Produced by Araxis Merge on 4/5/2017 4:26:34 PM Central Daylight Time. See www.araxis.com for information about Merge. This report uses XHTML and CSS2, and is best viewed with a modern standards-compliant browser. For optimum results when printing this report, use landscape orientation and enable printing of background images and colours in your browser.
| # | 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\DEPARTMENT OF VETERANS AFFAIRS | 374000_C62TXT_20161204.xml | Thu Jan 12 19:48:38 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\DEPARTMENT OF VETERANS AFFAIRS | 374000_C62TXT_20161204.xml | Mon Apr 3 14:11:37 2017 UTC |
| Description | Between Files 1 and 2 |
|
|---|---|---|
| Text Blocks | Lines | |
| Unchanged | 2 | 1390 |
| Changed | 1 | 2 |
| Inserted | 0 | 0 |
| Removed | 0 | 0 |
| Whitespace | |
|---|---|
| Character case | Differences in character case are significant |
| Line endings | Differences in line endings (CR and LF characters) are ignored |
| CR/LF characters | Not shown in the comparison detail |
No regular expressions were active.
| 1 | <?xml | |
| 2 | version="1 .0" | |
| 3 | encoding=" UTF-8" | |
| 4 | standalone ="no" | |
| 5 | ?> | |
| 6 | <!-- edite d with XML Spy v2011 rel. 2 sp1 (http://w ww.altova. com) by SP AWAR Syste ms Center Atlantic ( SPAWAR Sys tems Cente r Atlantic ) --> | |
| 7 | <?xml-styl esheet | |
| 8 | type="text /xsl" | |
| 9 | href="CCD. xsl" | |
| 10 | ?> | |
| 11 | <ClinicalD ocument | |
| 12 | xmlns="urn :hl7-org:v 3" | |
| 13 | xmlns:voc= "urn:hl7-o rg:v3/voc" | |
| 14 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 15 | xsi:schema Location=" urn:hl7-or g:v3 http: //xreg2.ni st.gov:110 80/hitspVa lidation/s chema/cdar 2/infrastr ucture/cda /CDA.xsd" | |
| 16 | > | |
| 17 | ||
| 18 | <!-- | |
| 19 | ****** ********** ********** ********** ********** ********** | |
| 20 | C62-UN STRUCTURED DOCUMENT | |
| 21 | CDA He ader | |
| 22 | ****** ********** ********** ********** ********** ********** | |
| 23 | --> | |
| 24 | ||
| 25 | <!-- HITSP : realmCod e --> | |
| 26 | ||
| 27 | <realmCode | |
| 28 | code="US" | |
| 29 | /> | |
| 30 | ||
| 31 | <!-- Follo wing templ ate is HL7 CDA Relea se 2 --> | |
| 32 | ||
| 33 | <!-- POCD_ HD000040 i s for Lab. Report.Cli nical.Docu ment --> | |
| 34 | ||
| 35 | <typeId | |
| 36 | extension= "POCD_HD00 0040" | |
| 37 | root="2.16 .840.1.113 883.1.3" | |
| 38 | /> | |
| 39 | ||
| 40 | <!-- HL7 G eneral Hea der Constr aints--> | |
| 41 | ||
| 42 | <templateI d | |
| 43 | root="2.16 .840.1.113 883.10.20. 3" | |
| 44 | /> | |
| 45 | ||
| 46 | <!-- IHE M edical Doc uments --> | |
| 47 | ||
| 48 | <templateI d | |
| 49 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.1.1" | |
| 50 | /> | |
| 51 | ||
| 52 | <!-- HITSP C62 temp late --> | |
| 53 | ||
| 54 | <templateI d | |
| 55 | root="2.16 .840.1.113 883.3.88.1 1.62.1" | |
| 56 | /> | |
| 57 | ||
| 58 | <!-- IHE S canned Doc uments (XD S-SD) --> | |
| 59 | ||
| 60 | <templateI d | |
| 61 | root="1.3. 6.1.4.1.19 376.1.2.20 " | |
| 62 | /> | |
| 63 | ||
| 64 | <!-- HL7 U nstructure d Document s --> | |
| 65 | ||
| 66 | <templateI d | |
| 67 | root="2.16 .840.1.113 883. IP " | |
| 68 | /> | |
| 69 | ||
| 70 | <!-- 0.03 CDA DOCUME NT IDENTIF IER, id=VA OID, exte nsion=syst em-generat ed --> | |
| 71 | ||
| 72 | <id | |
| 73 | extension= "2.25.1461 2408080162 6178506621 4236892143 35472" | |
| 74 | root="2.16 .840.1.113 883.4.349" | |
| 75 | /> | |
| 76 | ||
| 77 | <!-- 0.04 CDA DOCUME NT CODE , REQUIRED, LOINC --> | |
| 78 | ||
| 79 | <code | |
| 80 | code="3411 7-2" | |
| 81 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 82 | displayNam e="History and physi cal note" | |
| 83 | /> | |
| 84 | ||
| 85 | <!-- 0.05 CDA DOCUME NAT TITLE, REQUIRED --> | |
| 86 | ||
| 87 | <title> | |
| 88 | Department of Vetera ns Affairs PHYSICIAN H & P NOTE | |
| 89 | </title> | |
| 90 | ||
| 91 | <!-- 0.07 DOCUMENT TIMESTAMP, REQUIRED, Note Sign ature Date /Time --> | |
| 92 | ||
| 93 | <effective Time | |
| 94 | value="201 5030610373 3" | |
| 95 | /> | |
| 96 | ||
| 97 | <!-- 0.06 CDA CONFID ENTIALITY CODE, REQU IRED --> | |
| 98 | ||
| 99 | <confident ialityCode | |
| 100 | code="N" | |
| 101 | codeSystem ="2.16.840 .1.113883. 5.25" | |
| 102 | /> | |
| 103 | ||
| 104 | <!-- 0.08 CDA DOCUME NT LANGUAG E, REQUIRE D --> | |
| 105 | ||
| 106 | <languageC ode | |
| 107 | code="en-U S" | |
| 108 | /> | |
| 109 | ||
| 110 | <!-- | |
| 111 | ** ********** ********** ********** ********** ********** **** | |
| 112 | PE RSON INFOR MATION CON TENT MODUL E, REQUIRE D | |
| 113 | ** ********** ********** ********** ********** ********** **** | |
| 114 | -- > | |
| 115 | ||
| 116 | <recordTar get> | |
| 117 | ||
| 118 | <patientRo le> | |
| 119 | ||
| 120 | <!-- 1.02 PERSON ID, REQUIRED, id=VA OID , extensio n=GUID --> | |
| 121 | ||
| 122 | <id | |
| 123 | extension= "101263892 4V546709" | |
| 124 | root="2.16 .840.1.113 883.4.349" | |
| 125 | /> | |
| 126 | ||
| 127 | <!-- 1.03 PERSON AD DRESS-HOME PERMANENT , REQUIRED --> | |
| 128 | ||
| 129 | <addr | |
| 130 | use="HP" | |
| 131 | > | |
| 132 | ||
| 133 | <streetAdd ressLine> | |
| 134 | 1100 Test Street | |
| 135 | </streetAd dressLine> | |
| 136 | ||
| 137 | <city> | |
| 138 | HELENA | |
| 139 | </city> | |
| 140 | ||
| 141 | <state> | |
| 142 | AL | |
| 143 | </state> | |
| 144 | ||
| 145 | <postalCod e> | |
| 146 | 35080 | |
| 147 | </postalCo de> | |
| 148 | ||
| 149 | <country> | |
| 150 | Country Co de Not Ava ilable | |
| 151 | </country> | |
| 152 | ||
| 153 | </addr> | |
| 154 | ||
| 155 | <!-- 1.04 PERSON PHO NE/EMAIL/U RL, REQUIR ED --> | |
| 156 | ||
| 157 | <telecom | |
| 158 | use="HP" | |
| 159 | value="tel :+1-205-11 1-1111" | |
| 160 | /> | |
| 161 | ||
| 162 | <patient> | |
| 163 | ||
| 164 | <!-- 1.05 PERSON NA ME LEGAL, REQUIRED - -> | |
| 165 | ||
| 166 | <name | |
| 167 | use="L" | |
| 168 | > | |
| 169 | ||
| 170 | ||
| 171 | <given> | |
| 172 | NWHINONE | |
| 173 | </given> | |
| 174 | ||
| 175 | <family> | |
| 176 | NWHINZZZTE STPATIENT | |
| 177 | </family> | |
| 178 | ||
| 179 | ||
| 180 | </name> | |
| 181 | ||
| 182 | <!-- 1.05 PERSON NA ME Alias N ame, Optio nal --> | |
| 183 | ||
| 184 | <name | |
| 185 | use="P" | |
| 186 | > | |
| 187 | ||
| 188 | ||
| 189 | <given> | |
| 190 | STEVIE | |
| 191 | </given> | |
| 192 | ||
| 193 | <family> | |
| 194 | VAUGHAN | |
| 195 | </family> | |
| 196 | ||
| 197 | ||
| 198 | </name> | |
| 199 | ||
| 200 | <!--1.06 G ENDER, REQ UIRED AND REQUIRED T erminology --> | |
| 201 | ||
| 202 | <!-- When Vista val ue is M, F , send as HL7AdminGe nderCode --> | |
| 203 | ||
| 204 | <!-- When Vista valu e is "Unkn own", send as gender Code nullF lavor=UNK" --> | |
| 205 | ||
| 206 | <administr ativeGende rCode | |
| 207 | code="M" | |
| 208 | codeSystem ="2.16.840 .1.113883. 5.1" | |
| 209 | codeSystem Name="Admi nistrative GenderCode " | |
| 210 | displayNam e="Male" | |
| 211 | > | |
| 212 | ||
| 213 | <originalT ext> | |
| 214 | MALE | |
| 215 | </original Text> | |
| 216 | ||
| 217 | </administ rativeGend erCode> | |
| 218 | ||
| 219 | <!-- 1.07 PERSON DAT E OF BIRTH , REQUIRED --> | |
| 220 | ||
| 221 | <birthTime | |
| 222 | value="198 10101" | |
| 223 | /> | |
| 224 | ||
| 225 | <!-- 1.08 MARITAL S TATUS, Opt ional-R2 - -> | |
| 226 | ||
| 227 | <!-- VLER SEG 1B: S end as HL7 MaritalSt atus --> | |
| 228 | ||
| 229 | <maritalSt atusCode | |
| 230 | code="M" | |
| 231 | codeSystem ="2.16.840 .1.113883. 5.2" | |
| 232 | codeSystem Name="Mari talStatusC ode" | |
| 233 | displayNam e="Married " | |
| 234 | > | |
| 235 | ||
| 236 | <originalT ext> | |
| 237 | MARRIED | |
| 238 | </original Text> | |
| 239 | ||
| 240 | </maritalS tatusCode> | |
| 241 | ||
| 242 | <!-- 1.09 RELIGIOUS AFFILIATI ON, Option al, Remove d b/c data not yet a vailable v ia VA VIst A RPCs--> | |
| 243 | ||
| 244 | <!-- 1.10 RACE, Opt ional --> | |
| 245 | ||
| 246 | <!-- 1.10 RACE as o riginalTex t per NHIN Core Cont ent Specif ication b/ c VA code translatio n not yet available --> | |
| 247 | ||
| 248 | <raceCode | |
| 249 | codeSystem ="2.16.840 .1.113883. 6.238" | |
| 250 | codeSystem Name="CDC Race and E thnicity" | |
| 251 | nullFlavor ="UNK" | |
| 252 | > | |
| 253 | ||
| 254 | <originalT ext> | |
| 255 | BLACK OR A FRICAN AME RICAN | |
| 256 | </original Text> | |
| 257 | ||
| 258 | </raceCode > | |
| 259 | ||
| 260 | <!-- 1.11 ETHNICITY, Optional --> | |
| 261 | ||
| 262 | <!-- 1.11 ETHNICITY as origina lText per NHIN Core Content Sp ecificatio n b/c VA c ode transl ation not yet availa ble --> | |
| 263 | ||
| 264 | <ethnicGro upCode | |
| 265 | codeSystem ="2.16.840 .1.113883. 6.238" | |
| 266 | codeSystem Name="CDC Race and E thnicity" | |
| 267 | nullFlavor ="UNK" | |
| 268 | > | |
| 269 | ||
| 270 | <originalT ext> | |
| 271 | NOT HISPAN IC OR LATI NO | |
| 272 | </original Text> | |
| 273 | ||
| 274 | </ethnicGr oupCode> | |
| 275 | ||
| 276 | </patient> | |
| 277 | ||
| 278 | </patientR ole> | |
| 279 | ||
| 280 | </recordTa rget> | |
| 281 | ||
| 282 | <!-- | |
| 283 | **** ********** ********** ********** ********** ********** ** | |
| 284 | CLI NICAL DOCU MENT / AUT HOR (ORIGI NAL) Heade r Sub-Sect ion, REQUI RED | |
| 285 | Auth or of the Original C ontent (No n XML Body ) | |
| 286 | **** ********** ********** ********** ********** ********** ** | |
| 287 | -- > | |
| 288 | ||
| 289 | <author> | |
| 290 | ||
| 291 | <!-- 2.01 AUTHOR TEM PLATE ID, REQUIRED --> | |
| 292 | ||
| 293 | <templateI d | |
| 294 | root="1.3. 6.1.4.1.19 376.1.2.20 .1" | |
| 295 | /> | |
| 296 | ||
| 297 | <!-- 2.02 AUTHOR TIM E, REQUIRE D --> | |
| 298 | ||
| 299 | <time | |
| 300 | value="201 5030610373 3" | |
| 301 | /> | |
| 302 | ||
| 303 | <assignedA uthor> | |
| 304 | ||
| 305 | <!-- 2.03 AUTHOR ID, REQUIRED IF KNOWN - -> | |
| 306 | ||
| 307 | <!-- AUTHO R ID (VA O ID) (autho rOID) --> | |
| 308 | ||
| 309 | <id | |
| 310 | extension= "520646951 " | |
| 311 | root="2.16 .840.1.113 883.4.349" | |
| 312 | /> | |
| 313 | ||
| 314 | <!-- 2.05 AUTHOR ADD RESS, REQU IRED, but VA VistA d ata not ye t availabl e --> | |
| 315 | ||
| 316 | <addr/> | |
| 317 | ||
| 318 | <!-- 2.06 AUTHOR TEL ECOM, REQU IRED, but VA VistA d ata not ye t availabl e --> | |
| 319 | ||
| 320 | <telecom | |
| 321 | nullFlavor ="UNK" | |
| 322 | /> | |
| 323 | ||
| 324 | <assignedP erson> | |
| 325 | ||
| 326 | <!-- 2.04 AUTHOR NAM E, REQUIRE D --> | |
| 327 | ||
| 328 | <name> | |
| 329 | ZACHARY H FORREST ph ysician te ster | |
| 330 | </name> | |
| 331 | ||
| 332 | </assigned Person> | |
| 333 | ||
| 334 | <represent edOrganiza tion> | |
| 335 | ||
| 336 | <!-- 2.07 ORGANIZATI ON ID, REQ UIRED IF K NOWN --> | |
| 337 | ||
| 338 | <!-- AUTHO R ID (root = VA OID, extension = VA Faci lity Nbr) --> | |
| 339 | ||
| 340 | <id | |
| 341 | extension= "442GC" | |
| 342 | root="2.16 .840.1.113 883.4.349" | |
| 343 | /> | |
| 344 | ||
| 345 | <!-- 2.08 INFORMATIO N SOURCE N AME, REQUI RED, VA Fa cility Nam e --> | |
| 346 | ||
| 347 | <name> | |
| 348 | FORT COLLI NS | |
| 349 | </name> | |
| 350 | ||
| 351 | <!-- HITSP C62 V1.1: Assigned Author T elecom Req uired, but VA VistA data not y et availab le --> | |
| 352 | ||
| 353 | <telecom | |
| 354 | nullFlavor ="UNK" | |
| 355 | /> | |
| 356 | ||
| 357 | <!-- HITSP C62 V1.1: Assigned Author Add ress Requi red, but V A VistA da ta not yet available --> | |
| 358 | ||
| 359 | <addr/> | |
| 360 | ||
| 361 | </represen tedOrganiz ation> | |
| 362 | ||
| 363 | </assigned Author> | |
| 364 | ||
| 365 | </author> | |
| 366 | ||
| 367 | <!-- | |
| 368 | **** ********** ********** ********** ********** ********** ** | |
| 369 | SCA NNER Heade r Sub-Sect ion, REQUI RED | |
| 370 | Repr esents the scanning device and software used to pr oduce the scanned co ntent | |
| 371 | **** ********** ********** ********** ********** ********** ** | |
| 372 | -- > | |
| 373 | ||
| 374 | <author> | |
| 375 | ||
| 376 | <!-- 3.01 AUTHOR TEM PLATE, REQ UIRED --> | |
| 377 | ||
| 378 | <templateI d | |
| 379 | root="1.3. 6.1.4.1.19 376.1.2.20 .2" | |
| 380 | /> | |
| 381 | ||
| 382 | <!-- 3.02 AUTHOR TIM E, REQUIRE D, Must be same as 0 .07-Docume nt Timesta mp --> | |
| 383 | ||
| 384 | <time | |
| 385 | value="201 5030610373 3" | |
| 386 | /> | |
| 387 | ||
| 388 | <assignedA uthor> | |
| 389 | ||
| 390 | <!-- 3.03 AUTHOR ID (VA OID), REQUIRED - -> | |
| 391 | ||
| 392 | <id | |
| 393 | root="2.16 .840.1.113 883.4.349" | |
| 394 | /> | |
| 395 | ||
| 396 | <!-- HITSP C62 V1.1: Assigned Author Add ress Requi red, but V A VistA da ta not yet available --> | |
| 397 | ||
| 398 | <addr/> | |
| 399 | ||
| 400 | <!-- HITSP C62 V1.1: Assigned Author T elecom Req uired, but VA VistA data not y et availab le --> | |
| 401 | ||
| 402 | <telecom | |
| 403 | nullFlavor ="UNK" | |
| 404 | /> | |
| 405 | ||
| 406 | <assignedA uthoringDe vice> | |
| 407 | ||
| 408 | <!-- 3.04 DEVICE COD E, REQUIRE D --> | |
| 409 | ||
| 410 | <code | |
| 411 | code="WSD" | |
| 412 | codeSystem ="1.2.840. 10008.2.16 .4" | |
| 413 | displayNam e="Worksta tion" | |
| 414 | /> | |
| 415 | ||
| 416 | <!-- 3.05 DEVICE NAM E, REQUIRE D --> | |
| 417 | ||
| 418 | <manufactu rerModelNa me> | |
| 419 | Department of Vetera ns Affairs | |
| 420 | </manufact urerModelN ame> | |
| 421 | ||
| 422 | <!-- 3.06 SOFTWARE N AME, REQUI RED --> | |
| 423 | ||
| 424 | <softwareN ame> | |
| 425 | VA Comput erized Pat ient Recor d System ( CPRS) | |
| 426 | </software Name> | |
| 427 | ||
| 428 | </assigned AuthoringD evice> | |
| 429 | ||
| 430 | <represent edOrganiza tion> | |
| 431 | ||
| 432 | <!-- 3.07 ORGANIZATI ON ID (VA OID), REQU IRED --> | |
| 433 | ||
| 434 | <id | |
| 435 | root="2.16 .840.1.113 883.4.349" | |
| 436 | /> | |
| 437 | ||
| 438 | <!-- 3.08 INFORMATIO N SOURCE N AME, REQUI RED --> | |
| 439 | ||
| 440 | <name> | |
| 441 | VA Austin Informatio n Technolo gy Center | |
| 442 | </name> | |
| 443 | ||
| 444 | <!-- HITSP C62 V1.1: Assigned Author T elecom Req uired, but VA VistA data not y et availab le --> | |
| 445 | ||
| 446 | <telecom | |
| 447 | nullFlavor ="UNK" | |
| 448 | /> | |
| 449 | ||
| 450 | <!-- 3.09 INFORMATIO N SOURCE A DDRESS, OP TIONAL --> | |
| 451 | ||
| 452 | <addr> | |
| 453 | ||
| 454 | <streetAdd ressLine> | |
| 455 | 1615 Eastw ood Street | |
| 456 | </streetAd dressLine> | |
| 457 | ||
| 458 | <city> | |
| 459 | Austin | |
| 460 | </city> | |
| 461 | ||
| 462 | <state> | |
| 463 | TX | |
| 464 | </state> | |
| 465 | ||
| 466 | <postalCod e> | |
| 467 | 78772 | |
| 468 | </postalCo de> | |
| 469 | ||
| 470 | <country> | |
| 471 | USA | |
| 472 | </country> | |
| 473 | ||
| 474 | </addr> | |
| 475 | ||
| 476 | </represen tedOrganiz ation> | |
| 477 | ||
| 478 | </assigned Author> | |
| 479 | ||
| 480 | </author> | |
| 481 | ||
| 482 | <!-- | |
| 483 | ** ********** ********** ********** ********** ********** **** | |
| 484 | CL INICAL DOC UMENT / DA TA ENTERER (SCANNER OPERATOR), REQUIRED | |
| 485 | Da ta Enterer in VLER v irtually s canned sce nario is | |
| 486 | so ftware, no t a person . | |
| 487 | ** ********** ********** ********** ********** ********** **** | |
| 488 | -- > | |
| 489 | ||
| 490 | <dataEnter er> | |
| 491 | ||
| 492 | <!-- 4.01 DATA ENTER ER TEMPLAT E ID, REQU IRED --> | |
| 493 | ||
| 494 | <templateI d | |
| 495 | root="1.3. 6.1.4.1.19 376.1.2.20 .3" | |
| 496 | /> | |
| 497 | ||
| 498 | <!-- 4.02 DATA ENTER ER TIME, R EQUIRED -- > | |
| 499 | ||
| 500 | <time | |
| 501 | value="201 6120420283 5-0600" | |
| 502 | /> | |
| 503 | ||
| 504 | <assignedE ntity> | |
| 505 | ||
| 506 | <!-- 4.03 ENTITY ID, REQUIRED, Identifer represent ing the so ftware (VA OID, Stat ion 200) - -> | |
| 507 | ||
| 508 | <id | |
| 509 | extension= "200" | |
| 510 | root="2.16 .840.1.113 883.4.349" | |
| 511 | /> | |
| 512 | ||
| 513 | <assignedP erson> | |
| 514 | ||
| 515 | <!-- 4.04 AUTHOR NAM E, Not Req uired for VLER Virtu ally scann ed scenari o --> | |
| 516 | ||
| 517 | <name> | |
| 518 | VA Comput erized Pat ient Recor d System ( CPRS) | |
| 519 | </name> | |
| 520 | ||
| 521 | </assigned Person> | |
| 522 | ||
| 523 | </assigned Entity> | |
| 524 | ||
| 525 | </dataEnte rer> | |
| 526 | ||
| 527 | <!-- | |
| 528 | ** ********** ********** ********** ********** ********** **** | |
| 529 | C USTODIAN, REQUIRED | |
| 530 | ** ********** ********** ********** ********** ********** **** | |
| 531 | -- > | |
| 532 | ||
| 533 | <custodian > | |
| 534 | ||
| 535 | <assignedC ustodian> | |
| 536 | ||
| 537 | <represent edCustodia nOrganizat ion> | |
| 538 | ||
| 539 | <!-- 5.01 CUSTODIAN ID (VA OID ), REQUIRE D --> | |
| 540 | ||
| 541 | <id | |
| 542 | root="2.16 .840.1.113 883.4.349" | |
| 543 | /> | |
| 544 | ||
| 545 | <!-- 5.02 CUSTODIAN NAME, REQU IRED --> | |
| 546 | ||
| 547 | <name> | |
| 548 | Department of Vetera ns Affairs | |
| 549 | </name> | |
| 550 | ||
| 551 | <!-- 5.03 - TELECOM, REQUIRED, but VA Vi stA data n ot yet ava ilable --> | |
| 552 | ||
| 553 | <telecom | |
| 554 | nullFlavor ="UNK" | |
| 555 | /> | |
| 556 | ||
| 557 | <!-- 5.04 CUSTODIAN ADDRESS, O PTIONAL -- > | |
| 558 | ||
| 559 | <addr> | |
| 560 | ||
| 561 | <streetAdd ressLine> | |
| 562 | 810 Vermon t Avenue, NW | |
| 563 | </streetAd dressLine> | |
| 564 | ||
| 565 | <city> | |
| 566 | Washington | |
| 567 | </city> | |
| 568 | ||
| 569 | <state> | |
| 570 | DC | |
| 571 | </state> | |
| 572 | ||
| 573 | <postalCod e> | |
| 574 | 20420 | |
| 575 | </postalCo de> | |
| 576 | ||
| 577 | <country> | |
| 578 | USA | |
| 579 | </country> | |
| 580 | ||
| 581 | </addr> | |
| 582 | ||
| 583 | </represen tedCustodi anOrganiza tion> | |
| 584 | ||
| 585 | </assigned Custodian> | |
| 586 | ||
| 587 | </custodia n> | |
| 588 | ||
| 589 | <!-- | |
| 590 | ** ********** ********** ********** ********** ********** **** | |
| 591 | LE GAL AUTHEN TICATOR , OPTIONAL | |
| 592 | ** ********** ********** ********** ********** ********** **** | |
| 593 | -- > | |
| 594 | ||
| 595 | <legalAuth enticator> | |
| 596 | ||
| 597 | <!-- 6.01 AUTHENTICA TOR TIME, REQUIRED - -> | |
| 598 | ||
| 599 | <time | |
| 600 | value="201 5030610373 3" | |
| 601 | /> | |
| 602 | ||
| 603 | <!-- 6.02 SIGNATURE CODE, REQU IRED --> | |
| 604 | ||
| 605 | <signature Code | |
| 606 | code="S" | |
| 607 | /> | |
| 608 | ||
| 609 | <assignedE ntity> | |
| 610 | ||
| 611 | <!-- 6.03 ENTITY ID (User ID), REQUIRED --> | |
| 612 | ||
| 613 | <id | |
| 614 | extension= "520646951 " | |
| 615 | root="2.16 .840.1.113 883.4.349" | |
| 616 | /> | |
| 617 | ||
| 618 | <!-- Addr ess Requir ed for ass ignedEntit y, but VA VistA data not yet a vailable - -> | |
| 619 | ||
| 620 | <addr/> | |
| 621 | ||
| 622 | <!-- Tele com Requir ed for ass ignedEntit y, but VA VistA data not yet a vailable - -> | |
| 623 | ||
| 624 | <telecom | |
| 625 | nullFlavor ="UNK" | |
| 626 | /> | |
| 627 | ||
| 628 | <!-- assig ned Person Required for legalA uthenticat or/assigne dEntity - -> | |
| 629 | ||
| 630 | <assignedP erson> | |
| 631 | ||
| 632 | <!-- 6.04 AUTHOR NAM E, REQUIRE D --> | |
| 633 | ||
| 634 | <name> | |
| 635 | ZACHARY H FORREST ph ysician te ster | |
| 636 | </name> | |
| 637 | ||
| 638 | </assigned Person> | |
| 639 | ||
| 640 | </assigned Entity> | |
| 641 | ||
| 642 | </legalAut henticator > | |
| 643 | ||
| 644 | <!-- | |
| 645 | ** ********** ********** ********** ********** ********** **** | |
| 646 | DO CUMENTATIO N OF MODUL E, REQUIRE D | |
| 647 | ** ********** ********** ********** ********** ********** **** | |
| 648 | -- > | |
| 649 | ||
| 650 | <documenta tionOf> | |
| 651 | ||
| 652 | <serviceEv ent> | |
| 653 | ||
| 654 | <effective Time> | |
| 655 | ||
| 656 | <!-- 7.01 BEGIN TIME , REQUIRED --> | |
| 657 | ||
| 658 | <low | |
| 659 | value="201 5030610360 0-0600" | |
| 660 | /> | |
| 661 | ||
| 662 | <!-- 7.02 END TIME, REQUIRED - -> | |
| 663 | ||
| 664 | <high | |
| 665 | value="201 5030610360 0-0600" | |
| 666 | /> | |
| 667 | ||
| 668 | </effectiv eTime> | |
| 669 | ||
| 670 | </serviceE vent> | |
| 671 | ||
| 672 | </document ationOf> | |
| 673 | ||
| 674 | <!-- | |
| 675 | ** ********** ********** ********** ********** ********** **** | |
| 676 | NO N XML BODY , REQUIRED | |
| 677 | ** ********** ********** ********** ********** ********** **** | |
| 678 | -- > | |
| 679 | ||
| 680 | <component > | |
| 681 | ||
| 682 | <nonXMLBod y> | |
| 683 | ||
| 684 | <!-- 8.01 TEXT,MEDIA TYPE, REP RESENTATIO N, REQUIRE D--> | |
| 685 | ||
| 686 | <text | |
| 687 | mediaType= "text/plai n" | |
| 688 | representa tion="B64" | |
| 689 | > | |
| 690 | CiBMT0NBTC BUSVRMRTog SElTVE9SWS AmIFBIWVNJ Q0FMICAgIC AgICAgICAg ICAgICAgIC AgICAgICAg ICAgICAgCl NUQU5EQVJE IFRJVExFOi BQSFlTSUNJ QU4gSCAmIF AgTk9URSAg ICAgICAgIC AgICAgICAg ICAgICAgIC AgICAKREFU RSBPRiBOT1 RFOiBNQVIg MDYsIDIwMT VAMTA6MzYg ICAgIEVOVF JZIERBVEU6 IE1BUiAwNi wgMjAxNUAx MDozNjo0Ny AgICAgIAog ICAgICBBVV RIT1I6IEZP UlJFU1QsWk FDSEFSWSBI ICAgIEVYUC BDT1NJR05F UjogICAgIC AgICAgICAg ICAgICAgIC AgICAgICAK ICAgICBVUk dFTkNZOiAg ICAgICAgIC AgICAgICAg ICAgICAgIC AgICBTVEFU VVM6IENPTV BMRVRFRCAg ICAgICAgIC AgICAgICAg ICAgIAoKQ0 M6CiAKSElT VE9SWSBPRi BQUkVTRU5U IElMTE5FU1 M6CiAKUEFT VCBNRURJQ0 FMIEhJU1RP Ulk6CiAKTg pNRURTOiBB Y3RpdmUgT3 V0cGF0aWVu dCBNZWRpY2 F0aW9ucyAo ZXhjbHVkaW 5nIFN1cHBs aWVzKToKIA pObyBNZWRp Y2F0aW9ucy BGb3VuZAog CiAKQUxMOi AgT1VURE9P UiBNT0xELC BBU1BJUklO LCBQSVNUQU NISU9TLCBM QVRFWCwgUE VBTlVUUywg SU5ET09SIE 1PTEQKRk9P VENBUkUgUF JPRFVDVFMs IEVBUiBEUk 9QUywgUEVO SUNJTExJTi wgQUxDT0hP TCwgR09BVC BDSEVFU0Us IEdFTEFUSU 4KQUxMRVJH RU5JQyBFWF QsSE9VU0Ug RFVTVCwgQU xNT05EUywg UEVQUEVSTU lOVCwgUkVE IE9OSU9OUy wgTklUUk9V UyBPWElERS wgTUlMSwpN SU5ULCBPQV RTLCBCQUtF RCBCRUFOUy wgUEFJTlQs IEdMVVRFTl MsIENPTU1P REUgTElORV IKIApGQU1J TFkgSElTVE 9SWToKIAop ClNPQ0lBTC BISVNUT1JZ OgogClJPUz ogICgtKWZv ciB3dCBsb3 NzLCBTT0Is IENQLCBOLC BWLCBELCBt ZWxlbmEsIG hlbWF0b2No ZXppYSwgY2 91Z2gsCmZl dmVyLCBjaG lsbHMsIGR5 c3BoYWdpYS wgZHlzdXJp YQogCi4KUE hZU0lDQUwg RVhBTUlOQV RJT046CiAK VlM6ICBQVU xTRSAgICAg ICAgICAgIC AgNjAgKDEx LzIxLzIwMT EgMTY6NDYp CiAgICAgQk xPT0QgUFJF U1NVUkUgIC AgIDEyOC8x MDAgKDExLz IxLzIwMTEg MTY6NDYpCi AgICAgUkVT UElSQVRJT0 4gICAgICAg IDYwICgxMS 8yMS8yMDEx IDE2OjQ2KQ ogICAgIFRF TVBFUkFUSV JFICAgICAg ICA5OC42IE YgWzM3LjAg Q10gKDExLz IxLzIwMTEg MTY6NDYpCi AgICAgU0FU UwogCk4KR0 VORVJBTDog IFBhdGllbn QgYWxlcnQg YW5kIG9yaW VudGVkLCBh cHBlYXJzIG luIE5BRCwg aXMgcGxlYX NhbnQgYW5k CmNvb3Blcm F0aXZlLgog CkhFRU5UOi AgTkNBVCwg UEVSUkxBLC BFT01JLCBQ b3N0ZXJpb3 IgT3JvcGhh cnlueCBDbG VhciwgTmVj ayBTdXBwbG UsIG5vCmx5 bXBoYWRlbm 9wYXRoeSwg bm8gdGh5cm 9tZWdhbHkK IAopCkNIRV NUOiAgQ1RB IEJpbGF0ZX JhbGx5LCBu byB3aGVlem VzLCByYWxl cywgb3Igcm hvbmNoaSwg ZGlzdGFudC BicmVhdGgK c291bmRzLC BiYXJyZWwg Y2hlc3RlZA ogCkNWOiAg UlJSIHdpdG hvdXQgbXVy bXVyIG9yIG dhbGxvcCwg ZGlzdGFudC BoZWFydCBz b3VuZHMsIG 5sIFMxIFMy LCBubwpjYX JvdGlkIGJy dWl0cwogCk FCRDogIE5B QlMsIHNvZn QsIE5ETlQs IG5vIEhTTS wgbm8gbWFz cwogCkVYVD ogIE5vIGNs dWJiaW5nLC BubyBlZGVt YSwgZ29vZC BwdWxzZXMK IApTS0lOOi BObyBvYnZp b3VzIGxlc2 lvbnMsIG5v IHJhc2gsIG RyeSBza2lu CiAKTkVVUk 86ICBDTiBJ SS1YSUkgaW 50YWN0LCBt b3RvciBzdH Jlbmd0aCA1 LzUgc2Vuc2 9yeSBpbnRh Y3QuICBSb2 1iZXJnIG5l ZywKZ2FpdC BzdGVhZHks IERUUidzIG 5vcm1hbAog CkdVL1JFQ1 RBTDogIE5v cm1hbCBtYW xlIGFuYXRv bXksIGdvb2 QgcmVjdGFs IHRvbmUsIH Byb3N0YXRl IG5vdCBlbm xhcmdlZCwK aGVtZSBuZW dhdGl2ZSBz dG9vbHMKIA pMQUJTOgog CkNYUjogTm 8gaW5maWx0 cmF0ZSwgbm 8gZWZmdXNp b24sIG5vIH BuZXVtb3Ro b3JheCwgbm 9ybWFsIGhl YXJ0IHNpem UKIApFS0c6 IE5vIFNUIG NoYW5nZXMs IG5vcm1hbC BzaW51cyBy aHl0aG0sIG 5vIGV2aWRl bmNlIGFjdX RlIE1JCiAK RElBR05PU0 lTIFRSRUFU RUQsIE9SIF RIQVQgUkVR VUlSRSBGVV JUSEVSIFRS RUFUTUVOVD oKIApSRUFT T04gRk9SIE 9SREVSSU5H IFRFU1RTLC BDT05TVUxU UyBPUiBDSE FOR0VTIElO IE1FRElDQV RJT05TOgog CkFTU0VTU0 1FTlQvUExB TjogKGluY2 x1ZGluZyBm b2xsb3ctdX AgdHJlYXRt ZW50IGFuZC BwYXRpZW50 IGluc3RydW N0aW9ucykK IAovZXMvIF pBQ0hBUlkg Rk9SUkVTVA pwaHlzaWNp YW4gdGVzdG VyClNpZ25l ZDogMDMvMD YvMjAxNSAx MDozNwo= | |
| 691 | </text> | |
| 692 | ||
| 693 | </nonXMLBo dy> | |
| 694 | ||
| 695 | </componen t> | |
| 696 | </Clinical Document> |
Araxis Merge (but not the data content of this report) is Copyright © 1993-2016 Araxis Ltd (www.araxis.com). All rights reserved.