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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\DEPARTMENT OF VETERANS AFFAIRS | 374095_C62TXT_20161202.xml | Thu Jan 12 19:48:36 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 | 374095_C62TXT_20161202.xml | Mon Apr 3 14:13:34 2017 UTC |
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| Character case | Differences in character case are significant |
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| 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= "2.25.3059 1995403934 1114356278 8553350719 39779" | |
| 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="1884 2-5" | |
| 81 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 82 | displayNam e="Dischar ge summari zation not e" | |
| 83 | /> | |
| 84 | ||
| 85 | <!-- 0.05 CDA DOCUME NAT TITLE, REQUIRED --> | |
| 86 | ||
| 87 | <title> | |
| 88 | Department of Vetera ns Affairs EDUCATION DISCHARGE NOTE | |
| 89 | </title> | |
| 90 | ||
| 91 | <!-- 0.07 DOCUMENT TIMESTAMP, REQUIRED, Note Sign ature Date /Time --> | |
| 92 | ||
| 93 | <effective Time | |
| 94 | value="201 5081411060 2" | |
| 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 5081411060 2" | |
| 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= "442" | |
| 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 | DNS ENNE VAMC | |
| 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 5081411060 2" | |
| 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 6120203275 1-0600" | |
| 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 5081411060 2" | |
| 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 | ||
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| 628 | <!-- assig ned Person Required for legalA uthenticat or/assigne dEntity - -> | |
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| 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 | ||
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| 639 | ||
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| 655 | ||
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| 659 | value="201 5081400000 0-0500" | |
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| 661 | ||
| 662 | <!-- 7.02 END TIME, REQUIRED - -> | |
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| 679 | ||
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| 696 | </Clinical Document> |
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