="UNK" | |
| 378 | /> | |
| 379 | ||
| 380 | <addr | |
| 381 | nullFlavor ="UNK" | |
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| 383 | ||
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| 400 | <low | |
| 401 | value="201 1102500000 0-0400" | |
| 402 | /> | |
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| 405 | value="201 3082800000 0-0400" | |
| 406 | /> | |
| 407 | ||
| 408 | </effectiv eTime> | |
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| 410 | </serviceE vent> | |
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| 413 | ||
| 414 | <component > | |
| 415 | ||
| 416 | <structure dBody> | |
| 417 | ||
| 418 | <component > | |
| 419 | ||
| 420 | <section> | |
| 421 | ||
| 422 | <templateI d | |
| 423 | root="2.16 .840.1.113 883.3.2591 .10.1.1" | |
| 424 | /> | |
| 425 | ||
| 426 | <title> | |
| 427 | Re-disclos ure Warnin g | |
| 428 | </title> | |
| 429 | ||
| 430 | <text> | |
| 431 | The record s that you are about to access may conta in informa tion from federally- assisted a lcohol or drug abuse programs. If such i nformation is presen t, then th e followin g federall y mandated warning a pplies: Th is informa tion has b een disclo sed to you from reco rds protec ted by Fed eral confi dentiality rules (42 CFR part 2). The Fe deral rule s prohibit you from making any further d isclosure of this in formation unless fur ther discl osure is e xpressly p ermitted b y the writ ten consen t of the p erson to w hom it per tains or a s otherwis e permitte d by 42 CF R part 2. A general authorizat ion for th e release of medical or other informatio n is NOT s ufficient for this p urpose. Th e Federal rules rest rict any u se of the informatio n to crimi nally inve stigate or prosecute any alcoh ol or drug abuse pat ient. The records th at you are about to access may contain H IV/AIDS IN FORMATION, which is protected under the Article 27 -F of the NY Public Health Law . Re-discl osure of t his inform ation is s ubject NY State and other laws and regul ations, wi th which y ou must co mply. The records th at you are about to access may contain i nformation from faci lities lic ensed or o perated by the New Y ork State Office of Mental Hea lth or the New York State Offi ce for Peo ple With D evelopment al Disabil ities. Re- disclosure of this i nformation is subjec t NY State Mental Hy giene Sect ion 33.13 and other laws and r egulations , with whi ch you mus t comply. | |
| 432 | </text> | |
| 433 | ||
| 434 | </section> | |
| 435 | ||
| 436 | </componen t> | |
| 437 | ||
| 438 | <component > | |
| 439 | ||
| 440 | <section> | |
| 441 | ||
| 442 | <templateI d | |
| 443 | root="2.16 .840.1.113 883.3.88.1 1.83.125" | |
| 444 | /> | |
| 445 | ||
| 446 | <templateI d | |
| 447 | root="2.16 .840.1.113 883. IP " | |
| 448 | /> | |
| 449 | ||
| 450 | <templateI d | |
| 451 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.3.14" | |
| 452 | /> | |
| 453 | ||
| 454 | <code | |
| 455 | code="1015 7-6" | |
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| 457 | codeSystem Name="LOIN C" | |
| 458 | displayNam e="History of family member di seases" | |
| 459 | /> | |
| 460 | ||
| 461 | <title> | |
| 462 | Family His tory | |
| 463 | </title> | |
| 464 | ||
| 465 | <text> | |
| 466 | <table | |
| 467 | border="1" | |
| 468 | width="100 %" | |
| 469 | > | |
| 470 | <thead> | |
| 471 | <tr> | |
| 472 | <th> | |
| 473 | Family Mem ber Name | |
| 474 | </th> | |
| 475 | <th> | |
| 476 | Family Mem ber Gender | |
| 477 | </th> | |
| 478 | <th> | |
| 479 | Family Mem ber Status | |
| 480 | </th> | |
| 481 | <th> | |
| 482 | Date of St atus | |
| 483 | </th> | |
| 484 | <th> | |
| 485 | Data Sourc e(s) | |
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| 487 | </tr> | |
| 488 | </thead> | |
| 489 | <tbody> | |
| 490 | <tr> | |
| 491 | <td> | |
| 492 | <content> | |
| 493 | Unknown | |
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| 498 | Male | |
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| 501 | <td> | |
| 502 | <content> | |
| 503 | Problem (f inding) | |
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| 516 | <td> | |
| 517 | <content> | |
| 518 | Unknown | |
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| 523 | Female | |
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| 527 | <content> | |
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| 603 | Problem (f inding) | |
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| 656 | <td> | |
| 657 | <content/> | |
| 658 | </td> | |
| 659 | <td> | |
| 660 | <content> | |
| 661 | ECMC | |
| 662 | </content> | |
| 663 | </td> | |
| 664 | </tr> | |
| 665 | <tr> | |
| 666 | <td> | |
| 667 | <content> | |
| 668 | Unknown | |
| 669 | </content> | |
| 670 | </td> | |
| 671 | <td> | |
| 672 | <content> | |
| 673 | Male | |
| 674 | </content> | |
| 675 | </td> | |
| 676 | <td> | |
| 677 | <content> | |
| 678 | Problem (f inding) | |
| 679 | </content> | |
| 680 | </td> | |
| 681 | <td> | |
| 682 | <content/> | |
| 683 | </td> | |
| 684 | <td> | |
| 685 | <content> | |
| 686 | ECMC | |
| 687 | </content> | |
| 688 | </td> | |
| 689 | </tr> | |
| 690 | </tbody> | |
| 691 | </table> | |
| 692 | </text> | |
| 693 | ||
| 694 | <entry> | |
| 695 | ||
| 696 | <organizer | |
| 697 | classCode= "CLUSTER" | |
| 698 | moodCode=" EVN" | |
| 699 | > | |
| 700 | ||
| 701 | <templateI d | |
| 702 | root="2.16 .840.1.113 883.3.88.1 1.83.18" | |
| 703 | /> | |
| 704 | ||
| 705 | <templateI d | |
| 706 | root="2.16 .840.1.113 883. IP " | |
| 707 | /> | |
| 708 | ||
| 709 | <templateI d | |
| 710 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.15" | |
| 711 | /> | |
| 712 | ||
| 713 | <code | |
| 714 | codeSystem ="2.16.840 .1.113883. 5.111" | |
| 715 | codeSystem Name="Role Code" | |
| 716 | /> | |
| 717 | ||
| 718 | <statusCod e | |
| 719 | code="comp leted" | |
| 720 | /> | |
| 721 | ||
| 722 | <subject> | |
| 723 | ||
| 724 | <relatedSu bject | |
| 725 | classCode= "PRS" | |
| 726 | > | |
| 727 | ||
| 728 | <code | |
| 729 | code="FTH" | |
| 730 | codeSystem ="2.16.840 .1.113883. 11" | |
| 731 | codeSystem Name="HL7 v2.6" | |
| 732 | displayNam e="Father" | |
| 733 | > | |
| 734 | ||
| 735 | <originalT ext> | |
| 736 | Father | |
| 737 | </original Text> | |
| 738 | ||
| 739 | <translati on | |
| 740 | code="FTH" | |
| 741 | codeSystem ="2.16.840 .1.113883. 5.111" | |
| 742 | codeSystem Name="Role Code" | |
| 743 | displayNam e="Father" | |
| 744 | /> | |
| 745 | ||
| 746 | </code> | |
| 747 | ||
| 748 | <subject> | |
| 749 | ||
| 750 | <name> | |
| 751 | <family> | |
| 752 | Unknown | |
| 753 | </family> | |
| 754 | </name> | |
| 755 | ||
| 756 | <administr ativeGende rCode | |
| 757 | code="M" | |
| 758 | codeSystem ="2.16.840 .1.113883. 5.1" | |
| 759 | codeSystem Name="Admi nistrative Gender" | |
| 760 | displayNam e="Male" | |
| 761 | > | |
| 762 | ||
| 763 | <originalT ext> | |
| 764 | Male | |
| 765 | </original Text> | |
| 766 | ||
| 767 | <translati on | |
| 768 | code="M" | |
| 769 | codeSystem ="2.16.840 .1.113883. 5.1" | |
| 770 | codeSystem Name="Admi nistrative GenderCode " | |
| 771 | displayNam e="Male" | |
| 772 | /> | |
| 773 | ||
| 774 | </administ rativeGend erCode> | |
| 775 | ||
| 776 | <birthTime | |
| 777 | nullFlavor ="UNK" | |
| 778 | /> | |
| 779 | ||
| 780 | <sdtc:id | |
| 781 | nullFlavor ="UNK" | |
| 782 | /> | |
| 783 | ||
| 784 | </subject> | |
| 785 | ||
| 786 | </relatedS ubject> | |
| 787 | ||
| 788 | </subject> | |
| 789 | ||
| 790 | <component > | |
| 791 | ||
| 792 | <observati on | |
| 793 | classCode= "OBS" | |
| 794 | moodCode=" EVN" | |
| 795 | > | |
| 796 | ||
| 797 | <templateI d | |
| 798 | root="2.16 .840.1.113 883. IP " | |
| 799 | /> | |
| 800 | ||
| 801 | <templateI d | |
| 802 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.13.3" | |
| 803 | /> | |
| 804 | ||
| 805 | <templateI d | |
| 806 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.13" | |
| 807 | /> | |
| 808 | ||
| 809 | <id | |
| 810 | root="G317 987" | |
| 811 | /> | |
| 812 | ||
| 813 | <code | |
| 814 | code="ASSE RTION" | |
| 815 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 816 | codeSystem Name="ActC ode" | |
| 817 | /> | |
| 818 | ||
| 819 | <text> | |
| 820 | <reference | |
| 821 | value="" | |
| 822 | /> | |
| 823 | </text> | |
| 824 | ||
| 825 | <statusCod e | |
| 826 | code="comp leted" | |
| 827 | /> | |
| 828 | ||
| 829 | <effective Time | |
| 830 | nullFlavor ="UNK" | |
| 831 | /> | |
| 832 | ||
| 833 | <value | |
| 834 | xsi:type=" CD" | |
| 835 | code="5560 7006" | |
| 836 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 837 | codeSystem Name="SNOM ED" | |
| 838 | displayNam e="Problem (finding) " | |
| 839 | > | |
| 840 | ||
| 841 | <translati on | |
| 842 | code="5560 7006" | |
| 843 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 844 | codeSystem Name="SNOM ED CT" | |
| 845 | displayNam e="Problem " | |
| 846 | /> | |
| 847 | ||
| 848 | </value> | |
| 849 | ||
| 850 | <author> | |
| 851 | ||
| 852 | <time | |
| 853 | nullFlavor ="UNK" | |
| 854 | /> | |
| 855 | ||
| 856 | <assignedA uthor> | |
| 857 | ||
| 858 | <id | |
| 859 | nullFlavor ="UNK" | |
| 860 | /> | |
| 861 | ||
| 862 | <addr | |
| 863 | nullFlavor ="UNK" | |
| 864 | /> | |
| 865 | ||
| 866 | <telecom | |
| 867 | nullFlavor ="UNK" | |
| 868 | /> | |
| 869 | ||
| 870 | <assignedP erson> | |
| 871 | ||
| 872 | <name | |
| 873 | nullFlavor ="NA" | |
| 874 | /> | |
| 875 | ||
| 876 | </assigned Person> | |
| 877 | ||
| 878 | </assigned Author> | |
| 879 | ||
| 880 | </author> | |
| 881 | ||
| 882 | <informant > | |
| 883 | ||
| 884 | <assignedE ntity> | |
| 885 | ||
| 886 | <id | |
| 887 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 888 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 889 | /> | |
| 890 | ||
| 891 | <addr | |
| 892 | nullFlavor ="UNK" | |
| 893 | /> | |
| 894 | ||
| 895 | <telecom | |
| 896 | nullFlavor ="UNK" | |
| 897 | /> | |
| 898 | ||
| 899 | <assignedP erson> | |
| 900 | ||
| 901 | <name | |
| 902 | nullFlavor ="UNK" | |
| 903 | /> | |
| 904 | ||
| 905 | </assigned Person> | |
| 906 | ||
| 907 | <represent edOrganiza tion> | |
| 908 | ||
| 909 | <id | |
| 910 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 911 | extension= "ECMC" | |
| 912 | /> | |
| 913 | ||
| 914 | <name> | |
| 915 | ECMC | |
| 916 | </name> | |
| 917 | ||
| 918 | <telecom | |
| 919 | nullFlavor ="UNK" | |
| 920 | /> | |
| 921 | ||
| 922 | <addr | |
| 923 | nullFlavor ="UNK" | |
| 924 | /> | |
| 925 | ||
| 926 | </represen tedOrganiz ation> | |
| 927 | ||
| 928 | </assigned Entity> | |
| 929 | ||
| 930 | </informan t> | |
| 931 | ||
| 932 | </observat ion> | |
| 933 | ||
| 934 | </componen t> | |
| 935 | ||
| 936 | </organize r> | |
| 937 | ||
| 938 | </entry> | |
| 939 | ||
| 940 | <entry> | |
| 941 | ||
| 942 | <organizer | |
| 943 | classCode= "CLUSTER" | |
| 944 | moodCode=" EVN" | |
| 945 | > | |
| 946 | ||
| 947 | <templateI d | |
| 948 | root="2.16 .840.1.113 883.3.88.1 1.83.18" | |
| 949 | /> | |
| 950 | ||
| 951 | <templateI d | |
| 952 | root="2.16 .840.1.113 883. IP " | |
| 953 | /> | |
| 954 | ||
| 955 | <templateI d | |
| 956 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.15" | |
| 957 | /> | |
| 958 | ||
| 959 | <code | |
| 960 | codeSystem ="2.16.840 .1.113883. 5.111" | |
| 961 | codeSystem Name="Role Code" | |
| 962 | /> | |
| 963 | ||
| 964 | <statusCod e | |
| 965 | code="comp leted" | |
| 966 | /> | |
| 967 | ||
| 968 | <subject> | |
| 969 | ||
| 970 | <relatedSu bject | |
| 971 | classCode= "PRS" | |
| 972 | > | |
| 973 | ||
| 974 | <code | |
| 975 | code="MTH" | |
| 976 | codeSystem ="2.16.840 .1.113883. 11" | |
| 977 | codeSystem Name="HL7 v2.6" | |
| 978 | displayNam e="Mother" | |
| 979 | > | |
| 980 | ||
| 981 | <originalT ext> | |
| 982 | Mother | |
| 983 | </original Text> | |
| 984 | ||
| 985 | <translati on | |
| 986 | code="MTH" | |
| 987 | codeSystem ="2.16.840 .1.113883. 5.111" | |
| 988 | codeSystem Name="Role Code" | |
| 989 | displayNam e="Mother" | |
| 990 | /> | |
| 991 | ||
| 992 | </code> | |
| 993 | ||
| 994 | <subject> | |
| 995 | ||
| 996 | <name> | |
| 997 | <family> | |
| 998 | Unknown | |
| 999 | </family> | |
| 1000 | </name> | |
| 1001 | ||
| 1002 | <administr ativeGende rCode | |
| 1003 | code="F" | |
| 1004 | codeSystem ="2.16.840 .1.113883. 5.1" | |
| 1005 | codeSystem Name="Admi nistrative Gender" | |
| 1006 | displayNam e="Female" | |
| 1007 | > | |
| 1008 | ||
| 1009 | <originalT ext> | |
| 1010 | Female | |
| 1011 | </original Text> | |
| 1012 | ||
| 1013 | <translati on | |
| 1014 | code="F" | |
| 1015 | codeSystem ="2.16.840 .1.113883. 5.1" | |
| 1016 | codeSystem Name="Admi nistrative GenderCode " | |
| 1017 | displayNam e="Female" | |
| 1018 | /> | |
| 1019 | ||
| 1020 | </administ rativeGend erCode> | |
| 1021 | ||
| 1022 | <birthTime | |
| 1023 | nullFlavor ="UNK" | |
| 1024 | /> | |
| 1025 | ||
| 1026 | <sdtc:id | |
| 1027 | nullFlavor ="UNK" | |
| 1028 | /> | |
| 1029 | ||
| 1030 | </subject> | |
| 1031 | ||
| 1032 | </relatedS ubject> | |
| 1033 | ||
| 1034 | </subject> | |
| 1035 | ||
| 1036 | <component > | |
| 1037 | ||
| 1038 | <observati on | |
| 1039 | classCode= "OBS" | |
| 1040 | moodCode=" EVN" | |
| 1041 | > | |
| 1042 | ||
| 1043 | <templateI d | |
| 1044 | root="2.16 .840.1.113 883. IP " | |
| 1045 | /> | |
| 1046 | ||
| 1047 | <templateI d | |
| 1048 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.13.3" | |
| 1049 | /> | |
| 1050 | ||
| 1051 | <templateI d | |
| 1052 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.13" | |
| 1053 | /> | |
| 1054 | ||
| 1055 | <id | |
| 1056 | root="G317 988" | |
| 1057 | /> | |
| 1058 | ||
| 1059 | <code | |
| 1060 | code="ASSE RTION" | |
| 1061 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 1062 | codeSystem Name="ActC ode" | |
| 1063 | /> | |
| 1064 | ||
| 1065 | <text> | |
| 1066 | <reference | |
| 1067 | value="" | |
| 1068 | /> | |
| 1069 | </text> | |
| 1070 | ||
| 1071 | <statusCod e | |
| 1072 | code="comp leted" | |
| 1073 | /> | |
| 1074 | ||
| 1075 | <effective Time | |
| 1076 | nullFlavor ="UNK" | |
| 1077 | /> | |
| 1078 | ||
| 1079 | <value | |
| 1080 | xsi:type=" CD" | |
| 1081 | code="5560 7006" | |
| 1082 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 1083 | codeSystem Name="SNOM ED" | |
| 1084 | displayNam e="Problem (finding) " | |
| 1085 | > | |
| 1086 | ||
| 1087 | <translati on | |
| 1088 | code="5560 7006" | |
| 1089 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 1090 | codeSystem Name="SNOM ED CT" | |
| 1091 | displayNam e="Problem " | |
| 1092 | /> | |
| 1093 | ||
| 1094 | </value> | |
| 1095 | ||
| 1096 | <author> | |
| 1097 | ||
| 1098 | <time | |
| 1099 | nullFlavor ="UNK" | |
| 1100 | /> | |
| 1101 | ||
| 1102 | <assignedA uthor> | |
| 1103 | ||
| 1104 | <id | |
| 1105 | nullFlavor ="UNK" | |
| 1106 | /> | |
| 1107 | ||
| 1108 | <addr | |
| 1109 | nullFlavor ="UNK" | |
| 1110 | /> | |
| 1111 | ||
| 1112 | <telecom | |
| 1113 | nullFlavor ="UNK" | |
| 1114 | /> | |
| 1115 | ||
| 1116 | <assignedP erson> | |
| 1117 | ||
| 1118 | <name | |
| 1119 | nullFlavor ="NA" | |
| 1120 | /> | |
| 1121 | ||
| 1122 | </assigned Person> | |
| 1123 | ||
| 1124 | </assigned Author> | |
| 1125 | ||
| 1126 | </author> | |
| 1127 | ||
| 1128 | <informant > | |
| 1129 | ||
| 1130 | <assignedE ntity> | |
| 1131 | ||
| 1132 | <id | |
| 1133 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 1134 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 1135 | /> | |
| 1136 | ||
| 1137 | <addr | |
| 1138 | nullFlavor ="UNK" | |
| 1139 | /> | |
| 1140 | ||
| 1141 | <telecom | |
| 1142 | nullFlavor ="UNK" | |
| 1143 | /> | |
| 1144 | ||
| 1145 | <assignedP erson> | |
| 1146 | ||
| 1147 | <name | |
| 1148 | nullFlavor ="UNK" | |
| 1149 | /> | |
| 1150 | ||
| 1151 | </assigned Person> | |
| 1152 | ||
| 1153 | <represent edOrganiza tion> | |
| 1154 | ||
| 1155 | <id | |
| 1156 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 1157 | extension= "ECMC" | |
| 1158 | /> | |
| 1159 | ||
| 1160 | <name> | |
| 1161 | ECMC | |
| 1162 | </name> | |
| 1163 | ||
| 1164 | <telecom | |
| 1165 | nullFlavor ="UNK" | |
| 1166 | /> | |
| 1167 | ||
| 1168 | <addr | |
| 1169 | nullFlavor ="UNK" | |
| 1170 | /> | |
| 1171 | ||
| 1172 | </represen tedOrganiz ation> | |
| 1173 | ||
| 1174 | </assigned Entity> | |
| 1175 | ||
| 1176 | </informan t> | |
| 1177 | ||
| 1178 | </observat ion> | |
| 1179 | ||
| 1180 | </componen t> | |
| 1181 | ||
| 1182 | </organize r> | |
| 1183 | ||
| 1184 | </entry> | |
| 1185 | ||
| 1186 | <entry> | |
| 1187 | ||
| 1188 | <organizer | |
| 1189 | classCode= "CLUSTER" | |
| 1190 | moodCode=" EVN" | |
| 1191 | > | |
| 1192 | ||
| 1193 | <templateI d | |
| 1194 | root="2.16 .840.1.113 883.3.88.1 1.83.18" | |
| 1195 | /> | |
| 1196 | ||
| 1197 | <templateI d | |
| 1198 | root="2.16 .840.1.113 883. IP " | |
| 1199 | /> | |
| 1200 | ||
| 1201 | <templateI d | |
| 1202 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.15" | |
| 1203 | /> | |
| 1204 | ||
| 1205 | <code | |
| 1206 | codeSystem ="2.16.840 .1.113883. 5.111" | |
| 1207 | codeSystem Name="Role Code" | |
| 1208 | /> | |
| 1209 | ||
| 1210 | <statusCod e | |
| 1211 | code="comp leted" | |
| 1212 | /> | |
| 1213 | ||
| 1214 | <subject> | |
| 1215 | ||
| 1216 | <relatedSu bject | |
| 1217 | classCode= "PRS" | |
| 1218 | > | |
| 1219 | ||
| 1220 | <code | |
| 1221 | code="FM" | |
| 1222 | codeSystem ="2.16.840 .1.113883. 5.111" | |
| 1223 | codeSystem Name="Role Code" | |
| 1224 | displayNam e="Number of Grandch ildren" | |
| 1225 | /> | |
| 1226 | ||
| 1227 | <subject> | |
| 1228 | ||
| 1229 | <name> | |
| 1230 | <family> | |
| 1231 | Unknown | |
| 1232 | </family> | |
| 1233 | </name> | |
| 1234 | ||
| 1235 | <administr ativeGende rCode | |
| 1236 | code="U" | |
| 1237 | codeSystem ="2.16.840 .1.113883. 5.1" | |
| 1238 | codeSystem Name="Admi nistrative Gender" | |
| 1239 | displayNam e="Unknown " | |
| 1240 | > | |
| 1241 | ||
| 1242 | <originalT ext> | |
| 1243 | Unknown | |
| 1244 | </original Text> | |
| 1245 | ||
| 1246 | <translati on | |
| 1247 | code="UN" | |
| 1248 | codeSystem ="2.16.840 .1.113883. 5.1" | |
| 1249 | codeSystem Name="Admi nistrative GenderCode " | |
| 1250 | displayNam e="Unknown " | |
| 1251 | /> | |
| 1252 | ||
| 1253 | </administ rativeGend erCode> | |
| 1254 | ||
| 1255 | <birthTime | |
| 1256 | nullFlavor ="UNK" | |
| 1257 | /> | |
| 1258 | ||
| 1259 | <sdtc:id | |
| 1260 | nullFlavor ="UNK" | |
| 1261 | /> | |
| 1262 | ||
| 1263 | </subject> | |
| 1264 | ||
| 1265 | </relatedS ubject> | |
| 1266 | ||
| 1267 | </subject> | |
| 1268 | ||
| 1269 | <component > | |
| 1270 | ||
| 1271 | <observati on | |
| 1272 | classCode= "OBS" | |
| 1273 | moodCode=" EVN" | |
| 1274 | > | |
| 1275 | ||
| 1276 | <templateI d | |
| 1277 | root="2.16 .840.1.113 883. IP " | |
| 1278 | /> | |
| 1279 | ||
| 1280 | <templateI d | |
| 1281 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.13.3" | |
| 1282 | /> | |
| 1283 | ||
| 1284 | <templateI d | |
| 1285 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.13" | |
| 1286 | /> | |
| 1287 | ||
| 1288 | <id | |
| 1289 | root="I138 " | |
| 1290 | /> | |
| 1291 | ||
| 1292 | <code | |
| 1293 | code="ASSE RTION" | |
| 1294 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 1295 | codeSystem Name="ActC ode" | |
| 1296 | /> | |
| 1297 | ||
| 1298 | <text> | |
| 1299 | <reference | |
| 1300 | value="" | |
| 1301 | /> | |
| 1302 | </text> | |
| 1303 | ||
| 1304 | <statusCod e | |
| 1305 | code="comp leted" | |
| 1306 | /> | |
| 1307 | ||
| 1308 | <effective Time | |
| 1309 | nullFlavor ="UNK" | |
| 1310 | /> | |
| 1311 | ||
| 1312 | <value | |
| 1313 | xsi:type=" CD" | |
| 1314 | code="5560 7006" | |
| 1315 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 1316 | codeSystem Name="SNOM ED" | |
| 1317 | displayNam e="Problem (finding) " | |
| 1318 | > | |
| 1319 | ||
| 1320 | <translati on | |
| 1321 | code="5560 7006" | |
| 1322 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 1323 | codeSystem Name="SNOM ED CT" | |
| 1324 | displayNam e="Problem " | |
| 1325 | /> | |
| 1326 | ||
| 1327 | </value> | |
| 1328 | ||
| 1329 | <author> | |
| 1330 | ||
| 1331 | <time | |
| 1332 | nullFlavor ="UNK" | |
| 1333 | /> | |
| 1334 | ||
| 1335 | <assignedA uthor> | |
| 1336 | ||
| 1337 | <id | |
| 1338 | nullFlavor ="UNK" | |
| 1339 | /> | |
| 1340 | ||
| 1341 | <addr | |
| 1342 | nullFlavor ="UNK" | |
| 1343 | /> | |
| 1344 | ||
| 1345 | <telecom | |
| 1346 | nullFlavor ="UNK" | |
| 1347 | /> | |
| 1348 | ||
| 1349 | <assignedP erson> | |
| 1350 | ||
| 1351 | <name | |
| 1352 | nullFlavor ="NA" | |
| 1353 | /> | |
| 1354 | ||
| 1355 | </assigned Person> | |
| 1356 | ||
| 1357 | </assigned Author> | |
| 1358 | ||
| 1359 | </author> | |
| 1360 | ||
| 1361 | <informant > | |
| 1362 | ||
| 1363 | <assignedE ntity> | |
| 1364 | ||
| 1365 | <id | |
| 1366 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 1367 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 1368 | /> | |
| 1369 | ||
| 1370 | <addr | |
| 1371 | nullFlavor ="UNK" | |
| 1372 | /> | |
| 1373 | ||
| 1374 | <telecom | |
| 1375 | nullFlavor ="UNK" | |
| 1376 | /> | |
| 1377 | ||
| 1378 | <assignedP erson> | |
| 1379 | ||
| 1380 | <name | |
| 1381 | nullFlavor ="UNK" | |
| 1382 | /> | |
| 1383 | ||
| 1384 | </assigned Person> | |
| 1385 | ||
| 1386 | <represent edOrganiza tion> | |
| 1387 | ||
| 1388 | <id | |
| 1389 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 1390 | extension= "ECMC" | |
| 1391 | /> | |
| 1392 | ||
| 1393 | <name> | |
| 1394 | ECMC | |
| 1395 | </name> | |
| 1396 | ||
| 1397 | <telecom | |
| 1398 | nullFlavor ="UNK" | |
| 1399 | /> | |
| 1400 | ||
| 1401 | <addr | |
| 1402 | nullFlavor ="UNK" | |
| 1403 | /> | |
| 1404 | ||
| 1405 | </represen tedOrganiz ation> | |
| 1406 | ||
| 1407 | </assigned Entity> | |
| 1408 | ||
| 1409 | </informan t> | |
| 1410 | ||
| 1411 | </observat ion> | |
| 1412 | ||
| 1413 | </componen t> | |
| 1414 | ||
| 1415 | <component > | |
| 1416 | ||
| 1417 | <observati on | |
| 1418 | classCode= "OBS" | |
| 1419 | moodCode=" EVN" | |
| 1420 | > | |
| 1421 | ||
| 1422 | <templateI d | |
| 1423 | root="2.16 .840.1.113 883. IP " | |
| 1424 | /> | |
| 1425 | ||
| 1426 | <templateI d | |
| 1427 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.13.3" | |
| 1428 | /> | |
| 1429 | ||
| 1430 | <templateI d | |
| 1431 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.13" | |
| 1432 | /> | |
| 1433 | ||
| 1434 | <id | |
| 1435 | root="I63" | |
| 1436 | /> | |
| 1437 | ||
| 1438 | <code | |
| 1439 | code="ASSE RTION" | |
| 1440 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 1441 | codeSystem Name="ActC ode" | |
| 1442 | /> | |
| 1443 | ||
| 1444 | <text> | |
| 1445 | <reference | |
| 1446 | value="" | |
| 1447 | /> | |
| 1448 | </text> | |
| 1449 | ||
| 1450 | <statusCod e | |
| 1451 | code="comp leted" | |
| 1452 | /> | |
| 1453 | ||
| 1454 | <effective Time | |
| 1455 | nullFlavor ="UNK" | |
| 1456 | /> | |
| 1457 | ||
| 1458 | <value | |
| 1459 | xsi:type=" CD" | |
| 1460 | code="5560 7006" | |
| 1461 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 1462 | codeSystem Name="SNOM ED" | |
| 1463 | displayNam e="Problem (finding) " | |
| 1464 | > | |
| 1465 | ||
| 1466 | <translati on | |
| 1467 | code="5560 7006" | |
| 1468 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 1469 | codeSystem Name="SNOM ED CT" | |
| 1470 | displayNam e="Problem " | |
| 1471 | /> | |
| 1472 | ||
| 1473 | </value> | |
| 1474 | ||
| 1475 | <author> | |
| 1476 | ||
| 1477 | <time | |
| 1478 | nullFlavor ="UNK" | |
| 1479 | /> | |
| 1480 | ||
| 1481 | <assignedA uthor> | |
| 1482 | ||
| 1483 | <id | |
| 1484 | nullFlavor ="UNK" | |
| 1485 | /> | |
| 1486 | ||
| 1487 | <addr | |
| 1488 | nullFlavor ="UNK" | |
| 1489 | /> | |
| 1490 | ||
| 1491 | <telecom | |
| 1492 | nullFlavor ="UNK" | |
| 1493 | /> | |
| 1494 | ||
| 1495 | <assignedP erson> | |
| 1496 | ||
| 1497 | <name | |
| 1498 | nullFlavor ="NA" | |
| 1499 | /> | |
| 1500 | ||
| 1501 | </assigned Person> | |
| 1502 | ||
| 1503 | </assigned Author> | |
| 1504 | ||
| 1505 | </author> | |
| 1506 | ||
| 1507 | <informant > | |
| 1508 | ||
| 1509 | <assignedE ntity> | |
| 1510 | ||
| 1511 | <id | |
| 1512 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 1513 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 1514 | /> | |
| 1515 | ||
| 1516 | <addr | |
| 1517 | nullFlavor ="UNK" | |
| 1518 | /> | |
| 1519 | ||
| 1520 | <telecom | |
| 1521 | nullFlavor ="UNK" | |
| 1522 | /> | |
| 1523 | ||
| 1524 | <assignedP erson> | |
| 1525 | ||
| 1526 | <name | |
| 1527 | nullFlavor ="UNK" | |
| 1528 | /> | |
| 1529 | ||
| 1530 | </assigned Person> | |
| 1531 | ||
| 1532 | <represent edOrganiza tion> | |
| 1533 | ||
| 1534 | <id | |
| 1535 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 1536 | extension= "ECMC" | |
| 1537 | /> | |
| 1538 | ||
| 1539 | <name> | |
| 1540 | ECMC | |
| 1541 | </name> | |
| 1542 | ||
| 1543 | <telecom | |
| 1544 | nullFlavor ="UNK" | |
| 1545 | /> | |
| 1546 | ||
| 1547 | <addr | |
| 1548 | nullFlavor ="UNK" | |
| 1549 | /> | |
| 1550 | ||
| 1551 | </represen tedOrganiz ation> | |
| 1552 | ||
| 1553 | </assigned Entity> | |
| 1554 | ||
| 1555 | </informan t> | |
| 1556 | ||
| 1557 | </observat ion> | |
| 1558 | ||
| 1559 | </componen t> | |
| 1560 | ||
| 1561 | </organize r> | |
| 1562 | ||
| 1563 | </entry> | |
| 1564 | ||
| 1565 | <entry> | |
| 1566 | ||
| 1567 | <organizer | |
| 1568 | classCode= "CLUSTER" | |
| 1569 | moodCode=" EVN" | |
| 1570 | > | |
| 1571 | ||
| 1572 | <templateI d | |
| 1573 | root="2.16 .840.1.113 883.3.88.1 1.83.18" | |
| 1574 | /> | |
| 1575 | ||
| 1576 | <templateI d | |
| 1577 | root="2.16 .840.1.113 883. IP " | |
| 1578 | /> | |
| 1579 | ||
| 1580 | <templateI d | |
| 1581 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.15" | |
| 1582 | /> | |
| 1583 | ||
| 1584 | <code | |
| 1585 | codeSystem ="2.16.840 .1.113883. 5.111" | |
| 1586 | codeSystem Name="Role Code" | |
| 1587 | /> | |
| 1588 | ||
| 1589 | <statusCod e | |
| 1590 | code="comp leted" | |
| 1591 | /> | |
| 1592 | ||
| 1593 | <subject> | |
| 1594 | ||
| 1595 | <relatedSu bject | |
| 1596 | classCode= "PRS" | |
| 1597 | > | |
| 1598 | ||
| 1599 | <code | |
| 1600 | code="BRO" | |
| 1601 | codeSystem ="2.16.840 .1.113883. 11" | |
| 1602 | codeSystem Name="HL7 v2.6" | |
| 1603 | displayNam e="Brother " | |
| 1604 | > | |
| 1605 | ||
| 1606 | <originalT ext> | |
| 1607 | Brother | |
| 1608 | </original Text> | |
| 1609 | ||
| 1610 | <translati on | |
| 1611 | code="BRO" | |
| 1612 | codeSystem ="2.16.840 .1.113883. 5.111" | |
| 1613 | codeSystem Name="Role Code" | |
| 1614 | displayNam e="Second Brother" | |
| 1615 | /> | |
| 1616 | ||
| 1617 | </code> | |
| 1618 | ||
| 1619 | <subject> | |
| 1620 | ||
| 1621 | <name> | |
| 1622 | <family> | |
| 1623 | Unknown | |
| 1624 | </family> | |
| 1625 | </name> | |
| 1626 | ||
| 1627 | <administr ativeGende rCode | |
| 1628 | code="M" | |
| 1629 | codeSystem ="2.16.840 .1.113883. 5.1" | |
| 1630 | codeSystem Name="Admi nistrative Gender" | |
| 1631 | displayNam e="Male" | |
| 1632 | > | |
| 1633 | ||
| 1634 | <originalT ext> | |
| 1635 | Male | |
| 1636 | </original Text> | |
| 1637 | ||
| 1638 | <translati on | |
| 1639 | code="M" | |
| 1640 | codeSystem ="2.16.840 .1.113883. 5.1" | |
| 1641 | codeSystem Name="Admi nistrative GenderCode " | |
| 1642 | displayNam e="Male" | |
| 1643 | /> | |
| 1644 | ||
| 1645 | </administ rativeGend erCode> | |
| 1646 | ||
| 1647 | <birthTime | |
| 1648 | nullFlavor ="UNK" | |
| 1649 | /> | |
| 1650 | ||
| 1651 | <sdtc:id | |
| 1652 | nullFlavor ="UNK" | |
| 1653 | /> | |
| 1654 | ||
| 1655 | </subject> | |
| 1656 | ||
| 1657 | </relatedS ubject> | |
| 1658 | ||
| 1659 | </subject> | |
| 1660 | ||
| 1661 | <component > | |
| 1662 | ||
| 1663 | <observati on | |
| 1664 | classCode= "OBS" | |
| 1665 | moodCode=" EVN" | |
| 1666 | > | |
| 1667 | ||
| 1668 | <templateI d | |
| 1669 | root="2.16 .840.1.113 883. IP " | |
| 1670 | /> | |
| 1671 | ||
| 1672 | <templateI d | |
| 1673 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.13.3" | |
| 1674 | /> | |
| 1675 | ||
| 1676 | <templateI d | |
| 1677 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.13" | |
| 1678 | /> | |
| 1679 | ||
| 1680 | <id | |
| 1681 | root="G317 992" | |
| 1682 | /> | |
| 1683 | ||
| 1684 | <code | |
| 1685 | code="ASSE RTION" | |
| 1686 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 1687 | codeSystem Name="ActC ode" | |
| 1688 | /> | |
| 1689 | ||
| 1690 | <text> | |
| 1691 | <reference | |
| 1692 | value="" | |
| 1693 | /> | |
| 1694 | </text> | |
| 1695 | ||
| 1696 | <statusCod e | |
| 1697 | code="comp leted" | |
| 1698 | /> | |
| 1699 | ||
| 1700 | <effective Time | |
| 1701 | nullFlavor ="UNK" | |
| 1702 | /> | |
| 1703 | ||
| 1704 | <value | |
| 1705 | xsi:type=" CD" | |
| 1706 | code="5560 7006" | |
| 1707 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 1708 | codeSystem Name="SNOM ED" | |
| 1709 | displayNam e="Problem (finding) " | |
| 1710 | > | |
| 1711 | ||
| 1712 | <translati on | |
| 1713 | code="5560 7006" | |
| 1714 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 1715 | codeSystem Name="SNOM ED CT" | |
| 1716 | displayNam e="Problem " | |
| 1717 | /> | |
| 1718 | ||
| 1719 | </value> | |
| 1720 | ||
| 1721 | <author> | |
| 1722 | ||
| 1723 | <time | |
| 1724 | nullFlavor ="UNK" | |
| 1725 | /> | |
| 1726 | ||
| 1727 | <assignedA uthor> | |
| 1728 | ||
| 1729 | <id | |
| 1730 | nullFlavor ="UNK" | |
| 1731 | /> | |
| 1732 | ||
| 1733 | <addr | |
| 1734 | nullFlavor ="UNK" | |
| 1735 | /> | |
| 1736 | ||
| 1737 | <telecom | |
| 1738 | nullFlavor ="UNK" | |
| 1739 | /> | |
| 1740 | ||
| 1741 | <assignedP erson> | |
| 1742 | ||
| 1743 | <name | |
| 1744 | nullFlavor ="NA" | |
| 1745 | /> | |
| 1746 | ||
| 1747 | </assigned Person> | |
| 1748 | ||
| 1749 | </assigned Author> | |
| 1750 | ||
| 1751 | </author> | |
| 1752 | ||
| 1753 | <informant > | |
| 1754 | ||
| 1755 | <assignedE ntity> | |
| 1756 | ||
| 1757 | <id | |
| 1758 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 1759 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 1760 | /> | |
| 1761 | ||
| 1762 | <addr | |
| 1763 | nullFlavor ="UNK" | |
| 1764 | /> | |
| 1765 | ||
| 1766 | <telecom | |
| 1767 | nullFlavor ="UNK" | |
| 1768 | /> | |
| 1769 | ||
| 1770 | <assignedP erson> | |
| 1771 | ||
| 1772 | <name | |
| 1773 | nullFlavor ="UNK" | |
| 1774 | /> | |
| 1775 | ||
| 1776 | </assigned Person> | |
| 1777 | ||
| 1778 | <represent edOrganiza tion> | |
| 1779 | ||
| 1780 | <id | |
| 1781 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 1782 | extension= "ECMC" | |
| 1783 | /> | |
| 1784 | ||
| 1785 | <name> | |
| 1786 | ECMC | |
| 1787 | </name> | |
| 1788 | ||
| 1789 | <telecom | |
| 1790 | nullFlavor ="UNK" | |
| 1791 | /> | |
| 1792 | ||
| 1793 | <addr | |
| 1794 | nullFlavor ="UNK" | |
| 1795 | /> | |
| 1796 | ||
| 1797 | </represen tedOrganiz ation> | |
| 1798 | ||
| 1799 | </assigned Entity> | |
| 1800 | ||
| 1801 | </informan t> | |
| 1802 | ||
| 1803 | </observat ion> | |
| 1804 | ||
| 1805 | </componen t> | |
| 1806 | ||
| 1807 | <component > | |
| 1808 | ||
| 1809 | <observati on | |
| 1810 | classCode= "OBS" | |
| 1811 | moodCode=" EVN" | |
| 1812 | > | |
| 1813 | ||
| 1814 | <templateI d | |
| 1815 | root="2.16 .840.1.113 883. IP " | |
| 1816 | /> | |
| 1817 | ||
| 1818 | <templateI d | |
| 1819 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.13.3" | |
| 1820 | /> | |
| 1821 | ||
| 1822 | <templateI d | |
| 1823 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.13" | |
| 1824 | /> | |
| 1825 | ||
| 1826 | <id | |
| 1827 | root="G317 991" | |
| 1828 | /> | |
| 1829 | ||
| 1830 | <code | |
| 1831 | code="ASSE RTION" | |
| 1832 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 1833 | codeSystem Name="ActC ode" | |
| 1834 | /> | |
| 1835 | ||
| 1836 | <text> | |
| 1837 | <reference | |
| 1838 | value="" | |
| 1839 | /> | |
| 1840 | </text> | |
| 1841 | ||
| 1842 | <statusCod e | |
| 1843 | code="comp leted" | |
| 1844 | /> | |
| 1845 | ||
| 1846 | <effective Time | |
| 1847 | nullFlavor ="UNK" | |
| 1848 | /> | |
| 1849 | ||
| 1850 | <value | |
| 1851 | xsi:type=" CD" | |
| 1852 | code="5560 7006" | |
| 1853 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 1854 | codeSystem Name="SNOM ED" | |
| 1855 | displayNam e="Problem (finding) " | |
| 1856 | > | |
| 1857 | ||
| 1858 | <translati on | |
| 1859 | code="5560 7006" | |
| 1860 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 1861 | codeSystem Name="SNOM ED CT" | |
| 1862 | displayNam e="Problem " | |
| 1863 | /> | |
| 1864 | ||
| 1865 | </value> | |
| 1866 | ||
| 1867 | <author> | |
| 1868 | ||
| 1869 | <time | |
| 1870 | nullFlavor ="UNK" | |
| 1871 | /> | |
| 1872 | ||
| 1873 | <assignedA uthor> | |
| 1874 | ||
| 1875 | <id | |
| 1876 | nullFlavor ="UNK" | |
| 1877 | /> | |
| 1878 | ||
| 1879 | <addr | |
| 1880 | nullFlavor ="UNK" | |
| 1881 | /> | |
| 1882 | ||
| 1883 | <telecom | |
| 1884 | nullFlavor ="UNK" | |
| 1885 | /> | |
| 1886 | ||
| 1887 | <assignedP erson> | |
| 1888 | ||
| 1889 | <name | |
| 1890 | nullFlavor ="NA" | |
| 1891 | /> | |
| 1892 | ||
| 1893 | </assigned Person> | |
| 1894 | ||
| 1895 | </assigned Author> | |
| 1896 | ||
| 1897 | </author> | |
| 1898 | ||
| 1899 | <informant > | |
| 1900 | ||
| 1901 | <assignedE ntity> | |
| 1902 | ||
| 1903 | <id | |
| 1904 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 1905 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 1906 | /> | |
| 1907 | ||
| 1908 | <addr | |
| 1909 | nullFlavor ="UNK" | |
| 1910 | /> | |
| 1911 | ||
| 1912 | <telecom | |
| 1913 | nullFlavor ="UNK" | |
| 1914 | /> | |
| 1915 | ||
| 1916 | <assignedP erson> | |
| 1917 | ||
| 1918 | <name | |
| 1919 | nullFlavor ="UNK" | |
| 1920 | /> | |
| 1921 | ||
| 1922 | </assigned Person> | |
| 1923 | ||
| 1924 | <represent edOrganiza tion> | |
| 1925 | ||
| 1926 | <id | |
| 1927 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 1928 | extension= "ECMC" | |
| 1929 | /> | |
| 1930 | ||
| 1931 | <name> | |
| 1932 | ECMC | |
| 1933 | </name> | |
| 1934 | ||
| 1935 | <telecom | |
| 1936 | nullFlavor ="UNK" | |
| 1937 | /> | |
| 1938 | ||
| 1939 | <addr | |
| 1940 | nullFlavor ="UNK" | |
| 1941 | /> | |
| 1942 | ||
| 1943 | </represen tedOrganiz ation> | |
| 1944 | ||
| 1945 | </assigned Entity> | |
| 1946 | ||
| 1947 | </informan t> | |
| 1948 | ||
| 1949 | </observat ion> | |
| 1950 | ||
| 1951 | </componen t> | |
| 1952 | ||
| 1953 | <component > | |
| 1954 | ||
| 1955 | <observati on | |
| 1956 | classCode= "OBS" | |
| 1957 | moodCode=" EVN" | |
| 1958 | > | |
| 1959 | ||
| 1960 | <templateI d | |
| 1961 | root="2.16 .840.1.113 883. IP " | |
| 1962 | /> | |
| 1963 | ||
| 1964 | <templateI d | |
| 1965 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.13.3" | |
| 1966 | /> | |
| 1967 | ||
| 1968 | <templateI d | |
| 1969 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.13" | |
| 1970 | /> | |
| 1971 | ||
| 1972 | <id | |
| 1973 | root="G317 990" | |
| 1974 | /> | |
| 1975 | ||
| 1976 | <code | |
| 1977 | code="ASSE RTION" | |
| 1978 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 1979 | codeSystem Name="ActC ode" | |
| 1980 | /> | |
| 1981 | ||
| 1982 | <text> | |
| 1983 | <reference | |
| 1984 | value="" | |
| 1985 | /> | |
| 1986 | </text> | |
| 1987 | ||
| 1988 | <statusCod e | |
| 1989 | code="comp leted" | |
| 1990 | /> | |
| 1991 | ||
| 1992 | <effective Time | |
| 1993 | nullFlavor ="UNK" | |
| 1994 | /> | |
| 1995 | ||
| 1996 | <value | |
| 1997 | xsi:type=" CD" | |
| 1998 | code="5560 7006" | |
| 1999 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 2000 | codeSystem Name="SNOM ED" | |
| 2001 | displayNam e="Problem (finding) " | |
| 2002 | > | |
| 2003 | ||
| 2004 | <translati on | |
| 2005 | code="5560 7006" | |
| 2006 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 2007 | codeSystem Name="SNOM ED CT" | |
| 2008 | displayNam e="Problem " | |
| 2009 | /> | |
| 2010 | ||
| 2011 | </value> | |
| 2012 | ||
| 2013 | <author> | |
| 2014 | ||
| 2015 | <time | |
| 2016 | nullFlavor ="UNK" | |
| 2017 | /> | |
| 2018 | ||
| 2019 | <assignedA uthor> | |
| 2020 | ||
| 2021 | <id | |
| 2022 | nullFlavor ="UNK" | |
| 2023 | /> | |
| 2024 | ||
| 2025 | <addr | |
| 2026 | nullFlavor ="UNK" | |
| 2027 | /> | |
| 2028 | ||
| 2029 | <telecom | |
| 2030 | nullFlavor ="UNK" | |
| 2031 | /> | |
| 2032 | ||
| 2033 | <assignedP erson> | |
| 2034 | ||
| 2035 | <name | |
| 2036 | nullFlavor ="NA" | |
| 2037 | /> | |
| 2038 | ||
| 2039 | </assigned Person> | |
| 2040 | ||
| 2041 | </assigned Author> | |
| 2042 | ||
| 2043 | </author> | |
| 2044 | ||
| 2045 | <informant > | |
| 2046 | ||
| 2047 | <assignedE ntity> | |
| 2048 | ||
| 2049 | <id | |
| 2050 | root="2.16 .840.1.113 883.3.1103 .1" | |
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| 2106 | <templateI d | |
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| 2110 | <templateI d | |
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| 2113 | ||
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| 2117 | ||
| 2118 | <id | |
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| 2127 | ||
| 2128 | <text> | |
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| 2141 | ||
| 2142 | <value | |
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| 2149 | ||
| 2150 | <translati on | |
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| 2171 | <addr | |
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| 2191 | <informant > | |
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| 2193 | <assignedE ntity> | |
| 2194 | ||
| 2195 | <id | |
| 2196 | root="2.16 .840.1.113 883.3.1103 .1" | |
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| 2216 | <represent edOrganiza tion> | |
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| 2218 | <id | |
| 2219 | root="2.16 .840.1.113 883.3.1103 .1" | |
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| 2221 | /> | |
| 2222 | ||
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| 2230 | ||
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| 2235 | </represen tedOrganiz ation> | |
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| 2244 | ||
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| 2246 | ||
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| 2255 | <section> | |
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| 2260 | ||
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| 2263 | /> | |
| 2264 | ||
| 2265 | <templateI d | |
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| 2267 | /> | |
| 2268 | ||
| 2269 | <code | |
| 2270 | code="1016 0-0" | |
| 2271 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 2272 | codeSystem Name="LOIN C" | |
| 2273 | displayNam e="History of medica tion use" | |
| 2274 | /> | |
| 2275 | ||
| 2276 | <title> | |
| 2277 | Medication s | |
| 2278 | </title> | |
| 2279 | ||
| 2280 | <text> | |
| 2281 | <table | |
| 2282 | border="1" | |
| 2283 | width="100 %" | |
| 2284 | > | |
| 2285 | <thead> | |
| 2286 | <tr> | |
| 2287 | <th> | |
| 2288 | Medication | |
| 2289 | </th> | |
| 2290 | <th> | |
| 2291 | Brand Name | |
| 2292 | </th> | |
| 2293 | <th> | |
| 2294 | Start Date | |
| 2295 | </th> | |
| 2296 | <th> | |
| 2297 | Product Fo rm | |
| 2298 | </th> | |
| 2299 | <th> | |
| 2300 | Dose | |
| 2301 | </th> | |
| 2302 | <th> | |
| 2303 | Route | |
| 2304 | </th> | |
| 2305 | <th> | |
| 2306 | Administra tive Instr uctions | |
| 2307 | </th> | |
| 2308 | <th> | |
| 2309 | Pharmacy I nstruction s | |
| 2310 | </th> | |
| 2311 | <th> | |
| 2312 | Status | |
| 2313 | </th> | |
| 2314 | <th> | |
| 2315 | Indication s | |
| 2316 | </th> | |
| 2317 | <th> | |
| 2318 | Reaction | |
| 2319 | </th> | |
| 2320 | <th> | |
| 2321 | Data Sourc e(s) | |
| 2322 | </th> | |
| 2323 | </tr> | |
| 2324 | </thead> | |
| 2325 | <tbody> | |
| 2326 | <tr> | |
| 2327 | <td> | |
| 2328 | <content | |
| 2329 | ID="Medica tion-1" | |
| 2330 | > | |
| 2331 | terbinafin e 250 MG O ral Tablet [Lamisil] | |
| 2332 | </content> | |
| 2333 | </td> | |
| 2334 | <td> | |
| 2335 | <content> | |
| 2336 | Lamisil | |
| 2337 | </content> | |
| 2338 | </td> | |
| 2339 | <td> | |
| 2340 | <content> | |
| 2341 | 11/20/2015 12:00:00 AM EST | |
| 2342 | </content> | |
| 2343 | </td> | |
| 2344 | <td> | |
| 2345 | <content> | |
| 2346 | Tablets | |
| 2347 | </content> | |
| 2348 | </td> | |
| 2349 | <td> | |
| 2350 | <content/> | |
| 2351 | </td> | |
| 2352 | <td> | |
| 2353 | <content/> | |
| 2354 | </td> | |
| 2355 | <td/> | |
| 2356 | <td/> | |
| 2357 | <td> | |
| 2358 | <content> | |
| 2359 | completed | |
| 2360 | </content> | |
| 2361 | </td> | |
| 2362 | <td/> | |
| 2363 | <td/> | |
| 2364 | <td> | |
| 2365 | <content> | |
| 2366 | ECMC | |
| 2367 | </content> | |
| 2368 | </td> | |
| 2369 | </tr> | |
| 2370 | <tr> | |
| 2371 | <td> | |
| 2372 | <content | |
| 2373 | ID="Medica tion-2" | |
| 2374 | > | |
| 2375 | Fluconazol e 100 MG O ral Tablet | |
| 2376 | </content> | |
| 2377 | </td> | |
| 2378 | <td> | |
| 2379 | <content> | |
| 2380 | Fluconazol e | |
| 2381 | </content> | |
| 2382 | </td> | |
| 2383 | <td> | |
| 2384 | <content> | |
| 2385 | 11/10/2015 12:00:00 AM EST | |
| 2386 | </content> | |
| 2387 | </td> | |
| 2388 | <td> | |
| 2389 | <content> | |
| 2390 | Tablets | |
| 2391 | </content> | |
| 2392 | </td> | |
| 2393 | <td> | |
| 2394 | <content/> | |
| 2395 | </td> | |
| 2396 | <td> | |
| 2397 | <content> | |
| 2398 | ORAL | |
| 2399 | </content> | |
| 2400 | </td> | |
| 2401 | <td/> | |
| 2402 | <td/> | |
| 2403 | <td> | |
| 2404 | <content> | |
| 2405 | completed | |
| 2406 | </content> | |
| 2407 | </td> | |
| 2408 | <td/> | |
| 2409 | <td/> | |
| 2410 | <td> | |
| 2411 | <content> | |
| 2412 | ECMC | |
| 2413 | </content> | |
| 2414 | </td> | |
| 2415 | </tr> | |
| 2416 | <tr> | |
| 2417 | <td> | |
| 2418 | <content | |
| 2419 | ID="Medica tion-3" | |
| 2420 | > | |
| 2421 | Sulfametho xazole 800 MG / Trim ethoprim 1 60 MG Oral Tablet [B actrim] | |
| 2422 | </content> | |
| 2423 | </td> | |
| 2424 | <td> | |
| 2425 | <content> | |
| 2426 | Bactrim DS | |
| 2427 | </content> | |
| 2428 | </td> | |
| 2429 | <td> | |
| 2430 | <content> | |
| 2431 | 11/05/2015 12:00:00 AM EST | |
| 2432 | </content> | |
| 2433 | </td> | |
| 2434 | <td> | |
| 2435 | <content> | |
| 2436 | Tablets | |
| 2437 | </content> | |
| 2438 | </td> | |
| 2439 | <td> | |
| 2440 | <content/> | |
| 2441 | </td> | |
| 2442 | <td> | |
| 2443 | <content> | |
| 2444 | ORAL | |
| 2445 | </content> | |
| 2446 | </td> | |
| 2447 | <td/> | |
| 2448 | <td/> | |
| 2449 | <td> | |
| 2450 | <content> | |
| 2451 | completed | |
| 2452 | </content> | |
| 2453 | </td> | |
| 2454 | <td/> | |
| 2455 | <td/> | |
| 2456 | <td> | |
| 2457 | <content> | |
| 2458 | ECMC | |
| 2459 | </content> | |
| 2460 | </td> | |
| 2461 | </tr> | |
| 2462 | <tr> | |
| 2463 | <td> | |
| 2464 | <content | |
| 2465 | ID="Medica tion-4" | |
| 2466 | > | |
| 2467 | silver sul fadiazine 10 MG/ML T opical Cre am [Silvad ene] | |
| 2468 | </content> | |
| 2469 | </td> | |
| 2470 | <td> | |
| 2471 | <content> | |
| 2472 | Silvadene | |
| 2473 | </content> | |
| 2474 | </td> | |
| 2475 | <td> | |
| 2476 | <content> | |
| 2477 | 11/05/2015 12:00:00 AM EST | |
| 2478 | </content> | |
| 2479 | </td> | |
| 2480 | <td> | |
| 2481 | <content> | |
| 2482 | Cream | |
| 2483 | </content> | |
| 2484 | </td> | |
| 2485 | <td> | |
| 2486 | <content/> | |
| 2487 | </td> | |
| 2488 | <td> | |
| 2489 | <content/> | |
| 2490 | </td> | |
| 2491 | <td/> | |
| 2492 | <td/> | |
| 2493 | <td> | |
| 2494 | <content> | |
| 2495 | completed | |
| 2496 | </content> | |
| 2497 | </td> | |
| 2498 | <td/> | |
| 2499 | <td/> | |
| 2500 | <td> | |
| 2501 | <content> | |
| 2502 | ECMC | |
| 2503 | </content> | |
| 2504 | </td> | |
| 2505 | </tr> | |
| 2506 | <tr> | |
| 2507 | <td> | |
| 2508 | <content | |
| 2509 | ID="Medica tion-5" | |
| 2510 | > | |
| 2511 | Furosemide 20 MG Ora l Tablet [ Lasix] | |
| 2512 | </content> | |
| 2513 | </td> | |
| 2514 | <td> | |
| 2515 | <content> | |
| 2516 | Lasix | |
| 2517 | </content> | |
| 2518 | </td> | |
| 2519 | <td> | |
| 2520 | <content> | |
| 2521 | 11/03/2015 12:00:00 AM EST | |
| 2522 | </content> | |
| 2523 | </td> | |
| 2524 | <td> | |
| 2525 | <content> | |
| 2526 | Tablets | |
| 2527 | </content> | |
| 2528 | </td> | |
| 2529 | <td> | |
| 2530 | <content/> | |
| 2531 | </td> | |
| 2532 | <td> | |
| 2533 | <content> | |
| 2534 | ORAL | |
| 2535 | </content> | |
| 2536 | </td> | |
| 2537 | <td/> | |
| 2538 | <td/> | |
| 2539 | <td> | |
| 2540 | <content> | |
| 2541 | completed | |
| 2542 | </content> | |
| 2543 | </td> | |
| 2544 | <td/> | |
| 2545 | <td/> | |
| 2546 | <td> | |
| 2547 | <content> | |
| 2548 | ECMC | |
| 2549 | </content> | |
| 2550 | </td> | |
| 2551 | </tr> | |
| 2552 | <tr> | |
| 2553 | <td> | |
| 2554 | <content | |
| 2555 | ID="Medica tion-6" | |
| 2556 | > | |
| 2557 | tramadol h ydrochlori de 50 MG O ral Tablet | |
| 2558 | </content> | |
| 2559 | </td> | |
| 2560 | <td> | |
| 2561 | <content> | |
| 2562 | Tramadol H CL | |
| 2563 | </content> | |
| 2564 | </td> | |
| 2565 | <td> | |
| 2566 | <content> | |
| 2567 | 11/03/2015 12:00:00 AM EST | |
| 2568 | </content> | |
| 2569 | </td> | |
| 2570 | <td> | |
| 2571 | <content> | |
| 2572 | Tablets | |
| 2573 | </content> | |
| 2574 | </td> | |
| 2575 | <td> | |
| 2576 | <content/> | |
| 2577 | </td> | |
| 2578 | <td> | |
| 2579 | <content/> | |
| 2580 | </td> | |
| 2581 | <td/> | |
| 2582 | <td/> | |
| 2583 | <td> | |
| 2584 | <content> | |
| 2585 | completed | |
| 2586 | </content> | |
| 2587 | </td> | |
| 2588 | <td/> | |
| 2589 | <td/> | |
| 2590 | <td> | |
| 2591 | <content> | |
| 2592 | ECMC | |
| 2593 | </content> | |
| 2594 | </td> | |
| 2595 | </tr> | |
| 2596 | <tr> | |
| 2597 | <td> | |
| 2598 | <content | |
| 2599 | ID="Medica tion-7" | |
| 2600 | > | |
| 2601 | rivaroxaba n 20 MG Or al Tablet [Xarelto] | |
| 2602 | </content> | |
| 2603 | </td> | |
| 2604 | <td> | |
| 2605 | <content> | |
| 2606 | Xarelto | |
| 2607 | </content> | |
| 2608 | </td> | |
| 2609 | <td> | |
| 2610 | <content> | |
| 2611 | 01/21/2015 12:00:00 AM EST | |
| 2612 | </content> | |
| 2613 | </td> | |
| 2614 | <td> | |
| 2615 | <content> | |
| 2616 | Tablets | |
| 2617 | </content> | |
| 2618 | </td> | |
| 2619 | <td> | |
| 2620 | <content/> | |
| 2621 | </td> | |
| 2622 | <td> | |
| 2623 | <content> | |
| 2624 | ORAL | |
| 2625 | </content> | |
| 2626 | </td> | |
| 2627 | <td/> | |
| 2628 | <td/> | |
| 2629 | <td> | |
| 2630 | <content> | |
| 2631 | completed | |
| 2632 | </content> | |
| 2633 | </td> | |
| 2634 | <td/> | |
| 2635 | <td/> | |
| 2636 | <td> | |
| 2637 | <content> | |
| 2638 | ECMC | |
| 2639 | </content> | |
| 2640 | </td> | |
| 2641 | </tr> | |
| 2642 | <tr> | |
| 2643 | <td> | |
| 2644 | <content | |
| 2645 | ID="Medica tion-8" | |
| 2646 | > | |
| 2647 | Medrol (Pa k) | |
| 2648 | </content> | |
| 2649 | </td> | |
| 2650 | <td/> | |
| 2651 | <td> | |
| 2652 | <content> | |
| 2653 | 01/06/2015 12:00:00 AM EST | |
| 2654 | </content> | |
| 2655 | </td> | |
| 2656 | <td> | |
| 2657 | <content> | |
| 2658 | Tablets | |
| 2659 | </content> | |
| 2660 | </td> | |
| 2661 | <td> | |
| 2662 | <content/> | |
| 2663 | </td> | |
| 2664 | <td> | |
| 2665 | <content/> | |
| 2666 | </td> | |
| 2667 | <td/> | |
| 2668 | <td/> | |
| 2669 | <td> | |
| 2670 | <content> | |
| 2671 | completed | |
| 2672 | </content> | |
| 2673 | </td> | |
| 2674 | <td/> | |
| 2675 | <td/> | |
| 2676 | <td> | |
| 2677 | <content> | |
| 2678 | ECMC | |
| 2679 | </content> | |
| 2680 | </td> | |
| 2681 | </tr> | |
| 2682 | <tr> | |
| 2683 | <td> | |
| 2684 | <content | |
| 2685 | ID="Medica tion-9" | |
| 2686 | > | |
| 2687 | Zithromax Z-Pak | |
| 2688 | </content> | |
| 2689 | </td> | |
| 2690 | <td/> | |
| 2691 | <td> | |
| 2692 | <content> | |
| 2693 | 01/06/2015 12:00:00 AM EST | |
| 2694 | </content> | |
| 2695 | </td> | |
| 2696 | <td> | |
| 2697 | <content> | |
| 2698 | Tablets | |
| 2699 | </content> | |
| 2700 | </td> | |
| 2701 | <td> | |
| 2702 | <content/> | |
| 2703 | </td> | |
| 2704 | <td> | |
| 2705 | <content/> | |
| 2706 | </td> | |
| 2707 | <td/> | |
| 2708 | <td/> | |
| 2709 | <td> | |
| 2710 | <content> | |
| 2711 | completed | |
| 2712 | </content> | |
| 2713 | </td> | |
| 2714 | <td/> | |
| 2715 | <td/> | |
| 2716 | <td> | |
| 2717 | <content> | |
| 2718 | ECMC | |
| 2719 | </content> | |
| 2720 | </td> | |
| 2721 | </tr> | |
| 2722 | <tr> | |
| 2723 | <td> | |
| 2724 | <content | |
| 2725 | ID="Medica tion-10" | |
| 2726 | > | |
| 2727 | Oseltamivi r 75 MG Or al Capsule [Tamiflu] | |
| 2728 | </content> | |
| 2729 | </td> | |
| 2730 | <td> | |
| 2731 | <content> | |
| 2732 | Tamiflu | |
| 2733 | </content> | |
| 2734 | </td> | |
| 2735 | <td> | |
| 2736 | <content> | |
| 2737 | 12/31/2014 12:00:00 AM EST | |
| 2738 | </content> | |
| 2739 | </td> | |
| 2740 | <td> | |
| 2741 | <content> | |
| 2742 | Capsules | |
| 2743 | </content> | |
| 2744 | </td> | |
| 2745 | <td> | |
| 2746 | <content/> | |
| 2747 | </td> | |
| 2748 | <td> | |
| 2749 | <content/> | |
| 2750 | </td> | |
| 2751 | <td/> | |
| 2752 | <td/> | |
| 2753 | <td> | |
| 2754 | <content> | |
| 2755 | completed | |
| 2756 | </content> | |
| 2757 | </td> | |
| 2758 | <td/> | |
| 2759 | <td/> | |
| 2760 | <td> | |
| 2761 | <content> | |
| 2762 | ECMC | |
| 2763 | </content> | |
| 2764 | </td> | |
| 2765 | </tr> | |
| 2766 | <tr> | |
| 2767 | <td> | |
| 2768 | <content | |
| 2769 | ID="Medica tion-11" | |
| 2770 | > | |
| 2771 | 0.65 ML Va ricella-Zo ster Virus Vaccine L ive (Oka-M erck) stra in 29800 U NT/ML Inje ction [Zos tavax] | |
| 2772 | </content> | |
| 2773 | </td> | |
| 2774 | <td> | |
| 2775 | <content> | |
| 2776 | Zostavax | |
| 2777 | </content> | |
| 2778 | </td> | |
| 2779 | <td> | |
| 2780 | <content> | |
| 2781 | 10/09/2014 12:00:00 AM EDT | |
| 2782 | </content> | |
| 2783 | </td> | |
| 2784 | <td> | |
| 2785 | <content> | |
| 2786 | Solution R ec | |
| 2787 | </content> | |
| 2788 | </td> | |
| 2789 | <td> | |
| 2790 | <content/> | |
| 2791 | </td> | |
| 2792 | <td> | |
| 2793 | <content> | |
| 2794 | SUBCUTANEO US | |
| 2795 | </content> | |
| 2796 | </td> | |
| 2797 | <td/> | |
| 2798 | <td/> | |
| 2799 | <td> | |
| 2800 | <content> | |
| 2801 | completed | |
| 2802 | </content> | |
| 2803 | </td> | |
| 2804 | <td/> | |
| 2805 | <td/> | |
| 2806 | <td> | |
| 2807 | <content> | |
| 2808 | ECMC | |
| 2809 | </content> | |
| 2810 | </td> | |
| 2811 | </tr> | |
| 2812 | <tr> | |
| 2813 | <td> | |
| 2814 | <content | |
| 2815 | ID="Medica tion-12" | |
| 2816 | > | |
| 2817 | Warfarin S odium 3 MG Oral Tabl et | |
| 2818 | </content> | |
| 2819 | </td> | |
| 2820 | <td> | |
| 2821 | <content> | |
| 2822 | Warfarin S odium | |
| 2823 | </content> | |
| 2824 | </td> | |
| 2825 | <td> | |
| 2826 | <content> | |
| 2827 | 05/22/2014 12:00:00 AM EDT | |
| 2828 | </content> | |
| 2829 | </td> | |
| 2830 | <td> | |
| 2831 | <content> | |
| 2832 | Tablets | |
| 2833 | </content> | |
| 2834 | </td> | |
| 2835 | <td> | |
| 2836 | <content/> | |
| 2837 | </td> | |
| 2838 | <td> | |
| 2839 | <content> | |
| 2840 | ORAL | |
| 2841 | </content> | |
| 2842 | </td> | |
| 2843 | <td/> | |
| 2844 | <td/> | |
| 2845 | <td> | |
| 2846 | <content> | |
| 2847 | completed | |
| 2848 | </content> | |
| 2849 | </td> | |
| 2850 | <td/> | |
| 2851 | <td/> | |
| 2852 | <td> | |
| 2853 | <content> | |
| 2854 | ECMC | |
| 2855 | </content> | |
| 2856 | </td> | |
| 2857 | </tr> | |
| 2858 | <tr> | |
| 2859 | <td> | |
| 2860 | <content | |
| 2861 | ID="Medica tion-13" | |
| 2862 | > | |
| 2863 | Baclofen 1 0 MG Oral Tablet | |
| 2864 | </content> | |
| 2865 | </td> | |
| 2866 | <td> | |
| 2867 | <content> | |
| 2868 | Baclofen | |
| 2869 | </content> | |
| 2870 | </td> | |
| 2871 | <td> | |
| 2872 | <content> | |
| 2873 | 10/17/2013 12:00:00 AM EDT | |
| 2874 | </content> | |
| 2875 | </td> | |
| 2876 | <td> | |
| 2877 | <content> | |
| 2878 | Tablets | |
| 2879 | </content> | |
| 2880 | </td> | |
| 2881 | <td> | |
| 2882 | <content/> | |
| 2883 | </td> | |
| 2884 | <td> | |
| 2885 | <content> | |
| 2886 | ORAL | |
| 2887 | </content> | |
| 2888 | </td> | |
| 2889 | <td/> | |
| 2890 | <td/> | |
| 2891 | <td> | |
| 2892 | <content> | |
| 2893 | completed | |
| 2894 | </content> | |
| 2895 | </td> | |
| 2896 | <td/> | |
| 2897 | <td/> | |
| 2898 | <td> | |
| 2899 | <content> | |
| 2900 | ECMC | |
| 2901 | </content> | |
| 2902 | </td> | |
| 2903 | </tr> | |
| 2904 | <tr> | |
| 2905 | <td> | |
| 2906 | <content | |
| 2907 | ID="Medica tion-14" | |
| 2908 | > | |
| 2909 | Zithromax Z-Pak | |
| 2910 | </content> | |
| 2911 | </td> | |
| 2912 | <td/> | |
| 2913 | <td> | |
| 2914 | <content> | |
| 2915 | 08/28/2013 12:00:00 AM EDT | |
| 2916 | </content> | |
| 2917 | </td> | |
| 2918 | <td> | |
| 2919 | <content> | |
| 2920 | Tablets | |
| 2921 | </content> | |
| 2922 | </td> | |
| 2923 | <td> | |
| 2924 | <content/> | |
| 2925 | </td> | |
| 2926 | <td> | |
| 2927 | <content/> | |
| 2928 | </td> | |
| 2929 | <td/> | |
| 2930 | <td/> | |
| 2931 | <td> | |
| 2932 | <content> | |
| 2933 | completed | |
| 2934 | </content> | |
| 2935 | </td> | |
| 2936 | <td/> | |
| 2937 | <td/> | |
| 2938 | <td> | |
| 2939 | <content> | |
| 2940 | ECMC | |
| 2941 | </content> | |
| 2942 | </td> | |
| 2943 | </tr> | |
| 2944 | <tr> | |
| 2945 | <td> | |
| 2946 | <content | |
| 2947 | ID="Medica tion-15" | |
| 2948 | > | |
| 2949 | Med Port F lush @ Amb ulatory Su rgery | |
| 2950 | </content> | |
| 2951 | </td> | |
| 2952 | <td/> | |
| 2953 | <td> | |
| 2954 | <content> | |
| 2955 | 04/15/2013 12:00:00 AM EDT | |
| 2956 | </content> | |
| 2957 | </td> | |
| 2958 | <td> | |
| 2959 | <content/> | |
| 2960 | </td> | |
| 2961 | <td> | |
| 2962 | <content/> | |
| 2963 | </td> | |
| 2964 | <td> | |
| 2965 | <content/> | |
| 2966 | </td> | |
| 2967 | <td/> | |
| 2968 | <td/> | |
| 2969 | <td> | |
| 2970 | <content> | |
| 2971 | completed | |
| 2972 | </content> | |
| 2973 | </td> | |
| 2974 | <td/> | |
| 2975 | <td/> | |
| 2976 | <td> | |
| 2977 | <content> | |
| 2978 | ECMC | |
| 2979 | </content> | |
| 2980 | </td> | |
| 2981 | </tr> | |
| 2982 | <tr> | |
| 2983 | <td> | |
| 2984 | <content | |
| 2985 | ID="Medica tion-16" | |
| 2986 | > | |
| 2987 | Zithromax Z-Pak | |
| 2988 | </content> | |
| 2989 | </td> | |
| 2990 | <td/> | |
| 2991 | <td> | |
| 2992 | <content> | |
| 2993 | 01/02/2013 12:00:00 AM EST | |
| 2994 | </content> | |
| 2995 | </td> | |
| 2996 | <td> | |
| 2997 | <content> | |
| 2998 | Tablets | |
| 2999 | </content> | |
| 3000 | </td> | |
| 3001 | <td> | |
| 3002 | <content/> | |
| 3003 | </td> | |
| 3004 | <td> | |
| 3005 | <content/> | |
| 3006 | </td> | |
| 3007 | <td/> | |
| 3008 | <td/> | |
| 3009 | <td> | |
| 3010 | <content> | |
| 3011 | completed | |
| 3012 | </content> | |
| 3013 | </td> | |
| 3014 | <td/> | |
| 3015 | <td/> | |
| 3016 | <td> | |
| 3017 | <content> | |
| 3018 | ECMC | |
| 3019 | </content> | |
| 3020 | </td> | |
| 3021 | </tr> | |
| 3022 | <tr> | |
| 3023 | <td> | |
| 3024 | <content | |
| 3025 | ID="Medica tion-17" | |
| 3026 | > | |
| 3027 | dexlansopr azole 60 M G Delayed Release Or al Capsule [Dexilant ] | |
| 3028 | </content> | |
| 3029 | </td> | |
| 3030 | <td> | |
| 3031 | <content> | |
| 3032 | Dexilant | |
| 3033 | </content> | |
| 3034 | </td> | |
| 3035 | <td> | |
| 3036 | <content> | |
| 3037 | 11/03/2011 12:00:00 AM EDT | |
| 3038 | </content> | |
| 3039 | </td> | |
| 3040 | <td> | |
| 3041 | <content> | |
| 3042 | Capsules D R | |
| 3043 | </content> | |
| 3044 | </td> | |
| 3045 | <td> | |
| 3046 | <content/> | |
| 3047 | </td> | |
| 3048 | <td> | |
| 3049 | <content> | |
| 3050 | ORAL | |
| 3051 | </content> | |
| 3052 | </td> | |
| 3053 | <td/> | |
| 3054 | <td/> | |
| 3055 | <td> | |
| 3056 | <content> | |
| 3057 | completed | |
| 3058 | </content> | |
| 3059 | </td> | |
| 3060 | <td/> | |
| 3061 | <td/> | |
| 3062 | <td> | |
| 3063 | <content> | |
| 3064 | ECMC | |
| 3065 | </content> | |
| 3066 | </td> | |
| 3067 | </tr> | |
| 3068 | <tr> | |
| 3069 | <td> | |
| 3070 | <content | |
| 3071 | ID="Medica tion-18" | |
| 3072 | > | |
| 3073 | Atenolol 5 0 MG Oral Tablet | |
| 3074 | </content> | |
| 3075 | </td> | |
| 3076 | <td> | |
| 3077 | <content> | |
| 3078 | Atenolol | |
| 3079 | </content> | |
| 3080 | </td> | |
| 3081 | <td> | |
| 3082 | <content> | |
| 3083 | 11/03/2011 12:00:00 AM EDT | |
| 3084 | </content> | |
| 3085 | </td> | |
| 3086 | <td> | |
| 3087 | <content> | |
| 3088 | Tablets | |
| 3089 | </content> | |
| 3090 | </td> | |
| 3091 | <td> | |
| 3092 | <content/> | |
| 3093 | </td> | |
| 3094 | <td> | |
| 3095 | <content> | |
| 3096 | ORAL | |
| 3097 | </content> | |
| 3098 | </td> | |
| 3099 | <td/> | |
| 3100 | <td/> | |
| 3101 | <td> | |
| 3102 | <content> | |
| 3103 | completed | |
| 3104 | </content> | |
| 3105 | </td> | |
| 3106 | <td/> | |
| 3107 | <td/> | |
| 3108 | <td> | |
| 3109 | <content> | |
| 3110 | ECMC | |
| 3111 | </content> | |
| 3112 | </td> | |
| 3113 | </tr> | |
| 3114 | <tr> | |
| 3115 | <td> | |
| 3116 | <content | |
| 3117 | ID="Medica tion-19" | |
| 3118 | > | |
| 3119 | 0.65 ML Va ricella-Zo ster Virus Vaccine L ive (Oka-M erck) stra in 29800 U NT/ML Inje ction [Zos tavax] | |
| 3120 | </content> | |
| 3121 | </td> | |
| 3122 | <td> | |
| 3123 | <content> | |
| 3124 | Zostavax | |
| 3125 | </content> | |
| 3126 | </td> | |
| 3127 | <td> | |
| 3128 | <content> | |
| 3129 | 08/04/2011 12:00:00 AM EDT | |
| 3130 | </content> | |
| 3131 | </td> | |
| 3132 | <td> | |
| 3133 | <content> | |
| 3134 | Solution R ec | |
| 3135 | </content> | |
| 3136 | </td> | |
| 3137 | <td> | |
| 3138 | <content/> | |
| 3139 | </td> | |
| 3140 | <td> | |
| 3141 | <content> | |
| 3142 | SUBCUTANEO US | |
| 3143 | </content> | |
| 3144 | </td> | |
| 3145 | <td/> | |
| 3146 | <td/> | |
| 3147 | <td> | |
| 3148 | <content> | |
| 3149 | completed | |
| 3150 | </content> | |
| 3151 | </td> | |
| 3152 | <td/> | |
| 3153 | <td/> | |
| 3154 | <td> | |
| 3155 | <content> | |
| 3156 | ECMC | |
| 3157 | </content> | |
| 3158 | </td> | |
| 3159 | </tr> | |
| 3160 | <tr> | |
| 3161 | <td> | |
| 3162 | <content | |
| 3163 | ID="Medica tion-20" | |
| 3164 | > | |
| 3165 | Spironolac tone 50 MG Oral Tabl et | |
| 3166 | </content> | |
| 3167 | </td> | |
| 3168 | <td> | |
| 3169 | <content> | |
| 3170 | Spironolac tone | |
| 3171 | </content> | |
| 3172 | </td> | |
| 3173 | <td> | |
| 3174 | <content> | |
| 3175 | 06/13/2011 12:00:00 AM EDT | |
| 3176 | </content> | |
| 3177 | </td> | |
| 3178 | <td> | |
| 3179 | <content> | |
| 3180 | Tablets | |
| 3181 | </content> | |
| 3182 | </td> | |
| 3183 | <td> | |
| 3184 | <content/> | |
| 3185 | </td> | |
| 3186 | <td> | |
| 3187 | <content> | |
| 3188 | ORAL | |
| 3189 | </content> | |
| 3190 | </td> | |
| 3191 | <td/> | |
| 3192 | <td/> | |
| 3193 | <td> | |
| 3194 | <content> | |
| 3195 | completed | |
| 3196 | </content> | |
| 3197 | </td> | |
| 3198 | <td/> | |
| 3199 | <td/> | |
| 3200 | <td> | |
| 3201 | <content> | |
| 3202 | ECMC | |
| 3203 | </content> | |
| 3204 | </td> | |
| 3205 | </tr> | |
| 3206 | <tr> | |
| 3207 | <td> | |
| 3208 | <content | |
| 3209 | ID="Medica tion-21" | |
| 3210 | > | |
| 3211 | Calcium Ca rbonate 15 00 MG Oral Tablet | |
| 3212 | </content> | |
| 3213 | </td> | |
| 3214 | <td> | |
| 3215 | <content> | |
| 3216 | Calcium 60 0 | |
| 3217 | </content> | |
| 3218 | </td> | |
| 3219 | <td> | |
| 3220 | <content> | |
| 3221 | 05/23/2011 12:00:00 AM EDT | |
| 3222 | </content> | |
| 3223 | </td> | |
| 3224 | <td> | |
| 3225 | <content> | |
| 3226 | Tablets | |
| 3227 | </content> | |
| 3228 | </td> | |
| 3229 | <td> | |
| 3230 | <content/> | |
| 3231 | </td> | |
| 3232 | <td> | |
| 3233 | <content> | |
| 3234 | ORAL | |
| 3235 | </content> | |
| 3236 | </td> | |
| 3237 | <td/> | |
| 3238 | <td/> | |
| 3239 | <td> | |
| 3240 | <content> | |
| 3241 | completed | |
| 3242 | </content> | |
| 3243 | </td> | |
| 3244 | <td/> | |
| 3245 | <td/> | |
| 3246 | <td> | |
| 3247 | <content> | |
| 3248 | ECMC | |
| 3249 | </content> | |
| 3250 | </td> | |
| 3251 | </tr> | |
| 3252 | <tr> | |
| 3253 | <td> | |
| 3254 | <content | |
| 3255 | ID="Medica tion-22" | |
| 3256 | > | |
| 3257 | Diltiazem Hydrochlor ide 120 MG Oral Tabl et [Cardiz em] | |
| 3258 | </content> | |
| 3259 | </td> | |
| 3260 | <td> | |
| 3261 | <content> | |
| 3262 | Cardizem | |
| 3263 | </content> | |
| 3264 | </td> | |
| 3265 | <td> | |
| 3266 | <content> | |
| 3267 | 05/23/2011 12:00:00 AM EDT | |
| 3268 | </content> | |
| 3269 | </td> | |
| 3270 | <td> | |
| 3271 | <content> | |
| 3272 | Tablets | |
| 3273 | </content> | |
| 3274 | </td> | |
| 3275 | <td> | |
| 3276 | <content/> | |
| 3277 | </td> | |
| 3278 | <td> | |
| 3279 | <content> | |
| 3280 | ORAL | |
| 3281 | </content> | |
| 3282 | </td> | |
| 3283 | <td/> | |
| 3284 | <td/> | |
| 3285 | <td> | |
| 3286 | <content> | |
| 3287 | completed | |
| 3288 | </content> | |
| 3289 | </td> | |
| 3290 | <td/> | |
| 3291 | <td/> | |
| 3292 | <td> | |
| 3293 | <content> | |
| 3294 | ECMC | |
| 3295 | </content> | |
| 3296 | </td> | |
| 3297 | </tr> | |
| 3298 | <tr> | |
| 3299 | <td> | |
| 3300 | <content | |
| 3301 | ID="Medica tion-23" | |
| 3302 | > | |
| 3303 | Clonazepam 2 MG Oral Tablet | |
| 3304 | </content> | |
| 3305 | </td> | |
| 3306 | <td> | |
| 3307 | <content> | |
| 3308 | Clonazepam | |
| 3309 | </content> | |
| 3310 | </td> | |
| 3311 | <td> | |
| 3312 | <content> | |
| 3313 | 05/23/2011 12:00:00 AM EDT | |
| 3314 | </content> | |
| 3315 | </td> | |
| 3316 | <td> | |
| 3317 | <content> | |
| 3318 | Tablets | |
| 3319 | </content> | |
| 3320 | </td> | |
| 3321 | <td> | |
| 3322 | <content/> | |
| 3323 | </td> | |
| 3324 | <td> | |
| 3325 | <content> | |
| 3326 | ORAL | |
| 3327 | </content> | |
| 3328 | </td> | |
| 3329 | <td/> | |
| 3330 | <td/> | |
| 3331 | <td> | |
| 3332 | <content> | |
| 3333 | completed | |
| 3334 | </content> | |
| 3335 | </td> | |
| 3336 | <td/> | |
| 3337 | <td/> | |
| 3338 | <td> | |
| 3339 | <content> | |
| 3340 | ECMC | |
| 3341 | </content> | |
| 3342 | </td> | |
| 3343 | </tr> | |
| 3344 | <tr> | |
| 3345 | <td> | |
| 3346 | <content | |
| 3347 | ID="Medica tion-24" | |
| 3348 | > | |
| 3349 | Zithromax Z-Pak | |
| 3350 | </content> | |
| 3351 | </td> | |
| 3352 | <td/> | |
| 3353 | <td> | |
| 3354 | <content> | |
| 3355 | 05/23/2011 12:00:00 AM EDT | |
| 3356 | </content> | |
| 3357 | </td> | |
| 3358 | <td> | |
| 3359 | <content> | |
| 3360 | Tablets | |
| 3361 | </content> | |
| 3362 | </td> | |
| 3363 | <td> | |
| 3364 | <content/> | |
| 3365 | </td> | |
| 3366 | <td> | |
| 3367 | <content> | |
| 3368 | ORAL | |
| 3369 | </content> | |
| 3370 | </td> | |
| 3371 | <td/> | |
| 3372 | <td/> | |
| 3373 | <td> | |
| 3374 | <content> | |
| 3375 | completed | |
| 3376 | </content> | |
| 3377 | </td> | |
| 3378 | <td/> | |
| 3379 | <td/> | |
| 3380 | <td> | |
| 3381 | <content> | |
| 3382 | ECMC | |
| 3383 | </content> | |
| 3384 | </td> | |
| 3385 | </tr> | |
| 3386 | <tr> | |
| 3387 | <td> | |
| 3388 | <content | |
| 3389 | ID="Medica tion-25" | |
| 3390 | > | |
| 3391 | Spironolac tone 100 M G Oral Tab let | |
| 3392 | </content> | |
| 3393 | </td> | |
| 3394 | <td> | |
| 3395 | <content> | |
| 3396 | Spironolac tone | |
| 3397 | </content> | |
| 3398 | </td> | |
| 3399 | <td> | |
| 3400 | <content> | |
| 3401 | 04/05/2011 12:00:00 AM EDT | |
| 3402 | </content> | |
| 3403 | </td> | |
| 3404 | <td> | |
| 3405 | <content> | |
| 3406 | Tablets | |
| 3407 | </content> | |
| 3408 | </td> | |
| 3409 | <td> | |
| 3410 | <content/> | |
| 3411 | </td> | |
| 3412 | <td> | |
| 3413 | <content> | |
| 3414 | ORAL | |
| 3415 | </content> | |
| 3416 | </td> | |
| 3417 | <td/> | |
| 3418 | <td/> | |
| 3419 | <td> | |
| 3420 | <content> | |
| 3421 | completed | |
| 3422 | </content> | |
| 3423 | </td> | |
| 3424 | <td/> | |
| 3425 | <td/> | |
| 3426 | <td> | |
| 3427 | <content> | |
| 3428 | ECMC | |
| 3429 | </content> | |
| 3430 | </td> | |
| 3431 | </tr> | |
| 3432 | <tr> | |
| 3433 | <td> | |
| 3434 | <content | |
| 3435 | ID="Medica tion-26" | |
| 3436 | > | |
| 3437 | Spironolac tone 50 MG Oral Tabl et | |
| 3438 | </content> | |
| 3439 | </td> | |
| 3440 | <td> | |
| 3441 | <content> | |
| 3442 | Spironolac tone | |
| 3443 | </content> | |
| 3444 | </td> | |
| 3445 | <td> | |
| 3446 | <content> | |
| 3447 | 01/18/2011 12:00:00 AM EST | |
| 3448 | </content> | |
| 3449 | </td> | |
| 3450 | <td> | |
| 3451 | <content> | |
| 3452 | Tablets | |
| 3453 | </content> | |
| 3454 | </td> | |
| 3455 | <td> | |
| 3456 | <content/> | |
| 3457 | </td> | |
| 3458 | <td> | |
| 3459 | <content> | |
| 3460 | ORAL | |
| 3461 | </content> | |
| 3462 | </td> | |
| 3463 | <td/> | |
| 3464 | <td/> | |
| 3465 | <td> | |
| 3466 | <content> | |
| 3467 | completed | |
| 3468 | </content> | |
| 3469 | </td> | |
| 3470 | <td/> | |
| 3471 | <td/> | |
| 3472 | <td> | |
| 3473 | <content> | |
| 3474 | ECMC | |
| 3475 | </content> | |
| 3476 | </td> | |
| 3477 | </tr> | |
| 3478 | <tr> | |
| 3479 | <td> | |
| 3480 | <content | |
| 3481 | ID="Medica tion-27" | |
| 3482 | > | |
| 3483 | Warfarin S odium 4 MG Oral Tabl et | |
| 3484 | </content> | |
| 3485 | </td> | |
| 3486 | <td> | |
| 3487 | <content> | |
| 3488 | Warfarin S odium | |
| 3489 | </content> | |
| 3490 | </td> | |
| 3491 | <td> | |
| 3492 | <content> | |
| 3493 | 01/05/2011 12:00:00 AM EST | |
| 3494 | </content> | |
| 3495 | </td> | |
| 3496 | <td> | |
| 3497 | <content> | |
| 3498 | Tablets | |
| 3499 | </content> | |
| 3500 | </td> | |
| 3501 | <td> | |
| 3502 | <content/> | |
| 3503 | </td> | |
| 3504 | <td> | |
| 3505 | <content/> | |
| 3506 | </td> | |
| 3507 | <td/> | |
| 3508 | <td/> | |
| 3509 | <td> | |
| 3510 | <content> | |
| 3511 | completed | |
| 3512 | </content> | |
| 3513 | </td> | |
| 3514 | <td/> | |
| 3515 | <td/> | |
| 3516 | <td> | |
| 3517 | <content> | |
| 3518 | ECMC | |
| 3519 | </content> | |
| 3520 | </td> | |
| 3521 | </tr> | |
| 3522 | <tr> | |
| 3523 | <td> | |
| 3524 | <content | |
| 3525 | ID="Medica tion-28" | |
| 3526 | > | |
| 3527 | Lisinopril 40 MG Ora l Tablet | |
| 3528 | </content> | |
| 3529 | </td> | |
| 3530 | <td> | |
| 3531 | <content> | |
| 3532 | Lisinopril | |
| 3533 | </content> | |
| 3534 | </td> | |
| 3535 | <td> | |
| 3536 | <content> | |
| 3537 | 09/22/2010 12:00:00 AM EDT | |
| 3538 | </content> | |
| 3539 | </td> | |
| 3540 | <td> | |
| 3541 | <content> | |
| 3542 | Tablets | |
| 3543 | </content> | |
| 3544 | </td> | |
| 3545 | <td> | |
| 3546 | <content/> | |
| 3547 | </td> | |
| 3548 | <td> | |
| 3549 | <content> | |
| 3550 | ORAL | |
| 3551 | </content> | |
| 3552 | </td> | |
| 3553 | <td/> | |
| 3554 | <td/> | |
| 3555 | <td> | |
| 3556 | <content> | |
| 3557 | completed | |
| 3558 | </content> | |
| 3559 | </td> | |
| 3560 | <td/> | |
| 3561 | <td/> | |
| 3562 | <td> | |
| 3563 | <content> | |
| 3564 | ECMC | |
| 3565 | </content> | |
| 3566 | </td> | |
| 3567 | </tr> | |
| 3568 | <tr> | |
| 3569 | <td> | |
| 3570 | <content | |
| 3571 | ID="Medica tion-29" | |
| 3572 | > | |
| 3573 | Hydrochlor othiazide 25 MG / Tr iamterene 37.5 MG Or al Tablet | |
| 3574 | </content> | |
| 3575 | </td> | |
| 3576 | <td> | |
| 3577 | <content> | |
| 3578 | Triamteren e/Hydrochl orothiazid e | |
| 3579 | </content> | |
| 3580 | </td> | |
| 3581 | <td> | |
| 3582 | <content> | |
| 3583 | 09/08/2010 12:00:00 AM EDT | |
| 3584 | </content> | |
| 3585 | </td> | |
| 3586 | <td> | |
| 3587 | <content> | |
| 3588 | Tablets | |
| 3589 | </content> | |
| 3590 | </td> | |
| 3591 | <td> | |
| 3592 | <content/> | |
| 3593 | </td> | |
| 3594 | <td> | |
| 3595 | <content> | |
| 3596 | ORAL | |
| 3597 | </content> | |
| 3598 | </td> | |
| 3599 | <td/> | |
| 3600 | <td/> | |
| 3601 | <td> | |
| 3602 | <content> | |
| 3603 | completed | |
| 3604 | </content> | |
| 3605 | </td> | |
| 3606 | <td/> | |
| 3607 | <td/> | |
| 3608 | <td> | |
| 3609 | <content> | |
| 3610 | ECMC | |
| 3611 | </content> | |
| 3612 | </td> | |
| 3613 | </tr> | |
| 3614 | <tr> | |
| 3615 | <td> | |
| 3616 | <content | |
| 3617 | ID="Medica tion-30" | |
| 3618 | > | |
| 3619 | Omeprazole 20 MG Del ayed Relea se Oral Ta blet [Pril osec] | |
| 3620 | </content> | |
| 3621 | </td> | |
| 3622 | <td> | |
| 3623 | <content> | |
| 3624 | Prilosec O TC | |
| 3625 | </content> | |
| 3626 | </td> | |
| 3627 | <td> | |
| 3628 | <content> | |
| 3629 | 08/23/2010 12:00:00 AM EDT | |
| 3630 | </content> | |
| 3631 | </td> | |
| 3632 | <td> | |
| 3633 | <content> | |
| 3634 | Tablets DR | |
| 3635 | </content> | |
| 3636 | </td> | |
| 3637 | <td> | |
| 3638 | <content/> | |
| 3639 | </td> | |
| 3640 | <td> | |
| 3641 | <content> | |
| 3642 | ORAL | |
| 3643 | </content> | |
| 3644 | </td> | |
| 3645 | <td/> | |
| 3646 | <td/> | |
| 3647 | <td> | |
| 3648 | <content> | |
| 3649 | completed | |
| 3650 | </content> | |
| 3651 | </td> | |
| 3652 | <td/> | |
| 3653 | <td/> | |
| 3654 | <td> | |
| 3655 | <content> | |
| 3656 | ECMC | |
| 3657 | </content> | |
| 3658 | </td> | |
| 3659 | </tr> | |
| 3660 | <tr> | |
| 3661 | <td> | |
| 3662 | <content | |
| 3663 | ID="Medica tion-31" | |
| 3664 | > | |
| 3665 | 24 HR Dilt iazem Hydr ochloride 240 MG Ext ended Rele ase Oral C apsule | |
| 3666 | </content> | |
| 3667 | </td> | |
| 3668 | <td> | |
| 3669 | <content> | |
| 3670 | Diltiazem HCL | |
| 3671 | </content> | |
| 3672 | </td> | |
| 3673 | <td> | |
| 3674 | <content> | |
| 3675 | 08/23/2010 12:00:00 AM EDT | |
| 3676 | </content> | |
| 3677 | </td> | |
| 3678 | <td> | |
| 3679 | <content> | |
| 3680 | Caps ER 24 HR | |
| 3681 | </content> | |
| 3682 | </td> | |
| 3683 | <td> | |
| 3684 | <content/> | |
| 3685 | </td> | |
| 3686 | <td> | |
| 3687 | <content> | |
| 3688 | ORAL | |
| 3689 | </content> | |
| 3690 | </td> | |
| 3691 | <td/> | |
| 3692 | <td/> | |
| 3693 | <td> | |
| 3694 | <content> | |
| 3695 | completed | |
| 3696 | </content> | |
| 3697 | </td> | |
| 3698 | <td/> | |
| 3699 | <td/> | |
| 3700 | <td> | |
| 3701 | <content> | |
| 3702 | ECMC | |
| 3703 | </content> | |
| 3704 | </td> | |
| 3705 | </tr> | |
| 3706 | <tr> | |
| 3707 | <td> | |
| 3708 | <content | |
| 3709 | ID="Medica tion-32" | |
| 3710 | > | |
| 3711 | Potassium Chloride 2 0 MEQ Exte nded Relea se Oral Ta blet | |
| 3712 | </content> | |
| 3713 | </td> | |
| 3714 | <td> | |
| 3715 | <content> | |
| 3716 | Potassium Chloride E R | |
| 3717 | </content> | |
| 3718 | </td> | |
| 3719 | <td> | |
| 3720 | <content> | |
| 3721 | 08/11/2010 12:00:00 AM EDT | |
| 3722 | </content> | |
| 3723 | </td> | |
| 3724 | <td> | |
| 3725 | <content> | |
| 3726 | Tablets ER | |
| 3727 | </content> | |
| 3728 | </td> | |
| 3729 | <td> | |
| 3730 | <content/> | |
| 3731 | </td> | |
| 3732 | <td> | |
| 3733 | <content> | |
| 3734 | ORAL | |
| 3735 | </content> | |
| 3736 | </td> | |
| 3737 | <td/> | |
| 3738 | <td/> | |
| 3739 | <td> | |
| 3740 | <content> | |
| 3741 | completed | |
| 3742 | </content> | |
| 3743 | </td> | |
| 3744 | <td/> | |
| 3745 | <td/> | |
| 3746 | <td> | |
| 3747 | <content> | |
| 3748 | ECMC | |
| 3749 | </content> | |
| 3750 | </td> | |
| 3751 | </tr> | |
| 3752 | <tr> | |
| 3753 | <td> | |
| 3754 | <content | |
| 3755 | ID="Medica tion-33" | |
| 3756 | > | |
| 3757 | Clonidine Hydrochlor ide 0.1 MG Oral Tabl et | |
| 3758 | </content> | |
| 3759 | </td> | |
| 3760 | <td> | |
| 3761 | <content> | |
| 3762 | Clonidine HCL | |
| 3763 | </content> | |
| 3764 | </td> | |
| 3765 | <td> | |
| 3766 | <content> | |
| 3767 | 08/11/2010 12:00:00 AM EDT | |
| 3768 | </content> | |
| 3769 | </td> | |
| 3770 | <td> | |
| 3771 | <content> | |
| 3772 | Tablets | |
| 3773 | </content> | |
| 3774 | </td> | |
| 3775 | <td> | |
| 3776 | <content/> | |
| 3777 | </td> | |
| 3778 | <td> | |
| 3779 | <content> | |
| 3780 | ORAL | |
| 3781 | </content> | |
| 3782 | </td> | |
| 3783 | <td/> | |
| 3784 | <td/> | |
| 3785 | <td> | |
| 3786 | <content> | |
| 3787 | completed | |
| 3788 | </content> | |
| 3789 | </td> | |
| 3790 | <td/> | |
| 3791 | <td/> | |
| 3792 | <td> | |
| 3793 | <content> | |
| 3794 | ECMC | |
| 3795 | </content> | |
| 3796 | </td> | |
| 3797 | </tr> | |
| 3798 | </tbody> | |
| 3799 | </table> | |
| 3800 | </text> | |
| 3801 | ||
| 3802 | <entry> | |
| 3803 | ||
| 3804 | <substance Administra tion | |
| 3805 | classCode= "SBADM" | |
| 3806 | moodCode=" INT" | |
| 3807 | > | |
| 3808 | ||
| 3809 | <templateI d | |
| 3810 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 3811 | /> | |
| 3812 | ||
| 3813 | <templateI d | |
| 3814 | root="2.16 .840.1.113 883. IP " | |
| 3815 | /> | |
| 3816 | ||
| 3817 | <templateI d | |
| 3818 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 3819 | /> | |
| 3820 | ||
| 3821 | <templateI d | |
| 3822 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 3823 | /> | |
| 3824 | ||
| 3825 | <id | |
| 3826 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 3827 | extension= "1604963" | |
| 3828 | /> | |
| 3829 | ||
| 3830 | <statusCod e | |
| 3831 | code="comp leted" | |
| 3832 | /> | |
| 3833 | ||
| 3834 | <effective Time | |
| 3835 | xsi:type=" IVL_TS" | |
| 3836 | > | |
| 3837 | ||
| 3838 | <low | |
| 3839 | value="201 5112000000 0-0500" | |
| 3840 | /> | |
| 3841 | ||
| 3842 | <high | |
| 3843 | value="201 6071000000 0-0400" | |
| 3844 | /> | |
| 3845 | ||
| 3846 | </effectiv eTime> | |
| 3847 | ||
| 3848 | <effective Time | |
| 3849 | xsi:type=" PIVL_TS" | |
| 3850 | operator=" A" | |
| 3851 | institutio nSpecified ="false" | |
| 3852 | > | |
| 3853 | ||
| 3854 | <period/> | |
| 3855 | ||
| 3856 | </effectiv eTime> | |
| 3857 | ||
| 3858 | <doseQuant ity/> | |
| 3859 | ||
| 3860 | <administr ationUnitC ode | |
| 3861 | code="C429 98" | |
| 3862 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 3863 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 3864 | displayNam e="Tablets " | |
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| 3866 | ||
| 3867 | <consumabl e> | |
| 3868 | ||
| 3869 | <manufactu redProduct | |
| 3870 | classCode= "MANU" | |
| 3871 | > | |
| 3872 | ||
| 3873 | <templateI d | |
| 3874 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 3875 | /> | |
| 3876 | ||
| 3877 | <templateI d | |
| 3878 | root="2.16 .840.1.113 883. IP " | |
| 3879 | /> | |
| 3880 | ||
| 3881 | <templateI d | |
| 3882 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 3883 | /> | |
| 3884 | ||
| 3885 | <templateI d | |
| 3886 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 3887 | /> | |
| 3888 | ||
| 3889 | <manufactu redMateria l> | |
| 3890 | ||
| 3891 | <code | |
| 3892 | code="1053 30" | |
| 3893 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 3894 | codeSystem Name="RxNO RM" | |
| 3895 | displayNam e="terbina fine 250 M G Oral Tab let [Lamis il]" | |
| 3896 | > | |
| 3897 | ||
| 3898 | <originalT ext> | |
| 3899 | terbinafin e 250 MG O ral Tablet [Lamisil] | |
| 3900 | <reference | |
| 3901 | value="#Me dication-1 " | |
| 3902 | /> | |
| 3903 | </original Text> | |
| 3904 | ||
| 3905 | <translati on | |
| 3906 | code="1053 30" | |
| 3907 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 3908 | codeSystem Name="RxNo rm" | |
| 3909 | displayNam e="Lamisil " | |
| 3910 | > | |
| 3911 | ||
| 3912 | <originalT ext> | |
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| 3914 | </original Text> | |
| 3915 | ||
| 3916 | </translat ion> | |
| 3917 | ||
| 3918 | </code> | |
| 3919 | ||
| 3920 | <name> | |
| 3921 | 1 daily | |
| 3922 | </name> | |
| 3923 | ||
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| 3925 | ||
| 3926 | </manufact uredProduc t> | |
| 3927 | ||
| 3928 | </consumab le> | |
| 3929 | ||
| 3930 | <author> | |
| 3931 | ||
| 3932 | <time | |
| 3933 | nullFlavor ="UNK" | |
| 3934 | /> | |
| 3935 | ||
| 3936 | <assignedA uthor> | |
| 3937 | ||
| 3938 | <id | |
| 3939 | nullFlavor ="UNK" | |
| 3940 | /> | |
| 3941 | ||
| 3942 | <addr | |
| 3943 | nullFlavor ="UNK" | |
| 3944 | /> | |
| 3945 | ||
| 3946 | <telecom | |
| 3947 | nullFlavor ="UNK" | |
| 3948 | /> | |
| 3949 | ||
| 3950 | <assignedP erson> | |
| 3951 | ||
| 3952 | <name | |
| 3953 | nullFlavor ="NA" | |
| 3954 | /> | |
| 3955 | ||
| 3956 | </assigned Person> | |
| 3957 | ||
| 3958 | </assigned Author> | |
| 3959 | ||
| 3960 | </author> | |
| 3961 | ||
| 3962 | <informant > | |
| 3963 | ||
| 3964 | <assignedE ntity> | |
| 3965 | ||
| 3966 | <id | |
| 3967 | root="2.16 .840.1.113 883.3.1103 .1" | |
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| 3969 | /> | |
| 3970 | ||
| 3971 | <addr | |
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| 3973 | /> | |
| 3974 | ||
| 3975 | <telecom | |
| 3976 | nullFlavor ="UNK" | |
| 3977 | /> | |
| 3978 | ||
| 3979 | <assignedP erson> | |
| 3980 | ||
| 3981 | <name | |
| 3982 | nullFlavor ="UNK" | |
| 3983 | /> | |
| 3984 | ||
| 3985 | </assigned Person> | |
| 3986 | ||
| 3987 | <represent edOrganiza tion> | |
| 3988 | ||
| 3989 | <id | |
| 3990 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 3991 | extension= "ECMC" | |
| 3992 | /> | |
| 3993 | ||
| 3994 | <name> | |
| 3995 | ECMC | |
| 3996 | </name> | |
| 3997 | ||
| 3998 | <telecom | |
| 3999 | nullFlavor ="UNK" | |
| 4000 | /> | |
| 4001 | ||
| 4002 | <addr | |
| 4003 | nullFlavor ="UNK" | |
| 4004 | /> | |
| 4005 | ||
| 4006 | </represen tedOrganiz ation> | |
| 4007 | ||
| 4008 | </assigned Entity> | |
| 4009 | ||
| 4010 | </informan t> | |
| 4011 | ||
| 4012 | <entryRela tionship | |
| 4013 | typeCode=" REFR" | |
| 4014 | > | |
| 4015 | ||
| 4016 | <observati on | |
| 4017 | classCode= "OBS" | |
| 4018 | moodCode=" EVN" | |
| 4019 | > | |
| 4020 | ||
| 4021 | <templateI d | |
| 4022 | root="2.16 .840.1.113 883. IP " | |
| 4023 | /> | |
| 4024 | ||
| 4025 | <templateI d | |
| 4026 | root="2.16 .840.1.113 883. IP " | |
| 4027 | /> | |
| 4028 | ||
| 4029 | <code | |
| 4030 | code="3399 9-4" | |
| 4031 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 4032 | codeSystem Name="LOIN C" | |
| 4033 | displayNam e="Status" | |
| 4034 | /> | |
| 4035 | ||
| 4036 | <statusCod e | |
| 4037 | code="comp leted" | |
| 4038 | /> | |
| 4039 | ||
| 4040 | <value | |
| 4041 | xsi:type=" CE" | |
| 4042 | code="comp leted" | |
| 4043 | /> | |
| 4044 | ||
| 4045 | </observat ion> | |
| 4046 | ||
| 4047 | </entryRel ationship> | |
| 4048 | ||
| 4049 | </substanc eAdministr ation> | |
| 4050 | ||
| 4051 | </entry> | |
| 4052 | ||
| 4053 | <entry> | |
| 4054 | ||
| 4055 | <substance Administra tion | |
| 4056 | classCode= "SBADM" | |
| 4057 | moodCode=" INT" | |
| 4058 | > | |
| 4059 | ||
| 4060 | <templateI d | |
| 4061 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
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| 4063 | ||
| 4064 | <templateI d | |
| 4065 | root="2.16 .840.1.113 883. IP " | |
| 4066 | /> | |
| 4067 | ||
| 4068 | <templateI d | |
| 4069 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 4070 | /> | |
| 4071 | ||
| 4072 | <templateI d | |
| 4073 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
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| 4075 | ||
| 4076 | <id | |
| 4077 | root="2.16 .840.1.113 883.3.1103 .1" | |
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| 4080 | ||
| 4081 | <statusCod e | |
| 4082 | code="comp leted" | |
| 4083 | /> | |
| 4084 | ||
| 4085 | <effective Time | |
| 4086 | xsi:type=" IVL_TS" | |
| 4087 | > | |
| 4088 | ||
| 4089 | <low | |
| 4090 | value="201 5111000000 0-0500" | |
| 4091 | /> | |
| 4092 | ||
| 4093 | <high | |
| 4094 | value="201 5112000000 0-0500" | |
| 4095 | /> | |
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| 4097 | </effectiv eTime> | |
| 4098 | ||
| 4099 | <effective Time | |
| 4100 | xsi:type=" PIVL_TS" | |
| 4101 | operator=" A" | |
| 4102 | institutio nSpecified ="false" | |
| 4103 | > | |
| 4104 | ||
| 4105 | <period/> | |
| 4106 | ||
| 4107 | </effectiv eTime> | |
| 4108 | ||
| 4109 | <routeCode | |
| 4110 | code="C382 88" | |
| 4111 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 4112 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
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| 4115 | ||
| 4116 | <doseQuant ity/> | |
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| 4119 | code="C429 98" | |
| 4120 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 4121 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 4122 | displayNam e="Tablets " | |
| 4123 | /> | |
| 4124 | ||
| 4125 | <consumabl e> | |
| 4126 | ||
| 4127 | <manufactu redProduct | |
| 4128 | classCode= "MANU" | |
| 4129 | > | |
| 4130 | ||
| 4131 | <templateI d | |
| 4132 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 4133 | /> | |
| 4134 | ||
| 4135 | <templateI d | |
| 4136 | root="2.16 .840.1.113 883. IP " | |
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| 4138 | ||
| 4139 | <templateI d | |
| 4140 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
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| 4142 | ||
| 4143 | <templateI d | |
| 4144 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 4145 | /> | |
| 4146 | ||
| 4147 | <manufactu redMateria l> | |
| 4148 | ||
| 4149 | <code | |
| 4150 | code="1976 98" | |
| 4151 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 4152 | codeSystem Name="RxNO RM" | |
| 4153 | displayNam e="Flucona zole 100 M G Oral Tab let" | |
| 4154 | > | |
| 4155 | ||
| 4156 | <originalT ext> | |
| 4157 | Fluconazol e 100 MG O ral Tablet | |
| 4158 | <reference | |
| 4159 | value="#Me dication-2 " | |
| 4160 | /> | |
| 4161 | </original Text> | |
| 4162 | ||
| 4163 | <translati on | |
| 4164 | code="1976 98" | |
| 4165 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 4166 | codeSystem Name="RxNo rm" | |
| 4167 | displayNam e="Flucona zole" | |
| 4168 | > | |
| 4169 | ||
| 4170 | <originalT ext> | |
| 4171 | Fluconazol e | |
| 4172 | </original Text> | |
| 4173 | ||
| 4174 | </translat ion> | |
| 4175 | ||
| 4176 | </code> | |
| 4177 | ||
| 4178 | <name> | |
| 4179 | 1 po qd x 10 days | |
| 4180 | </name> | |
| 4181 | ||
| 4182 | </manufact uredMateri al> | |
| 4183 | ||
| 4184 | </manufact uredProduc t> | |
| 4185 | ||
| 4186 | </consumab le> | |
| 4187 | ||
| 4188 | <author> | |
| 4189 | ||
| 4190 | <time | |
| 4191 | nullFlavor ="UNK" | |
| 4192 | /> | |
| 4193 | ||
| 4194 | <assignedA uthor> | |
| 4195 | ||
| 4196 | <id | |
| 4197 | nullFlavor ="UNK" | |
| 4198 | /> | |
| 4199 | ||
| 4200 | <addr | |
| 4201 | nullFlavor ="UNK" | |
| 4202 | /> | |
| 4203 | ||
| 4204 | <telecom | |
| 4205 | nullFlavor ="UNK" | |
| 4206 | /> | |
| 4207 | ||
| 4208 | <assignedP erson> | |
| 4209 | ||
| 4210 | <name | |
| 4211 | nullFlavor ="NA" | |
| 4212 | /> | |
| 4213 | ||
| 4214 | </assigned Person> | |
| 4215 | ||
| 4216 | </assigned Author> | |
| 4217 | ||
| 4218 | </author> | |
| 4219 | ||
| 4220 | <informant > | |
| 4221 | ||
| 4222 | <assignedE ntity> | |
| 4223 | ||
| 4224 | <id | |
| 4225 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 4226 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 4227 | /> | |
| 4228 | ||
| 4229 | <addr | |
| 4230 | nullFlavor ="UNK" | |
| 4231 | /> | |
| 4232 | ||
| 4233 | <telecom | |
| 4234 | nullFlavor ="UNK" | |
| 4235 | /> | |
| 4236 | ||
| 4237 | <assignedP erson> | |
| 4238 | ||
| 4239 | <name | |
| 4240 | nullFlavor ="UNK" | |
| 4241 | /> | |
| 4242 | ||
| 4243 | </assigned Person> | |
| 4244 | ||
| 4245 | <represent edOrganiza tion> | |
| 4246 | ||
| 4247 | <id | |
| 4248 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 4249 | extension= "ECMC" | |
| 4250 | /> | |
| 4251 | ||
| 4252 | <name> | |
| 4253 | ECMC | |
| 4254 | </name> | |
| 4255 | ||
| 4256 | <telecom | |
| 4257 | nullFlavor ="UNK" | |
| 4258 | /> | |
| 4259 | ||
| 4260 | <addr | |
| 4261 | nullFlavor ="UNK" | |
| 4262 | /> | |
| 4263 | ||
| 4264 | </represen tedOrganiz ation> | |
| 4265 | ||
| 4266 | </assigned Entity> | |
| 4267 | ||
| 4268 | </informan t> | |
| 4269 | ||
| 4270 | <entryRela tionship | |
| 4271 | typeCode=" REFR" | |
| 4272 | > | |
| 4273 | ||
| 4274 | <observati on | |
| 4275 | classCode= "OBS" | |
| 4276 | moodCode=" EVN" | |
| 4277 | > | |
| 4278 | ||
| 4279 | <templateI d | |
| 4280 | root="2.16 .840.1.113 883. IP " | |
| 4281 | /> | |
| 4282 | ||
| 4283 | <templateI d | |
| 4284 | root="2.16 .840.1.113 883. IP " | |
| 4285 | /> | |
| 4286 | ||
| 4287 | <code | |
| 4288 | code="3399 9-4" | |
| 4289 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 4290 | codeSystem Name="LOIN C" | |
| 4291 | displayNam e="Status" | |
| 4292 | /> | |
| 4293 | ||
| 4294 | <statusCod e | |
| 4295 | code="comp leted" | |
| 4296 | /> | |
| 4297 | ||
| 4298 | <value | |
| 4299 | xsi:type=" CE" | |
| 4300 | code="comp leted" | |
| 4301 | /> | |
| 4302 | ||
| 4303 | </observat ion> | |
| 4304 | ||
| 4305 | </entryRel ationship> | |
| 4306 | ||
| 4307 | </substanc eAdministr ation> | |
| 4308 | ||
| 4309 | </entry> | |
| 4310 | ||
| 4311 | <entry> | |
| 4312 | ||
| 4313 | <substance Administra tion | |
| 4314 | classCode= "SBADM" | |
| 4315 | moodCode=" INT" | |
| 4316 | > | |
| 4317 | ||
| 4318 | <templateI d | |
| 4319 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 4320 | /> | |
| 4321 | ||
| 4322 | <templateI d | |
| 4323 | root="2.16 .840.1.113 883. IP " | |
| 4324 | /> | |
| 4325 | ||
| 4326 | <templateI d | |
| 4327 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 4328 | /> | |
| 4329 | ||
| 4330 | <templateI d | |
| 4331 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 4332 | /> | |
| 4333 | ||
| 4334 | <id | |
| 4335 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 4336 | extension= "1596050" | |
| 4337 | /> | |
| 4338 | ||
| 4339 | <statusCod e | |
| 4340 | code="comp leted" | |
| 4341 | /> | |
| 4342 | ||
| 4343 | <effective Time | |
| 4344 | xsi:type=" IVL_TS" | |
| 4345 | > | |
| 4346 | ||
| 4347 | <low | |
| 4348 | value="201 5110500000 0-0500" | |
| 4349 | /> | |
| 4350 | ||
| 4351 | <high | |
| 4352 | value="201 5112000000 0-0500" | |
| 4353 | /> | |
| 4354 | ||
| 4355 | </effectiv eTime> | |
| 4356 | ||
| 4357 | <effective Time | |
| 4358 | xsi:type=" PIVL_TS" | |
| 4359 | operator=" A" | |
| 4360 | institutio nSpecified ="false" | |
| 4361 | > | |
| 4362 | ||
| 4363 | <period/> | |
| 4364 | ||
| 4365 | </effectiv eTime> | |
| 4366 | ||
| 4367 | <routeCode | |
| 4368 | code="C382 88" | |
| 4369 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 4370 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 4371 | displayNam e="ORAL" | |
| 4372 | /> | |
| 4373 | ||
| 4374 | <doseQuant ity/> | |
| 4375 | ||
| 4376 | <administr ationUnitC ode | |
| 4377 | code="C429 98" | |
| 4378 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 4379 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 4380 | displayNam e="Tablets " | |
| 4381 | /> | |
| 4382 | ||
| 4383 | <consumabl e> | |
| 4384 | ||
| 4385 | <manufactu redProduct | |
| 4386 | classCode= "MANU" | |
| 4387 | > | |
| 4388 | ||
| 4389 | <templateI d | |
| 4390 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 4391 | /> | |
| 4392 | ||
| 4393 | <templateI d | |
| 4394 | root="2.16 .840.1.113 883. IP " | |
| 4395 | /> | |
| 4396 | ||
| 4397 | <templateI d | |
| 4398 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 4399 | /> | |
| 4400 | ||
| 4401 | <templateI d | |
| 4402 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 4403 | /> | |
| 4404 | ||
| 4405 | <manufactu redMateria l> | |
| 4406 | ||
| 4407 | <code | |
| 4408 | code="8495 80" | |
| 4409 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 4410 | codeSystem Name="RxNO RM" | |
| 4411 | displayNam e="Sulfame thoxazole 800 MG / T rimethopri m 160 MG O ral Tablet [Bactrim] " | |
| 4412 | > | |
| 4413 | ||
| 4414 | <originalT ext> | |
| 4415 | Sulfametho xazole 800 MG / Trim ethoprim 1 60 MG Oral Tablet [B actrim] | |
| 4416 | <reference | |
| 4417 | value="#Me dication-3 " | |
| 4418 | /> | |
| 4419 | </original Text> | |
| 4420 | ||
| 4421 | <translati on | |
| 4422 | code="8495 80" | |
| 4423 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 4424 | codeSystem Name="RxNo rm" | |
| 4425 | displayNam e="Bactrim DS" | |
| 4426 | > | |
| 4427 | ||
| 4428 | <originalT ext> | |
| 4429 | Bactrim DS | |
| 4430 | </original Text> | |
| 4431 | ||
| 4432 | </translat ion> | |
| 4433 | ||
| 4434 | </code> | |
| 4435 | ||
| 4436 | <name> | |
| 4437 | 1 tab by m outh twice a day tak e on tab t wice a day for 7 day s | |
| 4438 | </name> | |
| 4439 | ||
| 4440 | </manufact uredMateri al> | |
| 4441 | ||
| 4442 | </manufact uredProduc t> | |
| 4443 | ||
| 4444 | </consumab le> | |
| 4445 | ||
| 4446 | <author> | |
| 4447 | ||
| 4448 | <time | |
| 4449 | nullFlavor ="UNK" | |
| 4450 | /> | |
| 4451 | ||
| 4452 | <assignedA uthor> | |
| 4453 | ||
| 4454 | <id | |
| 4455 | nullFlavor ="UNK" | |
| 4456 | /> | |
| 4457 | ||
| 4458 | <addr | |
| 4459 | nullFlavor ="UNK" | |
| 4460 | /> | |
| 4461 | ||
| 4462 | <telecom | |
| 4463 | nullFlavor ="UNK" | |
| 4464 | /> | |
| 4465 | ||
| 4466 | <assignedP erson> | |
| 4467 | ||
| 4468 | <name | |
| 4469 | nullFlavor ="NA" | |
| 4470 | /> | |
| 4471 | ||
| 4472 | </assigned Person> | |
| 4473 | ||
| 4474 | </assigned Author> | |
| 4475 | ||
| 4476 | </author> | |
| 4477 | ||
| 4478 | <informant > | |
| 4479 | ||
| 4480 | <assignedE ntity> | |
| 4481 | ||
| 4482 | <id | |
| 4483 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 4484 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 4485 | /> | |
| 4486 | ||
| 4487 | <addr | |
| 4488 | nullFlavor ="UNK" | |
| 4489 | /> | |
| 4490 | ||
| 4491 | <telecom | |
| 4492 | nullFlavor ="UNK" | |
| 4493 | /> | |
| 4494 | ||
| 4495 | <assignedP erson> | |
| 4496 | ||
| 4497 | <name | |
| 4498 | nullFlavor ="UNK" | |
| 4499 | /> | |
| 4500 | ||
| 4501 | </assigned Person> | |
| 4502 | ||
| 4503 | <represent edOrganiza tion> | |
| 4504 | ||
| 4505 | <id | |
| 4506 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 4507 | extension= "ECMC" | |
| 4508 | /> | |
| 4509 | ||
| 4510 | <name> | |
| 4511 | ECMC | |
| 4512 | </name> | |
| 4513 | ||
| 4514 | <telecom | |
| 4515 | nullFlavor ="UNK" | |
| 4516 | /> | |
| 4517 | ||
| 4518 | <addr | |
| 4519 | nullFlavor ="UNK" | |
| 4520 | /> | |
| 4521 | ||
| 4522 | </represen tedOrganiz ation> | |
| 4523 | ||
| 4524 | </assigned Entity> | |
| 4525 | ||
| 4526 | </informan t> | |
| 4527 | ||
| 4528 | <entryRela tionship | |
| 4529 | typeCode=" REFR" | |
| 4530 | > | |
| 4531 | ||
| 4532 | <observati on | |
| 4533 | classCode= "OBS" | |
| 4534 | moodCode=" EVN" | |
| 4535 | > | |
| 4536 | ||
| 4537 | <templateI d | |
| 4538 | root="2.16 .840.1.113 883. IP " | |
| 4539 | /> | |
| 4540 | ||
| 4541 | <templateI d | |
| 4542 | root="2.16 .840.1.113 883. IP " | |
| 4543 | /> | |
| 4544 | ||
| 4545 | <code | |
| 4546 | code="3399 9-4" | |
| 4547 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 4548 | codeSystem Name="LOIN C" | |
| 4549 | displayNam e="Status" | |
| 4550 | /> | |
| 4551 | ||
| 4552 | <statusCod e | |
| 4553 | code="comp leted" | |
| 4554 | /> | |
| 4555 | ||
| 4556 | <value | |
| 4557 | xsi:type=" CE" | |
| 4558 | code="comp leted" | |
| 4559 | /> | |
| 4560 | ||
| 4561 | </observat ion> | |
| 4562 | ||
| 4563 | </entryRel ationship> | |
| 4564 | ||
| 4565 | </substanc eAdministr ation> | |
| 4566 | ||
| 4567 | </entry> | |
| 4568 | ||
| 4569 | <entry> | |
| 4570 | ||
| 4571 | <substance Administra tion | |
| 4572 | classCode= "SBADM" | |
| 4573 | moodCode=" INT" | |
| 4574 | > | |
| 4575 | ||
| 4576 | <templateI d | |
| 4577 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 4578 | /> | |
| 4579 | ||
| 4580 | <templateI d | |
| 4581 | root="2.16 .840.1.113 883. IP " | |
| 4582 | /> | |
| 4583 | ||
| 4584 | <templateI d | |
| 4585 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 4586 | /> | |
| 4587 | ||
| 4588 | <templateI d | |
| 4589 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 4590 | /> | |
| 4591 | ||
| 4592 | <id | |
| 4593 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 4594 | extension= "1596052" | |
| 4595 | /> | |
| 4596 | ||
| 4597 | <statusCod e | |
| 4598 | code="comp leted" | |
| 4599 | /> | |
| 4600 | ||
| 4601 | <effective Time | |
| 4602 | xsi:type=" IVL_TS" | |
| 4603 | > | |
| 4604 | ||
| 4605 | <low | |
| 4606 | value="201 5110500000 0-0500" | |
| 4607 | /> | |
| 4608 | ||
| 4609 | <high | |
| 4610 | value="201 5112000000 0-0500" | |
| 4611 | /> | |
| 4612 | ||
| 4613 | </effectiv eTime> | |
| 4614 | ||
| 4615 | <effective Time | |
| 4616 | xsi:type=" PIVL_TS" | |
| 4617 | operator=" A" | |
| 4618 | institutio nSpecified ="false" | |
| 4619 | > | |
| 4620 | ||
| 4621 | <period/> | |
| 4622 | ||
| 4623 | </effectiv eTime> | |
| 4624 | ||
| 4625 | <doseQuant ity/> | |
| 4626 | ||
| 4627 | <administr ationUnitC ode | |
| 4628 | code="C289 44" | |
| 4629 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 4630 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 4631 | displayNam e="Cream" | |
| 4632 | /> | |
| 4633 | ||
| 4634 | <consumabl e> | |
| 4635 | ||
| 4636 | <manufactu redProduct | |
| 4637 | classCode= "MANU" | |
| 4638 | > | |
| 4639 | ||
| 4640 | <templateI d | |
| 4641 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 4642 | /> | |
| 4643 | ||
| 4644 | <templateI d | |
| 4645 | root="2.16 .840.1.113 883. IP " | |
| 4646 | /> | |
| 4647 | ||
| 4648 | <templateI d | |
| 4649 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 4650 | /> | |
| 4651 | ||
| 4652 | <templateI d | |
| 4653 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 4654 | /> | |
| 4655 | ||
| 4656 | <manufactu redMateria l> | |
| 4657 | ||
| 4658 | <code | |
| 4659 | code="2081 86" | |
| 4660 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 4661 | codeSystem Name="RxNO RM" | |
| 4662 | displayNam e="silver sulfadiazi ne 10 MG/M L Topical Cream [Sil vadene]" | |
| 4663 | > | |
| 4664 | ||
| 4665 | <originalT ext> | |
| 4666 | silver sul fadiazine 10 MG/ML T opical Cre am [Silvad ene] | |
| 4667 | <reference | |
| 4668 | value="#Me dication-4 " | |
| 4669 | /> | |
| 4670 | </original Text> | |
| 4671 | ||
| 4672 | <translati on | |
| 4673 | code="2081 86" | |
| 4674 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 4675 | codeSystem Name="RxNo rm" | |
| 4676 | displayNam e="Silvade ne" | |
| 4677 | > | |
| 4678 | ||
| 4679 | <originalT ext> | |
| 4680 | Silvadene | |
| 4681 | </original Text> | |
| 4682 | ||
| 4683 | </translat ion> | |
| 4684 | ||
| 4685 | </code> | |
| 4686 | ||
| 4687 | <name> | |
| 4688 | apply spar ingly to a ffected ar ea daily a nd with ea ch drsg ch ange | |
| 4689 | </name> | |
| 4690 | ||
| 4691 | </manufact uredMateri al> | |
| 4692 | ||
| 4693 | </manufact uredProduc t> | |
| 4694 | ||
| 4695 | </consumab le> | |
| 4696 | ||
| 4697 | <author> | |
| 4698 | ||
| 4699 | <time | |
| 4700 | nullFlavor ="UNK" | |
| 4701 | /> | |
| 4702 | ||
| 4703 | <assignedA uthor> | |
| 4704 | ||
| 4705 | <id | |
| 4706 | nullFlavor ="UNK" | |
| 4707 | /> | |
| 4708 | ||
| 4709 | <addr | |
| 4710 | nullFlavor ="UNK" | |
| 4711 | /> | |
| 4712 | ||
| 4713 | <telecom | |
| 4714 | nullFlavor ="UNK" | |
| 4715 | /> | |
| 4716 | ||
| 4717 | <assignedP erson> | |
| 4718 | ||
| 4719 | <name | |
| 4720 | nullFlavor ="NA" | |
| 4721 | /> | |
| 4722 | ||
| 4723 | </assigned Person> | |
| 4724 | ||
| 4725 | </assigned Author> | |
| 4726 | ||
| 4727 | </author> | |
| 4728 | ||
| 4729 | <informant > | |
| 4730 | ||
| 4731 | <assignedE ntity> | |
| 4732 | ||
| 4733 | <id | |
| 4734 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 4735 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 4736 | /> | |
| 4737 | ||
| 4738 | <addr | |
| 4739 | nullFlavor ="UNK" | |
| 4740 | /> | |
| 4741 | ||
| 4742 | <telecom | |
| 4743 | nullFlavor ="UNK" | |
| 4744 | /> | |
| 4745 | ||
| 4746 | <assignedP erson> | |
| 4747 | ||
| 4748 | <name | |
| 4749 | nullFlavor ="UNK" | |
| 4750 | /> | |
| 4751 | ||
| 4752 | </assigned Person> | |
| 4753 | ||
| 4754 | <represent edOrganiza tion> | |
| 4755 | ||
| 4756 | <id | |
| 4757 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 4758 | extension= "ECMC" | |
| 4759 | /> | |
| 4760 | ||
| 4761 | <name> | |
| 4762 | ECMC | |
| 4763 | </name> | |
| 4764 | ||
| 4765 | <telecom | |
| 4766 | nullFlavor ="UNK" | |
| 4767 | /> | |
| 4768 | ||
| 4769 | <addr | |
| 4770 | nullFlavor ="UNK" | |
| 4771 | /> | |
| 4772 | ||
| 4773 | </represen tedOrganiz ation> | |
| 4774 | ||
| 4775 | </assigned Entity> | |
| 4776 | ||
| 4777 | </informan t> | |
| 4778 | ||
| 4779 | <entryRela tionship | |
| 4780 | typeCode=" REFR" | |
| 4781 | > | |
| 4782 | ||
| 4783 | <observati on | |
| 4784 | classCode= "OBS" | |
| 4785 | moodCode=" EVN" | |
| 4786 | > | |
| 4787 | ||
| 4788 | <templateI d | |
| 4789 | root="2.16 .840.1.113 883. IP " | |
| 4790 | /> | |
| 4791 | ||
| 4792 | <templateI d | |
| 4793 | root="2.16 .840.1.113 883. IP " | |
| 4794 | /> | |
| 4795 | ||
| 4796 | <code | |
| 4797 | code="3399 9-4" | |
| 4798 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 4799 | codeSystem Name="LOIN C" | |
| 4800 | displayNam e="Status" | |
| 4801 | /> | |
| 4802 | ||
| 4803 | <statusCod e | |
| 4804 | code="comp leted" | |
| 4805 | /> | |
| 4806 | ||
| 4807 | <value | |
| 4808 | xsi:type=" CE" | |
| 4809 | code="comp leted" | |
| 4810 | /> | |
| 4811 | ||
| 4812 | </observat ion> | |
| 4813 | ||
| 4814 | </entryRel ationship> | |
| 4815 | ||
| 4816 | </substanc eAdministr ation> | |
| 4817 | ||
| 4818 | </entry> | |
| 4819 | ||
| 4820 | <entry> | |
| 4821 | ||
| 4822 | <substance Administra tion | |
| 4823 | classCode= "SBADM" | |
| 4824 | moodCode=" INT" | |
| 4825 | > | |
| 4826 | ||
| 4827 | <templateI d | |
| 4828 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 4829 | /> | |
| 4830 | ||
| 4831 | <templateI d | |
| 4832 | root="2.16 .840.1.113 883. IP " | |
| 4833 | /> | |
| 4834 | ||
| 4835 | <templateI d | |
| 4836 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 4837 | /> | |
| 4838 | ||
| 4839 | <templateI d | |
| 4840 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 4841 | /> | |
| 4842 | ||
| 4843 | <id | |
| 4844 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 4845 | extension= "1594839" | |
| 4846 | /> | |
| 4847 | ||
| 4848 | <statusCod e | |
| 4849 | code="comp leted" | |
| 4850 | /> | |
| 4851 | ||
| 4852 | <effective Time | |
| 4853 | xsi:type=" IVL_TS" | |
| 4854 | > | |
| 4855 | ||
| 4856 | <low | |
| 4857 | value="201 5110300000 0-0500" | |
| 4858 | /> | |
| 4859 | ||
| 4860 | <high | |
| 4861 | value="201 5110600000 0-0500" | |
| 4862 | /> | |
| 4863 | ||
| 4864 | </effectiv eTime> | |
| 4865 | ||
| 4866 | <effective Time | |
| 4867 | xsi:type=" PIVL_TS" | |
| 4868 | operator=" A" | |
| 4869 | institutio nSpecified ="false" | |
| 4870 | > | |
| 4871 | ||
| 4872 | <period/> | |
| 4873 | ||
| 4874 | </effectiv eTime> | |
| 4875 | ||
| 4876 | <routeCode | |
| 4877 | code="C382 88" | |
| 4878 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 4879 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 4880 | displayNam e="ORAL" | |
| 4881 | /> | |
| 4882 | ||
| 4883 | <doseQuant ity/> | |
| 4884 | ||
| 4885 | <administr ationUnitC ode | |
| 4886 | code="C429 98" | |
| 4887 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 4888 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 4889 | displayNam e="Tablets " | |
| 4890 | /> | |
| 4891 | ||
| 4892 | <consumabl e> | |
| 4893 | ||
| 4894 | <manufactu redProduct | |
| 4895 | classCode= "MANU" | |
| 4896 | > | |
| 4897 | ||
| 4898 | <templateI d | |
| 4899 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 4900 | /> | |
| 4901 | ||
| 4902 | <templateI d | |
| 4903 | root="2.16 .840.1.113 883. IP " | |
| 4904 | /> | |
| 4905 | ||
| 4906 | <templateI d | |
| 4907 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 4908 | /> | |
| 4909 | ||
| 4910 | <templateI d | |
| 4911 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 4912 | /> | |
| 4913 | ||
| 4914 | <manufactu redMateria l> | |
| 4915 | ||
| 4916 | <code | |
| 4917 | code="2008 01" | |
| 4918 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 4919 | codeSystem Name="RxNO RM" | |
| 4920 | displayNam e="Furosem ide 20 MG Oral Table t [Lasix]" | |
| 4921 | > | |
| 4922 | ||
| 4923 | <originalT ext> | |
| 4924 | Furosemide 20 MG Ora l Tablet [ Lasix] | |
| 4925 | <reference | |
| 4926 | value="#Me dication-5 " | |
| 4927 | /> | |
| 4928 | </original Text> | |
| 4929 | ||
| 4930 | <translati on | |
| 4931 | code="2008 01" | |
| 4932 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 4933 | codeSystem Name="RxNo rm" | |
| 4934 | displayNam e="Lasix" | |
| 4935 | > | |
| 4936 | ||
| 4937 | <originalT ext> | |
| 4938 | Lasix | |
| 4939 | </original Text> | |
| 4940 | ||
| 4941 | </translat ion> | |
| 4942 | ||
| 4943 | </code> | |
| 4944 | ||
| 4945 | <name> | |
| 4946 | 1 by mouth twice a d ay x 3 day s | |
| 4947 | </name> | |
| 4948 | ||
| 4949 | </manufact uredMateri al> | |
| 4950 | ||
| 4951 | </manufact uredProduc t> | |
| 4952 | ||
| 4953 | </consumab le> | |
| 4954 | ||
| 4955 | <author> | |
| 4956 | ||
| 4957 | <time | |
| 4958 | nullFlavor ="UNK" | |
| 4959 | /> | |
| 4960 | ||
| 4961 | <assignedA uthor> | |
| 4962 | ||
| 4963 | <id | |
| 4964 | nullFlavor ="UNK" | |
| 4965 | /> | |
| 4966 | ||
| 4967 | <addr | |
| 4968 | nullFlavor ="UNK" | |
| 4969 | /> | |
| 4970 | ||
| 4971 | <telecom | |
| 4972 | nullFlavor ="UNK" | |
| 4973 | /> | |
| 4974 | ||
| 4975 | <assignedP erson> | |
| 4976 | ||
| 4977 | <name | |
| 4978 | nullFlavor ="NA" | |
| 4979 | /> | |
| 4980 | ||
| 4981 | </assigned Person> | |
| 4982 | ||
| 4983 | </assigned Author> | |
| 4984 | ||
| 4985 | </author> | |
| 4986 | ||
| 4987 | <informant > | |
| 4988 | ||
| 4989 | <assignedE ntity> | |
| 4990 | ||
| 4991 | <id | |
| 4992 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 4993 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 4994 | /> | |
| 4995 | ||
| 4996 | <addr | |
| 4997 | nullFlavor ="UNK" | |
| 4998 | /> | |
| 4999 | ||
| 5000 | <telecom | |
| 5001 | nullFlavor ="UNK" | |
| 5002 | /> | |
| 5003 | ||
| 5004 | <assignedP erson> | |
| 5005 | ||
| 5006 | <name | |
| 5007 | nullFlavor ="UNK" | |
| 5008 | /> | |
| 5009 | ||
| 5010 | </assigned Person> | |
| 5011 | ||
| 5012 | <represent edOrganiza tion> | |
| 5013 | ||
| 5014 | <id | |
| 5015 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 5016 | extension= "ECMC" | |
| 5017 | /> | |
| 5018 | ||
| 5019 | <name> | |
| 5020 | ECMC | |
| 5021 | </name> | |
| 5022 | ||
| 5023 | <telecom | |
| 5024 | nullFlavor ="UNK" | |
| 5025 | /> | |
| 5026 | ||
| 5027 | <addr | |
| 5028 | nullFlavor ="UNK" | |
| 5029 | /> | |
| 5030 | ||
| 5031 | </represen tedOrganiz ation> | |
| 5032 | ||
| 5033 | </assigned Entity> | |
| 5034 | ||
| 5035 | </informan t> | |
| 5036 | ||
| 5037 | <entryRela tionship | |
| 5038 | typeCode=" REFR" | |
| 5039 | > | |
| 5040 | ||
| 5041 | <observati on | |
| 5042 | classCode= "OBS" | |
| 5043 | moodCode=" EVN" | |
| 5044 | > | |
| 5045 | ||
| 5046 | <templateI d | |
| 5047 | root="2.16 .840.1.113 883. IP " | |
| 5048 | /> | |
| 5049 | ||
| 5050 | <templateI d | |
| 5051 | root="2.16 .840.1.113 883. IP " | |
| 5052 | /> | |
| 5053 | ||
| 5054 | <code | |
| 5055 | code="3399 9-4" | |
| 5056 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 5057 | codeSystem Name="LOIN C" | |
| 5058 | displayNam e="Status" | |
| 5059 | /> | |
| 5060 | ||
| 5061 | <statusCod e | |
| 5062 | code="comp leted" | |
| 5063 | /> | |
| 5064 | ||
| 5065 | <value | |
| 5066 | xsi:type=" CE" | |
| 5067 | code="comp leted" | |
| 5068 | /> | |
| 5069 | ||
| 5070 | </observat ion> | |
| 5071 | ||
| 5072 | </entryRel ationship> | |
| 5073 | ||
| 5074 | </substanc eAdministr ation> | |
| 5075 | ||
| 5076 | </entry> | |
| 5077 | ||
| 5078 | <entry> | |
| 5079 | ||
| 5080 | <substance Administra tion | |
| 5081 | classCode= "SBADM" | |
| 5082 | moodCode=" INT" | |
| 5083 | > | |
| 5084 | ||
| 5085 | <templateI d | |
| 5086 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 5087 | /> | |
| 5088 | ||
| 5089 | <templateI d | |
| 5090 | root="2.16 .840.1.113 883. IP " | |
| 5091 | /> | |
| 5092 | ||
| 5093 | <templateI d | |
| 5094 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 5095 | /> | |
| 5096 | ||
| 5097 | <templateI d | |
| 5098 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 5099 | /> | |
| 5100 | ||
| 5101 | <id | |
| 5102 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 5103 | extension= "1594840" | |
| 5104 | /> | |
| 5105 | ||
| 5106 | <statusCod e | |
| 5107 | code="comp leted" | |
| 5108 | /> | |
| 5109 | ||
| 5110 | <effective Time | |
| 5111 | xsi:type=" IVL_TS" | |
| 5112 | > | |
| 5113 | ||
| 5114 | <low | |
| 5115 | value="201 5110300000 0-0500" | |
| 5116 | /> | |
| 5117 | ||
| 5118 | <high | |
| 5119 | value="201 5112000000 0-0500" | |
| 5120 | /> | |
| 5121 | ||
| 5122 | </effectiv eTime> | |
| 5123 | ||
| 5124 | <effective Time | |
| 5125 | xsi:type=" PIVL_TS" | |
| 5126 | operator=" A" | |
| 5127 | institutio nSpecified ="false" | |
| 5128 | > | |
| 5129 | ||
| 5130 | <period/> | |
| 5131 | ||
| 5132 | </effectiv eTime> | |
| 5133 | ||
| 5134 | <doseQuant ity/> | |
| 5135 | ||
| 5136 | <administr ationUnitC ode | |
| 5137 | code="C429 98" | |
| 5138 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 5139 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 5140 | displayNam e="Tablets " | |
| 5141 | /> | |
| 5142 | ||
| 5143 | <consumabl e> | |
| 5144 | ||
| 5145 | <manufactu redProduct | |
| 5146 | classCode= "MANU" | |
| 5147 | > | |
| 5148 | ||
| 5149 | <templateI d | |
| 5150 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 5151 | /> | |
| 5152 | ||
| 5153 | <templateI d | |
| 5154 | root="2.16 .840.1.113 883. IP " | |
| 5155 | /> | |
| 5156 | ||
| 5157 | <templateI d | |
| 5158 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 5159 | /> | |
| 5160 | ||
| 5161 | <templateI d | |
| 5162 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 5163 | /> | |
| 5164 | ||
| 5165 | <manufactu redMateria l> | |
| 5166 | ||
| 5167 | <code | |
| 5168 | code="8356 03" | |
| 5169 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 5170 | codeSystem Name="RxNO RM" | |
| 5171 | displayNam e="tramado l hydrochl oride 50 M G Oral Tab let" | |
| 5172 | > | |
| 5173 | ||
| 5174 | <originalT ext> | |
| 5175 | tramadol h ydrochlori de 50 MG O ral Tablet | |
| 5176 | <reference | |
| 5177 | value="#Me dication-6 " | |
| 5178 | /> | |
| 5179 | </original Text> | |
| 5180 | ||
| 5181 | <translati on | |
| 5182 | code="8356 03" | |
| 5183 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 5184 | codeSystem Name="RxNo rm" | |
| 5185 | displayNam e="Tramado l HCL" | |
| 5186 | > | |
| 5187 | ||
| 5188 | <originalT ext> | |
| 5189 | Tramadol H CL | |
| 5190 | </original Text> | |
| 5191 | ||
| 5192 | </translat ion> | |
| 5193 | ||
| 5194 | </code> | |
| 5195 | ||
| 5196 | <name> | |
| 5197 | 1-2 tabs e very 6hrs. prn pain | |
| 5198 | </name> | |
| 5199 | ||
| 5200 | </manufact uredMateri al> | |
| 5201 | ||
| 5202 | </manufact uredProduc t> | |
| 5203 | ||
| 5204 | </consumab le> | |
| 5205 | ||
| 5206 | <author> | |
| 5207 | ||
| 5208 | <time | |
| 5209 | nullFlavor ="UNK" | |
| 5210 | /> | |
| 5211 | ||
| 5212 | <assignedA uthor> | |
| 5213 | ||
| 5214 | <id | |
| 5215 | nullFlavor ="UNK" | |
| 5216 | /> | |
| 5217 | ||
| 5218 | <addr | |
| 5219 | nullFlavor ="UNK" | |
| 5220 | /> | |
| 5221 | ||
| 5222 | <telecom | |
| 5223 | nullFlavor ="UNK" | |
| 5224 | /> | |
| 5225 | ||
| 5226 | <assignedP erson> | |
| 5227 | ||
| 5228 | <name | |
| 5229 | nullFlavor ="NA" | |
| 5230 | /> | |
| 5231 | ||
| 5232 | </assigned Person> | |
| 5233 | ||
| 5234 | </assigned Author> | |
| 5235 | ||
| 5236 | </author> | |
| 5237 | ||
| 5238 | <informant > | |
| 5239 | ||
| 5240 | <assignedE ntity> | |
| 5241 | ||
| 5242 | <id | |
| 5243 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 5244 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 5245 | /> | |
| 5246 | ||
| 5247 | <addr | |
| 5248 | nullFlavor ="UNK" | |
| 5249 | /> | |
| 5250 | ||
| 5251 | <telecom | |
| 5252 | nullFlavor ="UNK" | |
| 5253 | /> | |
| 5254 | ||
| 5255 | <assignedP erson> | |
| 5256 | ||
| 5257 | <name | |
| 5258 | nullFlavor ="UNK" | |
| 5259 | /> | |
| 5260 | ||
| 5261 | </assigned Person> | |
| 5262 | ||
| 5263 | <represent edOrganiza tion> | |
| 5264 | ||
| 5265 | <id | |
| 5266 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 5267 | extension= "ECMC" | |
| 5268 | /> | |
| 5269 | ||
| 5270 | <name> | |
| 5271 | ECMC | |
| 5272 | </name> | |
| 5273 | ||
| 5274 | <telecom | |
| 5275 | nullFlavor ="UNK" | |
| 5276 | /> | |
| 5277 | ||
| 5278 | <addr | |
| 5279 | nullFlavor ="UNK" | |
| 5280 | /> | |
| 5281 | ||
| 5282 | </represen tedOrganiz ation> | |
| 5283 | ||
| 5284 | </assigned Entity> | |
| 5285 | ||
| 5286 | </informan t> | |
| 5287 | ||
| 5288 | <entryRela tionship | |
| 5289 | typeCode=" REFR" | |
| 5290 | > | |
| 5291 | ||
| 5292 | <observati on | |
| 5293 | classCode= "OBS" | |
| 5294 | moodCode=" EVN" | |
| 5295 | > | |
| 5296 | ||
| 5297 | <templateI d | |
| 5298 | root="2.16 .840.1.113 883. IP " | |
| 5299 | /> | |
| 5300 | ||
| 5301 | <templateI d | |
| 5302 | root="2.16 .840.1.113 883. IP " | |
| 5303 | /> | |
| 5304 | ||
| 5305 | <code | |
| 5306 | code="3399 9-4" | |
| 5307 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 5308 | codeSystem Name="LOIN C" | |
| 5309 | displayNam e="Status" | |
| 5310 | /> | |
| 5311 | ||
| 5312 | <statusCod e | |
| 5313 | code="comp leted" | |
| 5314 | /> | |
| 5315 | ||
| 5316 | <value | |
| 5317 | xsi:type=" CE" | |
| 5318 | code="comp leted" | |
| 5319 | /> | |
| 5320 | ||
| 5321 | </observat ion> | |
| 5322 | ||
| 5323 | </entryRel ationship> | |
| 5324 | ||
| 5325 | </substanc eAdministr ation> | |
| 5326 | ||
| 5327 | </entry> | |
| 5328 | ||
| 5329 | <entry> | |
| 5330 | ||
| 5331 | <substance Administra tion | |
| 5332 | classCode= "SBADM" | |
| 5333 | moodCode=" INT" | |
| 5334 | > | |
| 5335 | ||
| 5336 | <templateI d | |
| 5337 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 5338 | /> | |
| 5339 | ||
| 5340 | <templateI d | |
| 5341 | root="2.16 .840.1.113 883. IP " | |
| 5342 | /> | |
| 5343 | ||
| 5344 | <templateI d | |
| 5345 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 5346 | /> | |
| 5347 | ||
| 5348 | <templateI d | |
| 5349 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 5350 | /> | |
| 5351 | ||
| 5352 | <id | |
| 5353 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 5354 | extension= "1427535" | |
| 5355 | /> | |
| 5356 | ||
| 5357 | <statusCod e | |
| 5358 | code="comp leted" | |
| 5359 | /> | |
| 5360 | ||
| 5361 | <effective Time | |
| 5362 | xsi:type=" IVL_TS" | |
| 5363 | > | |
| 5364 | ||
| 5365 | <low | |
| 5366 | value="201 5012100000 0-0500" | |
| 5367 | /> | |
| 5368 | ||
| 5369 | <high | |
| 5370 | value="201 5101600000 0-0400" | |
| 5371 | /> | |
| 5372 | ||
| 5373 | </effectiv eTime> | |
| 5374 | ||
| 5375 | <effective Time | |
| 5376 | xsi:type=" PIVL_TS" | |
| 5377 | operator=" A" | |
| 5378 | institutio nSpecified ="false" | |
| 5379 | > | |
| 5380 | ||
| 5381 | <period/> | |
| 5382 | ||
| 5383 | </effectiv eTime> | |
| 5384 | ||
| 5385 | <routeCode | |
| 5386 | code="C382 88" | |
| 5387 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 5388 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 5389 | displayNam e="ORAL" | |
| 5390 | /> | |
| 5391 | ||
| 5392 | <doseQuant ity/> | |
| 5393 | ||
| 5394 | <administr ationUnitC ode | |
| 5395 | code="C429 98" | |
| 5396 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 5397 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 5398 | displayNam e="Tablets " | |
| 5399 | /> | |
| 5400 | ||
| 5401 | <consumabl e> | |
| 5402 | ||
| 5403 | <manufactu redProduct | |
| 5404 | classCode= "MANU" | |
| 5405 | > | |
| 5406 | ||
| 5407 | <templateI d | |
| 5408 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 5409 | /> | |
| 5410 | ||
| 5411 | <templateI d | |
| 5412 | root="2.16 .840.1.113 883. IP " | |
| 5413 | /> | |
| 5414 | ||
| 5415 | <templateI d | |
| 5416 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 5417 | /> | |
| 5418 | ||
| 5419 | <templateI d | |
| 5420 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 5421 | /> | |
| 5422 | ||
| 5423 | <manufactu redMateria l> | |
| 5424 | ||
| 5425 | <code | |
| 5426 | code="1232 088" | |
| 5427 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 5428 | codeSystem Name="RxNO RM" | |
| 5429 | displayNam e="rivarox aban 20 MG Oral Tabl et [Xarelt o]" | |
| 5430 | > | |
| 5431 | ||
| 5432 | <originalT ext> | |
| 5433 | rivaroxaba n 20 MG Or al Tablet [Xarelto] | |
| 5434 | <reference | |
| 5435 | value="#Me dication-7 " | |
| 5436 | /> | |
| 5437 | </original Text> | |
| 5438 | ||
| 5439 | <translati on | |
| 5440 | code="1232 088" | |
| 5441 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 5442 | codeSystem Name="RxNo rm" | |
| 5443 | displayNam e="Xarelto " | |
| 5444 | > | |
| 5445 | ||
| 5446 | <originalT ext> | |
| 5447 | Xarelto | |
| 5448 | </original Text> | |
| 5449 | ||
| 5450 | </translat ion> | |
| 5451 | ||
| 5452 | </code> | |
| 5453 | ||
| 5454 | <name> | |
| 5455 | 1 by mouth every day with even ing meal | |
| 5456 | </name> | |
| 5457 | ||
| 5458 | </manufact uredMateri al> | |
| 5459 | ||
| 5460 | </manufact uredProduc t> | |
| 5461 | ||
| 5462 | </consumab le> | |
| 5463 | ||
| 5464 | <author> | |
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| 6143 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 6144 | /> | |
| 6145 | ||
| 6146 | <templateI d | |
| 6147 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 6148 | /> | |
| 6149 | ||
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| 6151 | ||
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| 6153 | code="2613 15" | |
| 6154 | codeSystem ="2.16.840 .1.113883. 6.88" | |
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| 6156 | displayNam e="Oseltam ivir 75 MG Oral Caps ule [Tamif lu]" | |
| 6157 | > | |
| 6158 | ||
| 6159 | <originalT ext> | |
| 6160 | Oseltamivi r 75 MG Or al Capsule [Tamiflu] | |
| 6161 | <reference | |
| 6162 | value="#Me dication-1 0" | |
| 6163 | /> | |
| 6164 | </original Text> | |
| 6165 | ||
| 6166 | <translati on | |
| 6167 | code="2613 15" | |
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| 6169 | codeSystem Name="RxNo rm" | |
| 6170 | displayNam e="Tamiflu " | |
| 6171 | > | |
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| 6174 | Tamiflu | |
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| 6183 | </name> | |
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| 6186 | ||
| 6187 | </manufact uredProduc t> | |
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| 6196 | ||
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| 6201 | /> | |
| 6202 | ||
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| 6205 | /> | |
| 6206 | ||
| 6207 | <telecom | |
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| 6209 | /> | |
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| 6212 | ||
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| 6216 | ||
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| 6218 | ||
| 6219 | </assigned Author> | |
| 6220 | ||
| 6221 | </author> | |
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| 6226 | ||
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| 6234 | /> | |
| 6235 | ||
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| 6238 | /> | |
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| 6245 | ||
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| 6249 | ||
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| 6253 | /> | |
| 6254 | ||
| 6255 | <name> | |
| 6256 | ECMC | |
| 6257 | </name> | |
| 6258 | ||
| 6259 | <telecom | |
| 6260 | nullFlavor ="UNK" | |
| 6261 | /> | |
| 6262 | ||
| 6263 | <addr | |
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| 6265 | /> | |
| 6266 | ||
| 6267 | </represen tedOrganiz ation> | |
| 6268 | ||
| 6269 | </assigned Entity> | |
| 6270 | ||
| 6271 | </informan t> | |
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| 6275 | > | |
| 6276 | ||
| 6277 | <observati on | |
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| 6279 | moodCode=" EVN" | |
| 6280 | > | |
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| 6282 | <templateI d | |
| 6283 | root="2.16 .840.1.113 883. IP " | |
| 6284 | /> | |
| 6285 | ||
| 6286 | <templateI d | |
| 6287 | root="2.16 .840.1.113 883. IP " | |
| 6288 | /> | |
| 6289 | ||
| 6290 | <code | |
| 6291 | code="3399 9-4" | |
| 6292 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 6293 | codeSystem Name="LOIN C" | |
| 6294 | displayNam e="Status" | |
| 6295 | /> | |
| 6296 | ||
| 6297 | <statusCod e | |
| 6298 | code="comp leted" | |
| 6299 | /> | |
| 6300 | ||
| 6301 | <value | |
| 6302 | xsi:type=" CE" | |
| 6303 | code="comp leted" | |
| 6304 | /> | |
| 6305 | ||
| 6306 | </observat ion> | |
| 6307 | ||
| 6308 | </entryRel ationship> | |
| 6309 | ||
| 6310 | </substanc eAdministr ation> | |
| 6311 | ||
| 6312 | </entry> | |
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| 6315 | ||
| 6316 | <substance Administra tion | |
| 6317 | classCode= "SBADM" | |
| 6318 | moodCode=" INT" | |
| 6319 | > | |
| 6320 | ||
| 6321 | <templateI d | |
| 6322 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 6323 | /> | |
| 6324 | ||
| 6325 | <templateI d | |
| 6326 | root="2.16 .840.1.113 883. IP " | |
| 6327 | /> | |
| 6328 | ||
| 6329 | <templateI d | |
| 6330 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 6331 | /> | |
| 6332 | ||
| 6333 | <templateI d | |
| 6334 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 6335 | /> | |
| 6336 | ||
| 6337 | <id | |
| 6338 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 6339 | extension= "1367466" | |
| 6340 | /> | |
| 6341 | ||
| 6342 | <statusCod e | |
| 6343 | code="comp leted" | |
| 6344 | /> | |
| 6345 | ||
| 6346 | <effective Time | |
| 6347 | xsi:type=" IVL_TS" | |
| 6348 | > | |
| 6349 | ||
| 6350 | <low | |
| 6351 | value="201 4100900000 0-0400" | |
| 6352 | /> | |
| 6353 | ||
| 6354 | <high | |
| 6355 | value="201 4112600000 0-0500" | |
| 6356 | /> | |
| 6357 | ||
| 6358 | </effectiv eTime> | |
| 6359 | ||
| 6360 | <effective Time | |
| 6361 | xsi:type=" PIVL_TS" | |
| 6362 | operator=" A" | |
| 6363 | institutio nSpecified ="false" | |
| 6364 | > | |
| 6365 | ||
| 6366 | <period/> | |
| 6367 | ||
| 6368 | </effectiv eTime> | |
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| 6372 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 6373 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 6374 | displayNam e="SUBCUTA NEOUS" | |
| 6375 | /> | |
| 6376 | ||
| 6377 | <doseQuant ity/> | |
| 6378 | ||
| 6379 | <administr ationUnitC ode | |
| 6380 | code="C430 02" | |
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| 6382 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 6383 | displayNam e="Solutio n Rec" | |
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| 6385 | ||
| 6386 | <consumabl e> | |
| 6387 | ||
| 6388 | <manufactu redProduct | |
| 6389 | classCode= "MANU" | |
| 6390 | > | |
| 6391 | ||
| 6392 | <templateI d | |
| 6393 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 6394 | /> | |
| 6395 | ||
| 6396 | <templateI d | |
| 6397 | root="2.16 .840.1.113 883. IP " | |
| 6398 | /> | |
| 6399 | ||
| 6400 | <templateI d | |
| 6401 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 6402 | /> | |
| 6403 | ||
| 6404 | <templateI d | |
| 6405 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 6406 | /> | |
| 6407 | ||
| 6408 | <manufactu redMateria l> | |
| 6409 | ||
| 6410 | <code | |
| 6411 | code="1292 435" | |
| 6412 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 6413 | codeSystem Name="RxNO RM" | |
| 6414 | displayNam e="0.65 ML Varicella -Zoster Vi rus Vaccin e Live (Ok a-Merck) s train 2980 0 UNT/ML I njection [ Zostavax]" | |
| 6415 | > | |
| 6416 | ||
| 6417 | <originalT ext> | |
| 6418 | 0.65 ML Va ricella-Zo ster Virus Vaccine L ive (Oka-M erck) stra in 29800 U NT/ML Inje ction [Zos tavax] | |
| 6419 | <reference | |
| 6420 | value="#Me dication-1 1" | |
| 6421 | /> | |
| 6422 | </original Text> | |
| 6423 | ||
| 6424 | <translati on | |
| 6425 | code="1292 435" | |
| 6426 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 6427 | codeSystem Name="RxNo rm" | |
| 6428 | displayNam e="Zostava x" | |
| 6429 | > | |
| 6430 | ||
| 6431 | <originalT ext> | |
| 6432 | Zostavax | |
| 6433 | </original Text> | |
| 6434 | ||
| 6435 | </translat ion> | |
| 6436 | ||
| 6437 | </code> | |
| 6438 | ||
| 6439 | <name> | |
| 6440 | 0.65ml sq x 1 | |
| 6441 | </name> | |
| 6442 | ||
| 6443 | </manufact uredMateri al> | |
| 6444 | ||
| 6445 | </manufact uredProduc t> | |
| 6446 | ||
| 6447 | </consumab le> | |
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| 6449 | <author> | |
| 6450 | ||
| 6451 | <time | |
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| 6454 | ||
| 6455 | <assignedA uthor> | |
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| 6459 | /> | |
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| 6463 | /> | |
| 6464 | ||
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| 6466 | nullFlavor ="UNK" | |
| 6467 | /> | |
| 6468 | ||
| 6469 | <assignedP erson> | |
| 6470 | ||
| 6471 | <name | |
| 6472 | nullFlavor ="NA" | |
| 6473 | /> | |
| 6474 | ||
| 6475 | </assigned Person> | |
| 6476 | ||
| 6477 | </assigned Author> | |
| 6478 | ||
| 6479 | </author> | |
| 6480 | ||
| 6481 | <informant > | |
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| 6483 | <assignedE ntity> | |
| 6484 | ||
| 6485 | <id | |
| 6486 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 6487 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 6488 | /> | |
| 6489 | ||
| 6490 | <addr | |
| 6491 | nullFlavor ="UNK" | |
| 6492 | /> | |
| 6493 | ||
| 6494 | <telecom | |
| 6495 | nullFlavor ="UNK" | |
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| 6499 | ||
| 6500 | <name | |
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| 6503 | ||
| 6504 | </assigned Person> | |
| 6505 | ||
| 6506 | <represent edOrganiza tion> | |
| 6507 | ||
| 6508 | <id | |
| 6509 | root="2.16 .840.1.113 883.3.1103 .1" | |
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| 6511 | /> | |
| 6512 | ||
| 6513 | <name> | |
| 6514 | ECMC | |
| 6515 | </name> | |
| 6516 | ||
| 6517 | <telecom | |
| 6518 | nullFlavor ="UNK" | |
| 6519 | /> | |
| 6520 | ||
| 6521 | <addr | |
| 6522 | nullFlavor ="UNK" | |
| 6523 | /> | |
| 6524 | ||
| 6525 | </represen tedOrganiz ation> | |
| 6526 | ||
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| 6528 | ||
| 6529 | </informan t> | |
| 6530 | ||
| 6531 | <entryRela tionship | |
| 6532 | typeCode=" REFR" | |
| 6533 | > | |
| 6534 | ||
| 6535 | <observati on | |
| 6536 | classCode= "OBS" | |
| 6537 | moodCode=" EVN" | |
| 6538 | > | |
| 6539 | ||
| 6540 | <templateI d | |
| 6541 | root="2.16 .840.1.113 883. IP " | |
| 6542 | /> | |
| 6543 | ||
| 6544 | <templateI d | |
| 6545 | root="2.16 .840.1.113 883. IP " | |
| 6546 | /> | |
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| 6548 | <code | |
| 6549 | code="3399 9-4" | |
| 6550 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 6551 | codeSystem Name="LOIN C" | |
| 6552 | displayNam e="Status" | |
| 6553 | /> | |
| 6554 | ||
| 6555 | <statusCod e | |
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| 6558 | ||
| 6559 | <value | |
| 6560 | xsi:type=" CE" | |
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| 6563 | ||
| 6564 | </observat ion> | |
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| 6570 | </entry> | |
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| 6574 | <substance Administra tion | |
| 6575 | classCode= "SBADM" | |
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| 6577 | > | |
| 6578 | ||
| 6579 | <templateI d | |
| 6580 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 6581 | /> | |
| 6582 | ||
| 6583 | <templateI d | |
| 6584 | root="2.16 .840.1.113 883. IP " | |
| 6585 | /> | |
| 6586 | ||
| 6587 | <templateI d | |
| 6588 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 6589 | /> | |
| 6590 | ||
| 6591 | <templateI d | |
| 6592 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 6593 | /> | |
| 6594 | ||
| 6595 | <id | |
| 6596 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 6597 | extension= "1377779" | |
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| 6599 | ||
| 6600 | <statusCod e | |
| 6601 | code="comp leted" | |
| 6602 | /> | |
| 6603 | ||
| 6604 | <effective Time | |
| 6605 | xsi:type=" IVL_TS" | |
| 6606 | > | |
| 6607 | ||
| 6608 | <low | |
| 6609 | value="201 4052200000 0-0400" | |
| 6610 | /> | |
| 6611 | ||
| 6612 | <high | |
| 6613 | value="201 5012100000 0-0500" | |
| 6614 | /> | |
| 6615 | ||
| 6616 | </effectiv eTime> | |
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| 6618 | <effective Time | |
| 6619 | xsi:type=" PIVL_TS" | |
| 6620 | operator=" A" | |
| 6621 | institutio nSpecified ="false" | |
| 6622 | > | |
| 6623 | ||
| 6624 | <period/> | |
| 6625 | ||
| 6626 | </effectiv eTime> | |
| 6627 | ||
| 6628 | <routeCode | |
| 6629 | code="C382 88" | |
| 6630 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 6631 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 6632 | displayNam e="ORAL" | |
| 6633 | /> | |
| 6634 | ||
| 6635 | <doseQuant ity/> | |
| 6636 | ||
| 6637 | <administr ationUnitC ode | |
| 6638 | code="C429 98" | |
| 6639 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 6640 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 6641 | displayNam e="Tablets " | |
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| 6646 | <manufactu redProduct | |
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| 6648 | > | |
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| 6650 | <templateI d | |
| 6651 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
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| 6654 | <templateI d | |
| 6655 | root="2.16 .840.1.113 883. IP " | |
| 6656 | /> | |
| 6657 | ||
| 6658 | <templateI d | |
| 6659 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 6660 | /> | |
| 6661 | ||
| 6662 | <templateI d | |
| 6663 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 6664 | /> | |
| 6665 | ||
| 6666 | <manufactu redMateria l> | |
| 6667 | ||
| 6668 | <code | |
| 6669 | code="8553 18" | |
| 6670 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 6671 | codeSystem Name="RxNO RM" | |
| 6672 | displayNam e="Warfari n Sodium 3 MG Oral T ablet" | |
| 6673 | > | |
| 6674 | ||
| 6675 | <originalT ext> | |
| 6676 | Warfarin S odium 3 MG Oral Tabl et | |
| 6677 | <reference | |
| 6678 | value="#Me dication-1 2" | |
| 6679 | /> | |
| 6680 | </original Text> | |
| 6681 | ||
| 6682 | <translati on | |
| 6683 | code="8553 18" | |
| 6684 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 6685 | codeSystem Name="RxNo rm" | |
| 6686 | displayNam e="Warfari n Sodium" | |
| 6687 | > | |
| 6688 | ||
| 6689 | <originalT ext> | |
| 6690 | Warfarin S odium | |
| 6691 | </original Text> | |
| 6692 | ||
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| 6695 | </code> | |
| 6696 | ||
| 6697 | <name> | |
| 6698 | 1 po qd | |
| 6699 | </name> | |
| 6700 | ||
| 6701 | </manufact uredMateri al> | |
| 6702 | ||
| 6703 | </manufact uredProduc t> | |
| 6704 | ||
| 6705 | </consumab le> | |
| 6706 | ||
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| 6709 | <time | |
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| 6715 | <id | |
| 6716 | nullFlavor ="UNK" | |
| 6717 | /> | |
| 6718 | ||
| 6719 | <addr | |
| 6720 | nullFlavor ="UNK" | |
| 6721 | /> | |
| 6722 | ||
| 6723 | <telecom | |
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| 6727 | <assignedP erson> | |
| 6728 | ||
| 6729 | <name | |
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| 6731 | /> | |
| 6732 | ||
| 6733 | </assigned Person> | |
| 6734 | ||
| 6735 | </assigned Author> | |
| 6736 | ||
| 6737 | </author> | |
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| 6739 | <informant > | |
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| 6744 | root="2.16 .840.1.113 883.3.1103 .1" | |
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| 6751 | ||
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| 6764 | <represent edOrganiza tion> | |
| 6765 | ||
| 6766 | <id | |
| 6767 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 6768 | extension= "ECMC" | |
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| 6770 | ||
| 6771 | <name> | |
| 6772 | ECMC | |
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| 6774 | ||
| 6775 | <telecom | |
| 6776 | nullFlavor ="UNK" | |
| 6777 | /> | |
| 6778 | ||
| 6779 | <addr | |
| 6780 | nullFlavor ="UNK" | |
| 6781 | /> | |
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| 6783 | </represen tedOrganiz ation> | |
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| 6789 | <entryRela tionship | |
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| 6791 | > | |
| 6792 | ||
| 6793 | <observati on | |
| 6794 | classCode= "OBS" | |
| 6795 | moodCode=" EVN" | |
| 6796 | > | |
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| 6798 | <templateI d | |
| 6799 | root="2.16 .840.1.113 883. IP " | |
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| 7489 | ||
| 7490 | <id | |
| 7491 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 7492 | extension= "ECMC" | |
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| 7495 | <name> | |
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| 7497 | </name> | |
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| 7499 | <telecom | |
| 7500 | nullFlavor ="UNK" | |
| 7501 | /> | |
| 7502 | ||
| 7503 | <addr | |
| 7504 | nullFlavor ="UNK" | |
| 7505 | /> | |
| 7506 | ||
| 7507 | </represen tedOrganiz ation> | |
| 7508 | ||
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| 7510 | ||
| 7511 | </informan t> | |
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| 7513 | <entryRela tionship | |
| 7514 | typeCode=" REFR" | |
| 7515 | > | |
| 7516 | ||
| 7517 | <observati on | |
| 7518 | classCode= "OBS" | |
| 7519 | moodCode=" EVN" | |
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| 7522 | <templateI d | |
| 7523 | root="2.16 .840.1.113 883. IP " | |
| 7524 | /> | |
| 7525 | ||
| 7526 | <templateI d | |
| 7527 | root="2.16 .840.1.113 883. IP " | |
| 7528 | /> | |
| 7529 | ||
| 7530 | <code | |
| 7531 | code="3399 9-4" | |
| 7532 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 7533 | codeSystem Name="LOIN C" | |
| 7534 | displayNam e="Status" | |
| 7535 | /> | |
| 7536 | ||
| 7537 | <statusCod e | |
| 7538 | code="comp leted" | |
| 7539 | /> | |
| 7540 | ||
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| 7545 | ||
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| 7558 | moodCode=" INT" | |
| 7559 | > | |
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| 7561 | <templateI d | |
| 7562 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 7563 | /> | |
| 7564 | ||
| 7565 | <templateI d | |
| 7566 | root="2.16 .840.1.113 883. IP " | |
| 7567 | /> | |
| 7568 | ||
| 7569 | <templateI d | |
| 7570 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 7571 | /> | |
| 7572 | ||
| 7573 | <templateI d | |
| 7574 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 7575 | /> | |
| 7576 | ||
| 7577 | <id | |
| 7578 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 7579 | extension= "995346" | |
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| 7582 | <statusCod e | |
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| 7585 | ||
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| 7588 | > | |
| 7589 | ||
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| 7591 | value="201 3010200000 0-0500" | |
| 7592 | /> | |
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| 7595 | value="201 3010700000 0-0500" | |
| 7596 | /> | |
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| 7606 | <period/> | |
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| 7614 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 7615 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
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| 7626 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
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| 7632 | ||
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| 7634 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
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| 7638 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
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| 7647 | displayNam e="Zithrom ax Z-Pak" | |
| 7648 | > | |
| 7649 | ||
| 7650 | <originalT ext> | |
| 7651 | Zithromax Z-Pak | |
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| 7653 | value="#Me dication-1 6" | |
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| 7732 | ||
| 7733 | <name> | |
| 7734 | ECMC | |
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| 7737 | <telecom | |
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| 7739 | /> | |
| 7740 | ||
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| 7742 | nullFlavor ="UNK" | |
| 7743 | /> | |
| 7744 | ||
| 7745 | </represen tedOrganiz ation> | |
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| 7749 | </informan t> | |
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| 7753 | > | |
| 7754 | ||
| 7755 | <observati on | |
| 7756 | classCode= "OBS" | |
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| 7758 | > | |
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| 7761 | root="2.16 .840.1.113 883. IP " | |
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| 7765 | root="2.16 .840.1.113 883. IP " | |
| 7766 | /> | |
| 7767 | ||
| 7768 | <code | |
| 7769 | code="3399 9-4" | |
| 7770 | codeSystem ="2.16.840 .1.113883. 6.1" | |
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| 7772 | displayNam e="Status" | |
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| 7774 | ||
| 7775 | <statusCod e | |
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| 7780 | xsi:type=" CE" | |
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| 7782 | /> | |
| 7783 | ||
| 7784 | </observat ion> | |
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| 7787 | ||
| 7788 | </substanc eAdministr ation> | |
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| 7795 | classCode= "SBADM" | |
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| 7797 | > | |
| 7798 | ||
| 7799 | <templateI d | |
| 7800 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 7801 | /> | |
| 7802 | ||
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| 7804 | root="2.16 .840.1.113 883. IP " | |
| 7805 | /> | |
| 7806 | ||
| 7807 | <templateI d | |
| 7808 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 7809 | /> | |
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| 7812 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
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| 7814 | ||
| 7815 | <id | |
| 7816 | root="2.16 .840.1.113 883.3.1103 .1" | |
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| 7819 | ||
| 7820 | <statusCod e | |
| 7821 | code="comp leted" | |
| 7822 | /> | |
| 7823 | ||
| 7824 | <effective Time | |
| 7825 | xsi:type=" IVL_TS" | |
| 7826 | > | |
| 7827 | ||
| 7828 | <low | |
| 7829 | value="201 1110300000 0-0400" | |
| 7830 | /> | |
| 7831 | ||
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| 7833 | value="201 2020200000 0-0500" | |
| 7834 | /> | |
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| 7840 | operator=" A" | |
| 7841 | institutio nSpecified ="false" | |
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| 7843 | ||
| 7844 | <period/> | |
| 7845 | ||
| 7846 | </effectiv eTime> | |
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| 7848 | <routeCode | |
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| 7850 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 7851 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 7852 | displayNam e="ORAL" | |
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| 7854 | ||
| 7855 | <doseQuant ity/> | |
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| 7857 | <administr ationUnitC ode | |
| 7858 | code="C429 02" | |
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| 7860 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
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| 7864 | <consumabl e> | |
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| 7866 | <manufactu redProduct | |
| 7867 | classCode= "MANU" | |
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| 7870 | <templateI d | |
| 7871 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
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| 7873 | ||
| 7874 | <templateI d | |
| 7875 | root="2.16 .840.1.113 883. IP " | |
| 7876 | /> | |
| 7877 | ||
| 7878 | <templateI d | |
| 7879 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 7880 | /> | |
| 7881 | ||
| 7882 | <templateI d | |
| 7883 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 7884 | /> | |
| 7885 | ||
| 7886 | <manufactu redMateria l> | |
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| 7888 | <code | |
| 7889 | code="9026 26" | |
| 7890 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 7891 | codeSystem Name="RxNO RM" | |
| 7892 | displayNam e="dexlans oprazole 6 0 MG Delay ed Release Oral Caps ule [Dexil ant]" | |
| 7893 | > | |
| 7894 | ||
| 7895 | <originalT ext> | |
| 7896 | dexlansopr azole 60 M G Delayed Release Or al Capsule [Dexilant ] | |
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| 7898 | value="#Me dication-1 7" | |
| 7899 | /> | |
| 7900 | </original Text> | |
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| 7903 | code="9026 26" | |
| 7904 | codeSystem ="2.16.840 .1.113883. 6.88" | |
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| 7906 | displayNam e="Dexilan t" | |
| 7907 | > | |
| 7908 | ||
| 7909 | <originalT ext> | |
| 7910 | Dexilant | |
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| 7912 | ||
| 7913 | </translat ion> | |
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| 7915 | </code> | |
| 7916 | ||
| 7917 | <name> | |
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| 7922 | ||
| 7923 | </manufact uredProduc t> | |
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| 7932 | ||
| 7933 | <assignedA uthor> | |
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| 7936 | nullFlavor ="UNK" | |
| 7937 | /> | |
| 7938 | ||
| 7939 | <addr | |
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| 7941 | /> | |
| 7942 | ||
| 7943 | <telecom | |
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| 7954 | ||
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| 7956 | ||
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| 7964 | root="2.16 .840.1.113 883.3.1103 .1" | |
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| 7966 | /> | |
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| 7968 | <addr | |
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| 7970 | /> | |
| 7971 | ||
| 7972 | <telecom | |
| 7973 | nullFlavor ="UNK" | |
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| 7976 | <assignedP erson> | |
| 7977 | ||
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| 7981 | ||
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| 7984 | <represent edOrganiza tion> | |
| 7985 | ||
| 7986 | <id | |
| 7987 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 7988 | extension= "ECMC" | |
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| 7990 | ||
| 7991 | <name> | |
| 7992 | ECMC | |
| 7993 | </name> | |
| 7994 | ||
| 7995 | <telecom | |
| 7996 | nullFlavor ="UNK" | |
| 7997 | /> | |
| 7998 | ||
| 7999 | <addr | |
| 8000 | nullFlavor ="UNK" | |
| 8001 | /> | |
| 8002 | ||
| 8003 | </represen tedOrganiz ation> | |
| 8004 | ||
| 8005 | </assigned Entity> | |
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| 8007 | </informan t> | |
| 8008 | ||
| 8009 | <entryRela tionship | |
| 8010 | typeCode=" REFR" | |
| 8011 | > | |
| 8012 | ||
| 8013 | <observati on | |
| 8014 | classCode= "OBS" | |
| 8015 | moodCode=" EVN" | |
| 8016 | > | |
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| 8018 | <templateI d | |
| 8019 | root="2.16 .840.1.113 883. IP " | |
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| 8021 | ||
| 8022 | <templateI d | |
| 8023 | root="2.16 .840.1.113 883. IP " | |
| 8024 | /> | |
| 8025 | ||
| 8026 | <code | |
| 8027 | code="3399 9-4" | |
| 8028 | codeSystem ="2.16.840 .1.113883. 6.1" | |
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| 8030 | displayNam e="Status" | |
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| 8032 | ||
| 8033 | <statusCod e | |
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| 8037 | <value | |
| 8038 | xsi:type=" CE" | |
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| 8040 | /> | |
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| 8042 | </observat ion> | |
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| 8046 | </substanc eAdministr ation> | |
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| 8048 | </entry> | |
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| 8050 | <entry> | |
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| 8052 | <substance Administra tion | |
| 8053 | classCode= "SBADM" | |
| 8054 | moodCode=" INT" | |
| 8055 | > | |
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| 8057 | <templateI d | |
| 8058 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
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| 8060 | ||
| 8061 | <templateI d | |
| 8062 | root="2.16 .840.1.113 883. IP " | |
| 8063 | /> | |
| 8064 | ||
| 8065 | <templateI d | |
| 8066 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 8067 | /> | |
| 8068 | ||
| 8069 | <templateI d | |
| 8070 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 8071 | /> | |
| 8072 | ||
| 8073 | <id | |
| 8074 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 8075 | extension= "747803" | |
| 8076 | /> | |
| 8077 | ||
| 8078 | <statusCod e | |
| 8079 | code="comp leted" | |
| 8080 | /> | |
| 8081 | ||
| 8082 | <effective Time | |
| 8083 | xsi:type=" IVL_TS" | |
| 8084 | > | |
| 8085 | ||
| 8086 | <low | |
| 8087 | value="201 1110300000 0-0400" | |
| 8088 | /> | |
| 8089 | ||
| 8090 | <high | |
| 8091 | value="201 1110400000 0-0400" | |
| 8092 | /> | |
| 8093 | ||
| 8094 | </effectiv eTime> | |
| 8095 | ||
| 8096 | <effective Time | |
| 8097 | xsi:type=" PIVL_TS" | |
| 8098 | operator=" A" | |
| 8099 | institutio nSpecified ="false" | |
| 8100 | > | |
| 8101 | ||
| 8102 | <period/> | |
| 8103 | ||
| 8104 | </effectiv eTime> | |
| 8105 | ||
| 8106 | <routeCode | |
| 8107 | code="C382 88" | |
| 8108 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 8109 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 8110 | displayNam e="ORAL" | |
| 8111 | /> | |
| 8112 | ||
| 8113 | <doseQuant ity/> | |
| 8114 | ||
| 8115 | <administr ationUnitC ode | |
| 8116 | code="C429 98" | |
| 8117 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 8118 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 8119 | displayNam e="Tablets " | |
| 8120 | /> | |
| 8121 | ||
| 8122 | <consumabl e> | |
| 8123 | ||
| 8124 | <manufactu redProduct | |
| 8125 | classCode= "MANU" | |
| 8126 | > | |
| 8127 | ||
| 8128 | <templateI d | |
| 8129 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 8130 | /> | |
| 8131 | ||
| 8132 | <templateI d | |
| 8133 | root="2.16 .840.1.113 883. IP " | |
| 8134 | /> | |
| 8135 | ||
| 8136 | <templateI d | |
| 8137 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 8138 | /> | |
| 8139 | ||
| 8140 | <templateI d | |
| 8141 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 8142 | /> | |
| 8143 | ||
| 8144 | <manufactu redMateria l> | |
| 8145 | ||
| 8146 | <code | |
| 8147 | code="1973 81" | |
| 8148 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8149 | codeSystem Name="RxNO RM" | |
| 8150 | displayNam e="Atenolo l 50 MG Or al Tablet" | |
| 8151 | > | |
| 8152 | ||
| 8153 | <originalT ext> | |
| 8154 | Atenolol 5 0 MG Oral Tablet | |
| 8155 | <reference | |
| 8156 | value="#Me dication-1 8" | |
| 8157 | /> | |
| 8158 | </original Text> | |
| 8159 | ||
| 8160 | <translati on | |
| 8161 | code="1973 81" | |
| 8162 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8163 | codeSystem Name="RxNo rm" | |
| 8164 | displayNam e="Atenolo l" | |
| 8165 | > | |
| 8166 | ||
| 8167 | <originalT ext> | |
| 8168 | Atenolol | |
| 8169 | </original Text> | |
| 8170 | ||
| 8171 | </translat ion> | |
| 8172 | ||
| 8173 | </code> | |
| 8174 | ||
| 8175 | <name> | |
| 8176 | 1 po bid | |
| 8177 | </name> | |
| 8178 | ||
| 8179 | </manufact uredMateri al> | |
| 8180 | ||
| 8181 | </manufact uredProduc t> | |
| 8182 | ||
| 8183 | </consumab le> | |
| 8184 | ||
| 8185 | <author> | |
| 8186 | ||
| 8187 | <time | |
| 8188 | nullFlavor ="UNK" | |
| 8189 | /> | |
| 8190 | ||
| 8191 | <assignedA uthor> | |
| 8192 | ||
| 8193 | <id | |
| 8194 | nullFlavor ="UNK" | |
| 8195 | /> | |
| 8196 | ||
| 8197 | <addr | |
| 8198 | nullFlavor ="UNK" | |
| 8199 | /> | |
| 8200 | ||
| 8201 | <telecom | |
| 8202 | nullFlavor ="UNK" | |
| 8203 | /> | |
| 8204 | ||
| 8205 | <assignedP erson> | |
| 8206 | ||
| 8207 | <name | |
| 8208 | nullFlavor ="NA" | |
| 8209 | /> | |
| 8210 | ||
| 8211 | </assigned Person> | |
| 8212 | ||
| 8213 | </assigned Author> | |
| 8214 | ||
| 8215 | </author> | |
| 8216 | ||
| 8217 | <informant > | |
| 8218 | ||
| 8219 | <assignedE ntity> | |
| 8220 | ||
| 8221 | <id | |
| 8222 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 8223 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 8224 | /> | |
| 8225 | ||
| 8226 | <addr | |
| 8227 | nullFlavor ="UNK" | |
| 8228 | /> | |
| 8229 | ||
| 8230 | <telecom | |
| 8231 | nullFlavor ="UNK" | |
| 8232 | /> | |
| 8233 | ||
| 8234 | <assignedP erson> | |
| 8235 | ||
| 8236 | <name | |
| 8237 | nullFlavor ="UNK" | |
| 8238 | /> | |
| 8239 | ||
| 8240 | </assigned Person> | |
| 8241 | ||
| 8242 | <represent edOrganiza tion> | |
| 8243 | ||
| 8244 | <id | |
| 8245 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 8246 | extension= "ECMC" | |
| 8247 | /> | |
| 8248 | ||
| 8249 | <name> | |
| 8250 | ECMC | |
| 8251 | </name> | |
| 8252 | ||
| 8253 | <telecom | |
| 8254 | nullFlavor ="UNK" | |
| 8255 | /> | |
| 8256 | ||
| 8257 | <addr | |
| 8258 | nullFlavor ="UNK" | |
| 8259 | /> | |
| 8260 | ||
| 8261 | </represen tedOrganiz ation> | |
| 8262 | ||
| 8263 | </assigned Entity> | |
| 8264 | ||
| 8265 | </informan t> | |
| 8266 | ||
| 8267 | <entryRela tionship | |
| 8268 | typeCode=" REFR" | |
| 8269 | > | |
| 8270 | ||
| 8271 | <observati on | |
| 8272 | classCode= "OBS" | |
| 8273 | moodCode=" EVN" | |
| 8274 | > | |
| 8275 | ||
| 8276 | <templateI d | |
| 8277 | root="2.16 .840.1.113 883. IP " | |
| 8278 | /> | |
| 8279 | ||
| 8280 | <templateI d | |
| 8281 | root="2.16 .840.1.113 883. IP " | |
| 8282 | /> | |
| 8283 | ||
| 8284 | <code | |
| 8285 | code="3399 9-4" | |
| 8286 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 8287 | codeSystem Name="LOIN C" | |
| 8288 | displayNam e="Status" | |
| 8289 | /> | |
| 8290 | ||
| 8291 | <statusCod e | |
| 8292 | code="comp leted" | |
| 8293 | /> | |
| 8294 | ||
| 8295 | <value | |
| 8296 | xsi:type=" CE" | |
| 8297 | code="comp leted" | |
| 8298 | /> | |
| 8299 | ||
| 8300 | </observat ion> | |
| 8301 | ||
| 8302 | </entryRel ationship> | |
| 8303 | ||
| 8304 | </substanc eAdministr ation> | |
| 8305 | ||
| 8306 | </entry> | |
| 8307 | ||
| 8308 | <entry> | |
| 8309 | ||
| 8310 | <substance Administra tion | |
| 8311 | classCode= "SBADM" | |
| 8312 | moodCode=" INT" | |
| 8313 | > | |
| 8314 | ||
| 8315 | <templateI d | |
| 8316 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 8317 | /> | |
| 8318 | ||
| 8319 | <templateI d | |
| 8320 | root="2.16 .840.1.113 883. IP " | |
| 8321 | /> | |
| 8322 | ||
| 8323 | <templateI d | |
| 8324 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 8325 | /> | |
| 8326 | ||
| 8327 | <templateI d | |
| 8328 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 8329 | /> | |
| 8330 | ||
| 8331 | <id | |
| 8332 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 8333 | extension= "691116" | |
| 8334 | /> | |
| 8335 | ||
| 8336 | <statusCod e | |
| 8337 | code="comp leted" | |
| 8338 | /> | |
| 8339 | ||
| 8340 | <effective Time | |
| 8341 | xsi:type=" IVL_TS" | |
| 8342 | > | |
| 8343 | ||
| 8344 | <low | |
| 8345 | value="201 1080400000 0-0400" | |
| 8346 | /> | |
| 8347 | ||
| 8348 | <high | |
| 8349 | value="201 2081000000 0-0400" | |
| 8350 | /> | |
| 8351 | ||
| 8352 | </effectiv eTime> | |
| 8353 | ||
| 8354 | <effective Time | |
| 8355 | xsi:type=" PIVL_TS" | |
| 8356 | operator=" A" | |
| 8357 | institutio nSpecified ="false" | |
| 8358 | > | |
| 8359 | ||
| 8360 | <period/> | |
| 8361 | ||
| 8362 | </effectiv eTime> | |
| 8363 | ||
| 8364 | <routeCode | |
| 8365 | code="C382 99" | |
| 8366 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 8367 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 8368 | displayNam e="SUBCUTA NEOUS" | |
| 8369 | /> | |
| 8370 | ||
| 8371 | <doseQuant ity/> | |
| 8372 | ||
| 8373 | <administr ationUnitC ode | |
| 8374 | code="C430 02" | |
| 8375 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 8376 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 8377 | displayNam e="Solutio n Rec" | |
| 8378 | /> | |
| 8379 | ||
| 8380 | <consumabl e> | |
| 8381 | ||
| 8382 | <manufactu redProduct | |
| 8383 | classCode= "MANU" | |
| 8384 | > | |
| 8385 | ||
| 8386 | <templateI d | |
| 8387 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 8388 | /> | |
| 8389 | ||
| 8390 | <templateI d | |
| 8391 | root="2.16 .840.1.113 883. IP " | |
| 8392 | /> | |
| 8393 | ||
| 8394 | <templateI d | |
| 8395 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 8396 | /> | |
| 8397 | ||
| 8398 | <templateI d | |
| 8399 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 8400 | /> | |
| 8401 | ||
| 8402 | <manufactu redMateria l> | |
| 8403 | ||
| 8404 | <code | |
| 8405 | code="1292 435" | |
| 8406 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8407 | codeSystem Name="RxNO RM" | |
| 8408 | displayNam e="0.65 ML Varicella -Zoster Vi rus Vaccin e Live (Ok a-Merck) s train 2980 0 UNT/ML I njection [ Zostavax]" | |
| 8409 | > | |
| 8410 | ||
| 8411 | <originalT ext> | |
| 8412 | 0.65 ML Va ricella-Zo ster Virus Vaccine L ive (Oka-M erck) stra in 29800 U NT/ML Inje ction [Zos tavax] | |
| 8413 | <reference | |
| 8414 | value="#Me dication-1 9" | |
| 8415 | /> | |
| 8416 | </original Text> | |
| 8417 | ||
| 8418 | <translati on | |
| 8419 | code="1292 435" | |
| 8420 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8421 | codeSystem Name="RxNo rm" | |
| 8422 | displayNam e="Zostava x" | |
| 8423 | > | |
| 8424 | ||
| 8425 | <originalT ext> | |
| 8426 | Zostavax | |
| 8427 | </original Text> | |
| 8428 | ||
| 8429 | </translat ion> | |
| 8430 | ||
| 8431 | </code> | |
| 8432 | ||
| 8433 | <name> | |
| 8434 | 0.65ml sq x 1 | |
| 8435 | </name> | |
| 8436 | ||
| 8437 | </manufact uredMateri al> | |
| 8438 | ||
| 8439 | </manufact uredProduc t> | |
| 8440 | ||
| 8441 | </consumab le> | |
| 8442 | ||
| 8443 | <author> | |
| 8444 | ||
| 8445 | <time | |
| 8446 | nullFlavor ="UNK" | |
| 8447 | /> | |
| 8448 | ||
| 8449 | <assignedA uthor> | |
| 8450 | ||
| 8451 | <id | |
| 8452 | nullFlavor ="UNK" | |
| 8453 | /> | |
| 8454 | ||
| 8455 | <addr | |
| 8456 | nullFlavor ="UNK" | |
| 8457 | /> | |
| 8458 | ||
| 8459 | <telecom | |
| 8460 | nullFlavor ="UNK" | |
| 8461 | /> | |
| 8462 | ||
| 8463 | <assignedP erson> | |
| 8464 | ||
| 8465 | <name | |
| 8466 | nullFlavor ="NA" | |
| 8467 | /> | |
| 8468 | ||
| 8469 | </assigned Person> | |
| 8470 | ||
| 8471 | </assigned Author> | |
| 8472 | ||
| 8473 | </author> | |
| 8474 | ||
| 8475 | <informant > | |
| 8476 | ||
| 8477 | <assignedE ntity> | |
| 8478 | ||
| 8479 | <id | |
| 8480 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 8481 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 8482 | /> | |
| 8483 | ||
| 8484 | <addr | |
| 8485 | nullFlavor ="UNK" | |
| 8486 | /> | |
| 8487 | ||
| 8488 | <telecom | |
| 8489 | nullFlavor ="UNK" | |
| 8490 | /> | |
| 8491 | ||
| 8492 | <assignedP erson> | |
| 8493 | ||
| 8494 | <name | |
| 8495 | nullFlavor ="UNK" | |
| 8496 | /> | |
| 8497 | ||
| 8498 | </assigned Person> | |
| 8499 | ||
| 8500 | <represent edOrganiza tion> | |
| 8501 | ||
| 8502 | <id | |
| 8503 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 8504 | extension= "ECMC" | |
| 8505 | /> | |
| 8506 | ||
| 8507 | <name> | |
| 8508 | ECMC | |
| 8509 | </name> | |
| 8510 | ||
| 8511 | <telecom | |
| 8512 | nullFlavor ="UNK" | |
| 8513 | /> | |
| 8514 | ||
| 8515 | <addr | |
| 8516 | nullFlavor ="UNK" | |
| 8517 | /> | |
| 8518 | ||
| 8519 | </represen tedOrganiz ation> | |
| 8520 | ||
| 8521 | </assigned Entity> | |
| 8522 | ||
| 8523 | </informan t> | |
| 8524 | ||
| 8525 | <entryRela tionship | |
| 8526 | typeCode=" REFR" | |
| 8527 | > | |
| 8528 | ||
| 8529 | <observati on | |
| 8530 | classCode= "OBS" | |
| 8531 | moodCode=" EVN" | |
| 8532 | > | |
| 8533 | ||
| 8534 | <templateI d | |
| 8535 | root="2.16 .840.1.113 883. IP " | |
| 8536 | /> | |
| 8537 | ||
| 8538 | <templateI d | |
| 8539 | root="2.16 .840.1.113 883. IP " | |
| 8540 | /> | |
| 8541 | ||
| 8542 | <code | |
| 8543 | code="3399 9-4" | |
| 8544 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 8545 | codeSystem Name="LOIN C" | |
| 8546 | displayNam e="Status" | |
| 8547 | /> | |
| 8548 | ||
| 8549 | <statusCod e | |
| 8550 | code="comp leted" | |
| 8551 | /> | |
| 8552 | ||
| 8553 | <value | |
| 8554 | xsi:type=" CE" | |
| 8555 | code="comp leted" | |
| 8556 | /> | |
| 8557 | ||
| 8558 | </observat ion> | |
| 8559 | ||
| 8560 | </entryRel ationship> | |
| 8561 | ||
| 8562 | </substanc eAdministr ation> | |
| 8563 | ||
| 8564 | </entry> | |
| 8565 | ||
| 8566 | <entry> | |
| 8567 | ||
| 8568 | <substance Administra tion | |
| 8569 | classCode= "SBADM" | |
| 8570 | moodCode=" INT" | |
| 8571 | > | |
| 8572 | ||
| 8573 | <templateI d | |
| 8574 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 8575 | /> | |
| 8576 | ||
| 8577 | <templateI d | |
| 8578 | root="2.16 .840.1.113 883. IP " | |
| 8579 | /> | |
| 8580 | ||
| 8581 | <templateI d | |
| 8582 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 8583 | /> | |
| 8584 | ||
| 8585 | <templateI d | |
| 8586 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 8587 | /> | |
| 8588 | ||
| 8589 | <id | |
| 8590 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 8591 | extension= "658560" | |
| 8592 | /> | |
| 8593 | ||
| 8594 | <statusCod e | |
| 8595 | code="comp leted" | |
| 8596 | /> | |
| 8597 | ||
| 8598 | <effective Time | |
| 8599 | xsi:type=" IVL_TS" | |
| 8600 | > | |
| 8601 | ||
| 8602 | <low | |
| 8603 | value="201 1061300000 0-0400" | |
| 8604 | /> | |
| 8605 | ||
| 8606 | <high | |
| 8607 | value="201 2021600000 0-0500" | |
| 8608 | /> | |
| 8609 | ||
| 8610 | </effectiv eTime> | |
| 8611 | ||
| 8612 | <effective Time | |
| 8613 | xsi:type=" PIVL_TS" | |
| 8614 | operator=" A" | |
| 8615 | institutio nSpecified ="false" | |
| 8616 | > | |
| 8617 | ||
| 8618 | <period/> | |
| 8619 | ||
| 8620 | </effectiv eTime> | |
| 8621 | ||
| 8622 | <routeCode | |
| 8623 | code="C382 88" | |
| 8624 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 8625 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 8626 | displayNam e="ORAL" | |
| 8627 | /> | |
| 8628 | ||
| 8629 | <doseQuant ity/> | |
| 8630 | ||
| 8631 | <administr ationUnitC ode | |
| 8632 | code="C429 98" | |
| 8633 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 8634 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 8635 | displayNam e="Tablets " | |
| 8636 | /> | |
| 8637 | ||
| 8638 | <consumabl e> | |
| 8639 | ||
| 8640 | <manufactu redProduct | |
| 8641 | classCode= "MANU" | |
| 8642 | > | |
| 8643 | ||
| 8644 | <templateI d | |
| 8645 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 8646 | /> | |
| 8647 | ||
| 8648 | <templateI d | |
| 8649 | root="2.16 .840.1.113 883. IP " | |
| 8650 | /> | |
| 8651 | ||
| 8652 | <templateI d | |
| 8653 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 8654 | /> | |
| 8655 | ||
| 8656 | <templateI d | |
| 8657 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 8658 | /> | |
| 8659 | ||
| 8660 | <manufactu redMateria l> | |
| 8661 | ||
| 8662 | <code | |
| 8663 | code="1982 23" | |
| 8664 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8665 | codeSystem Name="RxNO RM" | |
| 8666 | displayNam e="Spirono lactone 50 MG Oral T ablet" | |
| 8667 | > | |
| 8668 | ||
| 8669 | <originalT ext> | |
| 8670 | Spironolac tone 50 MG Oral Tabl et | |
| 8671 | <reference | |
| 8672 | value="#Me dication-2 0" | |
| 8673 | /> | |
| 8674 | </original Text> | |
| 8675 | ||
| 8676 | <translati on | |
| 8677 | code="1982 23" | |
| 8678 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8679 | codeSystem Name="RxNo rm" | |
| 8680 | displayNam e="Spirono lactone" | |
| 8681 | > | |
| 8682 | ||
| 8683 | <originalT ext> | |
| 8684 | Spironolac tone | |
| 8685 | </original Text> | |
| 8686 | ||
| 8687 | </translat ion> | |
| 8688 | ||
| 8689 | </code> | |
| 8690 | ||
| 8691 | <name> | |
| 8692 | 1 po qd | |
| 8693 | </name> | |
| 8694 | ||
| 8695 | </manufact uredMateri al> | |
| 8696 | ||
| 8697 | </manufact uredProduc t> | |
| 8698 | ||
| 8699 | </consumab le> | |
| 8700 | ||
| 8701 | <author> | |
| 8702 | ||
| 8703 | <time | |
| 8704 | nullFlavor ="UNK" | |
| 8705 | /> | |
| 8706 | ||
| 8707 | <assignedA uthor> | |
| 8708 | ||
| 8709 | <id | |
| 8710 | nullFlavor ="UNK" | |
| 8711 | /> | |
| 8712 | ||
| 8713 | <addr | |
| 8714 | nullFlavor ="UNK" | |
| 8715 | /> | |
| 8716 | ||
| 8717 | <telecom | |
| 8718 | nullFlavor ="UNK" | |
| 8719 | /> | |
| 8720 | ||
| 8721 | <assignedP erson> | |
| 8722 | ||
| 8723 | <name | |
| 8724 | nullFlavor ="NA" | |
| 8725 | /> | |
| 8726 | ||
| 8727 | </assigned Person> | |
| 8728 | ||
| 8729 | </assigned Author> | |
| 8730 | ||
| 8731 | </author> | |
| 8732 | ||
| 8733 | <informant > | |
| 8734 | ||
| 8735 | <assignedE ntity> | |
| 8736 | ||
| 8737 | <id | |
| 8738 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 8739 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 8740 | /> | |
| 8741 | ||
| 8742 | <addr | |
| 8743 | nullFlavor ="UNK" | |
| 8744 | /> | |
| 8745 | ||
| 8746 | <telecom | |
| 8747 | nullFlavor ="UNK" | |
| 8748 | /> | |
| 8749 | ||
| 8750 | <assignedP erson> | |
| 8751 | ||
| 8752 | <name | |
| 8753 | nullFlavor ="UNK" | |
| 8754 | /> | |
| 8755 | ||
| 8756 | </assigned Person> | |
| 8757 | ||
| 8758 | <represent edOrganiza tion> | |
| 8759 | ||
| 8760 | <id | |
| 8761 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 8762 | extension= "ECMC" | |
| 8763 | /> | |
| 8764 | ||
| 8765 | <name> | |
| 8766 | ECMC | |
| 8767 | </name> | |
| 8768 | ||
| 8769 | <telecom | |
| 8770 | nullFlavor ="UNK" | |
| 8771 | /> | |
| 8772 | ||
| 8773 | <addr | |
| 8774 | nullFlavor ="UNK" | |
| 8775 | /> | |
| 8776 | ||
| 8777 | </represen tedOrganiz ation> | |
| 8778 | ||
| 8779 | </assigned Entity> | |
| 8780 | ||
| 8781 | </informan t> | |
| 8782 | ||
| 8783 | <entryRela tionship | |
| 8784 | typeCode=" REFR" | |
| 8785 | > | |
| 8786 | ||
| 8787 | <observati on | |
| 8788 | classCode= "OBS" | |
| 8789 | moodCode=" EVN" | |
| 8790 | > | |
| 8791 | ||
| 8792 | <templateI d | |
| 8793 | root="2.16 .840.1.113 883. IP " | |
| 8794 | /> | |
| 8795 | ||
| 8796 | <templateI d | |
| 8797 | root="2.16 .840.1.113 883. IP " | |
| 8798 | /> | |
| 8799 | ||
| 8800 | <code | |
| 8801 | code="3399 9-4" | |
| 8802 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 8803 | codeSystem Name="LOIN C" | |
| 8804 | displayNam e="Status" | |
| 8805 | /> | |
| 8806 | ||
| 8807 | <statusCod e | |
| 8808 | code="comp leted" | |
| 8809 | /> | |
| 8810 | ||
| 8811 | <value | |
| 8812 | xsi:type=" CE" | |
| 8813 | code="comp leted" | |
| 8814 | /> | |
| 8815 | ||
| 8816 | </observat ion> | |
| 8817 | ||
| 8818 | </entryRel ationship> | |
| 8819 | ||
| 8820 | </substanc eAdministr ation> | |
| 8821 | ||
| 8822 | </entry> | |
| 8823 | ||
| 8824 | <entry> | |
| 8825 | ||
| 8826 | <substance Administra tion | |
| 8827 | classCode= "SBADM" | |
| 8828 | moodCode=" INT" | |
| 8829 | > | |
| 8830 | ||
| 8831 | <templateI d | |
| 8832 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 8833 | /> | |
| 8834 | ||
| 8835 | <templateI d | |
| 8836 | root="2.16 .840.1.113 883. IP " | |
| 8837 | /> | |
| 8838 | ||
| 8839 | <templateI d | |
| 8840 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 8841 | /> | |
| 8842 | ||
| 8843 | <templateI d | |
| 8844 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 8845 | /> | |
| 8846 | ||
| 8847 | <id | |
| 8848 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 8849 | extension= "645412" | |
| 8850 | /> | |
| 8851 | ||
| 8852 | <statusCod e | |
| 8853 | code="comp leted" | |
| 8854 | /> | |
| 8855 | ||
| 8856 | <effective Time | |
| 8857 | xsi:type=" IVL_TS" | |
| 8858 | > | |
| 8859 | ||
| 8860 | <low | |
| 8861 | value="201 1052300000 0-0400" | |
| 8862 | /> | |
| 8863 | ||
| 8864 | <high | |
| 8865 | value="201 1071100000 0-0400" | |
| 8866 | /> | |
| 8867 | ||
| 8868 | </effectiv eTime> | |
| 8869 | ||
| 8870 | <effective Time | |
| 8871 | xsi:type=" PIVL_TS" | |
| 8872 | operator=" A" | |
| 8873 | institutio nSpecified ="false" | |
| 8874 | > | |
| 8875 | ||
| 8876 | <period/> | |
| 8877 | ||
| 8878 | </effectiv eTime> | |
| 8879 | ||
| 8880 | <routeCode | |
| 8881 | code="C382 88" | |
| 8882 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 8883 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 8884 | displayNam e="ORAL" | |
| 8885 | /> | |
| 8886 | ||
| 8887 | <doseQuant ity/> | |
| 8888 | ||
| 8889 | <administr ationUnitC ode | |
| 8890 | code="C429 98" | |
| 8891 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 8892 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 8893 | displayNam e="Tablets " | |
| 8894 | /> | |
| 8895 | ||
| 8896 | <consumabl e> | |
| 8897 | ||
| 8898 | <manufactu redProduct | |
| 8899 | classCode= "MANU" | |
| 8900 | > | |
| 8901 | ||
| 8902 | <templateI d | |
| 8903 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 8904 | /> | |
| 8905 | ||
| 8906 | <templateI d | |
| 8907 | root="2.16 .840.1.113 883. IP " | |
| 8908 | /> | |
| 8909 | ||
| 8910 | <templateI d | |
| 8911 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 8912 | /> | |
| 8913 | ||
| 8914 | <templateI d | |
| 8915 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 8916 | /> | |
| 8917 | ||
| 8918 | <manufactu redMateria l> | |
| 8919 | ||
| 8920 | <code | |
| 8921 | code="2374 20" | |
| 8922 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8923 | codeSystem Name="RxNO RM" | |
| 8924 | displayNam e="Calcium Carbonate 1500 MG O ral Tablet " | |
| 8925 | > | |
| 8926 | ||
| 8927 | <originalT ext> | |
| 8928 | Calcium Ca rbonate 15 00 MG Oral Tablet | |
| 8929 | <reference | |
| 8930 | value="#Me dication-2 1" | |
| 8931 | /> | |
| 8932 | </original Text> | |
| 8933 | ||
| 8934 | <translati on | |
| 8935 | code="2374 20" | |
| 8936 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8937 | codeSystem Name="RxNo rm" | |
| 8938 | displayNam e="Calcium 600" | |
| 8939 | > | |
| 8940 | ||
| 8941 | <originalT ext> | |
| 8942 | Calcium 60 0 | |
| 8943 | </original Text> | |
| 8944 | ||
| 8945 | </translat ion> | |
| 8946 | ||
| 8947 | </code> | |
| 8948 | ||
| 8949 | <name> | |
| 8950 | 1 po qd | |
| 8951 | </name> | |
| 8952 | ||
| 8953 | </manufact uredMateri al> | |
| 8954 | ||
| 8955 | </manufact uredProduc t> | |
| 8956 | ||
| 8957 | </consumab le> | |
| 8958 | ||
| 8959 | <author> | |
| 8960 | ||
| 8961 | <time | |
| 8962 | nullFlavor ="UNK" | |
| 8963 | /> | |
| 8964 | ||
| 8965 | <assignedA uthor> | |
| 8966 | ||
| 8967 | <id | |
| 8968 | nullFlavor ="UNK" | |
| 8969 | /> | |
| 8970 | ||
| 8971 | <addr | |
| 8972 | nullFlavor ="UNK" | |
| 8973 | /> | |
| 8974 | ||
| 8975 | <telecom | |
| 8976 | nullFlavor ="UNK" | |
| 8977 | /> | |
| 8978 | ||
| 8979 | <assignedP erson> | |
| 8980 | ||
| 8981 | <name | |
| 8982 | nullFlavor ="NA" | |
| 8983 | /> | |
| 8984 | ||
| 8985 | </assigned Person> | |
| 8986 | ||
| 8987 | </assigned Author> | |
| 8988 | ||
| 8989 | </author> | |
| 8990 | ||
| 8991 | <informant > | |
| 8992 | ||
| 8993 | <assignedE ntity> | |
| 8994 | ||
| 8995 | <id | |
| 8996 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 8997 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 8998 | /> | |
| 8999 | ||
| 9000 | <addr | |
| 9001 | nullFlavor ="UNK" | |
| 9002 | /> | |
| 9003 | ||
| 9004 | <telecom | |
| 9005 | nullFlavor ="UNK" | |
| 9006 | /> | |
| 9007 | ||
| 9008 | <assignedP erson> | |
| 9009 | ||
| 9010 | <name | |
| 9011 | nullFlavor ="UNK" | |
| 9012 | /> | |
| 9013 | ||
| 9014 | </assigned Person> | |
| 9015 | ||
| 9016 | <represent edOrganiza tion> | |
| 9017 | ||
| 9018 | <id | |
| 9019 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 9020 | extension= "ECMC" | |
| 9021 | /> | |
| 9022 | ||
| 9023 | <name> | |
| 9024 | ECMC | |
| 9025 | </name> | |
| 9026 | ||
| 9027 | <telecom | |
| 9028 | nullFlavor ="UNK" | |
| 9029 | /> | |
| 9030 | ||
| 9031 | <addr | |
| 9032 | nullFlavor ="UNK" | |
| 9033 | /> | |
| 9034 | ||
| 9035 | </represen tedOrganiz ation> | |
| 9036 | ||
| 9037 | </assigned Entity> | |
| 9038 | ||
| 9039 | </informan t> | |
| 9040 | ||
| 9041 | <entryRela tionship | |
| 9042 | typeCode=" REFR" | |
| 9043 | > | |
| 9044 | ||
| 9045 | <observati on | |
| 9046 | classCode= "OBS" | |
| 9047 | moodCode=" EVN" | |
| 9048 | > | |
| 9049 | ||
| 9050 | <templateI d | |
| 9051 | root="2.16 .840.1.113 883. IP " | |
| 9052 | /> | |
| 9053 | ||
| 9054 | <templateI d | |
| 9055 | root="2.16 .840.1.113 883. IP " | |
| 9056 | /> | |
| 9057 | ||
| 9058 | <code | |
| 9059 | code="3399 9-4" | |
| 9060 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 9061 | codeSystem Name="LOIN C" | |
| 9062 | displayNam e="Status" | |
| 9063 | /> | |
| 9064 | ||
| 9065 | <statusCod e | |
| 9066 | code="comp leted" | |
| 9067 | /> | |
| 9068 | ||
| 9069 | <value | |
| 9070 | xsi:type=" CE" | |
| 9071 | code="comp leted" | |
| 9072 | /> | |
| 9073 | ||
| 9074 | </observat ion> | |
| 9075 | ||
| 9076 | </entryRel ationship> | |
| 9077 | ||
| 9078 | </substanc eAdministr ation> | |
| 9079 | ||
| 9080 | </entry> | |
| 9081 | ||
| 9082 | <entry> | |
| 9083 | ||
| 9084 | <substance Administra tion | |
| 9085 | classCode= "SBADM" | |
| 9086 | moodCode=" INT" | |
| 9087 | > | |
| 9088 | ||
| 9089 | <templateI d | |
| 9090 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 9091 | /> | |
| 9092 | ||
| 9093 | <templateI d | |
| 9094 | root="2.16 .840.1.113 883. IP " | |
| 9095 | /> | |
| 9096 | ||
| 9097 | <templateI d | |
| 9098 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 9099 | /> | |
| 9100 | ||
| 9101 | <templateI d | |
| 9102 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 9103 | /> | |
| 9104 | ||
| 9105 | <id | |
| 9106 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 9107 | extension= "645403" | |
| 9108 | /> | |
| 9109 | ||
| 9110 | <statusCod e | |
| 9111 | code="comp leted" | |
| 9112 | /> | |
| 9113 | ||
| 9114 | <effective Time | |
| 9115 | xsi:type=" IVL_TS" | |
| 9116 | > | |
| 9117 | ||
| 9118 | <low | |
| 9119 | value="201 1052300000 0-0400" | |
| 9120 | /> | |
| 9121 | ||
| 9122 | <high | |
| 9123 | value="201 1061300000 0-0400" | |
| 9124 | /> | |
| 9125 | ||
| 9126 | </effectiv eTime> | |
| 9127 | ||
| 9128 | <effective Time | |
| 9129 | xsi:type=" PIVL_TS" | |
| 9130 | operator=" A" | |
| 9131 | institutio nSpecified ="false" | |
| 9132 | > | |
| 9133 | ||
| 9134 | <period/> | |
| 9135 | ||
| 9136 | </effectiv eTime> | |
| 9137 | ||
| 9138 | <routeCode | |
| 9139 | code="C382 88" | |
| 9140 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 9141 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 9142 | displayNam e="ORAL" | |
| 9143 | /> | |
| 9144 | ||
| 9145 | <doseQuant ity/> | |
| 9146 | ||
| 9147 | <administr ationUnitC ode | |
| 9148 | code="C429 98" | |
| 9149 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 9150 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 9151 | displayNam e="Tablets " | |
| 9152 | /> | |
| 9153 | ||
| 9154 | <consumabl e> | |
| 9155 | ||
| 9156 | <manufactu redProduct | |
| 9157 | classCode= "MANU" | |
| 9158 | > | |
| 9159 | ||
| 9160 | <templateI d | |
| 9161 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 9162 | /> | |
| 9163 | ||
| 9164 | <templateI d | |
| 9165 | root="2.16 .840.1.113 883. IP " | |
| 9166 | /> | |
| 9167 | ||
| 9168 | <templateI d | |
| 9169 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 9170 | /> | |
| 9171 | ||
| 9172 | <templateI d | |
| 9173 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 9174 | /> | |
| 9175 | ||
| 9176 | <manufactu redMateria l> | |
| 9177 | ||
| 9178 | <code | |
| 9179 | code="8310 55" | |
| 9180 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 9181 | codeSystem Name="RxNO RM" | |
| 9182 | displayNam e="Diltiaz em Hydroch loride 120 MG Oral T ablet [Car dizem]" | |
| 9183 | > | |
| 9184 | ||
| 9185 | <originalT ext> | |
| 9186 | Diltiazem Hydrochlor ide 120 MG Oral Tabl et [Cardiz em] | |
| 9187 | <reference | |
| 9188 | value="#Me dication-2 2" | |
| 9189 | /> | |
| 9190 | </original Text> | |
| 9191 | ||
| 9192 | <translati on | |
| 9193 | code="8310 55" | |
| 9194 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 9195 | codeSystem Name="RxNo rm" | |
| 9196 | displayNam e="Cardize m" | |
| 9197 | > | |
| 9198 | ||
| 9199 | <originalT ext> | |
| 9200 | Cardizem | |
| 9201 | </original Text> | |
| 9202 | ||
| 9203 | </translat ion> | |
| 9204 | ||
| 9205 | </code> | |
| 9206 | ||
| 9207 | <name> | |
| 9208 | 1 po qd | |
| 9209 | </name> | |
| 9210 | ||
| 9211 | </manufact uredMateri al> | |
| 9212 | ||
| 9213 | </manufact uredProduc t> | |
| 9214 | ||
| 9215 | </consumab le> | |
| 9216 | ||
| 9217 | <author> | |
| 9218 | ||
| 9219 | <time | |
| 9220 | nullFlavor ="UNK" | |
| 9221 | /> | |
| 9222 | ||
| 9223 | <assignedA uthor> | |
| 9224 | ||
| 9225 | <id | |
| 9226 | nullFlavor ="UNK" | |
| 9227 | /> | |
| 9228 | ||
| 9229 | <addr | |
| 9230 | nullFlavor ="UNK" | |
| 9231 | /> | |
| 9232 | ||
| 9233 | <telecom | |
| 9234 | nullFlavor ="UNK" | |
| 9235 | /> | |
| 9236 | ||
| 9237 | <assignedP erson> | |
| 9238 | ||
| 9239 | <name | |
| 9240 | nullFlavor ="NA" | |
| 9241 | /> | |
| 9242 | ||
| 9243 | </assigned Person> | |
| 9244 | ||
| 9245 | </assigned Author> | |
| 9246 | ||
| 9247 | </author> | |
| 9248 | ||
| 9249 | <informant > | |
| 9250 | ||
| 9251 | <assignedE ntity> | |
| 9252 | ||
| 9253 | <id | |
| 9254 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 9255 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 9256 | /> | |
| 9257 | ||
| 9258 | <addr | |
| 9259 | nullFlavor ="UNK" | |
| 9260 | /> | |
| 9261 | ||
| 9262 | <telecom | |
| 9263 | nullFlavor ="UNK" | |
| 9264 | /> | |
| 9265 | ||
| 9266 | <assignedP erson> | |
| 9267 | ||
| 9268 | <name | |
| 9269 | nullFlavor ="UNK" | |
| 9270 | /> | |
| 9271 | ||
| 9272 | </assigned Person> | |
| 9273 | ||
| 9274 | <represent edOrganiza tion> | |
| 9275 | ||
| 9276 | <id | |
| 9277 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 9278 | extension= "ECMC" | |
| 9279 | /> | |
| 9280 | ||
| 9281 | <name> | |
| 9282 | ECMC | |
| 9283 | </name> | |
| 9284 | ||
| 9285 | <telecom | |
| 9286 | nullFlavor ="UNK" | |
| 9287 | /> | |
| 9288 | ||
| 9289 | <addr | |
| 9290 | nullFlavor ="UNK" | |
| 9291 | /> | |
| 9292 | ||
| 9293 | </represen tedOrganiz ation> | |
| 9294 | ||
| 9295 | </assigned Entity> | |
| 9296 | ||
| 9297 | </informan t> | |
| 9298 | ||
| 9299 | <entryRela tionship | |
| 9300 | typeCode=" REFR" | |
| 9301 | > | |
| 9302 | ||
| 9303 | <observati on | |
| 9304 | classCode= "OBS" | |
| 9305 | moodCode=" EVN" | |
| 9306 | > | |
| 9307 | ||
| 9308 | <templateI d | |
| 9309 | root="2.16 .840.1.113 883. IP " | |
| 9310 | /> | |
| 9311 | ||
| 9312 | <templateI d | |
| 9313 | root="2.16 .840.1.113 883. IP " | |
| 9314 | /> | |
| 9315 | ||
| 9316 | <code | |
| 9317 | code="3399 9-4" | |
| 9318 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 9319 | codeSystem Name="LOIN C" | |
| 9320 | displayNam e="Status" | |
| 9321 | /> | |
| 9322 | ||
| 9323 | <statusCod e | |
| 9324 | code="comp leted" | |
| 9325 | /> | |
| 9326 | ||
| 9327 | <value | |
| 9328 | xsi:type=" CE" | |
| 9329 | code="comp leted" | |
| 9330 | /> | |
| 9331 | ||
| 9332 | </observat ion> | |
| 9333 | ||
| 9334 | </entryRel ationship> | |
| 9335 | ||
| 9336 | </substanc eAdministr ation> | |
| 9337 | ||
| 9338 | </entry> | |
| 9339 | ||
| 9340 | <entry> | |
| 9341 | ||
| 9342 | <substance Administra tion | |
| 9343 | classCode= "SBADM" | |
| 9344 | moodCode=" INT" | |
| 9345 | > | |
| 9346 | ||
| 9347 | <templateI d | |
| 9348 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 9349 | /> | |
| 9350 | ||
| 9351 | <templateI d | |
| 9352 | root="2.16 .840.1.113 883. IP " | |
| 9353 | /> | |
| 9354 | ||
| 9355 | <templateI d | |
| 9356 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 9357 | /> | |
| 9358 | ||
| 9359 | <templateI d | |
| 9360 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 9361 | /> | |
| 9362 | ||
| 9363 | <id | |
| 9364 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 9365 | extension= "645409" | |
| 9366 | /> | |
| 9367 | ||
| 9368 | <statusCod e | |
| 9369 | code="comp leted" | |
| 9370 | /> | |
| 9371 | ||
| 9372 | <effective Time | |
| 9373 | xsi:type=" IVL_TS" | |
| 9374 | > | |
| 9375 | ||
| 9376 | <low | |
| 9377 | value="201 1052300000 0-0400" | |
| 9378 | /> | |
| 9379 | ||
| 9380 | <high | |
| 9381 | value="201 2081000000 0-0400" | |
| 9382 | /> | |
| 9383 | ||
| 9384 | </effectiv eTime> | |
| 9385 | ||
| 9386 | <effective Time | |
| 9387 | xsi:type=" PIVL_TS" | |
| 9388 | operator=" A" | |
| 9389 | institutio nSpecified ="false" | |
| 9390 | > | |
| 9391 | ||
| 9392 | <period/> | |
| 9393 | ||
| 9394 | </effectiv eTime> | |
| 9395 | ||
| 9396 | <routeCode | |
| 9397 | code="C382 88" | |
| 9398 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 9399 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 9400 | displayNam e="ORAL" | |
| 9401 | /> | |
| 9402 | ||
| 9403 | <doseQuant ity/> | |
| 9404 | ||
| 9405 | <administr ationUnitC ode | |
| 9406 | code="C429 98" | |
| 9407 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 9408 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 9409 | displayNam e="Tablets " | |
| 9410 | /> | |
| 9411 | ||
| 9412 | <consumabl e> | |
| 9413 | ||
| 9414 | <manufactu redProduct | |
| 9415 | classCode= "MANU" | |
| 9416 | > | |
| 9417 | ||
| 9418 | <templateI d | |
| 9419 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 9420 | /> | |
| 9421 | ||
| 9422 | <templateI d | |
| 9423 | root="2.16 .840.1.113 883. IP " | |
| 9424 | /> | |
| 9425 | ||
| 9426 | <templateI d | |
| 9427 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 9428 | /> | |
| 9429 | ||
| 9430 | <templateI d | |
| 9431 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 9432 | /> | |
| 9433 | ||
| 9434 | <manufactu redMateria l> | |
| 9435 | ||
| 9436 | <code | |
| 9437 | code="1975 29" | |
| 9438 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 9439 | codeSystem Name="RxNO RM" | |
| 9440 | displayNam e="Clonaze pam 2 MG O ral Tablet " | |
| 9441 | > | |
| 9442 | ||
| 9443 | <originalT ext> | |
| 9444 | Clonazepam 2 MG Oral Tablet | |
| 9445 | <reference | |
| 9446 | value="#Me dication-2 3" | |
| 9447 | /> | |
| 9448 | </original Text> | |
| 9449 | ||
| 9450 | <translati on | |
| 9451 | code="1975 29" | |
| 9452 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 9453 | codeSystem Name="RxNo rm" | |
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| 10125 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 10126 | extension= "565967" | |
| 10127 | /> | |
| 10128 | ||
| 10129 | <statusCod e | |
| 10130 | code="comp leted" | |
| 10131 | /> | |
| 10132 | ||
| 10133 | <effective Time | |
| 10134 | xsi:type=" IVL_TS" | |
| 10135 | > | |
| 10136 | ||
| 10137 | <low | |
| 10138 | value="201 1011800000 0-0500" | |
| 10139 | /> | |
| 10140 | ||
| 10141 | <high | |
| 10142 | value="201 1040500000 0-0400" | |
| 10143 | /> | |
| 10144 | ||
| 10145 | </effectiv eTime> | |
| 10146 | ||
| 10147 | <effective Time | |
| 10148 | xsi:type=" PIVL_TS" | |
| 10149 | operator=" A" | |
| 10150 | institutio nSpecified ="false" | |
| 10151 | > | |
| 10152 | ||
| 10153 | <period/> | |
| 10154 | ||
| 10155 | </effectiv eTime> | |
| 10156 | ||
| 10157 | <routeCode | |
| 10158 | code="C382 88" | |
| 10159 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 10160 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 10161 | displayNam e="ORAL" | |
| 10162 | /> | |
| 10163 | ||
| 10164 | <doseQuant ity/> | |
| 10165 | ||
| 10166 | <administr ationUnitC ode | |
| 10167 | code="C429 98" | |
| 10168 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 10169 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 10170 | displayNam e="Tablets " | |
| 10171 | /> | |
| 10172 | ||
| 10173 | <consumabl e> | |
| 10174 | ||
| 10175 | <manufactu redProduct | |
| 10176 | classCode= "MANU" | |
| 10177 | > | |
| 10178 | ||
| 10179 | <templateI d | |
| 10180 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 10181 | /> | |
| 10182 | ||
| 10183 | <templateI d | |
| 10184 | root="2.16 .840.1.113 883. IP " | |
| 10185 | /> | |
| 10186 | ||
| 10187 | <templateI d | |
| 10188 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 10189 | /> | |
| 10190 | ||
| 10191 | <templateI d | |
| 10192 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 10193 | /> | |
| 10194 | ||
| 10195 | <manufactu redMateria l> | |
| 10196 | ||
| 10197 | <code | |
| 10198 | code="1982 23" | |
| 10199 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10200 | codeSystem Name="RxNO RM" | |
| 10201 | displayNam e="Spirono lactone 50 MG Oral T ablet" | |
| 10202 | > | |
| 10203 | ||
| 10204 | <originalT ext> | |
| 10205 | Spironolac tone 50 MG Oral Tabl et | |
| 10206 | <reference | |
| 10207 | value="#Me dication-2 6" | |
| 10208 | /> | |
| 10209 | </original Text> | |
| 10210 | ||
| 10211 | <translati on | |
| 10212 | code="1982 23" | |
| 10213 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10214 | codeSystem Name="RxNo rm" | |
| 10215 | displayNam e="Spirono lactone" | |
| 10216 | > | |
| 10217 | ||
| 10218 | <originalT ext> | |
| 10219 | Spironolac tone | |
| 10220 | </original Text> | |
| 10221 | ||
| 10222 | </translat ion> | |
| 10223 | ||
| 10224 | </code> | |
| 10225 | ||
| 10226 | <name> | |
| 10227 | 1 po qd | |
| 10228 | </name> | |
| 10229 | ||
| 10230 | </manufact uredMateri al> | |
| 10231 | ||
| 10232 | </manufact uredProduc t> | |
| 10233 | ||
| 10234 | </consumab le> | |
| 10235 | ||
| 10236 | <author> | |
| 10237 | ||
| 10238 | <time | |
| 10239 | nullFlavor ="UNK" | |
| 10240 | /> | |
| 10241 | ||
| 10242 | <assignedA uthor> | |
| 10243 | ||
| 10244 | <id | |
| 10245 | nullFlavor ="UNK" | |
| 10246 | /> | |
| 10247 | ||
| 10248 | <addr | |
| 10249 | nullFlavor ="UNK" | |
| 10250 | /> | |
| 10251 | ||
| 10252 | <telecom | |
| 10253 | nullFlavor ="UNK" | |
| 10254 | /> | |
| 10255 | ||
| 10256 | <assignedP erson> | |
| 10257 | ||
| 10258 | <name | |
| 10259 | nullFlavor ="NA" | |
| 10260 | /> | |
| 10261 | ||
| 10262 | </assigned Person> | |
| 10263 | ||
| 10264 | </assigned Author> | |
| 10265 | ||
| 10266 | </author> | |
| 10267 | ||
| 10268 | <informant > | |
| 10269 | ||
| 10270 | <assignedE ntity> | |
| 10271 | ||
| 10272 | <id | |
| 10273 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 10274 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 10275 | /> | |
| 10276 | ||
| 10277 | <addr | |
| 10278 | nullFlavor ="UNK" | |
| 10279 | /> | |
| 10280 | ||
| 10281 | <telecom | |
| 10282 | nullFlavor ="UNK" | |
| 10283 | /> | |
| 10284 | ||
| 10285 | <assignedP erson> | |
| 10286 | ||
| 10287 | <name | |
| 10288 | nullFlavor ="UNK" | |
| 10289 | /> | |
| 10290 | ||
| 10291 | </assigned Person> | |
| 10292 | ||
| 10293 | <represent edOrganiza tion> | |
| 10294 | ||
| 10295 | <id | |
| 10296 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 10297 | extension= "ECMC" | |
| 10298 | /> | |
| 10299 | ||
| 10300 | <name> | |
| 10301 | ECMC | |
| 10302 | </name> | |
| 10303 | ||
| 10304 | <telecom | |
| 10305 | nullFlavor ="UNK" | |
| 10306 | /> | |
| 10307 | ||
| 10308 | <addr | |
| 10309 | nullFlavor ="UNK" | |
| 10310 | /> | |
| 10311 | ||
| 10312 | </represen tedOrganiz ation> | |
| 10313 | ||
| 10314 | </assigned Entity> | |
| 10315 | ||
| 10316 | </informan t> | |
| 10317 | ||
| 10318 | <entryRela tionship | |
| 10319 | typeCode=" REFR" | |
| 10320 | > | |
| 10321 | ||
| 10322 | <observati on | |
| 10323 | classCode= "OBS" | |
| 10324 | moodCode=" EVN" | |
| 10325 | > | |
| 10326 | ||
| 10327 | <templateI d | |
| 10328 | root="2.16 .840.1.113 883. IP " | |
| 10329 | /> | |
| 10330 | ||
| 10331 | <templateI d | |
| 10332 | root="2.16 .840.1.113 883. IP " | |
| 10333 | /> | |
| 10334 | ||
| 10335 | <code | |
| 10336 | code="3399 9-4" | |
| 10337 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 10338 | codeSystem Name="LOIN C" | |
| 10339 | displayNam e="Status" | |
| 10340 | /> | |
| 10341 | ||
| 10342 | <statusCod e | |
| 10343 | code="comp leted" | |
| 10344 | /> | |
| 10345 | ||
| 10346 | <value | |
| 10347 | xsi:type=" CE" | |
| 10348 | code="comp leted" | |
| 10349 | /> | |
| 10350 | ||
| 10351 | </observat ion> | |
| 10352 | ||
| 10353 | </entryRel ationship> | |
| 10354 | ||
| 10355 | </substanc eAdministr ation> | |
| 10356 | ||
| 10357 | </entry> | |
| 10358 | ||
| 10359 | <entry> | |
| 10360 | ||
| 10361 | <substance Administra tion | |
| 10362 | classCode= "SBADM" | |
| 10363 | moodCode=" INT" | |
| 10364 | > | |
| 10365 | ||
| 10366 | <templateI d | |
| 10367 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 10368 | /> | |
| 10369 | ||
| 10370 | <templateI d | |
| 10371 | root="2.16 .840.1.113 883. IP " | |
| 10372 | /> | |
| 10373 | ||
| 10374 | <templateI d | |
| 10375 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 10376 | /> | |
| 10377 | ||
| 10378 | <templateI d | |
| 10379 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 10380 | /> | |
| 10381 | ||
| 10382 | <id | |
| 10383 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 10384 | extension= "1258912" | |
| 10385 | /> | |
| 10386 | ||
| 10387 | <statusCod e | |
| 10388 | code="comp leted" | |
| 10389 | /> | |
| 10390 | ||
| 10391 | <effective Time | |
| 10392 | xsi:type=" IVL_TS" | |
| 10393 | > | |
| 10394 | ||
| 10395 | <low | |
| 10396 | value="201 1010500000 0-0500" | |
| 10397 | /> | |
| 10398 | ||
| 10399 | <high | |
| 10400 | value="201 5012100000 0-0500" | |
| 10401 | /> | |
| 10402 | ||
| 10403 | </effectiv eTime> | |
| 10404 | ||
| 10405 | <effective Time | |
| 10406 | xsi:type=" PIVL_TS" | |
| 10407 | operator=" A" | |
| 10408 | institutio nSpecified ="false" | |
| 10409 | > | |
| 10410 | ||
| 10411 | <period/> | |
| 10412 | ||
| 10413 | </effectiv eTime> | |
| 10414 | ||
| 10415 | <doseQuant ity/> | |
| 10416 | ||
| 10417 | <administr ationUnitC ode | |
| 10418 | code="C429 98" | |
| 10419 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 10420 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 10421 | displayNam e="Tablets " | |
| 10422 | /> | |
| 10423 | ||
| 10424 | <consumabl e> | |
| 10425 | ||
| 10426 | <manufactu redProduct | |
| 10427 | classCode= "MANU" | |
| 10428 | > | |
| 10429 | ||
| 10430 | <templateI d | |
| 10431 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 10432 | /> | |
| 10433 | ||
| 10434 | <templateI d | |
| 10435 | root="2.16 .840.1.113 883. IP " | |
| 10436 | /> | |
| 10437 | ||
| 10438 | <templateI d | |
| 10439 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 10440 | /> | |
| 10441 | ||
| 10442 | <templateI d | |
| 10443 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 10444 | /> | |
| 10445 | ||
| 10446 | <manufactu redMateria l> | |
| 10447 | ||
| 10448 | <code | |
| 10449 | code="8553 24" | |
| 10450 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10451 | codeSystem Name="RxNO RM" | |
| 10452 | displayNam e="Warfari n Sodium 4 MG Oral T ablet" | |
| 10453 | > | |
| 10454 | ||
| 10455 | <originalT ext> | |
| 10456 | Warfarin S odium 4 MG Oral Tabl et | |
| 10457 | <reference | |
| 10458 | value="#Me dication-2 7" | |
| 10459 | /> | |
| 10460 | </original Text> | |
| 10461 | ||
| 10462 | <translati on | |
| 10463 | code="8553 24" | |
| 10464 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10465 | codeSystem Name="RxNo rm" | |
| 10466 | displayNam e="Warfari n Sodium" | |
| 10467 | > | |
| 10468 | ||
| 10469 | <originalT ext> | |
| 10470 | Warfarin S odium | |
| 10471 | </original Text> | |
| 10472 | ||
| 10473 | </translat ion> | |
| 10474 | ||
| 10475 | </code> | |
| 10476 | ||
| 10477 | <name> | |
| 10478 | Take 1 Tab let By Mou th Monday Wednesday And Friday | |
| 10479 | </name> | |
| 10480 | ||
| 10481 | </manufact uredMateri al> | |
| 10482 | ||
| 10483 | </manufact uredProduc t> | |
| 10484 | ||
| 10485 | </consumab le> | |
| 10486 | ||
| 10487 | <author> | |
| 10488 | ||
| 10489 | <time | |
| 10490 | nullFlavor ="UNK" | |
| 10491 | /> | |
| 10492 | ||
| 10493 | <assignedA uthor> | |
| 10494 | ||
| 10495 | <id | |
| 10496 | nullFlavor ="UNK" | |
| 10497 | /> | |
| 10498 | ||
| 10499 | <addr | |
| 10500 | nullFlavor ="UNK" | |
| 10501 | /> | |
| 10502 | ||
| 10503 | <telecom | |
| 10504 | nullFlavor ="UNK" | |
| 10505 | /> | |
| 10506 | ||
| 10507 | <assignedP erson> | |
| 10508 | ||
| 10509 | <name | |
| 10510 | nullFlavor ="NA" | |
| 10511 | /> | |
| 10512 | ||
| 10513 | </assigned Person> | |
| 10514 | ||
| 10515 | </assigned Author> | |
| 10516 | ||
| 10517 | </author> | |
| 10518 | ||
| 10519 | <informant > | |
| 10520 | ||
| 10521 | <assignedE ntity> | |
| 10522 | ||
| 10523 | <id | |
| 10524 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 10525 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 10526 | /> | |
| 10527 | ||
| 10528 | <addr | |
| 10529 | nullFlavor ="UNK" | |
| 10530 | /> | |
| 10531 | ||
| 10532 | <telecom | |
| 10533 | nullFlavor ="UNK" | |
| 10534 | /> | |
| 10535 | ||
| 10536 | <assignedP erson> | |
| 10537 | ||
| 10538 | <name | |
| 10539 | nullFlavor ="UNK" | |
| 10540 | /> | |
| 10541 | ||
| 10542 | </assigned Person> | |
| 10543 | ||
| 10544 | <represent edOrganiza tion> | |
| 10545 | ||
| 10546 | <id | |
| 10547 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 10548 | extension= "ECMC" | |
| 10549 | /> | |
| 10550 | ||
| 10551 | <name> | |
| 10552 | ECMC | |
| 10553 | </name> | |
| 10554 | ||
| 10555 | <telecom | |
| 10556 | nullFlavor ="UNK" | |
| 10557 | /> | |
| 10558 | ||
| 10559 | <addr | |
| 10560 | nullFlavor ="UNK" | |
| 10561 | /> | |
| 10562 | ||
| 10563 | </represen tedOrganiz ation> | |
| 10564 | ||
| 10565 | </assigned Entity> | |
| 10566 | ||
| 10567 | </informan t> | |
| 10568 | ||
| 10569 | <entryRela tionship | |
| 10570 | typeCode=" REFR" | |
| 10571 | > | |
| 10572 | ||
| 10573 | <observati on | |
| 10574 | classCode= "OBS" | |
| 10575 | moodCode=" EVN" | |
| 10576 | > | |
| 10577 | ||
| 10578 | <templateI d | |
| 10579 | root="2.16 .840.1.113 883. IP " | |
| 10580 | /> | |
| 10581 | ||
| 10582 | <templateI d | |
| 10583 | root="2.16 .840.1.113 883. IP " | |
| 10584 | /> | |
| 10585 | ||
| 10586 | <code | |
| 10587 | code="3399 9-4" | |
| 10588 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 10589 | codeSystem Name="LOIN C" | |
| 10590 | displayNam e="Status" | |
| 10591 | /> | |
| 10592 | ||
| 10593 | <statusCod e | |
| 10594 | code="comp leted" | |
| 10595 | /> | |
| 10596 | ||
| 10597 | <value | |
| 10598 | xsi:type=" CE" | |
| 10599 | code="comp leted" | |
| 10600 | /> | |
| 10601 | ||
| 10602 | </observat ion> | |
| 10603 | ||
| 10604 | </entryRel ationship> | |
| 10605 | ||
| 10606 | </substanc eAdministr ation> | |
| 10607 | ||
| 10608 | </entry> | |
| 10609 | ||
| 10610 | <entry> | |
| 10611 | ||
| 10612 | <substance Administra tion | |
| 10613 | classCode= "SBADM" | |
| 10614 | moodCode=" INT" | |
| 10615 | > | |
| 10616 | ||
| 10617 | <templateI d | |
| 10618 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 10619 | /> | |
| 10620 | ||
| 10621 | <templateI d | |
| 10622 | root="2.16 .840.1.113 883. IP " | |
| 10623 | /> | |
| 10624 | ||
| 10625 | <templateI d | |
| 10626 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 10627 | /> | |
| 10628 | ||
| 10629 | <templateI d | |
| 10630 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 10631 | /> | |
| 10632 | ||
| 10633 | <id | |
| 10634 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 10635 | extension= "490370" | |
| 10636 | /> | |
| 10637 | ||
| 10638 | <statusCod e | |
| 10639 | code="comp leted" | |
| 10640 | /> | |
| 10641 | ||
| 10642 | <effective Time | |
| 10643 | xsi:type=" IVL_TS" | |
| 10644 | > | |
| 10645 | ||
| 10646 | <low | |
| 10647 | value="201 0092200000 0-0400" | |
| 10648 | /> | |
| 10649 | ||
| 10650 | <high | |
| 10651 | value="201 1061300000 0-0400" | |
| 10652 | /> | |
| 10653 | ||
| 10654 | </effectiv eTime> | |
| 10655 | ||
| 10656 | <effective Time | |
| 10657 | xsi:type=" PIVL_TS" | |
| 10658 | operator=" A" | |
| 10659 | institutio nSpecified ="false" | |
| 10660 | > | |
| 10661 | ||
| 10662 | <period/> | |
| 10663 | ||
| 10664 | </effectiv eTime> | |
| 10665 | ||
| 10666 | <routeCode | |
| 10667 | code="C382 88" | |
| 10668 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 10669 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 10670 | displayNam e="ORAL" | |
| 10671 | /> | |
| 10672 | ||
| 10673 | <doseQuant ity/> | |
| 10674 | ||
| 10675 | <administr ationUnitC ode | |
| 10676 | code="C429 98" | |
| 10677 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 10678 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 10679 | displayNam e="Tablets " | |
| 10680 | /> | |
| 10681 | ||
| 10682 | <consumabl e> | |
| 10683 | ||
| 10684 | <manufactu redProduct | |
| 10685 | classCode= "MANU" | |
| 10686 | > | |
| 10687 | ||
| 10688 | <templateI d | |
| 10689 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 10690 | /> | |
| 10691 | ||
| 10692 | <templateI d | |
| 10693 | root="2.16 .840.1.113 883. IP " | |
| 10694 | /> | |
| 10695 | ||
| 10696 | <templateI d | |
| 10697 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 10698 | /> | |
| 10699 | ||
| 10700 | <templateI d | |
| 10701 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 10702 | /> | |
| 10703 | ||
| 10704 | <manufactu redMateria l> | |
| 10705 | ||
| 10706 | <code | |
| 10707 | code="1978 84" | |
| 10708 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10709 | codeSystem Name="RxNO RM" | |
| 10710 | displayNam e="Lisinop ril 40 MG Oral Table t" | |
| 10711 | > | |
| 10712 | ||
| 10713 | <originalT ext> | |
| 10714 | Lisinopril 40 MG Ora l Tablet | |
| 10715 | <reference | |
| 10716 | value="#Me dication-2 8" | |
| 10717 | /> | |
| 10718 | </original Text> | |
| 10719 | ||
| 10720 | <translati on | |
| 10721 | code="1978 84" | |
| 10722 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10723 | codeSystem Name="RxNo rm" | |
| 10724 | displayNam e="Lisinop ril" | |
| 10725 | > | |
| 10726 | ||
| 10727 | <originalT ext> | |
| 10728 | Lisinopril | |
| 10729 | </original Text> | |
| 10730 | ||
| 10731 | </translat ion> | |
| 10732 | ||
| 10733 | </code> | |
| 10734 | ||
| 10735 | <name> | |
| 10736 | 1/2 po qd | |
| 10737 | </name> | |
| 10738 | ||
| 10739 | </manufact uredMateri al> | |
| 10740 | ||
| 10741 | </manufact uredProduc t> | |
| 10742 | ||
| 10743 | </consumab le> | |
| 10744 | ||
| 10745 | <author> | |
| 10746 | ||
| 10747 | <time | |
| 10748 | nullFlavor ="UNK" | |
| 10749 | /> | |
| 10750 | ||
| 10751 | <assignedA uthor> | |
| 10752 | ||
| 10753 | <id | |
| 10754 | nullFlavor ="UNK" | |
| 10755 | /> | |
| 10756 | ||
| 10757 | <addr | |
| 10758 | nullFlavor ="UNK" | |
| 10759 | /> | |
| 10760 | ||
| 10761 | <telecom | |
| 10762 | nullFlavor ="UNK" | |
| 10763 | /> | |
| 10764 | ||
| 10765 | <assignedP erson> | |
| 10766 | ||
| 10767 | <name | |
| 10768 | nullFlavor ="NA" | |
| 10769 | /> | |
| 10770 | ||
| 10771 | </assigned Person> | |
| 10772 | ||
| 10773 | </assigned Author> | |
| 10774 | ||
| 10775 | </author> | |
| 10776 | ||
| 10777 | <informant > | |
| 10778 | ||
| 10779 | <assignedE ntity> | |
| 10780 | ||
| 10781 | <id | |
| 10782 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 10783 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 10784 | /> | |
| 10785 | ||
| 10786 | <addr | |
| 10787 | nullFlavor ="UNK" | |
| 10788 | /> | |
| 10789 | ||
| 10790 | <telecom | |
| 10791 | nullFlavor ="UNK" | |
| 10792 | /> | |
| 10793 | ||
| 10794 | <assignedP erson> | |
| 10795 | ||
| 10796 | <name | |
| 10797 | nullFlavor ="UNK" | |
| 10798 | /> | |
| 10799 | ||
| 10800 | </assigned Person> | |
| 10801 | ||
| 10802 | <represent edOrganiza tion> | |
| 10803 | ||
| 10804 | <id | |
| 10805 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 10806 | extension= "ECMC" | |
| 10807 | /> | |
| 10808 | ||
| 10809 | <name> | |
| 10810 | ECMC | |
| 10811 | </name> | |
| 10812 | ||
| 10813 | <telecom | |
| 10814 | nullFlavor ="UNK" | |
| 10815 | /> | |
| 10816 | ||
| 10817 | <addr | |
| 10818 | nullFlavor ="UNK" | |
| 10819 | /> | |
| 10820 | ||
| 10821 | </represen tedOrganiz ation> | |
| 10822 | ||
| 10823 | </assigned Entity> | |
| 10824 | ||
| 10825 | </informan t> | |
| 10826 | ||
| 10827 | <entryRela tionship | |
| 10828 | typeCode=" REFR" | |
| 10829 | > | |
| 10830 | ||
| 10831 | <observati on | |
| 10832 | classCode= "OBS" | |
| 10833 | moodCode=" EVN" | |
| 10834 | > | |
| 10835 | ||
| 10836 | <templateI d | |
| 10837 | root="2.16 .840.1.113 883. IP " | |
| 10838 | /> | |
| 10839 | ||
| 10840 | <templateI d | |
| 10841 | root="2.16 .840.1.113 883. IP " | |
| 10842 | /> | |
| 10843 | ||
| 10844 | <code | |
| 10845 | code="3399 9-4" | |
| 10846 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 10847 | codeSystem Name="LOIN C" | |
| 10848 | displayNam e="Status" | |
| 10849 | /> | |
| 10850 | ||
| 10851 | <statusCod e | |
| 10852 | code="comp leted" | |
| 10853 | /> | |
| 10854 | ||
| 10855 | <value | |
| 10856 | xsi:type=" CE" | |
| 10857 | code="comp leted" | |
| 10858 | /> | |
| 10859 | ||
| 10860 | </observat ion> | |
| 10861 | ||
| 10862 | </entryRel ationship> | |
| 10863 | ||
| 10864 | </substanc eAdministr ation> | |
| 10865 | ||
| 10866 | </entry> | |
| 10867 | ||
| 10868 | <entry> | |
| 10869 | ||
| 10870 | <substance Administra tion | |
| 10871 | classCode= "SBADM" | |
| 10872 | moodCode=" INT" | |
| 10873 | > | |
| 10874 | ||
| 10875 | <templateI d | |
| 10876 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 10877 | /> | |
| 10878 | ||
| 10879 | <templateI d | |
| 10880 | root="2.16 .840.1.113 883. IP " | |
| 10881 | /> | |
| 10882 | ||
| 10883 | <templateI d | |
| 10884 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 10885 | /> | |
| 10886 | ||
| 10887 | <templateI d | |
| 10888 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 10889 | /> | |
| 10890 | ||
| 10891 | <id | |
| 10892 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 10893 | extension= "480559" | |
| 10894 | /> | |
| 10895 | ||
| 10896 | <statusCod e | |
| 10897 | code="comp leted" | |
| 10898 | /> | |
| 10899 | ||
| 10900 | <effective Time | |
| 10901 | xsi:type=" IVL_TS" | |
| 10902 | > | |
| 10903 | ||
| 10904 | <low | |
| 10905 | value="201 0090800000 0-0400" | |
| 10906 | /> | |
| 10907 | ||
| 10908 | <high | |
| 10909 | value="201 1011900000 0-0500" | |
| 10910 | /> | |
| 10911 | ||
| 10912 | </effectiv eTime> | |
| 10913 | ||
| 10914 | <effective Time | |
| 10915 | xsi:type=" PIVL_TS" | |
| 10916 | operator=" A" | |
| 10917 | institutio nSpecified ="false" | |
| 10918 | > | |
| 10919 | ||
| 10920 | <period/> | |
| 10921 | ||
| 10922 | </effectiv eTime> | |
| 10923 | ||
| 10924 | <routeCode | |
| 10925 | code="C382 88" | |
| 10926 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 10927 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 10928 | displayNam e="ORAL" | |
| 10929 | /> | |
| 10930 | ||
| 10931 | <doseQuant ity/> | |
| 10932 | ||
| 10933 | <administr ationUnitC ode | |
| 10934 | code="C429 98" | |
| 10935 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 10936 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 10937 | displayNam e="Tablets " | |
| 10938 | /> | |
| 10939 | ||
| 10940 | <consumabl e> | |
| 10941 | ||
| 10942 | <manufactu redProduct | |
| 10943 | classCode= "MANU" | |
| 10944 | > | |
| 10945 | ||
| 10946 | <templateI d | |
| 10947 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 10948 | /> | |
| 10949 | ||
| 10950 | <templateI d | |
| 10951 | root="2.16 .840.1.113 883. IP " | |
| 10952 | /> | |
| 10953 | ||
| 10954 | <templateI d | |
| 10955 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 10956 | /> | |
| 10957 | ||
| 10958 | <templateI d | |
| 10959 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 10960 | /> | |
| 10961 | ||
| 10962 | <manufactu redMateria l> | |
| 10963 | ||
| 10964 | <code | |
| 10965 | code="3108 12" | |
| 10966 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10967 | codeSystem Name="RxNO RM" | |
| 10968 | displayNam e="Hydroch lorothiazi de 25 MG / Triamtere ne 37.5 MG Oral Tabl et" | |
| 10969 | > | |
| 10970 | ||
| 10971 | <originalT ext> | |
| 10972 | Hydrochlor othiazide 25 MG / Tr iamterene 37.5 MG Or al Tablet | |
| 10973 | <reference | |
| 10974 | value="#Me dication-2 9" | |
| 10975 | /> | |
| 10976 | </original Text> | |
| 10977 | ||
| 10978 | <translati on | |
| 10979 | code="3108 12" | |
| 10980 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10981 | codeSystem Name="RxNo rm" | |
| 10982 | displayNam e="Triamte rene/Hydro chlorothia zide" | |
| 10983 | > | |
| 10984 | ||
| 10985 | <originalT ext> | |
| 10986 | Triamteren e/Hydrochl orothiazid e | |
| 10987 | </original Text> | |
| 10988 | ||
| 10989 | </translat ion> | |
| 10990 | ||
| 10991 | </code> | |
| 10992 | ||
| 10993 | <name> | |
| 10994 | 1 po qd | |
| 10995 | </name> | |
| 10996 | ||
| 10997 | </manufact uredMateri al> | |
| 10998 | ||
| 10999 | </manufact uredProduc t> | |
| 11000 | ||
| 11001 | </consumab le> | |
| 11002 | ||
| 11003 | <author> | |
| 11004 | ||
| 11005 | <time | |
| 11006 | nullFlavor ="UNK" | |
| 11007 | /> | |
| 11008 | ||
| 11009 | <assignedA uthor> | |
| 11010 | ||
| 11011 | <id | |
| 11012 | nullFlavor ="UNK" | |
| 11013 | /> | |
| 11014 | ||
| 11015 | <addr | |
| 11016 | nullFlavor ="UNK" | |
| 11017 | /> | |
| 11018 | ||
| 11019 | <telecom | |
| 11020 | nullFlavor ="UNK" | |
| 11021 | /> | |
| 11022 | ||
| 11023 | <assignedP erson> | |
| 11024 | ||
| 11025 | <name | |
| 11026 | nullFlavor ="NA" | |
| 11027 | /> | |
| 11028 | ||
| 11029 | </assigned Person> | |
| 11030 | ||
| 11031 | </assigned Author> | |
| 11032 | ||
| 11033 | </author> | |
| 11034 | ||
| 11035 | <informant > | |
| 11036 | ||
| 11037 | <assignedE ntity> | |
| 11038 | ||
| 11039 | <id | |
| 11040 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 11041 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 11042 | /> | |
| 11043 | ||
| 11044 | <addr | |
| 11045 | nullFlavor ="UNK" | |
| 11046 | /> | |
| 11047 | ||
| 11048 | <telecom | |
| 11049 | nullFlavor ="UNK" | |
| 11050 | /> | |
| 11051 | ||
| 11052 | <assignedP erson> | |
| 11053 | ||
| 11054 | <name | |
| 11055 | nullFlavor ="UNK" | |
| 11056 | /> | |
| 11057 | ||
| 11058 | </assigned Person> | |
| 11059 | ||
| 11060 | <represent edOrganiza tion> | |
| 11061 | ||
| 11062 | <id | |
| 11063 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 11064 | extension= "ECMC" | |
| 11065 | /> | |
| 11066 | ||
| 11067 | <name> | |
| 11068 | ECMC | |
| 11069 | </name> | |
| 11070 | ||
| 11071 | <telecom | |
| 11072 | nullFlavor ="UNK" | |
| 11073 | /> | |
| 11074 | ||
| 11075 | <addr | |
| 11076 | nullFlavor ="UNK" | |
| 11077 | /> | |
| 11078 | ||
| 11079 | </represen tedOrganiz ation> | |
| 11080 | ||
| 11081 | </assigned Entity> | |
| 11082 | ||
| 11083 | </informan t> | |
| 11084 | ||
| 11085 | <entryRela tionship | |
| 11086 | typeCode=" REFR" | |
| 11087 | > | |
| 11088 | ||
| 11089 | <observati on | |
| 11090 | classCode= "OBS" | |
| 11091 | moodCode=" EVN" | |
| 11092 | > | |
| 11093 | ||
| 11094 | <templateI d | |
| 11095 | root="2.16 .840.1.113 883. IP " | |
| 11096 | /> | |
| 11097 | ||
| 11098 | <templateI d | |
| 11099 | root="2.16 .840.1.113 883. IP " | |
| 11100 | /> | |
| 11101 | ||
| 11102 | <code | |
| 11103 | code="3399 9-4" | |
| 11104 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 11105 | codeSystem Name="LOIN C" | |
| 11106 | displayNam e="Status" | |
| 11107 | /> | |
| 11108 | ||
| 11109 | <statusCod e | |
| 11110 | code="comp leted" | |
| 11111 | /> | |
| 11112 | ||
| 11113 | <value | |
| 11114 | xsi:type=" CE" | |
| 11115 | code="comp leted" | |
| 11116 | /> | |
| 11117 | ||
| 11118 | </observat ion> | |
| 11119 | ||
| 11120 | </entryRel ationship> | |
| 11121 | ||
| 11122 | </substanc eAdministr ation> | |
| 11123 | ||
| 11124 | </entry> | |
| 11125 | ||
| 11126 | <entry> | |
| 11127 | ||
| 11128 | <substance Administra tion | |
| 11129 | classCode= "SBADM" | |
| 11130 | moodCode=" INT" | |
| 11131 | > | |
| 11132 | ||
| 11133 | <templateI d | |
| 11134 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 11135 | /> | |
| 11136 | ||
| 11137 | <templateI d | |
| 11138 | root="2.16 .840.1.113 883. IP " | |
| 11139 | /> | |
| 11140 | ||
| 11141 | <templateI d | |
| 11142 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 11143 | /> | |
| 11144 | ||
| 11145 | <templateI d | |
| 11146 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 11147 | /> | |
| 11148 | ||
| 11149 | <id | |
| 11150 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 11151 | extension= "469503" | |
| 11152 | /> | |
| 11153 | ||
| 11154 | <statusCod e | |
| 11155 | code="comp leted" | |
| 11156 | /> | |
| 11157 | ||
| 11158 | <effective Time | |
| 11159 | xsi:type=" IVL_TS" | |
| 11160 | > | |
| 11161 | ||
| 11162 | <low | |
| 11163 | value="201 0082300000 0-0400" | |
| 11164 | /> | |
| 11165 | ||
| 11166 | <high | |
| 11167 | value="201 1110400000 0-0400" | |
| 11168 | /> | |
| 11169 | ||
| 11170 | </effectiv eTime> | |
| 11171 | ||
| 11172 | <effective Time | |
| 11173 | xsi:type=" PIVL_TS" | |
| 11174 | operator=" A" | |
| 11175 | institutio nSpecified ="false" | |
| 11176 | > | |
| 11177 | ||
| 11178 | <period/> | |
| 11179 | ||
| 11180 | </effectiv eTime> | |
| 11181 | ||
| 11182 | <routeCode | |
| 11183 | code="C382 88" | |
| 11184 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 11185 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 11186 | displayNam e="ORAL" | |
| 11187 | /> | |
| 11188 | ||
| 11189 | <doseQuant ity/> | |
| 11190 | ||
| 11191 | <administr ationUnitC ode | |
| 11192 | code="C429 05" | |
| 11193 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 11194 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 11195 | displayNam e="Tablets DR" | |
| 11196 | /> | |
| 11197 | ||
| 11198 | <consumabl e> | |
| 11199 | ||
| 11200 | <manufactu redProduct | |
| 11201 | classCode= "MANU" | |
| 11202 | > | |
| 11203 | ||
| 11204 | <templateI d | |
| 11205 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 11206 | /> | |
| 11207 | ||
| 11208 | <templateI d | |
| 11209 | root="2.16 .840.1.113 883. IP " | |
| 11210 | /> | |
| 11211 | ||
| 11212 | <templateI d | |
| 11213 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 11214 | /> | |
| 11215 | ||
| 11216 | <templateI d | |
| 11217 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 11218 | /> | |
| 11219 | ||
| 11220 | <manufactu redMateria l> | |
| 11221 | ||
| 11222 | <code | |
| 11223 | code="6087 96" | |
| 11224 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 11225 | codeSystem Name="RxNO RM" | |
| 11226 | displayNam e="Omepraz ole 20 MG Delayed Re lease Oral Tablet [P rilosec]" | |
| 11227 | > | |
| 11228 | ||
| 11229 | <originalT ext> | |
| 11230 | Omeprazole 20 MG Del ayed Relea se Oral Ta blet [Pril osec] | |
| 11231 | <reference | |
| 11232 | value="#Me dication-3 0" | |
| 11233 | /> | |
| 11234 | </original Text> | |
| 11235 | ||
| 11236 | <translati on | |
| 11237 | code="6087 96" | |
| 11238 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 11239 | codeSystem Name="RxNo rm" | |
| 11240 | displayNam e="Prilose c OTC" | |
| 11241 | > | |
| 11242 | ||
| 11243 | <originalT ext> | |
| 11244 | Prilosec O TC | |
| 11245 | </original Text> | |
| 11246 | ||
| 11247 | </translat ion> | |
| 11248 | ||
| 11249 | </code> | |
| 11250 | ||
| 11251 | <name> | |
| 11252 | 1 po bid | |
| 11253 | </name> | |
| 11254 | ||
| 11255 | </manufact uredMateri al> | |
| 11256 | ||
| 11257 | </manufact uredProduc t> | |
| 11258 | ||
| 11259 | </consumab le> | |
| 11260 | ||
| 11261 | <author> | |
| 11262 | ||
| 11263 | <time | |
| 11264 | nullFlavor ="UNK" | |
| 11265 | /> | |
| 11266 | ||
| 11267 | <assignedA uthor> | |
| 11268 | ||
| 11269 | <id | |
| 11270 | nullFlavor ="UNK" | |
| 11271 | /> | |
| 11272 | ||
| 11273 | <addr | |
| 11274 | nullFlavor ="UNK" | |
| 11275 | /> | |
| 11276 | ||
| 11277 | <telecom | |
| 11278 | nullFlavor ="UNK" | |
| 11279 | /> | |
| 11280 | ||
| 11281 | <assignedP erson> | |
| 11282 | ||
| 11283 | <name | |
| 11284 | nullFlavor ="NA" | |
| 11285 | /> | |
| 11286 | ||
| 11287 | </assigned Person> | |
| 11288 | ||
| 11289 | </assigned Author> | |
| 11290 | ||
| 11291 | </author> | |
| 11292 | ||
| 11293 | <informant > | |
| 11294 | ||
| 11295 | <assignedE ntity> | |
| 11296 | ||
| 11297 | <id | |
| 11298 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 11299 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 11300 | /> | |
| 11301 | ||
| 11302 | <addr | |
| 11303 | nullFlavor ="UNK" | |
| 11304 | /> | |
| 11305 | ||
| 11306 | <telecom | |
| 11307 | nullFlavor ="UNK" | |
| 11308 | /> | |
| 11309 | ||
| 11310 | <assignedP erson> | |
| 11311 | ||
| 11312 | <name | |
| 11313 | nullFlavor ="UNK" | |
| 11314 | /> | |
| 11315 | ||
| 11316 | </assigned Person> | |
| 11317 | ||
| 11318 | <represent edOrganiza tion> | |
| 11319 | ||
| 11320 | <id | |
| 11321 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 11322 | extension= "ECMC" | |
| 11323 | /> | |
| 11324 | ||
| 11325 | <name> | |
| 11326 | ECMC | |
| 11327 | </name> | |
| 11328 | ||
| 11329 | <telecom | |
| 11330 | nullFlavor ="UNK" | |
| 11331 | /> | |
| 11332 | ||
| 11333 | <addr | |
| 11334 | nullFlavor ="UNK" | |
| 11335 | /> | |
| 11336 | ||
| 11337 | </represen tedOrganiz ation> | |
| 11338 | ||
| 11339 | </assigned Entity> | |
| 11340 | ||
| 11341 | </informan t> | |
| 11342 | ||
| 11343 | <entryRela tionship | |
| 11344 | typeCode=" REFR" | |
| 11345 | > | |
| 11346 | ||
| 11347 | <observati on | |
| 11348 | classCode= "OBS" | |
| 11349 | moodCode=" EVN" | |
| 11350 | > | |
| 11351 | ||
| 11352 | <templateI d | |
| 11353 | root="2.16 .840.1.113 883. IP " | |
| 11354 | /> | |
| 11355 | ||
| 11356 | <templateI d | |
| 11357 | root="2.16 .840.1.113 883. IP " | |
| 11358 | /> | |
| 11359 | ||
| 11360 | <code | |
| 11361 | code="3399 9-4" | |
| 11362 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 11363 | codeSystem Name="LOIN C" | |
| 11364 | displayNam e="Status" | |
| 11365 | /> | |
| 11366 | ||
| 11367 | <statusCod e | |
| 11368 | code="comp leted" | |
| 11369 | /> | |
| 11370 | ||
| 11371 | <value | |
| 11372 | xsi:type=" CE" | |
| 11373 | code="comp leted" | |
| 11374 | /> | |
| 11375 | ||
| 11376 | </observat ion> | |
| 11377 | ||
| 11378 | </entryRel ationship> | |
| 11379 | ||
| 11380 | </substanc eAdministr ation> | |
| 11381 | ||
| 11382 | </entry> | |
| 11383 | ||
| 11384 | <entry> | |
| 11385 | ||
| 11386 | <substance Administra tion | |
| 11387 | classCode= "SBADM" | |
| 11388 | moodCode=" INT" | |
| 11389 | > | |
| 11390 | ||
| 11391 | <templateI d | |
| 11392 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 11393 | /> | |
| 11394 | ||
| 11395 | <templateI d | |
| 11396 | root="2.16 .840.1.113 883. IP " | |
| 11397 | /> | |
| 11398 | ||
| 11399 | <templateI d | |
| 11400 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 11401 | /> | |
| 11402 | ||
| 11403 | <templateI d | |
| 11404 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 11405 | /> | |
| 11406 | ||
| 11407 | <id | |
| 11408 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 11409 | extension= "469502" | |
| 11410 | /> | |
| 11411 | ||
| 11412 | <statusCod e | |
| 11413 | code="comp leted" | |
| 11414 | /> | |
| 11415 | ||
| 11416 | <effective Time | |
| 11417 | xsi:type=" IVL_TS" | |
| 11418 | > | |
| 11419 | ||
| 11420 | <low | |
| 11421 | value="201 0082300000 0-0400" | |
| 11422 | /> | |
| 11423 | ||
| 11424 | <high | |
| 11425 | value="201 1052300000 0-0400" | |
| 11426 | /> | |
| 11427 | ||
| 11428 | </effectiv eTime> | |
| 11429 | ||
| 11430 | <effective Time | |
| 11431 | xsi:type=" PIVL_TS" | |
| 11432 | operator=" A" | |
| 11433 | institutio nSpecified ="false" | |
| 11434 | > | |
| 11435 | ||
| 11436 | <period/> | |
| 11437 | ||
| 11438 | </effectiv eTime> | |
| 11439 | ||
| 11440 | <routeCode | |
| 11441 | code="C382 88" | |
| 11442 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 11443 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 11444 | displayNam e="ORAL" | |
| 11445 | /> | |
| 11446 | ||
| 11447 | <doseQuant ity/> | |
| 11448 | ||
| 11449 | <administr ationUnitC ode | |
| 11450 | code="C429 16" | |
| 11451 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 11452 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 11453 | displayNam e="Caps ER 24HR" | |
| 11454 | /> | |
| 11455 | ||
| 11456 | <consumabl e> | |
| 11457 | ||
| 11458 | <manufactu redProduct | |
| 11459 | classCode= "MANU" | |
| 11460 | > | |
| 11461 | ||
| 11462 | <templateI d | |
| 11463 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 11464 | /> | |
| 11465 | ||
| 11466 | <templateI d | |
| 11467 | root="2.16 .840.1.113 883. IP " | |
| 11468 | /> | |
| 11469 | ||
| 11470 | <templateI d | |
| 11471 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 11472 | /> | |
| 11473 | ||
| 11474 | <templateI d | |
| 11475 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 11476 | /> | |
| 11477 | ||
| 11478 | <manufactu redMateria l> | |
| 11479 | ||
| 11480 | <code | |
| 11481 | code="8308 37" | |
| 11482 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 11483 | codeSystem Name="RxNO RM" | |
| 11484 | displayNam e="24 HR D iltiazem H ydrochlori de 240 MG Extended R elease Ora l Capsule" | |
| 11485 | > | |
| 11486 | ||
| 11487 | <originalT ext> | |
| 11488 | 24 HR Dilt iazem Hydr ochloride 240 MG Ext ended Rele ase Oral C apsule | |
| 11489 | <reference | |
| 11490 | value="#Me dication-3 1" | |
| 11491 | /> | |
| 11492 | </original Text> | |
| 11493 | ||
| 11494 | <translati on | |
| 11495 | code="8308 37" | |
| 11496 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 11497 | codeSystem Name="RxNo rm" | |
| 11498 | displayNam e="Diltiaz em HCL" | |
| 11499 | > | |
| 11500 | ||
| 11501 | <originalT ext> | |
| 11502 | Diltiazem HCL | |
| 11503 | </original Text> | |
| 11504 | ||
| 11505 | </translat ion> | |
| 11506 | ||
| 11507 | </code> | |
| 11508 | ||
| 11509 | <name> | |
| 11510 | 1 po qd | |
| 11511 | </name> | |
| 11512 | ||
| 11513 | </manufact uredMateri al> | |
| 11514 | ||
| 11515 | </manufact uredProduc t> | |
| 11516 | ||
| 11517 | </consumab le> | |
| 11518 | ||
| 11519 | <author> | |
| 11520 | ||
| 11521 | <time | |
| 11522 | nullFlavor ="UNK" | |
| 11523 | /> | |
| 11524 | ||
| 11525 | <assignedA uthor> | |
| 11526 | ||
| 11527 | <id | |
| 11528 | nullFlavor ="UNK" | |
| 11529 | /> | |
| 11530 | ||
| 11531 | <addr | |
| 11532 | nullFlavor ="UNK" | |
| 11533 | /> | |
| 11534 | ||
| 11535 | <telecom | |
| 11536 | nullFlavor ="UNK" | |
| 11537 | /> | |
| 11538 | ||
| 11539 | <assignedP erson> | |
| 11540 | ||
| 11541 | <name | |
| 11542 | nullFlavor ="NA" | |
| 11543 | /> | |
| 11544 | ||
| 11545 | </assigned Person> | |
| 11546 | ||
| 11547 | </assigned Author> | |
| 11548 | ||
| 11549 | </author> | |
| 11550 | ||
| 11551 | <informant > | |
| 11552 | ||
| 11553 | <assignedE ntity> | |
| 11554 | ||
| 11555 | <id | |
| 11556 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 11557 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 11558 | /> | |
| 11559 | ||
| 11560 | <addr | |
| 11561 | nullFlavor ="UNK" | |
| 11562 | /> | |
| 11563 | ||
| 11564 | <telecom | |
| 11565 | nullFlavor ="UNK" | |
| 11566 | /> | |
| 11567 | ||
| 11568 | <assignedP erson> | |
| 11569 | ||
| 11570 | <name | |
| 11571 | nullFlavor ="UNK" | |
| 11572 | /> | |
| 11573 | ||
| 11574 | </assigned Person> | |
| 11575 | ||
| 11576 | <represent edOrganiza tion> | |
| 11577 | ||
| 11578 | <id | |
| 11579 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 11580 | extension= "ECMC" | |
| 11581 | /> | |
| 11582 | ||
| 11583 | <name> | |
| 11584 | ECMC | |
| 11585 | </name> | |
| 11586 | ||
| 11587 | <telecom | |
| 11588 | nullFlavor ="UNK" | |
| 11589 | /> | |
| 11590 | ||
| 11591 | <addr | |
| 11592 | nullFlavor ="UNK" | |
| 11593 | /> | |
| 11594 | ||
| 11595 | </represen tedOrganiz ation> | |
| 11596 | ||
| 11597 | </assigned Entity> | |
| 11598 | ||
| 11599 | </informan t> | |
| 11600 | ||
| 11601 | <entryRela tionship | |
| 11602 | typeCode=" REFR" | |
| 11603 | > | |
| 11604 | ||
| 11605 | <observati on | |
| 11606 | classCode= "OBS" | |
| 11607 | moodCode=" EVN" | |
| 11608 | > | |
| 11609 | ||
| 11610 | <templateI d | |
| 11611 | root="2.16 .840.1.113 883. IP " | |
| 11612 | /> | |
| 11613 | ||
| 11614 | <templateI d | |
| 11615 | root="2.16 .840.1.113 883. IP " | |
| 11616 | /> | |
| 11617 | ||
| 11618 | <code | |
| 11619 | code="3399 9-4" | |
| 11620 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 11621 | codeSystem Name="LOIN C" | |
| 11622 | displayNam e="Status" | |
| 11623 | /> | |
| 11624 | ||
| 11625 | <statusCod e | |
| 11626 | code="comp leted" | |
| 11627 | /> | |
| 11628 | ||
| 11629 | <value | |
| 11630 | xsi:type=" CE" | |
| 11631 | code="comp leted" | |
| 11632 | /> | |
| 11633 | ||
| 11634 | </observat ion> | |
| 11635 | ||
| 11636 | </entryRel ationship> | |
| 11637 | ||
| 11638 | </substanc eAdministr ation> | |
| 11639 | ||
| 11640 | </entry> | |
| 11641 | ||
| 11642 | <entry> | |
| 11643 | ||
| 11644 | <substance Administra tion | |
| 11645 | classCode= "SBADM" | |
| 11646 | moodCode=" INT" | |
| 11647 | > | |
| 11648 | ||
| 11649 | <templateI d | |
| 11650 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 11651 | /> | |
| 11652 | ||
| 11653 | <templateI d | |
| 11654 | root="2.16 .840.1.113 883. IP " | |
| 11655 | /> | |
| 11656 | ||
| 11657 | <templateI d | |
| 11658 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 11659 | /> | |
| 11660 | ||
| 11661 | <templateI d | |
| 11662 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 11663 | /> | |
| 11664 | ||
| 11665 | <id | |
| 11666 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 11667 | extension= "461550" | |
| 11668 | /> | |
| 11669 | ||
| 11670 | <statusCod e | |
| 11671 | code="comp leted" | |
| 11672 | /> | |
| 11673 | ||
| 11674 | <effective Time | |
| 11675 | xsi:type=" IVL_TS" | |
| 11676 | > | |
| 11677 | ||
| 11678 | <low | |
| 11679 | value="201 0081100000 0-0400" | |
| 11680 | /> | |
| 11681 | ||
| 11682 | <high | |
| 11683 | value="201 1061300000 0-0400" | |
| 11684 | /> | |
| 11685 | ||
| 11686 | </effectiv eTime> | |
| 11687 | ||
| 11688 | <effective Time | |
| 11689 | xsi:type=" PIVL_TS" | |
| 11690 | operator=" A" | |
| 11691 | institutio nSpecified ="false" | |
| 11692 | > | |
| 11693 | ||
| 11694 | <period/> | |
| 11695 | ||
| 11696 | </effectiv eTime> | |
| 11697 | ||
| 11698 | <routeCode | |
| 11699 | code="C382 88" | |
| 11700 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 11701 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 11702 | displayNam e="ORAL" | |
| 11703 | /> | |
| 11704 | ||
| 11705 | <doseQuant ity/> | |
| 11706 | ||
| 11707 | <administr ationUnitC ode | |
| 11708 | code="C429 27" | |
| 11709 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 11710 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 11711 | displayNam e="Tablets ER" | |
| 11712 | /> | |
| 11713 | ||
| 11714 | <consumabl e> | |
| 11715 | ||
| 11716 | <manufactu redProduct | |
| 11717 | classCode= "MANU" | |
| 11718 | > | |
| 11719 | ||
| 11720 | <templateI d | |
| 11721 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 11722 | /> | |
| 11723 | ||
| 11724 | <templateI d | |
| 11725 | root="2.16 .840.1.113 883. IP " | |
| 11726 | /> | |
| 11727 | ||
| 11728 | <templateI d | |
| 11729 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 11730 | /> | |
| 11731 | ||
| 11732 | <templateI d | |
| 11733 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 11734 | /> | |
| 11735 | ||
| 11736 | <manufactu redMateria l> | |
| 11737 | ||
| 11738 | <code | |
| 11739 | code="1981 16" | |
| 11740 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 11741 | codeSystem Name="RxNO RM" | |
| 11742 | displayNam e="Potassi um Chlorid e 20 MEQ E xtended Re lease Oral Tablet" | |
| 11743 | > | |
| 11744 | ||
| 11745 | <originalT ext> | |
| 11746 | Potassium Chloride 2 0 MEQ Exte nded Relea se Oral Ta blet | |
| 11747 | <reference | |
| 11748 | value="#Me dication-3 2" | |
| 11749 | /> | |
| 11750 | </original Text> | |
| 11751 | ||
| 11752 | <translati on | |
| 11753 | code="1981 16" | |
| 11754 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 11755 | codeSystem Name="RxNo rm" | |
| 11756 | displayNam e="Potassi um Chlorid e ER" | |
| 11757 | > | |
| 11758 | ||
| 11759 | <originalT ext> | |
| 11760 | Potassium Chloride E R | |
| 11761 | </original Text> | |
| 11762 | ||
| 11763 | </translat ion> | |
| 11764 | ||
| 11765 | </code> | |
| 11766 | ||
| 11767 | <name> | |
| 11768 | 1 po bid | |
| 11769 | </name> | |
| 11770 | ||
| 11771 | </manufact uredMateri al> | |
| 11772 | ||
| 11773 | </manufact uredProduc t> | |
| 11774 | ||
| 11775 | </consumab le> | |
| 11776 | ||
| 11777 | <author> | |
| 11778 | ||
| 11779 | <time | |
| 11780 | nullFlavor ="UNK" | |
| 11781 | /> | |
| 11782 | ||
| 11783 | <assignedA uthor> | |
| 11784 | ||
| 11785 | <id | |
| 11786 | nullFlavor ="UNK" | |
| 11787 | /> | |
| 11788 | ||
| 11789 | <addr | |
| 11790 | nullFlavor ="UNK" | |
| 11791 | /> | |
| 11792 | ||
| 11793 | <telecom | |
| 11794 | nullFlavor ="UNK" | |
| 11795 | /> | |
| 11796 | ||
| 11797 | <assignedP erson> | |
| 11798 | ||
| 11799 | <name | |
| 11800 | nullFlavor ="NA" | |
| 11801 | /> | |
| 11802 | ||
| 11803 | </assigned Person> | |
| 11804 | ||
| 11805 | </assigned Author> | |
| 11806 | ||
| 11807 | </author> | |
| 11808 | ||
| 11809 | <informant > | |
| 11810 | ||
| 11811 | <assignedE ntity> | |
| 11812 | ||
| 11813 | <id | |
| 11814 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 11815 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 11816 | /> | |
| 11817 | ||
| 11818 | <addr | |
| 11819 | nullFlavor ="UNK" | |
| 11820 | /> | |
| 11821 | ||
| 11822 | <telecom | |
| 11823 | nullFlavor ="UNK" | |
| 11824 | /> | |
| 11825 | ||
| 11826 | <assignedP erson> | |
| 11827 | ||
| 11828 | <name | |
| 11829 | nullFlavor ="UNK" | |
| 11830 | /> | |
| 11831 | ||
| 11832 | </assigned Person> | |
| 11833 | ||
| 11834 | <represent edOrganiza tion> | |
| 11835 | ||
| 11836 | <id | |
| 11837 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 11838 | extension= "ECMC" | |
| 11839 | /> | |
| 11840 | ||
| 11841 | <name> | |
| 11842 | ECMC | |
| 11843 | </name> | |
| 11844 | ||
| 11845 | <telecom | |
| 11846 | nullFlavor ="UNK" | |
| 11847 | /> | |
| 11848 | ||
| 11849 | <addr | |
| 11850 | nullFlavor ="UNK" | |
| 11851 | /> | |
| 11852 | ||
| 11853 | </represen tedOrganiz ation> | |
| 11854 | ||
| 11855 | </assigned Entity> | |
| 11856 | ||
| 11857 | </informan t> | |
| 11858 | ||
| 11859 | <entryRela tionship | |
| 11860 | typeCode=" REFR" | |
| 11861 | > | |
| 11862 | ||
| 11863 | <observati on | |
| 11864 | classCode= "OBS" | |
| 11865 | moodCode=" EVN" | |
| 11866 | > | |
| 11867 | ||
| 11868 | <templateI d | |
| 11869 | root="2.16 .840.1.113 883. IP " | |
| 11870 | /> | |
| 11871 | ||
| 11872 | <templateI d | |
| 11873 | root="2.16 .840.1.113 883. IP " | |
| 11874 | /> | |
| 11875 | ||
| 11876 | <code | |
| 11877 | code="3399 9-4" | |
| 11878 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 11879 | codeSystem Name="LOIN C" | |
| 11880 | displayNam e="Status" | |
| 11881 | /> | |
| 11882 | ||
| 11883 | <statusCod e | |
| 11884 | code="comp leted" | |
| 11885 | /> | |
| 11886 | ||
| 11887 | <value | |
| 11888 | xsi:type=" CE" | |
| 11889 | code="comp leted" | |
| 11890 | /> | |
| 11891 | ||
| 11892 | </observat ion> | |
| 11893 | ||
| 11894 | </entryRel ationship> | |
| 11895 | ||
| 11896 | </substanc eAdministr ation> | |
| 11897 | ||
| 11898 | </entry> | |
| 11899 | ||
| 11900 | <entry> | |
| 11901 | ||
| 11902 | <substance Administra tion | |
| 11903 | classCode= "SBADM" | |
| 11904 | moodCode=" INT" | |
| 11905 | > | |
| 11906 | ||
| 11907 | <templateI d | |
| 11908 | root="2.16 .840.1.113 883.3.88.1 1.83.8" | |
| 11909 | /> | |
| 11910 | ||
| 11911 | <templateI d | |
| 11912 | root="2.16 .840.1.113 883. IP " | |
| 11913 | /> | |
| 11914 | ||
| 11915 | <templateI d | |
| 11916 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7" | |
| 11917 | /> | |
| 11918 | ||
| 11919 | <templateI d | |
| 11920 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.1" | |
| 11921 | /> | |
| 11922 | ||
| 11923 | <id | |
| 11924 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 11925 | extension= "461548" | |
| 11926 | /> | |
| 11927 | ||
| 11928 | <statusCod e | |
| 11929 | code="comp leted" | |
| 11930 | /> | |
| 11931 | ||
| 11932 | <effective Time | |
| 11933 | xsi:type=" IVL_TS" | |
| 11934 | > | |
| 11935 | ||
| 11936 | <low | |
| 11937 | value="201 0081100000 0-0400" | |
| 11938 | /> | |
| 11939 | ||
| 11940 | <high | |
| 11941 | value="201 1053100000 0-0400" | |
| 11942 | /> | |
| 11943 | ||
| 11944 | </effectiv eTime> | |
| 11945 | ||
| 11946 | <effective Time | |
| 11947 | xsi:type=" PIVL_TS" | |
| 11948 | operator=" A" | |
| 11949 | institutio nSpecified ="false" | |
| 11950 | > | |
| 11951 | ||
| 11952 | <period/> | |
| 11953 | ||
| 11954 | </effectiv eTime> | |
| 11955 | ||
| 11956 | <routeCode | |
| 11957 | code="C382 88" | |
| 11958 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 11959 | codeSystem Name="NCI - FDA Rout eOfAdminis tration" | |
| 11960 | displayNam e="ORAL" | |
| 11961 | /> | |
| 11962 | ||
| 11963 | <doseQuant ity/> | |
| 11964 | ||
| 11965 | <administr ationUnitC ode | |
| 11966 | code="C429 98" | |
| 11967 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 11968 | codeSystem Name="NCI - FDA Dosa ge Forms" | |
| 11969 | displayNam e="Tablets " | |
| 11970 | /> | |
| 11971 | ||
| 11972 | <consumabl e> | |
| 11973 | ||
| 11974 | <manufactu redProduct | |
| 11975 | classCode= "MANU" | |
| 11976 | > | |
| 11977 | ||
| 11978 | <templateI d | |
| 11979 | root="2.16 .840.1.113 883.3.88.1 1.32.9" | |
| 11980 | /> | |
| 11981 | ||
| 11982 | <templateI d | |
| 11983 | root="2.16 .840.1.113 883. IP " | |
| 11984 | /> | |
| 11985 | ||
| 11986 | <templateI d | |
| 11987 | root="2.16 .840.1.113 883.3.88.1 1.83.8.2" | |
| 11988 | /> | |
| 11989 | ||
| 11990 | <templateI d | |
| 11991 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 11992 | /> | |
| 11993 | ||
| 11994 | <manufactu redMateria l> | |
| 11995 | ||
| 11996 | <code | |
| 11997 | code="8841 73" | |
| 11998 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 11999 | codeSystem Name="RxNO RM" | |
| 12000 | displayNam e="Clonidi ne Hydroch loride 0.1 MG Oral T ablet" | |
| 12001 | > | |
| 12002 | ||
| 12003 | <originalT ext> | |
| 12004 | Clonidine Hydrochlor ide 0.1 MG Oral Tabl et | |
| 12005 | <reference | |
| 12006 | value="#Me dication-3 3" | |
| 12007 | /> | |
| 12008 | </original Text> | |
| 12009 | ||
| 12010 | <translati on | |
| 12011 | code="8841 73" | |
| 12012 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 12013 | codeSystem Name="RxNo rm" | |
| 12014 | displayNam e="Clonidi ne HCL" | |
| 12015 | > | |
| 12016 | ||
| 12017 | <originalT ext> | |
| 12018 | Clonidine HCL | |
| 12019 | </original Text> | |
| 12020 | ||
| 12021 | </translat ion> | |
| 12022 | ||
| 12023 | </code> | |
| 12024 | ||
| 12025 | <name> | |
| 12026 | 1 po qd | |
| 12027 | </name> | |
| 12028 | ||
| 12029 | </manufact uredMateri al> | |
| 12030 | ||
| 12031 | </manufact uredProduc t> | |
| 12032 | ||
| 12033 | </consumab le> | |
| 12034 | ||
| 12035 | <author> | |
| 12036 | ||
| 12037 | <time | |
| 12038 | nullFlavor ="UNK" | |
| 12039 | /> | |
| 12040 | ||
| 12041 | <assignedA uthor> | |
| 12042 | ||
| 12043 | <id | |
| 12044 | nullFlavor ="UNK" | |
| 12045 | /> | |
| 12046 | ||
| 12047 | <addr | |
| 12048 | nullFlavor ="UNK" | |
| 12049 | /> | |
| 12050 | ||
| 12051 | <telecom | |
| 12052 | nullFlavor ="UNK" | |
| 12053 | /> | |
| 12054 | ||
| 12055 | <assignedP erson> | |
| 12056 | ||
| 12057 | <name | |
| 12058 | nullFlavor ="NA" | |
| 12059 | /> | |
| 12060 | ||
| 12061 | </assigned Person> | |
| 12062 | ||
| 12063 | </assigned Author> | |
| 12064 | ||
| 12065 | </author> | |
| 12066 | ||
| 12067 | <informant > | |
| 12068 | ||
| 12069 | <assignedE ntity> | |
| 12070 | ||
| 12071 | <id | |
| 12072 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 12073 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 12074 | /> | |
| 12075 | ||
| 12076 | <addr | |
| 12077 | nullFlavor ="UNK" | |
| 12078 | /> | |
| 12079 | ||
| 12080 | <telecom | |
| 12081 | nullFlavor ="UNK" | |
| 12082 | /> | |
| 12083 | ||
| 12084 | <assignedP erson> | |
| 12085 | ||
| 12086 | <name | |
| 12087 | nullFlavor ="UNK" | |
| 12088 | /> | |
| 12089 | ||
| 12090 | </assigned Person> | |
| 12091 | ||
| 12092 | <represent edOrganiza tion> | |
| 12093 | ||
| 12094 | <id | |
| 12095 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 12096 | extension= "ECMC" | |
| 12097 | /> | |
| 12098 | ||
| 12099 | <name> | |
| 12100 | ECMC | |
| 12101 | </name> | |
| 12102 | ||
| 12103 | <telecom | |
| 12104 | nullFlavor ="UNK" | |
| 12105 | /> | |
| 12106 | ||
| 12107 | <addr | |
| 12108 | nullFlavor ="UNK" | |
| 12109 | /> | |
| 12110 | ||
| 12111 | </represen tedOrganiz ation> | |
| 12112 | ||
| 12113 | </assigned Entity> | |
| 12114 | ||
| 12115 | </informan t> | |
| 12116 | ||
| 12117 | <entryRela tionship | |
| 12118 | typeCode=" REFR" | |
| 12119 | > | |
| 12120 | ||
| 12121 | <observati on | |
| 12122 | classCode= "OBS" | |
| 12123 | moodCode=" EVN" | |
| 12124 | > | |
| 12125 | ||
| 12126 | <templateI d | |
| 12127 | root="2.16 .840.1.113 883. IP " | |
| 12128 | /> | |
| 12129 | ||
| 12130 | <templateI d | |
| 12131 | root="2.16 .840.1.113 883. IP " | |
| 12132 | /> | |
| 12133 | ||
| 12134 | <code | |
| 12135 | code="3399 9-4" | |
| 12136 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 12137 | codeSystem Name="LOIN C" | |
| 12138 | displayNam e="Status" | |
| 12139 | /> | |
| 12140 | ||
| 12141 | <statusCod e | |
| 12142 | code="comp leted" | |
| 12143 | /> | |
| 12144 | ||
| 12145 | <value | |
| 12146 | xsi:type=" CE" | |
| 12147 | code="comp leted" | |
| 12148 | /> | |
| 12149 | ||
| 12150 | </observat ion> | |
| 12151 | ||
| 12152 | </entryRel ationship> | |
| 12153 | ||
| 12154 | </substanc eAdministr ation> | |
| 12155 | ||
| 12156 | </entry> | |
| 12157 | ||
| 12158 | </section> | |
| 12159 | ||
| 12160 | </componen t> | |
| 12161 | ||
| 12162 | <component > | |
| 12163 | ||
| 12164 | <section> | |
| 12165 | ||
| 12166 | <templateI d | |
| 12167 | root="2.16 .840.1.113 883. IP " | |
| 12168 | /> | |
| 12169 | ||
| 12170 | <code | |
| 12171 | code="4876 8-6" | |
| 12172 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 12173 | codeSystem Name="LOIN C" | |
| 12174 | displayNam e="Payment sources" | |
| 12175 | /> | |
| 12176 | ||
| 12177 | <title> | |
| 12178 | Insurance Providers | |
| 12179 | </title> | |
| 12180 | ||
| 12181 | <text> | |
| 12182 | <table | |
| 12183 | border="1" | |
| 12184 | width="100 %" | |
| 12185 | > | |
| 12186 | <thead> | |
| 12187 | <tr> | |
| 12188 | <th> | |
| 12189 | Payer name | |
| 12190 | </th> | |
| 12191 | <th> | |
| 12192 | Policy typ e / Covera ge type | |
| 12193 | </th> | |
| 12194 | <th> | |
| 12195 | Policy ID | |
| 12196 | </th> | |
| 12197 | <th> | |
| 12198 | Covered pa rty ID | |
| 12199 | </th> | |
| 12200 | <th> | |
| 12201 | Covered pa rty's rela tionship t o holder | |
| 12202 | </th> | |
| 12203 | <th> | |
| 12204 | Policy Hol der | |
| 12205 | </th> | |
| 12206 | <th> | |
| 12207 | Plan Infor mation | |
| 12208 | </th> | |
| 12209 | </tr> | |
| 12210 | </thead> | |
| 12211 | <tbody> | |
| 12212 | <tr> | |
| 12213 | <td> | |
| 12214 | <content> | |
| 12215 | Univera PO ,Active Un ivera | |
| 12216 | </content> | |
| 12217 | </td> | |
| 12218 | <td> | |
| 12219 | <content> | |
| 12220 | Medigap Pa rt B | |
| 12221 | </content> | |
| 12222 | </td> | |
| 12223 | <td/> | |
| 12224 | <td> | |
| 12225 | <content> | |
| 12226 | 2.16.840.1 .113883.3. 227.99.194 .26239.0 | |
| 12227 | </content> | |
| 12228 | </td> | |
| 12229 | <td/> | |
| 12230 | <td/> | |
| 12231 | <td> | |
| 12232 | <content | |
| 12233 | ID="Plan-N ame-1" | |
| 12234 | /> | |
| 12235 | </td> | |
| 12236 | </tr> | |
| 12237 | <tr> | |
| 12238 | <td> | |
| 12239 | <content> | |
| 12240 | Iha Encomp 65/Mcare E ncomp | |
| 12241 | </content> | |
| 12242 | </td> | |
| 12243 | <td> | |
| 12244 | <content> | |
| 12245 | Health Mai ntenance O rganizatio n (HMO) | |
| 12246 | </content> | |
| 12247 | </td> | |
| 12248 | <td/> | |
| 12249 | <td> | |
| 12250 | <content> | |
| 12251 | 2.16.840.1 .113883.3. 227.99.194 .26239.0 | |
| 12252 | </content> | |
| 12253 | </td> | |
| 12254 | <td> | |
| 12255 | <content> | |
| 12256 | Self | |
| 12257 | </content> | |
| 12258 | </td> | |
| 12259 | <td/> | |
| 12260 | <td> | |
| 12261 | <content | |
| 12262 | ID="Plan-N ame-2" | |
| 12263 | /> | |
| 12264 | </td> | |
| 12265 | </tr> | |
| 12266 | <tr> | |
| 12267 | <td> | |
| 12268 | <content> | |
| 12269 | Iha Encomp 65/Mcare E ncomp | |
| 12270 | </content> | |
| 12271 | </td> | |
| 12272 | <td> | |
| 12273 | <content> | |
| 12274 | Health Mai ntenance O rganizatio n (HMO) | |
| 12275 | </content> | |
| 12276 | </td> | |
| 12277 | <td/> | |
| 12278 | <td> | |
| 12279 | <content> | |
| 12280 | 2.16.840.1 .113883.3. 227.99.194 .26239.0 | |
| 12281 | </content> | |
| 12282 | </td> | |
| 12283 | <td> | |
| 12284 | <content> | |
| 12285 | Self | |
| 12286 | </content> | |
| 12287 | </td> | |
| 12288 | <td/> | |
| 12289 | <td> | |
| 12290 | <content | |
| 12291 | ID="Plan-N ame-3" | |
| 12292 | /> | |
| 12293 | </td> | |
| 12294 | </tr> | |
| 12295 | <tr> | |
| 12296 | <td> | |
| 12297 | <content> | |
| 12298 | Iha Encomp 65/Mcare E ncomp | |
| 12299 | </content> | |
| 12300 | </td> | |
| 12301 | <td> | |
| 12302 | <content> | |
| 12303 | Health Mai ntenance O rganizatio n (HMO) | |
| 12304 | </content> | |
| 12305 | </td> | |
| 12306 | <td/> | |
| 12307 | <td> | |
| 12308 | <content> | |
| 12309 | 2.16.840.1 .113883.3. 227.99.194 .26239.0 | |
| 12310 | </content> | |
| 12311 | </td> | |
| 12312 | <td> | |
| 12313 | <content> | |
| 12314 | Self | |
| 12315 | </content> | |
| 12316 | </td> | |
| 12317 | <td/> | |
| 12318 | <td> | |
| 12319 | <content | |
| 12320 | ID="Plan-N ame-4" | |
| 12321 | /> | |
| 12322 | </td> | |
| 12323 | </tr> | |
| 12324 | <tr> | |
| 12325 | <td> | |
| 12326 | <content> | |
| 12327 | Iha Encomp 65/Mcare E ncomp | |
| 12328 | </content> | |
| 12329 | </td> | |
| 12330 | <td> | |
| 12331 | <content> | |
| 12332 | Health Mai ntenance O rganizatio n (HMO) | |
| 12333 | </content> | |
| 12334 | </td> | |
| 12335 | <td/> | |
| 12336 | <td> | |
| 12337 | <content> | |
| 12338 | 2.16.840.1 .113883.3. 227.99.194 .26239.0 | |
| 12339 | </content> | |
| 12340 | </td> | |
| 12341 | <td> | |
| 12342 | <content> | |
| 12343 | Self | |
| 12344 | </content> | |
| 12345 | </td> | |
| 12346 | <td/> | |
| 12347 | <td> | |
| 12348 | <content | |
| 12349 | ID="Plan-N ame-5" | |
| 12350 | /> | |
| 12351 | </td> | |
| 12352 | </tr> | |
| 12353 | <tr> | |
| 12354 | <td> | |
| 12355 | <content> | |
| 12356 | Iha Encomp 65/Mcare E ncomp | |
| 12357 | </content> | |
| 12358 | </td> | |
| 12359 | <td> | |
| 12360 | <content> | |
| 12361 | Health Mai ntenance O rganizatio n (HMO) | |
| 12362 | </content> | |
| 12363 | </td> | |
| 12364 | <td/> | |
| 12365 | <td> | |
| 12366 | <content> | |
| 12367 | 2.16.840.1 .113883.3. 227.99.194 .26239.0 | |
| 12368 | </content> | |
| 12369 | </td> | |
| 12370 | <td> | |
| 12371 | <content> | |
| 12372 | Self | |
| 12373 | </content> | |
| 12374 | </td> | |
| 12375 | <td/> | |
| 12376 | <td> | |
| 12377 | <content | |
| 12378 | ID="Plan-N ame-6" | |
| 12379 | /> | |
| 12380 | </td> | |
| 12381 | </tr> | |
| 12382 | <tr> | |
| 12383 | <td> | |
| 12384 | <content> | |
| 12385 | Medicare N GS | |
| 12386 | </content> | |
| 12387 | </td> | |
| 12388 | <td> | |
| 12389 | <content> | |
| 12390 | Medigap Pa rt B | |
| 12391 | </content> | |
| 12392 | </td> | |
| 12393 | <td/> | |
| 12394 | <td> | |
| 12395 | <content> | |
| 12396 | 2.16.840.1 .113883.3. 227.99.194 .26239.0 | |
| 12397 | </content> | |
| 12398 | </td> | |
| 12399 | <td> | |
| 12400 | <content> | |
| 12401 | Self | |
| 12402 | </content> | |
| 12403 | </td> | |
| 12404 | <td/> | |
| 12405 | <td> | |
| 12406 | <content | |
| 12407 | ID="Plan-N ame-7" | |
| 12408 | /> | |
| 12409 | </td> | |
| 12410 | </tr> | |
| 12411 | <tr> | |
| 12412 | <td> | |
| 12413 | <content> | |
| 12414 | Univera PO ,Active Un ivera | |
| 12415 | </content> | |
| 12416 | </td> | |
| 12417 | <td> | |
| 12418 | <content> | |
| 12419 | Medigap Pa rt B | |
| 12420 | </content> | |
| 12421 | </td> | |
| 12422 | <td/> | |
| 12423 | <td> | |
| 12424 | <content> | |
| 12425 | 2.16.840.1 .113883.3. 227.99.194 .26239.0 | |
| 12426 | </content> | |
| 12427 | </td> | |
| 12428 | <td> | |
| 12429 | <content> | |
| 12430 | Family Dep endent | |
| 12431 | </content> | |
| 12432 | </td> | |
| 12433 | <td/> | |
| 12434 | <td> | |
| 12435 | <content | |
| 12436 | ID="Plan-N ame-8" | |
| 12437 | /> | |
| 12438 | </td> | |
| 12439 | </tr> | |
| 12440 | </tbody> | |
| 12441 | </table> | |
| 12442 | </text> | |
| 12443 | ||
| 12444 | <entry | |
| 12445 | typeCode=" DRIV" | |
| 12446 | > | |
| 12447 | ||
| 12448 | <act | |
| 12449 | classCode= "ACT" | |
| 12450 | moodCode=" DEF" | |
| 12451 | > | |
| 12452 | ||
| 12453 | <templateI d | |
| 12454 | root="2.16 .840.1.113 883. IP " | |
| 12455 | /> | |
| 12456 | ||
| 12457 | <id | |
| 12458 | nullFlavor ="UNK" | |
| 12459 | /> | |
| 12460 | ||
| 12461 | <code | |
| 12462 | code="4876 8-6" | |
| 12463 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 12464 | codeSystem Name="LOIN C" | |
| 12465 | displayNam e="Payment sources" | |
| 12466 | /> | |
| 12467 | ||
| 12468 | <statusCod e | |
| 12469 | code="comp leted" | |
| 12470 | /> | |
| 12471 | ||
| 12472 | <entryRela tionship | |
| 12473 | typeCode=" COMP" | |
| 12474 | > | |
| 12475 | ||
| 12476 | <act | |
| 12477 | classCode= "ACT" | |
| 12478 | moodCode=" EVN" | |
| 12479 | > | |
| 12480 | ||
| 12481 | <templateI d | |
| 12482 | root="2.16 .840.1.113 883. IP " | |
| 12483 | /> | |
| 12484 | ||
| 12485 | <id | |
| 12486 | root="HEL" | |
| 12487 | /> | |
| 12488 | ||
| 12489 | <code | |
| 12490 | code="MI" | |
| 12491 | codeSystem ="2.16.840 .1.113883. 6.255.1336 " | |
| 12492 | codeSystem Name="ASC X12" | |
| 12493 | displayNam e="Medigap Part B" | |
| 12494 | /> | |
| 12495 | ||
| 12496 | <statusCod e | |
| 12497 | code="comp leted" | |
| 12498 | /> | |
| 12499 | ||
| 12500 | <performer | |
| 12501 | typeCode=" PRF" | |
| 12502 | > | |
| 12503 | ||
| 12504 | <time> | |
| 12505 | ||
| 12506 | <low | |
| 12507 | nullFlavor ="UNK" | |
| 12508 | /> | |
| 12509 | ||
| 12510 | <high | |
| 12511 | nullFlavor ="UNK" | |
| 12512 | /> | |
| 12513 | ||
| 12514 | </time> | |
| 12515 | ||
| 12516 | <assignedE ntity> | |
| 12517 | ||
| 12518 | <id | |
| 12519 | root="HEL" | |
| 12520 | extension= "UNINW" | |
| 12521 | /> | |
| 12522 | ||
| 12523 | <code | |
| 12524 | code="PAYO R" | |
| 12525 | codeSystem ="2.16.840 .1.113883. 5.110" | |
| 12526 | codeSystem Name="HL7 RoleCode" | |
| 12527 | displayNam e="Payor" | |
| 12528 | /> | |
| 12529 | ||
| 12530 | <addr> | |
| 12531 | <streetAdd ressLine> | |
| 12532 | PO Box 230 00 | |
| 12533 | </streetAd dressLine> | |
| 12534 | <city> | |
| 12535 | Rochester | |
| 12536 | </city> | |
| 12537 | <state> | |
| 12538 | NY | |
| 12539 | </state> | |
| 12540 | <postalCod e> | |
| 12541 | 14692 | |
| 12542 | </postalCo de> | |
| 12543 | <country> | |
| 12544 | US | |
| 12545 | </country> | |
| 12546 | </addr> | |
| 12547 | ||
| 12548 | <telecom | |
| 12549 | value="+1( 866)-265-5 983" | |
| 12550 | use="WP" | |
| 12551 | /> | |
| 12552 | ||
| 12553 | <represent edOrganiza tion> | |
| 12554 | ||
| 12555 | <id | |
| 12556 | nullFlavor ="UNK" | |
| 12557 | /> | |
| 12558 | ||
| 12559 | <name> | |
| 12560 | Univera PO ,Active Un ivera | |
| 12561 | </name> | |
| 12562 | ||
| 12563 | <telecom | |
| 12564 | nullFlavor ="UNK" | |
| 12565 | /> | |
| 12566 | ||
| 12567 | <addr | |
| 12568 | nullFlavor ="UNK" | |
| 12569 | /> | |
| 12570 | ||
| 12571 | </represen tedOrganiz ation> | |
| 12572 | ||
| 12573 | </assigned Entity> | |
| 12574 | ||
| 12575 | </performe r> | |
| 12576 | ||
| 12577 | <participa nt | |
| 12578 | typeCode=" COV" | |
| 12579 | > | |
| 12580 | ||
| 12581 | <time> | |
| 12582 | ||
| 12583 | <low | |
| 12584 | value="201 1110100000 0-0400" | |
| 12585 | /> | |
| 12586 | ||
| 12587 | <high | |
| 12588 | value="201 2080923595 9-0400" | |
| 12589 | /> | |
| 12590 | ||
| 12591 | </time> | |
| 12592 | ||
| 12593 | <participa ntRole | |
| 12594 | classCode= "PAT" | |
| 12595 | > | |
| 12596 | ||
| 12597 | <id | |
| 12598 | extension= "2.16.840. 1.113883.3 .227.99.19 4.26239.0" | |
| 12599 | /> | |
| 12600 | ||
| 12601 | <code | |
| 12602 | nullFlavor ="UNK" | |
| 12603 | /> | |
| 12604 | ||
| 12605 | <addr> | |
| 12606 | <streetAdd ressLine> | |
| 12607 | 1500 Test Street | |
| 12608 | </streetAd dressLine> | |
| 12609 | <city> | |
| 12610 | Helena | |
| 12611 | </city> | |
| 12612 | <state> | |
| 12613 | NY | |
| 12614 | </state> | |
| 12615 | <postalCod e> | |
| 12616 | 14136 | |
| 12617 | </postalCo de> | |
| 12618 | <country> | |
| 12619 | US | |
| 12620 | </country> | |
| 12621 | </addr> | |
| 12622 | ||
| 12623 | <telecom | |
| 12624 | nullFlavor ="UNK" | |
| 12625 | /> | |
| 12626 | ||
| 12627 | <playingEn tity> | |
| 12628 | ||
| 12629 | <name | |
| 12630 | nullFlavor ="UNK" | |
| 12631 | /> | |
| 12632 | ||
| 12633 | <sdtc:birt hTime | |
| 12634 | nullFlavor ="UNK" | |
| 12635 | /> | |
| 12636 | ||
| 12637 | </playingE ntity> | |
| 12638 | ||
| 12639 | </particip antRole> | |
| 12640 | ||
| 12641 | </particip ant> | |
| 12642 | ||
| 12643 | <participa nt | |
| 12644 | typeCode=" HLD" | |
| 12645 | > | |
| 12646 | ||
| 12647 | <participa ntRole> | |
| 12648 | ||
| 12649 | <id | |
| 12650 | extension= "INS70195" | |
| 12651 | /> | |
| 12652 | ||
| 12653 | <addr> | |
| 12654 | <streetAdd ressLine> | |
| 12655 | 1500 Test Street | |
| 12656 | </streetAd dressLine> | |
| 12657 | <city> | |
| 12658 | Helena | |
| 12659 | </city> | |
| 12660 | <state> | |
| 12661 | NY | |
| 12662 | </state> | |
| 12663 | <postalCod e> | |
| 12664 | 14136 | |
| 12665 | </postalCo de> | |
| 12666 | <country> | |
| 12667 | US | |
| 12668 | </country> | |
| 12669 | </addr> | |
| 12670 | ||
| 12671 | <telecom | |
| 12672 | nullFlavor ="UNK" | |
| 12673 | /> | |
| 12674 | ||
| 12675 | <playingEn tity> | |
| 12676 | ||
| 12677 | <name | |
| 12678 | nullFlavor ="UNK" | |
| 12679 | /> | |
| 12680 | ||
| 12681 | <sdtc:birt hTime | |
| 12682 | nullFlavor ="UNK" | |
| 12683 | /> | |
| 12684 | ||
| 12685 | </playingE ntity> | |
| 12686 | ||
| 12687 | </particip antRole> | |
| 12688 | ||
| 12689 | </particip ant> | |
| 12690 | ||
| 12691 | <entryRela tionship | |
| 12692 | typeCode=" REFR" | |
| 12693 | > | |
| 12694 | ||
| 12695 | <act | |
| 12696 | classCode= "ACT" | |
| 12697 | moodCode=" DEF" | |
| 12698 | > | |
| 12699 | ||
| 12700 | <id | |
| 12701 | root="2003 97160" | |
| 12702 | extension= "200397160 " | |
| 12703 | /> | |
| 12704 | ||
| 12705 | <code | |
| 12706 | code="MI" | |
| 12707 | codeSystem ="2.16.840 .1.113883. 6.255.1336 " | |
| 12708 | codeSystem Name="ASC X12" | |
| 12709 | displayNam e="Medigap Part B" | |
| 12710 | /> | |
| 12711 | ||
| 12712 | <text> | |
| 12713 | <reference | |
| 12714 | value="Pla n-Name-1" | |
| 12715 | /> | |
| 12716 | </text> | |
| 12717 | ||
| 12718 | </act> | |
| 12719 | ||
| 12720 | </entryRel ationship> | |
| 12721 | ||
| 12722 | </act> | |
| 12723 | ||
| 12724 | </entryRel ationship> | |
| 12725 | ||
| 12726 | </act> | |
| 12727 | ||
| 12728 | </entry> | |
| 12729 | ||
| 12730 | <entry | |
| 12731 | typeCode=" DRIV" | |
| 12732 | > | |
| 12733 | ||
| 12734 | <act | |
| 12735 | classCode= "ACT" | |
| 12736 | moodCode=" DEF" | |
| 12737 | > | |
| 12738 | ||
| 12739 | <templateI d | |
| 12740 | root="2.16 .840.1.113 883. IP " | |
| 12741 | /> | |
| 12742 | ||
| 12743 | <id | |
| 12744 | nullFlavor ="UNK" | |
| 12745 | /> | |
| 12746 | ||
| 12747 | <code | |
| 12748 | code="4876 8-6" | |
| 12749 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 12750 | codeSystem Name="LOIN C" | |
| 12751 | displayNam e="Payment sources" | |
| 12752 | /> | |
| 12753 | ||
| 12754 | <statusCod e | |
| 12755 | code="comp leted" | |
| 12756 | /> | |
| 12757 | ||
| 12758 | <entryRela tionship | |
| 12759 | typeCode=" COMP" | |
| 12760 | > | |
| 12761 | ||
| 12762 | <act | |
| 12763 | classCode= "ACT" | |
| 12764 | moodCode=" EVN" | |
| 12765 | > | |
| 12766 | ||
| 12767 | <templateI d | |
| 12768 | root="2.16 .840.1.113 883. IP " | |
| 12769 | /> | |
| 12770 | ||
| 12771 | <id | |
| 12772 | root="HEL" | |
| 12773 | /> | |
| 12774 | ||
| 12775 | <code | |
| 12776 | code="HM" | |
| 12777 | codeSystem ="2.16.840 .1.113883. 6.255.1336 " | |
| 12778 | codeSystem Name="ASC X12" | |
| 12779 | displayNam e="Health Maintenanc e Organiza tion (HMO) " | |
| 12780 | /> | |
| 12781 | ||
| 12782 | <statusCod e | |
| 12783 | code="comp leted" | |
| 12784 | /> | |
| 12785 | ||
| 12786 | <performer | |
| 12787 | typeCode=" PRF" | |
| 12788 | > | |
| 12789 | ||
| 12790 | <time> | |
| 12791 | ||
| 12792 | <low | |
| 12793 | nullFlavor ="UNK" | |
| 12794 | /> | |
| 12795 | ||
| 12796 | <high | |
| 12797 | nullFlavor ="UNK" | |
| 12798 | /> | |
| 12799 | ||
| 12800 | </time> | |
| 12801 | ||
| 12802 | <assignedE ntity> | |
| 12803 | ||
| 12804 | <id | |
| 12805 | root="HEL" | |
| 12806 | extension= "95308" | |
| 12807 | /> | |
| 12808 | ||
| 12809 | <code | |
| 12810 | code="PAYO R" | |
| 12811 | codeSystem ="2.16.840 .1.113883. 5.110" | |
| 12812 | codeSystem Name="HL7 RoleCode" | |
| 12813 | displayNam e="Payor" | |
| 12814 | /> | |
| 12815 | ||
| 12816 | <addr> | |
| 12817 | <streetAdd ressLine> | |
| 12818 | PO Box 906 6 | |
| 12819 | </streetAd dressLine> | |
| 12820 | <city> | |
| 12821 | Buffalo | |
| 12822 | </city> | |
| 12823 | <state> | |
| 12824 | NY | |
| 12825 | </state> | |
| 12826 | <postalCod e> | |
| 12827 | 14231 | |
| 12828 | </postalCo de> | |
| 12829 | <country> | |
| 12830 | US | |
| 12831 | </country> | |
| 12832 | </addr> | |
| 12833 | ||
| 12834 | <telecom | |
| 12835 | nullFlavor ="UNK" | |
| 12836 | /> | |
| 12837 | ||
| 12838 | <represent edOrganiza tion> | |
| 12839 | ||
| 12840 | <id | |
| 12841 | nullFlavor ="UNK" | |
| 12842 | /> | |
| 12843 | ||
| 12844 | <name> | |
| 12845 | Iha Encomp 65/Mcare E ncomp | |
| 12846 | </name> | |
| 12847 | ||
| 12848 | <telecom | |
| 12849 | nullFlavor ="UNK" | |
| 12850 | /> | |
| 12851 | ||
| 12852 | <addr | |
| 12853 | nullFlavor ="UNK" | |
| 12854 | /> | |
| 12855 | ||
| 12856 | </represen tedOrganiz ation> | |
| 12857 | ||
| 12858 | </assigned Entity> | |
| 12859 | ||
| 12860 | </performe r> | |
| 12861 | ||
| 12862 | <participa nt | |
| 12863 | typeCode=" COV" | |
| 12864 | > | |
| 12865 | ||
| 12866 | <time> | |
| 12867 | ||
| 12868 | <low | |
| 12869 | value="201 2060100000 0-0400" | |
| 12870 | /> | |
| 12871 | ||
| 12872 | <high | |
| 12873 | value="201 3123123595 9-0500" | |
| 12874 | /> | |
| 12875 | ||
| 12876 | </time> | |
| 12877 | ||
| 12878 | <participa ntRole | |
| 12879 | classCode= "PAT" | |
| 12880 | > | |
| 12881 | ||
| 12882 | <id | |
| 12883 | extension= "2.16.840. 1.113883.3 .227.99.19 4.26239.0" | |
| 12884 | /> | |
| 12885 | ||
| 12886 | <code | |
| 12887 | code="SELF " | |
| 12888 | codeSystem ="2.16.840 .1.113883. 5.111" | |
| 12889 | codeSystem Name="Role Code" | |
| 12890 | displayNam e="Self" | |
| 12891 | /> | |
| 12892 | ||
| 12893 | <addr> | |
| 12894 | <streetAdd ressLine> | |
| 12895 | 1500 Test Street | |
| 12896 | </streetAd dressLine> | |
| 12897 | <city> | |
| 12898 | Helena | |
| 12899 | </city> | |
| 12900 | <state> | |
| 12901 | NY | |
| 12902 | </state> | |
| 12903 | <postalCod e> | |
| 12904 | 14136 | |
| 12905 | </postalCo de> | |
| 12906 | <country> | |
| 12907 | US | |
| 12908 | </country> | |
| 12909 | </addr> | |
| 12910 | ||
| 12911 | <telecom | |
| 12912 | nullFlavor ="UNK" | |
| 12913 | /> | |
| 12914 | ||
| 12915 | <playingEn tity> | |
| 12916 | ||
| 12917 | <name | |
| 12918 | nullFlavor ="UNK" | |
| 12919 | /> | |
| 12920 | ||
| 12921 | <sdtc:birt hTime | |
| 12922 | nullFlavor ="UNK" | |
| 12923 | /> | |
| 12924 | ||
| 12925 | </playingE ntity> | |
| 12926 | ||
| 12927 | </particip antRole> | |
| 12928 | ||
| 12929 | </particip ant> | |
| 12930 | ||
| 12931 | <participa nt | |
| 12932 | typeCode=" HLD" | |
| 12933 | > | |
| 12934 | ||
| 12935 | <participa ntRole> | |
| 12936 | ||
| 12937 | <id | |
| 12938 | nullFlavor ="UNK" | |
| 12939 | /> | |
| 12940 | ||
| 12941 | <addr | |
| 12942 | nullFlavor ="UNK" | |
| 12943 | /> | |
| 12944 | ||
| 12945 | <telecom | |
| 12946 | nullFlavor ="UNK" | |
| 12947 | /> | |
| 12948 | ||
| 12949 | <playingEn tity> | |
| 12950 | ||
| 12951 | <name | |
| 12952 | nullFlavor ="UNK" | |
| 12953 | /> | |
| 12954 | ||
| 12955 | <sdtc:birt hTime | |
| 12956 | nullFlavor ="UNK" | |
| 12957 | /> | |
| 12958 | ||
| 12959 | </playingE ntity> | |
| 12960 | ||
| 12961 | </particip antRole> | |
| 12962 | ||
| 12963 | </particip ant> | |
| 12964 | ||
| 12965 | <entryRela tionship | |
| 12966 | typeCode=" REFR" | |
| 12967 | > | |
| 12968 | ||
| 12969 | <act | |
| 12970 | classCode= "ACT" | |
| 12971 | moodCode=" DEF" | |
| 12972 | > | |
| 12973 | ||
| 12974 | <id | |
| 12975 | root="A133 2773400" | |
| 12976 | extension= "A13327734 00" | |
| 12977 | /> | |
| 12978 | ||
| 12979 | <code | |
| 12980 | code="HM" | |
| 12981 | codeSystem ="2.16.840 .1.113883. 6.255.1336 " | |
| 12982 | codeSystem Name="ASC X12" | |
| 12983 | displayNam e="Health Maintenanc e Organiza tion (HMO) " | |
| 12984 | /> | |
| 12985 | ||
| 12986 | <text> | |
| 12987 | <reference | |
| 12988 | value="Pla n-Name-2" | |
| 12989 | /> | |
| 12990 | </text> | |
| 12991 | ||
| 12992 | </act> | |
| 12993 | ||
| 12994 | </entryRel ationship> | |
| 12995 | ||
| 12996 | </act> | |
| 12997 | ||
| 12998 | </entryRel ationship> | |
| 12999 | ||
| 13000 | </act> | |
| 13001 | ||
| 13002 | </entry> | |
| 13003 | ||
| 13004 | <entry | |
| 13005 | typeCode=" DRIV" | |
| 13006 | > | |
| 13007 | ||
| 13008 | <act | |
| 13009 | classCode= "ACT" | |
| 13010 | moodCode=" DEF" | |
| 13011 | > | |
| 13012 | ||
| 13013 | <templateI d | |
| 13014 | root="2.16 .840.1.113 883. IP " | |
| 13015 | /> | |
| 13016 | ||
| 13017 | <id | |
| 13018 | nullFlavor ="UNK" | |
| 13019 | /> | |
| 13020 | ||
| 13021 | <code | |
| 13022 | code="4876 8-6" | |
| 13023 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 13024 | codeSystem Name="LOIN C" | |
| 13025 | displayNam e="Payment sources" | |
| 13026 | /> | |
| 13027 | ||
| 13028 | <statusCod e | |
| 13029 | code="comp leted" | |
| 13030 | /> | |
| 13031 | ||
| 13032 | <entryRela tionship | |
| 13033 | typeCode=" COMP" | |
| 13034 | > | |
| 13035 | ||
| 13036 | <act | |
| 13037 | classCode= "ACT" | |
| 13038 | moodCode=" EVN" | |
| 13039 | > | |
| 13040 | ||
| 13041 | <templateI d | |
| 13042 | root="2.16 .840.1.113 883. IP " | |
| 13043 | /> | |
| 13044 | ||
| 13045 | <id | |
| 13046 | root="HEL" | |
| 13047 | /> | |
| 13048 | ||
| 13049 | <code | |
| 13050 | code="HM" | |
| 13051 | codeSystem ="2.16.840 .1.113883. 6.255.1336 " | |
| 13052 | codeSystem Name="ASC X12" | |
| 13053 | displayNam e="Health Maintenanc e Organiza tion (HMO) " | |
| 13054 | /> | |
| 13055 | ||
| 13056 | <statusCod e | |
| 13057 | code="comp leted" | |
| 13058 | /> | |
| 13059 | ||
| 13060 | <performer | |
| 13061 | typeCode=" PRF" | |
| 13062 | > | |
| 13063 | ||
| 13064 | <time> | |
| 13065 | ||
| 13066 | <low | |
| 13067 | nullFlavor ="UNK" | |
| 13068 | /> | |
| 13069 | ||
| 13070 | <high | |
| 13071 | nullFlavor ="UNK" | |
| 13072 | /> | |
| 13073 | ||
| 13074 | </time> | |
| 13075 | ||
| 13076 | <assignedE ntity> | |
| 13077 | ||
| 13078 | <id | |
| 13079 | root="HEL" | |
| 13080 | extension= "95308" | |
| 13081 | /> | |
| 13082 | ||
| 13083 | <code | |
| 13084 | code="PAYO R" | |
| 13085 | codeSystem ="2.16.840 .1.113883. 5.110" | |
| 13086 | codeSystem Name="HL7 RoleCode" | |
| 13087 | displayNam e="Payor" | |
| 13088 | /> | |
| 13089 | ||
| 13090 | <addr> | |
| 13091 | <streetAdd ressLine> | |
| 13092 | PO Box 906 6 | |
| 13093 | </streetAd dressLine> | |
| 13094 | <city> | |
| 13095 | Buffalo | |
| 13096 | </city> | |
| 13097 | <state> | |
| 13098 | NY | |
| 13099 | </state> | |
| 13100 | <postalCod e> | |
| 13101 | 14231 | |
| 13102 | </postalCo de> | |
| 13103 | <country> | |
| 13104 | US | |
| 13105 | </country> | |
| 13106 | </addr> | |
| 13107 | ||
| 13108 | <telecom | |
| 13109 | nullFlavor ="UNK" | |
| 13110 | /> | |
| 13111 | ||
| 13112 | <represent edOrganiza tion> | |
| 13113 | ||
| 13114 | <id | |
| 13115 | nullFlavor ="UNK" | |
| 13116 | /> | |
| 13117 | ||
| 13118 | <name> | |
| 13119 | Iha Encomp 65/Mcare E ncomp | |
| 13120 | </name> | |
| 13121 | ||
| 13122 | <telecom | |
| 13123 | nullFlavor ="UNK" | |
| 13124 | /> | |
| 13125 | ||
| 13126 | <addr | |
| 13127 | nullFlavor ="UNK" | |
| 13128 | /> | |
| 13129 | ||
| 13130 | </represen tedOrganiz ation> | |
| 13131 | ||
| 13132 | </assigned Entity> | |
| 13133 | ||
| 13134 | </performe r> | |
| 13135 | ||
| 13136 | <participa nt | |
| 13137 | typeCode=" COV" | |
| 13138 | > | |
| 13139 | ||
| 13140 | <time> | |
| 13141 | ||
| 13142 | <low | |
| 13143 | value="201 3010100000 0-0500" | |
| 13144 | /> | |
| 13145 | ||
| 13146 | <high | |
| 13147 | value="201 3123123595 9-0500" | |
| 13148 | /> | |
| 13149 | ||
| 13150 | </time> | |
| 13151 | ||
| 13152 | <participa ntRole | |
| 13153 | classCode= "PAT" | |
| 13154 | > | |
| 13155 | ||
| 13156 | <id | |
| 13157 | extension= "2.16.840. 1.113883.3 .227.99.19 4.26239.0" | |
| 13158 | /> | |
| 13159 | ||
| 13160 | <code | |
| 13161 | code="SELF " | |
| 13162 | codeSystem ="2.16.840 .1.113883. 5.111" | |
| 13163 | codeSystem Name="Role Code" | |
| 13164 | displayNam e="Self" | |
| 13165 | /> | |
| 13166 | ||
| 13167 | <addr> | |
| 13168 | <streetAdd ressLine> | |
| 13169 | 1500 Test Street | |
| 13170 | </streetAd dressLine> | |
| 13171 | <city> | |
| 13172 | Helena | |
| 13173 | </city> | |
| 13174 | <state> | |
| 13175 | NY | |
| 13176 | </state> | |
| 13177 | <postalCod e> | |
| 13178 | 14136 | |
| 13179 | </postalCo de> | |
| 13180 | <country> | |
| 13181 | US | |
| 13182 | </country> | |
| 13183 | </addr> | |
| 13184 | ||
| 13185 | <telecom | |
| 13186 | nullFlavor ="UNK" | |
| 13187 | /> | |
| 13188 | ||
| 13189 | <playingEn tity> | |
| 13190 | ||
| 13191 | <name | |
| 13192 | nullFlavor ="UNK" | |
| 13193 | /> | |
| 13194 | ||
| 13195 | <sdtc:birt hTime | |
| 13196 | nullFlavor ="UNK" | |
| 13197 | /> | |
| 13198 | ||
| 13199 | </playingE ntity> | |
| 13200 | ||
| 13201 | </particip antRole> | |
| 13202 | ||
| 13203 | </particip ant> | |
| 13204 | ||
| 13205 | <participa nt | |
| 13206 | typeCode=" HLD" | |
| 13207 | > | |
| 13208 | ||
| 13209 | <participa ntRole> | |
| 13210 | ||
| 13211 | <id | |
| 13212 | nullFlavor ="UNK" | |
| 13213 | /> | |
| 13214 | ||
| 13215 | <addr | |
| 13216 | nullFlavor ="UNK" | |
| 13217 | /> | |
| 13218 | ||
| 13219 | <telecom | |
| 13220 | nullFlavor ="UNK" | |
| 13221 | /> | |
| 13222 | ||
| 13223 | <playingEn tity> | |
| 13224 | ||
| 13225 | <name | |
| 13226 | nullFlavor ="UNK" | |
| 13227 | /> | |
| 13228 | ||
| 13229 | <sdtc:birt hTime | |
| 13230 | nullFlavor ="UNK" | |
| 13231 | /> | |
| 13232 | ||
| 13233 | </playingE ntity> | |
| 13234 | ||
| 13235 | </particip antRole> | |
| 13236 | ||
| 13237 | </particip ant> | |
| 13238 | ||
| 13239 | <entryRela tionship | |
| 13240 | typeCode=" REFR" | |
| 13241 | > | |
| 13242 | ||
| 13243 | <act | |
| 13244 | classCode= "ACT" | |
| 13245 | moodCode=" DEF" | |
| 13246 | > | |
| 13247 | ||
| 13248 | <id | |
| 13249 | root="A133 2773400" | |
| 13250 | extension= "A13327734 00" | |
| 13251 | /> | |
| 13252 | ||
| 13253 | <code | |
| 13254 | code="HM" | |
| 13255 | codeSystem ="2.16.840 .1.113883. 6.255.1336 " | |
| 13256 | codeSystem Name="ASC X12" | |
| 13257 | displayNam e="Health Maintenanc e Organiza tion (HMO) " | |
| 13258 | /> | |
| 13259 | ||
| 13260 | <text> | |
| 13261 | <reference | |
| 13262 | value="Pla n-Name-3" | |
| 13263 | /> | |
| 13264 | </text> | |
| 13265 | ||
| 13266 | </act> | |
| 13267 | ||
| 13268 | </entryRel ationship> | |
| 13269 | ||
| 13270 | </act> | |
| 13271 | ||
| 13272 | </entryRel ationship> | |
| 13273 | ||
| 13274 | </act> | |
| 13275 | ||
| 13276 | </entry> | |
| 13277 | ||
| 13278 | <entry | |
| 13279 | typeCode=" DRIV" | |
| 13280 | > | |
| 13281 | ||
| 13282 | <act | |
| 13283 | classCode= "ACT" | |
| 13284 | moodCode=" DEF" | |
| 13285 | > | |
| 13286 | ||
| 13287 | <templateI d | |
| 13288 | root="2.16 .840.1.113 883. IP " | |
| 13289 | /> | |
| 13290 | ||
| 13291 | <id | |
| 13292 | nullFlavor ="UNK" | |
| 13293 | /> | |
| 13294 | ||
| 13295 | <code | |
| 13296 | code="4876 8-6" | |
| 13297 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 13298 | codeSystem Name="LOIN C" | |
| 13299 | displayNam e="Payment sources" | |
| 13300 | /> | |
| 13301 | ||
| 13302 | <statusCod e | |
| 13303 | code="comp leted" | |
| 13304 | /> | |
| 13305 | ||
| 13306 | <entryRela tionship | |
| 13307 | typeCode=" COMP" | |
| 13308 | > | |
| 13309 | ||
| 13310 | <act | |
| 13311 | classCode= "ACT" | |
| 13312 | moodCode=" EVN" | |
| 13313 | > | |
| 13314 | ||
| 13315 | <templateI d | |
| 13316 | root="2.16 .840.1.113 883. IP " | |
| 13317 | /> | |
| 13318 | ||
| 13319 | <id | |
| 13320 | root="HEL" | |
| 13321 | /> | |
| 13322 | ||
| 13323 | <code | |
| 13324 | code="HM" | |
| 13325 | codeSystem ="2.16.840 .1.113883. 6.255.1336 " | |
| 13326 | codeSystem Name="ASC X12" | |
| 13327 | displayNam e="Health Maintenanc e Organiza tion (HMO) " | |
| 13328 | /> | |
| 13329 | ||
| 13330 | <statusCod e | |
| 13331 | code="comp leted" | |
| 13332 | /> | |
| 13333 | ||
| 13334 | <performer | |
| 13335 | typeCode=" PRF" | |
| 13336 | > | |
| 13337 | ||
| 13338 | <time> | |
| 13339 | ||
| 13340 | <low | |
| 13341 | nullFlavor ="UNK" | |
| 13342 | /> | |
| 13343 | ||
| 13344 | <high | |
| 13345 | nullFlavor ="UNK" | |
| 13346 | /> | |
| 13347 | ||
| 13348 | </time> | |
| 13349 | ||
| 13350 | <assignedE ntity> | |
| 13351 | ||
| 13352 | <id | |
| 13353 | root="HEL" | |
| 13354 | extension= "95308" | |
| 13355 | /> | |
| 13356 | ||
| 13357 | <code | |
| 13358 | code="PAYO R" | |
| 13359 | codeSystem ="2.16.840 .1.113883. 5.110" | |
| 13360 | codeSystem Name="HL7 RoleCode" | |
| 13361 | displayNam e="Payor" | |
| 13362 | /> | |
| 13363 | ||
| 13364 | <addr> | |
| 13365 | <streetAdd ressLine> | |
| 13366 | PO Box 906 6 | |
| 13367 | </streetAd dressLine> | |
| 13368 | <city> | |
| 13369 | Buffalo | |
| 13370 | </city> | |
| 13371 | <state> | |
| 13372 | NY | |
| 13373 | </state> | |
| 13374 | <postalCod e> | |
| 13375 | 14231 | |
| 13376 | </postalCo de> | |
| 13377 | <country> | |
| 13378 | US | |
| 13379 | </country> | |
| 13380 | </addr> | |
| 13381 | ||
| 13382 | <telecom | |
| 13383 | nullFlavor ="UNK" | |
| 13384 | /> | |
| 13385 | ||
| 13386 | <represent edOrganiza tion> | |
| 13387 | ||
| 13388 | <id | |
| 13389 | nullFlavor ="UNK" | |
| 13390 | /> | |
| 13391 | ||
| 13392 | <name> | |
| 13393 | Iha Encomp 65/Mcare E ncomp | |
| 13394 | </name> | |
| 13395 | ||
| 13396 | <telecom | |
| 13397 | nullFlavor ="UNK" | |
| 13398 | /> | |
| 13399 | ||
| 13400 | <addr | |
| 13401 | nullFlavor ="UNK" | |
| 13402 | /> | |
| 13403 | ||
| 13404 | </represen tedOrganiz ation> | |
| 13405 | ||
| 13406 | </assigned Entity> | |
| 13407 | ||
| 13408 | </performe r> | |
| 13409 | ||
| 13410 | <participa nt | |
| 13411 | typeCode=" COV" | |
| 13412 | > | |
| 13413 | ||
| 13414 | <time> | |
| 13415 | ||
| 13416 | <low | |
| 13417 | value="201 4010100000 0-0500" | |
| 13418 | /> | |
| 13419 | ||
| 13420 | <high | |
| 13421 | value="201 5123123595 9-0500" | |
| 13422 | /> | |
| 13423 | ||
| 13424 | </time> | |
| 13425 | ||
| 13426 | <participa ntRole | |
| 13427 | classCode= "PAT" | |
| 13428 | > | |
| 13429 | ||
| 13430 | <id | |
| 13431 | extension= "2.16.840. 1.113883.3 .227.99.19 4.26239.0" | |
| 13432 | /> | |
| 13433 | ||
| 13434 | <code | |
| 13435 | code="SELF " | |
| 13436 | codeSystem ="2.16.840 .1.113883. 5.111" | |
| 13437 | codeSystem Name="Role Code" | |
| 13438 | displayNam e="Self" | |
| 13439 | /> | |
| 13440 | ||
| 13441 | <addr> | |
| 13442 | <streetAdd ressLine> | |
| 13443 | 1500 Test Street | |
| 13444 | </streetAd dressLine> | |
| 13445 | <city> | |
| 13446 | Helena | |
| 13447 | </city> | |
| 13448 | <state> | |
| 13449 | NY | |
| 13450 | </state> | |
| 13451 | <postalCod e> | |
| 13452 | 14136 | |
| 13453 | </postalCo de> | |
| 13454 | <country> | |
| 13455 | US | |
| 13456 | </country> | |
| 13457 | </addr> | |
| 13458 | ||
| 13459 | <telecom | |
| 13460 | nullFlavor ="UNK" | |
| 13461 | /> | |
| 13462 | ||
| 13463 | <playingEn tity> | |
| 13464 | ||
| 13465 | <name | |
| 13466 | nullFlavor ="UNK" | |
| 13467 | /> | |
| 13468 | ||
| 13469 | <sdtc:birt hTime | |
| 13470 | nullFlavor ="UNK" | |
| 13471 | /> | |
| 13472 | ||
| 13473 | </playingE ntity> | |
| 13474 | ||
| 13475 | </particip antRole> | |
| 13476 | ||
| 13477 | </particip ant> | |
| 13478 | ||
| 13479 | <participa nt | |
| 13480 | typeCode=" HLD" | |
| 13481 | > | |
| 13482 | ||
| 13483 | <participa ntRole> | |
| 13484 | ||
| 13485 | <id | |
| 13486 | nullFlavor ="UNK" | |
| 13487 | /> | |
| 13488 | ||
| 13489 | <addr | |
| 13490 | nullFlavor ="UNK" | |
| 13491 | /> | |
| 13492 | ||
| 13493 | <telecom | |
| 13494 | nullFlavor ="UNK" | |
| 13495 | /> | |
| 13496 | ||
| 13497 | <playingEn tity> | |
| 13498 | ||
| 13499 | <name | |
| 13500 | nullFlavor ="UNK" | |
| 13501 | /> | |
| 13502 | ||
| 13503 | <sdtc:birt hTime | |
| 13504 | nullFlavor ="UNK" | |
| 13505 | /> | |
| 13506 | ||
| 13507 | </playingE ntity> | |
| 13508 | ||
| 13509 | </particip antRole> | |
| 13510 | ||
| 13511 | </particip ant> | |
| 13512 | ||
| 13513 | <entryRela tionship | |
| 13514 | typeCode=" REFR" | |
| 13515 | > | |
| 13516 | ||
| 13517 | <act | |
| 13518 | classCode= "ACT" | |
| 13519 | moodCode=" DEF" | |
| 13520 | > | |
| 13521 | ||
| 13522 | <id | |
| 13523 | root="A133 2773400" | |
| 13524 | extension= "A13327734 00" | |
| 13525 | /> | |
| 13526 | ||
| 13527 | <code | |
| 13528 | code="HM" | |
| 13529 | codeSystem ="2.16.840 .1.113883. 6.255.1336 " | |
| 13530 | codeSystem Name="ASC X12" | |
| 13531 | displayNam e="Health Maintenanc e Organiza tion (HMO) " | |
| 13532 | /> | |
| 13533 | ||
| 13534 | <text> | |
| 13535 | <reference | |
| 13536 | value="Pla n-Name-4" | |
| 13537 | /> | |
| 13538 | </text> | |
| 13539 | ||
| 13540 | </act> | |
| 13541 | ||
| 13542 | </entryRel ationship> | |
| 13543 | ||
| 13544 | </act> | |
| 13545 | ||
| 13546 | </entryRel ationship> | |
| 13547 | ||
| 13548 | </act> | |
| 13549 | ||
| 13550 | </entry> | |
| 13551 | ||
| 13552 | <entry | |
| 13553 | typeCode=" DRIV" | |
| 13554 | > | |
| 13555 | ||
| 13556 | <act | |
| 13557 | classCode= "ACT" | |
| 13558 | moodCode=" DEF" | |
| 13559 | > | |
| 13560 | ||
| 13561 | <templateI d | |
| 13562 | root="2.16 .840.1.113 883. IP " | |
| 13563 | /> | |
| 13564 | ||
| 13565 | <id | |
| 13566 | nullFlavor ="UNK" | |
| 13567 | /> | |
| 13568 | ||
| 13569 | <code | |
| 13570 | code="4876 8-6" | |
| 13571 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 13572 | codeSystem Name="LOIN C" | |
| 13573 | displayNam e="Payment sources" | |
| 13574 | /> | |
| 13575 | ||
| 13576 | <statusCod e | |
| 13577 | code="comp leted" | |
| 13578 | /> | |
| 13579 | ||
| 13580 | <entryRela tionship | |
| 13581 | typeCode=" COMP" | |
| 13582 | > | |
| 13583 | ||
| 13584 | <act | |
| 13585 | classCode= "ACT" | |
| 13586 | moodCode=" EVN" | |
| 13587 | > | |
| 13588 | ||
| 13589 | <templateI d | |
| 13590 | root="2.16 .840.1.113 883. IP " | |
| 13591 | /> | |
| 13592 | ||
| 13593 | <id | |
| 13594 | root="HEL" | |
| 13595 | /> | |
| 13596 | ||
| 13597 | <code | |
| 13598 | code="HM" | |
| 13599 | codeSystem ="2.16.840 .1.113883. 6.255.1336 " | |
| 13600 | codeSystem Name="ASC X12" | |
| 13601 | displayNam e="Health Maintenanc e Organiza tion (HMO) " | |
| 13602 | /> | |
| 13603 | ||
| 13604 | <statusCod e | |
| 13605 | code="comp leted" | |
| 13606 | /> | |
| 13607 | ||
| 13608 | <performer | |
| 13609 | typeCode=" PRF" | |
| 13610 | > | |
| 13611 | ||
| 13612 | <time> | |
| 13613 | ||
| 13614 | <low | |
| 13615 | nullFlavor ="UNK" | |
| 13616 | /> | |
| 13617 | ||
| 13618 | <high | |
| 13619 | nullFlavor ="UNK" | |
| 13620 | /> | |
| 13621 | ||
| 13622 | </time> | |
| 13623 | ||
| 13624 | <assignedE ntity> | |
| 13625 | ||
| 13626 | <id | |
| 13627 | root="HEL" | |
| 13628 | extension= "95308" | |
| 13629 | /> | |
| 13630 | ||
| 13631 | <code | |
| 13632 | code="PAYO R" | |
| 13633 | codeSystem ="2.16.840 .1.113883. 5.110" | |
| 13634 | codeSystem Name="HL7 RoleCode" | |
| 13635 | displayNam e="Payor" | |
| 13636 | /> | |
| 13637 | ||
| 13638 | <addr> | |
| 13639 | <streetAdd ressLine> | |
| 13640 | PO Box 906 6 | |
| 13641 | </streetAd dressLine> | |
| 13642 | <city> | |
| 13643 | Buffalo | |
| 13644 | </city> | |
| 13645 | <state> | |
| 13646 | NY | |
| 13647 | </state> | |
| 13648 | <postalCod e> | |
| 13649 | 14231 | |
| 13650 | </postalCo de> | |
| 13651 | <country> | |
| 13652 | US | |
| 13653 | </country> | |
| 13654 | </addr> | |
| 13655 | ||
| 13656 | <telecom | |
| 13657 | nullFlavor ="UNK" | |
| 13658 | /> | |
| 13659 | ||
| 13660 | <represent edOrganiza tion> | |
| 13661 | ||
| 13662 | <id | |
| 13663 | nullFlavor ="UNK" | |
| 13664 | /> | |
| 13665 | ||
| 13666 | <name> | |
| 13667 | Iha Encomp 65/Mcare E ncomp | |
| 13668 | </name> | |
| 13669 | ||
| 13670 | <telecom | |
| 13671 | nullFlavor ="UNK" | |
| 13672 | /> | |
| 13673 | ||
| 13674 | <addr | |
| 13675 | nullFlavor ="UNK" | |
| 13676 | /> | |
| 13677 | ||
| 13678 | </represen tedOrganiz ation> | |
| 13679 | ||
| 13680 | </assigned Entity> | |
| 13681 | ||
| 13682 | </performe r> | |
| 13683 | ||
| 13684 | <participa nt | |
| 13685 | typeCode=" COV" | |
| 13686 | > | |
| 13687 | ||
| 13688 | <time> | |
| 13689 | ||
| 13690 | <low | |
| 13691 | value="201 4010100000 0-0500" | |
| 13692 | /> | |
| 13693 | ||
| 13694 | <high | |
| 13695 | value="201 4010123595 9-0500" | |
| 13696 | /> | |
| 13697 | ||
| 13698 | </time> | |
| 13699 | ||
| 13700 | <participa ntRole | |
| 13701 | classCode= "PAT" | |
| 13702 | > | |
| 13703 | ||
| 13704 | <id | |
| 13705 | extension= "2.16.840. 1.113883.3 .227.99.19 4.26239.0" | |
| 13706 | /> | |
| 13707 | ||
| 13708 | <code | |
| 13709 | code="SELF " | |
| 13710 | codeSystem ="2.16.840 .1.113883. 5.111" | |
| 13711 | codeSystem Name="Role Code" | |
| 13712 | displayNam e="Self" | |
| 13713 | /> | |
| 13714 | ||
| 13715 | <addr> | |
| 13716 | <streetAdd ressLine> | |
| 13717 | 1500 Test Street | |
| 13718 | </streetAd dressLine> | |
| 13719 | <city> | |
| 13720 | Helena | |
| 13721 | </city> | |
| 13722 | <state> | |
| 13723 | NY | |
| 13724 | </state> | |
| 13725 | <postalCod e> | |
| 13726 | 14136 | |
| 13727 | </postalCo de> | |
| 13728 | <country> | |
| 13729 | US | |
| 13730 | </country> | |
| 13731 | </addr> | |
| 13732 | ||
| 13733 | <telecom | |
| 13734 | nullFlavor ="UNK" | |
| 13735 | /> | |
| 13736 | ||
| 13737 | <playingEn tity> | |
| 13738 | ||
| 13739 | <name | |
| 13740 | nullFlavor ="UNK" | |
| 13741 | /> | |
| 13742 | ||
| 13743 | <sdtc:birt hTime | |
| 13744 | nullFlavor ="UNK" | |
| 13745 | /> | |
| 13746 | ||
| 13747 | </playingE ntity> | |
| 13748 | ||
| 13749 | </particip antRole> | |
| 13750 | ||
| 13751 | </particip ant> | |
| 13752 | ||
| 13753 | <participa nt | |
| 13754 | typeCode=" HLD" | |
| 13755 | > | |
| 13756 | ||
| 13757 | <participa ntRole> | |
| 13758 | ||
| 13759 | <id | |
| 13760 | nullFlavor ="UNK" | |
| 13761 | /> | |
| 13762 | ||
| 13763 | <addr | |
| 13764 | nullFlavor ="UNK" | |
| 13765 | /> | |
| 13766 | ||
| 13767 | <telecom | |
| 13768 | nullFlavor ="UNK" | |
| 13769 | /> | |
| 13770 | ||
| 13771 | <playingEn tity> | |
| 13772 | ||
| 13773 | <name | |
| 13774 | nullFlavor ="UNK" | |
| 13775 | /> | |
| 13776 | ||
| 13777 | <sdtc:birt hTime | |
| 13778 | nullFlavor ="UNK" | |
| 13779 | /> | |
| 13780 | ||
| 13781 | </playingE ntity> | |
| 13782 | ||
| 13783 | </particip antRole> | |
| 13784 | ||
| 13785 | </particip ant> | |
| 13786 | ||
| 13787 | <entryRela tionship | |
| 13788 | typeCode=" REFR" | |
| 13789 | > | |
| 13790 | ||
| 13791 | <act | |
| 13792 | classCode= "ACT" | |
| 13793 | moodCode=" DEF" | |
| 13794 | > | |
| 13795 | ||
| 13796 | <id | |
| 13797 | root="A133 2773400" | |
| 13798 | extension= "A13327734 00" | |
| 13799 | /> | |
| 13800 | ||
| 13801 | <code | |
| 13802 | code="HM" | |
| 13803 | codeSystem ="2.16.840 .1.113883. 6.255.1336 " | |
| 13804 | codeSystem Name="ASC X12" | |
| 13805 | displayNam e="Health Maintenanc e Organiza tion (HMO) " | |
| 13806 | /> | |
| 13807 | ||
| 13808 | <text> | |
| 13809 | <reference | |
| 13810 | value="Pla n-Name-5" | |
| 13811 | /> | |
| 13812 | </text> | |
| 13813 | ||
| 13814 | </act> | |
| 13815 | ||
| 13816 | </entryRel ationship> | |
| 13817 | ||
| 13818 | </act> | |
| 13819 | ||
| 13820 | </entryRel ationship> | |
| 13821 | ||
| 13822 | </act> | |
| 13823 | ||
| 13824 | </entry> | |
| 13825 | ||
| 13826 | <entry | |
| 13827 | typeCode=" DRIV" | |
| 13828 | > | |
| 13829 | ||
| 13830 | <act | |
| 13831 | classCode= "ACT" | |
| 13832 | moodCode=" DEF" | |
| 13833 | > | |
| 13834 | ||
| 13835 | <templateI d | |
| 13836 | root="2.16 .840.1.113 883. IP " | |
| 13837 | /> | |
| 13838 | ||
| 13839 | <id | |
| 13840 | nullFlavor ="UNK" | |
| 13841 | /> | |
| 13842 | ||
| 13843 | <code | |
| 13844 | code="4876 8-6" | |
| 13845 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 13846 | codeSystem Name="LOIN C" | |
| 13847 | displayNam e="Payment sources" | |
| 13848 | /> | |
| 13849 | ||
| 13850 | <statusCod e | |
| 13851 | code="comp leted" | |
| 13852 | /> | |
| 13853 | ||
| 13854 | <entryRela tionship | |
| 13855 | typeCode=" COMP" | |
| 13856 | > | |
| 13857 | ||
| 13858 | <act | |
| 13859 | classCode= "ACT" | |
| 13860 | moodCode=" EVN" | |
| 13861 | > | |
| 13862 | ||
| 13863 | <templateI d | |
| 13864 | root="2.16 .840.1.113 883. IP " | |
| 13865 | /> | |
| 13866 | ||
| 13867 | <id | |
| 13868 | root="HEL" | |
| 13869 | /> | |
| 13870 | ||
| 13871 | <code | |
| 13872 | code="HM" | |
| 13873 | codeSystem ="2.16.840 .1.113883. 6.255.1336 " | |
| 13874 | codeSystem Name="ASC X12" | |
| 13875 | displayNam e="Health Maintenanc e Organiza tion (HMO) " | |
| 13876 | /> | |
| 13877 | ||
| 13878 | <statusCod e | |
| 13879 | code="comp leted" | |
| 13880 | /> | |
| 13881 | ||
| 13882 | <performer | |
| 13883 | typeCode=" PRF" | |
| 13884 | > | |
| 13885 | ||
| 13886 | <time> | |
| 13887 | ||
| 13888 | <low | |
| 13889 | nullFlavor ="UNK" | |
| 13890 | /> | |
| 13891 | ||
| 13892 | <high | |
| 13893 | nullFlavor ="UNK" | |
| 13894 | /> | |
| 13895 | ||
| 13896 | </time> | |
| 13897 | ||
| 13898 | <assignedE ntity> | |
| 13899 | ||
| 13900 | <id | |
| 13901 | root="HEL" | |
| 13902 | extension= "95308" | |
| 13903 | /> | |
| 13904 | ||
| 13905 | <code | |
| 13906 | code="PAYO R" | |
| 13907 | codeSystem ="2.16.840 .1.113883. 5.110" | |
| 13908 | codeSystem Name="HL7 RoleCode" | |
| 13909 | displayNam e="Payor" | |
| 13910 | /> | |
| 13911 | ||
| 13912 | <addr> | |
| 13913 | <streetAdd ressLine> | |
| 13914 | PO Box 906 6 | |
| 13915 | </streetAd dressLine> | |
| 13916 | <city> | |
| 13917 | Buffalo | |
| 13918 | </city> | |
| 13919 | <state> | |
| 13920 | NY | |
| 13921 | </state> | |
| 13922 | <postalCod e> | |
| 13923 | 14231 | |
| 13924 | </postalCo de> | |
| 13925 | <country> | |
| 13926 | US | |
| 13927 | </country> | |
| 13928 | </addr> | |
| 13929 | ||
| 13930 | <telecom | |
| 13931 | nullFlavor ="UNK" | |
| 13932 | /> | |
| 13933 | ||
| 13934 | <represent edOrganiza tion> | |
| 13935 | ||
| 13936 | <id | |
| 13937 | nullFlavor ="UNK" | |
| 13938 | /> | |
| 13939 | ||
| 13940 | <name> | |
| 13941 | Iha Encomp 65/Mcare E ncomp | |
| 13942 | </name> | |
| 13943 | ||
| 13944 | <telecom | |
| 13945 | nullFlavor ="UNK" | |
| 13946 | /> | |
| 13947 | ||
| 13948 | <addr | |
| 13949 | nullFlavor ="UNK" | |
| 13950 | /> | |
| 13951 | ||
| 13952 | </represen tedOrganiz ation> | |
| 13953 | ||
| 13954 | </assigned Entity> | |
| 13955 | ||
| 13956 | </performe r> | |
| 13957 | ||
| 13958 | <participa nt | |
| 13959 | typeCode=" COV" | |
| 13960 | > | |
| 13961 | ||
| 13962 | <time> | |
| 13963 | ||
| 13964 | <low | |
| 13965 | value="201 6010100000 0-0500" | |
| 13966 | /> | |
| 13967 | ||
| 13968 | <high | |
| 13969 | nullFlavor ="UNK" | |
| 13970 | /> | |
| 13971 | ||
| 13972 | </time> | |
| 13973 | ||
| 13974 | <participa ntRole | |
| 13975 | classCode= "PAT" | |
| 13976 | > | |
| 13977 | ||
| 13978 | <id | |
| 13979 | extension= "2.16.840. 1.113883.3 .227.99.19 4.26239.0" | |
| 13980 | /> | |
| 13981 | ||
| 13982 | <code | |
| 13983 | code="SELF " | |
| 13984 | codeSystem ="2.16.840 .1.113883. 5.111" | |
| 13985 | codeSystem Name="Role Code" | |
| 13986 | displayNam e="Self" | |
| 13987 | /> | |
| 13988 | ||
| 13989 | <addr> | |
| 13990 | <streetAdd ressLine> | |
| 13991 | 1500 Test Street | |
| 13992 | </streetAd dressLine> | |
| 13993 | <city> | |
| 13994 | Helena | |
| 13995 | </city> | |
| 13996 | <state> | |
| 13997 | NY | |
| 13998 | </state> | |
| 13999 | <postalCod e> | |
| 14000 | 14136 | |
| 14001 | </postalCo de> | |
| 14002 | <country> | |
| 14003 | US | |
| 14004 | </country> | |
| 14005 | </addr> | |
| 14006 | ||
| 14007 | <telecom | |
| 14008 | nullFlavor ="UNK" | |
| 14009 | /> | |
| 14010 | ||
| 14011 | <playingEn tity> | |
| 14012 | ||
| 14013 | <name | |
| 14014 | nullFlavor ="UNK" | |
| 14015 | /> | |
| 14016 | ||
| 14017 | <sdtc:birt hTime | |
| 14018 | nullFlavor ="UNK" | |
| 14019 | /> | |
| 14020 | ||
| 14021 | </playingE ntity> | |
| 14022 | ||
| 14023 | </particip antRole> | |
| 14024 | ||
| 14025 | </particip ant> | |
| 14026 | ||
| 14027 | <participa nt | |
| 14028 | typeCode=" HLD" | |
| 14029 | > | |
| 14030 | ||
| 14031 | <participa ntRole> | |
| 14032 | ||
| 14033 | <id | |
| 14034 | nullFlavor ="UNK" | |
| 14035 | /> | |
| 14036 | ||
| 14037 | <addr | |
| 14038 | nullFlavor ="UNK" | |
| 14039 | /> | |
| 14040 | ||
| 14041 | <telecom | |
| 14042 | nullFlavor ="UNK" | |
| 14043 | /> | |
| 14044 | ||
| 14045 | <playingEn tity> | |
| 14046 | ||
| 14047 | <name | |
| 14048 | nullFlavor ="UNK" | |
| 14049 | /> | |
| 14050 | ||
| 14051 | <sdtc:birt hTime | |
| 14052 | nullFlavor ="UNK" | |
| 14053 | /> | |
| 14054 | ||
| 14055 | </playingE ntity> | |
| 14056 | ||
| 14057 | </particip antRole> | |
| 14058 | ||
| 14059 | </particip ant> | |
| 14060 | ||
| 14061 | <entryRela tionship | |
| 14062 | typeCode=" REFR" | |
| 14063 | > | |
| 14064 | ||
| 14065 | <act | |
| 14066 | classCode= "ACT" | |
| 14067 | moodCode=" DEF" | |
| 14068 | > | |
| 14069 | ||
| 14070 | <id | |
| 14071 | root="A133 2773400" | |
| 14072 | extension= "A13327734 00" | |
| 14073 | /> | |
| 14074 | ||
| 14075 | <code | |
| 14076 | code="HM" | |
| 14077 | codeSystem ="2.16.840 .1.113883. 6.255.1336 " | |
| 14078 | codeSystem Name="ASC X12" | |
| 14079 | displayNam e="Health Maintenanc e Organiza tion (HMO) " | |
| 14080 | /> | |
| 14081 | ||
| 14082 | <text> | |
| 14083 | <reference | |
| 14084 | value="Pla n-Name-6" | |
| 14085 | /> | |
| 14086 | </text> | |
| 14087 | ||
| 14088 | </act> | |
| 14089 | ||
| 14090 | </entryRel ationship> | |
| 14091 | ||
| 14092 | </act> | |
| 14093 | ||
| 14094 | </entryRel ationship> | |
| 14095 | ||
| 14096 | </act> | |
| 14097 | ||
| 14098 | </entry> | |
| 14099 | ||
| 14100 | <entry | |
| 14101 | typeCode=" DRIV" | |
| 14102 | > | |
| 14103 | ||
| 14104 | <act | |
| 14105 | classCode= "ACT" | |
| 14106 | moodCode=" DEF" | |
| 14107 | > | |
| 14108 | ||
| 14109 | <templateI d | |
| 14110 | root="2.16 .840.1.113 883. IP " | |
| 14111 | /> | |
| 14112 | ||
| 14113 | <id | |
| 14114 | nullFlavor ="UNK" | |
| 14115 | /> | |
| 14116 | ||
| 14117 | <code | |
| 14118 | code="4876 8-6" | |
| 14119 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 14120 | codeSystem Name="LOIN C" | |
| 14121 | displayNam e="Payment sources" | |
| 14122 | /> | |
| 14123 | ||
| 14124 | <statusCod e | |
| 14125 | code="comp leted" | |
| 14126 | /> | |
| 14127 | ||
| 14128 | <entryRela tionship | |
| 14129 | typeCode=" COMP" | |
| 14130 | > | |
| 14131 | ||
| 14132 | <act | |
| 14133 | classCode= "ACT" | |
| 14134 | moodCode=" EVN" | |
| 14135 | > | |
| 14136 | ||
| 14137 | <templateI d | |
| 14138 | root="2.16 .840.1.113 883. IP " | |
| 14139 | /> | |
| 14140 | ||
| 14141 | <id | |
| 14142 | root="HEL" | |
| 14143 | /> | |
| 14144 | ||
| 14145 | <code | |
| 14146 | code="MI" | |
| 14147 | codeSystem ="2.16.840 .1.113883. 6.255.1336 " | |
| 14148 | codeSystem Name="ASC X12" | |
| 14149 | displayNam e="Medigap Part B" | |
| 14150 | /> | |
| 14151 | ||
| 14152 | <statusCod e | |
| 14153 | code="comp leted" | |
| 14154 | /> | |
| 14155 | ||
| 14156 | <performer | |
| 14157 | typeCode=" PRF" | |
| 14158 | > | |
| 14159 | ||
| 14160 | <time> | |
| 14161 | ||
| 14162 | <low | |
| 14163 | nullFlavor ="UNK" | |
| 14164 | /> | |
| 14165 | ||
| 14166 | <high | |
| 14167 | nullFlavor ="UNK" | |
| 14168 | /> | |
| 14169 | ||
| 14170 | </time> | |
| 14171 | ||
| 14172 | <assignedE ntity> | |
| 14173 | ||
| 14174 | <id | |
| 14175 | root="HEL" | |
| 14176 | extension= "13282" | |
| 14177 | /> | |
| 14178 | ||
| 14179 | <code | |
| 14180 | code="PAYO R" | |
| 14181 | codeSystem ="2.16.840 .1.113883. 5.110" | |
| 14182 | codeSystem Name="HL7 RoleCode" | |
| 14183 | displayNam e="Payor" | |
| 14184 | /> | |
| 14185 | ||
| 14186 | <addr> | |
| 14187 | <streetAdd ressLine> | |
| 14188 | PO Box 618 9 | |
| 14189 | </streetAd dressLine> | |
| 14190 | <city> | |
| 14191 | Indianapol is | |
| 14192 | </city> | |
| 14193 | <state> | |
| 14194 | IN | |
| 14195 | </state> | |
| 14196 | <postalCod e> | |
| 14197 | 46206 | |
| 14198 | </postalCo de> | |
| 14199 | <country> | |
| 14200 | US | |
| 14201 | </country> | |
| 14202 | </addr> | |
| 14203 | ||
| 14204 | <telecom | |
| 14205 | value="+1( 877)-869-6 504" | |
| 14206 | use="WP" | |
| 14207 | /> | |
| 14208 | ||
| 14209 | <represent edOrganiza tion> | |
| 14210 | ||
| 14211 | <id | |
| 14212 | nullFlavor ="UNK" | |
| 14213 | /> | |
| 14214 | ||
| 14215 | <name> | |
| 14216 | Medicare N GS | |
| 14217 | </name> | |
| 14218 | ||
| 14219 | <telecom | |
| 14220 | nullFlavor ="UNK" | |
| 14221 | /> | |
| 14222 | ||
| 14223 | <addr | |
| 14224 | nullFlavor ="UNK" | |
| 14225 | /> | |
| 14226 | ||
| 14227 | </represen tedOrganiz ation> | |
| 14228 | ||
| 14229 | </assigned Entity> | |
| 14230 | ||
| 14231 | </performe r> | |
| 14232 | ||
| 14233 | <participa nt | |
| 14234 | typeCode=" COV" | |
| 14235 | > | |
| 14236 | ||
| 14237 | <time> | |
| 14238 | ||
| 14239 | <low | |
| 14240 | nullFlavor ="UNK" | |
| 14241 | /> | |
| 14242 | ||
| 14243 | <high | |
| 14244 | value="201 2053123595 9-0400" | |
| 14245 | /> | |
| 14246 | ||
| 14247 | </time> | |
| 14248 | ||
| 14249 | <participa ntRole | |
| 14250 | classCode= "PAT" | |
| 14251 | > | |
| 14252 | ||
| 14253 | <id | |
| 14254 | extension= "2.16.840. 1.113883.3 .227.99.19 4.26239.0" | |
| 14255 | /> | |
| 14256 | ||
| 14257 | <code | |
| 14258 | code="SELF " | |
| 14259 | codeSystem ="2.16.840 .1.113883. 5.111" | |
| 14260 | codeSystem Name="Role Code" | |
| 14261 | displayNam e="Self" | |
| 14262 | /> | |
| 14263 | ||
| 14264 | <addr> | |
| 14265 | <streetAdd ressLine> | |
| 14266 | 1500 Test Street | |
| 14267 | </streetAd dressLine> | |
| 14268 | <city> | |
| 14269 | Helena | |
| 14270 | </city> | |
| 14271 | <state> | |
| 14272 | NY | |
| 14273 | </state> | |
| 14274 | <postalCod e> | |
| 14275 | 14136 | |
| 14276 | </postalCo de> | |
| 14277 | <country> | |
| 14278 | US | |
| 14279 | </country> | |
| 14280 | </addr> | |
| 14281 | ||
| 14282 | <telecom | |
| 14283 | nullFlavor ="UNK" | |
| 14284 | /> | |
| 14285 | ||
| 14286 | <playingEn tity> | |
| 14287 | ||
| 14288 | <name | |
| 14289 | nullFlavor ="UNK" | |
| 14290 | /> | |
| 14291 | ||
| 14292 | <sdtc:birt hTime | |
| 14293 | nullFlavor ="UNK" | |
| 14294 | /> | |
| 14295 | ||
| 14296 | </playingE ntity> | |
| 14297 | ||
| 14298 | </particip antRole> | |
| 14299 | ||
| 14300 | </particip ant> | |
| 14301 | ||
| 14302 | <participa nt | |
| 14303 | typeCode=" HLD" | |
| 14304 | > | |
| 14305 | ||
| 14306 | <participa ntRole> | |
| 14307 | ||
| 14308 | <id | |
| 14309 | nullFlavor ="UNK" | |
| 14310 | /> | |
| 14311 | ||
| 14312 | <addr | |
| 14313 | nullFlavor ="UNK" | |
| 14314 | /> | |
| 14315 | ||
| 14316 | <telecom | |
| 14317 | nullFlavor ="UNK" | |
| 14318 | /> | |
| 14319 | ||
| 14320 | <playingEn tity> | |
| 14321 | ||
| 14322 | <name | |
| 14323 | nullFlavor ="UNK" | |
| 14324 | /> | |
| 14325 | ||
| 14326 | <sdtc:birt hTime | |
| 14327 | nullFlavor ="UNK" | |
| 14328 | /> | |
| 14329 | ||
| 14330 | </playingE ntity> | |
| 14331 | ||
| 14332 | </particip antRole> | |
| 14333 | ||
| 14334 | </particip ant> | |
| 14335 | ||
| 14336 | <entryRela tionship | |
| 14337 | typeCode=" REFR" | |
| 14338 | > | |
| 14339 | ||
| 14340 | <act | |
| 14341 | classCode= "ACT" | |
| 14342 | moodCode=" DEF" | |
| 14343 | > | |
| 14344 | ||
| 14345 | <id | |
| 14346 | root="0852 66989A" | |
| 14347 | extension= "085266989 A" | |
| 14348 | /> | |
| 14349 | ||
| 14350 | <code | |
| 14351 | code="MI" | |
| 14352 | codeSystem ="2.16.840 .1.113883. 6.255.1336 " | |
| 14353 | codeSystem Name="ASC X12" | |
| 14354 | displayNam e="Medigap Part B" | |
| 14355 | /> | |
| 14356 | ||
| 14357 | <text> | |
| 14358 | <reference | |
| 14359 | value="Pla n-Name-7" | |
| 14360 | /> | |
| 14361 | </text> | |
| 14362 | ||
| 14363 | </act> | |
| 14364 | ||
| 14365 | </entryRel ationship> | |
| 14366 | ||
| 14367 | </act> | |
| 14368 | ||
| 14369 | </entryRel ationship> | |
| 14370 | ||
| 14371 | </act> | |
| 14372 | ||
| 14373 | </entry> | |
| 14374 | ||
| 14375 | <entry | |
| 14376 | typeCode=" DRIV" | |
| 14377 | > | |
| 14378 | ||
| 14379 | <act | |
| 14380 | classCode= "ACT" | |
| 14381 | moodCode=" DEF" | |
| 14382 | > | |
| 14383 | ||
| 14384 | <templateI d | |
| 14385 | root="2.16 .840.1.113 883. IP " | |
| 14386 | /> | |
| 14387 | ||
| 14388 | <id | |
| 14389 | nullFlavor ="UNK" | |
| 14390 | /> | |
| 14391 | ||
| 14392 | <code | |
| 14393 | code="4876 8-6" | |
| 14394 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 14395 | codeSystem Name="LOIN C" | |
| 14396 | displayNam e="Payment sources" | |
| 14397 | /> | |
| 14398 | ||
| 14399 | <statusCod e | |
| 14400 | code="comp leted" | |
| 14401 | /> | |
| 14402 | ||
| 14403 | <entryRela tionship | |
| 14404 | typeCode=" COMP" | |
| 14405 | > | |
| 14406 | ||
| 14407 | <act | |
| 14408 | classCode= "ACT" | |
| 14409 | moodCode=" EVN" | |
| 14410 | > | |
| 14411 | ||
| 14412 | <templateI d | |
| 14413 | root="2.16 .840.1.113 883. IP " | |
| 14414 | /> | |
| 14415 | ||
| 14416 | <id | |
| 14417 | root="HEL" | |
| 14418 | /> | |
| 14419 | ||
| 14420 | <code | |
| 14421 | code="MI" | |
| 14422 | codeSystem ="2.16.840 .1.113883. 6.255.1336 " | |
| 14423 | codeSystem Name="ASC X12" | |
| 14424 | displayNam e="Medigap Part B" | |
| 14425 | /> | |
| 14426 | ||
| 14427 | <statusCod e | |
| 14428 | code="comp leted" | |
| 14429 | /> | |
| 14430 | ||
| 14431 | <performer | |
| 14432 | typeCode=" PRF" | |
| 14433 | > | |
| 14434 | ||
| 14435 | <time> | |
| 14436 | ||
| 14437 | <low | |
| 14438 | nullFlavor ="UNK" | |
| 14439 | /> | |
| 14440 | ||
| 14441 | <high | |
| 14442 | nullFlavor ="UNK" | |
| 14443 | /> | |
| 14444 | ||
| 14445 | </time> | |
| 14446 | ||
| 14447 | <assignedE ntity> | |
| 14448 | ||
| 14449 | <id | |
| 14450 | root="HEL" | |
| 14451 | extension= "UNINW" | |
| 14452 | /> | |
| 14453 | ||
| 14454 | <code | |
| 14455 | code="PAYO R" | |
| 14456 | codeSystem ="2.16.840 .1.113883. 5.110" | |
| 14457 | codeSystem Name="HL7 RoleCode" | |
| 14458 | displayNam e="Payor" | |
| 14459 | /> | |
| 14460 | ||
| 14461 | <addr> | |
| 14462 | <streetAdd ressLine> | |
| 14463 | PO Box 230 00 | |
| 14464 | </streetAd dressLine> | |
| 14465 | <city> | |
| 14466 | Rochester | |
| 14467 | </city> | |
| 14468 | <state> | |
| 14469 | NY | |
| 14470 | </state> | |
| 14471 | <postalCod e> | |
| 14472 | 14692 | |
| 14473 | </postalCo de> | |
| 14474 | <country> | |
| 14475 | US | |
| 14476 | </country> | |
| 14477 | </addr> | |
| 14478 | ||
| 14479 | <telecom | |
| 14480 | value="+1( 866)-265-5 983" | |
| 14481 | use="WP" | |
| 14482 | /> | |
| 14483 | ||
| 14484 | <represent edOrganiza tion> | |
| 14485 | ||
| 14486 | <id | |
| 14487 | nullFlavor ="UNK" | |
| 14488 | /> | |
| 14489 | ||
| 14490 | <name> | |
| 14491 | Univera PO ,Active Un ivera | |
| 14492 | </name> | |
| 14493 | ||
| 14494 | <telecom | |
| 14495 | nullFlavor ="UNK" | |
| 14496 | /> | |
| 14497 | ||
| 14498 | <addr | |
| 14499 | nullFlavor ="UNK" | |
| 14500 | /> | |
| 14501 | ||
| 14502 | </represen tedOrganiz ation> | |
| 14503 | ||
| 14504 | </assigned Entity> | |
| 14505 | ||
| 14506 | </performe r> | |
| 14507 | ||
| 14508 | <participa nt | |
| 14509 | typeCode=" COV" | |
| 14510 | > | |
| 14511 | ||
| 14512 | <time> | |
| 14513 | ||
| 14514 | <low | |
| 14515 | nullFlavor ="UNK" | |
| 14516 | /> | |
| 14517 | ||
| 14518 | <high | |
| 14519 | value="201 1103123595 9-0400" | |
| 14520 | /> | |
| 14521 | ||
| 14522 | </time> | |
| 14523 | ||
| 14524 | <participa ntRole | |
| 14525 | classCode= "PAT" | |
| 14526 | > | |
| 14527 | ||
| 14528 | <id | |
| 14529 | extension= "2.16.840. 1.113883.3 .227.99.19 4.26239.0" | |
| 14530 | /> | |
| 14531 | ||
| 14532 | <code | |
| 14533 | code="FAMD EP" | |
| 14534 | codeSystem ="2.16.840 .1.113883. 5.111" | |
| 14535 | codeSystem Name="Role Code" | |
| 14536 | displayNam e="Family Dependent" | |
| 14537 | /> | |
| 14538 | ||
| 14539 | <addr> | |
| 14540 | <streetAdd ressLine> | |
| 14541 | 1500 Test Street | |
| 14542 | </streetAd dressLine> | |
| 14543 | <city> | |
| 14544 | Helena | |
| 14545 | </city> | |
| 14546 | <state> | |
| 14547 | NY | |
| 14548 | </state> | |
| 14549 | <postalCod e> | |
| 14550 | 14136 | |
| 14551 | </postalCo de> | |
| 14552 | <country> | |
| 14553 | US | |
| 14554 | </country> | |
| 14555 | </addr> | |
| 14556 | ||
| 14557 | <telecom | |
| 14558 | nullFlavor ="UNK" | |
| 14559 | /> | |
| 14560 | ||
| 14561 | <playingEn tity> | |
| 14562 | ||
| 14563 | <name | |
| 14564 | nullFlavor ="UNK" | |
| 14565 | /> | |
| 14566 | ||
| 14567 | <sdtc:birt hTime | |
| 14568 | nullFlavor ="UNK" | |
| 14569 | /> | |
| 14570 | ||
| 14571 | </playingE ntity> | |
| 14572 | ||
| 14573 | </particip antRole> | |
| 14574 | ||
| 14575 | </particip ant> | |
| 14576 | ||
| 14577 | <participa nt | |
| 14578 | typeCode=" HLD" | |
| 14579 | > | |
| 14580 | ||
| 14581 | <participa ntRole> | |
| 14582 | ||
| 14583 | <id | |
| 14584 | extension= "INS51350" | |
| 14585 | /> | |
| 14586 | ||
| 14587 | <addr> | |
| 14588 | <streetAdd ressLine> | |
| 14589 | 1500 Test Street | |
| 14590 | </streetAd dressLine> | |
| 14591 | <city> | |
| 14592 | Helena | |
| 14593 | </city> | |
| 14594 | <state> | |
| 14595 | NY | |
| 14596 | </state> | |
| 14597 | <postalCod e> | |
| 14598 | 14136 | |
| 14599 | </postalCo de> | |
| 14600 | <country> | |
| 14601 | US | |
| 14602 | </country> | |
| 14603 | </addr> | |
| 14604 | ||
| 14605 | <telecom | |
| 14606 | nullFlavor ="UNK" | |
| 14607 | /> | |
| 14608 | ||
| 14609 | <playingEn tity> | |
| 14610 | ||
| 14611 | <name | |
| 14612 | nullFlavor ="UNK" | |
| 14613 | /> | |
| 14614 | ||
| 14615 | <sdtc:birt hTime | |
| 14616 | nullFlavor ="UNK" | |
| 14617 | /> | |
| 14618 | ||
| 14619 | </playingE ntity> | |
| 14620 | ||
| 14621 | </particip antRole> | |
| 14622 | ||
| 14623 | </particip ant> | |
| 14624 | ||
| 14625 | <entryRela tionship | |
| 14626 | typeCode=" REFR" | |
| 14627 | > | |
| 14628 | ||
| 14629 | <act | |
| 14630 | classCode= "ACT" | |
| 14631 | moodCode=" DEF" | |
| 14632 | > | |
| 14633 | ||
| 14634 | <id | |
| 14635 | root="5634 F0042" | |
| 14636 | extension= "5634F0042 " | |
| 14637 | /> | |
| 14638 | ||
| 14639 | <code | |
| 14640 | code="MI" | |
| 14641 | codeSystem ="2.16.840 .1.113883. 6.255.1336 " | |
| 14642 | codeSystem Name="ASC X12" | |
| 14643 | displayNam e="Medigap Part B" | |
| 14644 | /> | |
| 14645 | ||
| 14646 | <text> | |
| 14647 | <reference | |
| 14648 | value="Pla n-Name-8" | |
| 14649 | /> | |
| 14650 | </text> | |
| 14651 | ||
| 14652 | </act> | |
| 14653 | ||
| 14654 | </entryRel ationship> | |
| 14655 | ||
| 14656 | </act> | |
| 14657 | ||
| 14658 | </entryRel ationship> | |
| 14659 | ||
| 14660 | </act> | |
| 14661 | ||
| 14662 | </entry> | |
| 14663 | ||
| 14664 | </section> | |
| 14665 | ||
| 14666 | </componen t> | |
| 14667 | ||
| 14668 | <component > | |
| 14669 | ||
| 14670 | <section> | |
| 14671 | ||
| 14672 | <templateI d | |
| 14673 | root="2.16 .840.1.113 883.3.88.1 1.83.103" | |
| 14674 | /> | |
| 14675 | ||
| 14676 | <templateI d | |
| 14677 | root="2.16 .840.1.113 883. IP " | |
| 14678 | /> | |
| 14679 | ||
| 14680 | <templateI d | |
| 14681 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.3.6" | |
| 14682 | /> | |
| 14683 | ||
| 14684 | <code | |
| 14685 | code="1145 0-4" | |
| 14686 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 14687 | codeSystem Name="LOIN C" | |
| 14688 | displayNam e="Problem list" | |
| 14689 | /> | |
| 14690 | ||
| 14691 | <title> | |
| 14692 | Problems, Conditions , and Diag noses | |
| 14693 | </title> | |
| 14694 | ||
| 14695 | <text> | |
| 14696 | <table | |
| 14697 | border="1" | |
| 14698 | width="100 %" | |
| 14699 | > | |
| 14700 | <thead> | |
| 14701 | <tr> | |
| 14702 | <th> | |
| 14703 | Code | |
| 14704 | </th> | |
| 14705 | <th> | |
| 14706 | Display Na me | |
| 14707 | </th> | |
| 14708 | <th> | |
| 14709 | Descriptio n | |
| 14710 | </th> | |
| 14711 | <th> | |
| 14712 | Problem Ty pe | |
| 14713 | </th> | |
| 14714 | <th> | |
| 14715 | Effective Dates | |
| 14716 | </th> | |
| 14717 | <th> | |
| 14718 | Data Sourc e(s) | |
| 14719 | </th> | |
| 14720 | </tr> | |
| 14721 | </thead> | |
| 14722 | <tbody> | |
| 14723 | <tr> | |
| 14724 | <td> | |
| 14725 | <content> | |
| 14726 | 61582004 | |
| 14727 | </content> | |
| 14728 | </td> | |
| 14729 | <td> | |
| 14730 | <content> | |
| 14731 | Allergic r hinitis (d isorder) | |
| 14732 | </content> | |
| 14733 | </td> | |
| 14734 | <td> | |
| 14735 | <content | |
| 14736 | ID="Condit ion-Proble m-Descript ion-1" | |
| 14737 | > | |
| 14738 | Allergic r hinitis | |
| 14739 | </content> | |
| 14740 | </td> | |
| 14741 | <td> | |
| 14742 | <content> | |
| 14743 | Problem (f inding) | |
| 14744 | </content> | |
| 14745 | </td> | |
| 14746 | <td> | |
| 14747 | <content> | |
| 14748 | 01/02/2013 12:00:00 AM EST - 0 8/28/2013 12:00:00 A M EDT | |
| 14749 | </content> | |
| 14750 | </td> | |
| 14751 | <td> | |
| 14752 | <content> | |
| 14753 | ECMC | |
| 14754 | </content> | |
| 14755 | </td> | |
| 14756 | </tr> | |
| 14757 | <tr> | |
| 14758 | <td> | |
| 14759 | <content> | |
| 14760 | 68272006 | |
| 14761 | </content> | |
| 14762 | </td> | |
| 14763 | <td> | |
| 14764 | <content> | |
| 14765 | Acute maxi llary sinu sitis (dis order) | |
| 14766 | </content> | |
| 14767 | </td> | |
| 14768 | <td> | |
| 14769 | <content | |
| 14770 | ID="Condit ion-Proble m-Descript ion-2" | |
| 14771 | > | |
| 14772 | Acute maxi llary sinu sitis | |
| 14773 | </content> | |
| 14774 | </td> | |
| 14775 | <td> | |
| 14776 | <content> | |
| 14777 | Problem (f inding) | |
| 14778 | </content> | |
| 14779 | </td> | |
| 14780 | <td> | |
| 14781 | <content> | |
| 14782 | 11/27/2012 12:00:00 AM EST - 0 8/28/2013 12:00:00 A M EDT | |
| 14783 | </content> | |
| 14784 | </td> | |
| 14785 | <td> | |
| 14786 | <content> | |
| 14787 | ECMC | |
| 14788 | </content> | |
| 14789 | </td> | |
| 14790 | </tr> | |
| 14791 | <tr> | |
| 14792 | <td> | |
| 14793 | <content> | |
| 14794 | 54398005 | |
| 14795 | </content> | |
| 14796 | </td> | |
| 14797 | <td> | |
| 14798 | <content> | |
| 14799 | Acute uppe r respirat ory infect ion (disor der) | |
| 14800 | </content> | |
| 14801 | </td> | |
| 14802 | <td> | |
| 14803 | <content | |
| 14804 | ID="Condit ion-Proble m-Descript ion-3" | |
| 14805 | > | |
| 14806 | Acute uppe r respirat ory infect ion | |
| 14807 | </content> | |
| 14808 | </td> | |
| 14809 | <td> | |
| 14810 | <content> | |
| 14811 | Problem (f inding) | |
| 14812 | </content> | |
| 14813 | </td> | |
| 14814 | <td> | |
| 14815 | <content> | |
| 14816 | 11/27/2012 12:00:00 AM EST - 0 8/28/2013 12:00:00 A M EDT | |
| 14817 | </content> | |
| 14818 | </td> | |
| 14819 | <td> | |
| 14820 | <content> | |
| 14821 | ECMC | |
| 14822 | </content> | |
| 14823 | </td> | |
| 14824 | </tr> | |
| 14825 | <tr> | |
| 14826 | <td> | |
| 14827 | <content> | |
| 14828 | 196731005 | |
| 14829 | </content> | |
| 14830 | </td> | |
| 14831 | <td> | |
| 14832 | <content> | |
| 14833 | Gastroduod enitis (di sorder) | |
| 14834 | </content> | |
| 14835 | </td> | |
| 14836 | <td> | |
| 14837 | <content | |
| 14838 | ID="Condit ion-Proble m-Descript ion-4" | |
| 14839 | > | |
| 14840 | Gastroduod enitis | |
| 14841 | </content> | |
| 14842 | </td> | |
| 14843 | <td> | |
| 14844 | <content> | |
| 14845 | Problem (f inding) | |
| 14846 | </content> | |
| 14847 | </td> | |
| 14848 | <td> | |
| 14849 | <content> | |
| 14850 | 03/26/2012 12:00:00 AM EDT - 0 8/28/2013 12:00:00 A M EDT | |
| 14851 | </content> | |
| 14852 | </td> | |
| 14853 | <td> | |
| 14854 | <content> | |
| 14855 | ECMC | |
| 14856 | </content> | |
| 14857 | </td> | |
| 14858 | </tr> | |
| 14859 | <tr> | |
| 14860 | <td> | |
| 14861 | <content> | |
| 14862 | 440220007 | |
| 14863 | </content> | |
| 14864 | </td> | |
| 14865 | <td> | |
| 14866 | <content> | |
| 14867 | Generalize d abdomina l tenderne ss (findin g) | |
| 14868 | </content> | |
| 14869 | </td> | |
| 14870 | <td> | |
| 14871 | <content | |
| 14872 | ID="Condit ion-Proble m-Descript ion-5" | |
| 14873 | > | |
| 14874 | Generalize d abdomina l tenderne ss | |
| 14875 | </content> | |
| 14876 | </td> | |
| 14877 | <td> | |
| 14878 | <content> | |
| 14879 | Problem (f inding) | |
| 14880 | </content> | |
| 14881 | </td> | |
| 14882 | <td> | |
| 14883 | <content> | |
| 14884 | 11/03/2011 12:00:00 AM EDT - 0 8/28/2013 12:00:00 A M EDT | |
| 14885 | </content> | |
| 14886 | </td> | |
| 14887 | <td> | |
| 14888 | <content> | |
| 14889 | ECMC | |
| 14890 | </content> | |
| 14891 | </td> | |
| 14892 | </tr> | |
| 14893 | <tr> | |
| 14894 | <td> | |
| 14895 | <content> | |
| 14896 | 62315008 | |
| 14897 | </content> | |
| 14898 | </td> | |
| 14899 | <td> | |
| 14900 | <content> | |
| 14901 | Diarrhea ( finding) | |
| 14902 | </content> | |
| 14903 | </td> | |
| 14904 | <td> | |
| 14905 | <content | |
| 14906 | ID="Condit ion-Proble m-Descript ion-6" | |
| 14907 | > | |
| 14908 | Diarrhea | |
| 14909 | </content> | |
| 14910 | </td> | |
| 14911 | <td> | |
| 14912 | <content> | |
| 14913 | Problem (f inding) | |
| 14914 | </content> | |
| 14915 | </td> | |
| 14916 | <td> | |
| 14917 | <content> | |
| 14918 | 10/25/2011 12:00:00 AM EDT - 0 8/28/2013 12:00:00 A M EDT | |
| 14919 | </content> | |
| 14920 | </td> | |
| 14921 | <td> | |
| 14922 | <content> | |
| 14923 | ECMC | |
| 14924 | </content> | |
| 14925 | </td> | |
| 14926 | </tr> | |
| 14927 | <tr> | |
| 14928 | <td> | |
| 14929 | <content> | |
| 14930 | 271795006 | |
| 14931 | </content> | |
| 14932 | </td> | |
| 14933 | <td> | |
| 14934 | <content> | |
| 14935 | Malaise an d fatigue (finding) | |
| 14936 | </content> | |
| 14937 | </td> | |
| 14938 | <td> | |
| 14939 | <content | |
| 14940 | ID="Condit ion-Proble m-Descript ion-7" | |
| 14941 | > | |
| 14942 | Malaise an d fatigue | |
| 14943 | </content> | |
| 14944 | </td> | |
| 14945 | <td> | |
| 14946 | <content> | |
| 14947 | Problem (f inding) | |
| 14948 | </content> | |
| 14949 | </td> | |
| 14950 | <td> | |
| 14951 | <content> | |
| 14952 | 10/25/2011 12:00:00 AM EDT - 0 8/28/2013 12:00:00 A M EDT | |
| 14953 | </content> | |
| 14954 | </td> | |
| 14955 | <td> | |
| 14956 | <content> | |
| 14957 | ECMC | |
| 14958 | </content> | |
| 14959 | </td> | |
| 14960 | </tr> | |
| 14961 | </tbody> | |
| 14962 | </table> | |
| 14963 | </text> | |
| 14964 | ||
| 14965 | <entry> | |
| 14966 | ||
| 14967 | <act | |
| 14968 | classCode= "ACT" | |
| 14969 | moodCode=" EVN" | |
| 14970 | negationIn d="false" | |
| 14971 | > | |
| 14972 | ||
| 14973 | <templateI d | |
| 14974 | root="2.16 .840.1.113 883.3.88.1 1.83.7" | |
| 14975 | /> | |
| 14976 | ||
| 14977 | <templateI d | |
| 14978 | root="2.16 .840.1.113 883. IP " | |
| 14979 | /> | |
| 14980 | ||
| 14981 | <templateI d | |
| 14982 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1" | |
| 14983 | /> | |
| 14984 | ||
| 14985 | <templateI d | |
| 14986 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2" | |
| 14987 | /> | |
| 14988 | ||
| 14989 | <id | |
| 14990 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 14991 | extension= "144173" | |
| 14992 | /> | |
| 14993 | ||
| 14994 | <code | |
| 14995 | nullFlavor ="NA" | |
| 14996 | /> | |
| 14997 | ||
| 14998 | <text/> | |
| 14999 | ||
| 15000 | <statusCod e | |
| 15001 | nullFlavor ="UNK" | |
| 15002 | /> | |
| 15003 | ||
| 15004 | <effective Time> | |
| 15005 | ||
| 15006 | <low | |
| 15007 | nullFlavor ="NA" | |
| 15008 | /> | |
| 15009 | ||
| 15010 | </effectiv eTime> | |
| 15011 | ||
| 15012 | <author> | |
| 15013 | ||
| 15014 | <time | |
| 15015 | nullFlavor ="UNK" | |
| 15016 | /> | |
| 15017 | ||
| 15018 | <assignedA uthor> | |
| 15019 | ||
| 15020 | <id | |
| 15021 | nullFlavor ="UNK" | |
| 15022 | /> | |
| 15023 | ||
| 15024 | <addr | |
| 15025 | nullFlavor ="UNK" | |
| 15026 | /> | |
| 15027 | ||
| 15028 | <telecom | |
| 15029 | nullFlavor ="UNK" | |
| 15030 | /> | |
| 15031 | ||
| 15032 | <assignedP erson> | |
| 15033 | ||
| 15034 | <name | |
| 15035 | nullFlavor ="NA" | |
| 15036 | /> | |
| 15037 | ||
| 15038 | </assigned Person> | |
| 15039 | ||
| 15040 | </assigned Author> | |
| 15041 | ||
| 15042 | </author> | |
| 15043 | ||
| 15044 | <informant > | |
| 15045 | ||
| 15046 | <assignedE ntity> | |
| 15047 | ||
| 15048 | <id | |
| 15049 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15050 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 15051 | /> | |
| 15052 | ||
| 15053 | <addr | |
| 15054 | nullFlavor ="UNK" | |
| 15055 | /> | |
| 15056 | ||
| 15057 | <telecom | |
| 15058 | nullFlavor ="UNK" | |
| 15059 | /> | |
| 15060 | ||
| 15061 | <assignedP erson> | |
| 15062 | ||
| 15063 | <name | |
| 15064 | nullFlavor ="UNK" | |
| 15065 | /> | |
| 15066 | ||
| 15067 | </assigned Person> | |
| 15068 | ||
| 15069 | <represent edOrganiza tion> | |
| 15070 | ||
| 15071 | <id | |
| 15072 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15073 | extension= "ECMC" | |
| 15074 | /> | |
| 15075 | ||
| 15076 | <name> | |
| 15077 | ECMC | |
| 15078 | </name> | |
| 15079 | ||
| 15080 | <telecom | |
| 15081 | nullFlavor ="UNK" | |
| 15082 | /> | |
| 15083 | ||
| 15084 | <addr | |
| 15085 | nullFlavor ="UNK" | |
| 15086 | /> | |
| 15087 | ||
| 15088 | </represen tedOrganiz ation> | |
| 15089 | ||
| 15090 | </assigned Entity> | |
| 15091 | ||
| 15092 | </informan t> | |
| 15093 | ||
| 15094 | <entryRela tionship | |
| 15095 | typeCode=" SUBJ" | |
| 15096 | inversionI nd="false" | |
| 15097 | > | |
| 15098 | ||
| 15099 | <observati on | |
| 15100 | classCode= "OBS" | |
| 15101 | moodCode=" EVN" | |
| 15102 | negationIn d="false" | |
| 15103 | > | |
| 15104 | ||
| 15105 | <templateI d | |
| 15106 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5" | |
| 15107 | /> | |
| 15108 | ||
| 15109 | <templateI d | |
| 15110 | root="2.16 .840.1.113 883. IP " | |
| 15111 | /> | |
| 15112 | ||
| 15113 | <id | |
| 15114 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15115 | extension= "144173" | |
| 15116 | /> | |
| 15117 | ||
| 15118 | <code | |
| 15119 | code="5560 7006" | |
| 15120 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15121 | codeSystem Name="SNOM ED" | |
| 15122 | displayNam e="Problem (finding) " | |
| 15123 | > | |
| 15124 | ||
| 15125 | <translati on | |
| 15126 | code="5560 7006" | |
| 15127 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15128 | codeSystem Name="SNOM ED CT" | |
| 15129 | displayNam e="Problem " | |
| 15130 | /> | |
| 15131 | ||
| 15132 | </code> | |
| 15133 | ||
| 15134 | <text> | |
| 15135 | Allergic r hinitis | |
| 15136 | <reference | |
| 15137 | value="#Co ndition-Pr oblem-Desc ription-1" | |
| 15138 | /> | |
| 15139 | </text> | |
| 15140 | ||
| 15141 | <statusCod e | |
| 15142 | code="comp leted" | |
| 15143 | /> | |
| 15144 | ||
| 15145 | <effective Time> | |
| 15146 | ||
| 15147 | <low | |
| 15148 | value="201 3010200000 0-0500" | |
| 15149 | /> | |
| 15150 | ||
| 15151 | <high | |
| 15152 | value="201 3082800000 0-0400" | |
| 15153 | /> | |
| 15154 | ||
| 15155 | </effectiv eTime> | |
| 15156 | ||
| 15157 | <value | |
| 15158 | xsi:type=" CD" | |
| 15159 | code="6158 2004" | |
| 15160 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15161 | codeSystem Name="SNOM ED" | |
| 15162 | displayNam e="Allergi c rhinitis (disorder )" | |
| 15163 | > | |
| 15164 | ||
| 15165 | <translati on | |
| 15166 | code="6158 2004" | |
| 15167 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15168 | codeSystem Name="SNOM ED CT" | |
| 15169 | displayNam e="Allergi c rhinitis " | |
| 15170 | /> | |
| 15171 | ||
| 15172 | </value> | |
| 15173 | ||
| 15174 | </observat ion> | |
| 15175 | ||
| 15176 | </entryRel ationship> | |
| 15177 | ||
| 15178 | </act> | |
| 15179 | ||
| 15180 | </entry> | |
| 15181 | ||
| 15182 | <entry> | |
| 15183 | ||
| 15184 | <act | |
| 15185 | classCode= "ACT" | |
| 15186 | moodCode=" EVN" | |
| 15187 | negationIn d="false" | |
| 15188 | > | |
| 15189 | ||
| 15190 | <templateI d | |
| 15191 | root="2.16 .840.1.113 883.3.88.1 1.83.7" | |
| 15192 | /> | |
| 15193 | ||
| 15194 | <templateI d | |
| 15195 | root="2.16 .840.1.113 883. IP " | |
| 15196 | /> | |
| 15197 | ||
| 15198 | <templateI d | |
| 15199 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1" | |
| 15200 | /> | |
| 15201 | ||
| 15202 | <templateI d | |
| 15203 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2" | |
| 15204 | /> | |
| 15205 | ||
| 15206 | <id | |
| 15207 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15208 | extension= "141060" | |
| 15209 | /> | |
| 15210 | ||
| 15211 | <code | |
| 15212 | nullFlavor ="NA" | |
| 15213 | /> | |
| 15214 | ||
| 15215 | <text/> | |
| 15216 | ||
| 15217 | <statusCod e | |
| 15218 | nullFlavor ="UNK" | |
| 15219 | /> | |
| 15220 | ||
| 15221 | <effective Time> | |
| 15222 | ||
| 15223 | <low | |
| 15224 | nullFlavor ="NA" | |
| 15225 | /> | |
| 15226 | ||
| 15227 | </effectiv eTime> | |
| 15228 | ||
| 15229 | <author> | |
| 15230 | ||
| 15231 | <time | |
| 15232 | nullFlavor ="UNK" | |
| 15233 | /> | |
| 15234 | ||
| 15235 | <assignedA uthor> | |
| 15236 | ||
| 15237 | <id | |
| 15238 | nullFlavor ="UNK" | |
| 15239 | /> | |
| 15240 | ||
| 15241 | <addr | |
| 15242 | nullFlavor ="UNK" | |
| 15243 | /> | |
| 15244 | ||
| 15245 | <telecom | |
| 15246 | nullFlavor ="UNK" | |
| 15247 | /> | |
| 15248 | ||
| 15249 | <assignedP erson> | |
| 15250 | ||
| 15251 | <name | |
| 15252 | nullFlavor ="NA" | |
| 15253 | /> | |
| 15254 | ||
| 15255 | </assigned Person> | |
| 15256 | ||
| 15257 | </assigned Author> | |
| 15258 | ||
| 15259 | </author> | |
| 15260 | ||
| 15261 | <informant > | |
| 15262 | ||
| 15263 | <assignedE ntity> | |
| 15264 | ||
| 15265 | <id | |
| 15266 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15267 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 15268 | /> | |
| 15269 | ||
| 15270 | <addr | |
| 15271 | nullFlavor ="UNK" | |
| 15272 | /> | |
| 15273 | ||
| 15274 | <telecom | |
| 15275 | nullFlavor ="UNK" | |
| 15276 | /> | |
| 15277 | ||
| 15278 | <assignedP erson> | |
| 15279 | ||
| 15280 | <name | |
| 15281 | nullFlavor ="UNK" | |
| 15282 | /> | |
| 15283 | ||
| 15284 | </assigned Person> | |
| 15285 | ||
| 15286 | <represent edOrganiza tion> | |
| 15287 | ||
| 15288 | <id | |
| 15289 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15290 | extension= "ECMC" | |
| 15291 | /> | |
| 15292 | ||
| 15293 | <name> | |
| 15294 | ECMC | |
| 15295 | </name> | |
| 15296 | ||
| 15297 | <telecom | |
| 15298 | nullFlavor ="UNK" | |
| 15299 | /> | |
| 15300 | ||
| 15301 | <addr | |
| 15302 | nullFlavor ="UNK" | |
| 15303 | /> | |
| 15304 | ||
| 15305 | </represen tedOrganiz ation> | |
| 15306 | ||
| 15307 | </assigned Entity> | |
| 15308 | ||
| 15309 | </informan t> | |
| 15310 | ||
| 15311 | <entryRela tionship | |
| 15312 | typeCode=" SUBJ" | |
| 15313 | inversionI nd="false" | |
| 15314 | > | |
| 15315 | ||
| 15316 | <observati on | |
| 15317 | classCode= "OBS" | |
| 15318 | moodCode=" EVN" | |
| 15319 | negationIn d="false" | |
| 15320 | > | |
| 15321 | ||
| 15322 | <templateI d | |
| 15323 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5" | |
| 15324 | /> | |
| 15325 | ||
| 15326 | <templateI d | |
| 15327 | root="2.16 .840.1.113 883. IP " | |
| 15328 | /> | |
| 15329 | ||
| 15330 | <id | |
| 15331 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15332 | extension= "141060" | |
| 15333 | /> | |
| 15334 | ||
| 15335 | <code | |
| 15336 | code="5560 7006" | |
| 15337 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15338 | codeSystem Name="SNOM ED" | |
| 15339 | displayNam e="Problem (finding) " | |
| 15340 | > | |
| 15341 | ||
| 15342 | <translati on | |
| 15343 | code="5560 7006" | |
| 15344 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15345 | codeSystem Name="SNOM ED CT" | |
| 15346 | displayNam e="Problem " | |
| 15347 | /> | |
| 15348 | ||
| 15349 | </code> | |
| 15350 | ||
| 15351 | <text> | |
| 15352 | Acute maxi llary sinu sitis | |
| 15353 | <reference | |
| 15354 | value="#Co ndition-Pr oblem-Desc ription-2" | |
| 15355 | /> | |
| 15356 | </text> | |
| 15357 | ||
| 15358 | <statusCod e | |
| 15359 | code="comp leted" | |
| 15360 | /> | |
| 15361 | ||
| 15362 | <effective Time> | |
| 15363 | ||
| 15364 | <low | |
| 15365 | value="201 2112700000 0-0500" | |
| 15366 | /> | |
| 15367 | ||
| 15368 | <high | |
| 15369 | value="201 3082800000 0-0400" | |
| 15370 | /> | |
| 15371 | ||
| 15372 | </effectiv eTime> | |
| 15373 | ||
| 15374 | <value | |
| 15375 | xsi:type=" CD" | |
| 15376 | code="6827 2006" | |
| 15377 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15378 | codeSystem Name="SNOM ED" | |
| 15379 | displayNam e="Acute m axillary s inusitis ( disorder)" | |
| 15380 | > | |
| 15381 | ||
| 15382 | <translati on | |
| 15383 | code="6827 2006" | |
| 15384 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15385 | codeSystem Name="SNOM ED CT" | |
| 15386 | displayNam e="Acute m axillary s inusitis" | |
| 15387 | /> | |
| 15388 | ||
| 15389 | </value> | |
| 15390 | ||
| 15391 | </observat ion> | |
| 15392 | ||
| 15393 | </entryRel ationship> | |
| 15394 | ||
| 15395 | </act> | |
| 15396 | ||
| 15397 | </entry> | |
| 15398 | ||
| 15399 | <entry> | |
| 15400 | ||
| 15401 | <act | |
| 15402 | classCode= "ACT" | |
| 15403 | moodCode=" EVN" | |
| 15404 | negationIn d="false" | |
| 15405 | > | |
| 15406 | ||
| 15407 | <templateI d | |
| 15408 | root="2.16 .840.1.113 883.3.88.1 1.83.7" | |
| 15409 | /> | |
| 15410 | ||
| 15411 | <templateI d | |
| 15412 | root="2.16 .840.1.113 883. IP " | |
| 15413 | /> | |
| 15414 | ||
| 15415 | <templateI d | |
| 15416 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1" | |
| 15417 | /> | |
| 15418 | ||
| 15419 | <templateI d | |
| 15420 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2" | |
| 15421 | /> | |
| 15422 | ||
| 15423 | <id | |
| 15424 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15425 | extension= "141162" | |
| 15426 | /> | |
| 15427 | ||
| 15428 | <code | |
| 15429 | nullFlavor ="NA" | |
| 15430 | /> | |
| 15431 | ||
| 15432 | <text/> | |
| 15433 | ||
| 15434 | <statusCod e | |
| 15435 | nullFlavor ="UNK" | |
| 15436 | /> | |
| 15437 | ||
| 15438 | <effective Time> | |
| 15439 | ||
| 15440 | <low | |
| 15441 | nullFlavor ="NA" | |
| 15442 | /> | |
| 15443 | ||
| 15444 | </effectiv eTime> | |
| 15445 | ||
| 15446 | <author> | |
| 15447 | ||
| 15448 | <time | |
| 15449 | nullFlavor ="UNK" | |
| 15450 | /> | |
| 15451 | ||
| 15452 | <assignedA uthor> | |
| 15453 | ||
| 15454 | <id | |
| 15455 | nullFlavor ="UNK" | |
| 15456 | /> | |
| 15457 | ||
| 15458 | <addr | |
| 15459 | nullFlavor ="UNK" | |
| 15460 | /> | |
| 15461 | ||
| 15462 | <telecom | |
| 15463 | nullFlavor ="UNK" | |
| 15464 | /> | |
| 15465 | ||
| 15466 | <assignedP erson> | |
| 15467 | ||
| 15468 | <name | |
| 15469 | nullFlavor ="NA" | |
| 15470 | /> | |
| 15471 | ||
| 15472 | </assigned Person> | |
| 15473 | ||
| 15474 | </assigned Author> | |
| 15475 | ||
| 15476 | </author> | |
| 15477 | ||
| 15478 | <informant > | |
| 15479 | ||
| 15480 | <assignedE ntity> | |
| 15481 | ||
| 15482 | <id | |
| 15483 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15484 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 15485 | /> | |
| 15486 | ||
| 15487 | <addr | |
| 15488 | nullFlavor ="UNK" | |
| 15489 | /> | |
| 15490 | ||
| 15491 | <telecom | |
| 15492 | nullFlavor ="UNK" | |
| 15493 | /> | |
| 15494 | ||
| 15495 | <assignedP erson> | |
| 15496 | ||
| 15497 | <name | |
| 15498 | nullFlavor ="UNK" | |
| 15499 | /> | |
| 15500 | ||
| 15501 | </assigned Person> | |
| 15502 | ||
| 15503 | <represent edOrganiza tion> | |
| 15504 | ||
| 15505 | <id | |
| 15506 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15507 | extension= "ECMC" | |
| 15508 | /> | |
| 15509 | ||
| 15510 | <name> | |
| 15511 | ECMC | |
| 15512 | </name> | |
| 15513 | ||
| 15514 | <telecom | |
| 15515 | nullFlavor ="UNK" | |
| 15516 | /> | |
| 15517 | ||
| 15518 | <addr | |
| 15519 | nullFlavor ="UNK" | |
| 15520 | /> | |
| 15521 | ||
| 15522 | </represen tedOrganiz ation> | |
| 15523 | ||
| 15524 | </assigned Entity> | |
| 15525 | ||
| 15526 | </informan t> | |
| 15527 | ||
| 15528 | <entryRela tionship | |
| 15529 | typeCode=" SUBJ" | |
| 15530 | inversionI nd="false" | |
| 15531 | > | |
| 15532 | ||
| 15533 | <observati on | |
| 15534 | classCode= "OBS" | |
| 15535 | moodCode=" EVN" | |
| 15536 | negationIn d="false" | |
| 15537 | > | |
| 15538 | ||
| 15539 | <templateI d | |
| 15540 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5" | |
| 15541 | /> | |
| 15542 | ||
| 15543 | <templateI d | |
| 15544 | root="2.16 .840.1.113 883. IP " | |
| 15545 | /> | |
| 15546 | ||
| 15547 | <id | |
| 15548 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15549 | extension= "141162" | |
| 15550 | /> | |
| 15551 | ||
| 15552 | <code | |
| 15553 | code="5560 7006" | |
| 15554 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15555 | codeSystem Name="SNOM ED" | |
| 15556 | displayNam e="Problem (finding) " | |
| 15557 | > | |
| 15558 | ||
| 15559 | <translati on | |
| 15560 | code="5560 7006" | |
| 15561 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15562 | codeSystem Name="SNOM ED CT" | |
| 15563 | displayNam e="Problem " | |
| 15564 | /> | |
| 15565 | ||
| 15566 | </code> | |
| 15567 | ||
| 15568 | <text> | |
| 15569 | Acute uppe r respirat ory infect ion | |
| 15570 | <reference | |
| 15571 | value="#Co ndition-Pr oblem-Desc ription-3" | |
| 15572 | /> | |
| 15573 | </text> | |
| 15574 | ||
| 15575 | <statusCod e | |
| 15576 | code="comp leted" | |
| 15577 | /> | |
| 15578 | ||
| 15579 | <effective Time> | |
| 15580 | ||
| 15581 | <low | |
| 15582 | value="201 2112700000 0-0500" | |
| 15583 | /> | |
| 15584 | ||
| 15585 | <high | |
| 15586 | value="201 3082800000 0-0400" | |
| 15587 | /> | |
| 15588 | ||
| 15589 | </effectiv eTime> | |
| 15590 | ||
| 15591 | <value | |
| 15592 | xsi:type=" CD" | |
| 15593 | code="5439 8005" | |
| 15594 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15595 | codeSystem Name="SNOM ED" | |
| 15596 | displayNam e="Acute u pper respi ratory inf ection (di sorder)" | |
| 15597 | > | |
| 15598 | ||
| 15599 | <translati on | |
| 15600 | code="5439 8005" | |
| 15601 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15602 | codeSystem Name="SNOM ED CT" | |
| 15603 | displayNam e="Acute u pper respi ratory inf ection" | |
| 15604 | /> | |
| 15605 | ||
| 15606 | </value> | |
| 15607 | ||
| 15608 | </observat ion> | |
| 15609 | ||
| 15610 | </entryRel ationship> | |
| 15611 | ||
| 15612 | </act> | |
| 15613 | ||
| 15614 | </entry> | |
| 15615 | ||
| 15616 | <entry> | |
| 15617 | ||
| 15618 | <act | |
| 15619 | classCode= "ACT" | |
| 15620 | moodCode=" EVN" | |
| 15621 | negationIn d="false" | |
| 15622 | > | |
| 15623 | ||
| 15624 | <templateI d | |
| 15625 | root="2.16 .840.1.113 883.3.88.1 1.83.7" | |
| 15626 | /> | |
| 15627 | ||
| 15628 | <templateI d | |
| 15629 | root="2.16 .840.1.113 883. IP " | |
| 15630 | /> | |
| 15631 | ||
| 15632 | <templateI d | |
| 15633 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1" | |
| 15634 | /> | |
| 15635 | ||
| 15636 | <templateI d | |
| 15637 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2" | |
| 15638 | /> | |
| 15639 | ||
| 15640 | <id | |
| 15641 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15642 | extension= "113359" | |
| 15643 | /> | |
| 15644 | ||
| 15645 | <code | |
| 15646 | nullFlavor ="NA" | |
| 15647 | /> | |
| 15648 | ||
| 15649 | <text/> | |
| 15650 | ||
| 15651 | <statusCod e | |
| 15652 | nullFlavor ="UNK" | |
| 15653 | /> | |
| 15654 | ||
| 15655 | <effective Time> | |
| 15656 | ||
| 15657 | <low | |
| 15658 | nullFlavor ="NA" | |
| 15659 | /> | |
| 15660 | ||
| 15661 | </effectiv eTime> | |
| 15662 | ||
| 15663 | <author> | |
| 15664 | ||
| 15665 | <time | |
| 15666 | nullFlavor ="UNK" | |
| 15667 | /> | |
| 15668 | ||
| 15669 | <assignedA uthor> | |
| 15670 | ||
| 15671 | <id | |
| 15672 | nullFlavor ="UNK" | |
| 15673 | /> | |
| 15674 | ||
| 15675 | <addr | |
| 15676 | nullFlavor ="UNK" | |
| 15677 | /> | |
| 15678 | ||
| 15679 | <telecom | |
| 15680 | nullFlavor ="UNK" | |
| 15681 | /> | |
| 15682 | ||
| 15683 | <assignedP erson> | |
| 15684 | ||
| 15685 | <name | |
| 15686 | nullFlavor ="NA" | |
| 15687 | /> | |
| 15688 | ||
| 15689 | </assigned Person> | |
| 15690 | ||
| 15691 | </assigned Author> | |
| 15692 | ||
| 15693 | </author> | |
| 15694 | ||
| 15695 | <informant > | |
| 15696 | ||
| 15697 | <assignedE ntity> | |
| 15698 | ||
| 15699 | <id | |
| 15700 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15701 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 15702 | /> | |
| 15703 | ||
| 15704 | <addr | |
| 15705 | nullFlavor ="UNK" | |
| 15706 | /> | |
| 15707 | ||
| 15708 | <telecom | |
| 15709 | nullFlavor ="UNK" | |
| 15710 | /> | |
| 15711 | ||
| 15712 | <assignedP erson> | |
| 15713 | ||
| 15714 | <name | |
| 15715 | nullFlavor ="UNK" | |
| 15716 | /> | |
| 15717 | ||
| 15718 | </assigned Person> | |
| 15719 | ||
| 15720 | <represent edOrganiza tion> | |
| 15721 | ||
| 15722 | <id | |
| 15723 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15724 | extension= "ECMC" | |
| 15725 | /> | |
| 15726 | ||
| 15727 | <name> | |
| 15728 | ECMC | |
| 15729 | </name> | |
| 15730 | ||
| 15731 | <telecom | |
| 15732 | nullFlavor ="UNK" | |
| 15733 | /> | |
| 15734 | ||
| 15735 | <addr | |
| 15736 | nullFlavor ="UNK" | |
| 15737 | /> | |
| 15738 | ||
| 15739 | </represen tedOrganiz ation> | |
| 15740 | ||
| 15741 | </assigned Entity> | |
| 15742 | ||
| 15743 | </informan t> | |
| 15744 | ||
| 15745 | <entryRela tionship | |
| 15746 | typeCode=" SUBJ" | |
| 15747 | inversionI nd="false" | |
| 15748 | > | |
| 15749 | ||
| 15750 | <observati on | |
| 15751 | classCode= "OBS" | |
| 15752 | moodCode=" EVN" | |
| 15753 | negationIn d="false" | |
| 15754 | > | |
| 15755 | ||
| 15756 | <templateI d | |
| 15757 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5" | |
| 15758 | /> | |
| 15759 | ||
| 15760 | <templateI d | |
| 15761 | root="2.16 .840.1.113 883. IP " | |
| 15762 | /> | |
| 15763 | ||
| 15764 | <id | |
| 15765 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15766 | extension= "113359" | |
| 15767 | /> | |
| 15768 | ||
| 15769 | <code | |
| 15770 | code="5560 7006" | |
| 15771 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15772 | codeSystem Name="SNOM ED" | |
| 15773 | displayNam e="Problem (finding) " | |
| 15774 | > | |
| 15775 | ||
| 15776 | <translati on | |
| 15777 | code="5560 7006" | |
| 15778 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15779 | codeSystem Name="SNOM ED CT" | |
| 15780 | displayNam e="Problem " | |
| 15781 | /> | |
| 15782 | ||
| 15783 | </code> | |
| 15784 | ||
| 15785 | <text> | |
| 15786 | Gastroduod enitis | |
| 15787 | <reference | |
| 15788 | value="#Co ndition-Pr oblem-Desc ription-4" | |
| 15789 | /> | |
| 15790 | </text> | |
| 15791 | ||
| 15792 | <statusCod e | |
| 15793 | code="comp leted" | |
| 15794 | /> | |
| 15795 | ||
| 15796 | <effective Time> | |
| 15797 | ||
| 15798 | <low | |
| 15799 | value="201 2032600000 0-0400" | |
| 15800 | /> | |
| 15801 | ||
| 15802 | <high | |
| 15803 | value="201 3082800000 0-0400" | |
| 15804 | /> | |
| 15805 | ||
| 15806 | </effectiv eTime> | |
| 15807 | ||
| 15808 | <value | |
| 15809 | xsi:type=" CD" | |
| 15810 | code="1967 31005" | |
| 15811 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15812 | codeSystem Name="SNOM ED" | |
| 15813 | displayNam e="Gastrod uodenitis (disorder) " | |
| 15814 | > | |
| 15815 | ||
| 15816 | <translati on | |
| 15817 | code="1967 31005" | |
| 15818 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15819 | codeSystem Name="SNOM ED CT" | |
| 15820 | displayNam e="Gastrod uodenitis" | |
| 15821 | /> | |
| 15822 | ||
| 15823 | </value> | |
| 15824 | ||
| 15825 | </observat ion> | |
| 15826 | ||
| 15827 | </entryRel ationship> | |
| 15828 | ||
| 15829 | </act> | |
| 15830 | ||
| 15831 | </entry> | |
| 15832 | ||
| 15833 | <entry> | |
| 15834 | ||
| 15835 | <act | |
| 15836 | classCode= "ACT" | |
| 15837 | moodCode=" EVN" | |
| 15838 | negationIn d="false" | |
| 15839 | > | |
| 15840 | ||
| 15841 | <templateI d | |
| 15842 | root="2.16 .840.1.113 883.3.88.1 1.83.7" | |
| 15843 | /> | |
| 15844 | ||
| 15845 | <templateI d | |
| 15846 | root="2.16 .840.1.113 883. IP " | |
| 15847 | /> | |
| 15848 | ||
| 15849 | <templateI d | |
| 15850 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1" | |
| 15851 | /> | |
| 15852 | ||
| 15853 | <templateI d | |
| 15854 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2" | |
| 15855 | /> | |
| 15856 | ||
| 15857 | <id | |
| 15858 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15859 | extension= "95475" | |
| 15860 | /> | |
| 15861 | ||
| 15862 | <code | |
| 15863 | nullFlavor ="NA" | |
| 15864 | /> | |
| 15865 | ||
| 15866 | <text/> | |
| 15867 | ||
| 15868 | <statusCod e | |
| 15869 | nullFlavor ="UNK" | |
| 15870 | /> | |
| 15871 | ||
| 15872 | <effective Time> | |
| 15873 | ||
| 15874 | <low | |
| 15875 | nullFlavor ="NA" | |
| 15876 | /> | |
| 15877 | ||
| 15878 | </effectiv eTime> | |
| 15879 | ||
| 15880 | <author> | |
| 15881 | ||
| 15882 | <time | |
| 15883 | nullFlavor ="UNK" | |
| 15884 | /> | |
| 15885 | ||
| 15886 | <assignedA uthor> | |
| 15887 | ||
| 15888 | <id | |
| 15889 | nullFlavor ="UNK" | |
| 15890 | /> | |
| 15891 | ||
| 15892 | <addr | |
| 15893 | nullFlavor ="UNK" | |
| 15894 | /> | |
| 15895 | ||
| 15896 | <telecom | |
| 15897 | nullFlavor ="UNK" | |
| 15898 | /> | |
| 15899 | ||
| 15900 | <assignedP erson> | |
| 15901 | ||
| 15902 | <name | |
| 15903 | nullFlavor ="NA" | |
| 15904 | /> | |
| 15905 | ||
| 15906 | </assigned Person> | |
| 15907 | ||
| 15908 | </assigned Author> | |
| 15909 | ||
| 15910 | </author> | |
| 15911 | ||
| 15912 | <informant > | |
| 15913 | ||
| 15914 | <assignedE ntity> | |
| 15915 | ||
| 15916 | <id | |
| 15917 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15918 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 15919 | /> | |
| 15920 | ||
| 15921 | <addr | |
| 15922 | nullFlavor ="UNK" | |
| 15923 | /> | |
| 15924 | ||
| 15925 | <telecom | |
| 15926 | nullFlavor ="UNK" | |
| 15927 | /> | |
| 15928 | ||
| 15929 | <assignedP erson> | |
| 15930 | ||
| 15931 | <name | |
| 15932 | nullFlavor ="UNK" | |
| 15933 | /> | |
| 15934 | ||
| 15935 | </assigned Person> | |
| 15936 | ||
| 15937 | <represent edOrganiza tion> | |
| 15938 | ||
| 15939 | <id | |
| 15940 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15941 | extension= "ECMC" | |
| 15942 | /> | |
| 15943 | ||
| 15944 | <name> | |
| 15945 | ECMC | |
| 15946 | </name> | |
| 15947 | ||
| 15948 | <telecom | |
| 15949 | nullFlavor ="UNK" | |
| 15950 | /> | |
| 15951 | ||
| 15952 | <addr | |
| 15953 | nullFlavor ="UNK" | |
| 15954 | /> | |
| 15955 | ||
| 15956 | </represen tedOrganiz ation> | |
| 15957 | ||
| 15958 | </assigned Entity> | |
| 15959 | ||
| 15960 | </informan t> | |
| 15961 | ||
| 15962 | <entryRela tionship | |
| 15963 | typeCode=" SUBJ" | |
| 15964 | inversionI nd="false" | |
| 15965 | > | |
| 15966 | ||
| 15967 | <observati on | |
| 15968 | classCode= "OBS" | |
| 15969 | moodCode=" EVN" | |
| 15970 | negationIn d="false" | |
| 15971 | > | |
| 15972 | ||
| 15973 | <templateI d | |
| 15974 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5" | |
| 15975 | /> | |
| 15976 | ||
| 15977 | <templateI d | |
| 15978 | root="2.16 .840.1.113 883. IP " | |
| 15979 | /> | |
| 15980 | ||
| 15981 | <id | |
| 15982 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 15983 | extension= "95475" | |
| 15984 | /> | |
| 15985 | ||
| 15986 | <code | |
| 15987 | code="5560 7006" | |
| 15988 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15989 | codeSystem Name="SNOM ED" | |
| 15990 | displayNam e="Problem (finding) " | |
| 15991 | > | |
| 15992 | ||
| 15993 | <translati on | |
| 15994 | code="5560 7006" | |
| 15995 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15996 | codeSystem Name="SNOM ED CT" | |
| 15997 | displayNam e="Problem " | |
| 15998 | /> | |
| 15999 | ||
| 16000 | </code> | |
| 16001 | ||
| 16002 | <text> | |
| 16003 | Generalize d abdomina l tenderne ss | |
| 16004 | <reference | |
| 16005 | value="#Co ndition-Pr oblem-Desc ription-5" | |
| 16006 | /> | |
| 16007 | </text> | |
| 16008 | ||
| 16009 | <statusCod e | |
| 16010 | code="comp leted" | |
| 16011 | /> | |
| 16012 | ||
| 16013 | <effective Time> | |
| 16014 | ||
| 16015 | <low | |
| 16016 | value="201 1110300000 0-0400" | |
| 16017 | /> | |
| 16018 | ||
| 16019 | <high | |
| 16020 | value="201 3082800000 0-0400" | |
| 16021 | /> | |
| 16022 | ||
| 16023 | </effectiv eTime> | |
| 16024 | ||
| 16025 | <value | |
| 16026 | xsi:type=" CD" | |
| 16027 | code="4402 20007" | |
| 16028 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 16029 | codeSystem Name="SNOM ED" | |
| 16030 | displayNam e="General ized abdom inal tende rness (fin ding)" | |
| 16031 | > | |
| 16032 | ||
| 16033 | <translati on | |
| 16034 | code="4402 20007" | |
| 16035 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 16036 | codeSystem Name="SNOM ED CT" | |
| 16037 | displayNam e="General ized abdom inal tende rness" | |
| 16038 | /> | |
| 16039 | ||
| 16040 | </value> | |
| 16041 | ||
| 16042 | </observat ion> | |
| 16043 | ||
| 16044 | </entryRel ationship> | |
| 16045 | ||
| 16046 | </act> | |
| 16047 | ||
| 16048 | </entry> | |
| 16049 | ||
| 16050 | <entry> | |
| 16051 | ||
| 16052 | <act | |
| 16053 | classCode= "ACT" | |
| 16054 | moodCode=" EVN" | |
| 16055 | negationIn d="false" | |
| 16056 | > | |
| 16057 | ||
| 16058 | <templateI d | |
| 16059 | root="2.16 .840.1.113 883.3.88.1 1.83.7" | |
| 16060 | /> | |
| 16061 | ||
| 16062 | <templateI d | |
| 16063 | root="2.16 .840.1.113 883. IP " | |
| 16064 | /> | |
| 16065 | ||
| 16066 | <templateI d | |
| 16067 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1" | |
| 16068 | /> | |
| 16069 | ||
| 16070 | <templateI d | |
| 16071 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2" | |
| 16072 | /> | |
| 16073 | ||
| 16074 | <id | |
| 16075 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 16076 | extension= "94075" | |
| 16077 | /> | |
| 16078 | ||
| 16079 | <code | |
| 16080 | nullFlavor ="NA" | |
| 16081 | /> | |
| 16082 | ||
| 16083 | <text/> | |
| 16084 | ||
| 16085 | <statusCod e | |
| 16086 | nullFlavor ="UNK" | |
| 16087 | /> | |
| 16088 | ||
| 16089 | <effective Time> | |
| 16090 | ||
| 16091 | <low | |
| 16092 | nullFlavor ="NA" | |
| 16093 | /> | |
| 16094 | ||
| 16095 | </effectiv eTime> | |
| 16096 | ||
| 16097 | <author> | |
| 16098 | ||
| 16099 | <time | |
| 16100 | nullFlavor ="UNK" | |
| 16101 | /> | |
| 16102 | ||
| 16103 | <assignedA uthor> | |
| 16104 | ||
| 16105 | <id | |
| 16106 | nullFlavor ="UNK" | |
| 16107 | /> | |
| 16108 | ||
| 16109 | <addr | |
| 16110 | nullFlavor ="UNK" | |
| 16111 | /> | |
| 16112 | ||
| 16113 | <telecom | |
| 16114 | nullFlavor ="UNK" | |
| 16115 | /> | |
| 16116 | ||
| 16117 | <assignedP erson> | |
| 16118 | ||
| 16119 | <name | |
| 16120 | nullFlavor ="NA" | |
| 16121 | /> | |
| 16122 | ||
| 16123 | </assigned Person> | |
| 16124 | ||
| 16125 | </assigned Author> | |
| 16126 | ||
| 16127 | </author> | |
| 16128 | ||
| 16129 | <informant > | |
| 16130 | ||
| 16131 | <assignedE ntity> | |
| 16132 | ||
| 16133 | <id | |
| 16134 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 16135 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 16136 | /> | |
| 16137 | ||
| 16138 | <addr | |
| 16139 | nullFlavor ="UNK" | |
| 16140 | /> | |
| 16141 | ||
| 16142 | <telecom | |
| 16143 | nullFlavor ="UNK" | |
| 16144 | /> | |
| 16145 | ||
| 16146 | <assignedP erson> | |
| 16147 | ||
| 16148 | <name | |
| 16149 | nullFlavor ="UNK" | |
| 16150 | /> | |
| 16151 | ||
| 16152 | </assigned Person> | |
| 16153 | ||
| 16154 | <represent edOrganiza tion> | |
| 16155 | ||
| 16156 | <id | |
| 16157 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 16158 | extension= "ECMC" | |
| 16159 | /> | |
| 16160 | ||
| 16161 | <name> | |
| 16162 | ECMC | |
| 16163 | </name> | |
| 16164 | ||
| 16165 | <telecom | |
| 16166 | nullFlavor ="UNK" | |
| 16167 | /> | |
| 16168 | ||
| 16169 | <addr | |
| 16170 | nullFlavor ="UNK" | |
| 16171 | /> | |
| 16172 | ||
| 16173 | </represen tedOrganiz ation> | |
| 16174 | ||
| 16175 | </assigned Entity> | |
| 16176 | ||
| 16177 | </informan t> | |
| 16178 | ||
| 16179 | <entryRela tionship | |
| 16180 | typeCode=" SUBJ" | |
| 16181 | inversionI nd="false" | |
| 16182 | > | |
| 16183 | ||
| 16184 | <observati on | |
| 16185 | classCode= "OBS" | |
| 16186 | moodCode=" EVN" | |
| 16187 | negationIn d="false" | |
| 16188 | > | |
| 16189 | ||
| 16190 | <templateI d | |
| 16191 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5" | |
| 16192 | /> | |
| 16193 | ||
| 16194 | <templateI d | |
| 16195 | root="2.16 .840.1.113 883. IP " | |
| 16196 | /> | |
| 16197 | ||
| 16198 | <id | |
| 16199 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 16200 | extension= "94075" | |
| 16201 | /> | |
| 16202 | ||
| 16203 | <code | |
| 16204 | code="5560 7006" | |
| 16205 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 16206 | codeSystem Name="SNOM ED" | |
| 16207 | displayNam e="Problem (finding) " | |
| 16208 | > | |
| 16209 | ||
| 16210 | <translati on | |
| 16211 | code="5560 7006" | |
| 16212 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 16213 | codeSystem Name="SNOM ED CT" | |
| 16214 | displayNam e="Problem " | |
| 16215 | /> | |
| 16216 | ||
| 16217 | </code> | |
| 16218 | ||
| 16219 | <text> | |
| 16220 | Diarrhea | |
| 16221 | <reference | |
| 16222 | value="#Co ndition-Pr oblem-Desc ription-6" | |
| 16223 | /> | |
| 16224 | </text> | |
| 16225 | ||
| 16226 | <statusCod e | |
| 16227 | code="comp leted" | |
| 16228 | /> | |
| 16229 | ||
| 16230 | <effective Time> | |
| 16231 | ||
| 16232 | <low | |
| 16233 | value="201 1102500000 0-0400" | |
| 16234 | /> | |
| 16235 | ||
| 16236 | <high | |
| 16237 | value="201 3082800000 0-0400" | |
| 16238 | /> | |
| 16239 | ||
| 16240 | </effectiv eTime> | |
| 16241 | ||
| 16242 | <value | |
| 16243 | xsi:type=" CD" | |
| 16244 | code="6231 5008" | |
| 16245 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 16246 | codeSystem Name="SNOM ED" | |
| 16247 | displayNam e="Diarrhe a (finding )" | |
| 16248 | > | |
| 16249 | ||
| 16250 | <translati on | |
| 16251 | code="6231 5008" | |
| 16252 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 16253 | codeSystem Name="SNOM ED CT" | |
| 16254 | displayNam e="Diarrhe a" | |
| 16255 | /> | |
| 16256 | ||
| 16257 | </value> | |
| 16258 | ||
| 16259 | </observat ion> | |
| 16260 | ||
| 16261 | </entryRel ationship> | |
| 16262 | ||
| 16263 | </act> | |
| 16264 | ||
| 16265 | </entry> | |
| 16266 | ||
| 16267 | <entry> | |
| 16268 | ||
| 16269 | <act | |
| 16270 | classCode= "ACT" | |
| 16271 | moodCode=" EVN" | |
| 16272 | negationIn d="false" | |
| 16273 | > | |
| 16274 | ||
| 16275 | <templateI d | |
| 16276 | root="2.16 .840.1.113 883.3.88.1 1.83.7" | |
| 16277 | /> | |
| 16278 | ||
| 16279 | <templateI d | |
| 16280 | root="2.16 .840.1.113 883. IP " | |
| 16281 | /> | |
| 16282 | ||
| 16283 | <templateI d | |
| 16284 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1" | |
| 16285 | /> | |
| 16286 | ||
| 16287 | <templateI d | |
| 16288 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2" | |
| 16289 | /> | |
| 16290 | ||
| 16291 | <id | |
| 16292 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 16293 | extension= "94076" | |
| 16294 | /> | |
| 16295 | ||
| 16296 | <code | |
| 16297 | nullFlavor ="NA" | |
| 16298 | /> | |
| 16299 | ||
| 16300 | <text/> | |
| 16301 | ||
| 16302 | <statusCod e | |
| 16303 | nullFlavor ="UNK" | |
| 16304 | /> | |
| 16305 | ||
| 16306 | <effective Time> | |
| 16307 | ||
| 16308 | <low | |
| 16309 | nullFlavor ="NA" | |
| 16310 | /> | |
| 16311 | ||
| 16312 | </effectiv eTime> | |
| 16313 | ||
| 16314 | <author> | |
| 16315 | ||
| 16316 | <time | |
| 16317 | nullFlavor ="UNK" | |
| 16318 | /> | |
| 16319 | ||
| 16320 | <assignedA uthor> | |
| 16321 | ||
| 16322 | <id | |
| 16323 | nullFlavor ="UNK" | |
| 16324 | /> | |
| 16325 | ||
| 16326 | <addr | |
| 16327 | nullFlavor ="UNK" | |
| 16328 | /> | |
| 16329 | ||
| 16330 | <telecom | |
| 16331 | nullFlavor ="UNK" | |
| 16332 | /> | |
| 16333 | ||
| 16334 | <assignedP erson> | |
| 16335 | ||
| 16336 | <name | |
| 16337 | nullFlavor ="NA" | |
| 16338 | /> | |
| 16339 | ||
| 16340 | </assigned Person> | |
| 16341 | ||
| 16342 | </assigned Author> | |
| 16343 | ||
| 16344 | </author> | |
| 16345 | ||
| 16346 | <informant > | |
| 16347 | ||
| 16348 | <assignedE ntity> | |
| 16349 | ||
| 16350 | <id | |
| 16351 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 16352 | extension= "2.16.840. 1.113883.3 .1103.1" | |
| 16353 | /> | |
| 16354 | ||
| 16355 | <addr | |
| 16356 | nullFlavor ="UNK" | |
| 16357 | /> | |
| 16358 | ||
| 16359 | <telecom | |
| 16360 | nullFlavor ="UNK" | |
| 16361 | /> | |
| 16362 | ||
| 16363 | <assignedP erson> | |
| 16364 | ||
| 16365 | <name | |
| 16366 | nullFlavor ="UNK" | |
| 16367 | /> | |
| 16368 | ||
| 16369 | </assigned Person> | |
| 16370 | ||
| 16371 | <represent edOrganiza tion> | |
| 16372 | ||
| 16373 | <id | |
| 16374 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 16375 | extension= "ECMC" | |
| 16376 | /> | |
| 16377 | ||
| 16378 | <name> | |
| 16379 | ECMC | |
| 16380 | </name> | |
| 16381 | ||
| 16382 | <telecom | |
| 16383 | nullFlavor ="UNK" | |
| 16384 | /> | |
| 16385 | ||
| 16386 | <addr | |
| 16387 | nullFlavor ="UNK" | |
| 16388 | /> | |
| 16389 | ||
| 16390 | </represen tedOrganiz ation> | |
| 16391 | ||
| 16392 | </assigned Entity> | |
| 16393 | ||
| 16394 | </informan t> | |
| 16395 | ||
| 16396 | <entryRela tionship | |
| 16397 | typeCode=" SUBJ" | |
| 16398 | inversionI nd="false" | |
| 16399 | > | |
| 16400 | ||
| 16401 | <observati on | |
| 16402 | classCode= "OBS" | |
| 16403 | moodCode=" EVN" | |
| 16404 | negationIn d="false" | |
| 16405 | > | |
| 16406 | ||
| 16407 | <templateI d | |
| 16408 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5" | |
| 16409 | /> | |
| 16410 | ||
| 16411 | <templateI d | |
| 16412 | root="2.16 .840.1.113 883. IP " | |
| 16413 | /> | |
| 16414 | ||
| 16415 | <id | |
| 16416 | root="2.16 .840.1.113 883.3.1103 .1" | |
| 16417 | extension= "94076" | |
| 16418 | /> | |
| 16419 | ||
| 16420 | <code | |
| 16421 | code="5560 7006" | |
| 16422 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 16423 | codeSystem Name="SNOM ED" | |
| 16424 | displayNam e="Problem (finding) " | |
| 16425 | > | |
| 16426 | ||
| 16427 | <translati on | |
| 16428 | code="5560 7006" | |
| 16429 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 16430 | codeSystem Name="SNOM ED CT" | |
| 16431 | displayNam e="Problem " | |
| 16432 | /> | |
| 16433 | ||
| 16434 | </code> | |
| 16435 | ||
| 16436 | <text> | |
| 16437 | Malaise an d fatigue | |
| 16438 | <reference | |
| 16439 | value="#Co ndition-Pr oblem-Desc ription-7" | |
| 16440 | /> | |
| 16441 | </text> | |
| 16442 | ||
| 16443 | <statusCod e | |
| 16444 | code="comp leted" | |
| 16445 | /> | |
| 16446 | ||
| 16447 | <effective Time> | |
| 16448 | ||
| 16449 | <low | |
| 16450 | value="201 1102500000 0-0400" | |
| 16451 | /> | |
| 16452 | ||
| 16453 | <high | |
| 16454 | value="201 3082800000 0-0400" | |
| 16455 | /> | |
| 16456 | ||
| 16457 | </effectiv eTime> | |
| 16458 | ||
| 16459 | <value | |
| 16460 | xsi:type=" CD" | |
| 16461 | code="2717 95006" | |
| 16462 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 16463 | codeSystem Name="SNOM ED" | |
| 16464 | displayNam e="Malaise and fatig ue (findin g)" | |
| 16465 | > | |
| 16466 | ||
| 16467 | <translati on | |
| 16468 | code="2717 95006" | |
| 16469 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 16470 | codeSystem Name="SNOM ED CT" | |
| 16471 | displayNam e="Malaise and fatig ue" | |
| 16472 | /> | |
| 16473 | ||
| 16474 | </value> | |
| 16475 | ||
| 16476 | </observat ion> | |
| 16477 | ||
| 16478 | </entryRel ationship> | |
| 16479 | ||
| 16480 | </act> | |
| 16481 | ||
| 16482 | </entry> | |
| 16483 | ||
| 16484 | </section> | |
| 16485 | ||
| 16486 | </componen t> | |
| 16487 | ||
| 16488 | </structur edBody> | |
| 16489 | ||
| 16490 | </componen t> | |
| 16491 | </Clinical Document> |
Araxis Merge (but not the data content of this report) is Copyright © 1993-2016 Araxis Ltd (www.araxis.com). All rights reserved.