Produced by Araxis Merge on 4/5/2017 4:28:59 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\Rhode Island HIE | 374416_CCDACCD_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\Rhode Island HIE | 374416_CCDACCD_20161206.xml | Wed Apr 5 16:22:42 2017 UTC |
| Description | Between Files 1 and 2 |
|
|---|---|---|
| Text Blocks | Lines | |
| Unchanged | 389 | 52348 |
| Changed | 388 | 776 |
| 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 | ?> | |
| 5 | <ClinicalD ocument | |
| 6 | xmlns="urn :hl7-org:v 3" | |
| 7 | > | |
| 8 | <realmCode | |
| 9 | code="US" | |
| 10 | /> | |
| 11 | <typeId | |
| 12 | root="2.16 .840.1.113 883.1.3" | |
| 13 | extension= "POCD_HD00 0040" | |
| 14 | /> | |
| 15 | <templateI d | |
| 16 | root="2.16 .840.1.113 883.10.20. 22.1.1" | |
| 17 | /> | |
| 18 | <templateI d | |
| 19 | root="2.16 .840.1.113 883.10.20. 22.1.2" | |
| 20 | /> | |
| 21 | <id | |
| 22 | root="2.25 .246197433 4711223797 2819964550 9506557628 " | |
| 23 | /> | |
| 24 | <code | |
| 25 | code="3413 3-9" | |
| 26 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 27 | codeSystem Name="LOIN C" | |
| 28 | displayNam e="Summari zation of Episode No te" | |
| 29 | /> | |
| 30 | <title> | |
| 31 | CurrentCar e Patient Summary Do cument | |
| 32 | </title> | |
| 33 | <effective Time | |
| 34 | value="201 6120615381 8-0500" | |
| 35 | /> | |
| 36 | <confident ialityCode | |
| 37 | nullFlavor ="NI" | |
| 38 | /> | |
| 39 | <languageC ode | |
| 40 | code="en-U S" | |
| 41 | /> | |
| 42 | <recordTar get> | |
| 43 | <patientRo le> | |
| 44 | <id | |
| 45 | root="2.16 .840.1.113 883.3.915" | |
| 46 | extension= "594375" | |
| 47 | assigningA uthorityNa me="Curren tCare Test " | |
| 48 | /> | |
| 49 | <addr | |
| 50 | use="HP" | |
| 51 | > | |
| 52 | <streetAdd ressLine> | |
| 53 | 1100 Test Street | |
| 54 | </streetAd dressLine> | |
| 55 | <city> | |
| 56 | Helena | |
| 57 | </city> | |
| 58 | <state> | |
| 59 | AL | |
| 60 | </state> | |
| 61 | <postalCod e> | |
| 62 | 35080 | |
| 63 | </postalCo de> | |
| 64 | <country | |
| 65 | nullFlavor ="UNK" | |
| 66 | /> | |
| 67 | </addr> | |
| 68 | <addr | |
| 69 | use="H" | |
| 70 | > | |
| 71 | <streetAdd ressLine> | |
| 72 | 1100 Test Street | |
| 73 | </streetAd dressLine> | |
| 74 | <city> | |
| 75 | HELENA | |
| 76 | </city> | |
| 77 | <state> | |
| 78 | AL | |
| 79 | </state> | |
| 80 | <postalCod e> | |
| 81 | 35080 | |
| 82 | </postalCo de> | |
| 83 | <country | |
| 84 | nullFlavor ="UNK" | |
| 85 | /> | |
| 86 | </addr> | |
| 87 | <addr | |
| 88 | use="H" | |
| 89 | > | |
| 90 | <streetAdd ressLine> | |
| 91 | 1100 TEST ST | |
| 92 | </streetAd dressLine> | |
| 93 | <city> | |
| 94 | HELENA | |
| 95 | </city> | |
| 96 | <state> | |
| 97 | AL | |
| 98 | </state> | |
| 99 | <postalCod e> | |
| 100 | 35080 | |
| 101 | </postalCo de> | |
| 102 | <country> | |
| 103 | US | |
| 104 | </country> | |
| 105 | </addr> | |
| 106 | <telecom | |
| 107 | use="HP" | |
| 108 | value="tel :+1-201-11 1-1111" | |
| 109 | /> | |
| 110 | <patient> | |
| 111 | <name | |
| 112 | use="L" | |
| 113 | > | |
| 114 | <family> | |
| 115 | NWHINZZZTE STPATIENT | |
| 116 | </family> | |
| 117 | <given> | |
| 118 | NWHINONE | |
| 119 | </given> | |
| 120 | </name> | |
| 121 | <name | |
| 122 | use="P" | |
| 123 | > | |
| 124 | <family> | |
| 125 | VAUGHAN | |
| 126 | </family> | |
| 127 | <given> | |
| 128 | STEVIE | |
| 129 | </given> | |
| 130 | </name> | |
| 131 | <administr ativeGende rCode | |
| 132 | code="M" | |
| 133 | codeSystem ="2.16.840 .1.113883. 5.1" | |
| 134 | codeSystem Name="HL7 Administra tive Gende r" | |
| 135 | displayNam e="Male" | |
| 136 | /> | |
| 137 | <birthTime | |
| 138 | value="198 1010100000 0" | |
| 139 | /> | |
| 140 | <maritalSt atusCode | |
| 141 | code="M" | |
| 142 | codeSystem ="2.16.840 .1.113883. 5.2" | |
| 143 | codeSystem Name="Mari talStatus" | |
| 144 | displayNam e="MARRIED " | |
| 145 | /> | |
| 146 | <raceCode | |
| 147 | code="2106 -3" | |
| 148 | codeSystem ="2.16.840 .1.113883. 6.238" | |
| 149 | codeSystem Name="Race & Eth nicity - C DC" | |
| 150 | displayNam e="White o r Caucasia n" | |
| 151 | /> | |
| 152 | <ethnicGro upCode | |
| 153 | code="2186 -5" | |
| 154 | codeSystem ="2.16.840 .1.113883. 6.238" | |
| 155 | codeSystem Name="Race & Eth nicity - C DC" | |
| 156 | displayNam e="Not His panic or L atino" | |
| 157 | > | |
| 158 | <originalT ext> | |
| 159 | No, not Hi spanic, La tino or Sp anish | |
| 160 | </original Text> | |
| 161 | </ethnicGr oupCode> | |
| 162 | <languageC ommunicati on> | |
| 163 | <languageC ode | |
| 164 | code="eng" | |
| 165 | /> | |
| 166 | <preferenc eInd | |
| 167 | value="fal se" | |
| 168 | /> | |
| 169 | </language Communicat ion> | |
| 170 | </patient> | |
| 171 | </patientR ole> | |
| 172 | </recordTa rget> | |
| 173 | <author | |
| 174 | typeCode=" AUT" | |
| 175 | > | |
| 176 | <time | |
| 177 | value="201 6120615381 8-0500" | |
| 178 | /> | |
| 179 | <assignedA uthor | |
| 180 | classCode= "ASSIGNED" | |
| 181 | > | |
| 182 | <id | |
| 183 | root="2.16 .840.1.113 883.3.86.3 " | |
| 184 | /> | |
| 185 | <addr | |
| 186 | use="WP" | |
| 187 | > | |
| 188 | <streetAdd ressLine> | |
| 189 | 50 Holden St., Suite 300 | |
| 190 | </streetAd dressLine> | |
| 191 | <city> | |
| 192 | Providence | |
| 193 | </city> | |
| 194 | <state> | |
| 195 | RI | |
| 196 | </state> | |
| 197 | <postalCod e> | |
| 198 | 02908 | |
| 199 | </postalCo de> | |
| 200 | <country> | |
| 201 | US | |
| 202 | </country> | |
| 203 | </addr> | |
| 204 | <telecom | |
| 205 | nullFlavor ="UNK" | |
| 206 | /> | |
| 207 | <assignedA uthoringDe vice> | |
| 208 | <manufactu rerModelNa me> | |
| 209 | InterSyste ms | |
| 210 | </manufact urerModelN ame> | |
| 211 | <softwareN ame> | |
| 212 | InterSyste ms HealthS hare | |
| 213 | </software Name> | |
| 214 | </assigned AuthoringD evice> | |
| 215 | <represent edOrganiza tion> | |
| 216 | <id | |
| 217 | root="2.16 .840.1.113 883.3.915" | |
| 218 | /> | |
| 219 | <id | |
| 220 | root="2.16 .840.1.113 883.3.915" | |
| 221 | extension= "HomeCommu nity" | |
| 222 | displayabl e="true" | |
| 223 | /> | |
| 224 | <name> | |
| 225 | CurrentCar e Test | |
| 226 | </name> | |
| 227 | <telecom | |
| 228 | use="WP" | |
| 229 | value="tel :401-276-9 141" | |
| 230 | /> | |
| 231 | <addr | |
| 232 | use="WP" | |
| 233 | > | |
| 234 | <streetAdd ressLine> | |
| 235 | 50 Holden St., Suite 300 | |
| 236 | </streetAd dressLine> | |
| 237 | <city> | |
| 238 | Providence | |
| 239 | </city> | |
| 240 | <state> | |
| 241 | RI | |
| 242 | </state> | |
| 243 | <postalCod e> | |
| 244 | 02908 | |
| 245 | </postalCo de> | |
| 246 | <country> | |
| 247 | US | |
| 248 | </country> | |
| 249 | </addr> | |
| 250 | </represen tedOrganiz ation> | |
| 251 | </assigned Author> | |
| 252 | </author> | |
| 253 | <custodian > | |
| 254 | <assignedC ustodian> | |
| 255 | <represent edCustodia nOrganizat ion> | |
| 256 | <id | |
| 257 | root="2.16 .840.1.113 883.3.915" | |
| 258 | /> | |
| 259 | <name> | |
| 260 | CurrentCar e Test | |
| 261 | </name> | |
| 262 | <telecom | |
| 263 | use="WP" | |
| 264 | value="tel :401-276-9 141" | |
| 265 | /> | |
| 266 | <addr | |
| 267 | use="WP" | |
| 268 | > | |
| 269 | <streetAdd ressLine> | |
| 270 | 50 Holden St., Suite 300 | |
| 271 | </streetAd dressLine> | |
| 272 | <city> | |
| 273 | Providence | |
| 274 | </city> | |
| 275 | <state> | |
| 276 | RI | |
| 277 | </state> | |
| 278 | <postalCod e> | |
| 279 | 02908 | |
| 280 | </postalCo de> | |
| 281 | <country> | |
| 282 | US | |
| 283 | </country> | |
| 284 | </addr> | |
| 285 | </represen tedCustodi anOrganiza tion> | |
| 286 | </assigned Custodian> | |
| 287 | </custodia n> | |
| 288 | <legalAuth enticator> | |
| 289 | <time | |
| 290 | value="201 6120615381 8-0500" | |
| 291 | /> | |
| 292 | <signature Code | |
| 293 | code="S" | |
| 294 | /> | |
| 295 | <assignedE ntity> | |
| 296 | <id | |
| 297 | nullFlavor ="UNK" | |
| 298 | /> | |
| 299 | <addr | |
| 300 | use="WP" | |
| 301 | > | |
| 302 | <streetAdd ressLine> | |
| 303 | 50 Holden St., Suite 300 | |
| 304 | </streetAd dressLine> | |
| 305 | <city> | |
| 306 | Providence | |
| 307 | </city> | |
| 308 | <state> | |
| 309 | RI | |
| 310 | </state> | |
| 311 | <postalCod e> | |
| 312 | 02908 | |
| 313 | </postalCo de> | |
| 314 | <country> | |
| 315 | US | |
| 316 | </country> | |
| 317 | </addr> | |
| 318 | <telecom | |
| 319 | use="WP" | |
| 320 | value="tel :401-276-9 141" | |
| 321 | /> | |
| 322 | <assignedP erson> | |
| 323 | <name | |
| 324 | use="L" | |
| 325 | > | |
| 326 | <family> | |
| 327 | Rhode Isla nd Quality Institute | |
| 328 | </family> | |
| 329 | <given> | |
| 330 | CurrentCar e | |
| 331 | </given> | |
| 332 | </name> | |
| 333 | </assigned Person> | |
| 334 | <represent edOrganiza tion> | |
| 335 | <id | |
| 336 | nullFlavor ="UNK" | |
| 337 | /> | |
| 338 | <name | |
| 339 | nullFlavor ="UNK" | |
| 340 | /> | |
| 341 | <telecom | |
| 342 | nullFlavor ="UNK" | |
| 343 | /> | |
| 344 | <addr | |
| 345 | nullFlavor ="UNK" | |
| 346 | /> | |
| 347 | </represen tedOrganiz ation> | |
| 348 | </assigned Entity> | |
| 349 | </legalAut henticator > | |
| 350 | <participa nt | |
| 351 | typeCode=" IND" | |
| 352 | > | |
| 353 | <time | |
| 354 | nullFlavor ="UNK" | |
| 355 | /> | |
| 356 | <associate dEntity | |
| 357 | classCode= "ECON" | |
| 358 | > | |
| 359 | <id | |
| 360 | nullFlavor ="UNK" | |
| 361 | /> | |
| 362 | <code | |
| 363 | code="BRO" | |
| 364 | codeSystem ="2.16.840 .1.113883. 5.111" | |
| 365 | codeSystem Name="Role Code" | |
| 366 | displayNam e="Brother " | |
| 367 | > | |
| 368 | <originalT ext> | |
| 369 | Brother | |
| 370 | </original Text> | |
| 371 | </code> | |
| 372 | <addr | |
| 373 | use="WP" | |
| 374 | > | |
| 375 | <country> | |
| 376 | US | |
| 377 | </country> | |
| 378 | </addr> | |
| 379 | <telecom | |
| 380 | use="MC" | |
| 381 | value="tel :+14013013 475" | |
| 382 | /> | |
| 383 | <associate dPerson> | |
| 384 | <name | |
| 385 | use="L" | |
| 386 | > | |
| 387 | <given> | |
| 388 | TESTLNAME, TESTFNAME | |
| 389 | </given> | |
| 390 | </name> | |
| 391 | </associat edPerson> | |
| 392 | </associat edEntity> | |
| 393 | </particip ant> | |
| 394 | <documenta tionOf> | |
| 395 | <serviceEv ent | |
| 396 | classCode= "PCPR" | |
| 397 | > | |
| 398 | <templateI d | |
| 399 | root="2.16 .840.1.113 883.10.20. 21.3.1" | |
| 400 | /> | |
| 401 | <effective Time> | |
| 402 | <low | |
| 403 | value="201 2103011080 0" | |
| 404 | /> | |
| 405 | <high | |
| 406 | nullFlavor ="UNK" | |
| 407 | /> | |
| 408 | </effectiv eTime> | |
| 409 | <performer | |
| 410 | typeCode=" PRF" | |
| 411 | > | |
| 412 | <functionC ode | |
| 413 | code="PCP" | |
| 414 | codeSystem ="2.16.840 .1.113883. 5.88" | |
| 415 | codeSystem Name="Part icipationF unction" | |
| 416 | displayNam e="Primary Care Phys ician" | |
| 417 | /> | |
| 418 | <time> | |
| 419 | <low | |
| 420 | nullFlavor ="UNK" | |
| 421 | /> | |
| 422 | <high | |
| 423 | nullFlavor ="UNK" | |
| 424 | /> | |
| 425 | </time> | |
| 426 | <assignedE ntity | |
| 427 | classCode= "ASSIGNED" | |
| 428 | > | |
| 429 | <id | |
| 430 | root="2.16 .840.1.113 883.4.6" | |
| 431 | extension= "162914898 6" | |
| 432 | /> | |
| 433 | <addr | |
| 434 | use="WP" | |
| 435 | > | |
| 436 | <streetAdd ressLine> | |
| 437 | 185A HIGH SERVICE AV E | |
| 438 | </streetAd dressLine> | |
| 439 | <city> | |
| 440 | NORTH PROV IDENCE | |
| 441 | </city> | |
| 442 | <state> | |
| 443 | RI | |
| 444 | </state> | |
| 445 | <postalCod e> | |
| 446 | 02904 | |
| 447 | </postalCo de> | |
| 448 | <country> | |
| 449 | US | |
| 450 | </country> | |
| 451 | </addr> | |
| 452 | <telecom | |
| 453 | use="WP" | |
| 454 | value="tel :+14014290 880" | |
| 455 | /> | |
| 456 | <assignedP erson> | |
| 457 | <name | |
| 458 | use="L" | |
| 459 | > | |
| 460 | <family> | |
| 461 | Hanna-Trad | |
| 462 | </family> | |
| 463 | <given> | |
| 464 | Linda | |
| 465 | </given> | |
| 466 | </name> | |
| 467 | </assigned Person> | |
| 468 | </assigned Entity> | |
| 469 | </performe r> | |
| 470 | <performer | |
| 471 | typeCode=" PRF" | |
| 472 | > | |
| 473 | <functionC ode | |
| 474 | code="ATTP HYS" | |
| 475 | codeSystem ="2.16.840 .1.113883. 5.88" | |
| 476 | codeSystem Name="Part icipationF unction" | |
| 477 | displayNam e="Attendi ng Clinici an" | |
| 478 | /> | |
| 479 | <time> | |
| 480 | <low | |
| 481 | value="201 6102112455 7" | |
| 482 | /> | |
| 483 | <high | |
| 484 | value="201 6102112455 7" | |
| 485 | /> | |
| 486 | </time> | |
| 487 | <assignedE ntity | |
| 488 | classCode= "ASSIGNED" | |
| 489 | > | |
| 490 | <id | |
| 491 | root="2.16 .840.1.113 883.4.6" | |
| 492 | extension= "154828055 5" | |
| 493 | /> | |
| 494 | <addr | |
| 495 | use="WP" | |
| 496 | > | |
| 497 | <streetAdd ressLine> | |
| 498 | 166 TOLLGA TE ROAD | |
| 499 | </streetAd dressLine> | |
| 500 | <city> | |
| 501 | WARWICK | |
| 502 | </city> | |
| 503 | <state> | |
| 504 | RI | |
| 505 | </state> | |
| 506 | <postalCod e> | |
| 507 | 02886 | |
| 508 | </postalCo de> | |
| 509 | <country | |
| 510 | nullFlavor ="UNK" | |
| 511 | /> | |
| 512 | </addr> | |
| 513 | <telecom | |
| 514 | use="WP" | |
| 515 | value="tel :+14017392 000" | |
| 516 | /> | |
| 517 | <assignedP erson> | |
| 518 | <name | |
| 519 | use="L" | |
| 520 | > | |
| 521 | <family> | |
| 522 | Salk | |
| 523 | </family> | |
| 524 | <given> | |
| 525 | Robert | |
| 526 | </given> | |
| 527 | </name> | |
| 528 | </assigned Person> | |
| 529 | </assigned Entity> | |
| 530 | </performe r> | |
| 531 | <performer | |
| 532 | typeCode=" PRF" | |
| 533 | > | |
| 534 | <time | |
| 535 | nullFlavor ="UNK" | |
| 536 | /> | |
| 537 | <assignedE ntity | |
| 538 | classCode= "ASSIGNED" | |
| 539 | > | |
| 540 | <id | |
| 541 | root="2.16 .840.1.113 883.4.349" | |
| 542 | extension= "provider8 " | |
| 543 | /> | |
| 544 | <addr | |
| 545 | nullFlavor ="UNK" | |
| 546 | /> | |
| 547 | <telecom | |
| 548 | nullFlavor ="UNK" | |
| 549 | /> | |
| 550 | <assignedP erson> | |
| 551 | <name | |
| 552 | use="L" | |
| 553 | > | |
| 554 | <family> | |
| 555 | provider8 | |
| 556 | </family> | |
| 557 | </name> | |
| 558 | </assigned Person> | |
| 559 | </assigned Entity> | |
| 560 | </performe r> | |
| 561 | <performer | |
| 562 | typeCode=" PRF" | |
| 563 | > | |
| 564 | <time | |
| 565 | nullFlavor ="UNK" | |
| 566 | /> | |
| 567 | <assignedE ntity | |
| 568 | classCode= "ASSIGNED" | |
| 569 | > | |
| 570 | <id | |
| 571 | root="2.16 .840.1.113 883.4.349" | |
| 572 | extension= "provider2 " | |
| 573 | /> | |
| 574 | <addr | |
| 575 | nullFlavor ="UNK" | |
| 576 | /> | |
| 577 | <telecom | |
| 578 | nullFlavor ="UNK" | |
| 579 | /> | |
| 580 | <assignedP erson> | |
| 581 | <name | |
| 582 | use="L" | |
| 583 | > | |
| 584 | <family> | |
| 585 | provider2 | |
| 586 | </family> | |
| 587 | </name> | |
| 588 | </assigned Person> | |
| 589 | </assigned Entity> | |
| 590 | </performe r> | |
| 591 | <performer | |
| 592 | typeCode=" PRF" | |
| 593 | > | |
| 594 | <time | |
| 595 | nullFlavor ="UNK" | |
| 596 | /> | |
| 597 | <assignedE ntity | |
| 598 | classCode= "ASSIGNED" | |
| 599 | > | |
| 600 | <id | |
| 601 | root="2.16 .840.1.113 883.4.349" | |
| 602 | extension= "provider3 " | |
| 603 | /> | |
| 604 | <addr | |
| 605 | nullFlavor ="UNK" | |
| 606 | /> | |
| 607 | <telecom | |
| 608 | nullFlavor ="UNK" | |
| 609 | /> | |
| 610 | <assignedP erson> | |
| 611 | <name | |
| 612 | use="L" | |
| 613 | > | |
| 614 | <family> | |
| 615 | provider3 | |
| 616 | </family> | |
| 617 | </name> | |
| 618 | </assigned Person> | |
| 619 | </assigned Entity> | |
| 620 | </performe r> | |
| 621 | <performer | |
| 622 | typeCode=" PRF" | |
| 623 | > | |
| 624 | <time | |
| 625 | nullFlavor ="UNK" | |
| 626 | /> | |
| 627 | <assignedE ntity | |
| 628 | classCode= "ASSIGNED" | |
| 629 | > | |
| 630 | <id | |
| 631 | root="2.16 .840.1.113 883.4.349" | |
| 632 | extension= "provider4 " | |
| 633 | /> | |
| 634 | <addr | |
| 635 | nullFlavor ="UNK" | |
| 636 | /> | |
| 637 | <telecom | |
| 638 | nullFlavor ="UNK" | |
| 639 | /> | |
| 640 | <assignedP erson> | |
| 641 | <name | |
| 642 | use="L" | |
| 643 | > | |
| 644 | <family> | |
| 645 | provider4 | |
| 646 | </family> | |
| 647 | </name> | |
| 648 | </assigned Person> | |
| 649 | </assigned Entity> | |
| 650 | </performe r> | |
| 651 | <performer | |
| 652 | typeCode=" PRF" | |
| 653 | > | |
| 654 | <time | |
| 655 | nullFlavor ="UNK" | |
| 656 | /> | |
| 657 | <assignedE ntity | |
| 658 | classCode= "ASSIGNED" | |
| 659 | > | |
| 660 | <id | |
| 661 | root="2.16 .840.1.113 883.4.349" | |
| 662 | extension= "provider5 " | |
| 663 | /> | |
| 664 | <addr | |
| 665 | nullFlavor ="UNK" | |
| 666 | /> | |
| 667 | <telecom | |
| 668 | nullFlavor ="UNK" | |
| 669 | /> | |
| 670 | <assignedP erson> | |
| 671 | <name | |
| 672 | use="L" | |
| 673 | > | |
| 674 | <family> | |
| 675 | provider5 | |
| 676 | </family> | |
| 677 | </name> | |
| 678 | </assigned Person> | |
| 679 | </assigned Entity> | |
| 680 | </performe r> | |
| 681 | <performer | |
| 682 | typeCode=" PRF" | |
| 683 | > | |
| 684 | <time | |
| 685 | nullFlavor ="UNK" | |
| 686 | /> | |
| 687 | <assignedE ntity | |
| 688 | classCode= "ASSIGNED" | |
| 689 | > | |
| 690 | <id | |
| 691 | root="2.16 .840.1.113 883.4.349" | |
| 692 | extension= "provider6 " | |
| 693 | /> | |
| 694 | <addr | |
| 695 | nullFlavor ="UNK" | |
| 696 | /> | |
| 697 | <telecom | |
| 698 | nullFlavor ="UNK" | |
| 699 | /> | |
| 700 | <assignedP erson> | |
| 701 | <name | |
| 702 | use="L" | |
| 703 | > | |
| 704 | <family> | |
| 705 | provider6 | |
| 706 | </family> | |
| 707 | </name> | |
| 708 | </assigned Person> | |
| 709 | </assigned Entity> | |
| 710 | </performe r> | |
| 711 | <performer | |
| 712 | typeCode=" PRF" | |
| 713 | > | |
| 714 | <time | |
| 715 | nullFlavor ="UNK" | |
| 716 | /> | |
| 717 | <assignedE ntity | |
| 718 | classCode= "ASSIGNED" | |
| 719 | > | |
| 720 | <id | |
| 721 | root="2.16 .840.1.113 883.4.349" | |
| 722 | extension= "provider7 " | |
| 723 | /> | |
| 724 | <addr | |
| 725 | nullFlavor ="UNK" | |
| 726 | /> | |
| 727 | <telecom | |
| 728 | nullFlavor ="UNK" | |
| 729 | /> | |
| 730 | <assignedP erson> | |
| 731 | <name | |
| 732 | use="L" | |
| 733 | > | |
| 734 | <family> | |
| 735 | provider7 | |
| 736 | </family> | |
| 737 | </name> | |
| 738 | </assigned Person> | |
| 739 | </assigned Entity> | |
| 740 | </performe r> | |
| 741 | <performer | |
| 742 | typeCode=" PRF" | |
| 743 | > | |
| 744 | <time | |
| 745 | nullFlavor ="UNK" | |
| 746 | /> | |
| 747 | <assignedE ntity | |
| 748 | classCode= "ASSIGNED" | |
| 749 | > | |
| 750 | <id | |
| 751 | root="2.16 .840.1.113 883.4.349" | |
| 752 | extension= "provider9 " | |
| 753 | /> | |
| 754 | <addr | |
| 755 | nullFlavor ="UNK" | |
| 756 | /> | |
| 757 | <telecom | |
| 758 | nullFlavor ="UNK" | |
| 759 | /> | |
| 760 | <assignedP erson> | |
| 761 | <name | |
| 762 | use="L" | |
| 763 | > | |
| 764 | <family> | |
| 765 | provider9 | |
| 766 | </family> | |
| 767 | </name> | |
| 768 | </assigned Person> | |
| 769 | </assigned Entity> | |
| 770 | </performe r> | |
| 771 | <performer | |
| 772 | typeCode=" PRF" | |
| 773 | > | |
| 774 | <time | |
| 775 | nullFlavor ="UNK" | |
| 776 | /> | |
| 777 | <assignedE ntity | |
| 778 | classCode= "ASSIGNED" | |
| 779 | > | |
| 780 | <id | |
| 781 | root="2.16 .840.1.113 883.4.349" | |
| 782 | extension= "provider1 0" | |
| 783 | /> | |
| 784 | <addr | |
| 785 | nullFlavor ="UNK" | |
| 786 | /> | |
| 787 | <telecom | |
| 788 | nullFlavor ="UNK" | |
| 789 | /> | |
| 790 | <assignedP erson> | |
| 791 | <name | |
| 792 | use="L" | |
| 793 | > | |
| 794 | <family> | |
| 795 | provider10 | |
| 796 | </family> | |
| 797 | </name> | |
| 798 | </assigned Person> | |
| 799 | </assigned Entity> | |
| 800 | </performe r> | |
| 801 | </serviceE vent> | |
| 802 | </document ationOf> | |
| 803 | <component Of> | |
| 804 | <encompass ingEncount er> | |
| 805 | <id | |
| 806 | root="2.25 .246197433 4711223797 2819964550 9506557628 " | |
| 807 | /> | |
| 808 | <effective Time | |
| 809 | value="201 6120615381 8-0500" | |
| 810 | /> | |
| 811 | </encompas singEncoun ter> | |
| 812 | </componen tOf> | |
| 813 | <component > | |
| 814 | <structure dBody> | |
| 815 | <component > | |
| 816 | <section> | |
| 817 | <templateI d | |
| 818 | root="2.16 .840.1.113 883.10.20. 22.2.21" | |
| 819 | /> | |
| 820 | <code | |
| 821 | code="4234 8-3" | |
| 822 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 823 | codeSystem Name="LOIN C" | |
| 824 | /> | |
| 825 | <title> | |
| 826 | Advance Di rectives | |
| 827 | </title> | |
| 828 | <text> | |
| 829 | <table | |
| 830 | border="1" | |
| 831 | width="100 %" | |
| 832 | > | |
| 833 | <thead> | |
| 834 | <tr> | |
| 835 | <th> | |
| 836 | Directive | |
| 837 | </th> | |
| 838 | <th> | |
| 839 | Decision | |
| 840 | </th> | |
| 841 | <th> | |
| 842 | Effective Date | |
| 843 | </th> | |
| 844 | <th> | |
| 845 | Terminatio n Date | |
| 846 | </th> | |
| 847 | <th> | |
| 848 | Comments | |
| 849 | </th> | |
| 850 | </tr> | |
| 851 | </thead> | |
| 852 | <tbody> | |
| 853 | <tr | |
| 854 | ID="advanc eDirective Narrative- 1" | |
| 855 | > | |
| 856 | <td | |
| 857 | ID="advanc eDirective Descriptio n-1" | |
| 858 | > | |
| 859 | ADVANCE DI RECTIVE | |
| 860 | </td> | |
| 861 | <td> | |
| 862 | N/A | |
| 863 | </td> | |
| 864 | <td> | |
| 865 | 2015-01-15 11:36:00 | |
| 866 | </td> | |
| 867 | <td/> | |
| 868 | <td | |
| 869 | ID="advanc eDirective Comments-1 " | |
| 870 | /> | |
| 871 | </tr> | |
| 872 | </tbody> | |
| 873 | </table> | |
| 874 | </text> | |
| 875 | <entry | |
| 876 | typeCode=" DRIV" | |
| 877 | > | |
| 878 | <observati on | |
| 879 | classCode= "OBS" | |
| 880 | moodCode=" EVN" | |
| 881 | > | |
| 882 | <templateI d | |
| 883 | root="2.16 .840.1.113 883. IP .48" | |
| 884 | /> | |
| 885 | <id | |
| 886 | nullFlavor ="UNK" | |
| 887 | /> | |
| 888 | <code | |
| 889 | code="7138 8002" | |
| 890 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 891 | codeSystem Name="SNOM ED-CT" | |
| 892 | displayNam e="Other D irective" | |
| 893 | > | |
| 894 | <originalT ext> | |
| 895 | <reference | |
| 896 | value="#ad vanceDirec tiveDescri ption-1" | |
| 897 | /> | |
| 898 | </original Text> | |
| 899 | </code> | |
| 900 | <statusCod e | |
| 901 | code="comp leted" | |
| 902 | /> | |
| 903 | <effective Time> | |
| 904 | <low | |
| 905 | value="201 5011511360 0" | |
| 906 | /> | |
| 907 | <high | |
| 908 | nullFlavor ="UNK" | |
| 909 | /> | |
| 910 | </effectiv eTime> | |
| 911 | <informant > | |
| 912 | <assignedE ntity> | |
| 913 | <id | |
| 914 | root="RIQI ORG" | |
| 915 | extension= "eHealthVA " | |
| 916 | /> | |
| 917 | <addr | |
| 918 | nullFlavor ="UNK" | |
| 919 | /> | |
| 920 | <telecom | |
| 921 | nullFlavor ="UNK" | |
| 922 | /> | |
| 923 | <assignedP erson> | |
| 924 | <name | |
| 925 | nullFlavor ="UNK" | |
| 926 | /> | |
| 927 | </assigned Person> | |
| 928 | <represent edOrganiza tion> | |
| 929 | <id | |
| 930 | root="2.16 .840.1.113 883.4.349" | |
| 931 | /> | |
| 932 | <id | |
| 933 | root="2.16 .840.1.113 883.3.915" | |
| 934 | extension= "eHealthVA " | |
| 935 | displayabl e="true" | |
| 936 | /> | |
| 937 | <name> | |
| 938 | eHealthVA | |
| 939 | </name> | |
| 940 | <telecom | |
| 941 | nullFlavor ="UNK" | |
| 942 | /> | |
| 943 | <addr | |
| 944 | nullFlavor ="UNK" | |
| 945 | /> | |
| 946 | <asOrganiz ationPartO f> | |
| 947 | <effective Time | |
| 948 | nullFlavor ="UNK" | |
| 949 | /> | |
| 950 | <wholeOrga nization> | |
| 951 | <id | |
| 952 | root="2.16 .840.1.113 883.3.915" | |
| 953 | /> | |
| 954 | <id | |
| 955 | root="2.16 .840.1.113 883.3.915" | |
| 956 | extension= "HomeCommu nity" | |
| 957 | displayabl e="true" | |
| 958 | /> | |
| 959 | <name> | |
| 960 | CurrentCar e Test | |
| 961 | </name> | |
| 962 | <telecom | |
| 963 | use="WP" | |
| 964 | value="tel :401-276-9 141" | |
| 965 | /> | |
| 966 | <addr | |
| 967 | use="WP" | |
| 968 | > | |
| 969 | <streetAdd ressLine> | |
| 970 | 50 Holden St., Suite 300 | |
| 971 | </streetAd dressLine> | |
| 972 | <city> | |
| 973 | Providence | |
| 974 | </city> | |
| 975 | <state> | |
| 976 | RI | |
| 977 | </state> | |
| 978 | <postalCod e> | |
| 979 | 02908 | |
| 980 | </postalCo de> | |
| 981 | <country> | |
| 982 | US | |
| 983 | </country> | |
| 984 | </addr> | |
| 985 | </wholeOrg anization> | |
| 986 | </asOrgani zationPart Of> | |
| 987 | </represen tedOrganiz ation> | |
| 988 | </assigned Entity> | |
| 989 | </informan t> | |
| 990 | <participa nt | |
| 991 | typeCode=" CST" | |
| 992 | > | |
| 993 | <templateI d | |
| 994 | root="2.16 .840.1.113 883.10.20. 1.58" | |
| 995 | /> | |
| 996 | <participa ntRole | |
| 997 | classCode= "AGNT" | |
| 998 | > | |
| 999 | <playingEn tity> | |
| 1000 | <name | |
| 1001 | nullFlavor ="UNK" | |
| 1002 | /> | |
| 1003 | </playingE ntity> | |
| 1004 | </particip antRole> | |
| 1005 | </particip ant> | |
| 1006 | <reference | |
| 1007 | typeCode=" REFR" | |
| 1008 | > | |
| 1009 | <seperatab leInd | |
| 1010 | value="fal se" | |
| 1011 | /> | |
| 1012 | <externalD ocument> | |
| 1013 | <id | |
| 1014 | root="ebdd aada-bbf3- 11e6-bfc8- 5056a46ceb 00" | |
| 1015 | /> | |
| 1016 | <text | |
| 1017 | mediaType= "text/html " | |
| 1018 | > | |
| 1019 | <reference | |
| 1020 | value="#ad vanceDirec tiveNarrat ive-1" | |
| 1021 | /> | |
| 1022 | </text> | |
| 1023 | </external Document> | |
| 1024 | </referenc e> | |
| 1025 | </observat ion> | |
| 1026 | </entry> | |
| 1027 | </section> | |
| 1028 | </componen t> | |
| 1029 | <component > | |
| 1030 | <section> | |
| 1031 | <templateI d | |
| 1032 | root="2.16 .840.1.113 883.10.20. 22.2.5.1" | |
| 1033 | /> | |
| 1034 | <code | |
| 1035 | code="1145 0-4" | |
| 1036 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 1037 | codeSystem Name="LOIN C" | |
| 1038 | displayNam e="Problem list" | |
| 1039 | /> | |
| 1040 | <title> | |
| 1041 | Problems | |
| 1042 | </title> | |
| 1043 | <text> | |
| 1044 | <table | |
| 1045 | border="1" | |
| 1046 | width="100 %" | |
| 1047 | > | |
| 1048 | <thead> | |
| 1049 | <tr> | |
| 1050 | <th> | |
| 1051 | Condition Name | |
| 1052 | </th> | |
| 1053 | <th> | |
| 1054 | Condition Details | |
| 1055 | </th> | |
| 1056 | <th> | |
| 1057 | Condition Category | |
| 1058 | </th> | |
| 1059 | <th> | |
| 1060 | Status | |
| 1061 | </th> | |
| 1062 | <th> | |
| 1063 | Onset Date | |
| 1064 | </th> | |
| 1065 | <th> | |
| 1066 | Resolution Date | |
| 1067 | </th> | |
| 1068 | <th> | |
| 1069 | Last Treat ment Date | |
| 1070 | </th> | |
| 1071 | <th> | |
| 1072 | Treating C linician | |
| 1073 | </th> | |
| 1074 | <th> | |
| 1075 | Comments | |
| 1076 | </th> | |
| 1077 | </tr> | |
| 1078 | </thead> | |
| 1079 | <tbody> | |
| 1080 | <tr | |
| 1081 | ID="proble mNarrative -1" | |
| 1082 | > | |
| 1083 | <td | |
| 1084 | ID="proble mDisplayNa me-1" | |
| 1085 | > | |
| 1086 | Vulvitis | |
| 1087 | </td> | |
| 1088 | <td | |
| 1089 | ID="proble mDescripti on-1" | |
| 1090 | > | |
| 1091 | Vulvitis | |
| 1092 | </td> | |
| 1093 | <td> | |
| 1094 | Problem | |
| 1095 | </td> | |
| 1096 | <td | |
| 1097 | ID="proble mStatus-1" | |
| 1098 | > | |
| 1099 | Active | |
| 1100 | </td> | |
| 1101 | <td> | |
| 1102 | 2015-05-05 00:00:00 | |
| 1103 | </td> | |
| 1104 | <td/> | |
| 1105 | <td/> | |
| 1106 | <td/> | |
| 1107 | <td | |
| 1108 | ID="proble mComments- 1" | |
| 1109 | /> | |
| 1110 | </tr> | |
| 1111 | <tr | |
| 1112 | ID="proble mNarrative -2" | |
| 1113 | > | |
| 1114 | <td | |
| 1115 | ID="proble mDisplayNa me-2" | |
| 1116 | > | |
| 1117 | 799.9 | |
| 1118 | </td> | |
| 1119 | <td | |
| 1120 | ID="proble mDescripti on-2" | |
| 1121 | > | |
| 1122 | Cardio-vas cular Find ings: Hear t (ICD-9-C M 799.9) | |
| 1123 | </td> | |
| 1124 | <td/> | |
| 1125 | <td | |
| 1126 | ID="proble mStatus-2" | |
| 1127 | /> | |
| 1128 | <td/> | |
| 1129 | <td/> | |
| 1130 | <td/> | |
| 1131 | <td> | |
| 1132 | provider8 | |
| 1133 | </td> | |
| 1134 | <td | |
| 1135 | ID="proble mComments- 2" | |
| 1136 | /> | |
| 1137 | </tr> | |
| 1138 | <tr | |
| 1139 | ID="proble mNarrative -3" | |
| 1140 | > | |
| 1141 | <td | |
| 1142 | ID="proble mDisplayNa me-3" | |
| 1143 | > | |
| 1144 | 786.2 | |
| 1145 | </td> | |
| 1146 | <td | |
| 1147 | ID="proble mDescripti on-3" | |
| 1148 | > | |
| 1149 | Cough (ICD -9-CM 786. 2) | |
| 1150 | </td> | |
| 1151 | <td/> | |
| 1152 | <td | |
| 1153 | ID="proble mStatus-3" | |
| 1154 | /> | |
| 1155 | <td/> | |
| 1156 | <td/> | |
| 1157 | <td/> | |
| 1158 | <td> | |
| 1159 | provider2 | |
| 1160 | </td> | |
| 1161 | <td | |
| 1162 | ID="proble mComments- 3" | |
| 1163 | /> | |
| 1164 | </tr> | |
| 1165 | <tr | |
| 1166 | ID="proble mNarrative -4" | |
| 1167 | > | |
| 1168 | <td | |
| 1169 | ID="proble mDisplayNa me-4" | |
| 1170 | > | |
| 1171 | 401.9 | |
| 1172 | </td> | |
| 1173 | <td | |
| 1174 | ID="proble mDescripti on-4" | |
| 1175 | > | |
| 1176 | Hypertensi on (ICD-9- CM 401.9) | |
| 1177 | </td> | |
| 1178 | <td/> | |
| 1179 | <td | |
| 1180 | ID="proble mStatus-4" | |
| 1181 | /> | |
| 1182 | <td/> | |
| 1183 | <td/> | |
| 1184 | <td/> | |
| 1185 | <td> | |
| 1186 | provider3 | |
| 1187 | </td> | |
| 1188 | <td | |
| 1189 | ID="proble mComments- 4" | |
| 1190 | /> | |
| 1191 | </tr> | |
| 1192 | <tr | |
| 1193 | ID="proble mNarrative -5" | |
| 1194 | > | |
| 1195 | <td | |
| 1196 | ID="proble mDisplayNa me-5" | |
| 1197 | > | |
| 1198 | 710.3 | |
| 1199 | </td> | |
| 1200 | <td | |
| 1201 | ID="proble mDescripti on-5" | |
| 1202 | > | |
| 1203 | Dermatomyo sitis (ICD -9-CM 710. 3) | |
| 1204 | </td> | |
| 1205 | <td/> | |
| 1206 | <td | |
| 1207 | ID="proble mStatus-5" | |
| 1208 | /> | |
| 1209 | <td/> | |
| 1210 | <td/> | |
| 1211 | <td/> | |
| 1212 | <td> | |
| 1213 | provider4 | |
| 1214 | </td> | |
| 1215 | <td | |
| 1216 | ID="proble mComments- 5" | |
| 1217 | /> | |
| 1218 | </tr> | |
| 1219 | <tr | |
| 1220 | ID="proble mNarrative -6" | |
| 1221 | > | |
| 1222 | <td | |
| 1223 | ID="proble mDisplayNa me-6" | |
| 1224 | > | |
| 1225 | 307.49 | |
| 1226 | </td> | |
| 1227 | <td | |
| 1228 | ID="proble mDescripti on-6" | |
| 1229 | > | |
| 1230 | Sleep-wake schedule disorder ( ICD-9-CM 3 07.49) | |
| 1231 | </td> | |
| 1232 | <td/> | |
| 1233 | <td | |
| 1234 | ID="proble mStatus-6" | |
| 1235 | /> | |
| 1236 | <td/> | |
| 1237 | <td/> | |
| 1238 | <td/> | |
| 1239 | <td> | |
| 1240 | provider5 | |
| 1241 | </td> | |
| 1242 | <td | |
| 1243 | ID="proble mComments- 6" | |
| 1244 | /> | |
| 1245 | </tr> | |
| 1246 | <tr | |
| 1247 | ID="proble mNarrative -7" | |
| 1248 | > | |
| 1249 | <td | |
| 1250 | ID="proble mDisplayNa me-7" | |
| 1251 | > | |
| 1252 | 307.46 | |
| 1253 | </td> | |
| 1254 | <td | |
| 1255 | ID="proble mDescripti on-7" | |
| 1256 | > | |
| 1257 | Sleep Terr or Disorde r (ICD-9-C M 307.46) | |
| 1258 | </td> | |
| 1259 | <td/> | |
| 1260 | <td | |
| 1261 | ID="proble mStatus-7" | |
| 1262 | /> | |
| 1263 | <td/> | |
| 1264 | <td/> | |
| 1265 | <td/> | |
| 1266 | <td> | |
| 1267 | provider6 | |
| 1268 | </td> | |
| 1269 | <td | |
| 1270 | ID="proble mComments- 7" | |
| 1271 | /> | |
| 1272 | </tr> | |
| 1273 | <tr | |
| 1274 | ID="proble mNarrative -8" | |
| 1275 | > | |
| 1276 | <td | |
| 1277 | ID="proble mDisplayNa me-8" | |
| 1278 | > | |
| 1279 | 471.9 | |
| 1280 | </td> | |
| 1281 | <td | |
| 1282 | ID="proble mDescripti on-8" | |
| 1283 | > | |
| 1284 | Nasal Poly ps (ICD-9- CM 471.9) | |
| 1285 | </td> | |
| 1286 | <td/> | |
| 1287 | <td | |
| 1288 | ID="proble mStatus-8" | |
| 1289 | /> | |
| 1290 | <td/> | |
| 1291 | <td/> | |
| 1292 | <td/> | |
| 1293 | <td> | |
| 1294 | provider7 | |
| 1295 | </td> | |
| 1296 | <td | |
| 1297 | ID="proble mComments- 8" | |
| 1298 | /> | |
| 1299 | </tr> | |
| 1300 | <tr | |
| 1301 | ID="proble mNarrative -9" | |
| 1302 | > | |
| 1303 | <td | |
| 1304 | ID="proble mDisplayNa me-9" | |
| 1305 | > | |
| 1306 | 428.9 | |
| 1307 | </td> | |
| 1308 | <td | |
| 1309 | ID="proble mDescripti on-9" | |
| 1310 | > | |
| 1311 | Heart fail ure (ICD-9 -CM 428.9) | |
| 1312 | </td> | |
| 1313 | <td/> | |
| 1314 | <td | |
| 1315 | ID="proble mStatus-9" | |
| 1316 | /> | |
| 1317 | <td/> | |
| 1318 | <td/> | |
| 1319 | <td/> | |
| 1320 | <td> | |
| 1321 | provider9 | |
| 1322 | </td> | |
| 1323 | <td | |
| 1324 | ID="proble mComments- 9" | |
| 1325 | /> | |
| 1326 | </tr> | |
| 1327 | <tr | |
| 1328 | ID="proble mNarrative -10" | |
| 1329 | > | |
| 1330 | <td | |
| 1331 | ID="proble mDisplayNa me-10" | |
| 1332 | > | |
| 1333 | 309.81 | |
| 1334 | </td> | |
| 1335 | <td | |
| 1336 | ID="proble mDescripti on-10" | |
| 1337 | > | |
| 1338 | Posttrauma tic Stress Disorder (ICD-9-CM 309.81) | |
| 1339 | </td> | |
| 1340 | <td/> | |
| 1341 | <td | |
| 1342 | ID="proble mStatus-10 " | |
| 1343 | /> | |
| 1344 | <td/> | |
| 1345 | <td/> | |
| 1346 | <td/> | |
| 1347 | <td> | |
| 1348 | provider10 | |
| 1349 | </td> | |
| 1350 | <td | |
| 1351 | ID="proble mComments- 10" | |
| 1352 | /> | |
| 1353 | </tr> | |
| 1354 | </tbody> | |
| 1355 | </table> | |
| 1356 | </text> | |
| 1357 | <entry | |
| 1358 | typeCode=" DRIV" | |
| 1359 | > | |
| 1360 | <act | |
| 1361 | classCode= "ACT" | |
| 1362 | moodCode=" EVN" | |
| 1363 | > | |
| 1364 | <templateI d | |
| 1365 | root="2.16 .840.1.113 883. IP .3" | |
| 1366 | /> | |
| 1367 | <id | |
| 1368 | root="3150 0" | |
| 1369 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .768076|10 11642" | |
| 1370 | assigningA uthorityNa me="31500- ExternalId " | |
| 1371 | /> | |
| 1372 | <code | |
| 1373 | code="CONC " | |
| 1374 | codeSystem ="2.16.840 .1.113883. 5.6" | |
| 1375 | codeSystem Name="ActC lass" | |
| 1376 | displayNam e="Concern " | |
| 1377 | /> | |
| 1378 | <statusCod e | |
| 1379 | code="acti ve" | |
| 1380 | /> | |
| 1381 | <effective Time> | |
| 1382 | <low | |
| 1383 | value="201 5050500000 0" | |
| 1384 | /> | |
| 1385 | </effectiv eTime> | |
| 1386 | <informant > | |
| 1387 | <assignedE ntity> | |
| 1388 | <id | |
| 1389 | root="RIQI ORG" | |
| 1390 | extension= "31500" | |
| 1391 | /> | |
| 1392 | <addr | |
| 1393 | use="WP" | |
| 1394 | > | |
| 1395 | <streetAdd ressLine> | |
| 1396 | 10 Health Lane | |
| 1397 | </streetAd dressLine> | |
| 1398 | <city> | |
| 1399 | Warwick | |
| 1400 | </city> | |
| 1401 | <state> | |
| 1402 | RI | |
| 1403 | </state> | |
| 1404 | <postalCod e> | |
| 1405 | 02886 | |
| 1406 | </postalCo de> | |
| 1407 | <country> | |
| 1408 | US | |
| 1409 | </country> | |
| 1410 | </addr> | |
| 1411 | <telecom | |
| 1412 | nullFlavor ="UNK" | |
| 1413 | /> | |
| 1414 | <assignedP erson> | |
| 1415 | <name | |
| 1416 | nullFlavor ="UNK" | |
| 1417 | /> | |
| 1418 | </assigned Person> | |
| 1419 | <represent edOrganiza tion> | |
| 1420 | <id | |
| 1421 | root="2.16 .840.1.113 883.3.915" | |
| 1422 | extension= "31500" | |
| 1423 | displayabl e="true" | |
| 1424 | /> | |
| 1425 | <name> | |
| 1426 | Care New E ngland | |
| 1427 | </name> | |
| 1428 | <telecom | |
| 1429 | nullFlavor ="UNK" | |
| 1430 | /> | |
| 1431 | <addr | |
| 1432 | use="WP" | |
| 1433 | > | |
| 1434 | <streetAdd ressLine> | |
| 1435 | 10 Health Lane | |
| 1436 | </streetAd dressLine> | |
| 1437 | <city> | |
| 1438 | Warwick | |
| 1439 | </city> | |
| 1440 | <state> | |
| 1441 | RI | |
| 1442 | </state> | |
| 1443 | <postalCod e> | |
| 1444 | 02886 | |
| 1445 | </postalCo de> | |
| 1446 | <country> | |
| 1447 | US | |
| 1448 | </country> | |
| 1449 | </addr> | |
| 1450 | <asOrganiz ationPartO f> | |
| 1451 | <effective Time | |
| 1452 | nullFlavor ="UNK" | |
| 1453 | /> | |
| 1454 | <wholeOrga nization> | |
| 1455 | <id | |
| 1456 | root="2.16 .840.1.113 883.3.915" | |
| 1457 | /> | |
| 1458 | <id | |
| 1459 | root="2.16 .840.1.113 883.3.915" | |
| 1460 | extension= "HomeCommu nity" | |
| 1461 | displayabl e="true" | |
| 1462 | /> | |
| 1463 | <name> | |
| 1464 | CurrentCar e Test | |
| 1465 | </name> | |
| 1466 | <telecom | |
| 1467 | use="WP" | |
| 1468 | value="tel :401-276-9 141" | |
| 1469 | /> | |
| 1470 | <addr | |
| 1471 | use="WP" | |
| 1472 | > | |
| 1473 | <streetAdd ressLine> | |
| 1474 | 50 Holden St., Suite 300 | |
| 1475 | </streetAd dressLine> | |
| 1476 | <city> | |
| 1477 | Providence | |
| 1478 | </city> | |
| 1479 | <state> | |
| 1480 | RI | |
| 1481 | </state> | |
| 1482 | <postalCod e> | |
| 1483 | 02908 | |
| 1484 | </postalCo de> | |
| 1485 | <country> | |
| 1486 | US | |
| 1487 | </country> | |
| 1488 | </addr> | |
| 1489 | </wholeOrg anization> | |
| 1490 | </asOrgani zationPart Of> | |
| 1491 | </represen tedOrganiz ation> | |
| 1492 | </assigned Entity> | |
| 1493 | </informan t> | |
| 1494 | <entryRela tionship | |
| 1495 | typeCode=" SUBJ" | |
| 1496 | inversionI nd="false" | |
| 1497 | > | |
| 1498 | <observati on | |
| 1499 | classCode= "OBS" | |
| 1500 | moodCode=" EVN" | |
| 1501 | > | |
| 1502 | <templateI d | |
| 1503 | root="2.16 .840.1.113 883. IP .4" | |
| 1504 | /> | |
| 1505 | <id | |
| 1506 | nullFlavor ="NI" | |
| 1507 | /> | |
| 1508 | <code | |
| 1509 | code="5560 7006" | |
| 1510 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 1511 | codeSystem Name="SNOM ED-CT" | |
| 1512 | displayNam e="Problem " | |
| 1513 | > | |
| 1514 | <originalT ext> | |
| 1515 | Problem | |
| 1516 | </original Text> | |
| 1517 | </code> | |
| 1518 | <text> | |
| 1519 | <reference | |
| 1520 | value="#pr oblemDescr iption-1" | |
| 1521 | /> | |
| 1522 | </text> | |
| 1523 | <statusCod e | |
| 1524 | code="comp leted" | |
| 1525 | /> | |
| 1526 | <effective Time> | |
| 1527 | <low | |
| 1528 | value="201 5050500000 0" | |
| 1529 | /> | |
| 1530 | </effectiv eTime> | |
| 1531 | <value | |
| 1532 | code="6314 4007" | |
| 1533 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 1534 | codeSystem Name="SNOM ED-CT" | |
| 1535 | displayNam e="Vulviti s" | |
| 1536 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 1537 | xsi:type=" CD" | |
| 1538 | > | |
| 1539 | <originalT ext> | |
| 1540 | <reference | |
| 1541 | value="#pr oblemDispl ayName-1" | |
| 1542 | /> | |
| 1543 | </original Text> | |
| 1544 | </value> | |
| 1545 | <entryRela tionship | |
| 1546 | typeCode=" REFR" | |
| 1547 | inversionI nd="false" | |
| 1548 | > | |
| 1549 | <observati on | |
| 1550 | classCode= "OBS" | |
| 1551 | moodCode=" EVN" | |
| 1552 | > | |
| 1553 | <templateI d | |
| 1554 | root="2.16 .840.1.113 883. IP .6" | |
| 1555 | /> | |
| 1556 | <code | |
| 1557 | code="3399 9-4" | |
| 1558 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 1559 | codeSystem Name="LOIN C" | |
| 1560 | displayNam e="Status" | |
| 1561 | /> | |
| 1562 | <text> | |
| 1563 | <reference | |
| 1564 | value="#pr oblemStatu s-1" | |
| 1565 | /> | |
| 1566 | </text> | |
| 1567 | <statusCod e | |
| 1568 | code="comp leted" | |
| 1569 | /> | |
| 1570 | <value | |
| 1571 | code="5556 1003" | |
| 1572 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 1573 | codeSystem Name="SNOM ED-CT" | |
| 1574 | displayNam e="Active" | |
| 1575 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 1576 | xsi:type=" CD" | |
| 1577 | /> | |
| 1578 | </observat ion> | |
| 1579 | </entryRel ationship> | |
| 1580 | </observat ion> | |
| 1581 | </entryRel ationship> | |
| 1582 | <entryRela tionship | |
| 1583 | typeCode=" SUBJ" | |
| 1584 | inversionI nd="true" | |
| 1585 | > | |
| 1586 | <encounter | |
| 1587 | classCode= "ENC" | |
| 1588 | moodCode=" EVN" | |
| 1589 | > | |
| 1590 | <id | |
| 1591 | root="3150 0" | |
| 1592 | extension= "10553224" | |
| 1593 | /> | |
| 1594 | </encounte r> | |
| 1595 | </entryRel ationship> | |
| 1596 | </act> | |
| 1597 | </entry> | |
| 1598 | <entry | |
| 1599 | typeCode=" DRIV" | |
| 1600 | > | |
| 1601 | <act | |
| 1602 | classCode= "ACT" | |
| 1603 | moodCode=" EVN" | |
| 1604 | > | |
| 1605 | <templateI d | |
| 1606 | root="2.16 .840.1.113 883. IP .3" | |
| 1607 | /> | |
| 1608 | <id | |
| 1609 | nullFlavor ="UNK" | |
| 1610 | /> | |
| 1611 | <code | |
| 1612 | code="CONC " | |
| 1613 | codeSystem ="2.16.840 .1.113883. 5.6" | |
| 1614 | codeSystem Name="ActC lass" | |
| 1615 | displayNam e="Concern " | |
| 1616 | /> | |
| 1617 | <statusCod e | |
| 1618 | code="acti ve" | |
| 1619 | /> | |
| 1620 | <effective Time> | |
| 1621 | <low | |
| 1622 | nullFlavor ="UNK" | |
| 1623 | /> | |
| 1624 | </effectiv eTime> | |
| 1625 | <performer | |
| 1626 | typeCode=" PRF" | |
| 1627 | > | |
| 1628 | <time | |
| 1629 | nullFlavor ="UNK" | |
| 1630 | /> | |
| 1631 | <assignedE ntity | |
| 1632 | classCode= "ASSIGNED" | |
| 1633 | > | |
| 1634 | <id | |
| 1635 | root="2.16 .840.1.113 883.4.349" | |
| 1636 | extension= "provider8 " | |
| 1637 | /> | |
| 1638 | <addr | |
| 1639 | nullFlavor ="UNK" | |
| 1640 | /> | |
| 1641 | <telecom | |
| 1642 | nullFlavor ="UNK" | |
| 1643 | /> | |
| 1644 | <assignedP erson> | |
| 1645 | <name | |
| 1646 | use="L" | |
| 1647 | > | |
| 1648 | <family> | |
| 1649 | provider8 | |
| 1650 | </family> | |
| 1651 | </name> | |
| 1652 | </assigned Person> | |
| 1653 | </assigned Entity> | |
| 1654 | </performe r> | |
| 1655 | <informant > | |
| 1656 | <assignedE ntity> | |
| 1657 | <id | |
| 1658 | root="RIQI ORG" | |
| 1659 | extension= "552" | |
| 1660 | /> | |
| 1661 | <addr | |
| 1662 | nullFlavor ="UNK" | |
| 1663 | /> | |
| 1664 | <telecom | |
| 1665 | nullFlavor ="UNK" | |
| 1666 | /> | |
| 1667 | <assignedP erson> | |
| 1668 | <name | |
| 1669 | nullFlavor ="UNK" | |
| 1670 | /> | |
| 1671 | </assigned Person> | |
| 1672 | <represent edOrganiza tion> | |
| 1673 | <id | |
| 1674 | root="2.16 .840.1.113 883.3.915" | |
| 1675 | extension= "552" | |
| 1676 | displayabl e="true" | |
| 1677 | /> | |
| 1678 | <name> | |
| 1679 | DAYTON | |
| 1680 | </name> | |
| 1681 | <telecom | |
| 1682 | nullFlavor ="UNK" | |
| 1683 | /> | |
| 1684 | <addr | |
| 1685 | nullFlavor ="UNK" | |
| 1686 | /> | |
| 1687 | <asOrganiz ationPartO f> | |
| 1688 | <effective Time | |
| 1689 | nullFlavor ="UNK" | |
| 1690 | /> | |
| 1691 | <wholeOrga nization> | |
| 1692 | <id | |
| 1693 | root="2.16 .840.1.113 883.3.915" | |
| 1694 | /> | |
| 1695 | <id | |
| 1696 | root="2.16 .840.1.113 883.3.915" | |
| 1697 | extension= "HomeCommu nity" | |
| 1698 | displayabl e="true" | |
| 1699 | /> | |
| 1700 | <name> | |
| 1701 | CurrentCar e Test | |
| 1702 | </name> | |
| 1703 | <telecom | |
| 1704 | use="WP" | |
| 1705 | value="tel :401-276-9 141" | |
| 1706 | /> | |
| 1707 | <addr | |
| 1708 | use="WP" | |
| 1709 | > | |
| 1710 | <streetAdd ressLine> | |
| 1711 | 50 Holden St., Suite 300 | |
| 1712 | </streetAd dressLine> | |
| 1713 | <city> | |
| 1714 | Providence | |
| 1715 | </city> | |
| 1716 | <state> | |
| 1717 | RI | |
| 1718 | </state> | |
| 1719 | <postalCod e> | |
| 1720 | 02908 | |
| 1721 | </postalCo de> | |
| 1722 | <country> | |
| 1723 | US | |
| 1724 | </country> | |
| 1725 | </addr> | |
| 1726 | </wholeOrg anization> | |
| 1727 | </asOrgani zationPart Of> | |
| 1728 | </represen tedOrganiz ation> | |
| 1729 | </assigned Entity> | |
| 1730 | </informan t> | |
| 1731 | <entryRela tionship | |
| 1732 | typeCode=" SUBJ" | |
| 1733 | inversionI nd="false" | |
| 1734 | > | |
| 1735 | <observati on | |
| 1736 | classCode= "OBS" | |
| 1737 | moodCode=" EVN" | |
| 1738 | > | |
| 1739 | <templateI d | |
| 1740 | root="2.16 .840.1.113 883. IP .4" | |
| 1741 | /> | |
| 1742 | <id | |
| 1743 | nullFlavor ="NI" | |
| 1744 | /> | |
| 1745 | <code | |
| 1746 | nullFlavor ="UNK" | |
| 1747 | /> | |
| 1748 | <text> | |
| 1749 | <reference | |
| 1750 | value="#pr oblemDescr iption-2" | |
| 1751 | /> | |
| 1752 | </text> | |
| 1753 | <statusCod e | |
| 1754 | code="comp leted" | |
| 1755 | /> | |
| 1756 | <effective Time> | |
| 1757 | <low | |
| 1758 | nullFlavor ="UNK" | |
| 1759 | /> | |
| 1760 | </effectiv eTime> | |
| 1761 | <value | |
| 1762 | nullFlavor ="OTH" | |
| 1763 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 1764 | xsi:type=" CD" | |
| 1765 | > | |
| 1766 | <originalT ext> | |
| 1767 | <reference | |
| 1768 | value="#pr oblemDispl ayName-2" | |
| 1769 | /> | |
| 1770 | </original Text> | |
| 1771 | <translati on | |
| 1772 | code="799. 9" | |
| 1773 | codeSystem ="2.16.840 .1.113883. 6.103" | |
| 1774 | codeSystem Name="ICD9 -CM (Diagn oses)" | |
| 1775 | displayNam e="799.9" | |
| 1776 | /> | |
| 1777 | </value> | |
| 1778 | </observat ion> | |
| 1779 | </entryRel ationship> | |
| 1780 | <entryRela tionship | |
| 1781 | typeCode=" SUBJ" | |
| 1782 | inversionI nd="true" | |
| 1783 | > | |
| 1784 | <encounter | |
| 1785 | classCode= "ENC" | |
| 1786 | moodCode=" EVN" | |
| 1787 | > | |
| 1788 | <id | |
| 1789 | root="2.16 .840.1.113 883.3.1275 " | |
| 1790 | extension= "2.16.840. 1.113883.4 .349" | |
| 1791 | /> | |
| 1792 | </encounte r> | |
| 1793 | </entryRel ationship> | |
| 1794 | </act> | |
| 1795 | </entry> | |
| 1796 | <entry | |
| 1797 | typeCode=" DRIV" | |
| 1798 | > | |
| 1799 | <act | |
| 1800 | classCode= "ACT" | |
| 1801 | moodCode=" EVN" | |
| 1802 | > | |
| 1803 | <templateI d | |
| 1804 | root="2.16 .840.1.113 883. IP .3" | |
| 1805 | /> | |
| 1806 | <id | |
| 1807 | nullFlavor ="UNK" | |
| 1808 | /> | |
| 1809 | <code | |
| 1810 | code="CONC " | |
| 1811 | codeSystem ="2.16.840 .1.113883. 5.6" | |
| 1812 | codeSystem Name="ActC lass" | |
| 1813 | displayNam e="Concern " | |
| 1814 | /> | |
| 1815 | <statusCod e | |
| 1816 | code="acti ve" | |
| 1817 | /> | |
| 1818 | <effective Time> | |
| 1819 | <low | |
| 1820 | nullFlavor ="UNK" | |
| 1821 | /> | |
| 1822 | </effectiv eTime> | |
| 1823 | <performer | |
| 1824 | typeCode=" PRF" | |
| 1825 | > | |
| 1826 | <time | |
| 1827 | nullFlavor ="UNK" | |
| 1828 | /> | |
| 1829 | <assignedE ntity | |
| 1830 | classCode= "ASSIGNED" | |
| 1831 | > | |
| 1832 | <id | |
| 1833 | root="2.16 .840.1.113 883.4.349" | |
| 1834 | extension= "provider2 " | |
| 1835 | /> | |
| 1836 | <addr | |
| 1837 | nullFlavor ="UNK" | |
| 1838 | /> | |
| 1839 | <telecom | |
| 1840 | nullFlavor ="UNK" | |
| 1841 | /> | |
| 1842 | <assignedP erson> | |
| 1843 | <name | |
| 1844 | use="L" | |
| 1845 | > | |
| 1846 | <family> | |
| 1847 | provider2 | |
| 1848 | </family> | |
| 1849 | </name> | |
| 1850 | </assigned Person> | |
| 1851 | </assigned Entity> | |
| 1852 | </performe r> | |
| 1853 | <informant > | |
| 1854 | <assignedE ntity> | |
| 1855 | <id | |
| 1856 | root="RIQI ORG" | |
| 1857 | extension= "983" | |
| 1858 | /> | |
| 1859 | <addr | |
| 1860 | nullFlavor ="UNK" | |
| 1861 | /> | |
| 1862 | <telecom | |
| 1863 | nullFlavor ="UNK" | |
| 1864 | /> | |
| 1865 | <assignedP erson> | |
| 1866 | <name | |
| 1867 | nullFlavor ="UNK" | |
| 1868 | /> | |
| 1869 | </assigned Person> | |
| 1870 | <represent edOrganiza tion> | |
| 1871 | <id | |
| 1872 | root="2.16 .840.1.113 883.3.915" | |
| 1873 | extension= "983" | |
| 1874 | displayabl e="true" | |
| 1875 | /> | |
| 1876 | <name> | |
| 1877 | CHYSHR TES T LAB | |
| 1878 | </name> | |
| 1879 | <telecom | |
| 1880 | nullFlavor ="UNK" | |
| 1881 | /> | |
| 1882 | <addr | |
| 1883 | nullFlavor ="UNK" | |
| 1884 | /> | |
| 1885 | <asOrganiz ationPartO f> | |
| 1886 | <effective Time | |
| 1887 | nullFlavor ="UNK" | |
| 1888 | /> | |
| 1889 | <wholeOrga nization> | |
| 1890 | <id | |
| 1891 | root="2.16 .840.1.113 883.3.915" | |
| 1892 | /> | |
| 1893 | <id | |
| 1894 | root="2.16 .840.1.113 883.3.915" | |
| 1895 | extension= "HomeCommu nity" | |
| 1896 | displayabl e="true" | |
| 1897 | /> | |
| 1898 | <name> | |
| 1899 | CurrentCar e Test | |
| 1900 | </name> | |
| 1901 | <telecom | |
| 1902 | use="WP" | |
| 1903 | value="tel :401-276-9 141" | |
| 1904 | /> | |
| 1905 | <addr | |
| 1906 | use="WP" | |
| 1907 | > | |
| 1908 | <streetAdd ressLine> | |
| 1909 | 50 Holden St., Suite 300 | |
| 1910 | </streetAd dressLine> | |
| 1911 | <city> | |
| 1912 | Providence | |
| 1913 | </city> | |
| 1914 | <state> | |
| 1915 | RI | |
| 1916 | </state> | |
| 1917 | <postalCod e> | |
| 1918 | 02908 | |
| 1919 | </postalCo de> | |
| 1920 | <country> | |
| 1921 | US | |
| 1922 | </country> | |
| 1923 | </addr> | |
| 1924 | </wholeOrg anization> | |
| 1925 | </asOrgani zationPart Of> | |
| 1926 | </represen tedOrganiz ation> | |
| 1927 | </assigned Entity> | |
| 1928 | </informan t> | |
| 1929 | <entryRela tionship | |
| 1930 | typeCode=" SUBJ" | |
| 1931 | inversionI nd="false" | |
| 1932 | > | |
| 1933 | <observati on | |
| 1934 | classCode= "OBS" | |
| 1935 | moodCode=" EVN" | |
| 1936 | > | |
| 1937 | <templateI d | |
| 1938 | root="2.16 .840.1.113 883. IP .4" | |
| 1939 | /> | |
| 1940 | <id | |
| 1941 | nullFlavor ="NI" | |
| 1942 | /> | |
| 1943 | <code | |
| 1944 | nullFlavor ="UNK" | |
| 1945 | /> | |
| 1946 | <text> | |
| 1947 | <reference | |
| 1948 | value="#pr oblemDescr iption-3" | |
| 1949 | /> | |
| 1950 | </text> | |
| 1951 | <statusCod e | |
| 1952 | code="comp leted" | |
| 1953 | /> | |
| 1954 | <effective Time> | |
| 1955 | <low | |
| 1956 | nullFlavor ="UNK" | |
| 1957 | /> | |
| 1958 | </effectiv eTime> | |
| 1959 | <value | |
| 1960 | nullFlavor ="OTH" | |
| 1961 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 1962 | xsi:type=" CD" | |
| 1963 | > | |
| 1964 | <originalT ext> | |
| 1965 | <reference | |
| 1966 | value="#pr oblemDispl ayName-3" | |
| 1967 | /> | |
| 1968 | </original Text> | |
| 1969 | <translati on | |
| 1970 | code="786. 2" | |
| 1971 | codeSystem ="2.16.840 .1.113883. 6.103" | |
| 1972 | codeSystem Name="ICD9 -CM (Diagn oses)" | |
| 1973 | displayNam e="786.2" | |
| 1974 | /> | |
| 1975 | </value> | |
| 1976 | </observat ion> | |
| 1977 | </entryRel ationship> | |
| 1978 | <entryRela tionship | |
| 1979 | typeCode=" SUBJ" | |
| 1980 | inversionI nd="true" | |
| 1981 | > | |
| 1982 | <encounter | |
| 1983 | classCode= "ENC" | |
| 1984 | moodCode=" EVN" | |
| 1985 | > | |
| 1986 | <id | |
| 1987 | root="2.16 .840.1.113 883.3.1275 " | |
| 1988 | extension= "2.16.840. 1.113883.4 .349" | |
| 1989 | /> | |
| 1990 | </encounte r> | |
| 1991 | </entryRel ationship> | |
| 1992 | </act> | |
| 1993 | </entry> | |
| 1994 | <entry | |
| 1995 | typeCode=" DRIV" | |
| 1996 | > | |
| 1997 | <act | |
| 1998 | classCode= "ACT" | |
| 1999 | moodCode=" EVN" | |
| 2000 | > | |
| 2001 | <templateI d | |
| 2002 | root="2.16 .840.1.113 883. IP .3" | |
| 2003 | /> | |
| 2004 | <id | |
| 2005 | nullFlavor ="UNK" | |
| 2006 | /> | |
| 2007 | <code | |
| 2008 | code="CONC " | |
| 2009 | codeSystem ="2.16.840 .1.113883. 5.6" | |
| 2010 | codeSystem Name="ActC lass" | |
| 2011 | displayNam e="Concern " | |
| 2012 | /> | |
| 2013 | <statusCod e | |
| 2014 | code="acti ve" | |
| 2015 | /> | |
| 2016 | <effective Time> | |
| 2017 | <low | |
| 2018 | nullFlavor ="UNK" | |
| 2019 | /> | |
| 2020 | </effectiv eTime> | |
| 2021 | <performer | |
| 2022 | typeCode=" PRF" | |
| 2023 | > | |
| 2024 | <time | |
| 2025 | nullFlavor ="UNK" | |
| 2026 | /> | |
| 2027 | <assignedE ntity | |
| 2028 | classCode= "ASSIGNED" | |
| 2029 | > | |
| 2030 | <id | |
| 2031 | root="2.16 .840.1.113 883.4.349" | |
| 2032 | extension= "provider3 " | |
| 2033 | /> | |
| 2034 | <addr | |
| 2035 | nullFlavor ="UNK" | |
| 2036 | /> | |
| 2037 | <telecom | |
| 2038 | nullFlavor ="UNK" | |
| 2039 | /> | |
| 2040 | <assignedP erson> | |
| 2041 | <name | |
| 2042 | use="L" | |
| 2043 | > | |
| 2044 | <family> | |
| 2045 | provider3 | |
| 2046 | </family> | |
| 2047 | </name> | |
| 2048 | </assigned Person> | |
| 2049 | </assigned Entity> | |
| 2050 | </performe r> | |
| 2051 | <informant > | |
| 2052 | <assignedE ntity> | |
| 2053 | <id | |
| 2054 | root="RIQI ORG" | |
| 2055 | extension= "983" | |
| 2056 | /> | |
| 2057 | <addr | |
| 2058 | nullFlavor ="UNK" | |
| 2059 | /> | |
| 2060 | <telecom | |
| 2061 | nullFlavor ="UNK" | |
| 2062 | /> | |
| 2063 | <assignedP erson> | |
| 2064 | <name | |
| 2065 | nullFlavor ="UNK" | |
| 2066 | /> | |
| 2067 | </assigned Person> | |
| 2068 | <represent edOrganiza tion> | |
| 2069 | <id | |
| 2070 | root="2.16 .840.1.113 883.3.915" | |
| 2071 | extension= "983" | |
| 2072 | displayabl e="true" | |
| 2073 | /> | |
| 2074 | <name> | |
| 2075 | CHYSHR TES T LAB | |
| 2076 | </name> | |
| 2077 | <telecom | |
| 2078 | nullFlavor ="UNK" | |
| 2079 | /> | |
| 2080 | <addr | |
| 2081 | nullFlavor ="UNK" | |
| 2082 | /> | |
| 2083 | <asOrganiz ationPartO f> | |
| 2084 | <effective Time | |
| 2085 | nullFlavor ="UNK" | |
| 2086 | /> | |
| 2087 | <wholeOrga nization> | |
| 2088 | <id | |
| 2089 | root="2.16 .840.1.113 883.3.915" | |
| 2090 | /> | |
| 2091 | <id | |
| 2092 | root="2.16 .840.1.113 883.3.915" | |
| 2093 | extension= "HomeCommu nity" | |
| 2094 | displayabl e="true" | |
| 2095 | /> | |
| 2096 | <name> | |
| 2097 | CurrentCar e Test | |
| 2098 | </name> | |
| 2099 | <telecom | |
| 2100 | use="WP" | |
| 2101 | value="tel :401-276-9 141" | |
| 2102 | /> | |
| 2103 | <addr | |
| 2104 | use="WP" | |
| 2105 | > | |
| 2106 | <streetAdd ressLine> | |
| 2107 | 50 Holden St., Suite 300 | |
| 2108 | </streetAd dressLine> | |
| 2109 | <city> | |
| 2110 | Providence | |
| 2111 | </city> | |
| 2112 | <state> | |
| 2113 | RI | |
| 2114 | </state> | |
| 2115 | <postalCod e> | |
| 2116 | 02908 | |
| 2117 | </postalCo de> | |
| 2118 | <country> | |
| 2119 | US | |
| 2120 | </country> | |
| 2121 | </addr> | |
| 2122 | </wholeOrg anization> | |
| 2123 | </asOrgani zationPart Of> | |
| 2124 | </represen tedOrganiz ation> | |
| 2125 | </assigned Entity> | |
| 2126 | </informan t> | |
| 2127 | <entryRela tionship | |
| 2128 | typeCode=" SUBJ" | |
| 2129 | inversionI nd="false" | |
| 2130 | > | |
| 2131 | <observati on | |
| 2132 | classCode= "OBS" | |
| 2133 | moodCode=" EVN" | |
| 2134 | > | |
| 2135 | <templateI d | |
| 2136 | root="2.16 .840.1.113 883. IP .4" | |
| 2137 | /> | |
| 2138 | <id | |
| 2139 | nullFlavor ="NI" | |
| 2140 | /> | |
| 2141 | <code | |
| 2142 | nullFlavor ="UNK" | |
| 2143 | /> | |
| 2144 | <text> | |
| 2145 | <reference | |
| 2146 | value="#pr oblemDescr iption-4" | |
| 2147 | /> | |
| 2148 | </text> | |
| 2149 | <statusCod e | |
| 2150 | code="comp leted" | |
| 2151 | /> | |
| 2152 | <effective Time> | |
| 2153 | <low | |
| 2154 | nullFlavor ="UNK" | |
| 2155 | /> | |
| 2156 | </effectiv eTime> | |
| 2157 | <value | |
| 2158 | nullFlavor ="OTH" | |
| 2159 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 2160 | xsi:type=" CD" | |
| 2161 | > | |
| 2162 | <originalT ext> | |
| 2163 | <reference | |
| 2164 | value="#pr oblemDispl ayName-4" | |
| 2165 | /> | |
| 2166 | </original Text> | |
| 2167 | <translati on | |
| 2168 | code="401. 9" | |
| 2169 | codeSystem ="2.16.840 .1.113883. 6.103" | |
| 2170 | codeSystem Name="ICD9 -CM (Diagn oses)" | |
| 2171 | displayNam e="401.9" | |
| 2172 | /> | |
| 2173 | </value> | |
| 2174 | </observat ion> | |
| 2175 | </entryRel ationship> | |
| 2176 | <entryRela tionship | |
| 2177 | typeCode=" SUBJ" | |
| 2178 | inversionI nd="true" | |
| 2179 | > | |
| 2180 | <encounter | |
| 2181 | classCode= "ENC" | |
| 2182 | moodCode=" EVN" | |
| 2183 | > | |
| 2184 | <id | |
| 2185 | root="2.16 .840.1.113 883.3.1275 " | |
| 2186 | extension= "2.16.840. 1.113883.4 .349" | |
| 2187 | /> | |
| 2188 | </encounte r> | |
| 2189 | </entryRel ationship> | |
| 2190 | </act> | |
| 2191 | </entry> | |
| 2192 | <entry | |
| 2193 | typeCode=" DRIV" | |
| 2194 | > | |
| 2195 | <act | |
| 2196 | classCode= "ACT" | |
| 2197 | moodCode=" EVN" | |
| 2198 | > | |
| 2199 | <templateI d | |
| 2200 | root="2.16 .840.1.113 883. IP .3" | |
| 2201 | /> | |
| 2202 | <id | |
| 2203 | nullFlavor ="UNK" | |
| 2204 | /> | |
| 2205 | <code | |
| 2206 | code="CONC " | |
| 2207 | codeSystem ="2.16.840 .1.113883. 5.6" | |
| 2208 | codeSystem Name="ActC lass" | |
| 2209 | displayNam e="Concern " | |
| 2210 | /> | |
| 2211 | <statusCod e | |
| 2212 | code="acti ve" | |
| 2213 | /> | |
| 2214 | <effective Time> | |
| 2215 | <low | |
| 2216 | nullFlavor ="UNK" | |
| 2217 | /> | |
| 2218 | </effectiv eTime> | |
| 2219 | <performer | |
| 2220 | typeCode=" PRF" | |
| 2221 | > | |
| 2222 | <time | |
| 2223 | nullFlavor ="UNK" | |
| 2224 | /> | |
| 2225 | <assignedE ntity | |
| 2226 | classCode= "ASSIGNED" | |
| 2227 | > | |
| 2228 | <id | |
| 2229 | root="2.16 .840.1.113 883.4.349" | |
| 2230 | extension= "provider4 " | |
| 2231 | /> | |
| 2232 | <addr | |
| 2233 | nullFlavor ="UNK" | |
| 2234 | /> | |
| 2235 | <telecom | |
| 2236 | nullFlavor ="UNK" | |
| 2237 | /> | |
| 2238 | <assignedP erson> | |
| 2239 | <name | |
| 2240 | use="L" | |
| 2241 | > | |
| 2242 | <family> | |
| 2243 | provider4 | |
| 2244 | </family> | |
| 2245 | </name> | |
| 2246 | </assigned Person> | |
| 2247 | </assigned Entity> | |
| 2248 | </performe r> | |
| 2249 | <informant > | |
| 2250 | <assignedE ntity> | |
| 2251 | <id | |
| 2252 | root="RIQI ORG" | |
| 2253 | extension= "983" | |
| 2254 | /> | |
| 2255 | <addr | |
| 2256 | nullFlavor ="UNK" | |
| 2257 | /> | |
| 2258 | <telecom | |
| 2259 | nullFlavor ="UNK" | |
| 2260 | /> | |
| 2261 | <assignedP erson> | |
| 2262 | <name | |
| 2263 | nullFlavor ="UNK" | |
| 2264 | /> | |
| 2265 | </assigned Person> | |
| 2266 | <represent edOrganiza tion> | |
| 2267 | <id | |
| 2268 | root="2.16 .840.1.113 883.3.915" | |
| 2269 | extension= "983" | |
| 2270 | displayabl e="true" | |
| 2271 | /> | |
| 2272 | <name> | |
| 2273 | CHYSHR TES T LAB | |
| 2274 | </name> | |
| 2275 | <telecom | |
| 2276 | nullFlavor ="UNK" | |
| 2277 | /> | |
| 2278 | <addr | |
| 2279 | nullFlavor ="UNK" | |
| 2280 | /> | |
| 2281 | <asOrganiz ationPartO f> | |
| 2282 | <effective Time | |
| 2283 | nullFlavor ="UNK" | |
| 2284 | /> | |
| 2285 | <wholeOrga nization> | |
| 2286 | <id | |
| 2287 | root="2.16 .840.1.113 883.3.915" | |
| 2288 | /> | |
| 2289 | <id | |
| 2290 | root="2.16 .840.1.113 883.3.915" | |
| 2291 | extension= "HomeCommu nity" | |
| 2292 | displayabl e="true" | |
| 2293 | /> | |
| 2294 | <name> | |
| 2295 | CurrentCar e Test | |
| 2296 | </name> | |
| 2297 | <telecom | |
| 2298 | use="WP" | |
| 2299 | value="tel :401-276-9 141" | |
| 2300 | /> | |
| 2301 | <addr | |
| 2302 | use="WP" | |
| 2303 | > | |
| 2304 | <streetAdd ressLine> | |
| 2305 | 50 Holden St., Suite 300 | |
| 2306 | </streetAd dressLine> | |
| 2307 | <city> | |
| 2308 | Providence | |
| 2309 | </city> | |
| 2310 | <state> | |
| 2311 | RI | |
| 2312 | </state> | |
| 2313 | <postalCod e> | |
| 2314 | 02908 | |
| 2315 | </postalCo de> | |
| 2316 | <country> | |
| 2317 | US | |
| 2318 | </country> | |
| 2319 | </addr> | |
| 2320 | </wholeOrg anization> | |
| 2321 | </asOrgani zationPart Of> | |
| 2322 | </represen tedOrganiz ation> | |
| 2323 | </assigned Entity> | |
| 2324 | </informan t> | |
| 2325 | <entryRela tionship | |
| 2326 | typeCode=" SUBJ" | |
| 2327 | inversionI nd="false" | |
| 2328 | > | |
| 2329 | <observati on | |
| 2330 | classCode= "OBS" | |
| 2331 | moodCode=" EVN" | |
| 2332 | > | |
| 2333 | <templateI d | |
| 2334 | root="2.16 .840.1.113 883. IP .4" | |
| 2335 | /> | |
| 2336 | <id | |
| 2337 | nullFlavor ="NI" | |
| 2338 | /> | |
| 2339 | <code | |
| 2340 | nullFlavor ="UNK" | |
| 2341 | /> | |
| 2342 | <text> | |
| 2343 | <reference | |
| 2344 | value="#pr oblemDescr iption-5" | |
| 2345 | /> | |
| 2346 | </text> | |
| 2347 | <statusCod e | |
| 2348 | code="comp leted" | |
| 2349 | /> | |
| 2350 | <effective Time> | |
| 2351 | <low | |
| 2352 | nullFlavor ="UNK" | |
| 2353 | /> | |
| 2354 | </effectiv eTime> | |
| 2355 | <value | |
| 2356 | nullFlavor ="OTH" | |
| 2357 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 2358 | xsi:type=" CD" | |
| 2359 | > | |
| 2360 | <originalT ext> | |
| 2361 | <reference | |
| 2362 | value="#pr oblemDispl ayName-5" | |
| 2363 | /> | |
| 2364 | </original Text> | |
| 2365 | <translati on | |
| 2366 | code="710. 3" | |
| 2367 | codeSystem ="2.16.840 .1.113883. 6.103" | |
| 2368 | codeSystem Name="ICD9 -CM (Diagn oses)" | |
| 2369 | displayNam e="710.3" | |
| 2370 | /> | |
| 2371 | </value> | |
| 2372 | </observat ion> | |
| 2373 | </entryRel ationship> | |
| 2374 | <entryRela tionship | |
| 2375 | typeCode=" SUBJ" | |
| 2376 | inversionI nd="true" | |
| 2377 | > | |
| 2378 | <encounter | |
| 2379 | classCode= "ENC" | |
| 2380 | moodCode=" EVN" | |
| 2381 | > | |
| 2382 | <id | |
| 2383 | root="2.16 .840.1.113 883.3.1275 " | |
| 2384 | extension= "2.16.840. 1.113883.4 .349" | |
| 2385 | /> | |
| 2386 | </encounte r> | |
| 2387 | </entryRel ationship> | |
| 2388 | </act> | |
| 2389 | </entry> | |
| 2390 | <entry | |
| 2391 | typeCode=" DRIV" | |
| 2392 | > | |
| 2393 | <act | |
| 2394 | classCode= "ACT" | |
| 2395 | moodCode=" EVN" | |
| 2396 | > | |
| 2397 | <templateI d | |
| 2398 | root="2.16 .840.1.113 883. IP .3" | |
| 2399 | /> | |
| 2400 | <id | |
| 2401 | nullFlavor ="UNK" | |
| 2402 | /> | |
| 2403 | <code | |
| 2404 | code="CONC " | |
| 2405 | codeSystem ="2.16.840 .1.113883. 5.6" | |
| 2406 | codeSystem Name="ActC lass" | |
| 2407 | displayNam e="Concern " | |
| 2408 | /> | |
| 2409 | <statusCod e | |
| 2410 | code="acti ve" | |
| 2411 | /> | |
| 2412 | <effective Time> | |
| 2413 | <low | |
| 2414 | nullFlavor ="UNK" | |
| 2415 | /> | |
| 2416 | </effectiv eTime> | |
| 2417 | <performer | |
| 2418 | typeCode=" PRF" | |
| 2419 | > | |
| 2420 | <time | |
| 2421 | nullFlavor ="UNK" | |
| 2422 | /> | |
| 2423 | <assignedE ntity | |
| 2424 | classCode= "ASSIGNED" | |
| 2425 | > | |
| 2426 | <id | |
| 2427 | root="2.16 .840.1.113 883.4.349" | |
| 2428 | extension= "provider5 " | |
| 2429 | /> | |
| 2430 | <addr | |
| 2431 | nullFlavor ="UNK" | |
| 2432 | /> | |
| 2433 | <telecom | |
| 2434 | nullFlavor ="UNK" | |
| 2435 | /> | |
| 2436 | <assignedP erson> | |
| 2437 | <name | |
| 2438 | use="L" | |
| 2439 | > | |
| 2440 | <family> | |
| 2441 | provider5 | |
| 2442 | </family> | |
| 2443 | </name> | |
| 2444 | </assigned Person> | |
| 2445 | </assigned Entity> | |
| 2446 | </performe r> | |
| 2447 | <informant > | |
| 2448 | <assignedE ntity> | |
| 2449 | <id | |
| 2450 | root="RIQI ORG" | |
| 2451 | extension= "552" | |
| 2452 | /> | |
| 2453 | <addr | |
| 2454 | nullFlavor ="UNK" | |
| 2455 | /> | |
| 2456 | <telecom | |
| 2457 | nullFlavor ="UNK" | |
| 2458 | /> | |
| 2459 | <assignedP erson> | |
| 2460 | <name | |
| 2461 | nullFlavor ="UNK" | |
| 2462 | /> | |
| 2463 | </assigned Person> | |
| 2464 | <represent edOrganiza tion> | |
| 2465 | <id | |
| 2466 | root="2.16 .840.1.113 883.3.915" | |
| 2467 | extension= "552" | |
| 2468 | displayabl e="true" | |
| 2469 | /> | |
| 2470 | <name> | |
| 2471 | DAYTON | |
| 2472 | </name> | |
| 2473 | <telecom | |
| 2474 | nullFlavor ="UNK" | |
| 2475 | /> | |
| 2476 | <addr | |
| 2477 | nullFlavor ="UNK" | |
| 2478 | /> | |
| 2479 | <asOrganiz ationPartO f> | |
| 2480 | <effective Time | |
| 2481 | nullFlavor ="UNK" | |
| 2482 | /> | |
| 2483 | <wholeOrga nization> | |
| 2484 | <id | |
| 2485 | root="2.16 .840.1.113 883.3.915" | |
| 2486 | /> | |
| 2487 | <id | |
| 2488 | root="2.16 .840.1.113 883.3.915" | |
| 2489 | extension= "HomeCommu nity" | |
| 2490 | displayabl e="true" | |
| 2491 | /> | |
| 2492 | <name> | |
| 2493 | CurrentCar e Test | |
| 2494 | </name> | |
| 2495 | <telecom | |
| 2496 | use="WP" | |
| 2497 | value="tel :401-276-9 141" | |
| 2498 | /> | |
| 2499 | <addr | |
| 2500 | use="WP" | |
| 2501 | > | |
| 2502 | <streetAdd ressLine> | |
| 2503 | 50 Holden St., Suite 300 | |
| 2504 | </streetAd dressLine> | |
| 2505 | <city> | |
| 2506 | Providence | |
| 2507 | </city> | |
| 2508 | <state> | |
| 2509 | RI | |
| 2510 | </state> | |
| 2511 | <postalCod e> | |
| 2512 | 02908 | |
| 2513 | </postalCo de> | |
| 2514 | <country> | |
| 2515 | US | |
| 2516 | </country> | |
| 2517 | </addr> | |
| 2518 | </wholeOrg anization> | |
| 2519 | </asOrgani zationPart Of> | |
| 2520 | </represen tedOrganiz ation> | |
| 2521 | </assigned Entity> | |
| 2522 | </informan t> | |
| 2523 | <entryRela tionship | |
| 2524 | typeCode=" SUBJ" | |
| 2525 | inversionI nd="false" | |
| 2526 | > | |
| 2527 | <observati on | |
| 2528 | classCode= "OBS" | |
| 2529 | moodCode=" EVN" | |
| 2530 | > | |
| 2531 | <templateI d | |
| 2532 | root="2.16 .840.1.113 883. IP .4" | |
| 2533 | /> | |
| 2534 | <id | |
| 2535 | nullFlavor ="NI" | |
| 2536 | /> | |
| 2537 | <code | |
| 2538 | nullFlavor ="UNK" | |
| 2539 | /> | |
| 2540 | <text> | |
| 2541 | <reference | |
| 2542 | value="#pr oblemDescr iption-6" | |
| 2543 | /> | |
| 2544 | </text> | |
| 2545 | <statusCod e | |
| 2546 | code="comp leted" | |
| 2547 | /> | |
| 2548 | <effective Time> | |
| 2549 | <low | |
| 2550 | nullFlavor ="UNK" | |
| 2551 | /> | |
| 2552 | </effectiv eTime> | |
| 2553 | <value | |
| 2554 | nullFlavor ="OTH" | |
| 2555 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 2556 | xsi:type=" CD" | |
| 2557 | > | |
| 2558 | <originalT ext> | |
| 2559 | <reference | |
| 2560 | value="#pr oblemDispl ayName-6" | |
| 2561 | /> | |
| 2562 | </original Text> | |
| 2563 | <translati on | |
| 2564 | code="307. 49" | |
| 2565 | codeSystem ="2.16.840 .1.113883. 6.103" | |
| 2566 | codeSystem Name="ICD9 -CM (Diagn oses)" | |
| 2567 | displayNam e="307.49" | |
| 2568 | /> | |
| 2569 | </value> | |
| 2570 | </observat ion> | |
| 2571 | </entryRel ationship> | |
| 2572 | <entryRela tionship | |
| 2573 | typeCode=" SUBJ" | |
| 2574 | inversionI nd="true" | |
| 2575 | > | |
| 2576 | <encounter | |
| 2577 | classCode= "ENC" | |
| 2578 | moodCode=" EVN" | |
| 2579 | > | |
| 2580 | <id | |
| 2581 | root="2.16 .840.1.113 883.3.1275 " | |
| 2582 | extension= "2.16.840. 1.113883.4 .349" | |
| 2583 | /> | |
| 2584 | </encounte r> | |
| 2585 | </entryRel ationship> | |
| 2586 | </act> | |
| 2587 | </entry> | |
| 2588 | <entry | |
| 2589 | typeCode=" DRIV" | |
| 2590 | > | |
| 2591 | <act | |
| 2592 | classCode= "ACT" | |
| 2593 | moodCode=" EVN" | |
| 2594 | > | |
| 2595 | <templateI d | |
| 2596 | root="2.16 .840.1.113 883. IP .3" | |
| 2597 | /> | |
| 2598 | <id | |
| 2599 | nullFlavor ="UNK" | |
| 2600 | /> | |
| 2601 | <code | |
| 2602 | code="CONC " | |
| 2603 | codeSystem ="2.16.840 .1.113883. 5.6" | |
| 2604 | codeSystem Name="ActC lass" | |
| 2605 | displayNam e="Concern " | |
| 2606 | /> | |
| 2607 | <statusCod e | |
| 2608 | code="acti ve" | |
| 2609 | /> | |
| 2610 | <effective Time> | |
| 2611 | <low | |
| 2612 | nullFlavor ="UNK" | |
| 2613 | /> | |
| 2614 | </effectiv eTime> | |
| 2615 | <performer | |
| 2616 | typeCode=" PRF" | |
| 2617 | > | |
| 2618 | <time | |
| 2619 | nullFlavor ="UNK" | |
| 2620 | /> | |
| 2621 | <assignedE ntity | |
| 2622 | classCode= "ASSIGNED" | |
| 2623 | > | |
| 2624 | <id | |
| 2625 | root="2.16 .840.1.113 883.4.349" | |
| 2626 | extension= "provider6 " | |
| 2627 | /> | |
| 2628 | <addr | |
| 2629 | nullFlavor ="UNK" | |
| 2630 | /> | |
| 2631 | <telecom | |
| 2632 | nullFlavor ="UNK" | |
| 2633 | /> | |
| 2634 | <assignedP erson> | |
| 2635 | <name | |
| 2636 | use="L" | |
| 2637 | > | |
| 2638 | <family> | |
| 2639 | provider6 | |
| 2640 | </family> | |
| 2641 | </name> | |
| 2642 | </assigned Person> | |
| 2643 | </assigned Entity> | |
| 2644 | </performe r> | |
| 2645 | <informant > | |
| 2646 | <assignedE ntity> | |
| 2647 | <id | |
| 2648 | root="RIQI ORG" | |
| 2649 | extension= "552" | |
| 2650 | /> | |
| 2651 | <addr | |
| 2652 | nullFlavor ="UNK" | |
| 2653 | /> | |
| 2654 | <telecom | |
| 2655 | nullFlavor ="UNK" | |
| 2656 | /> | |
| 2657 | <assignedP erson> | |
| 2658 | <name | |
| 2659 | nullFlavor ="UNK" | |
| 2660 | /> | |
| 2661 | </assigned Person> | |
| 2662 | <represent edOrganiza tion> | |
| 2663 | <id | |
| 2664 | root="2.16 .840.1.113 883.3.915" | |
| 2665 | extension= "552" | |
| 2666 | displayabl e="true" | |
| 2667 | /> | |
| 2668 | <name> | |
| 2669 | DAYTON | |
| 2670 | </name> | |
| 2671 | <telecom | |
| 2672 | nullFlavor ="UNK" | |
| 2673 | /> | |
| 2674 | <addr | |
| 2675 | nullFlavor ="UNK" | |
| 2676 | /> | |
| 2677 | <asOrganiz ationPartO f> | |
| 2678 | <effective Time | |
| 2679 | nullFlavor ="UNK" | |
| 2680 | /> | |
| 2681 | <wholeOrga nization> | |
| 2682 | <id | |
| 2683 | root="2.16 .840.1.113 883.3.915" | |
| 2684 | /> | |
| 2685 | <id | |
| 2686 | root="2.16 .840.1.113 883.3.915" | |
| 2687 | extension= "HomeCommu nity" | |
| 2688 | displayabl e="true" | |
| 2689 | /> | |
| 2690 | <name> | |
| 2691 | CurrentCar e Test | |
| 2692 | </name> | |
| 2693 | <telecom | |
| 2694 | use="WP" | |
| 2695 | value="tel :401-276-9 141" | |
| 2696 | /> | |
| 2697 | <addr | |
| 2698 | use="WP" | |
| 2699 | > | |
| 2700 | <streetAdd ressLine> | |
| 2701 | 50 Holden St., Suite 300 | |
| 2702 | </streetAd dressLine> | |
| 2703 | <city> | |
| 2704 | Providence | |
| 2705 | </city> | |
| 2706 | <state> | |
| 2707 | RI | |
| 2708 | </state> | |
| 2709 | <postalCod e> | |
| 2710 | 02908 | |
| 2711 | </postalCo de> | |
| 2712 | <country> | |
| 2713 | US | |
| 2714 | </country> | |
| 2715 | </addr> | |
| 2716 | </wholeOrg anization> | |
| 2717 | </asOrgani zationPart Of> | |
| 2718 | </represen tedOrganiz ation> | |
| 2719 | </assigned Entity> | |
| 2720 | </informan t> | |
| 2721 | <entryRela tionship | |
| 2722 | typeCode=" SUBJ" | |
| 2723 | inversionI nd="false" | |
| 2724 | > | |
| 2725 | <observati on | |
| 2726 | classCode= "OBS" | |
| 2727 | moodCode=" EVN" | |
| 2728 | > | |
| 2729 | <templateI d | |
| 2730 | root="2.16 .840.1.113 883. IP .4" | |
| 2731 | /> | |
| 2732 | <id | |
| 2733 | nullFlavor ="NI" | |
| 2734 | /> | |
| 2735 | <code | |
| 2736 | nullFlavor ="UNK" | |
| 2737 | /> | |
| 2738 | <text> | |
| 2739 | <reference | |
| 2740 | value="#pr oblemDescr iption-7" | |
| 2741 | /> | |
| 2742 | </text> | |
| 2743 | <statusCod e | |
| 2744 | code="comp leted" | |
| 2745 | /> | |
| 2746 | <effective Time> | |
| 2747 | <low | |
| 2748 | nullFlavor ="UNK" | |
| 2749 | /> | |
| 2750 | </effectiv eTime> | |
| 2751 | <value | |
| 2752 | nullFlavor ="OTH" | |
| 2753 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 2754 | xsi:type=" CD" | |
| 2755 | > | |
| 2756 | <originalT ext> | |
| 2757 | <reference | |
| 2758 | value="#pr oblemDispl ayName-7" | |
| 2759 | /> | |
| 2760 | </original Text> | |
| 2761 | <translati on | |
| 2762 | code="307. 46" | |
| 2763 | codeSystem ="2.16.840 .1.113883. 6.103" | |
| 2764 | codeSystem Name="ICD9 -CM (Diagn oses)" | |
| 2765 | displayNam e="307.46" | |
| 2766 | /> | |
| 2767 | </value> | |
| 2768 | </observat ion> | |
| 2769 | </entryRel ationship> | |
| 2770 | <entryRela tionship | |
| 2771 | typeCode=" SUBJ" | |
| 2772 | inversionI nd="true" | |
| 2773 | > | |
| 2774 | <encounter | |
| 2775 | classCode= "ENC" | |
| 2776 | moodCode=" EVN" | |
| 2777 | > | |
| 2778 | <id | |
| 2779 | root="2.16 .840.1.113 883.3.1275 " | |
| 2780 | extension= "2.16.840. 1.113883.4 .349" | |
| 2781 | /> | |
| 2782 | </encounte r> | |
| 2783 | </entryRel ationship> | |
| 2784 | </act> | |
| 2785 | </entry> | |
| 2786 | <entry | |
| 2787 | typeCode=" DRIV" | |
| 2788 | > | |
| 2789 | <act | |
| 2790 | classCode= "ACT" | |
| 2791 | moodCode=" EVN" | |
| 2792 | > | |
| 2793 | <templateI d | |
| 2794 | root="2.16 .840.1.113 883. IP .3" | |
| 2795 | /> | |
| 2796 | <id | |
| 2797 | nullFlavor ="UNK" | |
| 2798 | /> | |
| 2799 | <code | |
| 2800 | code="CONC " | |
| 2801 | codeSystem ="2.16.840 .1.113883. 5.6" | |
| 2802 | codeSystem Name="ActC lass" | |
| 2803 | displayNam e="Concern " | |
| 2804 | /> | |
| 2805 | <statusCod e | |
| 2806 | code="acti ve" | |
| 2807 | /> | |
| 2808 | <effective Time> | |
| 2809 | <low | |
| 2810 | nullFlavor ="UNK" | |
| 2811 | /> | |
| 2812 | </effectiv eTime> | |
| 2813 | <performer | |
| 2814 | typeCode=" PRF" | |
| 2815 | > | |
| 2816 | <time | |
| 2817 | nullFlavor ="UNK" | |
| 2818 | /> | |
| 2819 | <assignedE ntity | |
| 2820 | classCode= "ASSIGNED" | |
| 2821 | > | |
| 2822 | <id | |
| 2823 | root="2.16 .840.1.113 883.4.349" | |
| 2824 | extension= "provider7 " | |
| 2825 | /> | |
| 2826 | <addr | |
| 2827 | nullFlavor ="UNK" | |
| 2828 | /> | |
| 2829 | <telecom | |
| 2830 | nullFlavor ="UNK" | |
| 2831 | /> | |
| 2832 | <assignedP erson> | |
| 2833 | <name | |
| 2834 | use="L" | |
| 2835 | > | |
| 2836 | <family> | |
| 2837 | provider7 | |
| 2838 | </family> | |
| 2839 | </name> | |
| 2840 | </assigned Person> | |
| 2841 | </assigned Entity> | |
| 2842 | </performe r> | |
| 2843 | <informant > | |
| 2844 | <assignedE ntity> | |
| 2845 | <id | |
| 2846 | root="RIQI ORG" | |
| 2847 | extension= "552" | |
| 2848 | /> | |
| 2849 | <addr | |
| 2850 | nullFlavor ="UNK" | |
| 2851 | /> | |
| 2852 | <telecom | |
| 2853 | nullFlavor ="UNK" | |
| 2854 | /> | |
| 2855 | <assignedP erson> | |
| 2856 | <name | |
| 2857 | nullFlavor ="UNK" | |
| 2858 | /> | |
| 2859 | </assigned Person> | |
| 2860 | <represent edOrganiza tion> | |
| 2861 | <id | |
| 2862 | root="2.16 .840.1.113 883.3.915" | |
| 2863 | extension= "552" | |
| 2864 | displayabl e="true" | |
| 2865 | /> | |
| 2866 | <name> | |
| 2867 | DAYTON | |
| 2868 | </name> | |
| 2869 | <telecom | |
| 2870 | nullFlavor ="UNK" | |
| 2871 | /> | |
| 2872 | <addr | |
| 2873 | nullFlavor ="UNK" | |
| 2874 | /> | |
| 2875 | <asOrganiz ationPartO f> | |
| 2876 | <effective Time | |
| 2877 | nullFlavor ="UNK" | |
| 2878 | /> | |
| 2879 | <wholeOrga nization> | |
| 2880 | <id | |
| 2881 | root="2.16 .840.1.113 883.3.915" | |
| 2882 | /> | |
| 2883 | <id | |
| 2884 | root="2.16 .840.1.113 883.3.915" | |
| 2885 | extension= "HomeCommu nity" | |
| 2886 | displayabl e="true" | |
| 2887 | /> | |
| 2888 | <name> | |
| 2889 | CurrentCar e Test | |
| 2890 | </name> | |
| 2891 | <telecom | |
| 2892 | use="WP" | |
| 2893 | value="tel :401-276-9 141" | |
| 2894 | /> | |
| 2895 | <addr | |
| 2896 | use="WP" | |
| 2897 | > | |
| 2898 | <streetAdd ressLine> | |
| 2899 | 50 Holden St., Suite 300 | |
| 2900 | </streetAd dressLine> | |
| 2901 | <city> | |
| 2902 | Providence | |
| 2903 | </city> | |
| 2904 | <state> | |
| 2905 | RI | |
| 2906 | </state> | |
| 2907 | <postalCod e> | |
| 2908 | 02908 | |
| 2909 | </postalCo de> | |
| 2910 | <country> | |
| 2911 | US | |
| 2912 | </country> | |
| 2913 | </addr> | |
| 2914 | </wholeOrg anization> | |
| 2915 | </asOrgani zationPart Of> | |
| 2916 | </represen tedOrganiz ation> | |
| 2917 | </assigned Entity> | |
| 2918 | </informan t> | |
| 2919 | <entryRela tionship | |
| 2920 | typeCode=" SUBJ" | |
| 2921 | inversionI nd="false" | |
| 2922 | > | |
| 2923 | <observati on | |
| 2924 | classCode= "OBS" | |
| 2925 | moodCode=" EVN" | |
| 2926 | > | |
| 2927 | <templateI d | |
| 2928 | root="2.16 .840.1.113 883. IP .4" | |
| 2929 | /> | |
| 2930 | <id | |
| 2931 | nullFlavor ="NI" | |
| 2932 | /> | |
| 2933 | <code | |
| 2934 | nullFlavor ="UNK" | |
| 2935 | /> | |
| 2936 | <text> | |
| 2937 | <reference | |
| 2938 | value="#pr oblemDescr iption-8" | |
| 2939 | /> | |
| 2940 | </text> | |
| 2941 | <statusCod e | |
| 2942 | code="comp leted" | |
| 2943 | /> | |
| 2944 | <effective Time> | |
| 2945 | <low | |
| 2946 | nullFlavor ="UNK" | |
| 2947 | /> | |
| 2948 | </effectiv eTime> | |
| 2949 | <value | |
| 2950 | nullFlavor ="OTH" | |
| 2951 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 2952 | xsi:type=" CD" | |
| 2953 | > | |
| 2954 | <originalT ext> | |
| 2955 | <reference | |
| 2956 | value="#pr oblemDispl ayName-8" | |
| 2957 | /> | |
| 2958 | </original Text> | |
| 2959 | <translati on | |
| 2960 | code="471. 9" | |
| 2961 | codeSystem ="2.16.840 .1.113883. 6.103" | |
| 2962 | codeSystem Name="ICD9 -CM (Diagn oses)" | |
| 2963 | displayNam e="471.9" | |
| 2964 | /> | |
| 2965 | </value> | |
| 2966 | </observat ion> | |
| 2967 | </entryRel ationship> | |
| 2968 | <entryRela tionship | |
| 2969 | typeCode=" SUBJ" | |
| 2970 | inversionI nd="true" | |
| 2971 | > | |
| 2972 | <encounter | |
| 2973 | classCode= "ENC" | |
| 2974 | moodCode=" EVN" | |
| 2975 | > | |
| 2976 | <id | |
| 2977 | root="2.16 .840.1.113 883.3.1275 " | |
| 2978 | extension= "2.16.840. 1.113883.4 .349" | |
| 2979 | /> | |
| 2980 | </encounte r> | |
| 2981 | </entryRel ationship> | |
| 2982 | </act> | |
| 2983 | </entry> | |
| 2984 | <entry | |
| 2985 | typeCode=" DRIV" | |
| 2986 | > | |
| 2987 | <act | |
| 2988 | classCode= "ACT" | |
| 2989 | moodCode=" EVN" | |
| 2990 | > | |
| 2991 | <templateI d | |
| 2992 | root="2.16 .840.1.113 883. IP .3" | |
| 2993 | /> | |
| 2994 | <id | |
| 2995 | nullFlavor ="UNK" | |
| 2996 | /> | |
| 2997 | <code | |
| 2998 | code="CONC " | |
| 2999 | codeSystem ="2.16.840 .1.113883. 5.6" | |
| 3000 | codeSystem Name="ActC lass" | |
| 3001 | displayNam e="Concern " | |
| 3002 | /> | |
| 3003 | <statusCod e | |
| 3004 | code="acti ve" | |
| 3005 | /> | |
| 3006 | <effective Time> | |
| 3007 | <low | |
| 3008 | nullFlavor ="UNK" | |
| 3009 | /> | |
| 3010 | </effectiv eTime> | |
| 3011 | <performer | |
| 3012 | typeCode=" PRF" | |
| 3013 | > | |
| 3014 | <time | |
| 3015 | nullFlavor ="UNK" | |
| 3016 | /> | |
| 3017 | <assignedE ntity | |
| 3018 | classCode= "ASSIGNED" | |
| 3019 | > | |
| 3020 | <id | |
| 3021 | root="2.16 .840.1.113 883.4.349" | |
| 3022 | extension= "provider9 " | |
| 3023 | /> | |
| 3024 | <addr | |
| 3025 | nullFlavor ="UNK" | |
| 3026 | /> | |
| 3027 | <telecom | |
| 3028 | nullFlavor ="UNK" | |
| 3029 | /> | |
| 3030 | <assignedP erson> | |
| 3031 | <name | |
| 3032 | use="L" | |
| 3033 | > | |
| 3034 | <family> | |
| 3035 | provider9 | |
| 3036 | </family> | |
| 3037 | </name> | |
| 3038 | </assigned Person> | |
| 3039 | </assigned Entity> | |
| 3040 | </performe r> | |
| 3041 | <informant > | |
| 3042 | <assignedE ntity> | |
| 3043 | <id | |
| 3044 | root="RIQI ORG" | |
| 3045 | extension= "552" | |
| 3046 | /> | |
| 3047 | <addr | |
| 3048 | nullFlavor ="UNK" | |
| 3049 | /> | |
| 3050 | <telecom | |
| 3051 | nullFlavor ="UNK" | |
| 3052 | /> | |
| 3053 | <assignedP erson> | |
| 3054 | <name | |
| 3055 | nullFlavor ="UNK" | |
| 3056 | /> | |
| 3057 | </assigned Person> | |
| 3058 | <represent edOrganiza tion> | |
| 3059 | <id | |
| 3060 | root="2.16 .840.1.113 883.3.915" | |
| 3061 | extension= "552" | |
| 3062 | displayabl e="true" | |
| 3063 | /> | |
| 3064 | <name> | |
| 3065 | DAYTON | |
| 3066 | </name> | |
| 3067 | <telecom | |
| 3068 | nullFlavor ="UNK" | |
| 3069 | /> | |
| 3070 | <addr | |
| 3071 | nullFlavor ="UNK" | |
| 3072 | /> | |
| 3073 | <asOrganiz ationPartO f> | |
| 3074 | <effective Time | |
| 3075 | nullFlavor ="UNK" | |
| 3076 | /> | |
| 3077 | <wholeOrga nization> | |
| 3078 | <id | |
| 3079 | root="2.16 .840.1.113 883.3.915" | |
| 3080 | /> | |
| 3081 | <id | |
| 3082 | root="2.16 .840.1.113 883.3.915" | |
| 3083 | extension= "HomeCommu nity" | |
| 3084 | displayabl e="true" | |
| 3085 | /> | |
| 3086 | <name> | |
| 3087 | CurrentCar e Test | |
| 3088 | </name> | |
| 3089 | <telecom | |
| 3090 | use="WP" | |
| 3091 | value="tel :401-276-9 141" | |
| 3092 | /> | |
| 3093 | <addr | |
| 3094 | use="WP" | |
| 3095 | > | |
| 3096 | <streetAdd ressLine> | |
| 3097 | 50 Holden St., Suite 300 | |
| 3098 | </streetAd dressLine> | |
| 3099 | <city> | |
| 3100 | Providence | |
| 3101 | </city> | |
| 3102 | <state> | |
| 3103 | RI | |
| 3104 | </state> | |
| 3105 | <postalCod e> | |
| 3106 | 02908 | |
| 3107 | </postalCo de> | |
| 3108 | <country> | |
| 3109 | US | |
| 3110 | </country> | |
| 3111 | </addr> | |
| 3112 | </wholeOrg anization> | |
| 3113 | </asOrgani zationPart Of> | |
| 3114 | </represen tedOrganiz ation> | |
| 3115 | </assigned Entity> | |
| 3116 | </informan t> | |
| 3117 | <entryRela tionship | |
| 3118 | typeCode=" SUBJ" | |
| 3119 | inversionI nd="false" | |
| 3120 | > | |
| 3121 | <observati on | |
| 3122 | classCode= "OBS" | |
| 3123 | moodCode=" EVN" | |
| 3124 | > | |
| 3125 | <templateI d | |
| 3126 | root="2.16 .840.1.113 883. IP .4" | |
| 3127 | /> | |
| 3128 | <id | |
| 3129 | nullFlavor ="NI" | |
| 3130 | /> | |
| 3131 | <code | |
| 3132 | nullFlavor ="UNK" | |
| 3133 | /> | |
| 3134 | <text> | |
| 3135 | <reference | |
| 3136 | value="#pr oblemDescr iption-9" | |
| 3137 | /> | |
| 3138 | </text> | |
| 3139 | <statusCod e | |
| 3140 | code="comp leted" | |
| 3141 | /> | |
| 3142 | <effective Time> | |
| 3143 | <low | |
| 3144 | nullFlavor ="UNK" | |
| 3145 | /> | |
| 3146 | </effectiv eTime> | |
| 3147 | <value | |
| 3148 | nullFlavor ="OTH" | |
| 3149 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 3150 | xsi:type=" CD" | |
| 3151 | > | |
| 3152 | <originalT ext> | |
| 3153 | <reference | |
| 3154 | value="#pr oblemDispl ayName-9" | |
| 3155 | /> | |
| 3156 | </original Text> | |
| 3157 | <translati on | |
| 3158 | code="428. 9" | |
| 3159 | codeSystem ="2.16.840 .1.113883. 6.103" | |
| 3160 | codeSystem Name="ICD9 -CM (Diagn oses)" | |
| 3161 | displayNam e="428.9" | |
| 3162 | /> | |
| 3163 | </value> | |
| 3164 | </observat ion> | |
| 3165 | </entryRel ationship> | |
| 3166 | <entryRela tionship | |
| 3167 | typeCode=" SUBJ" | |
| 3168 | inversionI nd="true" | |
| 3169 | > | |
| 3170 | <encounter | |
| 3171 | classCode= "ENC" | |
| 3172 | moodCode=" EVN" | |
| 3173 | > | |
| 3174 | <id | |
| 3175 | root="2.16 .840.1.113 883.3.1275 " | |
| 3176 | extension= "2.16.840. 1.113883.4 .349" | |
| 3177 | /> | |
| 3178 | </encounte r> | |
| 3179 | </entryRel ationship> | |
| 3180 | </act> | |
| 3181 | </entry> | |
| 3182 | <entry | |
| 3183 | typeCode=" DRIV" | |
| 3184 | > | |
| 3185 | <act | |
| 3186 | classCode= "ACT" | |
| 3187 | moodCode=" EVN" | |
| 3188 | > | |
| 3189 | <templateI d | |
| 3190 | root="2.16 .840.1.113 883. IP .3" | |
| 3191 | /> | |
| 3192 | <id | |
| 3193 | nullFlavor ="UNK" | |
| 3194 | /> | |
| 3195 | <code | |
| 3196 | code="CONC " | |
| 3197 | codeSystem ="2.16.840 .1.113883. 5.6" | |
| 3198 | codeSystem Name="ActC lass" | |
| 3199 | displayNam e="Concern " | |
| 3200 | /> | |
| 3201 | <statusCod e | |
| 3202 | code="acti ve" | |
| 3203 | /> | |
| 3204 | <effective Time> | |
| 3205 | <low | |
| 3206 | nullFlavor ="UNK" | |
| 3207 | /> | |
| 3208 | </effectiv eTime> | |
| 3209 | <performer | |
| 3210 | typeCode=" PRF" | |
| 3211 | > | |
| 3212 | <time | |
| 3213 | nullFlavor ="UNK" | |
| 3214 | /> | |
| 3215 | <assignedE ntity | |
| 3216 | classCode= "ASSIGNED" | |
| 3217 | > | |
| 3218 | <id | |
| 3219 | root="2.16 .840.1.113 883.4.349" | |
| 3220 | extension= "provider1 0" | |
| 3221 | /> | |
| 3222 | <addr | |
| 3223 | nullFlavor ="UNK" | |
| 3224 | /> | |
| 3225 | <telecom | |
| 3226 | nullFlavor ="UNK" | |
| 3227 | /> | |
| 3228 | <assignedP erson> | |
| 3229 | <name | |
| 3230 | use="L" | |
| 3231 | > | |
| 3232 | <family> | |
| 3233 | provider10 | |
| 3234 | </family> | |
| 3235 | </name> | |
| 3236 | </assigned Person> | |
| 3237 | </assigned Entity> | |
| 3238 | </performe r> | |
| 3239 | <informant > | |
| 3240 | <assignedE ntity> | |
| 3241 | <id | |
| 3242 | root="RIQI ORG" | |
| 3243 | extension= "552" | |
| 3244 | /> | |
| 3245 | <addr | |
| 3246 | nullFlavor ="UNK" | |
| 3247 | /> | |
| 3248 | <telecom | |
| 3249 | nullFlavor ="UNK" | |
| 3250 | /> | |
| 3251 | <assignedP erson> | |
| 3252 | <name | |
| 3253 | nullFlavor ="UNK" | |
| 3254 | /> | |
| 3255 | </assigned Person> | |
| 3256 | <represent edOrganiza tion> | |
| 3257 | <id | |
| 3258 | root="2.16 .840.1.113 883.3.915" | |
| 3259 | extension= "552" | |
| 3260 | displayabl e="true" | |
| 3261 | /> | |
| 3262 | <name> | |
| 3263 | DAYTON | |
| 3264 | </name> | |
| 3265 | <telecom | |
| 3266 | nullFlavor ="UNK" | |
| 3267 | /> | |
| 3268 | <addr | |
| 3269 | nullFlavor ="UNK" | |
| 3270 | /> | |
| 3271 | <asOrganiz ationPartO f> | |
| 3272 | <effective Time | |
| 3273 | nullFlavor ="UNK" | |
| 3274 | /> | |
| 3275 | <wholeOrga nization> | |
| 3276 | <id | |
| 3277 | root="2.16 .840.1.113 883.3.915" | |
| 3278 | /> | |
| 3279 | <id | |
| 3280 | root="2.16 .840.1.113 883.3.915" | |
| 3281 | extension= "HomeCommu nity" | |
| 3282 | displayabl e="true" | |
| 3283 | /> | |
| 3284 | <name> | |
| 3285 | CurrentCar e Test | |
| 3286 | </name> | |
| 3287 | <telecom | |
| 3288 | use="WP" | |
| 3289 | value="tel :401-276-9 141" | |
| 3290 | /> | |
| 3291 | <addr | |
| 3292 | use="WP" | |
| 3293 | > | |
| 3294 | <streetAdd ressLine> | |
| 3295 | 50 Holden St., Suite 300 | |
| 3296 | </streetAd dressLine> | |
| 3297 | <city> | |
| 3298 | Providence | |
| 3299 | </city> | |
| 3300 | <state> | |
| 3301 | RI | |
| 3302 | </state> | |
| 3303 | <postalCod e> | |
| 3304 | 02908 | |
| 3305 | </postalCo de> | |
| 3306 | <country> | |
| 3307 | US | |
| 3308 | </country> | |
| 3309 | </addr> | |
| 3310 | </wholeOrg anization> | |
| 3311 | </asOrgani zationPart Of> | |
| 3312 | </represen tedOrganiz ation> | |
| 3313 | </assigned Entity> | |
| 3314 | </informan t> | |
| 3315 | <entryRela tionship | |
| 3316 | typeCode=" SUBJ" | |
| 3317 | inversionI nd="false" | |
| 3318 | > | |
| 3319 | <observati on | |
| 3320 | classCode= "OBS" | |
| 3321 | moodCode=" EVN" | |
| 3322 | > | |
| 3323 | <templateI d | |
| 3324 | root="2.16 .840.1.113 883. IP .4" | |
| 3325 | /> | |
| 3326 | <id | |
| 3327 | nullFlavor ="NI" | |
| 3328 | /> | |
| 3329 | <code | |
| 3330 | nullFlavor ="UNK" | |
| 3331 | /> | |
| 3332 | <text> | |
| 3333 | <reference | |
| 3334 | value="#pr oblemDescr iption-10" | |
| 3335 | /> | |
| 3336 | </text> | |
| 3337 | <statusCod e | |
| 3338 | code="comp leted" | |
| 3339 | /> | |
| 3340 | <effective Time> | |
| 3341 | <low | |
| 3342 | nullFlavor ="UNK" | |
| 3343 | /> | |
| 3344 | </effectiv eTime> | |
| 3345 | <value | |
| 3346 | nullFlavor ="OTH" | |
| 3347 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 3348 | xsi:type=" CD" | |
| 3349 | > | |
| 3350 | <originalT ext> | |
| 3351 | <reference | |
| 3352 | value="#pr oblemDispl ayName-10" | |
| 3353 | /> | |
| 3354 | </original Text> | |
| 3355 | <translati on | |
| 3356 | code="309. 81" | |
| 3357 | codeSystem ="2.16.840 .1.113883. 6.103" | |
| 3358 | codeSystem Name="ICD9 -CM (Diagn oses)" | |
| 3359 | displayNam e="309.81" | |
| 3360 | /> | |
| 3361 | </value> | |
| 3362 | </observat ion> | |
| 3363 | </entryRel ationship> | |
| 3364 | <entryRela tionship | |
| 3365 | typeCode=" SUBJ" | |
| 3366 | inversionI nd="true" | |
| 3367 | > | |
| 3368 | <encounter | |
| 3369 | classCode= "ENC" | |
| 3370 | moodCode=" EVN" | |
| 3371 | > | |
| 3372 | <id | |
| 3373 | root="2.16 .840.1.113 883.3.1275 " | |
| 3374 | extension= "2.16.840. 1.113883.4 .349" | |
| 3375 | /> | |
| 3376 | </encounte r> | |
| 3377 | </entryRel ationship> | |
| 3378 | </act> | |
| 3379 | </entry> | |
| 3380 | </section> | |
| 3381 | </componen t> | |
| 3382 | <component > | |
| 3383 | <section> | |
| 3384 | <templateI d | |
| 3385 | root="2.16 .840.1.113 883.10.20. 22.2.6.1" | |
| 3386 | /> | |
| 3387 | <code | |
| 3388 | code="4876 5-2" | |
| 3389 | displayNam e="Allergi es, Advers e Reaction s, Alerts" | |
| 3390 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 3391 | codeSystem Name="LOIN C" | |
| 3392 | /> | |
| 3393 | <title> | |
| 3394 | Allergies, Adverse R eactions, Alerts | |
| 3395 | </title> | |
| 3396 | <text> | |
| 3397 | <table | |
| 3398 | border="1" | |
| 3399 | width="100 %" | |
| 3400 | > | |
| 3401 | <thead> | |
| 3402 | <tr> | |
| 3403 | <th> | |
| 3404 | Allergy Na me | |
| 3405 | </th> | |
| 3406 | <th> | |
| 3407 | Allergy Ty pe | |
| 3408 | </th> | |
| 3409 | <th> | |
| 3410 | Status | |
| 3411 | </th> | |
| 3412 | <th> | |
| 3413 | Severity | |
| 3414 | </th> | |
| 3415 | <th> | |
| 3416 | Reaction(s ) | |
| 3417 | </th> | |
| 3418 | <th> | |
| 3419 | Onset Date | |
| 3420 | </th> | |
| 3421 | <th> | |
| 3422 | Treating C linician | |
| 3423 | </th> | |
| 3424 | <th> | |
| 3425 | Entered At | |
| 3426 | </th> | |
| 3427 | <th> | |
| 3428 | Comments | |
| 3429 | </th> | |
| 3430 | </tr> | |
| 3431 | </thead> | |
| 3432 | <tbody> | |
| 3433 | <tr | |
| 3434 | ID="allerg yNarrative -1" | |
| 3435 | > | |
| 3436 | <td | |
| 3437 | ID="allerg yAllergen- 1" | |
| 3438 | > | |
| 3439 | Coded Alle rgy Name N ot Availab le | |
| 3440 | </td> | |
| 3441 | <td | |
| 3442 | ID="allerg yType-1" | |
| 3443 | > | |
| 3444 | DRUG, FOOD | |
| 3445 | </td> | |
| 3446 | <td | |
| 3447 | ID="allerg yStatus-1" | |
| 3448 | > | |
| 3449 | Active | |
| 3450 | </td> | |
| 3451 | <td | |
| 3452 | ID="allerg ySeverity- 1" | |
| 3453 | /> | |
| 3454 | <td | |
| 3455 | ID="allerg yReaction- 1" | |
| 3456 | /> | |
| 3457 | <td> | |
| 3458 | 2011-12-16 12:55:19 | |
| 3459 | </td> | |
| 3460 | <td/> | |
| 3461 | <td> | |
| 3462 | DAYTSHR TE ST LAB | |
| 3463 | </td> | |
| 3464 | <td | |
| 3465 | ID="allerg yComments- 1" | |
| 3466 | /> | |
| 3467 | </tr> | |
| 3468 | <tr | |
| 3469 | ID="allerg yNarrative -2" | |
| 3470 | > | |
| 3471 | <td | |
| 3472 | ID="allerg yAllergen- 2" | |
| 3473 | > | |
| 3474 | Coded Alle rgy Name N ot Availab le | |
| 3475 | </td> | |
| 3476 | <td | |
| 3477 | ID="allerg yType-2" | |
| 3478 | > | |
| 3479 | OTHER | |
| 3480 | </td> | |
| 3481 | <td | |
| 3482 | ID="allerg yStatus-2" | |
| 3483 | > | |
| 3484 | Active | |
| 3485 | </td> | |
| 3486 | <td | |
| 3487 | ID="allerg ySeverity- 2" | |
| 3488 | /> | |
| 3489 | <td | |
| 3490 | ID="allerg yReaction- 2" | |
| 3491 | /> | |
| 3492 | <td> | |
| 3493 | 2011-12-12 18:28:47 | |
| 3494 | </td> | |
| 3495 | <td/> | |
| 3496 | <td> | |
| 3497 | DAYTSHR TE ST LAB | |
| 3498 | </td> | |
| 3499 | <td | |
| 3500 | ID="allerg yComments- 2" | |
| 3501 | /> | |
| 3502 | </tr> | |
| 3503 | <tr | |
| 3504 | ID="allerg yNarrative -3" | |
| 3505 | > | |
| 3506 | <td | |
| 3507 | ID="allerg yAllergen- 3" | |
| 3508 | > | |
| 3509 | Coded Alle rgy Name N ot Availab le | |
| 3510 | </td> | |
| 3511 | <td | |
| 3512 | ID="allerg yType-3" | |
| 3513 | > | |
| 3514 | FOOD | |
| 3515 | </td> | |
| 3516 | <td | |
| 3517 | ID="allerg yStatus-3" | |
| 3518 | > | |
| 3519 | Active | |
| 3520 | </td> | |
| 3521 | <td | |
| 3522 | ID="allerg ySeverity- 3" | |
| 3523 | /> | |
| 3524 | <td | |
| 3525 | ID="allerg yReaction- 3" | |
| 3526 | /> | |
| 3527 | <td> | |
| 3528 | 2011-12-12 15:30:40 | |
| 3529 | </td> | |
| 3530 | <td/> | |
| 3531 | <td> | |
| 3532 | CHYSHR TES T LAB | |
| 3533 | </td> | |
| 3534 | <td | |
| 3535 | ID="allerg yComments- 3" | |
| 3536 | /> | |
| 3537 | </tr> | |
| 3538 | <tr | |
| 3539 | ID="allerg yNarrative -4" | |
| 3540 | > | |
| 3541 | <td | |
| 3542 | ID="allerg yAllergen- 4" | |
| 3543 | > | |
| 3544 | Coded Alle rgy Name N ot Availab le | |
| 3545 | </td> | |
| 3546 | <td | |
| 3547 | ID="allerg yType-4" | |
| 3548 | > | |
| 3549 | FOOD | |
| 3550 | </td> | |
| 3551 | <td | |
| 3552 | ID="allerg yStatus-4" | |
| 3553 | > | |
| 3554 | Active | |
| 3555 | </td> | |
| 3556 | <td | |
| 3557 | ID="allerg ySeverity- 4" | |
| 3558 | /> | |
| 3559 | <td | |
| 3560 | ID="allerg yReaction- 4" | |
| 3561 | /> | |
| 3562 | <td> | |
| 3563 | 2011-12-12 15:29:45 | |
| 3564 | </td> | |
| 3565 | <td/> | |
| 3566 | <td> | |
| 3567 | CHYSHR TES T LAB | |
| 3568 | </td> | |
| 3569 | <td | |
| 3570 | ID="allerg yComments- 4" | |
| 3571 | /> | |
| 3572 | </tr> | |
| 3573 | <tr | |
| 3574 | ID="allerg yNarrative -5" | |
| 3575 | > | |
| 3576 | <td | |
| 3577 | ID="allerg yAllergen- 5" | |
| 3578 | > | |
| 3579 | Coded Alle rgy Name N ot Availab le | |
| 3580 | </td> | |
| 3581 | <td | |
| 3582 | ID="allerg yType-5" | |
| 3583 | > | |
| 3584 | DRUG, FOOD | |
| 3585 | </td> | |
| 3586 | <td | |
| 3587 | ID="allerg yStatus-5" | |
| 3588 | > | |
| 3589 | Active | |
| 3590 | </td> | |
| 3591 | <td | |
| 3592 | ID="allerg ySeverity- 5" | |
| 3593 | /> | |
| 3594 | <td | |
| 3595 | ID="allerg yReaction- 5" | |
| 3596 | /> | |
| 3597 | <td> | |
| 3598 | 2011-12-12 15:29:05 | |
| 3599 | </td> | |
| 3600 | <td/> | |
| 3601 | <td> | |
| 3602 | CHYSHR TES T LAB | |
| 3603 | </td> | |
| 3604 | <td | |
| 3605 | ID="allerg yComments- 5" | |
| 3606 | /> | |
| 3607 | </tr> | |
| 3608 | <tr | |
| 3609 | ID="allerg yNarrative -6" | |
| 3610 | > | |
| 3611 | <td | |
| 3612 | ID="allerg yAllergen- 6" | |
| 3613 | > | |
| 3614 | Coded Alle rgy Name N ot Availab le | |
| 3615 | </td> | |
| 3616 | <td | |
| 3617 | ID="allerg yType-6" | |
| 3618 | > | |
| 3619 | FOOD | |
| 3620 | </td> | |
| 3621 | <td | |
| 3622 | ID="allerg yStatus-6" | |
| 3623 | > | |
| 3624 | Active | |
| 3625 | </td> | |
| 3626 | <td | |
| 3627 | ID="allerg ySeverity- 6" | |
| 3628 | /> | |
| 3629 | <td | |
| 3630 | ID="allerg yReaction- 6" | |
| 3631 | /> | |
| 3632 | <td> | |
| 3633 | 2011-12-12 15:27:15 | |
| 3634 | </td> | |
| 3635 | <td/> | |
| 3636 | <td> | |
| 3637 | CHYSHR TES T LAB | |
| 3638 | </td> | |
| 3639 | <td | |
| 3640 | ID="allerg yComments- 6" | |
| 3641 | /> | |
| 3642 | </tr> | |
| 3643 | <tr | |
| 3644 | ID="allerg yNarrative -7" | |
| 3645 | > | |
| 3646 | <td | |
| 3647 | ID="allerg yAllergen- 7" | |
| 3648 | > | |
| 3649 | Coded Alle rgy Name N ot Availab le | |
| 3650 | </td> | |
| 3651 | <td | |
| 3652 | ID="allerg yType-7" | |
| 3653 | > | |
| 3654 | DRUG, FOOD | |
| 3655 | </td> | |
| 3656 | <td | |
| 3657 | ID="allerg yStatus-7" | |
| 3658 | > | |
| 3659 | Active | |
| 3660 | </td> | |
| 3661 | <td | |
| 3662 | ID="allerg ySeverity- 7" | |
| 3663 | /> | |
| 3664 | <td | |
| 3665 | ID="allerg yReaction- 7" | |
| 3666 | /> | |
| 3667 | <td> | |
| 3668 | 2011-12-12 15:24:02 | |
| 3669 | </td> | |
| 3670 | <td/> | |
| 3671 | <td> | |
| 3672 | CHYSHR TES T LAB | |
| 3673 | </td> | |
| 3674 | <td | |
| 3675 | ID="allerg yComments- 7" | |
| 3676 | /> | |
| 3677 | </tr> | |
| 3678 | <tr | |
| 3679 | ID="allerg yNarrative -8" | |
| 3680 | > | |
| 3681 | <td | |
| 3682 | ID="allerg yAllergen- 8" | |
| 3683 | > | |
| 3684 | Coded Alle rgy Name N ot Availab le | |
| 3685 | </td> | |
| 3686 | <td | |
| 3687 | ID="allerg yType-8" | |
| 3688 | > | |
| 3689 | FOOD | |
| 3690 | </td> | |
| 3691 | <td | |
| 3692 | ID="allerg yStatus-8" | |
| 3693 | > | |
| 3694 | Active | |
| 3695 | </td> | |
| 3696 | <td | |
| 3697 | ID="allerg ySeverity- 8" | |
| 3698 | /> | |
| 3699 | <td | |
| 3700 | ID="allerg yReaction- 8" | |
| 3701 | /> | |
| 3702 | <td> | |
| 3703 | 2011-12-12 15:22:07 | |
| 3704 | </td> | |
| 3705 | <td/> | |
| 3706 | <td> | |
| 3707 | CHYSHR TES T LAB | |
| 3708 | </td> | |
| 3709 | <td | |
| 3710 | ID="allerg yComments- 8" | |
| 3711 | /> | |
| 3712 | </tr> | |
| 3713 | <tr | |
| 3714 | ID="allerg yNarrative -9" | |
| 3715 | > | |
| 3716 | <td | |
| 3717 | ID="allerg yAllergen- 9" | |
| 3718 | > | |
| 3719 | Coded Alle rgy Name N ot Availab le | |
| 3720 | </td> | |
| 3721 | <td | |
| 3722 | ID="allerg yType-9" | |
| 3723 | > | |
| 3724 | DRUG, FOOD | |
| 3725 | </td> | |
| 3726 | <td | |
| 3727 | ID="allerg yStatus-9" | |
| 3728 | > | |
| 3729 | Active | |
| 3730 | </td> | |
| 3731 | <td | |
| 3732 | ID="allerg ySeverity- 9" | |
| 3733 | /> | |
| 3734 | <td | |
| 3735 | ID="allerg yReaction- 9" | |
| 3736 | /> | |
| 3737 | <td> | |
| 3738 | 2011-12-12 15:20:37 | |
| 3739 | </td> | |
| 3740 | <td/> | |
| 3741 | <td> | |
| 3742 | CHYSHR TES T LAB | |
| 3743 | </td> | |
| 3744 | <td | |
| 3745 | ID="allerg yComments- 9" | |
| 3746 | /> | |
| 3747 | </tr> | |
| 3748 | <tr | |
| 3749 | ID="allerg yNarrative -10" | |
| 3750 | > | |
| 3751 | <td | |
| 3752 | ID="allerg yAllergen- 10" | |
| 3753 | > | |
| 3754 | Coded Alle rgy Name N ot Availab le | |
| 3755 | </td> | |
| 3756 | <td | |
| 3757 | ID="allerg yType-10" | |
| 3758 | > | |
| 3759 | FOOD | |
| 3760 | </td> | |
| 3761 | <td | |
| 3762 | ID="allerg yStatus-10 " | |
| 3763 | > | |
| 3764 | Active | |
| 3765 | </td> | |
| 3766 | <td | |
| 3767 | ID="allerg ySeverity- 10" | |
| 3768 | /> | |
| 3769 | <td | |
| 3770 | ID="allerg yReaction- 10" | |
| 3771 | /> | |
| 3772 | <td> | |
| 3773 | 2011-12-07 16:48:45 | |
| 3774 | </td> | |
| 3775 | <td/> | |
| 3776 | <td> | |
| 3777 | CHYSHR TES T LAB | |
| 3778 | </td> | |
| 3779 | <td | |
| 3780 | ID="allerg yComments- 10" | |
| 3781 | /> | |
| 3782 | </tr> | |
| 3783 | <tr | |
| 3784 | ID="allerg yNarrative -11" | |
| 3785 | > | |
| 3786 | <td | |
| 3787 | ID="allerg yAllergen- 11" | |
| 3788 | > | |
| 3789 | Coded Alle rgy Name N ot Availab le | |
| 3790 | </td> | |
| 3791 | <td | |
| 3792 | ID="allerg yType-11" | |
| 3793 | > | |
| 3794 | DRUG, FOOD | |
| 3795 | </td> | |
| 3796 | <td | |
| 3797 | ID="allerg yStatus-11 " | |
| 3798 | > | |
| 3799 | Active | |
| 3800 | </td> | |
| 3801 | <td | |
| 3802 | ID="allerg ySeverity- 11" | |
| 3803 | /> | |
| 3804 | <td | |
| 3805 | ID="allerg yReaction- 11" | |
| 3806 | /> | |
| 3807 | <td> | |
| 3808 | 2011-12-07 12:51:18 | |
| 3809 | </td> | |
| 3810 | <td/> | |
| 3811 | <td> | |
| 3812 | CHYSHR TES T LAB | |
| 3813 | </td> | |
| 3814 | <td | |
| 3815 | ID="allerg yComments- 11" | |
| 3816 | /> | |
| 3817 | </tr> | |
| 3818 | <tr | |
| 3819 | ID="allerg yNarrative -12" | |
| 3820 | > | |
| 3821 | <td | |
| 3822 | ID="allerg yAllergen- 12" | |
| 3823 | > | |
| 3824 | Coded Alle rgy Name N ot Availab le | |
| 3825 | </td> | |
| 3826 | <td | |
| 3827 | ID="allerg yType-12" | |
| 3828 | > | |
| 3829 | FOOD | |
| 3830 | </td> | |
| 3831 | <td | |
| 3832 | ID="allerg yStatus-12 " | |
| 3833 | > | |
| 3834 | Active | |
| 3835 | </td> | |
| 3836 | <td | |
| 3837 | ID="allerg ySeverity- 12" | |
| 3838 | /> | |
| 3839 | <td | |
| 3840 | ID="allerg yReaction- 12" | |
| 3841 | /> | |
| 3842 | <td> | |
| 3843 | 2011-12-07 11:48:28 | |
| 3844 | </td> | |
| 3845 | <td/> | |
| 3846 | <td> | |
| 3847 | CHYSHR TES T LAB | |
| 3848 | </td> | |
| 3849 | <td | |
| 3850 | ID="allerg yComments- 12" | |
| 3851 | /> | |
| 3852 | </tr> | |
| 3853 | <tr | |
| 3854 | ID="allerg yNarrative -13" | |
| 3855 | > | |
| 3856 | <td | |
| 3857 | ID="allerg yAllergen- 13" | |
| 3858 | > | |
| 3859 | Coded Alle rgy Name N ot Availab le | |
| 3860 | </td> | |
| 3861 | <td | |
| 3862 | ID="allerg yType-13" | |
| 3863 | > | |
| 3864 | FOOD | |
| 3865 | </td> | |
| 3866 | <td | |
| 3867 | ID="allerg yStatus-13 " | |
| 3868 | > | |
| 3869 | Active | |
| 3870 | </td> | |
| 3871 | <td | |
| 3872 | ID="allerg ySeverity- 13" | |
| 3873 | /> | |
| 3874 | <td | |
| 3875 | ID="allerg yReaction- 13" | |
| 3876 | /> | |
| 3877 | <td> | |
| 3878 | 2011-12-07 11:44:53 | |
| 3879 | </td> | |
| 3880 | <td/> | |
| 3881 | <td> | |
| 3882 | CHYSHR TES T LAB | |
| 3883 | </td> | |
| 3884 | <td | |
| 3885 | ID="allerg yComments- 13" | |
| 3886 | /> | |
| 3887 | </tr> | |
| 3888 | <tr | |
| 3889 | ID="allerg yNarrative -14" | |
| 3890 | > | |
| 3891 | <td | |
| 3892 | ID="allerg yAllergen- 14" | |
| 3893 | > | |
| 3894 | Coded Alle rgy Name N ot Availab le | |
| 3895 | </td> | |
| 3896 | <td | |
| 3897 | ID="allerg yType-14" | |
| 3898 | > | |
| 3899 | FOOD | |
| 3900 | </td> | |
| 3901 | <td | |
| 3902 | ID="allerg yStatus-14 " | |
| 3903 | > | |
| 3904 | Active | |
| 3905 | </td> | |
| 3906 | <td | |
| 3907 | ID="allerg ySeverity- 14" | |
| 3908 | /> | |
| 3909 | <td | |
| 3910 | ID="allerg yReaction- 14" | |
| 3911 | /> | |
| 3912 | <td> | |
| 3913 | 2011-11-30 16:51:47 | |
| 3914 | </td> | |
| 3915 | <td/> | |
| 3916 | <td> | |
| 3917 | CHYSHR TES T LAB | |
| 3918 | </td> | |
| 3919 | <td | |
| 3920 | ID="allerg yComments- 14" | |
| 3921 | /> | |
| 3922 | </tr> | |
| 3923 | <tr | |
| 3924 | ID="allerg yNarrative -15" | |
| 3925 | > | |
| 3926 | <td | |
| 3927 | ID="allerg yAllergen- 15" | |
| 3928 | > | |
| 3929 | Coded Alle rgy Name N ot Availab le | |
| 3930 | </td> | |
| 3931 | <td | |
| 3932 | ID="allerg yType-15" | |
| 3933 | > | |
| 3934 | FOOD | |
| 3935 | </td> | |
| 3936 | <td | |
| 3937 | ID="allerg yStatus-15 " | |
| 3938 | > | |
| 3939 | Active | |
| 3940 | </td> | |
| 3941 | <td | |
| 3942 | ID="allerg ySeverity- 15" | |
| 3943 | /> | |
| 3944 | <td | |
| 3945 | ID="allerg yReaction- 15" | |
| 3946 | /> | |
| 3947 | <td> | |
| 3948 | 2011-11-29 16:12:42 | |
| 3949 | </td> | |
| 3950 | <td/> | |
| 3951 | <td> | |
| 3952 | CHYSHR TES T LAB | |
| 3953 | </td> | |
| 3954 | <td | |
| 3955 | ID="allerg yComments- 15" | |
| 3956 | /> | |
| 3957 | </tr> | |
| 3958 | </tbody> | |
| 3959 | </table> | |
| 3960 | </text> | |
| 3961 | <entry | |
| 3962 | typeCode=" DRIV" | |
| 3963 | > | |
| 3964 | <act | |
| 3965 | classCode= "ACT" | |
| 3966 | moodCode=" EVN" | |
| 3967 | > | |
| 3968 | <templateI d | |
| 3969 | root="2.16 .840.1.113 883. IP .30" | |
| 3970 | /> | |
| 3971 | <id | |
| 3972 | nullFlavor ="UNK" | |
| 3973 | /> | |
| 3974 | <code | |
| 3975 | code="4876 5-2" | |
| 3976 | displayNam e="Allergi es, Advers e Reaction s, Alerts" | |
| 3977 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 3978 | codeSystem Name="LOIN C" | |
| 3979 | /> | |
| 3980 | <text> | |
| 3981 | <reference | |
| 3982 | value="#al lergyNarra tive-1" | |
| 3983 | /> | |
| 3984 | </text> | |
| 3985 | <statusCod e | |
| 3986 | code="acti ve" | |
| 3987 | /> | |
| 3988 | <effective Time> | |
| 3989 | <low | |
| 3990 | value="201 1121612551 9" | |
| 3991 | /> | |
| 3992 | </effectiv eTime> | |
| 3993 | <informant > | |
| 3994 | <assignedE ntity> | |
| 3995 | <id | |
| 3996 | root="RIQI ORG" | |
| 3997 | extension= "984" | |
| 3998 | /> | |
| 3999 | <addr | |
| 4000 | nullFlavor ="UNK" | |
| 4001 | /> | |
| 4002 | <telecom | |
| 4003 | nullFlavor ="UNK" | |
| 4004 | /> | |
| 4005 | <assignedP erson> | |
| 4006 | <name | |
| 4007 | nullFlavor ="UNK" | |
| 4008 | /> | |
| 4009 | </assigned Person> | |
| 4010 | <represent edOrganiza tion> | |
| 4011 | <id | |
| 4012 | root="2.16 .840.1.113 883.3.915" | |
| 4013 | extension= "984" | |
| 4014 | displayabl e="true" | |
| 4015 | /> | |
| 4016 | <name> | |
| 4017 | DAYTSHR TE ST LAB | |
| 4018 | </name> | |
| 4019 | <telecom | |
| 4020 | nullFlavor ="UNK" | |
| 4021 | /> | |
| 4022 | <addr | |
| 4023 | nullFlavor ="UNK" | |
| 4024 | /> | |
| 4025 | <asOrganiz ationPartO f> | |
| 4026 | <effective Time | |
| 4027 | nullFlavor ="UNK" | |
| 4028 | /> | |
| 4029 | <wholeOrga nization> | |
| 4030 | <id | |
| 4031 | root="2.16 .840.1.113 883.3.915" | |
| 4032 | /> | |
| 4033 | <id | |
| 4034 | root="2.16 .840.1.113 883.3.915" | |
| 4035 | extension= "HomeCommu nity" | |
| 4036 | displayabl e="true" | |
| 4037 | /> | |
| 4038 | <name> | |
| 4039 | CurrentCar e Test | |
| 4040 | </name> | |
| 4041 | <telecom | |
| 4042 | use="WP" | |
| 4043 | value="tel :401-276-9 141" | |
| 4044 | /> | |
| 4045 | <addr | |
| 4046 | use="WP" | |
| 4047 | > | |
| 4048 | <streetAdd ressLine> | |
| 4049 | 50 Holden St., Suite 300 | |
| 4050 | </streetAd dressLine> | |
| 4051 | <city> | |
| 4052 | Providence | |
| 4053 | </city> | |
| 4054 | <state> | |
| 4055 | RI | |
| 4056 | </state> | |
| 4057 | <postalCod e> | |
| 4058 | 02908 | |
| 4059 | </postalCo de> | |
| 4060 | <country> | |
| 4061 | US | |
| 4062 | </country> | |
| 4063 | </addr> | |
| 4064 | </wholeOrg anization> | |
| 4065 | </asOrgani zationPart Of> | |
| 4066 | </represen tedOrganiz ation> | |
| 4067 | </assigned Entity> | |
| 4068 | </informan t> | |
| 4069 | <entryRela tionship | |
| 4070 | typeCode=" SUBJ" | |
| 4071 | inversionI nd="false" | |
| 4072 | > | |
| 4073 | <observati on | |
| 4074 | classCode= "OBS" | |
| 4075 | moodCode=" EVN" | |
| 4076 | > | |
| 4077 | <templateI d | |
| 4078 | root="2.16 .840.1.113 883. IP .7" | |
| 4079 | /> | |
| 4080 | <id | |
| 4081 | nullFlavor ="NI" | |
| 4082 | /> | |
| 4083 | <code | |
| 4084 | code="ASSE RTION" | |
| 4085 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 4086 | codeSystem Name="HL7" | |
| 4087 | /> | |
| 4088 | <statusCod e | |
| 4089 | code="comp leted" | |
| 4090 | /> | |
| 4091 | <effective Time> | |
| 4092 | <low | |
| 4093 | value="201 1121612551 9" | |
| 4094 | /> | |
| 4095 | <high | |
| 4096 | nullFlavor ="UNK" | |
| 4097 | /> | |
| 4098 | </effectiv eTime> | |
| 4099 | <value | |
| 4100 | code="4180 38007" | |
| 4101 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 4102 | codeSystem Name="SNOM ED-CT" | |
| 4103 | displayNam e="DRUG, F OOD" | |
| 4104 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 4105 | xsi:type=" CD" | |
| 4106 | > | |
| 4107 | <originalT ext> | |
| 4108 | <reference | |
| 4109 | value="#al lergyType- 1" | |
| 4110 | /> | |
| 4111 | </original Text> | |
| 4112 | </value> | |
| 4113 | <participa nt | |
| 4114 | typeCode=" CSM" | |
| 4115 | > | |
| 4116 | <participa ntRole | |
| 4117 | classCode= "MANU" | |
| 4118 | > | |
| 4119 | <addr | |
| 4120 | nullFlavor ="UNK" | |
| 4121 | /> | |
| 4122 | <telecom | |
| 4123 | nullFlavor ="UNK" | |
| 4124 | /> | |
| 4125 | <playingEn tity | |
| 4126 | classCode= "MMAT" | |
| 4127 | > | |
| 4128 | <code | |
| 4129 | code="Code d_Allergy_ Name_Not_A vailable" | |
| 4130 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 4131 | codeSystem Name="RXNO RM" | |
| 4132 | displayNam e="Coded A llergy Nam e Not Avai lable" | |
| 4133 | > | |
| 4134 | <originalT ext> | |
| 4135 | <reference | |
| 4136 | value="#al lergyAller gen-1" | |
| 4137 | /> | |
| 4138 | </original Text> | |
| 4139 | </code> | |
| 4140 | <name> | |
| 4141 | Coded Alle rgy Name N ot Availab le | |
| 4142 | </name> | |
| 4143 | </playingE ntity> | |
| 4144 | </particip antRole> | |
| 4145 | </particip ant> | |
| 4146 | <entryRela tionship | |
| 4147 | typeCode=" REFR" | |
| 4148 | inversionI nd="true" | |
| 4149 | > | |
| 4150 | <observati on | |
| 4151 | classCode= "OBS" | |
| 4152 | moodCode=" EVN" | |
| 4153 | > | |
| 4154 | <templateI d | |
| 4155 | root="2.16 .840.1.113 883. IP .28" | |
| 4156 | /> | |
| 4157 | <code | |
| 4158 | code="3399 9-4" | |
| 4159 | displayNam e="Status" | |
| 4160 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 4161 | codeSystem Name="LOIN C" | |
| 4162 | /> | |
| 4163 | <text> | |
| 4164 | <reference | |
| 4165 | value="#al lergyStatu s-1" | |
| 4166 | /> | |
| 4167 | </text> | |
| 4168 | <statusCod e | |
| 4169 | code="comp leted" | |
| 4170 | /> | |
| 4171 | <value | |
| 4172 | code="5556 1003" | |
| 4173 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 4174 | codeSystem Name="SNOM ED-CT" | |
| 4175 | displayNam e="Active" | |
| 4176 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 4177 | xsi:type=" CE" | |
| 4178 | > | |
| 4179 | <originalT ext> | |
| 4180 | Active | |
| 4181 | </original Text> | |
| 4182 | </value> | |
| 4183 | </observat ion> | |
| 4184 | </entryRel ationship> | |
| 4185 | </observat ion> | |
| 4186 | </entryRel ationship> | |
| 4187 | </act> | |
| 4188 | </entry> | |
| 4189 | <entry | |
| 4190 | typeCode=" DRIV" | |
| 4191 | > | |
| 4192 | <act | |
| 4193 | classCode= "ACT" | |
| 4194 | moodCode=" EVN" | |
| 4195 | > | |
| 4196 | <templateI d | |
| 4197 | root="2.16 .840.1.113 883. IP .30" | |
| 4198 | /> | |
| 4199 | <id | |
| 4200 | nullFlavor ="UNK" | |
| 4201 | /> | |
| 4202 | <code | |
| 4203 | code="4876 5-2" | |
| 4204 | displayNam e="Allergi es, Advers e Reaction s, Alerts" | |
| 4205 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 4206 | codeSystem Name="LOIN C" | |
| 4207 | /> | |
| 4208 | <text> | |
| 4209 | <reference | |
| 4210 | value="#al lergyNarra tive-2" | |
| 4211 | /> | |
| 4212 | </text> | |
| 4213 | <statusCod e | |
| 4214 | code="acti ve" | |
| 4215 | /> | |
| 4216 | <effective Time> | |
| 4217 | <low | |
| 4218 | value="201 1121218284 7" | |
| 4219 | /> | |
| 4220 | </effectiv eTime> | |
| 4221 | <informant > | |
| 4222 | <assignedE ntity> | |
| 4223 | <id | |
| 4224 | root="RIQI ORG" | |
| 4225 | extension= "984" | |
| 4226 | /> | |
| 4227 | <addr | |
| 4228 | nullFlavor ="UNK" | |
| 4229 | /> | |
| 4230 | <telecom | |
| 4231 | nullFlavor ="UNK" | |
| 4232 | /> | |
| 4233 | <assignedP erson> | |
| 4234 | <name | |
| 4235 | nullFlavor ="UNK" | |
| 4236 | /> | |
| 4237 | </assigned Person> | |
| 4238 | <represent edOrganiza tion> | |
| 4239 | <id | |
| 4240 | root="2.16 .840.1.113 883.3.915" | |
| 4241 | extension= "984" | |
| 4242 | displayabl e="true" | |
| 4243 | /> | |
| 4244 | <name> | |
| 4245 | DAYTSHR TE ST LAB | |
| 4246 | </name> | |
| 4247 | <telecom | |
| 4248 | nullFlavor ="UNK" | |
| 4249 | /> | |
| 4250 | <addr | |
| 4251 | nullFlavor ="UNK" | |
| 4252 | /> | |
| 4253 | <asOrganiz ationPartO f> | |
| 4254 | <effective Time | |
| 4255 | nullFlavor ="UNK" | |
| 4256 | /> | |
| 4257 | <wholeOrga nization> | |
| 4258 | <id | |
| 4259 | root="2.16 .840.1.113 883.3.915" | |
| 4260 | /> | |
| 4261 | <id | |
| 4262 | root="2.16 .840.1.113 883.3.915" | |
| 4263 | extension= "HomeCommu nity" | |
| 4264 | displayabl e="true" | |
| 4265 | /> | |
| 4266 | <name> | |
| 4267 | CurrentCar e Test | |
| 4268 | </name> | |
| 4269 | <telecom | |
| 4270 | use="WP" | |
| 4271 | value="tel :401-276-9 141" | |
| 4272 | /> | |
| 4273 | <addr | |
| 4274 | use="WP" | |
| 4275 | > | |
| 4276 | <streetAdd ressLine> | |
| 4277 | 50 Holden St., Suite 300 | |
| 4278 | </streetAd dressLine> | |
| 4279 | <city> | |
| 4280 | Providence | |
| 4281 | </city> | |
| 4282 | <state> | |
| 4283 | RI | |
| 4284 | </state> | |
| 4285 | <postalCod e> | |
| 4286 | 02908 | |
| 4287 | </postalCo de> | |
| 4288 | <country> | |
| 4289 | US | |
| 4290 | </country> | |
| 4291 | </addr> | |
| 4292 | </wholeOrg anization> | |
| 4293 | </asOrgani zationPart Of> | |
| 4294 | </represen tedOrganiz ation> | |
| 4295 | </assigned Entity> | |
| 4296 | </informan t> | |
| 4297 | <entryRela tionship | |
| 4298 | typeCode=" SUBJ" | |
| 4299 | inversionI nd="false" | |
| 4300 | > | |
| 4301 | <observati on | |
| 4302 | classCode= "OBS" | |
| 4303 | moodCode=" EVN" | |
| 4304 | > | |
| 4305 | <templateI d | |
| 4306 | root="2.16 .840.1.113 883. IP .7" | |
| 4307 | /> | |
| 4308 | <id | |
| 4309 | nullFlavor ="NI" | |
| 4310 | /> | |
| 4311 | <code | |
| 4312 | code="ASSE RTION" | |
| 4313 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 4314 | codeSystem Name="HL7" | |
| 4315 | /> | |
| 4316 | <statusCod e | |
| 4317 | code="comp leted" | |
| 4318 | /> | |
| 4319 | <effective Time> | |
| 4320 | <low | |
| 4321 | value="201 1121218284 7" | |
| 4322 | /> | |
| 4323 | <high | |
| 4324 | nullFlavor ="UNK" | |
| 4325 | /> | |
| 4326 | </effectiv eTime> | |
| 4327 | <value | |
| 4328 | code="4201 34006" | |
| 4329 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 4330 | codeSystem Name="SNOM ED-CT" | |
| 4331 | displayNam e="OTHER" | |
| 4332 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 4333 | xsi:type=" CD" | |
| 4334 | > | |
| 4335 | <originalT ext> | |
| 4336 | <reference | |
| 4337 | value="#al lergyType- 2" | |
| 4338 | /> | |
| 4339 | </original Text> | |
| 4340 | </value> | |
| 4341 | <participa nt | |
| 4342 | typeCode=" CSM" | |
| 4343 | > | |
| 4344 | <participa ntRole | |
| 4345 | classCode= "MANU" | |
| 4346 | > | |
| 4347 | <addr | |
| 4348 | nullFlavor ="UNK" | |
| 4349 | /> | |
| 4350 | <telecom | |
| 4351 | nullFlavor ="UNK" | |
| 4352 | /> | |
| 4353 | <playingEn tity | |
| 4354 | classCode= "MMAT" | |
| 4355 | > | |
| 4356 | <code | |
| 4357 | code="Code d_Allergy_ Name_Not_A vailable" | |
| 4358 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 4359 | codeSystem Name="RXNO RM" | |
| 4360 | displayNam e="Coded A llergy Nam e Not Avai lable" | |
| 4361 | > | |
| 4362 | <originalT ext> | |
| 4363 | <reference | |
| 4364 | value="#al lergyAller gen-2" | |
| 4365 | /> | |
| 4366 | </original Text> | |
| 4367 | </code> | |
| 4368 | <name> | |
| 4369 | Coded Alle rgy Name N ot Availab le | |
| 4370 | </name> | |
| 4371 | </playingE ntity> | |
| 4372 | </particip antRole> | |
| 4373 | </particip ant> | |
| 4374 | <entryRela tionship | |
| 4375 | typeCode=" REFR" | |
| 4376 | inversionI nd="true" | |
| 4377 | > | |
| 4378 | <observati on | |
| 4379 | classCode= "OBS" | |
| 4380 | moodCode=" EVN" | |
| 4381 | > | |
| 4382 | <templateI d | |
| 4383 | root="2.16 .840.1.113 883. IP .28" | |
| 4384 | /> | |
| 4385 | <code | |
| 4386 | code="3399 9-4" | |
| 4387 | displayNam e="Status" | |
| 4388 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 4389 | codeSystem Name="LOIN C" | |
| 4390 | /> | |
| 4391 | <text> | |
| 4392 | <reference | |
| 4393 | value="#al lergyStatu s-2" | |
| 4394 | /> | |
| 4395 | </text> | |
| 4396 | <statusCod e | |
| 4397 | code="comp leted" | |
| 4398 | /> | |
| 4399 | <value | |
| 4400 | code="5556 1003" | |
| 4401 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 4402 | codeSystem Name="SNOM ED-CT" | |
| 4403 | displayNam e="Active" | |
| 4404 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 4405 | xsi:type=" CE" | |
| 4406 | > | |
| 4407 | <originalT ext> | |
| 4408 | Active | |
| 4409 | </original Text> | |
| 4410 | </value> | |
| 4411 | </observat ion> | |
| 4412 | </entryRel ationship> | |
| 4413 | </observat ion> | |
| 4414 | </entryRel ationship> | |
| 4415 | </act> | |
| 4416 | </entry> | |
| 4417 | <entry | |
| 4418 | typeCode=" DRIV" | |
| 4419 | > | |
| 4420 | <act | |
| 4421 | classCode= "ACT" | |
| 4422 | moodCode=" EVN" | |
| 4423 | > | |
| 4424 | <templateI d | |
| 4425 | root="2.16 .840.1.113 883. IP .30" | |
| 4426 | /> | |
| 4427 | <id | |
| 4428 | nullFlavor ="UNK" | |
| 4429 | /> | |
| 4430 | <code | |
| 4431 | code="4876 5-2" | |
| 4432 | displayNam e="Allergi es, Advers e Reaction s, Alerts" | |
| 4433 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 4434 | codeSystem Name="LOIN C" | |
| 4435 | /> | |
| 4436 | <text> | |
| 4437 | <reference | |
| 4438 | value="#al lergyNarra tive-3" | |
| 4439 | /> | |
| 4440 | </text> | |
| 4441 | <statusCod e | |
| 4442 | code="acti ve" | |
| 4443 | /> | |
| 4444 | <effective Time> | |
| 4445 | <low | |
| 4446 | value="201 1121215304 0" | |
| 4447 | /> | |
| 4448 | </effectiv eTime> | |
| 4449 | <informant > | |
| 4450 | <assignedE ntity> | |
| 4451 | <id | |
| 4452 | root="RIQI ORG" | |
| 4453 | extension= "983" | |
| 4454 | /> | |
| 4455 | <addr | |
| 4456 | nullFlavor ="UNK" | |
| 4457 | /> | |
| 4458 | <telecom | |
| 4459 | nullFlavor ="UNK" | |
| 4460 | /> | |
| 4461 | <assignedP erson> | |
| 4462 | <name | |
| 4463 | nullFlavor ="UNK" | |
| 4464 | /> | |
| 4465 | </assigned Person> | |
| 4466 | <represent edOrganiza tion> | |
| 4467 | <id | |
| 4468 | root="2.16 .840.1.113 883.3.915" | |
| 4469 | extension= "983" | |
| 4470 | displayabl e="true" | |
| 4471 | /> | |
| 4472 | <name> | |
| 4473 | CHYSHR TES T LAB | |
| 4474 | </name> | |
| 4475 | <telecom | |
| 4476 | nullFlavor ="UNK" | |
| 4477 | /> | |
| 4478 | <addr | |
| 4479 | nullFlavor ="UNK" | |
| 4480 | /> | |
| 4481 | <asOrganiz ationPartO f> | |
| 4482 | <effective Time | |
| 4483 | nullFlavor ="UNK" | |
| 4484 | /> | |
| 4485 | <wholeOrga nization> | |
| 4486 | <id | |
| 4487 | root="2.16 .840.1.113 883.3.915" | |
| 4488 | /> | |
| 4489 | <id | |
| 4490 | root="2.16 .840.1.113 883.3.915" | |
| 4491 | extension= "HomeCommu nity" | |
| 4492 | displayabl e="true" | |
| 4493 | /> | |
| 4494 | <name> | |
| 4495 | CurrentCar e Test | |
| 4496 | </name> | |
| 4497 | <telecom | |
| 4498 | use="WP" | |
| 4499 | value="tel :401-276-9 141" | |
| 4500 | /> | |
| 4501 | <addr | |
| 4502 | use="WP" | |
| 4503 | > | |
| 4504 | <streetAdd ressLine> | |
| 4505 | 50 Holden St., Suite 300 | |
| 4506 | </streetAd dressLine> | |
| 4507 | <city> | |
| 4508 | Providence | |
| 4509 | </city> | |
| 4510 | <state> | |
| 4511 | RI | |
| 4512 | </state> | |
| 4513 | <postalCod e> | |
| 4514 | 02908 | |
| 4515 | </postalCo de> | |
| 4516 | <country> | |
| 4517 | US | |
| 4518 | </country> | |
| 4519 | </addr> | |
| 4520 | </wholeOrg anization> | |
| 4521 | </asOrgani zationPart Of> | |
| 4522 | </represen tedOrganiz ation> | |
| 4523 | </assigned Entity> | |
| 4524 | </informan t> | |
| 4525 | <entryRela tionship | |
| 4526 | typeCode=" SUBJ" | |
| 4527 | inversionI nd="false" | |
| 4528 | > | |
| 4529 | <observati on | |
| 4530 | classCode= "OBS" | |
| 4531 | moodCode=" EVN" | |
| 4532 | > | |
| 4533 | <templateI d | |
| 4534 | root="2.16 .840.1.113 883. IP .7" | |
| 4535 | /> | |
| 4536 | <id | |
| 4537 | nullFlavor ="NI" | |
| 4538 | /> | |
| 4539 | <code | |
| 4540 | code="ASSE RTION" | |
| 4541 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 4542 | codeSystem Name="HL7" | |
| 4543 | /> | |
| 4544 | <statusCod e | |
| 4545 | code="comp leted" | |
| 4546 | /> | |
| 4547 | <effective Time> | |
| 4548 | <low | |
| 4549 | value="201 1121215304 0" | |
| 4550 | /> | |
| 4551 | <high | |
| 4552 | nullFlavor ="UNK" | |
| 4553 | /> | |
| 4554 | </effectiv eTime> | |
| 4555 | <value | |
| 4556 | code="4184 71000" | |
| 4557 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 4558 | codeSystem Name="SNOM ED-CT" | |
| 4559 | displayNam e="FOOD" | |
| 4560 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 4561 | xsi:type=" CD" | |
| 4562 | > | |
| 4563 | <originalT ext> | |
| 4564 | <reference | |
| 4565 | value="#al lergyType- 3" | |
| 4566 | /> | |
| 4567 | </original Text> | |
| 4568 | </value> | |
| 4569 | <participa nt | |
| 4570 | typeCode=" CSM" | |
| 4571 | > | |
| 4572 | <participa ntRole | |
| 4573 | classCode= "MANU" | |
| 4574 | > | |
| 4575 | <addr | |
| 4576 | nullFlavor ="UNK" | |
| 4577 | /> | |
| 4578 | <telecom | |
| 4579 | nullFlavor ="UNK" | |
| 4580 | /> | |
| 4581 | <playingEn tity | |
| 4582 | classCode= "MMAT" | |
| 4583 | > | |
| 4584 | <code | |
| 4585 | code="Code d_Allergy_ Name_Not_A vailable" | |
| 4586 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 4587 | codeSystem Name="RXNO RM" | |
| 4588 | displayNam e="Coded A llergy Nam e Not Avai lable" | |
| 4589 | > | |
| 4590 | <originalT ext> | |
| 4591 | <reference | |
| 4592 | value="#al lergyAller gen-3" | |
| 4593 | /> | |
| 4594 | </original Text> | |
| 4595 | </code> | |
| 4596 | <name> | |
| 4597 | Coded Alle rgy Name N ot Availab le | |
| 4598 | </name> | |
| 4599 | </playingE ntity> | |
| 4600 | </particip antRole> | |
| 4601 | </particip ant> | |
| 4602 | <entryRela tionship | |
| 4603 | typeCode=" REFR" | |
| 4604 | inversionI nd="true" | |
| 4605 | > | |
| 4606 | <observati on | |
| 4607 | classCode= "OBS" | |
| 4608 | moodCode=" EVN" | |
| 4609 | > | |
| 4610 | <templateI d | |
| 4611 | root="2.16 .840.1.113 883. IP .28" | |
| 4612 | /> | |
| 4613 | <code | |
| 4614 | code="3399 9-4" | |
| 4615 | displayNam e="Status" | |
| 4616 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 4617 | codeSystem Name="LOIN C" | |
| 4618 | /> | |
| 4619 | <text> | |
| 4620 | <reference | |
| 4621 | value="#al lergyStatu s-3" | |
| 4622 | /> | |
| 4623 | </text> | |
| 4624 | <statusCod e | |
| 4625 | code="comp leted" | |
| 4626 | /> | |
| 4627 | <value | |
| 4628 | code="5556 1003" | |
| 4629 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 4630 | codeSystem Name="SNOM ED-CT" | |
| 4631 | displayNam e="Active" | |
| 4632 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 4633 | xsi:type=" CE" | |
| 4634 | > | |
| 4635 | <originalT ext> | |
| 4636 | Active | |
| 4637 | </original Text> | |
| 4638 | </value> | |
| 4639 | </observat ion> | |
| 4640 | </entryRel ationship> | |
| 4641 | </observat ion> | |
| 4642 | </entryRel ationship> | |
| 4643 | </act> | |
| 4644 | </entry> | |
| 4645 | <entry | |
| 4646 | typeCode=" DRIV" | |
| 4647 | > | |
| 4648 | <act | |
| 4649 | classCode= "ACT" | |
| 4650 | moodCode=" EVN" | |
| 4651 | > | |
| 4652 | <templateI d | |
| 4653 | root="2.16 .840.1.113 883. IP .30" | |
| 4654 | /> | |
| 4655 | <id | |
| 4656 | nullFlavor ="UNK" | |
| 4657 | /> | |
| 4658 | <code | |
| 4659 | code="4876 5-2" | |
| 4660 | displayNam e="Allergi es, Advers e Reaction s, Alerts" | |
| 4661 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 4662 | codeSystem Name="LOIN C" | |
| 4663 | /> | |
| 4664 | <text> | |
| 4665 | <reference | |
| 4666 | value="#al lergyNarra tive-4" | |
| 4667 | /> | |
| 4668 | </text> | |
| 4669 | <statusCod e | |
| 4670 | code="acti ve" | |
| 4671 | /> | |
| 4672 | <effective Time> | |
| 4673 | <low | |
| 4674 | value="201 1121215294 5" | |
| 4675 | /> | |
| 4676 | </effectiv eTime> | |
| 4677 | <informant > | |
| 4678 | <assignedE ntity> | |
| 4679 | <id | |
| 4680 | root="RIQI ORG" | |
| 4681 | extension= "983" | |
| 4682 | /> | |
| 4683 | <addr | |
| 4684 | nullFlavor ="UNK" | |
| 4685 | /> | |
| 4686 | <telecom | |
| 4687 | nullFlavor ="UNK" | |
| 4688 | /> | |
| 4689 | <assignedP erson> | |
| 4690 | <name | |
| 4691 | nullFlavor ="UNK" | |
| 4692 | /> | |
| 4693 | </assigned Person> | |
| 4694 | <represent edOrganiza tion> | |
| 4695 | <id | |
| 4696 | root="2.16 .840.1.113 883.3.915" | |
| 4697 | extension= "983" | |
| 4698 | displayabl e="true" | |
| 4699 | /> | |
| 4700 | <name> | |
| 4701 | CHYSHR TES T LAB | |
| 4702 | </name> | |
| 4703 | <telecom | |
| 4704 | nullFlavor ="UNK" | |
| 4705 | /> | |
| 4706 | <addr | |
| 4707 | nullFlavor ="UNK" | |
| 4708 | /> | |
| 4709 | <asOrganiz ationPartO f> | |
| 4710 | <effective Time | |
| 4711 | nullFlavor ="UNK" | |
| 4712 | /> | |
| 4713 | <wholeOrga nization> | |
| 4714 | <id | |
| 4715 | root="2.16 .840.1.113 883.3.915" | |
| 4716 | /> | |
| 4717 | <id | |
| 4718 | root="2.16 .840.1.113 883.3.915" | |
| 4719 | extension= "HomeCommu nity" | |
| 4720 | displayabl e="true" | |
| 4721 | /> | |
| 4722 | <name> | |
| 4723 | CurrentCar e Test | |
| 4724 | </name> | |
| 4725 | <telecom | |
| 4726 | use="WP" | |
| 4727 | value="tel :401-276-9 141" | |
| 4728 | /> | |
| 4729 | <addr | |
| 4730 | use="WP" | |
| 4731 | > | |
| 4732 | <streetAdd ressLine> | |
| 4733 | 50 Holden St., Suite 300 | |
| 4734 | </streetAd dressLine> | |
| 4735 | <city> | |
| 4736 | Providence | |
| 4737 | </city> | |
| 4738 | <state> | |
| 4739 | RI | |
| 4740 | </state> | |
| 4741 | <postalCod e> | |
| 4742 | 02908 | |
| 4743 | </postalCo de> | |
| 4744 | <country> | |
| 4745 | US | |
| 4746 | </country> | |
| 4747 | </addr> | |
| 4748 | </wholeOrg anization> | |
| 4749 | </asOrgani zationPart Of> | |
| 4750 | </represen tedOrganiz ation> | |
| 4751 | </assigned Entity> | |
| 4752 | </informan t> | |
| 4753 | <entryRela tionship | |
| 4754 | typeCode=" SUBJ" | |
| 4755 | inversionI nd="false" | |
| 4756 | > | |
| 4757 | <observati on | |
| 4758 | classCode= "OBS" | |
| 4759 | moodCode=" EVN" | |
| 4760 | > | |
| 4761 | <templateI d | |
| 4762 | root="2.16 .840.1.113 883. IP .7" | |
| 4763 | /> | |
| 4764 | <id | |
| 4765 | nullFlavor ="NI" | |
| 4766 | /> | |
| 4767 | <code | |
| 4768 | code="ASSE RTION" | |
| 4769 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 4770 | codeSystem Name="HL7" | |
| 4771 | /> | |
| 4772 | <statusCod e | |
| 4773 | code="comp leted" | |
| 4774 | /> | |
| 4775 | <effective Time> | |
| 4776 | <low | |
| 4777 | value="201 1121215294 5" | |
| 4778 | /> | |
| 4779 | <high | |
| 4780 | nullFlavor ="UNK" | |
| 4781 | /> | |
| 4782 | </effectiv eTime> | |
| 4783 | <value | |
| 4784 | code="4184 71000" | |
| 4785 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 4786 | codeSystem Name="SNOM ED-CT" | |
| 4787 | displayNam e="FOOD" | |
| 4788 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 4789 | xsi:type=" CD" | |
| 4790 | > | |
| 4791 | <originalT ext> | |
| 4792 | <reference | |
| 4793 | value="#al lergyType- 4" | |
| 4794 | /> | |
| 4795 | </original Text> | |
| 4796 | </value> | |
| 4797 | <participa nt | |
| 4798 | typeCode=" CSM" | |
| 4799 | > | |
| 4800 | <participa ntRole | |
| 4801 | classCode= "MANU" | |
| 4802 | > | |
| 4803 | <addr | |
| 4804 | nullFlavor ="UNK" | |
| 4805 | /> | |
| 4806 | <telecom | |
| 4807 | nullFlavor ="UNK" | |
| 4808 | /> | |
| 4809 | <playingEn tity | |
| 4810 | classCode= "MMAT" | |
| 4811 | > | |
| 4812 | <code | |
| 4813 | code="Code d_Allergy_ Name_Not_A vailable" | |
| 4814 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 4815 | codeSystem Name="RXNO RM" | |
| 4816 | displayNam e="Coded A llergy Nam e Not Avai lable" | |
| 4817 | > | |
| 4818 | <originalT ext> | |
| 4819 | <reference | |
| 4820 | value="#al lergyAller gen-4" | |
| 4821 | /> | |
| 4822 | </original Text> | |
| 4823 | </code> | |
| 4824 | <name> | |
| 4825 | Coded Alle rgy Name N ot Availab le | |
| 4826 | </name> | |
| 4827 | </playingE ntity> | |
| 4828 | </particip antRole> | |
| 4829 | </particip ant> | |
| 4830 | <entryRela tionship | |
| 4831 | typeCode=" REFR" | |
| 4832 | inversionI nd="true" | |
| 4833 | > | |
| 4834 | <observati on | |
| 4835 | classCode= "OBS" | |
| 4836 | moodCode=" EVN" | |
| 4837 | > | |
| 4838 | <templateI d | |
| 4839 | root="2.16 .840.1.113 883. IP .28" | |
| 4840 | /> | |
| 4841 | <code | |
| 4842 | code="3399 9-4" | |
| 4843 | displayNam e="Status" | |
| 4844 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 4845 | codeSystem Name="LOIN C" | |
| 4846 | /> | |
| 4847 | <text> | |
| 4848 | <reference | |
| 4849 | value="#al lergyStatu s-4" | |
| 4850 | /> | |
| 4851 | </text> | |
| 4852 | <statusCod e | |
| 4853 | code="comp leted" | |
| 4854 | /> | |
| 4855 | <value | |
| 4856 | code="5556 1003" | |
| 4857 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 4858 | codeSystem Name="SNOM ED-CT" | |
| 4859 | displayNam e="Active" | |
| 4860 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 4861 | xsi:type=" CE" | |
| 4862 | > | |
| 4863 | <originalT ext> | |
| 4864 | Active | |
| 4865 | </original Text> | |
| 4866 | </value> | |
| 4867 | </observat ion> | |
| 4868 | </entryRel ationship> | |
| 4869 | </observat ion> | |
| 4870 | </entryRel ationship> | |
| 4871 | </act> | |
| 4872 | </entry> | |
| 4873 | <entry | |
| 4874 | typeCode=" DRIV" | |
| 4875 | > | |
| 4876 | <act | |
| 4877 | classCode= "ACT" | |
| 4878 | moodCode=" EVN" | |
| 4879 | > | |
| 4880 | <templateI d | |
| 4881 | root="2.16 .840.1.113 883. IP .30" | |
| 4882 | /> | |
| 4883 | <id | |
| 4884 | nullFlavor ="UNK" | |
| 4885 | /> | |
| 4886 | <code | |
| 4887 | code="4876 5-2" | |
| 4888 | displayNam e="Allergi es, Advers e Reaction s, Alerts" | |
| 4889 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 4890 | codeSystem Name="LOIN C" | |
| 4891 | /> | |
| 4892 | <text> | |
| 4893 | <reference | |
| 4894 | value="#al lergyNarra tive-5" | |
| 4895 | /> | |
| 4896 | </text> | |
| 4897 | <statusCod e | |
| 4898 | code="acti ve" | |
| 4899 | /> | |
| 4900 | <effective Time> | |
| 4901 | <low | |
| 4902 | value="201 1121215290 5" | |
| 4903 | /> | |
| 4904 | </effectiv eTime> | |
| 4905 | <informant > | |
| 4906 | <assignedE ntity> | |
| 4907 | <id | |
| 4908 | root="RIQI ORG" | |
| 4909 | extension= "983" | |
| 4910 | /> | |
| 4911 | <addr | |
| 4912 | nullFlavor ="UNK" | |
| 4913 | /> | |
| 4914 | <telecom | |
| 4915 | nullFlavor ="UNK" | |
| 4916 | /> | |
| 4917 | <assignedP erson> | |
| 4918 | <name | |
| 4919 | nullFlavor ="UNK" | |
| 4920 | /> | |
| 4921 | </assigned Person> | |
| 4922 | <represent edOrganiza tion> | |
| 4923 | <id | |
| 4924 | root="2.16 .840.1.113 883.3.915" | |
| 4925 | extension= "983" | |
| 4926 | displayabl e="true" | |
| 4927 | /> | |
| 4928 | <name> | |
| 4929 | CHYSHR TES T LAB | |
| 4930 | </name> | |
| 4931 | <telecom | |
| 4932 | nullFlavor ="UNK" | |
| 4933 | /> | |
| 4934 | <addr | |
| 4935 | nullFlavor ="UNK" | |
| 4936 | /> | |
| 4937 | <asOrganiz ationPartO f> | |
| 4938 | <effective Time | |
| 4939 | nullFlavor ="UNK" | |
| 4940 | /> | |
| 4941 | <wholeOrga nization> | |
| 4942 | <id | |
| 4943 | root="2.16 .840.1.113 883.3.915" | |
| 4944 | /> | |
| 4945 | <id | |
| 4946 | root="2.16 .840.1.113 883.3.915" | |
| 4947 | extension= "HomeCommu nity" | |
| 4948 | displayabl e="true" | |
| 4949 | /> | |
| 4950 | <name> | |
| 4951 | CurrentCar e Test | |
| 4952 | </name> | |
| 4953 | <telecom | |
| 4954 | use="WP" | |
| 4955 | value="tel :401-276-9 141" | |
| 4956 | /> | |
| 4957 | <addr | |
| 4958 | use="WP" | |
| 4959 | > | |
| 4960 | <streetAdd ressLine> | |
| 4961 | 50 Holden St., Suite 300 | |
| 4962 | </streetAd dressLine> | |
| 4963 | <city> | |
| 4964 | Providence | |
| 4965 | </city> | |
| 4966 | <state> | |
| 4967 | RI | |
| 4968 | </state> | |
| 4969 | <postalCod e> | |
| 4970 | 02908 | |
| 4971 | </postalCo de> | |
| 4972 | <country> | |
| 4973 | US | |
| 4974 | </country> | |
| 4975 | </addr> | |
| 4976 | </wholeOrg anization> | |
| 4977 | </asOrgani zationPart Of> | |
| 4978 | </represen tedOrganiz ation> | |
| 4979 | </assigned Entity> | |
| 4980 | </informan t> | |
| 4981 | <entryRela tionship | |
| 4982 | typeCode=" SUBJ" | |
| 4983 | inversionI nd="false" | |
| 4984 | > | |
| 4985 | <observati on | |
| 4986 | classCode= "OBS" | |
| 4987 | moodCode=" EVN" | |
| 4988 | > | |
| 4989 | <templateI d | |
| 4990 | root="2.16 .840.1.113 883. IP .7" | |
| 4991 | /> | |
| 4992 | <id | |
| 4993 | nullFlavor ="NI" | |
| 4994 | /> | |
| 4995 | <code | |
| 4996 | code="ASSE RTION" | |
| 4997 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 4998 | codeSystem Name="HL7" | |
| 4999 | /> | |
| 5000 | <statusCod e | |
| 5001 | code="comp leted" | |
| 5002 | /> | |
| 5003 | <effective Time> | |
| 5004 | <low | |
| 5005 | value="201 1121215290 5" | |
| 5006 | /> | |
| 5007 | <high | |
| 5008 | nullFlavor ="UNK" | |
| 5009 | /> | |
| 5010 | </effectiv eTime> | |
| 5011 | <value | |
| 5012 | code="4180 38007" | |
| 5013 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 5014 | codeSystem Name="SNOM ED-CT" | |
| 5015 | displayNam e="DRUG, F OOD" | |
| 5016 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 5017 | xsi:type=" CD" | |
| 5018 | > | |
| 5019 | <originalT ext> | |
| 5020 | <reference | |
| 5021 | value="#al lergyType- 5" | |
| 5022 | /> | |
| 5023 | </original Text> | |
| 5024 | </value> | |
| 5025 | <participa nt | |
| 5026 | typeCode=" CSM" | |
| 5027 | > | |
| 5028 | <participa ntRole | |
| 5029 | classCode= "MANU" | |
| 5030 | > | |
| 5031 | <addr | |
| 5032 | nullFlavor ="UNK" | |
| 5033 | /> | |
| 5034 | <telecom | |
| 5035 | nullFlavor ="UNK" | |
| 5036 | /> | |
| 5037 | <playingEn tity | |
| 5038 | classCode= "MMAT" | |
| 5039 | > | |
| 5040 | <code | |
| 5041 | code="Code d_Allergy_ Name_Not_A vailable" | |
| 5042 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 5043 | codeSystem Name="RXNO RM" | |
| 5044 | displayNam e="Coded A llergy Nam e Not Avai lable" | |
| 5045 | > | |
| 5046 | <originalT ext> | |
| 5047 | <reference | |
| 5048 | value="#al lergyAller gen-5" | |
| 5049 | /> | |
| 5050 | </original Text> | |
| 5051 | </code> | |
| 5052 | <name> | |
| 5053 | Coded Alle rgy Name N ot Availab le | |
| 5054 | </name> | |
| 5055 | </playingE ntity> | |
| 5056 | </particip antRole> | |
| 5057 | </particip ant> | |
| 5058 | <entryRela tionship | |
| 5059 | typeCode=" REFR" | |
| 5060 | inversionI nd="true" | |
| 5061 | > | |
| 5062 | <observati on | |
| 5063 | classCode= "OBS" | |
| 5064 | moodCode=" EVN" | |
| 5065 | > | |
| 5066 | <templateI d | |
| 5067 | root="2.16 .840.1.113 883. IP .28" | |
| 5068 | /> | |
| 5069 | <code | |
| 5070 | code="3399 9-4" | |
| 5071 | displayNam e="Status" | |
| 5072 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 5073 | codeSystem Name="LOIN C" | |
| 5074 | /> | |
| 5075 | <text> | |
| 5076 | <reference | |
| 5077 | value="#al lergyStatu s-5" | |
| 5078 | /> | |
| 5079 | </text> | |
| 5080 | <statusCod e | |
| 5081 | code="comp leted" | |
| 5082 | /> | |
| 5083 | <value | |
| 5084 | code="5556 1003" | |
| 5085 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 5086 | codeSystem Name="SNOM ED-CT" | |
| 5087 | displayNam e="Active" | |
| 5088 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 5089 | xsi:type=" CE" | |
| 5090 | > | |
| 5091 | <originalT ext> | |
| 5092 | Active | |
| 5093 | </original Text> | |
| 5094 | </value> | |
| 5095 | </observat ion> | |
| 5096 | </entryRel ationship> | |
| 5097 | </observat ion> | |
| 5098 | </entryRel ationship> | |
| 5099 | </act> | |
| 5100 | </entry> | |
| 5101 | <entry | |
| 5102 | typeCode=" DRIV" | |
| 5103 | > | |
| 5104 | <act | |
| 5105 | classCode= "ACT" | |
| 5106 | moodCode=" EVN" | |
| 5107 | > | |
| 5108 | <templateI d | |
| 5109 | root="2.16 .840.1.113 883. IP .30" | |
| 5110 | /> | |
| 5111 | <id | |
| 5112 | nullFlavor ="UNK" | |
| 5113 | /> | |
| 5114 | <code | |
| 5115 | code="4876 5-2" | |
| 5116 | displayNam e="Allergi es, Advers e Reaction s, Alerts" | |
| 5117 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 5118 | codeSystem Name="LOIN C" | |
| 5119 | /> | |
| 5120 | <text> | |
| 5121 | <reference | |
| 5122 | value="#al lergyNarra tive-6" | |
| 5123 | /> | |
| 5124 | </text> | |
| 5125 | <statusCod e | |
| 5126 | code="acti ve" | |
| 5127 | /> | |
| 5128 | <effective Time> | |
| 5129 | <low | |
| 5130 | value="201 1121215271 5" | |
| 5131 | /> | |
| 5132 | </effectiv eTime> | |
| 5133 | <informant > | |
| 5134 | <assignedE ntity> | |
| 5135 | <id | |
| 5136 | root="RIQI ORG" | |
| 5137 | extension= "983" | |
| 5138 | /> | |
| 5139 | <addr | |
| 5140 | nullFlavor ="UNK" | |
| 5141 | /> | |
| 5142 | <telecom | |
| 5143 | nullFlavor ="UNK" | |
| 5144 | /> | |
| 5145 | <assignedP erson> | |
| 5146 | <name | |
| 5147 | nullFlavor ="UNK" | |
| 5148 | /> | |
| 5149 | </assigned Person> | |
| 5150 | <represent edOrganiza tion> | |
| 5151 | <id | |
| 5152 | root="2.16 .840.1.113 883.3.915" | |
| 5153 | extension= "983" | |
| 5154 | displayabl e="true" | |
| 5155 | /> | |
| 5156 | <name> | |
| 5157 | CHYSHR TES T LAB | |
| 5158 | </name> | |
| 5159 | <telecom | |
| 5160 | nullFlavor ="UNK" | |
| 5161 | /> | |
| 5162 | <addr | |
| 5163 | nullFlavor ="UNK" | |
| 5164 | /> | |
| 5165 | <asOrganiz ationPartO f> | |
| 5166 | <effective Time | |
| 5167 | nullFlavor ="UNK" | |
| 5168 | /> | |
| 5169 | <wholeOrga nization> | |
| 5170 | <id | |
| 5171 | root="2.16 .840.1.113 883.3.915" | |
| 5172 | /> | |
| 5173 | <id | |
| 5174 | root="2.16 .840.1.113 883.3.915" | |
| 5175 | extension= "HomeCommu nity" | |
| 5176 | displayabl e="true" | |
| 5177 | /> | |
| 5178 | <name> | |
| 5179 | CurrentCar e Test | |
| 5180 | </name> | |
| 5181 | <telecom | |
| 5182 | use="WP" | |
| 5183 | value="tel :401-276-9 141" | |
| 5184 | /> | |
| 5185 | <addr | |
| 5186 | use="WP" | |
| 5187 | > | |
| 5188 | <streetAdd ressLine> | |
| 5189 | 50 Holden St., Suite 300 | |
| 5190 | </streetAd dressLine> | |
| 5191 | <city> | |
| 5192 | Providence | |
| 5193 | </city> | |
| 5194 | <state> | |
| 5195 | RI | |
| 5196 | </state> | |
| 5197 | <postalCod e> | |
| 5198 | 02908 | |
| 5199 | </postalCo de> | |
| 5200 | <country> | |
| 5201 | US | |
| 5202 | </country> | |
| 5203 | </addr> | |
| 5204 | </wholeOrg anization> | |
| 5205 | </asOrgani zationPart Of> | |
| 5206 | </represen tedOrganiz ation> | |
| 5207 | </assigned Entity> | |
| 5208 | </informan t> | |
| 5209 | <entryRela tionship | |
| 5210 | typeCode=" SUBJ" | |
| 5211 | inversionI nd="false" | |
| 5212 | > | |
| 5213 | <observati on | |
| 5214 | classCode= "OBS" | |
| 5215 | moodCode=" EVN" | |
| 5216 | > | |
| 5217 | <templateI d | |
| 5218 | root="2.16 .840.1.113 883. IP .7" | |
| 5219 | /> | |
| 5220 | <id | |
| 5221 | nullFlavor ="NI" | |
| 5222 | /> | |
| 5223 | <code | |
| 5224 | code="ASSE RTION" | |
| 5225 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 5226 | codeSystem Name="HL7" | |
| 5227 | /> | |
| 5228 | <statusCod e | |
| 5229 | code="comp leted" | |
| 5230 | /> | |
| 5231 | <effective Time> | |
| 5232 | <low | |
| 5233 | value="201 1121215271 5" | |
| 5234 | /> | |
| 5235 | <high | |
| 5236 | nullFlavor ="UNK" | |
| 5237 | /> | |
| 5238 | </effectiv eTime> | |
| 5239 | <value | |
| 5240 | code="4184 71000" | |
| 5241 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 5242 | codeSystem Name="SNOM ED-CT" | |
| 5243 | displayNam e="FOOD" | |
| 5244 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 5245 | xsi:type=" CD" | |
| 5246 | > | |
| 5247 | <originalT ext> | |
| 5248 | <reference | |
| 5249 | value="#al lergyType- 6" | |
| 5250 | /> | |
| 5251 | </original Text> | |
| 5252 | </value> | |
| 5253 | <participa nt | |
| 5254 | typeCode=" CSM" | |
| 5255 | > | |
| 5256 | <participa ntRole | |
| 5257 | classCode= "MANU" | |
| 5258 | > | |
| 5259 | <addr | |
| 5260 | nullFlavor ="UNK" | |
| 5261 | /> | |
| 5262 | <telecom | |
| 5263 | nullFlavor ="UNK" | |
| 5264 | /> | |
| 5265 | <playingEn tity | |
| 5266 | classCode= "MMAT" | |
| 5267 | > | |
| 5268 | <code | |
| 5269 | code="Code d_Allergy_ Name_Not_A vailable" | |
| 5270 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 5271 | codeSystem Name="RXNO RM" | |
| 5272 | displayNam e="Coded A llergy Nam e Not Avai lable" | |
| 5273 | > | |
| 5274 | <originalT ext> | |
| 5275 | <reference | |
| 5276 | value="#al lergyAller gen-6" | |
| 5277 | /> | |
| 5278 | </original Text> | |
| 5279 | </code> | |
| 5280 | <name> | |
| 5281 | Coded Alle rgy Name N ot Availab le | |
| 5282 | </name> | |
| 5283 | </playingE ntity> | |
| 5284 | </particip antRole> | |
| 5285 | </particip ant> | |
| 5286 | <entryRela tionship | |
| 5287 | typeCode=" REFR" | |
| 5288 | inversionI nd="true" | |
| 5289 | > | |
| 5290 | <observati on | |
| 5291 | classCode= "OBS" | |
| 5292 | moodCode=" EVN" | |
| 5293 | > | |
| 5294 | <templateI d | |
| 5295 | root="2.16 .840.1.113 883. IP .28" | |
| 5296 | /> | |
| 5297 | <code | |
| 5298 | code="3399 9-4" | |
| 5299 | displayNam e="Status" | |
| 5300 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 5301 | codeSystem Name="LOIN C" | |
| 5302 | /> | |
| 5303 | <text> | |
| 5304 | <reference | |
| 5305 | value="#al lergyStatu s-6" | |
| 5306 | /> | |
| 5307 | </text> | |
| 5308 | <statusCod e | |
| 5309 | code="comp leted" | |
| 5310 | /> | |
| 5311 | <value | |
| 5312 | code="5556 1003" | |
| 5313 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 5314 | codeSystem Name="SNOM ED-CT" | |
| 5315 | displayNam e="Active" | |
| 5316 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 5317 | xsi:type=" CE" | |
| 5318 | > | |
| 5319 | <originalT ext> | |
| 5320 | Active | |
| 5321 | </original Text> | |
| 5322 | </value> | |
| 5323 | </observat ion> | |
| 5324 | </entryRel ationship> | |
| 5325 | </observat ion> | |
| 5326 | </entryRel ationship> | |
| 5327 | </act> | |
| 5328 | </entry> | |
| 5329 | <entry | |
| 5330 | typeCode=" DRIV" | |
| 5331 | > | |
| 5332 | <act | |
| 5333 | classCode= "ACT" | |
| 5334 | moodCode=" EVN" | |
| 5335 | > | |
| 5336 | <templateI d | |
| 5337 | root="2.16 .840.1.113 883. IP .30" | |
| 5338 | /> | |
| 5339 | <id | |
| 5340 | nullFlavor ="UNK" | |
| 5341 | /> | |
| 5342 | <code | |
| 5343 | code="4876 5-2" | |
| 5344 | displayNam e="Allergi es, Advers e Reaction s, Alerts" | |
| 5345 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 5346 | codeSystem Name="LOIN C" | |
| 5347 | /> | |
| 5348 | <text> | |
| 5349 | <reference | |
| 5350 | value="#al lergyNarra tive-7" | |
| 5351 | /> | |
| 5352 | </text> | |
| 5353 | <statusCod e | |
| 5354 | code="acti ve" | |
| 5355 | /> | |
| 5356 | <effective Time> | |
| 5357 | <low | |
| 5358 | value="201 1121215240 2" | |
| 5359 | /> | |
| 5360 | </effectiv eTime> | |
| 5361 | <informant > | |
| 5362 | <assignedE ntity> | |
| 5363 | <id | |
| 5364 | root="RIQI ORG" | |
| 5365 | extension= "983" | |
| 5366 | /> | |
| 5367 | <addr | |
| 5368 | nullFlavor ="UNK" | |
| 5369 | /> | |
| 5370 | <telecom | |
| 5371 | nullFlavor ="UNK" | |
| 5372 | /> | |
| 5373 | <assignedP erson> | |
| 5374 | <name | |
| 5375 | nullFlavor ="UNK" | |
| 5376 | /> | |
| 5377 | </assigned Person> | |
| 5378 | <represent edOrganiza tion> | |
| 5379 | <id | |
| 5380 | root="2.16 .840.1.113 883.3.915" | |
| 5381 | extension= "983" | |
| 5382 | displayabl e="true" | |
| 5383 | /> | |
| 5384 | <name> | |
| 5385 | CHYSHR TES T LAB | |
| 5386 | </name> | |
| 5387 | <telecom | |
| 5388 | nullFlavor ="UNK" | |
| 5389 | /> | |
| 5390 | <addr | |
| 5391 | nullFlavor ="UNK" | |
| 5392 | /> | |
| 5393 | <asOrganiz ationPartO f> | |
| 5394 | <effective Time | |
| 5395 | nullFlavor ="UNK" | |
| 5396 | /> | |
| 5397 | <wholeOrga nization> | |
| 5398 | <id | |
| 5399 | root="2.16 .840.1.113 883.3.915" | |
| 5400 | /> | |
| 5401 | <id | |
| 5402 | root="2.16 .840.1.113 883.3.915" | |
| 5403 | extension= "HomeCommu nity" | |
| 5404 | displayabl e="true" | |
| 5405 | /> | |
| 5406 | <name> | |
| 5407 | CurrentCar e Test | |
| 5408 | </name> | |
| 5409 | <telecom | |
| 5410 | use="WP" | |
| 5411 | value="tel :401-276-9 141" | |
| 5412 | /> | |
| 5413 | <addr | |
| 5414 | use="WP" | |
| 5415 | > | |
| 5416 | <streetAdd ressLine> | |
| 5417 | 50 Holden St., Suite 300 | |
| 5418 | </streetAd dressLine> | |
| 5419 | <city> | |
| 5420 | Providence | |
| 5421 | </city> | |
| 5422 | <state> | |
| 5423 | RI | |
| 5424 | </state> | |
| 5425 | <postalCod e> | |
| 5426 | 02908 | |
| 5427 | </postalCo de> | |
| 5428 | <country> | |
| 5429 | US | |
| 5430 | </country> | |
| 5431 | </addr> | |
| 5432 | </wholeOrg anization> | |
| 5433 | </asOrgani zationPart Of> | |
| 5434 | </represen tedOrganiz ation> | |
| 5435 | </assigned Entity> | |
| 5436 | </informan t> | |
| 5437 | <entryRela tionship | |
| 5438 | typeCode=" SUBJ" | |
| 5439 | inversionI nd="false" | |
| 5440 | > | |
| 5441 | <observati on | |
| 5442 | classCode= "OBS" | |
| 5443 | moodCode=" EVN" | |
| 5444 | > | |
| 5445 | <templateI d | |
| 5446 | root="2.16 .840.1.113 883. IP .7" | |
| 5447 | /> | |
| 5448 | <id | |
| 5449 | nullFlavor ="NI" | |
| 5450 | /> | |
| 5451 | <code | |
| 5452 | code="ASSE RTION" | |
| 5453 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 5454 | codeSystem Name="HL7" | |
| 5455 | /> | |
| 5456 | <statusCod e | |
| 5457 | code="comp leted" | |
| 5458 | /> | |
| 5459 | <effective Time> | |
| 5460 | <low | |
| 5461 | value="201 1121215240 2" | |
| 5462 | /> | |
| 5463 | <high | |
| 5464 | nullFlavor ="UNK" | |
| 5465 | /> | |
| 5466 | </effectiv eTime> | |
| 5467 | <value | |
| 5468 | code="4180 38007" | |
| 5469 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 5470 | codeSystem Name="SNOM ED-CT" | |
| 5471 | displayNam e="DRUG, F OOD" | |
| 5472 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 5473 | xsi:type=" CD" | |
| 5474 | > | |
| 5475 | <originalT ext> | |
| 5476 | <reference | |
| 5477 | value="#al lergyType- 7" | |
| 5478 | /> | |
| 5479 | </original Text> | |
| 5480 | </value> | |
| 5481 | <participa nt | |
| 5482 | typeCode=" CSM" | |
| 5483 | > | |
| 5484 | <participa ntRole | |
| 5485 | classCode= "MANU" | |
| 5486 | > | |
| 5487 | <addr | |
| 5488 | nullFlavor ="UNK" | |
| 5489 | /> | |
| 5490 | <telecom | |
| 5491 | nullFlavor ="UNK" | |
| 5492 | /> | |
| 5493 | <playingEn tity | |
| 5494 | classCode= "MMAT" | |
| 5495 | > | |
| 5496 | <code | |
| 5497 | code="Code d_Allergy_ Name_Not_A vailable" | |
| 5498 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 5499 | codeSystem Name="RXNO RM" | |
| 5500 | displayNam e="Coded A llergy Nam e Not Avai lable" | |
| 5501 | > | |
| 5502 | <originalT ext> | |
| 5503 | <reference | |
| 5504 | value="#al lergyAller gen-7" | |
| 5505 | /> | |
| 5506 | </original Text> | |
| 5507 | </code> | |
| 5508 | <name> | |
| 5509 | Coded Alle rgy Name N ot Availab le | |
| 5510 | </name> | |
| 5511 | </playingE ntity> | |
| 5512 | </particip antRole> | |
| 5513 | </particip ant> | |
| 5514 | <entryRela tionship | |
| 5515 | typeCode=" REFR" | |
| 5516 | inversionI nd="true" | |
| 5517 | > | |
| 5518 | <observati on | |
| 5519 | classCode= "OBS" | |
| 5520 | moodCode=" EVN" | |
| 5521 | > | |
| 5522 | <templateI d | |
| 5523 | root="2.16 .840.1.113 883. IP .28" | |
| 5524 | /> | |
| 5525 | <code | |
| 5526 | code="3399 9-4" | |
| 5527 | displayNam e="Status" | |
| 5528 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 5529 | codeSystem Name="LOIN C" | |
| 5530 | /> | |
| 5531 | <text> | |
| 5532 | <reference | |
| 5533 | value="#al lergyStatu s-7" | |
| 5534 | /> | |
| 5535 | </text> | |
| 5536 | <statusCod e | |
| 5537 | code="comp leted" | |
| 5538 | /> | |
| 5539 | <value | |
| 5540 | code="5556 1003" | |
| 5541 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 5542 | codeSystem Name="SNOM ED-CT" | |
| 5543 | displayNam e="Active" | |
| 5544 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 5545 | xsi:type=" CE" | |
| 5546 | > | |
| 5547 | <originalT ext> | |
| 5548 | Active | |
| 5549 | </original Text> | |
| 5550 | </value> | |
| 5551 | </observat ion> | |
| 5552 | </entryRel ationship> | |
| 5553 | </observat ion> | |
| 5554 | </entryRel ationship> | |
| 5555 | </act> | |
| 5556 | </entry> | |
| 5557 | <entry | |
| 5558 | typeCode=" DRIV" | |
| 5559 | > | |
| 5560 | <act | |
| 5561 | classCode= "ACT" | |
| 5562 | moodCode=" EVN" | |
| 5563 | > | |
| 5564 | <templateI d | |
| 5565 | root="2.16 .840.1.113 883. IP .30" | |
| 5566 | /> | |
| 5567 | <id | |
| 5568 | nullFlavor ="UNK" | |
| 5569 | /> | |
| 5570 | <code | |
| 5571 | code="4876 5-2" | |
| 5572 | displayNam e="Allergi es, Advers e Reaction s, Alerts" | |
| 5573 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 5574 | codeSystem Name="LOIN C" | |
| 5575 | /> | |
| 5576 | <text> | |
| 5577 | <reference | |
| 5578 | value="#al lergyNarra tive-8" | |
| 5579 | /> | |
| 5580 | </text> | |
| 5581 | <statusCod e | |
| 5582 | code="acti ve" | |
| 5583 | /> | |
| 5584 | <effective Time> | |
| 5585 | <low | |
| 5586 | value="201 1121215220 7" | |
| 5587 | /> | |
| 5588 | </effectiv eTime> | |
| 5589 | <informant > | |
| 5590 | <assignedE ntity> | |
| 5591 | <id | |
| 5592 | root="RIQI ORG" | |
| 5593 | extension= "983" | |
| 5594 | /> | |
| 5595 | <addr | |
| 5596 | nullFlavor ="UNK" | |
| 5597 | /> | |
| 5598 | <telecom | |
| 5599 | nullFlavor ="UNK" | |
| 5600 | /> | |
| 5601 | <assignedP erson> | |
| 5602 | <name | |
| 5603 | nullFlavor ="UNK" | |
| 5604 | /> | |
| 5605 | </assigned Person> | |
| 5606 | <represent edOrganiza tion> | |
| 5607 | <id | |
| 5608 | root="2.16 .840.1.113 883.3.915" | |
| 5609 | extension= "983" | |
| 5610 | displayabl e="true" | |
| 5611 | /> | |
| 5612 | <name> | |
| 5613 | CHYSHR TES T LAB | |
| 5614 | </name> | |
| 5615 | <telecom | |
| 5616 | nullFlavor ="UNK" | |
| 5617 | /> | |
| 5618 | <addr | |
| 5619 | nullFlavor ="UNK" | |
| 5620 | /> | |
| 5621 | <asOrganiz ationPartO f> | |
| 5622 | <effective Time | |
| 5623 | nullFlavor ="UNK" | |
| 5624 | /> | |
| 5625 | <wholeOrga nization> | |
| 5626 | <id | |
| 5627 | root="2.16 .840.1.113 883.3.915" | |
| 5628 | /> | |
| 5629 | <id | |
| 5630 | root="2.16 .840.1.113 883.3.915" | |
| 5631 | extension= "HomeCommu nity" | |
| 5632 | displayabl e="true" | |
| 5633 | /> | |
| 5634 | <name> | |
| 5635 | CurrentCar e Test | |
| 5636 | </name> | |
| 5637 | <telecom | |
| 5638 | use="WP" | |
| 5639 | value="tel :401-276-9 141" | |
| 5640 | /> | |
| 5641 | <addr | |
| 5642 | use="WP" | |
| 5643 | > | |
| 5644 | <streetAdd ressLine> | |
| 5645 | 50 Holden St., Suite 300 | |
| 5646 | </streetAd dressLine> | |
| 5647 | <city> | |
| 5648 | Providence | |
| 5649 | </city> | |
| 5650 | <state> | |
| 5651 | RI | |
| 5652 | </state> | |
| 5653 | <postalCod e> | |
| 5654 | 02908 | |
| 5655 | </postalCo de> | |
| 5656 | <country> | |
| 5657 | US | |
| 5658 | </country> | |
| 5659 | </addr> | |
| 5660 | </wholeOrg anization> | |
| 5661 | </asOrgani zationPart Of> | |
| 5662 | </represen tedOrganiz ation> | |
| 5663 | </assigned Entity> | |
| 5664 | </informan t> | |
| 5665 | <entryRela tionship | |
| 5666 | typeCode=" SUBJ" | |
| 5667 | inversionI nd="false" | |
| 5668 | > | |
| 5669 | <observati on | |
| 5670 | classCode= "OBS" | |
| 5671 | moodCode=" EVN" | |
| 5672 | > | |
| 5673 | <templateI d | |
| 5674 | root="2.16 .840.1.113 883. IP .7" | |
| 5675 | /> | |
| 5676 | <id | |
| 5677 | nullFlavor ="NI" | |
| 5678 | /> | |
| 5679 | <code | |
| 5680 | code="ASSE RTION" | |
| 5681 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 5682 | codeSystem Name="HL7" | |
| 5683 | /> | |
| 5684 | <statusCod e | |
| 5685 | code="comp leted" | |
| 5686 | /> | |
| 5687 | <effective Time> | |
| 5688 | <low | |
| 5689 | value="201 1121215220 7" | |
| 5690 | /> | |
| 5691 | <high | |
| 5692 | nullFlavor ="UNK" | |
| 5693 | /> | |
| 5694 | </effectiv eTime> | |
| 5695 | <value | |
| 5696 | code="4184 71000" | |
| 5697 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 5698 | codeSystem Name="SNOM ED-CT" | |
| 5699 | displayNam e="FOOD" | |
| 5700 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 5701 | xsi:type=" CD" | |
| 5702 | > | |
| 5703 | <originalT ext> | |
| 5704 | <reference | |
| 5705 | value="#al lergyType- 8" | |
| 5706 | /> | |
| 5707 | </original Text> | |
| 5708 | </value> | |
| 5709 | <participa nt | |
| 5710 | typeCode=" CSM" | |
| 5711 | > | |
| 5712 | <participa ntRole | |
| 5713 | classCode= "MANU" | |
| 5714 | > | |
| 5715 | <addr | |
| 5716 | nullFlavor ="UNK" | |
| 5717 | /> | |
| 5718 | <telecom | |
| 5719 | nullFlavor ="UNK" | |
| 5720 | /> | |
| 5721 | <playingEn tity | |
| 5722 | classCode= "MMAT" | |
| 5723 | > | |
| 5724 | <code | |
| 5725 | code="Code d_Allergy_ Name_Not_A vailable" | |
| 5726 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 5727 | codeSystem Name="RXNO RM" | |
| 5728 | displayNam e="Coded A llergy Nam e Not Avai lable" | |
| 5729 | > | |
| 5730 | <originalT ext> | |
| 5731 | <reference | |
| 5732 | value="#al lergyAller gen-8" | |
| 5733 | /> | |
| 5734 | </original Text> | |
| 5735 | </code> | |
| 5736 | <name> | |
| 5737 | Coded Alle rgy Name N ot Availab le | |
| 5738 | </name> | |
| 5739 | </playingE ntity> | |
| 5740 | </particip antRole> | |
| 5741 | </particip ant> | |
| 5742 | <entryRela tionship | |
| 5743 | typeCode=" REFR" | |
| 5744 | inversionI nd="true" | |
| 5745 | > | |
| 5746 | <observati on | |
| 5747 | classCode= "OBS" | |
| 5748 | moodCode=" EVN" | |
| 5749 | > | |
| 5750 | <templateI d | |
| 5751 | root="2.16 .840.1.113 883. IP .28" | |
| 5752 | /> | |
| 5753 | <code | |
| 5754 | code="3399 9-4" | |
| 5755 | displayNam e="Status" | |
| 5756 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 5757 | codeSystem Name="LOIN C" | |
| 5758 | /> | |
| 5759 | <text> | |
| 5760 | <reference | |
| 5761 | value="#al lergyStatu s-8" | |
| 5762 | /> | |
| 5763 | </text> | |
| 5764 | <statusCod e | |
| 5765 | code="comp leted" | |
| 5766 | /> | |
| 5767 | <value | |
| 5768 | code="5556 1003" | |
| 5769 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 5770 | codeSystem Name="SNOM ED-CT" | |
| 5771 | displayNam e="Active" | |
| 5772 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 5773 | xsi:type=" CE" | |
| 5774 | > | |
| 5775 | <originalT ext> | |
| 5776 | Active | |
| 5777 | </original Text> | |
| 5778 | </value> | |
| 5779 | </observat ion> | |
| 5780 | </entryRel ationship> | |
| 5781 | </observat ion> | |
| 5782 | </entryRel ationship> | |
| 5783 | </act> | |
| 5784 | </entry> | |
| 5785 | <entry | |
| 5786 | typeCode=" DRIV" | |
| 5787 | > | |
| 5788 | <act | |
| 5789 | classCode= "ACT" | |
| 5790 | moodCode=" EVN" | |
| 5791 | > | |
| 5792 | <templateI d | |
| 5793 | root="2.16 .840.1.113 883. IP .30" | |
| 5794 | /> | |
| 5795 | <id | |
| 5796 | nullFlavor ="UNK" | |
| 5797 | /> | |
| 5798 | <code | |
| 5799 | code="4876 5-2" | |
| 5800 | displayNam e="Allergi es, Advers e Reaction s, Alerts" | |
| 5801 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 5802 | codeSystem Name="LOIN C" | |
| 5803 | /> | |
| 5804 | <text> | |
| 5805 | <reference | |
| 5806 | value="#al lergyNarra tive-9" | |
| 5807 | /> | |
| 5808 | </text> | |
| 5809 | <statusCod e | |
| 5810 | code="acti ve" | |
| 5811 | /> | |
| 5812 | <effective Time> | |
| 5813 | <low | |
| 5814 | value="201 1121215203 7" | |
| 5815 | /> | |
| 5816 | </effectiv eTime> | |
| 5817 | <informant > | |
| 5818 | <assignedE ntity> | |
| 5819 | <id | |
| 5820 | root="RIQI ORG" | |
| 5821 | extension= "983" | |
| 5822 | /> | |
| 5823 | <addr | |
| 5824 | nullFlavor ="UNK" | |
| 5825 | /> | |
| 5826 | <telecom | |
| 5827 | nullFlavor ="UNK" | |
| 5828 | /> | |
| 5829 | <assignedP erson> | |
| 5830 | <name | |
| 5831 | nullFlavor ="UNK" | |
| 5832 | /> | |
| 5833 | </assigned Person> | |
| 5834 | <represent edOrganiza tion> | |
| 5835 | <id | |
| 5836 | root="2.16 .840.1.113 883.3.915" | |
| 5837 | extension= "983" | |
| 5838 | displayabl e="true" | |
| 5839 | /> | |
| 5840 | <name> | |
| 5841 | CHYSHR TES T LAB | |
| 5842 | </name> | |
| 5843 | <telecom | |
| 5844 | nullFlavor ="UNK" | |
| 5845 | /> | |
| 5846 | <addr | |
| 5847 | nullFlavor ="UNK" | |
| 5848 | /> | |
| 5849 | <asOrganiz ationPartO f> | |
| 5850 | <effective Time | |
| 5851 | nullFlavor ="UNK" | |
| 5852 | /> | |
| 5853 | <wholeOrga nization> | |
| 5854 | <id | |
| 5855 | root="2.16 .840.1.113 883.3.915" | |
| 5856 | /> | |
| 5857 | <id | |
| 5858 | root="2.16 .840.1.113 883.3.915" | |
| 5859 | extension= "HomeCommu nity" | |
| 5860 | displayabl e="true" | |
| 5861 | /> | |
| 5862 | <name> | |
| 5863 | CurrentCar e Test | |
| 5864 | </name> | |
| 5865 | <telecom | |
| 5866 | use="WP" | |
| 5867 | value="tel :401-276-9 141" | |
| 5868 | /> | |
| 5869 | <addr | |
| 5870 | use="WP" | |
| 5871 | > | |
| 5872 | <streetAdd ressLine> | |
| 5873 | 50 Holden St., Suite 300 | |
| 5874 | </streetAd dressLine> | |
| 5875 | <city> | |
| 5876 | Providence | |
| 5877 | </city> | |
| 5878 | <state> | |
| 5879 | RI | |
| 5880 | </state> | |
| 5881 | <postalCod e> | |
| 5882 | 02908 | |
| 5883 | </postalCo de> | |
| 5884 | <country> | |
| 5885 | US | |
| 5886 | </country> | |
| 5887 | </addr> | |
| 5888 | </wholeOrg anization> | |
| 5889 | </asOrgani zationPart Of> | |
| 5890 | </represen tedOrganiz ation> | |
| 5891 | </assigned Entity> | |
| 5892 | </informan t> | |
| 5893 | <entryRela tionship | |
| 5894 | typeCode=" SUBJ" | |
| 5895 | inversionI nd="false" | |
| 5896 | > | |
| 5897 | <observati on | |
| 5898 | classCode= "OBS" | |
| 5899 | moodCode=" EVN" | |
| 5900 | > | |
| 5901 | <templateI d | |
| 5902 | root="2.16 .840.1.113 883. IP .7" | |
| 5903 | /> | |
| 5904 | <id | |
| 5905 | nullFlavor ="NI" | |
| 5906 | /> | |
| 5907 | <code | |
| 5908 | code="ASSE RTION" | |
| 5909 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 5910 | codeSystem Name="HL7" | |
| 5911 | /> | |
| 5912 | <statusCod e | |
| 5913 | code="comp leted" | |
| 5914 | /> | |
| 5915 | <effective Time> | |
| 5916 | <low | |
| 5917 | value="201 1121215203 7" | |
| 5918 | /> | |
| 5919 | <high | |
| 5920 | nullFlavor ="UNK" | |
| 5921 | /> | |
| 5922 | </effectiv eTime> | |
| 5923 | <value | |
| 5924 | code="4180 38007" | |
| 5925 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 5926 | codeSystem Name="SNOM ED-CT" | |
| 5927 | displayNam e="DRUG, F OOD" | |
| 5928 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 5929 | xsi:type=" CD" | |
| 5930 | > | |
| 5931 | <originalT ext> | |
| 5932 | <reference | |
| 5933 | value="#al lergyType- 9" | |
| 5934 | /> | |
| 5935 | </original Text> | |
| 5936 | </value> | |
| 5937 | <participa nt | |
| 5938 | typeCode=" CSM" | |
| 5939 | > | |
| 5940 | <participa ntRole | |
| 5941 | classCode= "MANU" | |
| 5942 | > | |
| 5943 | <addr | |
| 5944 | nullFlavor ="UNK" | |
| 5945 | /> | |
| 5946 | <telecom | |
| 5947 | nullFlavor ="UNK" | |
| 5948 | /> | |
| 5949 | <playingEn tity | |
| 5950 | classCode= "MMAT" | |
| 5951 | > | |
| 5952 | <code | |
| 5953 | code="Code d_Allergy_ Name_Not_A vailable" | |
| 5954 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 5955 | codeSystem Name="RXNO RM" | |
| 5956 | displayNam e="Coded A llergy Nam e Not Avai lable" | |
| 5957 | > | |
| 5958 | <originalT ext> | |
| 5959 | <reference | |
| 5960 | value="#al lergyAller gen-9" | |
| 5961 | /> | |
| 5962 | </original Text> | |
| 5963 | </code> | |
| 5964 | <name> | |
| 5965 | Coded Alle rgy Name N ot Availab le | |
| 5966 | </name> | |
| 5967 | </playingE ntity> | |
| 5968 | </particip antRole> | |
| 5969 | </particip ant> | |
| 5970 | <entryRela tionship | |
| 5971 | typeCode=" REFR" | |
| 5972 | inversionI nd="true" | |
| 5973 | > | |
| 5974 | <observati on | |
| 5975 | classCode= "OBS" | |
| 5976 | moodCode=" EVN" | |
| 5977 | > | |
| 5978 | <templateI d | |
| 5979 | root="2.16 .840.1.113 883. IP .28" | |
| 5980 | /> | |
| 5981 | <code | |
| 5982 | code="3399 9-4" | |
| 5983 | displayNam e="Status" | |
| 5984 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 5985 | codeSystem Name="LOIN C" | |
| 5986 | /> | |
| 5987 | <text> | |
| 5988 | <reference | |
| 5989 | value="#al lergyStatu s-9" | |
| 5990 | /> | |
| 5991 | </text> | |
| 5992 | <statusCod e | |
| 5993 | code="comp leted" | |
| 5994 | /> | |
| 5995 | <value | |
| 5996 | code="5556 1003" | |
| 5997 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 5998 | codeSystem Name="SNOM ED-CT" | |
| 5999 | displayNam e="Active" | |
| 6000 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 6001 | xsi:type=" CE" | |
| 6002 | > | |
| 6003 | <originalT ext> | |
| 6004 | Active | |
| 6005 | </original Text> | |
| 6006 | </value> | |
| 6007 | </observat ion> | |
| 6008 | </entryRel ationship> | |
| 6009 | </observat ion> | |
| 6010 | </entryRel ationship> | |
| 6011 | </act> | |
| 6012 | </entry> | |
| 6013 | <entry | |
| 6014 | typeCode=" DRIV" | |
| 6015 | > | |
| 6016 | <act | |
| 6017 | classCode= "ACT" | |
| 6018 | moodCode=" EVN" | |
| 6019 | > | |
| 6020 | <templateI d | |
| 6021 | root="2.16 .840.1.113 883. IP .30" | |
| 6022 | /> | |
| 6023 | <id | |
| 6024 | nullFlavor ="UNK" | |
| 6025 | /> | |
| 6026 | <code | |
| 6027 | code="4876 5-2" | |
| 6028 | displayNam e="Allergi es, Advers e Reaction s, Alerts" | |
| 6029 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 6030 | codeSystem Name="LOIN C" | |
| 6031 | /> | |
| 6032 | <text> | |
| 6033 | <reference | |
| 6034 | value="#al lergyNarra tive-10" | |
| 6035 | /> | |
| 6036 | </text> | |
| 6037 | <statusCod e | |
| 6038 | code="acti ve" | |
| 6039 | /> | |
| 6040 | <effective Time> | |
| 6041 | <low | |
| 6042 | value="201 1120716484 5" | |
| 6043 | /> | |
| 6044 | </effectiv eTime> | |
| 6045 | <informant > | |
| 6046 | <assignedE ntity> | |
| 6047 | <id | |
| 6048 | root="RIQI ORG" | |
| 6049 | extension= "983" | |
| 6050 | /> | |
| 6051 | <addr | |
| 6052 | nullFlavor ="UNK" | |
| 6053 | /> | |
| 6054 | <telecom | |
| 6055 | nullFlavor ="UNK" | |
| 6056 | /> | |
| 6057 | <assignedP erson> | |
| 6058 | <name | |
| 6059 | nullFlavor ="UNK" | |
| 6060 | /> | |
| 6061 | </assigned Person> | |
| 6062 | <represent edOrganiza tion> | |
| 6063 | <id | |
| 6064 | root="2.16 .840.1.113 883.3.915" | |
| 6065 | extension= "983" | |
| 6066 | displayabl e="true" | |
| 6067 | /> | |
| 6068 | <name> | |
| 6069 | CHYSHR TES T LAB | |
| 6070 | </name> | |
| 6071 | <telecom | |
| 6072 | nullFlavor ="UNK" | |
| 6073 | /> | |
| 6074 | <addr | |
| 6075 | nullFlavor ="UNK" | |
| 6076 | /> | |
| 6077 | <asOrganiz ationPartO f> | |
| 6078 | <effective Time | |
| 6079 | nullFlavor ="UNK" | |
| 6080 | /> | |
| 6081 | <wholeOrga nization> | |
| 6082 | <id | |
| 6083 | root="2.16 .840.1.113 883.3.915" | |
| 6084 | /> | |
| 6085 | <id | |
| 6086 | root="2.16 .840.1.113 883.3.915" | |
| 6087 | extension= "HomeCommu nity" | |
| 6088 | displayabl e="true" | |
| 6089 | /> | |
| 6090 | <name> | |
| 6091 | CurrentCar e Test | |
| 6092 | </name> | |
| 6093 | <telecom | |
| 6094 | use="WP" | |
| 6095 | value="tel :401-276-9 141" | |
| 6096 | /> | |
| 6097 | <addr | |
| 6098 | use="WP" | |
| 6099 | > | |
| 6100 | <streetAdd ressLine> | |
| 6101 | 50 Holden St., Suite 300 | |
| 6102 | </streetAd dressLine> | |
| 6103 | <city> | |
| 6104 | Providence | |
| 6105 | </city> | |
| 6106 | <state> | |
| 6107 | RI | |
| 6108 | </state> | |
| 6109 | <postalCod e> | |
| 6110 | 02908 | |
| 6111 | </postalCo de> | |
| 6112 | <country> | |
| 6113 | US | |
| 6114 | </country> | |
| 6115 | </addr> | |
| 6116 | </wholeOrg anization> | |
| 6117 | </asOrgani zationPart Of> | |
| 6118 | </represen tedOrganiz ation> | |
| 6119 | </assigned Entity> | |
| 6120 | </informan t> | |
| 6121 | <entryRela tionship | |
| 6122 | typeCode=" SUBJ" | |
| 6123 | inversionI nd="false" | |
| 6124 | > | |
| 6125 | <observati on | |
| 6126 | classCode= "OBS" | |
| 6127 | moodCode=" EVN" | |
| 6128 | > | |
| 6129 | <templateI d | |
| 6130 | root="2.16 .840.1.113 883. IP .7" | |
| 6131 | /> | |
| 6132 | <id | |
| 6133 | nullFlavor ="NI" | |
| 6134 | /> | |
| 6135 | <code | |
| 6136 | code="ASSE RTION" | |
| 6137 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 6138 | codeSystem Name="HL7" | |
| 6139 | /> | |
| 6140 | <statusCod e | |
| 6141 | code="comp leted" | |
| 6142 | /> | |
| 6143 | <effective Time> | |
| 6144 | <low | |
| 6145 | value="201 1120716484 5" | |
| 6146 | /> | |
| 6147 | <high | |
| 6148 | nullFlavor ="UNK" | |
| 6149 | /> | |
| 6150 | </effectiv eTime> | |
| 6151 | <value | |
| 6152 | code="4184 71000" | |
| 6153 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 6154 | codeSystem Name="SNOM ED-CT" | |
| 6155 | displayNam e="FOOD" | |
| 6156 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 6157 | xsi:type=" CD" | |
| 6158 | > | |
| 6159 | <originalT ext> | |
| 6160 | <reference | |
| 6161 | value="#al lergyType- 10" | |
| 6162 | /> | |
| 6163 | </original Text> | |
| 6164 | </value> | |
| 6165 | <participa nt | |
| 6166 | typeCode=" CSM" | |
| 6167 | > | |
| 6168 | <participa ntRole | |
| 6169 | classCode= "MANU" | |
| 6170 | > | |
| 6171 | <addr | |
| 6172 | nullFlavor ="UNK" | |
| 6173 | /> | |
| 6174 | <telecom | |
| 6175 | nullFlavor ="UNK" | |
| 6176 | /> | |
| 6177 | <playingEn tity | |
| 6178 | classCode= "MMAT" | |
| 6179 | > | |
| 6180 | <code | |
| 6181 | code="Code d_Allergy_ Name_Not_A vailable" | |
| 6182 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 6183 | codeSystem Name="RXNO RM" | |
| 6184 | displayNam e="Coded A llergy Nam e Not Avai lable" | |
| 6185 | > | |
| 6186 | <originalT ext> | |
| 6187 | <reference | |
| 6188 | value="#al lergyAller gen-10" | |
| 6189 | /> | |
| 6190 | </original Text> | |
| 6191 | </code> | |
| 6192 | <name> | |
| 6193 | Coded Alle rgy Name N ot Availab le | |
| 6194 | </name> | |
| 6195 | </playingE ntity> | |
| 6196 | </particip antRole> | |
| 6197 | </particip ant> | |
| 6198 | <entryRela tionship | |
| 6199 | typeCode=" REFR" | |
| 6200 | inversionI nd="true" | |
| 6201 | > | |
| 6202 | <observati on | |
| 6203 | classCode= "OBS" | |
| 6204 | moodCode=" EVN" | |
| 6205 | > | |
| 6206 | <templateI d | |
| 6207 | root="2.16 .840.1.113 883. IP .28" | |
| 6208 | /> | |
| 6209 | <code | |
| 6210 | code="3399 9-4" | |
| 6211 | displayNam e="Status" | |
| 6212 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 6213 | codeSystem Name="LOIN C" | |
| 6214 | /> | |
| 6215 | <text> | |
| 6216 | <reference | |
| 6217 | value="#al lergyStatu s-10" | |
| 6218 | /> | |
| 6219 | </text> | |
| 6220 | <statusCod e | |
| 6221 | code="comp leted" | |
| 6222 | /> | |
| 6223 | <value | |
| 6224 | code="5556 1003" | |
| 6225 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 6226 | codeSystem Name="SNOM ED-CT" | |
| 6227 | displayNam e="Active" | |
| 6228 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 6229 | xsi:type=" CE" | |
| 6230 | > | |
| 6231 | <originalT ext> | |
| 6232 | Active | |
| 6233 | </original Text> | |
| 6234 | </value> | |
| 6235 | </observat ion> | |
| 6236 | </entryRel ationship> | |
| 6237 | </observat ion> | |
| 6238 | </entryRel ationship> | |
| 6239 | </act> | |
| 6240 | </entry> | |
| 6241 | <entry | |
| 6242 | typeCode=" DRIV" | |
| 6243 | > | |
| 6244 | <act | |
| 6245 | classCode= "ACT" | |
| 6246 | moodCode=" EVN" | |
| 6247 | > | |
| 6248 | <templateI d | |
| 6249 | root="2.16 .840.1.113 883. IP .30" | |
| 6250 | /> | |
| 6251 | <id | |
| 6252 | nullFlavor ="UNK" | |
| 6253 | /> | |
| 6254 | <code | |
| 6255 | code="4876 5-2" | |
| 6256 | displayNam e="Allergi es, Advers e Reaction s, Alerts" | |
| 6257 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 6258 | codeSystem Name="LOIN C" | |
| 6259 | /> | |
| 6260 | <text> | |
| 6261 | <reference | |
| 6262 | value="#al lergyNarra tive-11" | |
| 6263 | /> | |
| 6264 | </text> | |
| 6265 | <statusCod e | |
| 6266 | code="acti ve" | |
| 6267 | /> | |
| 6268 | <effective Time> | |
| 6269 | <low | |
| 6270 | value="201 1120712511 8" | |
| 6271 | /> | |
| 6272 | </effectiv eTime> | |
| 6273 | <informant > | |
| 6274 | <assignedE ntity> | |
| 6275 | <id | |
| 6276 | root="RIQI ORG" | |
| 6277 | extension= "983" | |
| 6278 | /> | |
| 6279 | <addr | |
| 6280 | nullFlavor ="UNK" | |
| 6281 | /> | |
| 6282 | <telecom | |
| 6283 | nullFlavor ="UNK" | |
| 6284 | /> | |
| 6285 | <assignedP erson> | |
| 6286 | <name | |
| 6287 | nullFlavor ="UNK" | |
| 6288 | /> | |
| 6289 | </assigned Person> | |
| 6290 | <represent edOrganiza tion> | |
| 6291 | <id | |
| 6292 | root="2.16 .840.1.113 883.3.915" | |
| 6293 | extension= "983" | |
| 6294 | displayabl e="true" | |
| 6295 | /> | |
| 6296 | <name> | |
| 6297 | CHYSHR TES T LAB | |
| 6298 | </name> | |
| 6299 | <telecom | |
| 6300 | nullFlavor ="UNK" | |
| 6301 | /> | |
| 6302 | <addr | |
| 6303 | nullFlavor ="UNK" | |
| 6304 | /> | |
| 6305 | <asOrganiz ationPartO f> | |
| 6306 | <effective Time | |
| 6307 | nullFlavor ="UNK" | |
| 6308 | /> | |
| 6309 | <wholeOrga nization> | |
| 6310 | <id | |
| 6311 | root="2.16 .840.1.113 883.3.915" | |
| 6312 | /> | |
| 6313 | <id | |
| 6314 | root="2.16 .840.1.113 883.3.915" | |
| 6315 | extension= "HomeCommu nity" | |
| 6316 | displayabl e="true" | |
| 6317 | /> | |
| 6318 | <name> | |
| 6319 | CurrentCar e Test | |
| 6320 | </name> | |
| 6321 | <telecom | |
| 6322 | use="WP" | |
| 6323 | value="tel :401-276-9 141" | |
| 6324 | /> | |
| 6325 | <addr | |
| 6326 | use="WP" | |
| 6327 | > | |
| 6328 | <streetAdd ressLine> | |
| 6329 | 50 Holden St., Suite 300 | |
| 6330 | </streetAd dressLine> | |
| 6331 | <city> | |
| 6332 | Providence | |
| 6333 | </city> | |
| 6334 | <state> | |
| 6335 | RI | |
| 6336 | </state> | |
| 6337 | <postalCod e> | |
| 6338 | 02908 | |
| 6339 | </postalCo de> | |
| 6340 | <country> | |
| 6341 | US | |
| 6342 | </country> | |
| 6343 | </addr> | |
| 6344 | </wholeOrg anization> | |
| 6345 | </asOrgani zationPart Of> | |
| 6346 | </represen tedOrganiz ation> | |
| 6347 | </assigned Entity> | |
| 6348 | </informan t> | |
| 6349 | <entryRela tionship | |
| 6350 | typeCode=" SUBJ" | |
| 6351 | inversionI nd="false" | |
| 6352 | > | |
| 6353 | <observati on | |
| 6354 | classCode= "OBS" | |
| 6355 | moodCode=" EVN" | |
| 6356 | > | |
| 6357 | <templateI d | |
| 6358 | root="2.16 .840.1.113 883. IP .7" | |
| 6359 | /> | |
| 6360 | <id | |
| 6361 | nullFlavor ="NI" | |
| 6362 | /> | |
| 6363 | <code | |
| 6364 | code="ASSE RTION" | |
| 6365 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 6366 | codeSystem Name="HL7" | |
| 6367 | /> | |
| 6368 | <statusCod e | |
| 6369 | code="comp leted" | |
| 6370 | /> | |
| 6371 | <effective Time> | |
| 6372 | <low | |
| 6373 | value="201 1120712511 8" | |
| 6374 | /> | |
| 6375 | <high | |
| 6376 | nullFlavor ="UNK" | |
| 6377 | /> | |
| 6378 | </effectiv eTime> | |
| 6379 | <value | |
| 6380 | code="4180 38007" | |
| 6381 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 6382 | codeSystem Name="SNOM ED-CT" | |
| 6383 | displayNam e="DRUG, F OOD" | |
| 6384 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 6385 | xsi:type=" CD" | |
| 6386 | > | |
| 6387 | <originalT ext> | |
| 6388 | <reference | |
| 6389 | value="#al lergyType- 11" | |
| 6390 | /> | |
| 6391 | </original Text> | |
| 6392 | </value> | |
| 6393 | <participa nt | |
| 6394 | typeCode=" CSM" | |
| 6395 | > | |
| 6396 | <participa ntRole | |
| 6397 | classCode= "MANU" | |
| 6398 | > | |
| 6399 | <addr | |
| 6400 | nullFlavor ="UNK" | |
| 6401 | /> | |
| 6402 | <telecom | |
| 6403 | nullFlavor ="UNK" | |
| 6404 | /> | |
| 6405 | <playingEn tity | |
| 6406 | classCode= "MMAT" | |
| 6407 | > | |
| 6408 | <code | |
| 6409 | code="Code d_Allergy_ Name_Not_A vailable" | |
| 6410 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 6411 | codeSystem Name="RXNO RM" | |
| 6412 | displayNam e="Coded A llergy Nam e Not Avai lable" | |
| 6413 | > | |
| 6414 | <originalT ext> | |
| 6415 | <reference | |
| 6416 | value="#al lergyAller gen-11" | |
| 6417 | /> | |
| 6418 | </original Text> | |
| 6419 | </code> | |
| 6420 | <name> | |
| 6421 | Coded Alle rgy Name N ot Availab le | |
| 6422 | </name> | |
| 6423 | </playingE ntity> | |
| 6424 | </particip antRole> | |
| 6425 | </particip ant> | |
| 6426 | <entryRela tionship | |
| 6427 | typeCode=" REFR" | |
| 6428 | inversionI nd="true" | |
| 6429 | > | |
| 6430 | <observati on | |
| 6431 | classCode= "OBS" | |
| 6432 | moodCode=" EVN" | |
| 6433 | > | |
| 6434 | <templateI d | |
| 6435 | root="2.16 .840.1.113 883. IP .28" | |
| 6436 | /> | |
| 6437 | <code | |
| 6438 | code="3399 9-4" | |
| 6439 | displayNam e="Status" | |
| 6440 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 6441 | codeSystem Name="LOIN C" | |
| 6442 | /> | |
| 6443 | <text> | |
| 6444 | <reference | |
| 6445 | value="#al lergyStatu s-11" | |
| 6446 | /> | |
| 6447 | </text> | |
| 6448 | <statusCod e | |
| 6449 | code="comp leted" | |
| 6450 | /> | |
| 6451 | <value | |
| 6452 | code="5556 1003" | |
| 6453 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 6454 | codeSystem Name="SNOM ED-CT" | |
| 6455 | displayNam e="Active" | |
| 6456 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 6457 | xsi:type=" CE" | |
| 6458 | > | |
| 6459 | <originalT ext> | |
| 6460 | Active | |
| 6461 | </original Text> | |
| 6462 | </value> | |
| 6463 | </observat ion> | |
| 6464 | </entryRel ationship> | |
| 6465 | </observat ion> | |
| 6466 | </entryRel ationship> | |
| 6467 | </act> | |
| 6468 | </entry> | |
| 6469 | <entry | |
| 6470 | typeCode=" DRIV" | |
| 6471 | > | |
| 6472 | <act | |
| 6473 | classCode= "ACT" | |
| 6474 | moodCode=" EVN" | |
| 6475 | > | |
| 6476 | <templateI d | |
| 6477 | root="2.16 .840.1.113 883. IP .30" | |
| 6478 | /> | |
| 6479 | <id | |
| 6480 | nullFlavor ="UNK" | |
| 6481 | /> | |
| 6482 | <code | |
| 6483 | code="4876 5-2" | |
| 6484 | displayNam e="Allergi es, Advers e Reaction s, Alerts" | |
| 6485 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 6486 | codeSystem Name="LOIN C" | |
| 6487 | /> | |
| 6488 | <text> | |
| 6489 | <reference | |
| 6490 | value="#al lergyNarra tive-12" | |
| 6491 | /> | |
| 6492 | </text> | |
| 6493 | <statusCod e | |
| 6494 | code="acti ve" | |
| 6495 | /> | |
| 6496 | <effective Time> | |
| 6497 | <low | |
| 6498 | value="201 1120711482 8" | |
| 6499 | /> | |
| 6500 | </effectiv eTime> | |
| 6501 | <informant > | |
| 6502 | <assignedE ntity> | |
| 6503 | <id | |
| 6504 | root="RIQI ORG" | |
| 6505 | extension= "983" | |
| 6506 | /> | |
| 6507 | <addr | |
| 6508 | nullFlavor ="UNK" | |
| 6509 | /> | |
| 6510 | <telecom | |
| 6511 | nullFlavor ="UNK" | |
| 6512 | /> | |
| 6513 | <assignedP erson> | |
| 6514 | <name | |
| 6515 | nullFlavor ="UNK" | |
| 6516 | /> | |
| 6517 | </assigned Person> | |
| 6518 | <represent edOrganiza tion> | |
| 6519 | <id | |
| 6520 | root="2.16 .840.1.113 883.3.915" | |
| 6521 | extension= "983" | |
| 6522 | displayabl e="true" | |
| 6523 | /> | |
| 6524 | <name> | |
| 6525 | CHYSHR TES T LAB | |
| 6526 | </name> | |
| 6527 | <telecom | |
| 6528 | nullFlavor ="UNK" | |
| 6529 | /> | |
| 6530 | <addr | |
| 6531 | nullFlavor ="UNK" | |
| 6532 | /> | |
| 6533 | <asOrganiz ationPartO f> | |
| 6534 | <effective Time | |
| 6535 | nullFlavor ="UNK" | |
| 6536 | /> | |
| 6537 | <wholeOrga nization> | |
| 6538 | <id | |
| 6539 | root="2.16 .840.1.113 883.3.915" | |
| 6540 | /> | |
| 6541 | <id | |
| 6542 | root="2.16 .840.1.113 883.3.915" | |
| 6543 | extension= "HomeCommu nity" | |
| 6544 | displayabl e="true" | |
| 6545 | /> | |
| 6546 | <name> | |
| 6547 | CurrentCar e Test | |
| 6548 | </name> | |
| 6549 | <telecom | |
| 6550 | use="WP" | |
| 6551 | value="tel :401-276-9 141" | |
| 6552 | /> | |
| 6553 | <addr | |
| 6554 | use="WP" | |
| 6555 | > | |
| 6556 | <streetAdd ressLine> | |
| 6557 | 50 Holden St., Suite 300 | |
| 6558 | </streetAd dressLine> | |
| 6559 | <city> | |
| 6560 | Providence | |
| 6561 | </city> | |
| 6562 | <state> | |
| 6563 | RI | |
| 6564 | </state> | |
| 6565 | <postalCod e> | |
| 6566 | 02908 | |
| 6567 | </postalCo de> | |
| 6568 | <country> | |
| 6569 | US | |
| 6570 | </country> | |
| 6571 | </addr> | |
| 6572 | </wholeOrg anization> | |
| 6573 | </asOrgani zationPart Of> | |
| 6574 | </represen tedOrganiz ation> | |
| 6575 | </assigned Entity> | |
| 6576 | </informan t> | |
| 6577 | <entryRela tionship | |
| 6578 | typeCode=" SUBJ" | |
| 6579 | inversionI nd="false" | |
| 6580 | > | |
| 6581 | <observati on | |
| 6582 | classCode= "OBS" | |
| 6583 | moodCode=" EVN" | |
| 6584 | > | |
| 6585 | <templateI d | |
| 6586 | root="2.16 .840.1.113 883. IP .7" | |
| 6587 | /> | |
| 6588 | <id | |
| 6589 | nullFlavor ="NI" | |
| 6590 | /> | |
| 6591 | <code | |
| 6592 | code="ASSE RTION" | |
| 6593 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 6594 | codeSystem Name="HL7" | |
| 6595 | /> | |
| 6596 | <statusCod e | |
| 6597 | code="comp leted" | |
| 6598 | /> | |
| 6599 | <effective Time> | |
| 6600 | <low | |
| 6601 | value="201 1120711482 8" | |
| 6602 | /> | |
| 6603 | <high | |
| 6604 | nullFlavor ="UNK" | |
| 6605 | /> | |
| 6606 | </effectiv eTime> | |
| 6607 | <value | |
| 6608 | code="4184 71000" | |
| 6609 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 6610 | codeSystem Name="SNOM ED-CT" | |
| 6611 | displayNam e="FOOD" | |
| 6612 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 6613 | xsi:type=" CD" | |
| 6614 | > | |
| 6615 | <originalT ext> | |
| 6616 | <reference | |
| 6617 | value="#al lergyType- 12" | |
| 6618 | /> | |
| 6619 | </original Text> | |
| 6620 | </value> | |
| 6621 | <participa nt | |
| 6622 | typeCode=" CSM" | |
| 6623 | > | |
| 6624 | <participa ntRole | |
| 6625 | classCode= "MANU" | |
| 6626 | > | |
| 6627 | <addr | |
| 6628 | nullFlavor ="UNK" | |
| 6629 | /> | |
| 6630 | <telecom | |
| 6631 | nullFlavor ="UNK" | |
| 6632 | /> | |
| 6633 | <playingEn tity | |
| 6634 | classCode= "MMAT" | |
| 6635 | > | |
| 6636 | <code | |
| 6637 | code="Code d_Allergy_ Name_Not_A vailable" | |
| 6638 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 6639 | codeSystem Name="RXNO RM" | |
| 6640 | displayNam e="Coded A llergy Nam e Not Avai lable" | |
| 6641 | > | |
| 6642 | <originalT ext> | |
| 6643 | <reference | |
| 6644 | value="#al lergyAller gen-12" | |
| 6645 | /> | |
| 6646 | </original Text> | |
| 6647 | </code> | |
| 6648 | <name> | |
| 6649 | Coded Alle rgy Name N ot Availab le | |
| 6650 | </name> | |
| 6651 | </playingE ntity> | |
| 6652 | </particip antRole> | |
| 6653 | </particip ant> | |
| 6654 | <entryRela tionship | |
| 6655 | typeCode=" REFR" | |
| 6656 | inversionI nd="true" | |
| 6657 | > | |
| 6658 | <observati on | |
| 6659 | classCode= "OBS" | |
| 6660 | moodCode=" EVN" | |
| 6661 | > | |
| 6662 | <templateI d | |
| 6663 | root="2.16 .840.1.113 883. IP .28" | |
| 6664 | /> | |
| 6665 | <code | |
| 6666 | code="3399 9-4" | |
| 6667 | displayNam e="Status" | |
| 6668 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 6669 | codeSystem Name="LOIN C" | |
| 6670 | /> | |
| 6671 | <text> | |
| 6672 | <reference | |
| 6673 | value="#al lergyStatu s-12" | |
| 6674 | /> | |
| 6675 | </text> | |
| 6676 | <statusCod e | |
| 6677 | code="comp leted" | |
| 6678 | /> | |
| 6679 | <value | |
| 6680 | code="5556 1003" | |
| 6681 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 6682 | codeSystem Name="SNOM ED-CT" | |
| 6683 | displayNam e="Active" | |
| 6684 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 6685 | xsi:type=" CE" | |
| 6686 | > | |
| 6687 | <originalT ext> | |
| 6688 | Active | |
| 6689 | </original Text> | |
| 6690 | </value> | |
| 6691 | </observat ion> | |
| 6692 | </entryRel ationship> | |
| 6693 | </observat ion> | |
| 6694 | </entryRel ationship> | |
| 6695 | </act> | |
| 6696 | </entry> | |
| 6697 | <entry | |
| 6698 | typeCode=" DRIV" | |
| 6699 | > | |
| 6700 | <act | |
| 6701 | classCode= "ACT" | |
| 6702 | moodCode=" EVN" | |
| 6703 | > | |
| 6704 | <templateI d | |
| 6705 | root="2.16 .840.1.113 883. IP .30" | |
| 6706 | /> | |
| 6707 | <id | |
| 6708 | nullFlavor ="UNK" | |
| 6709 | /> | |
| 6710 | <code | |
| 6711 | code="4876 5-2" | |
| 6712 | displayNam e="Allergi es, Advers e Reaction s, Alerts" | |
| 6713 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 6714 | codeSystem Name="LOIN C" | |
| 6715 | /> | |
| 6716 | <text> | |
| 6717 | <reference | |
| 6718 | value="#al lergyNarra tive-13" | |
| 6719 | /> | |
| 6720 | </text> | |
| 6721 | <statusCod e | |
| 6722 | code="acti ve" | |
| 6723 | /> | |
| 6724 | <effective Time> | |
| 6725 | <low | |
| 6726 | value="201 1120711445 3" | |
| 6727 | /> | |
| 6728 | </effectiv eTime> | |
| 6729 | <informant > | |
| 6730 | <assignedE ntity> | |
| 6731 | <id | |
| 6732 | root="RIQI ORG" | |
| 6733 | extension= "983" | |
| 6734 | /> | |
| 6735 | <addr | |
| 6736 | nullFlavor ="UNK" | |
| 6737 | /> | |
| 6738 | <telecom | |
| 6739 | nullFlavor ="UNK" | |
| 6740 | /> | |
| 6741 | <assignedP erson> | |
| 6742 | <name | |
| 6743 | nullFlavor ="UNK" | |
| 6744 | /> | |
| 6745 | </assigned Person> | |
| 6746 | <represent edOrganiza tion> | |
| 6747 | <id | |
| 6748 | root="2.16 .840.1.113 883.3.915" | |
| 6749 | extension= "983" | |
| 6750 | displayabl e="true" | |
| 6751 | /> | |
| 6752 | <name> | |
| 6753 | CHYSHR TES T LAB | |
| 6754 | </name> | |
| 6755 | <telecom | |
| 6756 | nullFlavor ="UNK" | |
| 6757 | /> | |
| 6758 | <addr | |
| 6759 | nullFlavor ="UNK" | |
| 6760 | /> | |
| 6761 | <asOrganiz ationPartO f> | |
| 6762 | <effective Time | |
| 6763 | nullFlavor ="UNK" | |
| 6764 | /> | |
| 6765 | <wholeOrga nization> | |
| 6766 | <id | |
| 6767 | root="2.16 .840.1.113 883.3.915" | |
| 6768 | /> | |
| 6769 | <id | |
| 6770 | root="2.16 .840.1.113 883.3.915" | |
| 6771 | extension= "HomeCommu nity" | |
| 6772 | displayabl e="true" | |
| 6773 | /> | |
| 6774 | <name> | |
| 6775 | CurrentCar e Test | |
| 6776 | </name> | |
| 6777 | <telecom | |
| 6778 | use="WP" | |
| 6779 | value="tel :401-276-9 141" | |
| 6780 | /> | |
| 6781 | <addr | |
| 6782 | use="WP" | |
| 6783 | > | |
| 6784 | <streetAdd ressLine> | |
| 6785 | 50 Holden St., Suite 300 | |
| 6786 | </streetAd dressLine> | |
| 6787 | <city> | |
| 6788 | Providence | |
| 6789 | </city> | |
| 6790 | <state> | |
| 6791 | RI | |
| 6792 | </state> | |
| 6793 | <postalCod e> | |
| 6794 | 02908 | |
| 6795 | </postalCo de> | |
| 6796 | <country> | |
| 6797 | US | |
| 6798 | </country> | |
| 6799 | </addr> | |
| 6800 | </wholeOrg anization> | |
| 6801 | </asOrgani zationPart Of> | |
| 6802 | </represen tedOrganiz ation> | |
| 6803 | </assigned Entity> | |
| 6804 | </informan t> | |
| 6805 | <entryRela tionship | |
| 6806 | typeCode=" SUBJ" | |
| 6807 | inversionI nd="false" | |
| 6808 | > | |
| 6809 | <observati on | |
| 6810 | classCode= "OBS" | |
| 6811 | moodCode=" EVN" | |
| 6812 | > | |
| 6813 | <templateI d | |
| 6814 | root="2.16 .840.1.113 883. IP .7" | |
| 6815 | /> | |
| 6816 | <id | |
| 6817 | nullFlavor ="NI" | |
| 6818 | /> | |
| 6819 | <code | |
| 6820 | code="ASSE RTION" | |
| 6821 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 6822 | codeSystem Name="HL7" | |
| 6823 | /> | |
| 6824 | <statusCod e | |
| 6825 | code="comp leted" | |
| 6826 | /> | |
| 6827 | <effective Time> | |
| 6828 | <low | |
| 6829 | value="201 1120711445 3" | |
| 6830 | /> | |
| 6831 | <high | |
| 6832 | nullFlavor ="UNK" | |
| 6833 | /> | |
| 6834 | </effectiv eTime> | |
| 6835 | <value | |
| 6836 | code="4184 71000" | |
| 6837 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 6838 | codeSystem Name="SNOM ED-CT" | |
| 6839 | displayNam e="FOOD" | |
| 6840 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 6841 | xsi:type=" CD" | |
| 6842 | > | |
| 6843 | <originalT ext> | |
| 6844 | <reference | |
| 6845 | value="#al lergyType- 13" | |
| 6846 | /> | |
| 6847 | </original Text> | |
| 6848 | </value> | |
| 6849 | <participa nt | |
| 6850 | typeCode=" CSM" | |
| 6851 | > | |
| 6852 | <participa ntRole | |
| 6853 | classCode= "MANU" | |
| 6854 | > | |
| 6855 | <addr | |
| 6856 | nullFlavor ="UNK" | |
| 6857 | /> | |
| 6858 | <telecom | |
| 6859 | nullFlavor ="UNK" | |
| 6860 | /> | |
| 6861 | <playingEn tity | |
| 6862 | classCode= "MMAT" | |
| 6863 | > | |
| 6864 | <code | |
| 6865 | code="Code d_Allergy_ Name_Not_A vailable" | |
| 6866 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 6867 | codeSystem Name="RXNO RM" | |
| 6868 | displayNam e="Coded A llergy Nam e Not Avai lable" | |
| 6869 | > | |
| 6870 | <originalT ext> | |
| 6871 | <reference | |
| 6872 | value="#al lergyAller gen-13" | |
| 6873 | /> | |
| 6874 | </original Text> | |
| 6875 | </code> | |
| 6876 | <name> | |
| 6877 | Coded Alle rgy Name N ot Availab le | |
| 6878 | </name> | |
| 6879 | </playingE ntity> | |
| 6880 | </particip antRole> | |
| 6881 | </particip ant> | |
| 6882 | <entryRela tionship | |
| 6883 | typeCode=" REFR" | |
| 6884 | inversionI nd="true" | |
| 6885 | > | |
| 6886 | <observati on | |
| 6887 | classCode= "OBS" | |
| 6888 | moodCode=" EVN" | |
| 6889 | > | |
| 6890 | <templateI d | |
| 6891 | root="2.16 .840.1.113 883. IP .28" | |
| 6892 | /> | |
| 6893 | <code | |
| 6894 | code="3399 9-4" | |
| 6895 | displayNam e="Status" | |
| 6896 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 6897 | codeSystem Name="LOIN C" | |
| 6898 | /> | |
| 6899 | <text> | |
| 6900 | <reference | |
| 6901 | value="#al lergyStatu s-13" | |
| 6902 | /> | |
| 6903 | </text> | |
| 6904 | <statusCod e | |
| 6905 | code="comp leted" | |
| 6906 | /> | |
| 6907 | <value | |
| 6908 | code="5556 1003" | |
| 6909 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 6910 | codeSystem Name="SNOM ED-CT" | |
| 6911 | displayNam e="Active" | |
| 6912 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 6913 | xsi:type=" CE" | |
| 6914 | > | |
| 6915 | <originalT ext> | |
| 6916 | Active | |
| 6917 | </original Text> | |
| 6918 | </value> | |
| 6919 | </observat ion> | |
| 6920 | </entryRel ationship> | |
| 6921 | </observat ion> | |
| 6922 | </entryRel ationship> | |
| 6923 | </act> | |
| 6924 | </entry> | |
| 6925 | <entry | |
| 6926 | typeCode=" DRIV" | |
| 6927 | > | |
| 6928 | <act | |
| 6929 | classCode= "ACT" | |
| 6930 | moodCode=" EVN" | |
| 6931 | > | |
| 6932 | <templateI d | |
| 6933 | root="2.16 .840.1.113 883. IP .30" | |
| 6934 | /> | |
| 6935 | <id | |
| 6936 | nullFlavor ="UNK" | |
| 6937 | /> | |
| 6938 | <code | |
| 6939 | code="4876 5-2" | |
| 6940 | displayNam e="Allergi es, Advers e Reaction s, Alerts" | |
| 6941 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 6942 | codeSystem Name="LOIN C" | |
| 6943 | /> | |
| 6944 | <text> | |
| 6945 | <reference | |
| 6946 | value="#al lergyNarra tive-14" | |
| 6947 | /> | |
| 6948 | </text> | |
| 6949 | <statusCod e | |
| 6950 | code="acti ve" | |
| 6951 | /> | |
| 6952 | <effective Time> | |
| 6953 | <low | |
| 6954 | value="201 1113016514 7" | |
| 6955 | /> | |
| 6956 | </effectiv eTime> | |
| 6957 | <informant > | |
| 6958 | <assignedE ntity> | |
| 6959 | <id | |
| 6960 | root="RIQI ORG" | |
| 6961 | extension= "983" | |
| 6962 | /> | |
| 6963 | <addr | |
| 6964 | nullFlavor ="UNK" | |
| 6965 | /> | |
| 6966 | <telecom | |
| 6967 | nullFlavor ="UNK" | |
| 6968 | /> | |
| 6969 | <assignedP erson> | |
| 6970 | <name | |
| 6971 | nullFlavor ="UNK" | |
| 6972 | /> | |
| 6973 | </assigned Person> | |
| 6974 | <represent edOrganiza tion> | |
| 6975 | <id | |
| 6976 | root="2.16 .840.1.113 883.3.915" | |
| 6977 | extension= "983" | |
| 6978 | displayabl e="true" | |
| 6979 | /> | |
| 6980 | <name> | |
| 6981 | CHYSHR TES T LAB | |
| 6982 | </name> | |
| 6983 | <telecom | |
| 6984 | nullFlavor ="UNK" | |
| 6985 | /> | |
| 6986 | <addr | |
| 6987 | nullFlavor ="UNK" | |
| 6988 | /> | |
| 6989 | <asOrganiz ationPartO f> | |
| 6990 | <effective Time | |
| 6991 | nullFlavor ="UNK" | |
| 6992 | /> | |
| 6993 | <wholeOrga nization> | |
| 6994 | <id | |
| 6995 | root="2.16 .840.1.113 883.3.915" | |
| 6996 | /> | |
| 6997 | <id | |
| 6998 | root="2.16 .840.1.113 883.3.915" | |
| 6999 | extension= "HomeCommu nity" | |
| 7000 | displayabl e="true" | |
| 7001 | /> | |
| 7002 | <name> | |
| 7003 | CurrentCar e Test | |
| 7004 | </name> | |
| 7005 | <telecom | |
| 7006 | use="WP" | |
| 7007 | value="tel :401-276-9 141" | |
| 7008 | /> | |
| 7009 | <addr | |
| 7010 | use="WP" | |
| 7011 | > | |
| 7012 | <streetAdd ressLine> | |
| 7013 | 50 Holden St., Suite 300 | |
| 7014 | </streetAd dressLine> | |
| 7015 | <city> | |
| 7016 | Providence | |
| 7017 | </city> | |
| 7018 | <state> | |
| 7019 | RI | |
| 7020 | </state> | |
| 7021 | <postalCod e> | |
| 7022 | 02908 | |
| 7023 | </postalCo de> | |
| 7024 | <country> | |
| 7025 | US | |
| 7026 | </country> | |
| 7027 | </addr> | |
| 7028 | </wholeOrg anization> | |
| 7029 | </asOrgani zationPart Of> | |
| 7030 | </represen tedOrganiz ation> | |
| 7031 | </assigned Entity> | |
| 7032 | </informan t> | |
| 7033 | <entryRela tionship | |
| 7034 | typeCode=" SUBJ" | |
| 7035 | inversionI nd="false" | |
| 7036 | > | |
| 7037 | <observati on | |
| 7038 | classCode= "OBS" | |
| 7039 | moodCode=" EVN" | |
| 7040 | > | |
| 7041 | <templateI d | |
| 7042 | root="2.16 .840.1.113 883. IP .7" | |
| 7043 | /> | |
| 7044 | <id | |
| 7045 | nullFlavor ="NI" | |
| 7046 | /> | |
| 7047 | <code | |
| 7048 | code="ASSE RTION" | |
| 7049 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 7050 | codeSystem Name="HL7" | |
| 7051 | /> | |
| 7052 | <statusCod e | |
| 7053 | code="comp leted" | |
| 7054 | /> | |
| 7055 | <effective Time> | |
| 7056 | <low | |
| 7057 | value="201 1113016514 7" | |
| 7058 | /> | |
| 7059 | <high | |
| 7060 | nullFlavor ="UNK" | |
| 7061 | /> | |
| 7062 | </effectiv eTime> | |
| 7063 | <value | |
| 7064 | code="4184 71000" | |
| 7065 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 7066 | codeSystem Name="SNOM ED-CT" | |
| 7067 | displayNam e="FOOD" | |
| 7068 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 7069 | xsi:type=" CD" | |
| 7070 | > | |
| 7071 | <originalT ext> | |
| 7072 | <reference | |
| 7073 | value="#al lergyType- 14" | |
| 7074 | /> | |
| 7075 | </original Text> | |
| 7076 | </value> | |
| 7077 | <participa nt | |
| 7078 | typeCode=" CSM" | |
| 7079 | > | |
| 7080 | <participa ntRole | |
| 7081 | classCode= "MANU" | |
| 7082 | > | |
| 7083 | <addr | |
| 7084 | nullFlavor ="UNK" | |
| 7085 | /> | |
| 7086 | <telecom | |
| 7087 | nullFlavor ="UNK" | |
| 7088 | /> | |
| 7089 | <playingEn tity | |
| 7090 | classCode= "MMAT" | |
| 7091 | > | |
| 7092 | <code | |
| 7093 | code="Code d_Allergy_ Name_Not_A vailable" | |
| 7094 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 7095 | codeSystem Name="RXNO RM" | |
| 7096 | displayNam e="Coded A llergy Nam e Not Avai lable" | |
| 7097 | > | |
| 7098 | <originalT ext> | |
| 7099 | <reference | |
| 7100 | value="#al lergyAller gen-14" | |
| 7101 | /> | |
| 7102 | </original Text> | |
| 7103 | </code> | |
| 7104 | <name> | |
| 7105 | Coded Alle rgy Name N ot Availab le | |
| 7106 | </name> | |
| 7107 | </playingE ntity> | |
| 7108 | </particip antRole> | |
| 7109 | </particip ant> | |
| 7110 | <entryRela tionship | |
| 7111 | typeCode=" REFR" | |
| 7112 | inversionI nd="true" | |
| 7113 | > | |
| 7114 | <observati on | |
| 7115 | classCode= "OBS" | |
| 7116 | moodCode=" EVN" | |
| 7117 | > | |
| 7118 | <templateI d | |
| 7119 | root="2.16 .840.1.113 883. IP .28" | |
| 7120 | /> | |
| 7121 | <code | |
| 7122 | code="3399 9-4" | |
| 7123 | displayNam e="Status" | |
| 7124 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 7125 | codeSystem Name="LOIN C" | |
| 7126 | /> | |
| 7127 | <text> | |
| 7128 | <reference | |
| 7129 | value="#al lergyStatu s-14" | |
| 7130 | /> | |
| 7131 | </text> | |
| 7132 | <statusCod e | |
| 7133 | code="comp leted" | |
| 7134 | /> | |
| 7135 | <value | |
| 7136 | code="5556 1003" | |
| 7137 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 7138 | codeSystem Name="SNOM ED-CT" | |
| 7139 | displayNam e="Active" | |
| 7140 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 7141 | xsi:type=" CE" | |
| 7142 | > | |
| 7143 | <originalT ext> | |
| 7144 | Active | |
| 7145 | </original Text> | |
| 7146 | </value> | |
| 7147 | </observat ion> | |
| 7148 | </entryRel ationship> | |
| 7149 | </observat ion> | |
| 7150 | </entryRel ationship> | |
| 7151 | </act> | |
| 7152 | </entry> | |
| 7153 | <entry | |
| 7154 | typeCode=" DRIV" | |
| 7155 | > | |
| 7156 | <act | |
| 7157 | classCode= "ACT" | |
| 7158 | moodCode=" EVN" | |
| 7159 | > | |
| 7160 | <templateI d | |
| 7161 | root="2.16 .840.1.113 883. IP .30" | |
| 7162 | /> | |
| 7163 | <id | |
| 7164 | nullFlavor ="UNK" | |
| 7165 | /> | |
| 7166 | <code | |
| 7167 | code="4876 5-2" | |
| 7168 | displayNam e="Allergi es, Advers e Reaction s, Alerts" | |
| 7169 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 7170 | codeSystem Name="LOIN C" | |
| 7171 | /> | |
| 7172 | <text> | |
| 7173 | <reference | |
| 7174 | value="#al lergyNarra tive-15" | |
| 7175 | /> | |
| 7176 | </text> | |
| 7177 | <statusCod e | |
| 7178 | code="acti ve" | |
| 7179 | /> | |
| 7180 | <effective Time> | |
| 7181 | <low | |
| 7182 | value="201 1112916124 2" | |
| 7183 | /> | |
| 7184 | </effectiv eTime> | |
| 7185 | <informant > | |
| 7186 | <assignedE ntity> | |
| 7187 | <id | |
| 7188 | root="RIQI ORG" | |
| 7189 | extension= "983" | |
| 7190 | /> | |
| 7191 | <addr | |
| 7192 | nullFlavor ="UNK" | |
| 7193 | /> | |
| 7194 | <telecom | |
| 7195 | nullFlavor ="UNK" | |
| 7196 | /> | |
| 7197 | <assignedP erson> | |
| 7198 | <name | |
| 7199 | nullFlavor ="UNK" | |
| 7200 | /> | |
| 7201 | </assigned Person> | |
| 7202 | <represent edOrganiza tion> | |
| 7203 | <id | |
| 7204 | root="2.16 .840.1.113 883.3.915" | |
| 7205 | extension= "983" | |
| 7206 | displayabl e="true" | |
| 7207 | /> | |
| 7208 | <name> | |
| 7209 | CHYSHR TES T LAB | |
| 7210 | </name> | |
| 7211 | <telecom | |
| 7212 | nullFlavor ="UNK" | |
| 7213 | /> | |
| 7214 | <addr | |
| 7215 | nullFlavor ="UNK" | |
| 7216 | /> | |
| 7217 | <asOrganiz ationPartO f> | |
| 7218 | <effective Time | |
| 7219 | nullFlavor ="UNK" | |
| 7220 | /> | |
| 7221 | <wholeOrga nization> | |
| 7222 | <id | |
| 7223 | root="2.16 .840.1.113 883.3.915" | |
| 7224 | /> | |
| 7225 | <id | |
| 7226 | root="2.16 .840.1.113 883.3.915" | |
| 7227 | extension= "HomeCommu nity" | |
| 7228 | displayabl e="true" | |
| 7229 | /> | |
| 7230 | <name> | |
| 7231 | CurrentCar e Test | |
| 7232 | </name> | |
| 7233 | <telecom | |
| 7234 | use="WP" | |
| 7235 | value="tel :401-276-9 141" | |
| 7236 | /> | |
| 7237 | <addr | |
| 7238 | use="WP" | |
| 7239 | > | |
| 7240 | <streetAdd ressLine> | |
| 7241 | 50 Holden St., Suite 300 | |
| 7242 | </streetAd dressLine> | |
| 7243 | <city> | |
| 7244 | Providence | |
| 7245 | </city> | |
| 7246 | <state> | |
| 7247 | RI | |
| 7248 | </state> | |
| 7249 | <postalCod e> | |
| 7250 | 02908 | |
| 7251 | </postalCo de> | |
| 7252 | <country> | |
| 7253 | US | |
| 7254 | </country> | |
| 7255 | </addr> | |
| 7256 | </wholeOrg anization> | |
| 7257 | </asOrgani zationPart Of> | |
| 7258 | </represen tedOrganiz ation> | |
| 7259 | </assigned Entity> | |
| 7260 | </informan t> | |
| 7261 | <entryRela tionship | |
| 7262 | typeCode=" SUBJ" | |
| 7263 | inversionI nd="false" | |
| 7264 | > | |
| 7265 | <observati on | |
| 7266 | classCode= "OBS" | |
| 7267 | moodCode=" EVN" | |
| 7268 | > | |
| 7269 | <templateI d | |
| 7270 | root="2.16 .840.1.113 883. IP .7" | |
| 7271 | /> | |
| 7272 | <id | |
| 7273 | nullFlavor ="NI" | |
| 7274 | /> | |
| 7275 | <code | |
| 7276 | code="ASSE RTION" | |
| 7277 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 7278 | codeSystem Name="HL7" | |
| 7279 | /> | |
| 7280 | <statusCod e | |
| 7281 | code="comp leted" | |
| 7282 | /> | |
| 7283 | <effective Time> | |
| 7284 | <low | |
| 7285 | value="201 1112916124 2" | |
| 7286 | /> | |
| 7287 | <high | |
| 7288 | nullFlavor ="UNK" | |
| 7289 | /> | |
| 7290 | </effectiv eTime> | |
| 7291 | <value | |
| 7292 | code="4184 71000" | |
| 7293 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 7294 | codeSystem Name="SNOM ED-CT" | |
| 7295 | displayNam e="FOOD" | |
| 7296 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 7297 | xsi:type=" CD" | |
| 7298 | > | |
| 7299 | <originalT ext> | |
| 7300 | <reference | |
| 7301 | value="#al lergyType- 15" | |
| 7302 | /> | |
| 7303 | </original Text> | |
| 7304 | </value> | |
| 7305 | <participa nt | |
| 7306 | typeCode=" CSM" | |
| 7307 | > | |
| 7308 | <participa ntRole | |
| 7309 | classCode= "MANU" | |
| 7310 | > | |
| 7311 | <addr | |
| 7312 | nullFlavor ="UNK" | |
| 7313 | /> | |
| 7314 | <telecom | |
| 7315 | nullFlavor ="UNK" | |
| 7316 | /> | |
| 7317 | <playingEn tity | |
| 7318 | classCode= "MMAT" | |
| 7319 | > | |
| 7320 | <code | |
| 7321 | code="Code d_Allergy_ Name_Not_A vailable" | |
| 7322 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 7323 | codeSystem Name="RXNO RM" | |
| 7324 | displayNam e="Coded A llergy Nam e Not Avai lable" | |
| 7325 | > | |
| 7326 | <originalT ext> | |
| 7327 | <reference | |
| 7328 | value="#al lergyAller gen-15" | |
| 7329 | /> | |
| 7330 | </original Text> | |
| 7331 | </code> | |
| 7332 | <name> | |
| 7333 | Coded Alle rgy Name N ot Availab le | |
| 7334 | </name> | |
| 7335 | </playingE ntity> | |
| 7336 | </particip antRole> | |
| 7337 | </particip ant> | |
| 7338 | <entryRela tionship | |
| 7339 | typeCode=" REFR" | |
| 7340 | inversionI nd="true" | |
| 7341 | > | |
| 7342 | <observati on | |
| 7343 | classCode= "OBS" | |
| 7344 | moodCode=" EVN" | |
| 7345 | > | |
| 7346 | <templateI d | |
| 7347 | root="2.16 .840.1.113 883. IP .28" | |
| 7348 | /> | |
| 7349 | <code | |
| 7350 | code="3399 9-4" | |
| 7351 | displayNam e="Status" | |
| 7352 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 7353 | codeSystem Name="LOIN C" | |
| 7354 | /> | |
| 7355 | <text> | |
| 7356 | <reference | |
| 7357 | value="#al lergyStatu s-15" | |
| 7358 | /> | |
| 7359 | </text> | |
| 7360 | <statusCod e | |
| 7361 | code="comp leted" | |
| 7362 | /> | |
| 7363 | <value | |
| 7364 | code="5556 1003" | |
| 7365 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 7366 | codeSystem Name="SNOM ED-CT" | |
| 7367 | displayNam e="Active" | |
| 7368 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 7369 | xsi:type=" CE" | |
| 7370 | > | |
| 7371 | <originalT ext> | |
| 7372 | Active | |
| 7373 | </original Text> | |
| 7374 | </value> | |
| 7375 | </observat ion> | |
| 7376 | </entryRel ationship> | |
| 7377 | </observat ion> | |
| 7378 | </entryRel ationship> | |
| 7379 | </act> | |
| 7380 | </entry> | |
| 7381 | </section> | |
| 7382 | </componen t> | |
| 7383 | <component > | |
| 7384 | <section> | |
| 7385 | <templateI d | |
| 7386 | root="2.16 .840.1.113 883.10.20. 22.2.1.1" | |
| 7387 | /> | |
| 7388 | <code | |
| 7389 | code="1016 0-0" | |
| 7390 | displayNam e="History of Medica tion Use" | |
| 7391 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 7392 | codeSystem Name="LOIN C" | |
| 7393 | /> | |
| 7394 | <title> | |
| 7395 | Medication s | |
| 7396 | </title> | |
| 7397 | <text> | |
| 7398 | <table | |
| 7399 | border="1" | |
| 7400 | width="100 %" | |
| 7401 | > | |
| 7402 | <thead> | |
| 7403 | <tr> | |
| 7404 | <th> | |
| 7405 | Ordered Me dication N ame | |
| 7406 | </th> | |
| 7407 | <th> | |
| 7408 | Filled Med ication Na me | |
| 7409 | </th> | |
| 7410 | <th> | |
| 7411 | Start Date | |
| 7412 | </th> | |
| 7413 | <th> | |
| 7414 | Stop Date | |
| 7415 | </th> | |
| 7416 | <th> | |
| 7417 | Current Me dication? | |
| 7418 | </th> | |
| 7419 | <th> | |
| 7420 | Ordering C linician | |
| 7421 | </th> | |
| 7422 | <th> | |
| 7423 | Indication | |
| 7424 | </th> | |
| 7425 | <th> | |
| 7426 | Dosage | |
| 7427 | </th> | |
| 7428 | <th> | |
| 7429 | Frequency | |
| 7430 | </th> | |
| 7431 | <th> | |
| 7432 | Signature (SIG) | |
| 7433 | </th> | |
| 7434 | <th> | |
| 7435 | Comments | |
| 7436 | </th> | |
| 7437 | <th> | |
| 7438 | Components | |
| 7439 | </th> | |
| 7440 | </tr> | |
| 7441 | </thead> | |
| 7442 | <tbody> | |
| 7443 | <tr | |
| 7444 | ID="medNar rative-1" | |
| 7445 | > | |
| 7446 | <td | |
| 7447 | ID="medOrd eredName-1 " | |
| 7448 | > | |
| 7449 | cephalexin (KEFLEX) 500 MG cap sule | |
| 7450 | </td> | |
| 7451 | <td | |
| 7452 | ID="medFil ledName-1" | |
| 7453 | /> | |
| 7454 | <td> | |
| 7455 | 2016-10-06 00:00:00 | |
| 7456 | </td> | |
| 7457 | <td> | |
| 7458 | 2016-10-17 03:59:00 | |
| 7459 | </td> | |
| 7460 | <td> | |
| 7461 | No | |
| 7462 | </td> | |
| 7463 | <td/> | |
| 7464 | <td | |
| 7465 | ID="medInd ication-1" | |
| 7466 | /> | |
| 7467 | <td/> | |
| 7468 | <td/> | |
| 7469 | <td | |
| 7470 | ID="medSig nature-1" | |
| 7471 | > | |
| 7472 | Take 1 cap sule (500 mg total) by mouth 4 (four) ti mes a day. | |
| 7473 | </td> | |
| 7474 | <td | |
| 7475 | ID="medCom ments-1" | |
| 7476 | /> | |
| 7477 | <td/> | |
| 7478 | </tr> | |
| 7479 | <tr | |
| 7480 | ID="medNar rative-2" | |
| 7481 | > | |
| 7482 | <td | |
| 7483 | ID="medOrd eredName-2 " | |
| 7484 | > | |
| 7485 | nystatin-t riamcinolo ne (MYCOLO G II) crea m | |
| 7486 | </td> | |
| 7487 | <td | |
| 7488 | ID="medFil ledName-2" | |
| 7489 | /> | |
| 7490 | <td> | |
| 7491 | 2016-09-07 00:00:00 | |
| 7492 | </td> | |
| 7493 | <td> | |
| 7494 | 2017-09-08 03:59:00 | |
| 7495 | </td> | |
| 7496 | <td> | |
| 7497 | Yes | |
| 7498 | </td> | |
| 7499 | <td/> | |
| 7500 | <td | |
| 7501 | ID="medInd ication-2" | |
| 7502 | /> | |
| 7503 | <td/> | |
| 7504 | <td/> | |
| 7505 | <td | |
| 7506 | ID="medSig nature-2" | |
| 7507 | > | |
| 7508 | Apply to a ffected ar ea 2 times daily | |
| 7509 | </td> | |
| 7510 | <td | |
| 7511 | ID="medCom ments-2" | |
| 7512 | /> | |
| 7513 | <td/> | |
| 7514 | </tr> | |
| 7515 | <tr | |
| 7516 | ID="medNar rative-3" | |
| 7517 | > | |
| 7518 | <td | |
| 7519 | ID="medOrd eredName-3 " | |
| 7520 | > | |
| 7521 | cephalexin (KEFLEX) 500 MG cap sule | |
| 7522 | </td> | |
| 7523 | <td | |
| 7524 | ID="medFil ledName-3" | |
| 7525 | /> | |
| 7526 | <td> | |
| 7527 | 2015-06-17 00:00:00 | |
| 7528 | </td> | |
| 7529 | <td/> | |
| 7530 | <td> | |
| 7531 | Yes | |
| 7532 | </td> | |
| 7533 | <td/> | |
| 7534 | <td | |
| 7535 | ID="medInd ication-3" | |
| 7536 | /> | |
| 7537 | <td/> | |
| 7538 | <td/> | |
| 7539 | <td | |
| 7540 | ID="medSig nature-3" | |
| 7541 | > | |
| 7542 | Take 1 cap sule (500 mg total) by mouth 4 (four) ti mes a day. | |
| 7543 | </td> | |
| 7544 | <td | |
| 7545 | ID="medCom ments-3" | |
| 7546 | /> | |
| 7547 | <td/> | |
| 7548 | </tr> | |
| 7549 | <tr | |
| 7550 | ID="medNar rative-4" | |
| 7551 | > | |
| 7552 | <td | |
| 7553 | ID="medOrd eredName-4 " | |
| 7554 | > | |
| 7555 | SERTRALINE HCL 25MG TAB | |
| 7556 | </td> | |
| 7557 | <td | |
| 7558 | ID="medFil ledName-4" | |
| 7559 | /> | |
| 7560 | <td/> | |
| 7561 | <td/> | |
| 7562 | <td> | |
| 7563 | Yes | |
| 7564 | </td> | |
| 7565 | <td> | |
| 7566 | IRFAN ANKO LKAR | |
| 7567 | </td> | |
| 7568 | <td | |
| 7569 | ID="medInd ication-4" | |
| 7570 | /> | |
| 7571 | <td/> | |
| 7572 | <td/> | |
| 7573 | <td | |
| 7574 | ID="medSig nature-4" | |
| 7575 | > | |
| 7576 | TAKE ONE T ABLET BY M OUTH MO-TU -WE-TH-FR@ 0700 | |
| 7577 | </td> | |
| 7578 | <td | |
| 7579 | ID="medCom ments-4" | |
| 7580 | /> | |
| 7581 | <td/> | |
| 7582 | </tr> | |
| 7583 | <tr | |
| 7584 | ID="medNar rative-5" | |
| 7585 | > | |
| 7586 | <td | |
| 7587 | ID="medOrd eredName-5 " | |
| 7588 | > | |
| 7589 | ziprasidon e (GEODON) 80 MG cap sule | |
| 7590 | </td> | |
| 7591 | <td | |
| 7592 | ID="medFil ledName-5" | |
| 7593 | /> | |
| 7594 | <td/> | |
| 7595 | <td/> | |
| 7596 | <td> | |
| 7597 | Yes | |
| 7598 | </td> | |
| 7599 | <td/> | |
| 7600 | <td | |
| 7601 | ID="medInd ication-5" | |
| 7602 | /> | |
| 7603 | <td/> | |
| 7604 | <td/> | |
| 7605 | <td | |
| 7606 | ID="medSig nature-5" | |
| 7607 | > | |
| 7608 | Take 80 mg by mouth 2 (two) ti mes a day with meals . | |
| 7609 | </td> | |
| 7610 | <td | |
| 7611 | ID="medCom ments-5" | |
| 7612 | /> | |
| 7613 | <td/> | |
| 7614 | </tr> | |
| 7615 | <tr | |
| 7616 | ID="medNar rative-6" | |
| 7617 | > | |
| 7618 | <td | |
| 7619 | ID="medOrd eredName-6 " | |
| 7620 | > | |
| 7621 | latanopros t (XALATAN ) 0.005 % ophthalmic solution | |
| 7622 | </td> | |
| 7623 | <td | |
| 7624 | ID="medFil ledName-6" | |
| 7625 | /> | |
| 7626 | <td/> | |
| 7627 | <td/> | |
| 7628 | <td> | |
| 7629 | Yes | |
| 7630 | </td> | |
| 7631 | <td/> | |
| 7632 | <td | |
| 7633 | ID="medInd ication-6" | |
| 7634 | /> | |
| 7635 | <td/> | |
| 7636 | <td/> | |
| 7637 | <td | |
| 7638 | ID="medSig nature-6" | |
| 7639 | > | |
| 7640 | 1 drop nig htly. | |
| 7641 | </td> | |
| 7642 | <td | |
| 7643 | ID="medCom ments-6" | |
| 7644 | /> | |
| 7645 | <td/> | |
| 7646 | </tr> | |
| 7647 | <tr | |
| 7648 | ID="medNar rative-7" | |
| 7649 | > | |
| 7650 | <td | |
| 7651 | ID="medOrd eredName-7 " | |
| 7652 | > | |
| 7653 | atorvastat in (LIPITO R) 20 MG t ablet | |
| 7654 | </td> | |
| 7655 | <td | |
| 7656 | ID="medFil ledName-7" | |
| 7657 | /> | |
| 7658 | <td/> | |
| 7659 | <td/> | |
| 7660 | <td> | |
| 7661 | Yes | |
| 7662 | </td> | |
| 7663 | <td/> | |
| 7664 | <td | |
| 7665 | ID="medInd ication-7" | |
| 7666 | /> | |
| 7667 | <td/> | |
| 7668 | <td/> | |
| 7669 | <td | |
| 7670 | ID="medSig nature-7" | |
| 7671 | > | |
| 7672 | Take 20 mg by mouth daily. | |
| 7673 | </td> | |
| 7674 | <td | |
| 7675 | ID="medCom ments-7" | |
| 7676 | /> | |
| 7677 | <td/> | |
| 7678 | </tr> | |
| 7679 | <tr | |
| 7680 | ID="medNar rative-8" | |
| 7681 | > | |
| 7682 | <td | |
| 7683 | ID="medOrd eredName-8 " | |
| 7684 | > | |
| 7685 | canagliflo zin (INVOK ANA) 300 m g Tab | |
| 7686 | </td> | |
| 7687 | <td | |
| 7688 | ID="medFil ledName-8" | |
| 7689 | /> | |
| 7690 | <td/> | |
| 7691 | <td/> | |
| 7692 | <td> | |
| 7693 | Yes | |
| 7694 | </td> | |
| 7695 | <td/> | |
| 7696 | <td | |
| 7697 | ID="medInd ication-8" | |
| 7698 | /> | |
| 7699 | <td/> | |
| 7700 | <td/> | |
| 7701 | <td | |
| 7702 | ID="medSig nature-8" | |
| 7703 | > | |
| 7704 | Take 300 m g by mouth daily. | |
| 7705 | </td> | |
| 7706 | <td | |
| 7707 | ID="medCom ments-8" | |
| 7708 | /> | |
| 7709 | <td/> | |
| 7710 | </tr> | |
| 7711 | <tr | |
| 7712 | ID="medNar rative-9" | |
| 7713 | > | |
| 7714 | <td | |
| 7715 | ID="medOrd eredName-9 " | |
| 7716 | > | |
| 7717 | metformin (GLUCOPHAG E) 500 MG tablet | |
| 7718 | </td> | |
| 7719 | <td | |
| 7720 | ID="medFil ledName-9" | |
| 7721 | /> | |
| 7722 | <td/> | |
| 7723 | <td/> | |
| 7724 | <td> | |
| 7725 | Yes | |
| 7726 | </td> | |
| 7727 | <td/> | |
| 7728 | <td | |
| 7729 | ID="medInd ication-9" | |
| 7730 | /> | |
| 7731 | <td/> | |
| 7732 | <td/> | |
| 7733 | <td | |
| 7734 | ID="medSig nature-9" | |
| 7735 | > | |
| 7736 | Take 500 m g by mouth 2 (two) t imes a day with meal s. | |
| 7737 | </td> | |
| 7738 | <td | |
| 7739 | ID="medCom ments-9" | |
| 7740 | /> | |
| 7741 | <td/> | |
| 7742 | </tr> | |
| 7743 | <tr | |
| 7744 | ID="medNar rative-10" | |
| 7745 | > | |
| 7746 | <td | |
| 7747 | ID="medOrd eredName-1 0" | |
| 7748 | > | |
| 7749 | oxybutynin (DITROPAN XL) 15 MG 24 hr tab let | |
| 7750 | </td> | |
| 7751 | <td | |
| 7752 | ID="medFil ledName-10 " | |
| 7753 | /> | |
| 7754 | <td/> | |
| 7755 | <td/> | |
| 7756 | <td> | |
| 7757 | Yes | |
| 7758 | </td> | |
| 7759 | <td/> | |
| 7760 | <td | |
| 7761 | ID="medInd ication-10 " | |
| 7762 | /> | |
| 7763 | <td/> | |
| 7764 | <td/> | |
| 7765 | <td | |
| 7766 | ID="medSig nature-10" | |
| 7767 | > | |
| 7768 | Take 15 mg by mouth daily. | |
| 7769 | </td> | |
| 7770 | <td | |
| 7771 | ID="medCom ments-10" | |
| 7772 | /> | |
| 7773 | <td/> | |
| 7774 | </tr> | |
| 7775 | <tr | |
| 7776 | ID="medNar rative-11" | |
| 7777 | > | |
| 7778 | <td | |
| 7779 | ID="medOrd eredName-1 1" | |
| 7780 | > | |
| 7781 | liraglutid e (VICTOZA 2-PAK) 0. 6 mg/0.1 m L (18 mg/3 mL) PnIj | |
| 7782 | </td> | |
| 7783 | <td | |
| 7784 | ID="medFil ledName-11 " | |
| 7785 | /> | |
| 7786 | <td/> | |
| 7787 | <td/> | |
| 7788 | <td> | |
| 7789 | Yes | |
| 7790 | </td> | |
| 7791 | <td/> | |
| 7792 | <td | |
| 7793 | ID="medInd ication-11 " | |
| 7794 | /> | |
| 7795 | <td/> | |
| 7796 | <td/> | |
| 7797 | <td | |
| 7798 | ID="medSig nature-11" | |
| 7799 | > | |
| 7800 | Inject 1.2 mg under the skin d aily. | |
| 7801 | </td> | |
| 7802 | <td | |
| 7803 | ID="medCom ments-11" | |
| 7804 | /> | |
| 7805 | <td/> | |
| 7806 | </tr> | |
| 7807 | <tr | |
| 7808 | ID="medNar rative-12" | |
| 7809 | > | |
| 7810 | <td | |
| 7811 | ID="medOrd eredName-1 2" | |
| 7812 | > | |
| 7813 | insulin as part prota mine-insul in aspart (NOVOLOG M IX 70-30 F LEXPEN) 10 0 unit/mL (70-30) in jection | |
| 7814 | </td> | |
| 7815 | <td | |
| 7816 | ID="medFil ledName-12 " | |
| 7817 | /> | |
| 7818 | <td/> | |
| 7819 | <td/> | |
| 7820 | <td> | |
| 7821 | Yes | |
| 7822 | </td> | |
| 7823 | <td/> | |
| 7824 | <td | |
| 7825 | ID="medInd ication-12 " | |
| 7826 | /> | |
| 7827 | <td/> | |
| 7828 | <td/> | |
| 7829 | <td | |
| 7830 | ID="medSig nature-12" | |
| 7831 | > | |
| 7832 | Inject und er the ski n 2 (two) times a da y before m eals. | |
| 7833 | </td> | |
| 7834 | <td | |
| 7835 | ID="medCom ments-12" | |
| 7836 | /> | |
| 7837 | <td/> | |
| 7838 | </tr> | |
| 7839 | <tr | |
| 7840 | ID="medNar rative-13" | |
| 7841 | > | |
| 7842 | <td | |
| 7843 | ID="medOrd eredName-1 3" | |
| 7844 | > | |
| 7845 | glimepirid e (AMARYL) 4 MG tabl et | |
| 7846 | </td> | |
| 7847 | <td | |
| 7848 | ID="medFil ledName-13 " | |
| 7849 | /> | |
| 7850 | <td/> | |
| 7851 | <td/> | |
| 7852 | <td> | |
| 7853 | Yes | |
| 7854 | </td> | |
| 7855 | <td/> | |
| 7856 | <td | |
| 7857 | ID="medInd ication-13 " | |
| 7858 | /> | |
| 7859 | <td/> | |
| 7860 | <td/> | |
| 7861 | <td | |
| 7862 | ID="medSig nature-13" | |
| 7863 | > | |
| 7864 | Take 4 mg by mouth e very morni ng before breakfast. | |
| 7865 | </td> | |
| 7866 | <td | |
| 7867 | ID="medCom ments-13" | |
| 7868 | /> | |
| 7869 | <td/> | |
| 7870 | </tr> | |
| 7871 | <tr | |
| 7872 | ID="medNar rative-14" | |
| 7873 | > | |
| 7874 | <td | |
| 7875 | ID="medOrd eredName-1 4" | |
| 7876 | > | |
| 7877 | triamcinol one (KENAL OG) 0.1 % lotion | |
| 7878 | </td> | |
| 7879 | <td | |
| 7880 | ID="medFil ledName-14 " | |
| 7881 | /> | |
| 7882 | <td/> | |
| 7883 | <td/> | |
| 7884 | <td> | |
| 7885 | Yes | |
| 7886 | </td> | |
| 7887 | <td/> | |
| 7888 | <td | |
| 7889 | ID="medInd ication-14 " | |
| 7890 | /> | |
| 7891 | <td/> | |
| 7892 | <td/> | |
| 7893 | <td | |
| 7894 | ID="medSig nature-14" | |
| 7895 | > | |
| 7896 | Apply topi cally 3 (t hree) time s a day. | |
| 7897 | </td> | |
| 7898 | <td | |
| 7899 | ID="medCom ments-14" | |
| 7900 | /> | |
| 7901 | <td/> | |
| 7902 | </tr> | |
| 7903 | <tr | |
| 7904 | ID="medNar rative-15" | |
| 7905 | > | |
| 7906 | <td | |
| 7907 | ID="medOrd eredName-1 5" | |
| 7908 | > | |
| 7909 | triamcinol one (KENAL OG) 0.1 % cream | |
| 7910 | </td> | |
| 7911 | <td | |
| 7912 | ID="medFil ledName-15 " | |
| 7913 | /> | |
| 7914 | <td/> | |
| 7915 | <td/> | |
| 7916 | <td> | |
| 7917 | Yes | |
| 7918 | </td> | |
| 7919 | <td/> | |
| 7920 | <td | |
| 7921 | ID="medInd ication-15 " | |
| 7922 | /> | |
| 7923 | <td/> | |
| 7924 | <td/> | |
| 7925 | <td | |
| 7926 | ID="medSig nature-15" | |
| 7927 | > | |
| 7928 | Apply topi cally 2 (t wo) times a day. | |
| 7929 | </td> | |
| 7930 | <td | |
| 7931 | ID="medCom ments-15" | |
| 7932 | /> | |
| 7933 | <td/> | |
| 7934 | </tr> | |
| 7935 | <tr | |
| 7936 | ID="medNar rative-16" | |
| 7937 | > | |
| 7938 | <td | |
| 7939 | ID="medOrd eredName-1 6" | |
| 7940 | > | |
| 7941 | levocetiri zine (XYZA L) 5 MG ta blet | |
| 7942 | </td> | |
| 7943 | <td | |
| 7944 | ID="medFil ledName-16 " | |
| 7945 | /> | |
| 7946 | <td/> | |
| 7947 | <td/> | |
| 7948 | <td> | |
| 7949 | Yes | |
| 7950 | </td> | |
| 7951 | <td/> | |
| 7952 | <td | |
| 7953 | ID="medInd ication-16 " | |
| 7954 | /> | |
| 7955 | <td/> | |
| 7956 | <td/> | |
| 7957 | <td | |
| 7958 | ID="medSig nature-16" | |
| 7959 | > | |
| 7960 | Take 5 mg by mouth e very eveni ng. | |
| 7961 | </td> | |
| 7962 | <td | |
| 7963 | ID="medCom ments-16" | |
| 7964 | /> | |
| 7965 | <td/> | |
| 7966 | </tr> | |
| 7967 | <tr | |
| 7968 | ID="medNar rative-17" | |
| 7969 | > | |
| 7970 | <td | |
| 7971 | ID="medOrd eredName-1 7" | |
| 7972 | > | |
| 7973 | nystatin ( MYCOSTATIN ) cream | |
| 7974 | </td> | |
| 7975 | <td | |
| 7976 | ID="medFil ledName-17 " | |
| 7977 | /> | |
| 7978 | <td/> | |
| 7979 | <td/> | |
| 7980 | <td> | |
| 7981 | Yes | |
| 7982 | </td> | |
| 7983 | <td/> | |
| 7984 | <td | |
| 7985 | ID="medInd ication-17 " | |
| 7986 | /> | |
| 7987 | <td/> | |
| 7988 | <td/> | |
| 7989 | <td | |
| 7990 | ID="medSig nature-17" | |
| 7991 | > | |
| 7992 | Apply 100, 000 applic ation topi cally 2 (t wo) times a day. | |
| 7993 | </td> | |
| 7994 | <td | |
| 7995 | ID="medCom ments-17" | |
| 7996 | /> | |
| 7997 | <td/> | |
| 7998 | </tr> | |
| 7999 | </tbody> | |
| 8000 | </table> | |
| 8001 | </text> | |
| 8002 | <entry | |
| 8003 | typeCode=" DRIV" | |
| 8004 | > | |
| 8005 | <substance Administra tion | |
| 8006 | classCode= "SBADM" | |
| 8007 | moodCode=" INT" | |
| 8008 | > | |
| 8009 | <templateI d | |
| 8010 | root="2.16 .840.1.113 883. IP .16" | |
| 8011 | /> | |
| 8012 | <id | |
| 8013 | root="3150 0" | |
| 8014 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .798268|75 66051" | |
| 8015 | assigningA uthorityNa me="31500- ExternalId " | |
| 8016 | /> | |
| 8017 | <id | |
| 8018 | root="3150 0" | |
| 8019 | extension= "E7984404- A69E-11E6- A9A0-5056A 4032400" | |
| 8020 | assigningA uthorityNa me="31500- PlacerId" | |
| 8021 | /> | |
| 8022 | <id | |
| 8023 | root="3150 0" | |
| 8024 | extension= "E7984652- A69E-11E6- A9A0-5056A 4032400" | |
| 8025 | assigningA uthorityNa me="31500- FillerId" | |
| 8026 | /> | |
| 8027 | <code | |
| 8028 | nullFlavor ="NA" | |
| 8029 | /> | |
| 8030 | <text> | |
| 8031 | <reference | |
| 8032 | value="#me dSignature -1" | |
| 8033 | /> | |
| 8034 | </text> | |
| 8035 | <statusCod e | |
| 8036 | code="comp leted" | |
| 8037 | /> | |
| 8038 | <effective Time | |
| 8039 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 8040 | xsi:type=" IVL_TS" | |
| 8041 | > | |
| 8042 | <low | |
| 8043 | value="201 6100600000 0" | |
| 8044 | /> | |
| 8045 | <high | |
| 8046 | value="201 6101703590 0" | |
| 8047 | /> | |
| 8048 | </effectiv eTime> | |
| 8049 | <routeCode | |
| 8050 | code="C382 88" | |
| 8051 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 8052 | codeSystem Name="nciT hesaurus" | |
| 8053 | displayNam e="Oral" | |
| 8054 | /> | |
| 8055 | <doseQuant ity | |
| 8056 | nullFlavor ="NI" | |
| 8057 | /> | |
| 8058 | <rateQuant ity | |
| 8059 | nullFlavor ="NI" | |
| 8060 | /> | |
| 8061 | <consumabl e | |
| 8062 | typeCode=" CSM" | |
| 8063 | > | |
| 8064 | <manufactu redProduct | |
| 8065 | classCode= "MANU" | |
| 8066 | > | |
| 8067 | <templateI d | |
| 8068 | root="2.16 .840.1.113 883. IP .23" | |
| 8069 | /> | |
| 8070 | <manufactu redMateria l | |
| 8071 | classCode= "MMAT" | |
| 8072 | determiner Code="KIND " | |
| 8073 | > | |
| 8074 | <code | |
| 8075 | code="3091 14" | |
| 8076 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8077 | codeSystem Name="RXNO RM" | |
| 8078 | displayNam e="cephale xin (KEFLE X) 500 MG capsule" | |
| 8079 | > | |
| 8080 | <originalT ext> | |
| 8081 | <reference | |
| 8082 | value="#me dOrderedNa me-1" | |
| 8083 | /> | |
| 8084 | </original Text> | |
| 8085 | <translati on | |
| 8086 | code="3091 14" | |
| 8087 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8088 | codeSystem Name="RXNO RM" | |
| 8089 | displayNam e="cephale xin (KEFLE X) 500 MG capsule" | |
| 8090 | /> | |
| 8091 | </code> | |
| 8092 | <name> | |
| 8093 | cephalexin (KEFLEX) 500 MG cap sule | |
| 8094 | </name> | |
| 8095 | </manufact uredMateri al> | |
| 8096 | </manufact uredProduc t> | |
| 8097 | </consumab le> | |
| 8098 | <author | |
| 8099 | typeCode=" AUT" | |
| 8100 | > | |
| 8101 | <time | |
| 8102 | nullFlavor ="UNK" | |
| 8103 | /> | |
| 8104 | <assignedA uthor | |
| 8105 | classCode= "ASSIGNED" | |
| 8106 | > | |
| 8107 | <id | |
| 8108 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 8109 | extension= "Robert Sa lk" | |
| 8110 | /> | |
| 8111 | <addr | |
| 8112 | nullFlavor ="UNK" | |
| 8113 | /> | |
| 8114 | <telecom | |
| 8115 | nullFlavor ="UNK" | |
| 8116 | /> | |
| 8117 | <assignedP erson> | |
| 8118 | <name | |
| 8119 | use="L" | |
| 8120 | > | |
| 8121 | <family> | |
| 8122 | Salk | |
| 8123 | </family> | |
| 8124 | <given> | |
| 8125 | Robert | |
| 8126 | </given> | |
| 8127 | </name> | |
| 8128 | </assigned Person> | |
| 8129 | <represent edOrganiza tion> | |
| 8130 | <id | |
| 8131 | root="2.16 .840.1.113 883.3.915" | |
| 8132 | extension= "31500" | |
| 8133 | displayabl e="true" | |
| 8134 | /> | |
| 8135 | <name> | |
| 8136 | Care New E ngland | |
| 8137 | </name> | |
| 8138 | <telecom | |
| 8139 | nullFlavor ="UNK" | |
| 8140 | /> | |
| 8141 | <addr | |
| 8142 | use="WP" | |
| 8143 | > | |
| 8144 | <streetAdd ressLine> | |
| 8145 | 10 Health Lane | |
| 8146 | </streetAd dressLine> | |
| 8147 | <city> | |
| 8148 | Warwick | |
| 8149 | </city> | |
| 8150 | <state> | |
| 8151 | RI | |
| 8152 | </state> | |
| 8153 | <postalCod e> | |
| 8154 | 02886 | |
| 8155 | </postalCo de> | |
| 8156 | <country> | |
| 8157 | US | |
| 8158 | </country> | |
| 8159 | </addr> | |
| 8160 | <asOrganiz ationPartO f> | |
| 8161 | <effective Time | |
| 8162 | nullFlavor ="UNK" | |
| 8163 | /> | |
| 8164 | <wholeOrga nization> | |
| 8165 | <id | |
| 8166 | root="2.16 .840.1.113 883.3.915" | |
| 8167 | /> | |
| 8168 | <id | |
| 8169 | root="2.16 .840.1.113 883.3.915" | |
| 8170 | extension= "HomeCommu nity" | |
| 8171 | displayabl e="true" | |
| 8172 | /> | |
| 8173 | <name> | |
| 8174 | CurrentCar e Test | |
| 8175 | </name> | |
| 8176 | <telecom | |
| 8177 | use="WP" | |
| 8178 | value="tel :401-276-9 141" | |
| 8179 | /> | |
| 8180 | <addr | |
| 8181 | use="WP" | |
| 8182 | > | |
| 8183 | <streetAdd ressLine> | |
| 8184 | 50 Holden St., Suite 300 | |
| 8185 | </streetAd dressLine> | |
| 8186 | <city> | |
| 8187 | Providence | |
| 8188 | </city> | |
| 8189 | <state> | |
| 8190 | RI | |
| 8191 | </state> | |
| 8192 | <postalCod e> | |
| 8193 | 02908 | |
| 8194 | </postalCo de> | |
| 8195 | <country> | |
| 8196 | US | |
| 8197 | </country> | |
| 8198 | </addr> | |
| 8199 | </wholeOrg anization> | |
| 8200 | </asOrgani zationPart Of> | |
| 8201 | </represen tedOrganiz ation> | |
| 8202 | </assigned Author> | |
| 8203 | </author> | |
| 8204 | <informant > | |
| 8205 | <assignedE ntity> | |
| 8206 | <id | |
| 8207 | root="RIQI ORG" | |
| 8208 | extension= "31500" | |
| 8209 | /> | |
| 8210 | <addr | |
| 8211 | use="WP" | |
| 8212 | > | |
| 8213 | <streetAdd ressLine> | |
| 8214 | 10 Health Lane | |
| 8215 | </streetAd dressLine> | |
| 8216 | <city> | |
| 8217 | Warwick | |
| 8218 | </city> | |
| 8219 | <state> | |
| 8220 | RI | |
| 8221 | </state> | |
| 8222 | <postalCod e> | |
| 8223 | 02886 | |
| 8224 | </postalCo de> | |
| 8225 | <country> | |
| 8226 | US | |
| 8227 | </country> | |
| 8228 | </addr> | |
| 8229 | <telecom | |
| 8230 | nullFlavor ="UNK" | |
| 8231 | /> | |
| 8232 | <assignedP erson> | |
| 8233 | <name | |
| 8234 | nullFlavor ="UNK" | |
| 8235 | /> | |
| 8236 | </assigned Person> | |
| 8237 | <represent edOrganiza tion> | |
| 8238 | <id | |
| 8239 | root="2.16 .840.1.113 883.3.915" | |
| 8240 | extension= "31500" | |
| 8241 | displayabl e="true" | |
| 8242 | /> | |
| 8243 | <name> | |
| 8244 | Care New E ngland | |
| 8245 | </name> | |
| 8246 | <telecom | |
| 8247 | nullFlavor ="UNK" | |
| 8248 | /> | |
| 8249 | <addr | |
| 8250 | use="WP" | |
| 8251 | > | |
| 8252 | <streetAdd ressLine> | |
| 8253 | 10 Health Lane | |
| 8254 | </streetAd dressLine> | |
| 8255 | <city> | |
| 8256 | Warwick | |
| 8257 | </city> | |
| 8258 | <state> | |
| 8259 | RI | |
| 8260 | </state> | |
| 8261 | <postalCod e> | |
| 8262 | 02886 | |
| 8263 | </postalCo de> | |
| 8264 | <country> | |
| 8265 | US | |
| 8266 | </country> | |
| 8267 | </addr> | |
| 8268 | <asOrganiz ationPartO f> | |
| 8269 | <effective Time | |
| 8270 | nullFlavor ="UNK" | |
| 8271 | /> | |
| 8272 | <wholeOrga nization> | |
| 8273 | <id | |
| 8274 | root="2.16 .840.1.113 883.3.915" | |
| 8275 | /> | |
| 8276 | <id | |
| 8277 | root="2.16 .840.1.113 883.3.915" | |
| 8278 | extension= "HomeCommu nity" | |
| 8279 | displayabl e="true" | |
| 8280 | /> | |
| 8281 | <name> | |
| 8282 | CurrentCar e Test | |
| 8283 | </name> | |
| 8284 | <telecom | |
| 8285 | use="WP" | |
| 8286 | value="tel :401-276-9 141" | |
| 8287 | /> | |
| 8288 | <addr | |
| 8289 | use="WP" | |
| 8290 | > | |
| 8291 | <streetAdd ressLine> | |
| 8292 | 50 Holden St., Suite 300 | |
| 8293 | </streetAd dressLine> | |
| 8294 | <city> | |
| 8295 | Providence | |
| 8296 | </city> | |
| 8297 | <state> | |
| 8298 | RI | |
| 8299 | </state> | |
| 8300 | <postalCod e> | |
| 8301 | 02908 | |
| 8302 | </postalCo de> | |
| 8303 | <country> | |
| 8304 | US | |
| 8305 | </country> | |
| 8306 | </addr> | |
| 8307 | </wholeOrg anization> | |
| 8308 | </asOrgani zationPart Of> | |
| 8309 | </represen tedOrganiz ation> | |
| 8310 | </assigned Entity> | |
| 8311 | </informan t> | |
| 8312 | <entryRela tionship | |
| 8313 | typeCode=" REFR" | |
| 8314 | inversionI nd="false" | |
| 8315 | > | |
| 8316 | <observati on | |
| 8317 | classCode= "OBS" | |
| 8318 | moodCode=" EVN" | |
| 8319 | > | |
| 8320 | <templateI d | |
| 8321 | root="2.16 .840.1.113 883. IP " | |
| 8322 | /> | |
| 8323 | <templateI d | |
| 8324 | root="2.16 .840.1.113 883. IP " | |
| 8325 | /> | |
| 8326 | <code | |
| 8327 | code="3399 9-4" | |
| 8328 | displayNam e="Status" | |
| 8329 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 8330 | codeSystem Name="LOIN C" | |
| 8331 | /> | |
| 8332 | <statusCod e | |
| 8333 | code="comp leted" | |
| 8334 | /> | |
| 8335 | <value | |
| 8336 | code="7342 5007" | |
| 8337 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 8338 | codeSystem Name="SNOM ED-CT" | |
| 8339 | displayNam e="Inactiv e" | |
| 8340 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 8341 | xsi:type=" CD" | |
| 8342 | /> | |
| 8343 | </observat ion> | |
| 8344 | </entryRel ationship> | |
| 8345 | <entryRela tionship | |
| 8346 | typeCode=" REFR" | |
| 8347 | > | |
| 8348 | <supply | |
| 8349 | classCode= "SPLY" | |
| 8350 | moodCode=" INT" | |
| 8351 | > | |
| 8352 | <templateI d | |
| 8353 | root="2.16 .840.1.113 883. IP .17" | |
| 8354 | /> | |
| 8355 | <id | |
| 8356 | root="3150 0" | |
| 8357 | extension= "E7984404- A69E-11E6- A9A0-5056A 4032400" | |
| 8358 | assigningA uthorityNa me="31500- PlacerId" | |
| 8359 | /> | |
| 8360 | <statusCod e | |
| 8361 | code="comp leted" | |
| 8362 | /> | |
| 8363 | <repeatNum ber | |
| 8364 | nullFlavor ="UNK" | |
| 8365 | /> | |
| 8366 | <product | |
| 8367 | typeCode=" PRD" | |
| 8368 | > | |
| 8369 | <manufactu redProduct | |
| 8370 | classCode= "MANU" | |
| 8371 | > | |
| 8372 | <templateI d | |
| 8373 | root="2.16 .840.1.113 883. IP .23" | |
| 8374 | /> | |
| 8375 | <manufactu redMateria l | |
| 8376 | classCode= "MMAT" | |
| 8377 | determiner Code="KIND " | |
| 8378 | > | |
| 8379 | <code | |
| 8380 | code="3091 14" | |
| 8381 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8382 | codeSystem Name="RXNO RM" | |
| 8383 | displayNam e="cephale xin (KEFLE X) 500 MG capsule" | |
| 8384 | > | |
| 8385 | <originalT ext> | |
| 8386 | <reference | |
| 8387 | value="#me dOrderedNa me-1" | |
| 8388 | /> | |
| 8389 | </original Text> | |
| 8390 | <translati on | |
| 8391 | code="3091 14" | |
| 8392 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8393 | codeSystem Name="RXNO RM" | |
| 8394 | displayNam e="cephale xin (KEFLE X) 500 MG capsule" | |
| 8395 | /> | |
| 8396 | </code> | |
| 8397 | <name> | |
| 8398 | cephalexin (KEFLEX) 500 MG cap sule | |
| 8399 | </name> | |
| 8400 | </manufact uredMateri al> | |
| 8401 | </manufact uredProduc t> | |
| 8402 | </product> | |
| 8403 | </supply> | |
| 8404 | </entryRel ationship> | |
| 8405 | <entryRela tionship | |
| 8406 | typeCode=" SUBJ" | |
| 8407 | inversionI nd="true" | |
| 8408 | > | |
| 8409 | <encounter | |
| 8410 | classCode= "ENC" | |
| 8411 | moodCode=" EVN" | |
| 8412 | > | |
| 8413 | <id | |
| 8414 | root="3150 0" | |
| 8415 | extension= "10553224" | |
| 8416 | /> | |
| 8417 | </encounte r> | |
| 8418 | </entryRel ationship> | |
| 8419 | </substanc eAdministr ation> | |
| 8420 | </entry> | |
| 8421 | <entry | |
| 8422 | typeCode=" DRIV" | |
| 8423 | > | |
| 8424 | <substance Administra tion | |
| 8425 | classCode= "SBADM" | |
| 8426 | moodCode=" INT" | |
| 8427 | > | |
| 8428 | <templateI d | |
| 8429 | root="2.16 .840.1.113 883. IP .16" | |
| 8430 | /> | |
| 8431 | <id | |
| 8432 | root="3150 0" | |
| 8433 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .798268|75 66050" | |
| 8434 | assigningA uthorityNa me="31500- ExternalId " | |
| 8435 | /> | |
| 8436 | <id | |
| 8437 | root="3150 0" | |
| 8438 | extension= "E797DECE- A69E-11E6- A9A0-5056A 4032400" | |
| 8439 | assigningA uthorityNa me="31500- PlacerId" | |
| 8440 | /> | |
| 8441 | <id | |
| 8442 | root="3150 0" | |
| 8443 | extension= "E797E126- A69E-11E6- A9A0-5056A 4032400" | |
| 8444 | assigningA uthorityNa me="31500- FillerId" | |
| 8445 | /> | |
| 8446 | <code | |
| 8447 | nullFlavor ="NA" | |
| 8448 | /> | |
| 8449 | <text> | |
| 8450 | <reference | |
| 8451 | value="#me dSignature -2" | |
| 8452 | /> | |
| 8453 | </text> | |
| 8454 | <statusCod e | |
| 8455 | code="comp leted" | |
| 8456 | /> | |
| 8457 | <effective Time | |
| 8458 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 8459 | xsi:type=" IVL_TS" | |
| 8460 | > | |
| 8461 | <low | |
| 8462 | value="201 6090700000 0" | |
| 8463 | /> | |
| 8464 | <high | |
| 8465 | value="201 7090803590 0" | |
| 8466 | /> | |
| 8467 | </effectiv eTime> | |
| 8468 | <doseQuant ity | |
| 8469 | nullFlavor ="NI" | |
| 8470 | /> | |
| 8471 | <rateQuant ity | |
| 8472 | nullFlavor ="NI" | |
| 8473 | /> | |
| 8474 | <consumabl e | |
| 8475 | typeCode=" CSM" | |
| 8476 | > | |
| 8477 | <manufactu redProduct | |
| 8478 | classCode= "MANU" | |
| 8479 | > | |
| 8480 | <templateI d | |
| 8481 | root="2.16 .840.1.113 883. IP .23" | |
| 8482 | /> | |
| 8483 | <manufactu redMateria l | |
| 8484 | classCode= "MMAT" | |
| 8485 | determiner Code="KIND " | |
| 8486 | > | |
| 8487 | <code | |
| 8488 | code="1053 753" | |
| 8489 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8490 | codeSystem Name="RXNO RM" | |
| 8491 | displayNam e="nystati n-triamcin olone (MYC OLOG II) c ream" | |
| 8492 | > | |
| 8493 | <originalT ext> | |
| 8494 | <reference | |
| 8495 | value="#me dOrderedNa me-2" | |
| 8496 | /> | |
| 8497 | </original Text> | |
| 8498 | <translati on | |
| 8499 | code="1053 753" | |
| 8500 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8501 | codeSystem Name="RXNO RM" | |
| 8502 | displayNam e="nystati n-triamcin olone (MYC OLOG II) c ream" | |
| 8503 | /> | |
| 8504 | </code> | |
| 8505 | <name> | |
| 8506 | nystatin-t riamcinolo ne (MYCOLO G II) crea m | |
| 8507 | </name> | |
| 8508 | </manufact uredMateri al> | |
| 8509 | </manufact uredProduc t> | |
| 8510 | </consumab le> | |
| 8511 | <author | |
| 8512 | typeCode=" AUT" | |
| 8513 | > | |
| 8514 | <time | |
| 8515 | nullFlavor ="UNK" | |
| 8516 | /> | |
| 8517 | <assignedA uthor | |
| 8518 | classCode= "ASSIGNED" | |
| 8519 | > | |
| 8520 | <id | |
| 8521 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 8522 | extension= "Robert Sa lk" | |
| 8523 | /> | |
| 8524 | <addr | |
| 8525 | nullFlavor ="UNK" | |
| 8526 | /> | |
| 8527 | <telecom | |
| 8528 | nullFlavor ="UNK" | |
| 8529 | /> | |
| 8530 | <assignedP erson> | |
| 8531 | <name | |
| 8532 | use="L" | |
| 8533 | > | |
| 8534 | <family> | |
| 8535 | Salk | |
| 8536 | </family> | |
| 8537 | <given> | |
| 8538 | Robert | |
| 8539 | </given> | |
| 8540 | </name> | |
| 8541 | </assigned Person> | |
| 8542 | <represent edOrganiza tion> | |
| 8543 | <id | |
| 8544 | root="2.16 .840.1.113 883.3.915" | |
| 8545 | extension= "31500" | |
| 8546 | displayabl e="true" | |
| 8547 | /> | |
| 8548 | <name> | |
| 8549 | Care New E ngland | |
| 8550 | </name> | |
| 8551 | <telecom | |
| 8552 | nullFlavor ="UNK" | |
| 8553 | /> | |
| 8554 | <addr | |
| 8555 | use="WP" | |
| 8556 | > | |
| 8557 | <streetAdd ressLine> | |
| 8558 | 10 Health Lane | |
| 8559 | </streetAd dressLine> | |
| 8560 | <city> | |
| 8561 | Warwick | |
| 8562 | </city> | |
| 8563 | <state> | |
| 8564 | RI | |
| 8565 | </state> | |
| 8566 | <postalCod e> | |
| 8567 | 02886 | |
| 8568 | </postalCo de> | |
| 8569 | <country> | |
| 8570 | US | |
| 8571 | </country> | |
| 8572 | </addr> | |
| 8573 | <asOrganiz ationPartO f> | |
| 8574 | <effective Time | |
| 8575 | nullFlavor ="UNK" | |
| 8576 | /> | |
| 8577 | <wholeOrga nization> | |
| 8578 | <id | |
| 8579 | root="2.16 .840.1.113 883.3.915" | |
| 8580 | /> | |
| 8581 | <id | |
| 8582 | root="2.16 .840.1.113 883.3.915" | |
| 8583 | extension= "HomeCommu nity" | |
| 8584 | displayabl e="true" | |
| 8585 | /> | |
| 8586 | <name> | |
| 8587 | CurrentCar e Test | |
| 8588 | </name> | |
| 8589 | <telecom | |
| 8590 | use="WP" | |
| 8591 | value="tel :401-276-9 141" | |
| 8592 | /> | |
| 8593 | <addr | |
| 8594 | use="WP" | |
| 8595 | > | |
| 8596 | <streetAdd ressLine> | |
| 8597 | 50 Holden St., Suite 300 | |
| 8598 | </streetAd dressLine> | |
| 8599 | <city> | |
| 8600 | Providence | |
| 8601 | </city> | |
| 8602 | <state> | |
| 8603 | RI | |
| 8604 | </state> | |
| 8605 | <postalCod e> | |
| 8606 | 02908 | |
| 8607 | </postalCo de> | |
| 8608 | <country> | |
| 8609 | US | |
| 8610 | </country> | |
| 8611 | </addr> | |
| 8612 | </wholeOrg anization> | |
| 8613 | </asOrgani zationPart Of> | |
| 8614 | </represen tedOrganiz ation> | |
| 8615 | </assigned Author> | |
| 8616 | </author> | |
| 8617 | <informant > | |
| 8618 | <assignedE ntity> | |
| 8619 | <id | |
| 8620 | root="RIQI ORG" | |
| 8621 | extension= "31500" | |
| 8622 | /> | |
| 8623 | <addr | |
| 8624 | use="WP" | |
| 8625 | > | |
| 8626 | <streetAdd ressLine> | |
| 8627 | 10 Health Lane | |
| 8628 | </streetAd dressLine> | |
| 8629 | <city> | |
| 8630 | Warwick | |
| 8631 | </city> | |
| 8632 | <state> | |
| 8633 | RI | |
| 8634 | </state> | |
| 8635 | <postalCod e> | |
| 8636 | 02886 | |
| 8637 | </postalCo de> | |
| 8638 | <country> | |
| 8639 | US | |
| 8640 | </country> | |
| 8641 | </addr> | |
| 8642 | <telecom | |
| 8643 | nullFlavor ="UNK" | |
| 8644 | /> | |
| 8645 | <assignedP erson> | |
| 8646 | <name | |
| 8647 | nullFlavor ="UNK" | |
| 8648 | /> | |
| 8649 | </assigned Person> | |
| 8650 | <represent edOrganiza tion> | |
| 8651 | <id | |
| 8652 | root="2.16 .840.1.113 883.3.915" | |
| 8653 | extension= "31500" | |
| 8654 | displayabl e="true" | |
| 8655 | /> | |
| 8656 | <name> | |
| 8657 | Care New E ngland | |
| 8658 | </name> | |
| 8659 | <telecom | |
| 8660 | nullFlavor ="UNK" | |
| 8661 | /> | |
| 8662 | <addr | |
| 8663 | use="WP" | |
| 8664 | > | |
| 8665 | <streetAdd ressLine> | |
| 8666 | 10 Health Lane | |
| 8667 | </streetAd dressLine> | |
| 8668 | <city> | |
| 8669 | Warwick | |
| 8670 | </city> | |
| 8671 | <state> | |
| 8672 | RI | |
| 8673 | </state> | |
| 8674 | <postalCod e> | |
| 8675 | 02886 | |
| 8676 | </postalCo de> | |
| 8677 | <country> | |
| 8678 | US | |
| 8679 | </country> | |
| 8680 | </addr> | |
| 8681 | <asOrganiz ationPartO f> | |
| 8682 | <effective Time | |
| 8683 | nullFlavor ="UNK" | |
| 8684 | /> | |
| 8685 | <wholeOrga nization> | |
| 8686 | <id | |
| 8687 | root="2.16 .840.1.113 883.3.915" | |
| 8688 | /> | |
| 8689 | <id | |
| 8690 | root="2.16 .840.1.113 883.3.915" | |
| 8691 | extension= "HomeCommu nity" | |
| 8692 | displayabl e="true" | |
| 8693 | /> | |
| 8694 | <name> | |
| 8695 | CurrentCar e Test | |
| 8696 | </name> | |
| 8697 | <telecom | |
| 8698 | use="WP" | |
| 8699 | value="tel :401-276-9 141" | |
| 8700 | /> | |
| 8701 | <addr | |
| 8702 | use="WP" | |
| 8703 | > | |
| 8704 | <streetAdd ressLine> | |
| 8705 | 50 Holden St., Suite 300 | |
| 8706 | </streetAd dressLine> | |
| 8707 | <city> | |
| 8708 | Providence | |
| 8709 | </city> | |
| 8710 | <state> | |
| 8711 | RI | |
| 8712 | </state> | |
| 8713 | <postalCod e> | |
| 8714 | 02908 | |
| 8715 | </postalCo de> | |
| 8716 | <country> | |
| 8717 | US | |
| 8718 | </country> | |
| 8719 | </addr> | |
| 8720 | </wholeOrg anization> | |
| 8721 | </asOrgani zationPart Of> | |
| 8722 | </represen tedOrganiz ation> | |
| 8723 | </assigned Entity> | |
| 8724 | </informan t> | |
| 8725 | <entryRela tionship | |
| 8726 | typeCode=" REFR" | |
| 8727 | inversionI nd="false" | |
| 8728 | > | |
| 8729 | <observati on | |
| 8730 | classCode= "OBS" | |
| 8731 | moodCode=" EVN" | |
| 8732 | > | |
| 8733 | <templateI d | |
| 8734 | root="2.16 .840.1.113 883. IP " | |
| 8735 | /> | |
| 8736 | <templateI d | |
| 8737 | root="2.16 .840.1.113 883. IP " | |
| 8738 | /> | |
| 8739 | <code | |
| 8740 | code="3399 9-4" | |
| 8741 | displayNam e="Status" | |
| 8742 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 8743 | codeSystem Name="LOIN C" | |
| 8744 | /> | |
| 8745 | <statusCod e | |
| 8746 | code="comp leted" | |
| 8747 | /> | |
| 8748 | <value | |
| 8749 | code="5556 1003" | |
| 8750 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 8751 | codeSystem Name="SNOM ED-CT" | |
| 8752 | displayNam e="Active" | |
| 8753 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 8754 | xsi:type=" CD" | |
| 8755 | /> | |
| 8756 | </observat ion> | |
| 8757 | </entryRel ationship> | |
| 8758 | <entryRela tionship | |
| 8759 | typeCode=" REFR" | |
| 8760 | > | |
| 8761 | <supply | |
| 8762 | classCode= "SPLY" | |
| 8763 | moodCode=" INT" | |
| 8764 | > | |
| 8765 | <templateI d | |
| 8766 | root="2.16 .840.1.113 883. IP .17" | |
| 8767 | /> | |
| 8768 | <id | |
| 8769 | root="3150 0" | |
| 8770 | extension= "E797DECE- A69E-11E6- A9A0-5056A 4032400" | |
| 8771 | assigningA uthorityNa me="31500- PlacerId" | |
| 8772 | /> | |
| 8773 | <statusCod e | |
| 8774 | code="comp leted" | |
| 8775 | /> | |
| 8776 | <repeatNum ber | |
| 8777 | nullFlavor ="UNK" | |
| 8778 | /> | |
| 8779 | <product | |
| 8780 | typeCode=" PRD" | |
| 8781 | > | |
| 8782 | <manufactu redProduct | |
| 8783 | classCode= "MANU" | |
| 8784 | > | |
| 8785 | <templateI d | |
| 8786 | root="2.16 .840.1.113 883. IP .23" | |
| 8787 | /> | |
| 8788 | <manufactu redMateria l | |
| 8789 | classCode= "MMAT" | |
| 8790 | determiner Code="KIND " | |
| 8791 | > | |
| 8792 | <code | |
| 8793 | code="1053 753" | |
| 8794 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8795 | codeSystem Name="RXNO RM" | |
| 8796 | displayNam e="nystati n-triamcin olone (MYC OLOG II) c ream" | |
| 8797 | > | |
| 8798 | <originalT ext> | |
| 8799 | <reference | |
| 8800 | value="#me dOrderedNa me-2" | |
| 8801 | /> | |
| 8802 | </original Text> | |
| 8803 | <translati on | |
| 8804 | code="1053 753" | |
| 8805 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8806 | codeSystem Name="RXNO RM" | |
| 8807 | displayNam e="nystati n-triamcin olone (MYC OLOG II) c ream" | |
| 8808 | /> | |
| 8809 | </code> | |
| 8810 | <name> | |
| 8811 | nystatin-t riamcinolo ne (MYCOLO G II) crea m | |
| 8812 | </name> | |
| 8813 | </manufact uredMateri al> | |
| 8814 | </manufact uredProduc t> | |
| 8815 | </product> | |
| 8816 | </supply> | |
| 8817 | </entryRel ationship> | |
| 8818 | <entryRela tionship | |
| 8819 | typeCode=" SUBJ" | |
| 8820 | inversionI nd="true" | |
| 8821 | > | |
| 8822 | <encounter | |
| 8823 | classCode= "ENC" | |
| 8824 | moodCode=" EVN" | |
| 8825 | > | |
| 8826 | <id | |
| 8827 | root="3150 0" | |
| 8828 | extension= "10553224" | |
| 8829 | /> | |
| 8830 | </encounte r> | |
| 8831 | </entryRel ationship> | |
| 8832 | </substanc eAdministr ation> | |
| 8833 | </entry> | |
| 8834 | <entry | |
| 8835 | typeCode=" DRIV" | |
| 8836 | > | |
| 8837 | <substance Administra tion | |
| 8838 | classCode= "SBADM" | |
| 8839 | moodCode=" INT" | |
| 8840 | > | |
| 8841 | <templateI d | |
| 8842 | root="2.16 .840.1.113 883. IP .16" | |
| 8843 | /> | |
| 8844 | <id | |
| 8845 | root="3150 0" | |
| 8846 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .798268|42 83773" | |
| 8847 | assigningA uthorityNa me="31500- ExternalId " | |
| 8848 | /> | |
| 8849 | <id | |
| 8850 | root="3150 0" | |
| 8851 | extension= "E794B3E8- A69E-11E6- A9A0-5056A 4032400" | |
| 8852 | assigningA uthorityNa me="31500- PlacerId" | |
| 8853 | /> | |
| 8854 | <id | |
| 8855 | root="3150 0" | |
| 8856 | extension= "E794B654- A69E-11E6- A9A0-5056A 4032400" | |
| 8857 | assigningA uthorityNa me="31500- FillerId" | |
| 8858 | /> | |
| 8859 | <code | |
| 8860 | nullFlavor ="NA" | |
| 8861 | /> | |
| 8862 | <text> | |
| 8863 | <reference | |
| 8864 | value="#me dSignature -3" | |
| 8865 | /> | |
| 8866 | </text> | |
| 8867 | <statusCod e | |
| 8868 | code="comp leted" | |
| 8869 | /> | |
| 8870 | <effective Time | |
| 8871 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 8872 | xsi:type=" IVL_TS" | |
| 8873 | > | |
| 8874 | <low | |
| 8875 | value="201 5061700000 0" | |
| 8876 | /> | |
| 8877 | <high | |
| 8878 | nullFlavor ="UNK" | |
| 8879 | /> | |
| 8880 | </effectiv eTime> | |
| 8881 | <routeCode | |
| 8882 | code="C382 88" | |
| 8883 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 8884 | codeSystem Name="nciT hesaurus" | |
| 8885 | displayNam e="Oral" | |
| 8886 | /> | |
| 8887 | <doseQuant ity | |
| 8888 | nullFlavor ="NI" | |
| 8889 | /> | |
| 8890 | <rateQuant ity | |
| 8891 | nullFlavor ="NI" | |
| 8892 | /> | |
| 8893 | <consumabl e | |
| 8894 | typeCode=" CSM" | |
| 8895 | > | |
| 8896 | <manufactu redProduct | |
| 8897 | classCode= "MANU" | |
| 8898 | > | |
| 8899 | <templateI d | |
| 8900 | root="2.16 .840.1.113 883. IP .23" | |
| 8901 | /> | |
| 8902 | <manufactu redMateria l | |
| 8903 | classCode= "MMAT" | |
| 8904 | determiner Code="KIND " | |
| 8905 | > | |
| 8906 | <code | |
| 8907 | code="3091 14" | |
| 8908 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8909 | codeSystem Name="RXNO RM" | |
| 8910 | displayNam e="cephale xin (KEFLE X) 500 MG capsule" | |
| 8911 | > | |
| 8912 | <originalT ext> | |
| 8913 | <reference | |
| 8914 | value="#me dOrderedNa me-3" | |
| 8915 | /> | |
| 8916 | </original Text> | |
| 8917 | <translati on | |
| 8918 | code="3091 14" | |
| 8919 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 8920 | codeSystem Name="RXNO RM" | |
| 8921 | displayNam e="cephale xin (KEFLE X) 500 MG capsule" | |
| 8922 | /> | |
| 8923 | </code> | |
| 8924 | <name> | |
| 8925 | cephalexin (KEFLEX) 500 MG cap sule | |
| 8926 | </name> | |
| 8927 | </manufact uredMateri al> | |
| 8928 | </manufact uredProduc t> | |
| 8929 | </consumab le> | |
| 8930 | <author | |
| 8931 | typeCode=" AUT" | |
| 8932 | > | |
| 8933 | <time | |
| 8934 | nullFlavor ="UNK" | |
| 8935 | /> | |
| 8936 | <assignedA uthor | |
| 8937 | classCode= "ASSIGNED" | |
| 8938 | > | |
| 8939 | <id | |
| 8940 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 8941 | extension= "Jennifer Galagan" | |
| 8942 | /> | |
| 8943 | <addr | |
| 8944 | nullFlavor ="UNK" | |
| 8945 | /> | |
| 8946 | <telecom | |
| 8947 | nullFlavor ="UNK" | |
| 8948 | /> | |
| 8949 | <assignedP erson> | |
| 8950 | <name | |
| 8951 | use="L" | |
| 8952 | > | |
| 8953 | <family> | |
| 8954 | Galagan | |
| 8955 | </family> | |
| 8956 | <given> | |
| 8957 | Jennifer | |
| 8958 | </given> | |
| 8959 | </name> | |
| 8960 | </assigned Person> | |
| 8961 | <represent edOrganiza tion> | |
| 8962 | <id | |
| 8963 | root="2.16 .840.1.113 883.3.915" | |
| 8964 | extension= "31500" | |
| 8965 | displayabl e="true" | |
| 8966 | /> | |
| 8967 | <name> | |
| 8968 | Care New E ngland | |
| 8969 | </name> | |
| 8970 | <telecom | |
| 8971 | nullFlavor ="UNK" | |
| 8972 | /> | |
| 8973 | <addr | |
| 8974 | use="WP" | |
| 8975 | > | |
| 8976 | <streetAdd ressLine> | |
| 8977 | 10 Health Lane | |
| 8978 | </streetAd dressLine> | |
| 8979 | <city> | |
| 8980 | Warwick | |
| 8981 | </city> | |
| 8982 | <state> | |
| 8983 | RI | |
| 8984 | </state> | |
| 8985 | <postalCod e> | |
| 8986 | 02886 | |
| 8987 | </postalCo de> | |
| 8988 | <country> | |
| 8989 | US | |
| 8990 | </country> | |
| 8991 | </addr> | |
| 8992 | <asOrganiz ationPartO f> | |
| 8993 | <effective Time | |
| 8994 | nullFlavor ="UNK" | |
| 8995 | /> | |
| 8996 | <wholeOrga nization> | |
| 8997 | <id | |
| 8998 | root="2.16 .840.1.113 883.3.915" | |
| 8999 | /> | |
| 9000 | <id | |
| 9001 | root="2.16 .840.1.113 883.3.915" | |
| 9002 | extension= "HomeCommu nity" | |
| 9003 | displayabl e="true" | |
| 9004 | /> | |
| 9005 | <name> | |
| 9006 | CurrentCar e Test | |
| 9007 | </name> | |
| 9008 | <telecom | |
| 9009 | use="WP" | |
| 9010 | value="tel :401-276-9 141" | |
| 9011 | /> | |
| 9012 | <addr | |
| 9013 | use="WP" | |
| 9014 | > | |
| 9015 | <streetAdd ressLine> | |
| 9016 | 50 Holden St., Suite 300 | |
| 9017 | </streetAd dressLine> | |
| 9018 | <city> | |
| 9019 | Providence | |
| 9020 | </city> | |
| 9021 | <state> | |
| 9022 | RI | |
| 9023 | </state> | |
| 9024 | <postalCod e> | |
| 9025 | 02908 | |
| 9026 | </postalCo de> | |
| 9027 | <country> | |
| 9028 | US | |
| 9029 | </country> | |
| 9030 | </addr> | |
| 9031 | </wholeOrg anization> | |
| 9032 | </asOrgani zationPart Of> | |
| 9033 | </represen tedOrganiz ation> | |
| 9034 | </assigned Author> | |
| 9035 | </author> | |
| 9036 | <informant > | |
| 9037 | <assignedE ntity> | |
| 9038 | <id | |
| 9039 | root="RIQI ORG" | |
| 9040 | extension= "31500" | |
| 9041 | /> | |
| 9042 | <addr | |
| 9043 | use="WP" | |
| 9044 | > | |
| 9045 | <streetAdd ressLine> | |
| 9046 | 10 Health Lane | |
| 9047 | </streetAd dressLine> | |
| 9048 | <city> | |
| 9049 | Warwick | |
| 9050 | </city> | |
| 9051 | <state> | |
| 9052 | RI | |
| 9053 | </state> | |
| 9054 | <postalCod e> | |
| 9055 | 02886 | |
| 9056 | </postalCo de> | |
| 9057 | <country> | |
| 9058 | US | |
| 9059 | </country> | |
| 9060 | </addr> | |
| 9061 | <telecom | |
| 9062 | nullFlavor ="UNK" | |
| 9063 | /> | |
| 9064 | <assignedP erson> | |
| 9065 | <name | |
| 9066 | nullFlavor ="UNK" | |
| 9067 | /> | |
| 9068 | </assigned Person> | |
| 9069 | <represent edOrganiza tion> | |
| 9070 | <id | |
| 9071 | root="2.16 .840.1.113 883.3.915" | |
| 9072 | extension= "31500" | |
| 9073 | displayabl e="true" | |
| 9074 | /> | |
| 9075 | <name> | |
| 9076 | Care New E ngland | |
| 9077 | </name> | |
| 9078 | <telecom | |
| 9079 | nullFlavor ="UNK" | |
| 9080 | /> | |
| 9081 | <addr | |
| 9082 | use="WP" | |
| 9083 | > | |
| 9084 | <streetAdd ressLine> | |
| 9085 | 10 Health Lane | |
| 9086 | </streetAd dressLine> | |
| 9087 | <city> | |
| 9088 | Warwick | |
| 9089 | </city> | |
| 9090 | <state> | |
| 9091 | RI | |
| 9092 | </state> | |
| 9093 | <postalCod e> | |
| 9094 | 02886 | |
| 9095 | </postalCo de> | |
| 9096 | <country> | |
| 9097 | US | |
| 9098 | </country> | |
| 9099 | </addr> | |
| 9100 | <asOrganiz ationPartO f> | |
| 9101 | <effective Time | |
| 9102 | nullFlavor ="UNK" | |
| 9103 | /> | |
| 9104 | <wholeOrga nization> | |
| 9105 | <id | |
| 9106 | root="2.16 .840.1.113 883.3.915" | |
| 9107 | /> | |
| 9108 | <id | |
| 9109 | root="2.16 .840.1.113 883.3.915" | |
| 9110 | extension= "HomeCommu nity" | |
| 9111 | displayabl e="true" | |
| 9112 | /> | |
| 9113 | <name> | |
| 9114 | CurrentCar e Test | |
| 9115 | </name> | |
| 9116 | <telecom | |
| 9117 | use="WP" | |
| 9118 | value="tel :401-276-9 141" | |
| 9119 | /> | |
| 9120 | <addr | |
| 9121 | use="WP" | |
| 9122 | > | |
| 9123 | <streetAdd ressLine> | |
| 9124 | 50 Holden St., Suite 300 | |
| 9125 | </streetAd dressLine> | |
| 9126 | <city> | |
| 9127 | Providence | |
| 9128 | </city> | |
| 9129 | <state> | |
| 9130 | RI | |
| 9131 | </state> | |
| 9132 | <postalCod e> | |
| 9133 | 02908 | |
| 9134 | </postalCo de> | |
| 9135 | <country> | |
| 9136 | US | |
| 9137 | </country> | |
| 9138 | </addr> | |
| 9139 | </wholeOrg anization> | |
| 9140 | </asOrgani zationPart Of> | |
| 9141 | </represen tedOrganiz ation> | |
| 9142 | </assigned Entity> | |
| 9143 | </informan t> | |
| 9144 | <entryRela tionship | |
| 9145 | typeCode=" REFR" | |
| 9146 | inversionI nd="false" | |
| 9147 | > | |
| 9148 | <observati on | |
| 9149 | classCode= "OBS" | |
| 9150 | moodCode=" EVN" | |
| 9151 | > | |
| 9152 | <templateI d | |
| 9153 | root="2.16 .840.1.113 883. IP " | |
| 9154 | /> | |
| 9155 | <templateI d | |
| 9156 | root="2.16 .840.1.113 883. IP " | |
| 9157 | /> | |
| 9158 | <code | |
| 9159 | code="3399 9-4" | |
| 9160 | displayNam e="Status" | |
| 9161 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 9162 | codeSystem Name="LOIN C" | |
| 9163 | /> | |
| 9164 | <statusCod e | |
| 9165 | code="comp leted" | |
| 9166 | /> | |
| 9167 | <value | |
| 9168 | code="5556 1003" | |
| 9169 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 9170 | codeSystem Name="SNOM ED-CT" | |
| 9171 | displayNam e="Active" | |
| 9172 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 9173 | xsi:type=" CD" | |
| 9174 | /> | |
| 9175 | </observat ion> | |
| 9176 | </entryRel ationship> | |
| 9177 | <entryRela tionship | |
| 9178 | typeCode=" REFR" | |
| 9179 | > | |
| 9180 | <supply | |
| 9181 | classCode= "SPLY" | |
| 9182 | moodCode=" INT" | |
| 9183 | > | |
| 9184 | <templateI d | |
| 9185 | root="2.16 .840.1.113 883. IP .17" | |
| 9186 | /> | |
| 9187 | <id | |
| 9188 | root="3150 0" | |
| 9189 | extension= "E794B3E8- A69E-11E6- A9A0-5056A 4032400" | |
| 9190 | assigningA uthorityNa me="31500- PlacerId" | |
| 9191 | /> | |
| 9192 | <statusCod e | |
| 9193 | code="comp leted" | |
| 9194 | /> | |
| 9195 | <repeatNum ber | |
| 9196 | nullFlavor ="UNK" | |
| 9197 | /> | |
| 9198 | <product | |
| 9199 | typeCode=" PRD" | |
| 9200 | > | |
| 9201 | <manufactu redProduct | |
| 9202 | classCode= "MANU" | |
| 9203 | > | |
| 9204 | <templateI d | |
| 9205 | root="2.16 .840.1.113 883. IP .23" | |
| 9206 | /> | |
| 9207 | <manufactu redMateria l | |
| 9208 | classCode= "MMAT" | |
| 9209 | determiner Code="KIND " | |
| 9210 | > | |
| 9211 | <code | |
| 9212 | code="3091 14" | |
| 9213 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 9214 | codeSystem Name="RXNO RM" | |
| 9215 | displayNam e="cephale xin (KEFLE X) 500 MG capsule" | |
| 9216 | > | |
| 9217 | <originalT ext> | |
| 9218 | <reference | |
| 9219 | value="#me dOrderedNa me-3" | |
| 9220 | /> | |
| 9221 | </original Text> | |
| 9222 | <translati on | |
| 9223 | code="3091 14" | |
| 9224 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 9225 | codeSystem Name="RXNO RM" | |
| 9226 | displayNam e="cephale xin (KEFLE X) 500 MG capsule" | |
| 9227 | /> | |
| 9228 | </code> | |
| 9229 | <name> | |
| 9230 | cephalexin (KEFLEX) 500 MG cap sule | |
| 9231 | </name> | |
| 9232 | </manufact uredMateri al> | |
| 9233 | </manufact uredProduc t> | |
| 9234 | </product> | |
| 9235 | </supply> | |
| 9236 | </entryRel ationship> | |
| 9237 | <entryRela tionship | |
| 9238 | typeCode=" SUBJ" | |
| 9239 | inversionI nd="true" | |
| 9240 | > | |
| 9241 | <encounter | |
| 9242 | classCode= "ENC" | |
| 9243 | moodCode=" EVN" | |
| 9244 | > | |
| 9245 | <id | |
| 9246 | root="3150 0" | |
| 9247 | extension= "10553224" | |
| 9248 | /> | |
| 9249 | </encounte r> | |
| 9250 | </entryRel ationship> | |
| 9251 | </substanc eAdministr ation> | |
| 9252 | </entry> | |
| 9253 | <entry | |
| 9254 | typeCode=" DRIV" | |
| 9255 | > | |
| 9256 | <substance Administra tion | |
| 9257 | classCode= "SBADM" | |
| 9258 | moodCode=" INT" | |
| 9259 | > | |
| 9260 | <templateI d | |
| 9261 | root="2.16 .840.1.113 883. IP .16" | |
| 9262 | /> | |
| 9263 | <id | |
| 9264 | nullFlavor ="UNK" | |
| 9265 | /> | |
| 9266 | <id | |
| 9267 | root="2.16 .840.1.113 883.4.349" | |
| 9268 | extension= "nullFlavo r" | |
| 9269 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 9270 | /> | |
| 9271 | <id | |
| 9272 | root="2.16 .840.1.113 883.4.349" | |
| 9273 | extension= "FFE205AC- A6A0-11E6- A9A0-5056A 4032400" | |
| 9274 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 9275 | /> | |
| 9276 | <code | |
| 9277 | nullFlavor ="NA" | |
| 9278 | /> | |
| 9279 | <text> | |
| 9280 | <reference | |
| 9281 | value="#me dSignature -4" | |
| 9282 | /> | |
| 9283 | </text> | |
| 9284 | <statusCod e | |
| 9285 | code="comp leted" | |
| 9286 | /> | |
| 9287 | <effective Time | |
| 9288 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 9289 | xsi:type=" IVL_TS" | |
| 9290 | nullFlavor ="UNK" | |
| 9291 | /> | |
| 9292 | <doseQuant ity | |
| 9293 | nullFlavor ="NI" | |
| 9294 | /> | |
| 9295 | <rateQuant ity | |
| 9296 | nullFlavor ="NI" | |
| 9297 | /> | |
| 9298 | <consumabl e | |
| 9299 | typeCode=" CSM" | |
| 9300 | > | |
| 9301 | <manufactu redProduct | |
| 9302 | classCode= "MANU" | |
| 9303 | > | |
| 9304 | <templateI d | |
| 9305 | root="2.16 .840.1.113 883. IP .23" | |
| 9306 | /> | |
| 9307 | <manufactu redMateria l | |
| 9308 | classCode= "MMAT" | |
| 9309 | determiner Code="KIND " | |
| 9310 | > | |
| 9311 | <code | |
| 9312 | nullFlavor ="UNK" | |
| 9313 | > | |
| 9314 | <originalT ext> | |
| 9315 | <reference | |
| 9316 | value="#me dOrderedNa me-4" | |
| 9317 | /> | |
| 9318 | </original Text> | |
| 9319 | <translati on | |
| 9320 | nullFlavor ="UNK" | |
| 9321 | /> | |
| 9322 | </code> | |
| 9323 | <name> | |
| 9324 | SERTRALINE HCL 25MG TAB | |
| 9325 | </name> | |
| 9326 | </manufact uredMateri al> | |
| 9327 | </manufact uredProduc t> | |
| 9328 | </consumab le> | |
| 9329 | <informant > | |
| 9330 | <assignedE ntity> | |
| 9331 | <id | |
| 9332 | root="RIQI ORG" | |
| 9333 | extension= "552" | |
| 9334 | /> | |
| 9335 | <addr | |
| 9336 | nullFlavor ="UNK" | |
| 9337 | /> | |
| 9338 | <telecom | |
| 9339 | nullFlavor ="UNK" | |
| 9340 | /> | |
| 9341 | <assignedP erson> | |
| 9342 | <name | |
| 9343 | nullFlavor ="UNK" | |
| 9344 | /> | |
| 9345 | </assigned Person> | |
| 9346 | <represent edOrganiza tion> | |
| 9347 | <id | |
| 9348 | root="2.16 .840.1.113 883.3.915" | |
| 9349 | extension= "552" | |
| 9350 | displayabl e="true" | |
| 9351 | /> | |
| 9352 | <name> | |
| 9353 | DAYTON | |
| 9354 | </name> | |
| 9355 | <telecom | |
| 9356 | nullFlavor ="UNK" | |
| 9357 | /> | |
| 9358 | <addr | |
| 9359 | nullFlavor ="UNK" | |
| 9360 | /> | |
| 9361 | <asOrganiz ationPartO f> | |
| 9362 | <effective Time | |
| 9363 | nullFlavor ="UNK" | |
| 9364 | /> | |
| 9365 | <wholeOrga nization> | |
| 9366 | <id | |
| 9367 | root="2.16 .840.1.113 883.3.915" | |
| 9368 | /> | |
| 9369 | <id | |
| 9370 | root="2.16 .840.1.113 883.3.915" | |
| 9371 | extension= "HomeCommu nity" | |
| 9372 | displayabl e="true" | |
| 9373 | /> | |
| 9374 | <name> | |
| 9375 | CurrentCar e Test | |
| 9376 | </name> | |
| 9377 | <telecom | |
| 9378 | use="WP" | |
| 9379 | value="tel :401-276-9 141" | |
| 9380 | /> | |
| 9381 | <addr | |
| 9382 | use="WP" | |
| 9383 | > | |
| 9384 | <streetAdd ressLine> | |
| 9385 | 50 Holden St., Suite 300 | |
| 9386 | </streetAd dressLine> | |
| 9387 | <city> | |
| 9388 | Providence | |
| 9389 | </city> | |
| 9390 | <state> | |
| 9391 | RI | |
| 9392 | </state> | |
| 9393 | <postalCod e> | |
| 9394 | 02908 | |
| 9395 | </postalCo de> | |
| 9396 | <country> | |
| 9397 | US | |
| 9398 | </country> | |
| 9399 | </addr> | |
| 9400 | </wholeOrg anization> | |
| 9401 | </asOrgani zationPart Of> | |
| 9402 | </represen tedOrganiz ation> | |
| 9403 | </assigned Entity> | |
| 9404 | </informan t> | |
| 9405 | <entryRela tionship | |
| 9406 | typeCode=" REFR" | |
| 9407 | inversionI nd="false" | |
| 9408 | > | |
| 9409 | <observati on | |
| 9410 | classCode= "OBS" | |
| 9411 | moodCode=" EVN" | |
| 9412 | > | |
| 9413 | <templateI d | |
| 9414 | root="2.16 .840.1.113 883. IP " | |
| 9415 | /> | |
| 9416 | <templateI d | |
| 9417 | root="2.16 .840.1.113 883. IP " | |
| 9418 | /> | |
| 9419 | <code | |
| 9420 | code="3399 9-4" | |
| 9421 | displayNam e="Status" | |
| 9422 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 9423 | codeSystem Name="LOIN C" | |
| 9424 | /> | |
| 9425 | <statusCod e | |
| 9426 | code="comp leted" | |
| 9427 | /> | |
| 9428 | <value | |
| 9429 | code="5556 1003" | |
| 9430 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 9431 | codeSystem Name="SNOM ED-CT" | |
| 9432 | displayNam e="Active" | |
| 9433 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 9434 | xsi:type=" CD" | |
| 9435 | /> | |
| 9436 | </observat ion> | |
| 9437 | </entryRel ationship> | |
| 9438 | <entryRela tionship | |
| 9439 | typeCode=" REFR" | |
| 9440 | > | |
| 9441 | <supply | |
| 9442 | classCode= "SPLY" | |
| 9443 | moodCode=" INT" | |
| 9444 | > | |
| 9445 | <templateI d | |
| 9446 | root="2.16 .840.1.113 883. IP .17" | |
| 9447 | /> | |
| 9448 | <id | |
| 9449 | root="2.16 .840.1.113 883.4.349" | |
| 9450 | extension= "nullFlavo r" | |
| 9451 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 9452 | /> | |
| 9453 | <statusCod e | |
| 9454 | code="comp leted" | |
| 9455 | /> | |
| 9456 | <repeatNum ber | |
| 9457 | nullFlavor ="UNK" | |
| 9458 | /> | |
| 9459 | <product | |
| 9460 | typeCode=" PRD" | |
| 9461 | > | |
| 9462 | <manufactu redProduct | |
| 9463 | classCode= "MANU" | |
| 9464 | > | |
| 9465 | <templateI d | |
| 9466 | root="2.16 .840.1.113 883. IP .23" | |
| 9467 | /> | |
| 9468 | <manufactu redMateria l | |
| 9469 | classCode= "MMAT" | |
| 9470 | determiner Code="KIND " | |
| 9471 | > | |
| 9472 | <code | |
| 9473 | nullFlavor ="UNK" | |
| 9474 | > | |
| 9475 | <originalT ext> | |
| 9476 | <reference | |
| 9477 | value="#me dOrderedNa me-4" | |
| 9478 | /> | |
| 9479 | </original Text> | |
| 9480 | <translati on | |
| 9481 | nullFlavor ="UNK" | |
| 9482 | /> | |
| 9483 | </code> | |
| 9484 | <name> | |
| 9485 | SERTRALINE HCL 25MG TAB | |
| 9486 | </name> | |
| 9487 | </manufact uredMateri al> | |
| 9488 | </manufact uredProduc t> | |
| 9489 | </product> | |
| 9490 | <author | |
| 9491 | typeCode=" AUT" | |
| 9492 | > | |
| 9493 | <time | |
| 9494 | nullFlavor ="UNK" | |
| 9495 | /> | |
| 9496 | <assignedA uthor | |
| 9497 | classCode= "ASSIGNED" | |
| 9498 | > | |
| 9499 | <id | |
| 9500 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 9501 | extension= "IRFAN ANK OLKAR" | |
| 9502 | /> | |
| 9503 | <addr | |
| 9504 | nullFlavor ="UNK" | |
| 9505 | /> | |
| 9506 | <telecom | |
| 9507 | nullFlavor ="UNK" | |
| 9508 | /> | |
| 9509 | <assignedP erson> | |
| 9510 | <name | |
| 9511 | use="L" | |
| 9512 | > | |
| 9513 | <family> | |
| 9514 | ANKOLKAR | |
| 9515 | </family> | |
| 9516 | <given> | |
| 9517 | IRFAN | |
| 9518 | </given> | |
| 9519 | </name> | |
| 9520 | </assigned Person> | |
| 9521 | <represent edOrganiza tion> | |
| 9522 | <id | |
| 9523 | root="2.16 .840.1.113 883.3.915" | |
| 9524 | extension= "552" | |
| 9525 | displayabl e="true" | |
| 9526 | /> | |
| 9527 | <name> | |
| 9528 | DAYTON | |
| 9529 | </name> | |
| 9530 | <telecom | |
| 9531 | nullFlavor ="UNK" | |
| 9532 | /> | |
| 9533 | <addr | |
| 9534 | nullFlavor ="UNK" | |
| 9535 | /> | |
| 9536 | <asOrganiz ationPartO f> | |
| 9537 | <effective Time | |
| 9538 | nullFlavor ="UNK" | |
| 9539 | /> | |
| 9540 | <wholeOrga nization> | |
| 9541 | <id | |
| 9542 | root="2.16 .840.1.113 883.3.915" | |
| 9543 | /> | |
| 9544 | <id | |
| 9545 | root="2.16 .840.1.113 883.3.915" | |
| 9546 | extension= "HomeCommu nity" | |
| 9547 | displayabl e="true" | |
| 9548 | /> | |
| 9549 | <name> | |
| 9550 | CurrentCar e Test | |
| 9551 | </name> | |
| 9552 | <telecom | |
| 9553 | use="WP" | |
| 9554 | value="tel :401-276-9 141" | |
| 9555 | /> | |
| 9556 | <addr | |
| 9557 | use="WP" | |
| 9558 | > | |
| 9559 | <streetAdd ressLine> | |
| 9560 | 50 Holden St., Suite 300 | |
| 9561 | </streetAd dressLine> | |
| 9562 | <city> | |
| 9563 | Providence | |
| 9564 | </city> | |
| 9565 | <state> | |
| 9566 | RI | |
| 9567 | </state> | |
| 9568 | <postalCod e> | |
| 9569 | 02908 | |
| 9570 | </postalCo de> | |
| 9571 | <country> | |
| 9572 | US | |
| 9573 | </country> | |
| 9574 | </addr> | |
| 9575 | </wholeOrg anization> | |
| 9576 | </asOrgani zationPart Of> | |
| 9577 | </represen tedOrganiz ation> | |
| 9578 | </assigned Author> | |
| 9579 | </author> | |
| 9580 | </supply> | |
| 9581 | </entryRel ationship> | |
| 9582 | <entryRela tionship | |
| 9583 | typeCode=" SUBJ" | |
| 9584 | inversionI nd="true" | |
| 9585 | > | |
| 9586 | <encounter | |
| 9587 | classCode= "ENC" | |
| 9588 | moodCode=" EVN" | |
| 9589 | > | |
| 9590 | <id | |
| 9591 | root="2.16 .840.1.113 883.3.1275 " | |
| 9592 | extension= "2.16.840. 1.113883.4 .349" | |
| 9593 | /> | |
| 9594 | </encounte r> | |
| 9595 | </entryRel ationship> | |
| 9596 | </substanc eAdministr ation> | |
| 9597 | </entry> | |
| 9598 | <entry | |
| 9599 | typeCode=" DRIV" | |
| 9600 | > | |
| 9601 | <substance Administra tion | |
| 9602 | classCode= "SBADM" | |
| 9603 | moodCode=" INT" | |
| 9604 | > | |
| 9605 | <templateI d | |
| 9606 | root="2.16 .840.1.113 883. IP .16" | |
| 9607 | /> | |
| 9608 | <id | |
| 9609 | root="3150 0" | |
| 9610 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .798268|42 83763" | |
| 9611 | assigningA uthorityNa me="31500- ExternalId " | |
| 9612 | /> | |
| 9613 | <id | |
| 9614 | root="3150 0" | |
| 9615 | extension= "E7812FC6- A69E-11E6- A9A0-5056A 4032400" | |
| 9616 | assigningA uthorityNa me="31500- PlacerId" | |
| 9617 | /> | |
| 9618 | <id | |
| 9619 | root="3150 0" | |
| 9620 | extension= "E78133C2- A69E-11E6- A9A0-5056A 4032400" | |
| 9621 | assigningA uthorityNa me="31500- FillerId" | |
| 9622 | /> | |
| 9623 | <code | |
| 9624 | nullFlavor ="NA" | |
| 9625 | /> | |
| 9626 | <text> | |
| 9627 | <reference | |
| 9628 | value="#me dSignature -5" | |
| 9629 | /> | |
| 9630 | </text> | |
| 9631 | <statusCod e | |
| 9632 | code="comp leted" | |
| 9633 | /> | |
| 9634 | <effective Time | |
| 9635 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 9636 | xsi:type=" IVL_TS" | |
| 9637 | nullFlavor ="UNK" | |
| 9638 | /> | |
| 9639 | <routeCode | |
| 9640 | code="C382 88" | |
| 9641 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 9642 | codeSystem Name="nciT hesaurus" | |
| 9643 | displayNam e="Oral" | |
| 9644 | /> | |
| 9645 | <doseQuant ity | |
| 9646 | nullFlavor ="NI" | |
| 9647 | /> | |
| 9648 | <rateQuant ity | |
| 9649 | nullFlavor ="NI" | |
| 9650 | /> | |
| 9651 | <consumabl e | |
| 9652 | typeCode=" CSM" | |
| 9653 | > | |
| 9654 | <manufactu redProduct | |
| 9655 | classCode= "MANU" | |
| 9656 | > | |
| 9657 | <templateI d | |
| 9658 | root="2.16 .840.1.113 883. IP .23" | |
| 9659 | /> | |
| 9660 | <manufactu redMateria l | |
| 9661 | classCode= "MMAT" | |
| 9662 | determiner Code="KIND " | |
| 9663 | > | |
| 9664 | <code | |
| 9665 | code="3137 78" | |
| 9666 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 9667 | codeSystem Name="RXNO RM" | |
| 9668 | displayNam e="ziprasi done (GEOD ON) 80 MG capsule" | |
| 9669 | > | |
| 9670 | <originalT ext> | |
| 9671 | <reference | |
| 9672 | value="#me dOrderedNa me-5" | |
| 9673 | /> | |
| 9674 | </original Text> | |
| 9675 | <translati on | |
| 9676 | code="3137 78" | |
| 9677 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 9678 | codeSystem Name="RXNO RM" | |
| 9679 | displayNam e="ziprasi done (GEOD ON) 80 MG capsule" | |
| 9680 | /> | |
| 9681 | </code> | |
| 9682 | <name> | |
| 9683 | ziprasidon e (GEODON) 80 MG cap sule | |
| 9684 | </name> | |
| 9685 | </manufact uredMateri al> | |
| 9686 | </manufact uredProduc t> | |
| 9687 | </consumab le> | |
| 9688 | <author | |
| 9689 | typeCode=" AUT" | |
| 9690 | > | |
| 9691 | <time | |
| 9692 | nullFlavor ="UNK" | |
| 9693 | /> | |
| 9694 | <assignedA uthor | |
| 9695 | classCode= "ASSIGNED" | |
| 9696 | > | |
| 9697 | <id | |
| 9698 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 9699 | extension= "Historica l Provider " | |
| 9700 | /> | |
| 9701 | <addr | |
| 9702 | nullFlavor ="UNK" | |
| 9703 | /> | |
| 9704 | <telecom | |
| 9705 | nullFlavor ="UNK" | |
| 9706 | /> | |
| 9707 | <assignedP erson> | |
| 9708 | <name | |
| 9709 | use="L" | |
| 9710 | > | |
| 9711 | <family> | |
| 9712 | Provider | |
| 9713 | </family> | |
| 9714 | <given> | |
| 9715 | Historical | |
| 9716 | </given> | |
| 9717 | </name> | |
| 9718 | </assigned Person> | |
| 9719 | <represent edOrganiza tion> | |
| 9720 | <id | |
| 9721 | root="2.16 .840.1.113 883.3.915" | |
| 9722 | extension= "31500" | |
| 9723 | displayabl e="true" | |
| 9724 | /> | |
| 9725 | <name> | |
| 9726 | Care New E ngland | |
| 9727 | </name> | |
| 9728 | <telecom | |
| 9729 | nullFlavor ="UNK" | |
| 9730 | /> | |
| 9731 | <addr | |
| 9732 | use="WP" | |
| 9733 | > | |
| 9734 | <streetAdd ressLine> | |
| 9735 | 10 Health Lane | |
| 9736 | </streetAd dressLine> | |
| 9737 | <city> | |
| 9738 | Warwick | |
| 9739 | </city> | |
| 9740 | <state> | |
| 9741 | RI | |
| 9742 | </state> | |
| 9743 | <postalCod e> | |
| 9744 | 02886 | |
| 9745 | </postalCo de> | |
| 9746 | <country> | |
| 9747 | US | |
| 9748 | </country> | |
| 9749 | </addr> | |
| 9750 | <asOrganiz ationPartO f> | |
| 9751 | <effective Time | |
| 9752 | nullFlavor ="UNK" | |
| 9753 | /> | |
| 9754 | <wholeOrga nization> | |
| 9755 | <id | |
| 9756 | root="2.16 .840.1.113 883.3.915" | |
| 9757 | /> | |
| 9758 | <id | |
| 9759 | root="2.16 .840.1.113 883.3.915" | |
| 9760 | extension= "HomeCommu nity" | |
| 9761 | displayabl e="true" | |
| 9762 | /> | |
| 9763 | <name> | |
| 9764 | CurrentCar e Test | |
| 9765 | </name> | |
| 9766 | <telecom | |
| 9767 | use="WP" | |
| 9768 | value="tel :401-276-9 141" | |
| 9769 | /> | |
| 9770 | <addr | |
| 9771 | use="WP" | |
| 9772 | > | |
| 9773 | <streetAdd ressLine> | |
| 9774 | 50 Holden St., Suite 300 | |
| 9775 | </streetAd dressLine> | |
| 9776 | <city> | |
| 9777 | Providence | |
| 9778 | </city> | |
| 9779 | <state> | |
| 9780 | RI | |
| 9781 | </state> | |
| 9782 | <postalCod e> | |
| 9783 | 02908 | |
| 9784 | </postalCo de> | |
| 9785 | <country> | |
| 9786 | US | |
| 9787 | </country> | |
| 9788 | </addr> | |
| 9789 | </wholeOrg anization> | |
| 9790 | </asOrgani zationPart Of> | |
| 9791 | </represen tedOrganiz ation> | |
| 9792 | </assigned Author> | |
| 9793 | </author> | |
| 9794 | <informant > | |
| 9795 | <assignedE ntity> | |
| 9796 | <id | |
| 9797 | root="RIQI ORG" | |
| 9798 | extension= "31500" | |
| 9799 | /> | |
| 9800 | <addr | |
| 9801 | use="WP" | |
| 9802 | > | |
| 9803 | <streetAdd ressLine> | |
| 9804 | 10 Health Lane | |
| 9805 | </streetAd dressLine> | |
| 9806 | <city> | |
| 9807 | Warwick | |
| 9808 | </city> | |
| 9809 | <state> | |
| 9810 | RI | |
| 9811 | </state> | |
| 9812 | <postalCod e> | |
| 9813 | 02886 | |
| 9814 | </postalCo de> | |
| 9815 | <country> | |
| 9816 | US | |
| 9817 | </country> | |
| 9818 | </addr> | |
| 9819 | <telecom | |
| 9820 | nullFlavor ="UNK" | |
| 9821 | /> | |
| 9822 | <assignedP erson> | |
| 9823 | <name | |
| 9824 | nullFlavor ="UNK" | |
| 9825 | /> | |
| 9826 | </assigned Person> | |
| 9827 | <represent edOrganiza tion> | |
| 9828 | <id | |
| 9829 | root="2.16 .840.1.113 883.3.915" | |
| 9830 | extension= "31500" | |
| 9831 | displayabl e="true" | |
| 9832 | /> | |
| 9833 | <name> | |
| 9834 | Care New E ngland | |
| 9835 | </name> | |
| 9836 | <telecom | |
| 9837 | nullFlavor ="UNK" | |
| 9838 | /> | |
| 9839 | <addr | |
| 9840 | use="WP" | |
| 9841 | > | |
| 9842 | <streetAdd ressLine> | |
| 9843 | 10 Health Lane | |
| 9844 | </streetAd dressLine> | |
| 9845 | <city> | |
| 9846 | Warwick | |
| 9847 | </city> | |
| 9848 | <state> | |
| 9849 | RI | |
| 9850 | </state> | |
| 9851 | <postalCod e> | |
| 9852 | 02886 | |
| 9853 | </postalCo de> | |
| 9854 | <country> | |
| 9855 | US | |
| 9856 | </country> | |
| 9857 | </addr> | |
| 9858 | <asOrganiz ationPartO f> | |
| 9859 | <effective Time | |
| 9860 | nullFlavor ="UNK" | |
| 9861 | /> | |
| 9862 | <wholeOrga nization> | |
| 9863 | <id | |
| 9864 | root="2.16 .840.1.113 883.3.915" | |
| 9865 | /> | |
| 9866 | <id | |
| 9867 | root="2.16 .840.1.113 883.3.915" | |
| 9868 | extension= "HomeCommu nity" | |
| 9869 | displayabl e="true" | |
| 9870 | /> | |
| 9871 | <name> | |
| 9872 | CurrentCar e Test | |
| 9873 | </name> | |
| 9874 | <telecom | |
| 9875 | use="WP" | |
| 9876 | value="tel :401-276-9 141" | |
| 9877 | /> | |
| 9878 | <addr | |
| 9879 | use="WP" | |
| 9880 | > | |
| 9881 | <streetAdd ressLine> | |
| 9882 | 50 Holden St., Suite 300 | |
| 9883 | </streetAd dressLine> | |
| 9884 | <city> | |
| 9885 | Providence | |
| 9886 | </city> | |
| 9887 | <state> | |
| 9888 | RI | |
| 9889 | </state> | |
| 9890 | <postalCod e> | |
| 9891 | 02908 | |
| 9892 | </postalCo de> | |
| 9893 | <country> | |
| 9894 | US | |
| 9895 | </country> | |
| 9896 | </addr> | |
| 9897 | </wholeOrg anization> | |
| 9898 | </asOrgani zationPart Of> | |
| 9899 | </represen tedOrganiz ation> | |
| 9900 | </assigned Entity> | |
| 9901 | </informan t> | |
| 9902 | <entryRela tionship | |
| 9903 | typeCode=" REFR" | |
| 9904 | inversionI nd="false" | |
| 9905 | > | |
| 9906 | <observati on | |
| 9907 | classCode= "OBS" | |
| 9908 | moodCode=" EVN" | |
| 9909 | > | |
| 9910 | <templateI d | |
| 9911 | root="2.16 .840.1.113 883. IP " | |
| 9912 | /> | |
| 9913 | <templateI d | |
| 9914 | root="2.16 .840.1.113 883. IP " | |
| 9915 | /> | |
| 9916 | <code | |
| 9917 | code="3399 9-4" | |
| 9918 | displayNam e="Status" | |
| 9919 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 9920 | codeSystem Name="LOIN C" | |
| 9921 | /> | |
| 9922 | <statusCod e | |
| 9923 | code="comp leted" | |
| 9924 | /> | |
| 9925 | <value | |
| 9926 | code="5556 1003" | |
| 9927 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 9928 | codeSystem Name="SNOM ED-CT" | |
| 9929 | displayNam e="Active" | |
| 9930 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 9931 | xsi:type=" CD" | |
| 9932 | /> | |
| 9933 | </observat ion> | |
| 9934 | </entryRel ationship> | |
| 9935 | <entryRela tionship | |
| 9936 | typeCode=" REFR" | |
| 9937 | > | |
| 9938 | <supply | |
| 9939 | classCode= "SPLY" | |
| 9940 | moodCode=" INT" | |
| 9941 | > | |
| 9942 | <templateI d | |
| 9943 | root="2.16 .840.1.113 883. IP .17" | |
| 9944 | /> | |
| 9945 | <id | |
| 9946 | root="3150 0" | |
| 9947 | extension= "E7812FC6- A69E-11E6- A9A0-5056A 4032400" | |
| 9948 | assigningA uthorityNa me="31500- PlacerId" | |
| 9949 | /> | |
| 9950 | <statusCod e | |
| 9951 | code="comp leted" | |
| 9952 | /> | |
| 9953 | <repeatNum ber | |
| 9954 | nullFlavor ="UNK" | |
| 9955 | /> | |
| 9956 | <product | |
| 9957 | typeCode=" PRD" | |
| 9958 | > | |
| 9959 | <manufactu redProduct | |
| 9960 | classCode= "MANU" | |
| 9961 | > | |
| 9962 | <templateI d | |
| 9963 | root="2.16 .840.1.113 883. IP .23" | |
| 9964 | /> | |
| 9965 | <manufactu redMateria l | |
| 9966 | classCode= "MMAT" | |
| 9967 | determiner Code="KIND " | |
| 9968 | > | |
| 9969 | <code | |
| 9970 | code="3137 78" | |
| 9971 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 9972 | codeSystem Name="RXNO RM" | |
| 9973 | displayNam e="ziprasi done (GEOD ON) 80 MG capsule" | |
| 9974 | > | |
| 9975 | <originalT ext> | |
| 9976 | <reference | |
| 9977 | value="#me dOrderedNa me-5" | |
| 9978 | /> | |
| 9979 | </original Text> | |
| 9980 | <translati on | |
| 9981 | code="3137 78" | |
| 9982 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 9983 | codeSystem Name="RXNO RM" | |
| 9984 | displayNam e="ziprasi done (GEOD ON) 80 MG capsule" | |
| 9985 | /> | |
| 9986 | </code> | |
| 9987 | <name> | |
| 9988 | ziprasidon e (GEODON) 80 MG cap sule | |
| 9989 | </name> | |
| 9990 | </manufact uredMateri al> | |
| 9991 | </manufact uredProduc t> | |
| 9992 | </product> | |
| 9993 | </supply> | |
| 9994 | </entryRel ationship> | |
| 9995 | <entryRela tionship | |
| 9996 | typeCode=" SUBJ" | |
| 9997 | inversionI nd="true" | |
| 9998 | > | |
| 9999 | <encounter | |
| 10000 | classCode= "ENC" | |
| 10001 | moodCode=" EVN" | |
| 10002 | > | |
| 10003 | <id | |
| 10004 | root="3150 0" | |
| 10005 | extension= "10553224" | |
| 10006 | /> | |
| 10007 | </encounte r> | |
| 10008 | </entryRel ationship> | |
| 10009 | </substanc eAdministr ation> | |
| 10010 | </entry> | |
| 10011 | <entry | |
| 10012 | typeCode=" DRIV" | |
| 10013 | > | |
| 10014 | <substance Administra tion | |
| 10015 | classCode= "SBADM" | |
| 10016 | moodCode=" INT" | |
| 10017 | > | |
| 10018 | <templateI d | |
| 10019 | root="2.16 .840.1.113 883. IP .16" | |
| 10020 | /> | |
| 10021 | <id | |
| 10022 | root="3150 0" | |
| 10023 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .798268|42 83764" | |
| 10024 | assigningA uthorityNa me="31500- ExternalId " | |
| 10025 | /> | |
| 10026 | <id | |
| 10027 | root="3150 0" | |
| 10028 | extension= "E78E3888- A69E-11E6- A9A0-5056A 4032400" | |
| 10029 | assigningA uthorityNa me="31500- PlacerId" | |
| 10030 | /> | |
| 10031 | <id | |
| 10032 | root="3150 0" | |
| 10033 | extension= "E78E3AEA- A69E-11E6- A9A0-5056A 4032400" | |
| 10034 | assigningA uthorityNa me="31500- FillerId" | |
| 10035 | /> | |
| 10036 | <code | |
| 10037 | nullFlavor ="NA" | |
| 10038 | /> | |
| 10039 | <text> | |
| 10040 | <reference | |
| 10041 | value="#me dSignature -6" | |
| 10042 | /> | |
| 10043 | </text> | |
| 10044 | <statusCod e | |
| 10045 | code="comp leted" | |
| 10046 | /> | |
| 10047 | <effective Time | |
| 10048 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 10049 | xsi:type=" IVL_TS" | |
| 10050 | nullFlavor ="UNK" | |
| 10051 | /> | |
| 10052 | <doseQuant ity | |
| 10053 | nullFlavor ="NI" | |
| 10054 | /> | |
| 10055 | <rateQuant ity | |
| 10056 | nullFlavor ="NI" | |
| 10057 | /> | |
| 10058 | <consumabl e | |
| 10059 | typeCode=" CSM" | |
| 10060 | > | |
| 10061 | <manufactu redProduct | |
| 10062 | classCode= "MANU" | |
| 10063 | > | |
| 10064 | <templateI d | |
| 10065 | root="2.16 .840.1.113 883. IP .23" | |
| 10066 | /> | |
| 10067 | <manufactu redMateria l | |
| 10068 | classCode= "MMAT" | |
| 10069 | determiner Code="KIND " | |
| 10070 | > | |
| 10071 | <code | |
| 10072 | code="3140 72" | |
| 10073 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10074 | codeSystem Name="RXNO RM" | |
| 10075 | displayNam e="latanop rost (XALA TAN) 0.005 % ophthal mic soluti on" | |
| 10076 | > | |
| 10077 | <originalT ext> | |
| 10078 | <reference | |
| 10079 | value="#me dOrderedNa me-6" | |
| 10080 | /> | |
| 10081 | </original Text> | |
| 10082 | <translati on | |
| 10083 | code="3140 72" | |
| 10084 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10085 | codeSystem Name="RXNO RM" | |
| 10086 | displayNam e="latanop rost (XALA TAN) 0.005 % ophthal mic soluti on" | |
| 10087 | /> | |
| 10088 | </code> | |
| 10089 | <name> | |
| 10090 | latanopros t (XALATAN ) 0.005 % ophthalmic solution | |
| 10091 | </name> | |
| 10092 | </manufact uredMateri al> | |
| 10093 | </manufact uredProduc t> | |
| 10094 | </consumab le> | |
| 10095 | <author | |
| 10096 | typeCode=" AUT" | |
| 10097 | > | |
| 10098 | <time | |
| 10099 | nullFlavor ="UNK" | |
| 10100 | /> | |
| 10101 | <assignedA uthor | |
| 10102 | classCode= "ASSIGNED" | |
| 10103 | > | |
| 10104 | <id | |
| 10105 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 10106 | extension= "Historica l Provider " | |
| 10107 | /> | |
| 10108 | <addr | |
| 10109 | nullFlavor ="UNK" | |
| 10110 | /> | |
| 10111 | <telecom | |
| 10112 | nullFlavor ="UNK" | |
| 10113 | /> | |
| 10114 | <assignedP erson> | |
| 10115 | <name | |
| 10116 | use="L" | |
| 10117 | > | |
| 10118 | <family> | |
| 10119 | Provider | |
| 10120 | </family> | |
| 10121 | <given> | |
| 10122 | Historical | |
| 10123 | </given> | |
| 10124 | </name> | |
| 10125 | </assigned Person> | |
| 10126 | <represent edOrganiza tion> | |
| 10127 | <id | |
| 10128 | root="2.16 .840.1.113 883.3.915" | |
| 10129 | extension= "31500" | |
| 10130 | displayabl e="true" | |
| 10131 | /> | |
| 10132 | <name> | |
| 10133 | Care New E ngland | |
| 10134 | </name> | |
| 10135 | <telecom | |
| 10136 | nullFlavor ="UNK" | |
| 10137 | /> | |
| 10138 | <addr | |
| 10139 | use="WP" | |
| 10140 | > | |
| 10141 | <streetAdd ressLine> | |
| 10142 | 10 Health Lane | |
| 10143 | </streetAd dressLine> | |
| 10144 | <city> | |
| 10145 | Warwick | |
| 10146 | </city> | |
| 10147 | <state> | |
| 10148 | RI | |
| 10149 | </state> | |
| 10150 | <postalCod e> | |
| 10151 | 02886 | |
| 10152 | </postalCo de> | |
| 10153 | <country> | |
| 10154 | US | |
| 10155 | </country> | |
| 10156 | </addr> | |
| 10157 | <asOrganiz ationPartO f> | |
| 10158 | <effective Time | |
| 10159 | nullFlavor ="UNK" | |
| 10160 | /> | |
| 10161 | <wholeOrga nization> | |
| 10162 | <id | |
| 10163 | root="2.16 .840.1.113 883.3.915" | |
| 10164 | /> | |
| 10165 | <id | |
| 10166 | root="2.16 .840.1.113 883.3.915" | |
| 10167 | extension= "HomeCommu nity" | |
| 10168 | displayabl e="true" | |
| 10169 | /> | |
| 10170 | <name> | |
| 10171 | CurrentCar e Test | |
| 10172 | </name> | |
| 10173 | <telecom | |
| 10174 | use="WP" | |
| 10175 | value="tel :401-276-9 141" | |
| 10176 | /> | |
| 10177 | <addr | |
| 10178 | use="WP" | |
| 10179 | > | |
| 10180 | <streetAdd ressLine> | |
| 10181 | 50 Holden St., Suite 300 | |
| 10182 | </streetAd dressLine> | |
| 10183 | <city> | |
| 10184 | Providence | |
| 10185 | </city> | |
| 10186 | <state> | |
| 10187 | RI | |
| 10188 | </state> | |
| 10189 | <postalCod e> | |
| 10190 | 02908 | |
| 10191 | </postalCo de> | |
| 10192 | <country> | |
| 10193 | US | |
| 10194 | </country> | |
| 10195 | </addr> | |
| 10196 | </wholeOrg anization> | |
| 10197 | </asOrgani zationPart Of> | |
| 10198 | </represen tedOrganiz ation> | |
| 10199 | </assigned Author> | |
| 10200 | </author> | |
| 10201 | <informant > | |
| 10202 | <assignedE ntity> | |
| 10203 | <id | |
| 10204 | root="RIQI ORG" | |
| 10205 | extension= "31500" | |
| 10206 | /> | |
| 10207 | <addr | |
| 10208 | use="WP" | |
| 10209 | > | |
| 10210 | <streetAdd ressLine> | |
| 10211 | 10 Health Lane | |
| 10212 | </streetAd dressLine> | |
| 10213 | <city> | |
| 10214 | Warwick | |
| 10215 | </city> | |
| 10216 | <state> | |
| 10217 | RI | |
| 10218 | </state> | |
| 10219 | <postalCod e> | |
| 10220 | 02886 | |
| 10221 | </postalCo de> | |
| 10222 | <country> | |
| 10223 | US | |
| 10224 | </country> | |
| 10225 | </addr> | |
| 10226 | <telecom | |
| 10227 | nullFlavor ="UNK" | |
| 10228 | /> | |
| 10229 | <assignedP erson> | |
| 10230 | <name | |
| 10231 | nullFlavor ="UNK" | |
| 10232 | /> | |
| 10233 | </assigned Person> | |
| 10234 | <represent edOrganiza tion> | |
| 10235 | <id | |
| 10236 | root="2.16 .840.1.113 883.3.915" | |
| 10237 | extension= "31500" | |
| 10238 | displayabl e="true" | |
| 10239 | /> | |
| 10240 | <name> | |
| 10241 | Care New E ngland | |
| 10242 | </name> | |
| 10243 | <telecom | |
| 10244 | nullFlavor ="UNK" | |
| 10245 | /> | |
| 10246 | <addr | |
| 10247 | use="WP" | |
| 10248 | > | |
| 10249 | <streetAdd ressLine> | |
| 10250 | 10 Health Lane | |
| 10251 | </streetAd dressLine> | |
| 10252 | <city> | |
| 10253 | Warwick | |
| 10254 | </city> | |
| 10255 | <state> | |
| 10256 | RI | |
| 10257 | </state> | |
| 10258 | <postalCod e> | |
| 10259 | 02886 | |
| 10260 | </postalCo de> | |
| 10261 | <country> | |
| 10262 | US | |
| 10263 | </country> | |
| 10264 | </addr> | |
| 10265 | <asOrganiz ationPartO f> | |
| 10266 | <effective Time | |
| 10267 | nullFlavor ="UNK" | |
| 10268 | /> | |
| 10269 | <wholeOrga nization> | |
| 10270 | <id | |
| 10271 | root="2.16 .840.1.113 883.3.915" | |
| 10272 | /> | |
| 10273 | <id | |
| 10274 | root="2.16 .840.1.113 883.3.915" | |
| 10275 | extension= "HomeCommu nity" | |
| 10276 | displayabl e="true" | |
| 10277 | /> | |
| 10278 | <name> | |
| 10279 | CurrentCar e Test | |
| 10280 | </name> | |
| 10281 | <telecom | |
| 10282 | use="WP" | |
| 10283 | value="tel :401-276-9 141" | |
| 10284 | /> | |
| 10285 | <addr | |
| 10286 | use="WP" | |
| 10287 | > | |
| 10288 | <streetAdd ressLine> | |
| 10289 | 50 Holden St., Suite 300 | |
| 10290 | </streetAd dressLine> | |
| 10291 | <city> | |
| 10292 | Providence | |
| 10293 | </city> | |
| 10294 | <state> | |
| 10295 | RI | |
| 10296 | </state> | |
| 10297 | <postalCod e> | |
| 10298 | 02908 | |
| 10299 | </postalCo de> | |
| 10300 | <country> | |
| 10301 | US | |
| 10302 | </country> | |
| 10303 | </addr> | |
| 10304 | </wholeOrg anization> | |
| 10305 | </asOrgani zationPart Of> | |
| 10306 | </represen tedOrganiz ation> | |
| 10307 | </assigned Entity> | |
| 10308 | </informan t> | |
| 10309 | <entryRela tionship | |
| 10310 | typeCode=" REFR" | |
| 10311 | inversionI nd="false" | |
| 10312 | > | |
| 10313 | <observati on | |
| 10314 | classCode= "OBS" | |
| 10315 | moodCode=" EVN" | |
| 10316 | > | |
| 10317 | <templateI d | |
| 10318 | root="2.16 .840.1.113 883. IP " | |
| 10319 | /> | |
| 10320 | <templateI d | |
| 10321 | root="2.16 .840.1.113 883. IP " | |
| 10322 | /> | |
| 10323 | <code | |
| 10324 | code="3399 9-4" | |
| 10325 | displayNam e="Status" | |
| 10326 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 10327 | codeSystem Name="LOIN C" | |
| 10328 | /> | |
| 10329 | <statusCod e | |
| 10330 | code="comp leted" | |
| 10331 | /> | |
| 10332 | <value | |
| 10333 | code="5556 1003" | |
| 10334 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 10335 | codeSystem Name="SNOM ED-CT" | |
| 10336 | displayNam e="Active" | |
| 10337 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 10338 | xsi:type=" CD" | |
| 10339 | /> | |
| 10340 | </observat ion> | |
| 10341 | </entryRel ationship> | |
| 10342 | <entryRela tionship | |
| 10343 | typeCode=" REFR" | |
| 10344 | > | |
| 10345 | <supply | |
| 10346 | classCode= "SPLY" | |
| 10347 | moodCode=" INT" | |
| 10348 | > | |
| 10349 | <templateI d | |
| 10350 | root="2.16 .840.1.113 883. IP .17" | |
| 10351 | /> | |
| 10352 | <id | |
| 10353 | root="3150 0" | |
| 10354 | extension= "E78E3888- A69E-11E6- A9A0-5056A 4032400" | |
| 10355 | assigningA uthorityNa me="31500- PlacerId" | |
| 10356 | /> | |
| 10357 | <statusCod e | |
| 10358 | code="comp leted" | |
| 10359 | /> | |
| 10360 | <repeatNum ber | |
| 10361 | nullFlavor ="UNK" | |
| 10362 | /> | |
| 10363 | <product | |
| 10364 | typeCode=" PRD" | |
| 10365 | > | |
| 10366 | <manufactu redProduct | |
| 10367 | classCode= "MANU" | |
| 10368 | > | |
| 10369 | <templateI d | |
| 10370 | root="2.16 .840.1.113 883. IP .23" | |
| 10371 | /> | |
| 10372 | <manufactu redMateria l | |
| 10373 | classCode= "MMAT" | |
| 10374 | determiner Code="KIND " | |
| 10375 | > | |
| 10376 | <code | |
| 10377 | code="3140 72" | |
| 10378 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10379 | codeSystem Name="RXNO RM" | |
| 10380 | displayNam e="latanop rost (XALA TAN) 0.005 % ophthal mic soluti on" | |
| 10381 | > | |
| 10382 | <originalT ext> | |
| 10383 | <reference | |
| 10384 | value="#me dOrderedNa me-6" | |
| 10385 | /> | |
| 10386 | </original Text> | |
| 10387 | <translati on | |
| 10388 | code="3140 72" | |
| 10389 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10390 | codeSystem Name="RXNO RM" | |
| 10391 | displayNam e="latanop rost (XALA TAN) 0.005 % ophthal mic soluti on" | |
| 10392 | /> | |
| 10393 | </code> | |
| 10394 | <name> | |
| 10395 | latanopros t (XALATAN ) 0.005 % ophthalmic solution | |
| 10396 | </name> | |
| 10397 | </manufact uredMateri al> | |
| 10398 | </manufact uredProduc t> | |
| 10399 | </product> | |
| 10400 | </supply> | |
| 10401 | </entryRel ationship> | |
| 10402 | <entryRela tionship | |
| 10403 | typeCode=" SUBJ" | |
| 10404 | inversionI nd="true" | |
| 10405 | > | |
| 10406 | <encounter | |
| 10407 | classCode= "ENC" | |
| 10408 | moodCode=" EVN" | |
| 10409 | > | |
| 10410 | <id | |
| 10411 | root="3150 0" | |
| 10412 | extension= "10553224" | |
| 10413 | /> | |
| 10414 | </encounte r> | |
| 10415 | </entryRel ationship> | |
| 10416 | </substanc eAdministr ation> | |
| 10417 | </entry> | |
| 10418 | <entry | |
| 10419 | typeCode=" DRIV" | |
| 10420 | > | |
| 10421 | <substance Administra tion | |
| 10422 | classCode= "SBADM" | |
| 10423 | moodCode=" INT" | |
| 10424 | > | |
| 10425 | <templateI d | |
| 10426 | root="2.16 .840.1.113 883. IP .16" | |
| 10427 | /> | |
| 10428 | <id | |
| 10429 | root="3150 0" | |
| 10430 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .798268|42 83765" | |
| 10431 | assigningA uthorityNa me="31500- ExternalId " | |
| 10432 | /> | |
| 10433 | <id | |
| 10434 | root="3150 0" | |
| 10435 | extension= "E78EA728- A69E-11E6- A9A0-5056A 4032400" | |
| 10436 | assigningA uthorityNa me="31500- PlacerId" | |
| 10437 | /> | |
| 10438 | <id | |
| 10439 | root="3150 0" | |
| 10440 | extension= "E78EA99E- A69E-11E6- A9A0-5056A 4032400" | |
| 10441 | assigningA uthorityNa me="31500- FillerId" | |
| 10442 | /> | |
| 10443 | <code | |
| 10444 | nullFlavor ="NA" | |
| 10445 | /> | |
| 10446 | <text> | |
| 10447 | <reference | |
| 10448 | value="#me dSignature -7" | |
| 10449 | /> | |
| 10450 | </text> | |
| 10451 | <statusCod e | |
| 10452 | code="comp leted" | |
| 10453 | /> | |
| 10454 | <effective Time | |
| 10455 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 10456 | xsi:type=" IVL_TS" | |
| 10457 | nullFlavor ="UNK" | |
| 10458 | /> | |
| 10459 | <routeCode | |
| 10460 | code="C382 88" | |
| 10461 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 10462 | codeSystem Name="nciT hesaurus" | |
| 10463 | displayNam e="Oral" | |
| 10464 | /> | |
| 10465 | <doseQuant ity | |
| 10466 | nullFlavor ="NI" | |
| 10467 | /> | |
| 10468 | <rateQuant ity | |
| 10469 | nullFlavor ="NI" | |
| 10470 | /> | |
| 10471 | <consumabl e | |
| 10472 | typeCode=" CSM" | |
| 10473 | > | |
| 10474 | <manufactu redProduct | |
| 10475 | classCode= "MANU" | |
| 10476 | > | |
| 10477 | <templateI d | |
| 10478 | root="2.16 .840.1.113 883. IP .23" | |
| 10479 | /> | |
| 10480 | <manufactu redMateria l | |
| 10481 | classCode= "MMAT" | |
| 10482 | determiner Code="KIND " | |
| 10483 | > | |
| 10484 | <code | |
| 10485 | code="6173 10" | |
| 10486 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10487 | codeSystem Name="RXNO RM" | |
| 10488 | displayNam e="atorvas tatin (LIP ITOR) 20 M G tablet" | |
| 10489 | > | |
| 10490 | <originalT ext> | |
| 10491 | <reference | |
| 10492 | value="#me dOrderedNa me-7" | |
| 10493 | /> | |
| 10494 | </original Text> | |
| 10495 | <translati on | |
| 10496 | code="6173 10" | |
| 10497 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10498 | codeSystem Name="RXNO RM" | |
| 10499 | displayNam e="atorvas tatin (LIP ITOR) 20 M G tablet" | |
| 10500 | /> | |
| 10501 | </code> | |
| 10502 | <name> | |
| 10503 | atorvastat in (LIPITO R) 20 MG t ablet | |
| 10504 | </name> | |
| 10505 | </manufact uredMateri al> | |
| 10506 | </manufact uredProduc t> | |
| 10507 | </consumab le> | |
| 10508 | <author | |
| 10509 | typeCode=" AUT" | |
| 10510 | > | |
| 10511 | <time | |
| 10512 | nullFlavor ="UNK" | |
| 10513 | /> | |
| 10514 | <assignedA uthor | |
| 10515 | classCode= "ASSIGNED" | |
| 10516 | > | |
| 10517 | <id | |
| 10518 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 10519 | extension= "Historica l Provider " | |
| 10520 | /> | |
| 10521 | <addr | |
| 10522 | nullFlavor ="UNK" | |
| 10523 | /> | |
| 10524 | <telecom | |
| 10525 | nullFlavor ="UNK" | |
| 10526 | /> | |
| 10527 | <assignedP erson> | |
| 10528 | <name | |
| 10529 | use="L" | |
| 10530 | > | |
| 10531 | <family> | |
| 10532 | Provider | |
| 10533 | </family> | |
| 10534 | <given> | |
| 10535 | Historical | |
| 10536 | </given> | |
| 10537 | </name> | |
| 10538 | </assigned Person> | |
| 10539 | <represent edOrganiza tion> | |
| 10540 | <id | |
| 10541 | root="2.16 .840.1.113 883.3.915" | |
| 10542 | extension= "31500" | |
| 10543 | displayabl e="true" | |
| 10544 | /> | |
| 10545 | <name> | |
| 10546 | Care New E ngland | |
| 10547 | </name> | |
| 10548 | <telecom | |
| 10549 | nullFlavor ="UNK" | |
| 10550 | /> | |
| 10551 | <addr | |
| 10552 | use="WP" | |
| 10553 | > | |
| 10554 | <streetAdd ressLine> | |
| 10555 | 10 Health Lane | |
| 10556 | </streetAd dressLine> | |
| 10557 | <city> | |
| 10558 | Warwick | |
| 10559 | </city> | |
| 10560 | <state> | |
| 10561 | RI | |
| 10562 | </state> | |
| 10563 | <postalCod e> | |
| 10564 | 02886 | |
| 10565 | </postalCo de> | |
| 10566 | <country> | |
| 10567 | US | |
| 10568 | </country> | |
| 10569 | </addr> | |
| 10570 | <asOrganiz ationPartO f> | |
| 10571 | <effective Time | |
| 10572 | nullFlavor ="UNK" | |
| 10573 | /> | |
| 10574 | <wholeOrga nization> | |
| 10575 | <id | |
| 10576 | root="2.16 .840.1.113 883.3.915" | |
| 10577 | /> | |
| 10578 | <id | |
| 10579 | root="2.16 .840.1.113 883.3.915" | |
| 10580 | extension= "HomeCommu nity" | |
| 10581 | displayabl e="true" | |
| 10582 | /> | |
| 10583 | <name> | |
| 10584 | CurrentCar e Test | |
| 10585 | </name> | |
| 10586 | <telecom | |
| 10587 | use="WP" | |
| 10588 | value="tel :401-276-9 141" | |
| 10589 | /> | |
| 10590 | <addr | |
| 10591 | use="WP" | |
| 10592 | > | |
| 10593 | <streetAdd ressLine> | |
| 10594 | 50 Holden St., Suite 300 | |
| 10595 | </streetAd dressLine> | |
| 10596 | <city> | |
| 10597 | Providence | |
| 10598 | </city> | |
| 10599 | <state> | |
| 10600 | RI | |
| 10601 | </state> | |
| 10602 | <postalCod e> | |
| 10603 | 02908 | |
| 10604 | </postalCo de> | |
| 10605 | <country> | |
| 10606 | US | |
| 10607 | </country> | |
| 10608 | </addr> | |
| 10609 | </wholeOrg anization> | |
| 10610 | </asOrgani zationPart Of> | |
| 10611 | </represen tedOrganiz ation> | |
| 10612 | </assigned Author> | |
| 10613 | </author> | |
| 10614 | <informant > | |
| 10615 | <assignedE ntity> | |
| 10616 | <id | |
| 10617 | root="RIQI ORG" | |
| 10618 | extension= "31500" | |
| 10619 | /> | |
| 10620 | <addr | |
| 10621 | use="WP" | |
| 10622 | > | |
| 10623 | <streetAdd ressLine> | |
| 10624 | 10 Health Lane | |
| 10625 | </streetAd dressLine> | |
| 10626 | <city> | |
| 10627 | Warwick | |
| 10628 | </city> | |
| 10629 | <state> | |
| 10630 | RI | |
| 10631 | </state> | |
| 10632 | <postalCod e> | |
| 10633 | 02886 | |
| 10634 | </postalCo de> | |
| 10635 | <country> | |
| 10636 | US | |
| 10637 | </country> | |
| 10638 | </addr> | |
| 10639 | <telecom | |
| 10640 | nullFlavor ="UNK" | |
| 10641 | /> | |
| 10642 | <assignedP erson> | |
| 10643 | <name | |
| 10644 | nullFlavor ="UNK" | |
| 10645 | /> | |
| 10646 | </assigned Person> | |
| 10647 | <represent edOrganiza tion> | |
| 10648 | <id | |
| 10649 | root="2.16 .840.1.113 883.3.915" | |
| 10650 | extension= "31500" | |
| 10651 | displayabl e="true" | |
| 10652 | /> | |
| 10653 | <name> | |
| 10654 | Care New E ngland | |
| 10655 | </name> | |
| 10656 | <telecom | |
| 10657 | nullFlavor ="UNK" | |
| 10658 | /> | |
| 10659 | <addr | |
| 10660 | use="WP" | |
| 10661 | > | |
| 10662 | <streetAdd ressLine> | |
| 10663 | 10 Health Lane | |
| 10664 | </streetAd dressLine> | |
| 10665 | <city> | |
| 10666 | Warwick | |
| 10667 | </city> | |
| 10668 | <state> | |
| 10669 | RI | |
| 10670 | </state> | |
| 10671 | <postalCod e> | |
| 10672 | 02886 | |
| 10673 | </postalCo de> | |
| 10674 | <country> | |
| 10675 | US | |
| 10676 | </country> | |
| 10677 | </addr> | |
| 10678 | <asOrganiz ationPartO f> | |
| 10679 | <effective Time | |
| 10680 | nullFlavor ="UNK" | |
| 10681 | /> | |
| 10682 | <wholeOrga nization> | |
| 10683 | <id | |
| 10684 | root="2.16 .840.1.113 883.3.915" | |
| 10685 | /> | |
| 10686 | <id | |
| 10687 | root="2.16 .840.1.113 883.3.915" | |
| 10688 | extension= "HomeCommu nity" | |
| 10689 | displayabl e="true" | |
| 10690 | /> | |
| 10691 | <name> | |
| 10692 | CurrentCar e Test | |
| 10693 | </name> | |
| 10694 | <telecom | |
| 10695 | use="WP" | |
| 10696 | value="tel :401-276-9 141" | |
| 10697 | /> | |
| 10698 | <addr | |
| 10699 | use="WP" | |
| 10700 | > | |
| 10701 | <streetAdd ressLine> | |
| 10702 | 50 Holden St., Suite 300 | |
| 10703 | </streetAd dressLine> | |
| 10704 | <city> | |
| 10705 | Providence | |
| 10706 | </city> | |
| 10707 | <state> | |
| 10708 | RI | |
| 10709 | </state> | |
| 10710 | <postalCod e> | |
| 10711 | 02908 | |
| 10712 | </postalCo de> | |
| 10713 | <country> | |
| 10714 | US | |
| 10715 | </country> | |
| 10716 | </addr> | |
| 10717 | </wholeOrg anization> | |
| 10718 | </asOrgani zationPart Of> | |
| 10719 | </represen tedOrganiz ation> | |
| 10720 | </assigned Entity> | |
| 10721 | </informan t> | |
| 10722 | <entryRela tionship | |
| 10723 | typeCode=" REFR" | |
| 10724 | inversionI nd="false" | |
| 10725 | > | |
| 10726 | <observati on | |
| 10727 | classCode= "OBS" | |
| 10728 | moodCode=" EVN" | |
| 10729 | > | |
| 10730 | <templateI d | |
| 10731 | root="2.16 .840.1.113 883. IP " | |
| 10732 | /> | |
| 10733 | <templateI d | |
| 10734 | root="2.16 .840.1.113 883. IP " | |
| 10735 | /> | |
| 10736 | <code | |
| 10737 | code="3399 9-4" | |
| 10738 | displayNam e="Status" | |
| 10739 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 10740 | codeSystem Name="LOIN C" | |
| 10741 | /> | |
| 10742 | <statusCod e | |
| 10743 | code="comp leted" | |
| 10744 | /> | |
| 10745 | <value | |
| 10746 | code="5556 1003" | |
| 10747 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 10748 | codeSystem Name="SNOM ED-CT" | |
| 10749 | displayNam e="Active" | |
| 10750 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 10751 | xsi:type=" CD" | |
| 10752 | /> | |
| 10753 | </observat ion> | |
| 10754 | </entryRel ationship> | |
| 10755 | <entryRela tionship | |
| 10756 | typeCode=" REFR" | |
| 10757 | > | |
| 10758 | <supply | |
| 10759 | classCode= "SPLY" | |
| 10760 | moodCode=" INT" | |
| 10761 | > | |
| 10762 | <templateI d | |
| 10763 | root="2.16 .840.1.113 883. IP .17" | |
| 10764 | /> | |
| 10765 | <id | |
| 10766 | root="3150 0" | |
| 10767 | extension= "E78EA728- A69E-11E6- A9A0-5056A 4032400" | |
| 10768 | assigningA uthorityNa me="31500- PlacerId" | |
| 10769 | /> | |
| 10770 | <statusCod e | |
| 10771 | code="comp leted" | |
| 10772 | /> | |
| 10773 | <repeatNum ber | |
| 10774 | nullFlavor ="UNK" | |
| 10775 | /> | |
| 10776 | <product | |
| 10777 | typeCode=" PRD" | |
| 10778 | > | |
| 10779 | <manufactu redProduct | |
| 10780 | classCode= "MANU" | |
| 10781 | > | |
| 10782 | <templateI d | |
| 10783 | root="2.16 .840.1.113 883. IP .23" | |
| 10784 | /> | |
| 10785 | <manufactu redMateria l | |
| 10786 | classCode= "MMAT" | |
| 10787 | determiner Code="KIND " | |
| 10788 | > | |
| 10789 | <code | |
| 10790 | code="6173 10" | |
| 10791 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10792 | codeSystem Name="RXNO RM" | |
| 10793 | displayNam e="atorvas tatin (LIP ITOR) 20 M G tablet" | |
| 10794 | > | |
| 10795 | <originalT ext> | |
| 10796 | <reference | |
| 10797 | value="#me dOrderedNa me-7" | |
| 10798 | /> | |
| 10799 | </original Text> | |
| 10800 | <translati on | |
| 10801 | code="6173 10" | |
| 10802 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10803 | codeSystem Name="RXNO RM" | |
| 10804 | displayNam e="atorvas tatin (LIP ITOR) 20 M G tablet" | |
| 10805 | /> | |
| 10806 | </code> | |
| 10807 | <name> | |
| 10808 | atorvastat in (LIPITO R) 20 MG t ablet | |
| 10809 | </name> | |
| 10810 | </manufact uredMateri al> | |
| 10811 | </manufact uredProduc t> | |
| 10812 | </product> | |
| 10813 | </supply> | |
| 10814 | </entryRel ationship> | |
| 10815 | <entryRela tionship | |
| 10816 | typeCode=" SUBJ" | |
| 10817 | inversionI nd="true" | |
| 10818 | > | |
| 10819 | <encounter | |
| 10820 | classCode= "ENC" | |
| 10821 | moodCode=" EVN" | |
| 10822 | > | |
| 10823 | <id | |
| 10824 | root="3150 0" | |
| 10825 | extension= "10553224" | |
| 10826 | /> | |
| 10827 | </encounte r> | |
| 10828 | </entryRel ationship> | |
| 10829 | </substanc eAdministr ation> | |
| 10830 | </entry> | |
| 10831 | <entry | |
| 10832 | typeCode=" DRIV" | |
| 10833 | > | |
| 10834 | <substance Administra tion | |
| 10835 | classCode= "SBADM" | |
| 10836 | moodCode=" INT" | |
| 10837 | > | |
| 10838 | <templateI d | |
| 10839 | root="2.16 .840.1.113 883. IP .16" | |
| 10840 | /> | |
| 10841 | <id | |
| 10842 | root="3150 0" | |
| 10843 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .798268|42 83766" | |
| 10844 | assigningA uthorityNa me="31500- ExternalId " | |
| 10845 | /> | |
| 10846 | <id | |
| 10847 | root="3150 0" | |
| 10848 | extension= "E78FCAA4- A69E-11E6- A9A0-5056A 4032400" | |
| 10849 | assigningA uthorityNa me="31500- PlacerId" | |
| 10850 | /> | |
| 10851 | <id | |
| 10852 | root="3150 0" | |
| 10853 | extension= "E78FCE0A- A69E-11E6- A9A0-5056A 4032400" | |
| 10854 | assigningA uthorityNa me="31500- FillerId" | |
| 10855 | /> | |
| 10856 | <code | |
| 10857 | nullFlavor ="NA" | |
| 10858 | /> | |
| 10859 | <text> | |
| 10860 | <reference | |
| 10861 | value="#me dSignature -8" | |
| 10862 | /> | |
| 10863 | </text> | |
| 10864 | <statusCod e | |
| 10865 | code="comp leted" | |
| 10866 | /> | |
| 10867 | <effective Time | |
| 10868 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 10869 | xsi:type=" IVL_TS" | |
| 10870 | nullFlavor ="UNK" | |
| 10871 | /> | |
| 10872 | <routeCode | |
| 10873 | code="C382 88" | |
| 10874 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 10875 | codeSystem Name="nciT hesaurus" | |
| 10876 | displayNam e="Oral" | |
| 10877 | /> | |
| 10878 | <doseQuant ity | |
| 10879 | nullFlavor ="NI" | |
| 10880 | /> | |
| 10881 | <rateQuant ity | |
| 10882 | nullFlavor ="NI" | |
| 10883 | /> | |
| 10884 | <consumabl e | |
| 10885 | typeCode=" CSM" | |
| 10886 | > | |
| 10887 | <manufactu redProduct | |
| 10888 | classCode= "MANU" | |
| 10889 | > | |
| 10890 | <templateI d | |
| 10891 | root="2.16 .840.1.113 883. IP .23" | |
| 10892 | /> | |
| 10893 | <manufactu redMateria l | |
| 10894 | classCode= "MMAT" | |
| 10895 | determiner Code="KIND " | |
| 10896 | > | |
| 10897 | <code | |
| 10898 | code="1373 471" | |
| 10899 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10900 | codeSystem Name="RXNO RM" | |
| 10901 | displayNam e="canagli flozin (IN VOKANA) 30 0 mg Tab" | |
| 10902 | > | |
| 10903 | <originalT ext> | |
| 10904 | <reference | |
| 10905 | value="#me dOrderedNa me-8" | |
| 10906 | /> | |
| 10907 | </original Text> | |
| 10908 | <translati on | |
| 10909 | code="1373 471" | |
| 10910 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 10911 | codeSystem Name="RXNO RM" | |
| 10912 | displayNam e="canagli flozin (IN VOKANA) 30 0 mg Tab" | |
| 10913 | /> | |
| 10914 | </code> | |
| 10915 | <name> | |
| 10916 | canagliflo zin (INVOK ANA) 300 m g Tab | |
| 10917 | </name> | |
| 10918 | </manufact uredMateri al> | |
| 10919 | </manufact uredProduc t> | |
| 10920 | </consumab le> | |
| 10921 | <author | |
| 10922 | typeCode=" AUT" | |
| 10923 | > | |
| 10924 | <time | |
| 10925 | nullFlavor ="UNK" | |
| 10926 | /> | |
| 10927 | <assignedA uthor | |
| 10928 | classCode= "ASSIGNED" | |
| 10929 | > | |
| 10930 | <id | |
| 10931 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 10932 | extension= "Historica l Provider " | |
| 10933 | /> | |
| 10934 | <addr | |
| 10935 | nullFlavor ="UNK" | |
| 10936 | /> | |
| 10937 | <telecom | |
| 10938 | nullFlavor ="UNK" | |
| 10939 | /> | |
| 10940 | <assignedP erson> | |
| 10941 | <name | |
| 10942 | use="L" | |
| 10943 | > | |
| 10944 | <family> | |
| 10945 | Provider | |
| 10946 | </family> | |
| 10947 | <given> | |
| 10948 | Historical | |
| 10949 | </given> | |
| 10950 | </name> | |
| 10951 | </assigned Person> | |
| 10952 | <represent edOrganiza tion> | |
| 10953 | <id | |
| 10954 | root="2.16 .840.1.113 883.3.915" | |
| 10955 | extension= "31500" | |
| 10956 | displayabl e="true" | |
| 10957 | /> | |
| 10958 | <name> | |
| 10959 | Care New E ngland | |
| 10960 | </name> | |
| 10961 | <telecom | |
| 10962 | nullFlavor ="UNK" | |
| 10963 | /> | |
| 10964 | <addr | |
| 10965 | use="WP" | |
| 10966 | > | |
| 10967 | <streetAdd ressLine> | |
| 10968 | 10 Health Lane | |
| 10969 | </streetAd dressLine> | |
| 10970 | <city> | |
| 10971 | Warwick | |
| 10972 | </city> | |
| 10973 | <state> | |
| 10974 | RI | |
| 10975 | </state> | |
| 10976 | <postalCod e> | |
| 10977 | 02886 | |
| 10978 | </postalCo de> | |
| 10979 | <country> | |
| 10980 | US | |
| 10981 | </country> | |
| 10982 | </addr> | |
| 10983 | <asOrganiz ationPartO f> | |
| 10984 | <effective Time | |
| 10985 | nullFlavor ="UNK" | |
| 10986 | /> | |
| 10987 | <wholeOrga nization> | |
| 10988 | <id | |
| 10989 | root="2.16 .840.1.113 883.3.915" | |
| 10990 | /> | |
| 10991 | <id | |
| 10992 | root="2.16 .840.1.113 883.3.915" | |
| 10993 | extension= "HomeCommu nity" | |
| 10994 | displayabl e="true" | |
| 10995 | /> | |
| 10996 | <name> | |
| 10997 | CurrentCar e Test | |
| 10998 | </name> | |
| 10999 | <telecom | |
| 11000 | use="WP" | |
| 11001 | value="tel :401-276-9 141" | |
| 11002 | /> | |
| 11003 | <addr | |
| 11004 | use="WP" | |
| 11005 | > | |
| 11006 | <streetAdd ressLine> | |
| 11007 | 50 Holden St., Suite 300 | |
| 11008 | </streetAd dressLine> | |
| 11009 | <city> | |
| 11010 | Providence | |
| 11011 | </city> | |
| 11012 | <state> | |
| 11013 | RI | |
| 11014 | </state> | |
| 11015 | <postalCod e> | |
| 11016 | 02908 | |
| 11017 | </postalCo de> | |
| 11018 | <country> | |
| 11019 | US | |
| 11020 | </country> | |
| 11021 | </addr> | |
| 11022 | </wholeOrg anization> | |
| 11023 | </asOrgani zationPart Of> | |
| 11024 | </represen tedOrganiz ation> | |
| 11025 | </assigned Author> | |
| 11026 | </author> | |
| 11027 | <informant > | |
| 11028 | <assignedE ntity> | |
| 11029 | <id | |
| 11030 | root="RIQI ORG" | |
| 11031 | extension= "31500" | |
| 11032 | /> | |
| 11033 | <addr | |
| 11034 | use="WP" | |
| 11035 | > | |
| 11036 | <streetAdd ressLine> | |
| 11037 | 10 Health Lane | |
| 11038 | </streetAd dressLine> | |
| 11039 | <city> | |
| 11040 | Warwick | |
| 11041 | </city> | |
| 11042 | <state> | |
| 11043 | RI | |
| 11044 | </state> | |
| 11045 | <postalCod e> | |
| 11046 | 02886 | |
| 11047 | </postalCo de> | |
| 11048 | <country> | |
| 11049 | US | |
| 11050 | </country> | |
| 11051 | </addr> | |
| 11052 | <telecom | |
| 11053 | nullFlavor ="UNK" | |
| 11054 | /> | |
| 11055 | <assignedP erson> | |
| 11056 | <name | |
| 11057 | nullFlavor ="UNK" | |
| 11058 | /> | |
| 11059 | </assigned Person> | |
| 11060 | <represent edOrganiza tion> | |
| 11061 | <id | |
| 11062 | root="2.16 .840.1.113 883.3.915" | |
| 11063 | extension= "31500" | |
| 11064 | displayabl e="true" | |
| 11065 | /> | |
| 11066 | <name> | |
| 11067 | Care New E ngland | |
| 11068 | </name> | |
| 11069 | <telecom | |
| 11070 | nullFlavor ="UNK" | |
| 11071 | /> | |
| 11072 | <addr | |
| 11073 | use="WP" | |
| 11074 | > | |
| 11075 | <streetAdd ressLine> | |
| 11076 | 10 Health Lane | |
| 11077 | </streetAd dressLine> | |
| 11078 | <city> | |
| 11079 | Warwick | |
| 11080 | </city> | |
| 11081 | <state> | |
| 11082 | RI | |
| 11083 | </state> | |
| 11084 | <postalCod e> | |
| 11085 | 02886 | |
| 11086 | </postalCo de> | |
| 11087 | <country> | |
| 11088 | US | |
| 11089 | </country> | |
| 11090 | </addr> | |
| 11091 | <asOrganiz ationPartO f> | |
| 11092 | <effective Time | |
| 11093 | nullFlavor ="UNK" | |
| 11094 | /> | |
| 11095 | <wholeOrga nization> | |
| 11096 | <id | |
| 11097 | root="2.16 .840.1.113 883.3.915" | |
| 11098 | /> | |
| 11099 | <id | |
| 11100 | root="2.16 .840.1.113 883.3.915" | |
| 11101 | extension= "HomeCommu nity" | |
| 11102 | displayabl e="true" | |
| 11103 | /> | |
| 11104 | <name> | |
| 11105 | CurrentCar e Test | |
| 11106 | </name> | |
| 11107 | <telecom | |
| 11108 | use="WP" | |
| 11109 | value="tel :401-276-9 141" | |
| 11110 | /> | |
| 11111 | <addr | |
| 11112 | use="WP" | |
| 11113 | > | |
| 11114 | <streetAdd ressLine> | |
| 11115 | 50 Holden St., Suite 300 | |
| 11116 | </streetAd dressLine> | |
| 11117 | <city> | |
| 11118 | Providence | |
| 11119 | </city> | |
| 11120 | <state> | |
| 11121 | RI | |
| 11122 | </state> | |
| 11123 | <postalCod e> | |
| 11124 | 02908 | |
| 11125 | </postalCo de> | |
| 11126 | <country> | |
| 11127 | US | |
| 11128 | </country> | |
| 11129 | </addr> | |
| 11130 | </wholeOrg anization> | |
| 11131 | </asOrgani zationPart Of> | |
| 11132 | </represen tedOrganiz ation> | |
| 11133 | </assigned Entity> | |
| 11134 | </informan t> | |
| 11135 | <entryRela tionship | |
| 11136 | typeCode=" REFR" | |
| 11137 | inversionI nd="false" | |
| 11138 | > | |
| 11139 | <observati on | |
| 11140 | classCode= "OBS" | |
| 11141 | moodCode=" EVN" | |
| 11142 | > | |
| 11143 | <templateI d | |
| 11144 | root="2.16 .840.1.113 883. IP " | |
| 11145 | /> | |
| 11146 | <templateI d | |
| 11147 | root="2.16 .840.1.113 883. IP " | |
| 11148 | /> | |
| 11149 | <code | |
| 11150 | code="3399 9-4" | |
| 11151 | displayNam e="Status" | |
| 11152 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 11153 | codeSystem Name="LOIN C" | |
| 11154 | /> | |
| 11155 | <statusCod e | |
| 11156 | code="comp leted" | |
| 11157 | /> | |
| 11158 | <value | |
| 11159 | code="5556 1003" | |
| 11160 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 11161 | codeSystem Name="SNOM ED-CT" | |
| 11162 | displayNam e="Active" | |
| 11163 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 11164 | xsi:type=" CD" | |
| 11165 | /> | |
| 11166 | </observat ion> | |
| 11167 | </entryRel ationship> | |
| 11168 | <entryRela tionship | |
| 11169 | typeCode=" REFR" | |
| 11170 | > | |
| 11171 | <supply | |
| 11172 | classCode= "SPLY" | |
| 11173 | moodCode=" INT" | |
| 11174 | > | |
| 11175 | <templateI d | |
| 11176 | root="2.16 .840.1.113 883. IP .17" | |
| 11177 | /> | |
| 11178 | <id | |
| 11179 | root="3150 0" | |
| 11180 | extension= "E78FCAA4- A69E-11E6- A9A0-5056A 4032400" | |
| 11181 | assigningA uthorityNa me="31500- PlacerId" | |
| 11182 | /> | |
| 11183 | <statusCod e | |
| 11184 | code="comp leted" | |
| 11185 | /> | |
| 11186 | <repeatNum ber | |
| 11187 | nullFlavor ="UNK" | |
| 11188 | /> | |
| 11189 | <product | |
| 11190 | typeCode=" PRD" | |
| 11191 | > | |
| 11192 | <manufactu redProduct | |
| 11193 | classCode= "MANU" | |
| 11194 | > | |
| 11195 | <templateI d | |
| 11196 | root="2.16 .840.1.113 883. IP .23" | |
| 11197 | /> | |
| 11198 | <manufactu redMateria l | |
| 11199 | classCode= "MMAT" | |
| 11200 | determiner Code="KIND " | |
| 11201 | > | |
| 11202 | <code | |
| 11203 | code="1373 471" | |
| 11204 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 11205 | codeSystem Name="RXNO RM" | |
| 11206 | displayNam e="canagli flozin (IN VOKANA) 30 0 mg Tab" | |
| 11207 | > | |
| 11208 | <originalT ext> | |
| 11209 | <reference | |
| 11210 | value="#me dOrderedNa me-8" | |
| 11211 | /> | |
| 11212 | </original Text> | |
| 11213 | <translati on | |
| 11214 | code="1373 471" | |
| 11215 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 11216 | codeSystem Name="RXNO RM" | |
| 11217 | displayNam e="canagli flozin (IN VOKANA) 30 0 mg Tab" | |
| 11218 | /> | |
| 11219 | </code> | |
| 11220 | <name> | |
| 11221 | canagliflo zin (INVOK ANA) 300 m g Tab | |
| 11222 | </name> | |
| 11223 | </manufact uredMateri al> | |
| 11224 | </manufact uredProduc t> | |
| 11225 | </product> | |
| 11226 | </supply> | |
| 11227 | </entryRel ationship> | |
| 11228 | <entryRela tionship | |
| 11229 | typeCode=" SUBJ" | |
| 11230 | inversionI nd="true" | |
| 11231 | > | |
| 11232 | <encounter | |
| 11233 | classCode= "ENC" | |
| 11234 | moodCode=" EVN" | |
| 11235 | > | |
| 11236 | <id | |
| 11237 | root="3150 0" | |
| 11238 | extension= "10553224" | |
| 11239 | /> | |
| 11240 | </encounte r> | |
| 11241 | </entryRel ationship> | |
| 11242 | </substanc eAdministr ation> | |
| 11243 | </entry> | |
| 11244 | <entry | |
| 11245 | typeCode=" DRIV" | |
| 11246 | > | |
| 11247 | <substance Administra tion | |
| 11248 | classCode= "SBADM" | |
| 11249 | moodCode=" INT" | |
| 11250 | > | |
| 11251 | <templateI d | |
| 11252 | root="2.16 .840.1.113 883. IP .16" | |
| 11253 | /> | |
| 11254 | <id | |
| 11255 | root="3150 0" | |
| 11256 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .798268|42 83767" | |
| 11257 | assigningA uthorityNa me="31500- ExternalId " | |
| 11258 | /> | |
| 11259 | <id | |
| 11260 | root="3150 0" | |
| 11261 | extension= "E7915E50- A69E-11E6- A9A0-5056A 4032400" | |
| 11262 | assigningA uthorityNa me="31500- PlacerId" | |
| 11263 | /> | |
| 11264 | <id | |
| 11265 | root="3150 0" | |
| 11266 | extension= "E7916116- A69E-11E6- A9A0-5056A 4032400" | |
| 11267 | assigningA uthorityNa me="31500- FillerId" | |
| 11268 | /> | |
| 11269 | <code | |
| 11270 | nullFlavor ="NA" | |
| 11271 | /> | |
| 11272 | <text> | |
| 11273 | <reference | |
| 11274 | value="#me dSignature -9" | |
| 11275 | /> | |
| 11276 | </text> | |
| 11277 | <statusCod e | |
| 11278 | code="comp leted" | |
| 11279 | /> | |
| 11280 | <effective Time | |
| 11281 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 11282 | xsi:type=" IVL_TS" | |
| 11283 | nullFlavor ="UNK" | |
| 11284 | /> | |
| 11285 | <routeCode | |
| 11286 | code="C382 88" | |
| 11287 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 11288 | codeSystem Name="nciT hesaurus" | |
| 11289 | displayNam e="Oral" | |
| 11290 | /> | |
| 11291 | <doseQuant ity | |
| 11292 | nullFlavor ="NI" | |
| 11293 | /> | |
| 11294 | <rateQuant ity | |
| 11295 | nullFlavor ="NI" | |
| 11296 | /> | |
| 11297 | <consumabl e | |
| 11298 | typeCode=" CSM" | |
| 11299 | > | |
| 11300 | <manufactu redProduct | |
| 11301 | classCode= "MANU" | |
| 11302 | > | |
| 11303 | <templateI d | |
| 11304 | root="2.16 .840.1.113 883. IP .23" | |
| 11305 | /> | |
| 11306 | <manufactu redMateria l | |
| 11307 | classCode= "MMAT" | |
| 11308 | determiner Code="KIND " | |
| 11309 | > | |
| 11310 | <code | |
| 11311 | code="8610 07" | |
| 11312 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 11313 | codeSystem Name="RXNO RM" | |
| 11314 | displayNam e="metform in (GLUCOP HAGE) 500 MG tablet" | |
| 11315 | > | |
| 11316 | <originalT ext> | |
| 11317 | <reference | |
| 11318 | value="#me dOrderedNa me-9" | |
| 11319 | /> | |
| 11320 | </original Text> | |
| 11321 | <translati on | |
| 11322 | code="8610 07" | |
| 11323 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 11324 | codeSystem Name="RXNO RM" | |
| 11325 | displayNam e="metform in (GLUCOP HAGE) 500 MG tablet" | |
| 11326 | /> | |
| 11327 | </code> | |
| 11328 | <name> | |
| 11329 | metformin (GLUCOPHAG E) 500 MG tablet | |
| 11330 | </name> | |
| 11331 | </manufact uredMateri al> | |
| 11332 | </manufact uredProduc t> | |
| 11333 | </consumab le> | |
| 11334 | <author | |
| 11335 | typeCode=" AUT" | |
| 11336 | > | |
| 11337 | <time | |
| 11338 | nullFlavor ="UNK" | |
| 11339 | /> | |
| 11340 | <assignedA uthor | |
| 11341 | classCode= "ASSIGNED" | |
| 11342 | > | |
| 11343 | <id | |
| 11344 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 11345 | extension= "Historica l Provider " | |
| 11346 | /> | |
| 11347 | <addr | |
| 11348 | nullFlavor ="UNK" | |
| 11349 | /> | |
| 11350 | <telecom | |
| 11351 | nullFlavor ="UNK" | |
| 11352 | /> | |
| 11353 | <assignedP erson> | |
| 11354 | <name | |
| 11355 | use="L" | |
| 11356 | > | |
| 11357 | <family> | |
| 11358 | Provider | |
| 11359 | </family> | |
| 11360 | <given> | |
| 11361 | Historical | |
| 11362 | </given> | |
| 11363 | </name> | |
| 11364 | </assigned Person> | |
| 11365 | <represent edOrganiza tion> | |
| 11366 | <id | |
| 11367 | root="2.16 .840.1.113 883.3.915" | |
| 11368 | extension= "31500" | |
| 11369 | displayabl e="true" | |
| 11370 | /> | |
| 11371 | <name> | |
| 11372 | Care New E ngland | |
| 11373 | </name> | |
| 11374 | <telecom | |
| 11375 | nullFlavor ="UNK" | |
| 11376 | /> | |
| 11377 | <addr | |
| 11378 | use="WP" | |
| 11379 | > | |
| 11380 | <streetAdd ressLine> | |
| 11381 | 10 Health Lane | |
| 11382 | </streetAd dressLine> | |
| 11383 | <city> | |
| 11384 | Warwick | |
| 11385 | </city> | |
| 11386 | <state> | |
| 11387 | RI | |
| 11388 | </state> | |
| 11389 | <postalCod e> | |
| 11390 | 02886 | |
| 11391 | </postalCo de> | |
| 11392 | <country> | |
| 11393 | US | |
| 11394 | </country> | |
| 11395 | </addr> | |
| 11396 | <asOrganiz ationPartO f> | |
| 11397 | <effective Time | |
| 11398 | nullFlavor ="UNK" | |
| 11399 | /> | |
| 11400 | <wholeOrga nization> | |
| 11401 | <id | |
| 11402 | root="2.16 .840.1.113 883.3.915" | |
| 11403 | /> | |
| 11404 | <id | |
| 11405 | root="2.16 .840.1.113 883.3.915" | |
| 11406 | extension= "HomeCommu nity" | |
| 11407 | displayabl e="true" | |
| 11408 | /> | |
| 11409 | <name> | |
| 11410 | CurrentCar e Test | |
| 11411 | </name> | |
| 11412 | <telecom | |
| 11413 | use="WP" | |
| 11414 | value="tel :401-276-9 141" | |
| 11415 | /> | |
| 11416 | <addr | |
| 11417 | use="WP" | |
| 11418 | > | |
| 11419 | <streetAdd ressLine> | |
| 11420 | 50 Holden St., Suite 300 | |
| 11421 | </streetAd dressLine> | |
| 11422 | <city> | |
| 11423 | Providence | |
| 11424 | </city> | |
| 11425 | <state> | |
| 11426 | RI | |
| 11427 | </state> | |
| 11428 | <postalCod e> | |
| 11429 | 02908 | |
| 11430 | </postalCo de> | |
| 11431 | <country> | |
| 11432 | US | |
| 11433 | </country> | |
| 11434 | </addr> | |
| 11435 | </wholeOrg anization> | |
| 11436 | </asOrgani zationPart Of> | |
| 11437 | </represen tedOrganiz ation> | |
| 11438 | </assigned Author> | |
| 11439 | </author> | |
| 11440 | <informant > | |
| 11441 | <assignedE ntity> | |
| 11442 | <id | |
| 11443 | root="RIQI ORG" | |
| 11444 | extension= "31500" | |
| 11445 | /> | |
| 11446 | <addr | |
| 11447 | use="WP" | |
| 11448 | > | |
| 11449 | <streetAdd ressLine> | |
| 11450 | 10 Health Lane | |
| 11451 | </streetAd dressLine> | |
| 11452 | <city> | |
| 11453 | Warwick | |
| 11454 | </city> | |
| 11455 | <state> | |
| 11456 | RI | |
| 11457 | </state> | |
| 11458 | <postalCod e> | |
| 11459 | 02886 | |
| 11460 | </postalCo de> | |
| 11461 | <country> | |
| 11462 | US | |
| 11463 | </country> | |
| 11464 | </addr> | |
| 11465 | <telecom | |
| 11466 | nullFlavor ="UNK" | |
| 11467 | /> | |
| 11468 | <assignedP erson> | |
| 11469 | <name | |
| 11470 | nullFlavor ="UNK" | |
| 11471 | /> | |
| 11472 | </assigned Person> | |
| 11473 | <represent edOrganiza tion> | |
| 11474 | <id | |
| 11475 | root="2.16 .840.1.113 883.3.915" | |
| 11476 | extension= "31500" | |
| 11477 | displayabl e="true" | |
| 11478 | /> | |
| 11479 | <name> | |
| 11480 | Care New E ngland | |
| 11481 | </name> | |
| 11482 | <telecom | |
| 11483 | nullFlavor ="UNK" | |
| 11484 | /> | |
| 11485 | <addr | |
| 11486 | use="WP" | |
| 11487 | > | |
| 11488 | <streetAdd ressLine> | |
| 11489 | 10 Health Lane | |
| 11490 | </streetAd dressLine> | |
| 11491 | <city> | |
| 11492 | Warwick | |
| 11493 | </city> | |
| 11494 | <state> | |
| 11495 | RI | |
| 11496 | </state> | |
| 11497 | <postalCod e> | |
| 11498 | 02886 | |
| 11499 | </postalCo de> | |
| 11500 | <country> | |
| 11501 | US | |
| 11502 | </country> | |
| 11503 | </addr> | |
| 11504 | <asOrganiz ationPartO f> | |
| 11505 | <effective Time | |
| 11506 | nullFlavor ="UNK" | |
| 11507 | /> | |
| 11508 | <wholeOrga nization> | |
| 11509 | <id | |
| 11510 | root="2.16 .840.1.113 883.3.915" | |
| 11511 | /> | |
| 11512 | <id | |
| 11513 | root="2.16 .840.1.113 883.3.915" | |
| 11514 | extension= "HomeCommu nity" | |
| 11515 | displayabl e="true" | |
| 11516 | /> | |
| 11517 | <name> | |
| 11518 | CurrentCar e Test | |
| 11519 | </name> | |
| 11520 | <telecom | |
| 11521 | use="WP" | |
| 11522 | value="tel :401-276-9 141" | |
| 11523 | /> | |
| 11524 | <addr | |
| 11525 | use="WP" | |
| 11526 | > | |
| 11527 | <streetAdd ressLine> | |
| 11528 | 50 Holden St., Suite 300 | |
| 11529 | </streetAd dressLine> | |
| 11530 | <city> | |
| 11531 | Providence | |
| 11532 | </city> | |
| 11533 | <state> | |
| 11534 | RI | |
| 11535 | </state> | |
| 11536 | <postalCod e> | |
| 11537 | 02908 | |
| 11538 | </postalCo de> | |
| 11539 | <country> | |
| 11540 | US | |
| 11541 | </country> | |
| 11542 | </addr> | |
| 11543 | </wholeOrg anization> | |
| 11544 | </asOrgani zationPart Of> | |
| 11545 | </represen tedOrganiz ation> | |
| 11546 | </assigned Entity> | |
| 11547 | </informan t> | |
| 11548 | <entryRela tionship | |
| 11549 | typeCode=" REFR" | |
| 11550 | inversionI nd="false" | |
| 11551 | > | |
| 11552 | <observati on | |
| 11553 | classCode= "OBS" | |
| 11554 | moodCode=" EVN" | |
| 11555 | > | |
| 11556 | <templateI d | |
| 11557 | root="2.16 .840.1.113 883. IP " | |
| 11558 | /> | |
| 11559 | <templateI d | |
| 11560 | root="2.16 .840.1.113 883. IP " | |
| 11561 | /> | |
| 11562 | <code | |
| 11563 | code="3399 9-4" | |
| 11564 | displayNam e="Status" | |
| 11565 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 11566 | codeSystem Name="LOIN C" | |
| 11567 | /> | |
| 11568 | <statusCod e | |
| 11569 | code="comp leted" | |
| 11570 | /> | |
| 11571 | <value | |
| 11572 | code="5556 1003" | |
| 11573 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 11574 | codeSystem Name="SNOM ED-CT" | |
| 11575 | displayNam e="Active" | |
| 11576 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 11577 | xsi:type=" CD" | |
| 11578 | /> | |
| 11579 | </observat ion> | |
| 11580 | </entryRel ationship> | |
| 11581 | <entryRela tionship | |
| 11582 | typeCode=" REFR" | |
| 11583 | > | |
| 11584 | <supply | |
| 11585 | classCode= "SPLY" | |
| 11586 | moodCode=" INT" | |
| 11587 | > | |
| 11588 | <templateI d | |
| 11589 | root="2.16 .840.1.113 883. IP .17" | |
| 11590 | /> | |
| 11591 | <id | |
| 11592 | root="3150 0" | |
| 11593 | extension= "E7915E50- A69E-11E6- A9A0-5056A 4032400" | |
| 11594 | assigningA uthorityNa me="31500- PlacerId" | |
| 11595 | /> | |
| 11596 | <statusCod e | |
| 11597 | code="comp leted" | |
| 11598 | /> | |
| 11599 | <repeatNum ber | |
| 11600 | nullFlavor ="UNK" | |
| 11601 | /> | |
| 11602 | <product | |
| 11603 | typeCode=" PRD" | |
| 11604 | > | |
| 11605 | <manufactu redProduct | |
| 11606 | classCode= "MANU" | |
| 11607 | > | |
| 11608 | <templateI d | |
| 11609 | root="2.16 .840.1.113 883. IP .23" | |
| 11610 | /> | |
| 11611 | <manufactu redMateria l | |
| 11612 | classCode= "MMAT" | |
| 11613 | determiner Code="KIND " | |
| 11614 | > | |
| 11615 | <code | |
| 11616 | code="8610 07" | |
| 11617 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 11618 | codeSystem Name="RXNO RM" | |
| 11619 | displayNam e="metform in (GLUCOP HAGE) 500 MG tablet" | |
| 11620 | > | |
| 11621 | <originalT ext> | |
| 11622 | <reference | |
| 11623 | value="#me dOrderedNa me-9" | |
| 11624 | /> | |
| 11625 | </original Text> | |
| 11626 | <translati on | |
| 11627 | code="8610 07" | |
| 11628 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 11629 | codeSystem Name="RXNO RM" | |
| 11630 | displayNam e="metform in (GLUCOP HAGE) 500 MG tablet" | |
| 11631 | /> | |
| 11632 | </code> | |
| 11633 | <name> | |
| 11634 | metformin (GLUCOPHAG E) 500 MG tablet | |
| 11635 | </name> | |
| 11636 | </manufact uredMateri al> | |
| 11637 | </manufact uredProduc t> | |
| 11638 | </product> | |
| 11639 | </supply> | |
| 11640 | </entryRel ationship> | |
| 11641 | <entryRela tionship | |
| 11642 | typeCode=" SUBJ" | |
| 11643 | inversionI nd="true" | |
| 11644 | > | |
| 11645 | <encounter | |
| 11646 | classCode= "ENC" | |
| 11647 | moodCode=" EVN" | |
| 11648 | > | |
| 11649 | <id | |
| 11650 | root="3150 0" | |
| 11651 | extension= "10553224" | |
| 11652 | /> | |
| 11653 | </encounte r> | |
| 11654 | </entryRel ationship> | |
| 11655 | </substanc eAdministr ation> | |
| 11656 | </entry> | |
| 11657 | <entry | |
| 11658 | typeCode=" DRIV" | |
| 11659 | > | |
| 11660 | <substance Administra tion | |
| 11661 | classCode= "SBADM" | |
| 11662 | moodCode=" INT" | |
| 11663 | > | |
| 11664 | <templateI d | |
| 11665 | root="2.16 .840.1.113 883. IP .16" | |
| 11666 | /> | |
| 11667 | <id | |
| 11668 | root="3150 0" | |
| 11669 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .798268|42 83768" | |
| 11670 | assigningA uthorityNa me="31500- ExternalId " | |
| 11671 | /> | |
| 11672 | <id | |
| 11673 | root="3150 0" | |
| 11674 | extension= "E791D4E8- A69E-11E6- A9A0-5056A 4032400" | |
| 11675 | assigningA uthorityNa me="31500- PlacerId" | |
| 11676 | /> | |
| 11677 | <id | |
| 11678 | root="3150 0" | |
| 11679 | extension= "E791D740- A69E-11E6- A9A0-5056A 4032400" | |
| 11680 | assigningA uthorityNa me="31500- FillerId" | |
| 11681 | /> | |
| 11682 | <code | |
| 11683 | nullFlavor ="NA" | |
| 11684 | /> | |
| 11685 | <text> | |
| 11686 | <reference | |
| 11687 | value="#me dSignature -10" | |
| 11688 | /> | |
| 11689 | </text> | |
| 11690 | <statusCod e | |
| 11691 | code="comp leted" | |
| 11692 | /> | |
| 11693 | <effective Time | |
| 11694 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 11695 | xsi:type=" IVL_TS" | |
| 11696 | nullFlavor ="UNK" | |
| 11697 | /> | |
| 11698 | <routeCode | |
| 11699 | code="C382 88" | |
| 11700 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 11701 | codeSystem Name="nciT hesaurus" | |
| 11702 | displayNam e="Oral" | |
| 11703 | /> | |
| 11704 | <doseQuant ity | |
| 11705 | nullFlavor ="NI" | |
| 11706 | /> | |
| 11707 | <rateQuant ity | |
| 11708 | nullFlavor ="NI" | |
| 11709 | /> | |
| 11710 | <consumabl e | |
| 11711 | typeCode=" CSM" | |
| 11712 | > | |
| 11713 | <manufactu redProduct | |
| 11714 | classCode= "MANU" | |
| 11715 | > | |
| 11716 | <templateI d | |
| 11717 | root="2.16 .840.1.113 883. IP .23" | |
| 11718 | /> | |
| 11719 | <manufactu redMateria l | |
| 11720 | classCode= "MMAT" | |
| 11721 | determiner Code="KIND " | |
| 11722 | > | |
| 11723 | <code | |
| 11724 | code="8636 28" | |
| 11725 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 11726 | codeSystem Name="RXNO RM" | |
| 11727 | displayNam e="oxybuty nin (DITRO PAN XL) 15 MG 24 hr tablet" | |
| 11728 | > | |
| 11729 | <originalT ext> | |
| 11730 | <reference | |
| 11731 | value="#me dOrderedNa me-10" | |
| 11732 | /> | |
| 11733 | </original Text> | |
| 11734 | <translati on | |
| 11735 | code="8636 28" | |
| 11736 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 11737 | codeSystem Name="RXNO RM" | |
| 11738 | displayNam e="oxybuty nin (DITRO PAN XL) 15 MG 24 hr tablet" | |
| 11739 | /> | |
| 11740 | </code> | |
| 11741 | <name> | |
| 11742 | oxybutynin (DITROPAN XL) 15 MG 24 hr tab let | |
| 11743 | </name> | |
| 11744 | </manufact uredMateri al> | |
| 11745 | </manufact uredProduc t> | |
| 11746 | </consumab le> | |
| 11747 | <author | |
| 11748 | typeCode=" AUT" | |
| 11749 | > | |
| 11750 | <time | |
| 11751 | nullFlavor ="UNK" | |
| 11752 | /> | |
| 11753 | <assignedA uthor | |
| 11754 | classCode= "ASSIGNED" | |
| 11755 | > | |
| 11756 | <id | |
| 11757 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 11758 | extension= "Historica l Provider " | |
| 11759 | /> | |
| 11760 | <addr | |
| 11761 | nullFlavor ="UNK" | |
| 11762 | /> | |
| 11763 | <telecom | |
| 11764 | nullFlavor ="UNK" | |
| 11765 | /> | |
| 11766 | <assignedP erson> | |
| 11767 | <name | |
| 11768 | use="L" | |
| 11769 | > | |
| 11770 | <family> | |
| 11771 | Provider | |
| 11772 | </family> | |
| 11773 | <given> | |
| 11774 | Historical | |
| 11775 | </given> | |
| 11776 | </name> | |
| 11777 | </assigned Person> | |
| 11778 | <represent edOrganiza tion> | |
| 11779 | <id | |
| 11780 | root="2.16 .840.1.113 883.3.915" | |
| 11781 | extension= "31500" | |
| 11782 | displayabl e="true" | |
| 11783 | /> | |
| 11784 | <name> | |
| 11785 | Care New E ngland | |
| 11786 | </name> | |
| 11787 | <telecom | |
| 11788 | nullFlavor ="UNK" | |
| 11789 | /> | |
| 11790 | <addr | |
| 11791 | use="WP" | |
| 11792 | > | |
| 11793 | <streetAdd ressLine> | |
| 11794 | 10 Health Lane | |
| 11795 | </streetAd dressLine> | |
| 11796 | <city> | |
| 11797 | Warwick | |
| 11798 | </city> | |
| 11799 | <state> | |
| 11800 | RI | |
| 11801 | </state> | |
| 11802 | <postalCod e> | |
| 11803 | 02886 | |
| 11804 | </postalCo de> | |
| 11805 | <country> | |
| 11806 | US | |
| 11807 | </country> | |
| 11808 | </addr> | |
| 11809 | <asOrganiz ationPartO f> | |
| 11810 | <effective Time | |
| 11811 | nullFlavor ="UNK" | |
| 11812 | /> | |
| 11813 | <wholeOrga nization> | |
| 11814 | <id | |
| 11815 | root="2.16 .840.1.113 883.3.915" | |
| 11816 | /> | |
| 11817 | <id | |
| 11818 | root="2.16 .840.1.113 883.3.915" | |
| 11819 | extension= "HomeCommu nity" | |
| 11820 | displayabl e="true" | |
| 11821 | /> | |
| 11822 | <name> | |
| 11823 | CurrentCar e Test | |
| 11824 | </name> | |
| 11825 | <telecom | |
| 11826 | use="WP" | |
| 11827 | value="tel :401-276-9 141" | |
| 11828 | /> | |
| 11829 | <addr | |
| 11830 | use="WP" | |
| 11831 | > | |
| 11832 | <streetAdd ressLine> | |
| 11833 | 50 Holden St., Suite 300 | |
| 11834 | </streetAd dressLine> | |
| 11835 | <city> | |
| 11836 | Providence | |
| 11837 | </city> | |
| 11838 | <state> | |
| 11839 | RI | |
| 11840 | </state> | |
| 11841 | <postalCod e> | |
| 11842 | 02908 | |
| 11843 | </postalCo de> | |
| 11844 | <country> | |
| 11845 | US | |
| 11846 | </country> | |
| 11847 | </addr> | |
| 11848 | </wholeOrg anization> | |
| 11849 | </asOrgani zationPart Of> | |
| 11850 | </represen tedOrganiz ation> | |
| 11851 | </assigned Author> | |
| 11852 | </author> | |
| 11853 | <informant > | |
| 11854 | <assignedE ntity> | |
| 11855 | <id | |
| 11856 | root="RIQI ORG" | |
| 11857 | extension= "31500" | |
| 11858 | /> | |
| 11859 | <addr | |
| 11860 | use="WP" | |
| 11861 | > | |
| 11862 | <streetAdd ressLine> | |
| 11863 | 10 Health Lane | |
| 11864 | </streetAd dressLine> | |
| 11865 | <city> | |
| 11866 | Warwick | |
| 11867 | </city> | |
| 11868 | <state> | |
| 11869 | RI | |
| 11870 | </state> | |
| 11871 | <postalCod e> | |
| 11872 | 02886 | |
| 11873 | </postalCo de> | |
| 11874 | <country> | |
| 11875 | US | |
| 11876 | </country> | |
| 11877 | </addr> | |
| 11878 | <telecom | |
| 11879 | nullFlavor ="UNK" | |
| 11880 | /> | |
| 11881 | <assignedP erson> | |
| 11882 | <name | |
| 11883 | nullFlavor ="UNK" | |
| 11884 | /> | |
| 11885 | </assigned Person> | |
| 11886 | <represent edOrganiza tion> | |
| 11887 | <id | |
| 11888 | root="2.16 .840.1.113 883.3.915" | |
| 11889 | extension= "31500" | |
| 11890 | displayabl e="true" | |
| 11891 | /> | |
| 11892 | <name> | |
| 11893 | Care New E ngland | |
| 11894 | </name> | |
| 11895 | <telecom | |
| 11896 | nullFlavor ="UNK" | |
| 11897 | /> | |
| 11898 | <addr | |
| 11899 | use="WP" | |
| 11900 | > | |
| 11901 | <streetAdd ressLine> | |
| 11902 | 10 Health Lane | |
| 11903 | </streetAd dressLine> | |
| 11904 | <city> | |
| 11905 | Warwick | |
| 11906 | </city> | |
| 11907 | <state> | |
| 11908 | RI | |
| 11909 | </state> | |
| 11910 | <postalCod e> | |
| 11911 | 02886 | |
| 11912 | </postalCo de> | |
| 11913 | <country> | |
| 11914 | US | |
| 11915 | </country> | |
| 11916 | </addr> | |
| 11917 | <asOrganiz ationPartO f> | |
| 11918 | <effective Time | |
| 11919 | nullFlavor ="UNK" | |
| 11920 | /> | |
| 11921 | <wholeOrga nization> | |
| 11922 | <id | |
| 11923 | root="2.16 .840.1.113 883.3.915" | |
| 11924 | /> | |
| 11925 | <id | |
| 11926 | root="2.16 .840.1.113 883.3.915" | |
| 11927 | extension= "HomeCommu nity" | |
| 11928 | displayabl e="true" | |
| 11929 | /> | |
| 11930 | <name> | |
| 11931 | CurrentCar e Test | |
| 11932 | </name> | |
| 11933 | <telecom | |
| 11934 | use="WP" | |
| 11935 | value="tel :401-276-9 141" | |
| 11936 | /> | |
| 11937 | <addr | |
| 11938 | use="WP" | |
| 11939 | > | |
| 11940 | <streetAdd ressLine> | |
| 11941 | 50 Holden St., Suite 300 | |
| 11942 | </streetAd dressLine> | |
| 11943 | <city> | |
| 11944 | Providence | |
| 11945 | </city> | |
| 11946 | <state> | |
| 11947 | RI | |
| 11948 | </state> | |
| 11949 | <postalCod e> | |
| 11950 | 02908 | |
| 11951 | </postalCo de> | |
| 11952 | <country> | |
| 11953 | US | |
| 11954 | </country> | |
| 11955 | </addr> | |
| 11956 | </wholeOrg anization> | |
| 11957 | </asOrgani zationPart Of> | |
| 11958 | </represen tedOrganiz ation> | |
| 11959 | </assigned Entity> | |
| 11960 | </informan t> | |
| 11961 | <entryRela tionship | |
| 11962 | typeCode=" REFR" | |
| 11963 | inversionI nd="false" | |
| 11964 | > | |
| 11965 | <observati on | |
| 11966 | classCode= "OBS" | |
| 11967 | moodCode=" EVN" | |
| 11968 | > | |
| 11969 | <templateI d | |
| 11970 | root="2.16 .840.1.113 883. IP " | |
| 11971 | /> | |
| 11972 | <templateI d | |
| 11973 | root="2.16 .840.1.113 883. IP " | |
| 11974 | /> | |
| 11975 | <code | |
| 11976 | code="3399 9-4" | |
| 11977 | displayNam e="Status" | |
| 11978 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 11979 | codeSystem Name="LOIN C" | |
| 11980 | /> | |
| 11981 | <statusCod e | |
| 11982 | code="comp leted" | |
| 11983 | /> | |
| 11984 | <value | |
| 11985 | code="5556 1003" | |
| 11986 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 11987 | codeSystem Name="SNOM ED-CT" | |
| 11988 | displayNam e="Active" | |
| 11989 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 11990 | xsi:type=" CD" | |
| 11991 | /> | |
| 11992 | </observat ion> | |
| 11993 | </entryRel ationship> | |
| 11994 | <entryRela tionship | |
| 11995 | typeCode=" REFR" | |
| 11996 | > | |
| 11997 | <supply | |
| 11998 | classCode= "SPLY" | |
| 11999 | moodCode=" INT" | |
| 12000 | > | |
| 12001 | <templateI d | |
| 12002 | root="2.16 .840.1.113 883. IP .17" | |
| 12003 | /> | |
| 12004 | <id | |
| 12005 | root="3150 0" | |
| 12006 | extension= "E791D4E8- A69E-11E6- A9A0-5056A 4032400" | |
| 12007 | assigningA uthorityNa me="31500- PlacerId" | |
| 12008 | /> | |
| 12009 | <statusCod e | |
| 12010 | code="comp leted" | |
| 12011 | /> | |
| 12012 | <repeatNum ber | |
| 12013 | nullFlavor ="UNK" | |
| 12014 | /> | |
| 12015 | <product | |
| 12016 | typeCode=" PRD" | |
| 12017 | > | |
| 12018 | <manufactu redProduct | |
| 12019 | classCode= "MANU" | |
| 12020 | > | |
| 12021 | <templateI d | |
| 12022 | root="2.16 .840.1.113 883. IP .23" | |
| 12023 | /> | |
| 12024 | <manufactu redMateria l | |
| 12025 | classCode= "MMAT" | |
| 12026 | determiner Code="KIND " | |
| 12027 | > | |
| 12028 | <code | |
| 12029 | code="8636 28" | |
| 12030 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 12031 | codeSystem Name="RXNO RM" | |
| 12032 | displayNam e="oxybuty nin (DITRO PAN XL) 15 MG 24 hr tablet" | |
| 12033 | > | |
| 12034 | <originalT ext> | |
| 12035 | <reference | |
| 12036 | value="#me dOrderedNa me-10" | |
| 12037 | /> | |
| 12038 | </original Text> | |
| 12039 | <translati on | |
| 12040 | code="8636 28" | |
| 12041 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 12042 | codeSystem Name="RXNO RM" | |
| 12043 | displayNam e="oxybuty nin (DITRO PAN XL) 15 MG 24 hr tablet" | |
| 12044 | /> | |
| 12045 | </code> | |
| 12046 | <name> | |
| 12047 | oxybutynin (DITROPAN XL) 15 MG 24 hr tab let | |
| 12048 | </name> | |
| 12049 | </manufact uredMateri al> | |
| 12050 | </manufact uredProduc t> | |
| 12051 | </product> | |
| 12052 | </supply> | |
| 12053 | </entryRel ationship> | |
| 12054 | <entryRela tionship | |
| 12055 | typeCode=" SUBJ" | |
| 12056 | inversionI nd="true" | |
| 12057 | > | |
| 12058 | <encounter | |
| 12059 | classCode= "ENC" | |
| 12060 | moodCode=" EVN" | |
| 12061 | > | |
| 12062 | <id | |
| 12063 | root="3150 0" | |
| 12064 | extension= "10553224" | |
| 12065 | /> | |
| 12066 | </encounte r> | |
| 12067 | </entryRel ationship> | |
| 12068 | </substanc eAdministr ation> | |
| 12069 | </entry> | |
| 12070 | <entry | |
| 12071 | typeCode=" DRIV" | |
| 12072 | > | |
| 12073 | <substance Administra tion | |
| 12074 | classCode= "SBADM" | |
| 12075 | moodCode=" INT" | |
| 12076 | > | |
| 12077 | <templateI d | |
| 12078 | root="2.16 .840.1.113 883. IP .16" | |
| 12079 | /> | |
| 12080 | <id | |
| 12081 | root="3150 0" | |
| 12082 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .798268|42 83769" | |
| 12083 | assigningA uthorityNa me="31500- ExternalId " | |
| 12084 | /> | |
| 12085 | <id | |
| 12086 | root="3150 0" | |
| 12087 | extension= "E7932500- A69E-11E6- A9A0-5056A 4032400" | |
| 12088 | assigningA uthorityNa me="31500- PlacerId" | |
| 12089 | /> | |
| 12090 | <id | |
| 12091 | root="3150 0" | |
| 12092 | extension= "E7932758- A69E-11E6- A9A0-5056A 4032400" | |
| 12093 | assigningA uthorityNa me="31500- FillerId" | |
| 12094 | /> | |
| 12095 | <code | |
| 12096 | nullFlavor ="NA" | |
| 12097 | /> | |
| 12098 | <text> | |
| 12099 | <reference | |
| 12100 | value="#me dSignature -11" | |
| 12101 | /> | |
| 12102 | </text> | |
| 12103 | <statusCod e | |
| 12104 | code="comp leted" | |
| 12105 | /> | |
| 12106 | <effective Time | |
| 12107 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 12108 | xsi:type=" IVL_TS" | |
| 12109 | nullFlavor ="UNK" | |
| 12110 | /> | |
| 12111 | <routeCode | |
| 12112 | code="C382 99" | |
| 12113 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 12114 | codeSystem Name="nciT hesaurus" | |
| 12115 | displayNam e="Subcuta neous" | |
| 12116 | /> | |
| 12117 | <doseQuant ity | |
| 12118 | nullFlavor ="NI" | |
| 12119 | /> | |
| 12120 | <rateQuant ity | |
| 12121 | nullFlavor ="NI" | |
| 12122 | /> | |
| 12123 | <consumabl e | |
| 12124 | typeCode=" CSM" | |
| 12125 | > | |
| 12126 | <manufactu redProduct | |
| 12127 | classCode= "MANU" | |
| 12128 | > | |
| 12129 | <templateI d | |
| 12130 | root="2.16 .840.1.113 883. IP .23" | |
| 12131 | /> | |
| 12132 | <manufactu redMateria l | |
| 12133 | classCode= "MMAT" | |
| 12134 | determiner Code="KIND " | |
| 12135 | > | |
| 12136 | <code | |
| 12137 | code="8971 22" | |
| 12138 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 12139 | codeSystem Name="RXNO RM" | |
| 12140 | displayNam e="liraglu tide (VICT OZA 2-PAK) 0.6 mg/0. 1 mL (18 m g/3 mL) Pn Ij" | |
| 12141 | > | |
| 12142 | <originalT ext> | |
| 12143 | <reference | |
| 12144 | value="#me dOrderedNa me-11" | |
| 12145 | /> | |
| 12146 | </original Text> | |
| 12147 | <translati on | |
| 12148 | code="8971 22" | |
| 12149 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 12150 | codeSystem Name="RXNO RM" | |
| 12151 | displayNam e="liraglu tide (VICT OZA 2-PAK) 0.6 mg/0. 1 mL (18 m g/3 mL) Pn Ij" | |
| 12152 | /> | |
| 12153 | </code> | |
| 12154 | <name> | |
| 12155 | liraglutid e (VICTOZA 2-PAK) 0. 6 mg/0.1 m L (18 mg/3 mL) PnIj | |
| 12156 | </name> | |
| 12157 | </manufact uredMateri al> | |
| 12158 | </manufact uredProduc t> | |
| 12159 | </consumab le> | |
| 12160 | <author | |
| 12161 | typeCode=" AUT" | |
| 12162 | > | |
| 12163 | <time | |
| 12164 | nullFlavor ="UNK" | |
| 12165 | /> | |
| 12166 | <assignedA uthor | |
| 12167 | classCode= "ASSIGNED" | |
| 12168 | > | |
| 12169 | <id | |
| 12170 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 12171 | extension= "Historica l Provider " | |
| 12172 | /> | |
| 12173 | <addr | |
| 12174 | nullFlavor ="UNK" | |
| 12175 | /> | |
| 12176 | <telecom | |
| 12177 | nullFlavor ="UNK" | |
| 12178 | /> | |
| 12179 | <assignedP erson> | |
| 12180 | <name | |
| 12181 | use="L" | |
| 12182 | > | |
| 12183 | <family> | |
| 12184 | Provider | |
| 12185 | </family> | |
| 12186 | <given> | |
| 12187 | Historical | |
| 12188 | </given> | |
| 12189 | </name> | |
| 12190 | </assigned Person> | |
| 12191 | <represent edOrganiza tion> | |
| 12192 | <id | |
| 12193 | root="2.16 .840.1.113 883.3.915" | |
| 12194 | extension= "31500" | |
| 12195 | displayabl e="true" | |
| 12196 | /> | |
| 12197 | <name> | |
| 12198 | Care New E ngland | |
| 12199 | </name> | |
| 12200 | <telecom | |
| 12201 | nullFlavor ="UNK" | |
| 12202 | /> | |
| 12203 | <addr | |
| 12204 | use="WP" | |
| 12205 | > | |
| 12206 | <streetAdd ressLine> | |
| 12207 | 10 Health Lane | |
| 12208 | </streetAd dressLine> | |
| 12209 | <city> | |
| 12210 | Warwick | |
| 12211 | </city> | |
| 12212 | <state> | |
| 12213 | RI | |
| 12214 | </state> | |
| 12215 | <postalCod e> | |
| 12216 | 02886 | |
| 12217 | </postalCo de> | |
| 12218 | <country> | |
| 12219 | US | |
| 12220 | </country> | |
| 12221 | </addr> | |
| 12222 | <asOrganiz ationPartO f> | |
| 12223 | <effective Time | |
| 12224 | nullFlavor ="UNK" | |
| 12225 | /> | |
| 12226 | <wholeOrga nization> | |
| 12227 | <id | |
| 12228 | root="2.16 .840.1.113 883.3.915" | |
| 12229 | /> | |
| 12230 | <id | |
| 12231 | root="2.16 .840.1.113 883.3.915" | |
| 12232 | extension= "HomeCommu nity" | |
| 12233 | displayabl e="true" | |
| 12234 | /> | |
| 12235 | <name> | |
| 12236 | CurrentCar e Test | |
| 12237 | </name> | |
| 12238 | <telecom | |
| 12239 | use="WP" | |
| 12240 | value="tel :401-276-9 141" | |
| 12241 | /> | |
| 12242 | <addr | |
| 12243 | use="WP" | |
| 12244 | > | |
| 12245 | <streetAdd ressLine> | |
| 12246 | 50 Holden St., Suite 300 | |
| 12247 | </streetAd dressLine> | |
| 12248 | <city> | |
| 12249 | Providence | |
| 12250 | </city> | |
| 12251 | <state> | |
| 12252 | RI | |
| 12253 | </state> | |
| 12254 | <postalCod e> | |
| 12255 | 02908 | |
| 12256 | </postalCo de> | |
| 12257 | <country> | |
| 12258 | US | |
| 12259 | </country> | |
| 12260 | </addr> | |
| 12261 | </wholeOrg anization> | |
| 12262 | </asOrgani zationPart Of> | |
| 12263 | </represen tedOrganiz ation> | |
| 12264 | </assigned Author> | |
| 12265 | </author> | |
| 12266 | <informant > | |
| 12267 | <assignedE ntity> | |
| 12268 | <id | |
| 12269 | root="RIQI ORG" | |
| 12270 | extension= "31500" | |
| 12271 | /> | |
| 12272 | <addr | |
| 12273 | use="WP" | |
| 12274 | > | |
| 12275 | <streetAdd ressLine> | |
| 12276 | 10 Health Lane | |
| 12277 | </streetAd dressLine> | |
| 12278 | <city> | |
| 12279 | Warwick | |
| 12280 | </city> | |
| 12281 | <state> | |
| 12282 | RI | |
| 12283 | </state> | |
| 12284 | <postalCod e> | |
| 12285 | 02886 | |
| 12286 | </postalCo de> | |
| 12287 | <country> | |
| 12288 | US | |
| 12289 | </country> | |
| 12290 | </addr> | |
| 12291 | <telecom | |
| 12292 | nullFlavor ="UNK" | |
| 12293 | /> | |
| 12294 | <assignedP erson> | |
| 12295 | <name | |
| 12296 | nullFlavor ="UNK" | |
| 12297 | /> | |
| 12298 | </assigned Person> | |
| 12299 | <represent edOrganiza tion> | |
| 12300 | <id | |
| 12301 | root="2.16 .840.1.113 883.3.915" | |
| 12302 | extension= "31500" | |
| 12303 | displayabl e="true" | |
| 12304 | /> | |
| 12305 | <name> | |
| 12306 | Care New E ngland | |
| 12307 | </name> | |
| 12308 | <telecom | |
| 12309 | nullFlavor ="UNK" | |
| 12310 | /> | |
| 12311 | <addr | |
| 12312 | use="WP" | |
| 12313 | > | |
| 12314 | <streetAdd ressLine> | |
| 12315 | 10 Health Lane | |
| 12316 | </streetAd dressLine> | |
| 12317 | <city> | |
| 12318 | Warwick | |
| 12319 | </city> | |
| 12320 | <state> | |
| 12321 | RI | |
| 12322 | </state> | |
| 12323 | <postalCod e> | |
| 12324 | 02886 | |
| 12325 | </postalCo de> | |
| 12326 | <country> | |
| 12327 | US | |
| 12328 | </country> | |
| 12329 | </addr> | |
| 12330 | <asOrganiz ationPartO f> | |
| 12331 | <effective Time | |
| 12332 | nullFlavor ="UNK" | |
| 12333 | /> | |
| 12334 | <wholeOrga nization> | |
| 12335 | <id | |
| 12336 | root="2.16 .840.1.113 883.3.915" | |
| 12337 | /> | |
| 12338 | <id | |
| 12339 | root="2.16 .840.1.113 883.3.915" | |
| 12340 | extension= "HomeCommu nity" | |
| 12341 | displayabl e="true" | |
| 12342 | /> | |
| 12343 | <name> | |
| 12344 | CurrentCar e Test | |
| 12345 | </name> | |
| 12346 | <telecom | |
| 12347 | use="WP" | |
| 12348 | value="tel :401-276-9 141" | |
| 12349 | /> | |
| 12350 | <addr | |
| 12351 | use="WP" | |
| 12352 | > | |
| 12353 | <streetAdd ressLine> | |
| 12354 | 50 Holden St., Suite 300 | |
| 12355 | </streetAd dressLine> | |
| 12356 | <city> | |
| 12357 | Providence | |
| 12358 | </city> | |
| 12359 | <state> | |
| 12360 | RI | |
| 12361 | </state> | |
| 12362 | <postalCod e> | |
| 12363 | 02908 | |
| 12364 | </postalCo de> | |
| 12365 | <country> | |
| 12366 | US | |
| 12367 | </country> | |
| 12368 | </addr> | |
| 12369 | </wholeOrg anization> | |
| 12370 | </asOrgani zationPart Of> | |
| 12371 | </represen tedOrganiz ation> | |
| 12372 | </assigned Entity> | |
| 12373 | </informan t> | |
| 12374 | <entryRela tionship | |
| 12375 | typeCode=" REFR" | |
| 12376 | inversionI nd="false" | |
| 12377 | > | |
| 12378 | <observati on | |
| 12379 | classCode= "OBS" | |
| 12380 | moodCode=" EVN" | |
| 12381 | > | |
| 12382 | <templateI d | |
| 12383 | root="2.16 .840.1.113 883. IP " | |
| 12384 | /> | |
| 12385 | <templateI d | |
| 12386 | root="2.16 .840.1.113 883. IP " | |
| 12387 | /> | |
| 12388 | <code | |
| 12389 | code="3399 9-4" | |
| 12390 | displayNam e="Status" | |
| 12391 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 12392 | codeSystem Name="LOIN C" | |
| 12393 | /> | |
| 12394 | <statusCod e | |
| 12395 | code="comp leted" | |
| 12396 | /> | |
| 12397 | <value | |
| 12398 | code="5556 1003" | |
| 12399 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 12400 | codeSystem Name="SNOM ED-CT" | |
| 12401 | displayNam e="Active" | |
| 12402 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 12403 | xsi:type=" CD" | |
| 12404 | /> | |
| 12405 | </observat ion> | |
| 12406 | </entryRel ationship> | |
| 12407 | <entryRela tionship | |
| 12408 | typeCode=" REFR" | |
| 12409 | > | |
| 12410 | <supply | |
| 12411 | classCode= "SPLY" | |
| 12412 | moodCode=" INT" | |
| 12413 | > | |
| 12414 | <templateI d | |
| 12415 | root="2.16 .840.1.113 883. IP .17" | |
| 12416 | /> | |
| 12417 | <id | |
| 12418 | root="3150 0" | |
| 12419 | extension= "E7932500- A69E-11E6- A9A0-5056A 4032400" | |
| 12420 | assigningA uthorityNa me="31500- PlacerId" | |
| 12421 | /> | |
| 12422 | <statusCod e | |
| 12423 | code="comp leted" | |
| 12424 | /> | |
| 12425 | <repeatNum ber | |
| 12426 | nullFlavor ="UNK" | |
| 12427 | /> | |
| 12428 | <product | |
| 12429 | typeCode=" PRD" | |
| 12430 | > | |
| 12431 | <manufactu redProduct | |
| 12432 | classCode= "MANU" | |
| 12433 | > | |
| 12434 | <templateI d | |
| 12435 | root="2.16 .840.1.113 883. IP .23" | |
| 12436 | /> | |
| 12437 | <manufactu redMateria l | |
| 12438 | classCode= "MMAT" | |
| 12439 | determiner Code="KIND " | |
| 12440 | > | |
| 12441 | <code | |
| 12442 | code="8971 22" | |
| 12443 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 12444 | codeSystem Name="RXNO RM" | |
| 12445 | displayNam e="liraglu tide (VICT OZA 2-PAK) 0.6 mg/0. 1 mL (18 m g/3 mL) Pn Ij" | |
| 12446 | > | |
| 12447 | <originalT ext> | |
| 12448 | <reference | |
| 12449 | value="#me dOrderedNa me-11" | |
| 12450 | /> | |
| 12451 | </original Text> | |
| 12452 | <translati on | |
| 12453 | code="8971 22" | |
| 12454 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 12455 | codeSystem Name="RXNO RM" | |
| 12456 | displayNam e="liraglu tide (VICT OZA 2-PAK) 0.6 mg/0. 1 mL (18 m g/3 mL) Pn Ij" | |
| 12457 | /> | |
| 12458 | </code> | |
| 12459 | <name> | |
| 12460 | liraglutid e (VICTOZA 2-PAK) 0. 6 mg/0.1 m L (18 mg/3 mL) PnIj | |
| 12461 | </name> | |
| 12462 | </manufact uredMateri al> | |
| 12463 | </manufact uredProduc t> | |
| 12464 | </product> | |
| 12465 | </supply> | |
| 12466 | </entryRel ationship> | |
| 12467 | <entryRela tionship | |
| 12468 | typeCode=" SUBJ" | |
| 12469 | inversionI nd="true" | |
| 12470 | > | |
| 12471 | <encounter | |
| 12472 | classCode= "ENC" | |
| 12473 | moodCode=" EVN" | |
| 12474 | > | |
| 12475 | <id | |
| 12476 | root="3150 0" | |
| 12477 | extension= "10553224" | |
| 12478 | /> | |
| 12479 | </encounte r> | |
| 12480 | </entryRel ationship> | |
| 12481 | </substanc eAdministr ation> | |
| 12482 | </entry> | |
| 12483 | <entry | |
| 12484 | typeCode=" DRIV" | |
| 12485 | > | |
| 12486 | <substance Administra tion | |
| 12487 | classCode= "SBADM" | |
| 12488 | moodCode=" INT" | |
| 12489 | > | |
| 12490 | <templateI d | |
| 12491 | root="2.16 .840.1.113 883. IP .16" | |
| 12492 | /> | |
| 12493 | <id | |
| 12494 | root="3150 0" | |
| 12495 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .798268|42 83770" | |
| 12496 | assigningA uthorityNa me="31500- ExternalId " | |
| 12497 | /> | |
| 12498 | <id | |
| 12499 | root="3150 0" | |
| 12500 | extension= "E793B9E8- A69E-11E6- A9A0-5056A 4032400" | |
| 12501 | assigningA uthorityNa me="31500- PlacerId" | |
| 12502 | /> | |
| 12503 | <id | |
| 12504 | root="3150 0" | |
| 12505 | extension= "E793BC54- A69E-11E6- A9A0-5056A 4032400" | |
| 12506 | assigningA uthorityNa me="31500- FillerId" | |
| 12507 | /> | |
| 12508 | <code | |
| 12509 | nullFlavor ="NA" | |
| 12510 | /> | |
| 12511 | <text> | |
| 12512 | <reference | |
| 12513 | value="#me dSignature -12" | |
| 12514 | /> | |
| 12515 | </text> | |
| 12516 | <statusCod e | |
| 12517 | code="comp leted" | |
| 12518 | /> | |
| 12519 | <effective Time | |
| 12520 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 12521 | xsi:type=" IVL_TS" | |
| 12522 | nullFlavor ="UNK" | |
| 12523 | /> | |
| 12524 | <routeCode | |
| 12525 | code="C382 99" | |
| 12526 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 12527 | codeSystem Name="nciT hesaurus" | |
| 12528 | displayNam e="Subcuta neous" | |
| 12529 | /> | |
| 12530 | <doseQuant ity | |
| 12531 | nullFlavor ="NI" | |
| 12532 | /> | |
| 12533 | <rateQuant ity | |
| 12534 | nullFlavor ="NI" | |
| 12535 | /> | |
| 12536 | <consumabl e | |
| 12537 | typeCode=" CSM" | |
| 12538 | > | |
| 12539 | <manufactu redProduct | |
| 12540 | classCode= "MANU" | |
| 12541 | > | |
| 12542 | <templateI d | |
| 12543 | root="2.16 .840.1.113 883. IP .23" | |
| 12544 | /> | |
| 12545 | <manufactu redMateria l | |
| 12546 | classCode= "MMAT" | |
| 12547 | determiner Code="KIND " | |
| 12548 | > | |
| 12549 | <code | |
| 12550 | code="8471 91" | |
| 12551 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 12552 | codeSystem Name="RXNO RM" | |
| 12553 | displayNam e="insulin aspart pr otamine-in sulin aspa rt (NOVOLO G MIX 70-3 0 FLEXPEN) 100 unit/ mL (70-30) injection " | |
| 12554 | > | |
| 12555 | <originalT ext> | |
| 12556 | <reference | |
| 12557 | value="#me dOrderedNa me-12" | |
| 12558 | /> | |
| 12559 | </original Text> | |
| 12560 | <translati on | |
| 12561 | code="8471 91" | |
| 12562 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 12563 | codeSystem Name="RXNO RM" | |
| 12564 | displayNam e="insulin aspart pr otamine-in sulin aspa rt (NOVOLO G MIX 70-3 0 FLEXPEN) 100 unit/ mL (70-30) injection " | |
| 12565 | /> | |
| 12566 | </code> | |
| 12567 | <name> | |
| 12568 | insulin as part prota mine-insul in aspart (NOVOLOG M IX 70-30 F LEXPEN) 10 0 unit/mL (70-30) in jection | |
| 12569 | </name> | |
| 12570 | </manufact uredMateri al> | |
| 12571 | </manufact uredProduc t> | |
| 12572 | </consumab le> | |
| 12573 | <author | |
| 12574 | typeCode=" AUT" | |
| 12575 | > | |
| 12576 | <time | |
| 12577 | nullFlavor ="UNK" | |
| 12578 | /> | |
| 12579 | <assignedA uthor | |
| 12580 | classCode= "ASSIGNED" | |
| 12581 | > | |
| 12582 | <id | |
| 12583 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 12584 | extension= "Historica l Provider " | |
| 12585 | /> | |
| 12586 | <addr | |
| 12587 | nullFlavor ="UNK" | |
| 12588 | /> | |
| 12589 | <telecom | |
| 12590 | nullFlavor ="UNK" | |
| 12591 | /> | |
| 12592 | <assignedP erson> | |
| 12593 | <name | |
| 12594 | use="L" | |
| 12595 | > | |
| 12596 | <family> | |
| 12597 | Provider | |
| 12598 | </family> | |
| 12599 | <given> | |
| 12600 | Historical | |
| 12601 | </given> | |
| 12602 | </name> | |
| 12603 | </assigned Person> | |
| 12604 | <represent edOrganiza tion> | |
| 12605 | <id | |
| 12606 | root="2.16 .840.1.113 883.3.915" | |
| 12607 | extension= "31500" | |
| 12608 | displayabl e="true" | |
| 12609 | /> | |
| 12610 | <name> | |
| 12611 | Care New E ngland | |
| 12612 | </name> | |
| 12613 | <telecom | |
| 12614 | nullFlavor ="UNK" | |
| 12615 | /> | |
| 12616 | <addr | |
| 12617 | use="WP" | |
| 12618 | > | |
| 12619 | <streetAdd ressLine> | |
| 12620 | 10 Health Lane | |
| 12621 | </streetAd dressLine> | |
| 12622 | <city> | |
| 12623 | Warwick | |
| 12624 | </city> | |
| 12625 | <state> | |
| 12626 | RI | |
| 12627 | </state> | |
| 12628 | <postalCod e> | |
| 12629 | 02886 | |
| 12630 | </postalCo de> | |
| 12631 | <country> | |
| 12632 | US | |
| 12633 | </country> | |
| 12634 | </addr> | |
| 12635 | <asOrganiz ationPartO f> | |
| 12636 | <effective Time | |
| 12637 | nullFlavor ="UNK" | |
| 12638 | /> | |
| 12639 | <wholeOrga nization> | |
| 12640 | <id | |
| 12641 | root="2.16 .840.1.113 883.3.915" | |
| 12642 | /> | |
| 12643 | <id | |
| 12644 | root="2.16 .840.1.113 883.3.915" | |
| 12645 | extension= "HomeCommu nity" | |
| 12646 | displayabl e="true" | |
| 12647 | /> | |
| 12648 | <name> | |
| 12649 | CurrentCar e Test | |
| 12650 | </name> | |
| 12651 | <telecom | |
| 12652 | use="WP" | |
| 12653 | value="tel :401-276-9 141" | |
| 12654 | /> | |
| 12655 | <addr | |
| 12656 | use="WP" | |
| 12657 | > | |
| 12658 | <streetAdd ressLine> | |
| 12659 | 50 Holden St., Suite 300 | |
| 12660 | </streetAd dressLine> | |
| 12661 | <city> | |
| 12662 | Providence | |
| 12663 | </city> | |
| 12664 | <state> | |
| 12665 | RI | |
| 12666 | </state> | |
| 12667 | <postalCod e> | |
| 12668 | 02908 | |
| 12669 | </postalCo de> | |
| 12670 | <country> | |
| 12671 | US | |
| 12672 | </country> | |
| 12673 | </addr> | |
| 12674 | </wholeOrg anization> | |
| 12675 | </asOrgani zationPart Of> | |
| 12676 | </represen tedOrganiz ation> | |
| 12677 | </assigned Author> | |
| 12678 | </author> | |
| 12679 | <informant > | |
| 12680 | <assignedE ntity> | |
| 12681 | <id | |
| 12682 | root="RIQI ORG" | |
| 12683 | extension= "31500" | |
| 12684 | /> | |
| 12685 | <addr | |
| 12686 | use="WP" | |
| 12687 | > | |
| 12688 | <streetAdd ressLine> | |
| 12689 | 10 Health Lane | |
| 12690 | </streetAd dressLine> | |
| 12691 | <city> | |
| 12692 | Warwick | |
| 12693 | </city> | |
| 12694 | <state> | |
| 12695 | RI | |
| 12696 | </state> | |
| 12697 | <postalCod e> | |
| 12698 | 02886 | |
| 12699 | </postalCo de> | |
| 12700 | <country> | |
| 12701 | US | |
| 12702 | </country> | |
| 12703 | </addr> | |
| 12704 | <telecom | |
| 12705 | nullFlavor ="UNK" | |
| 12706 | /> | |
| 12707 | <assignedP erson> | |
| 12708 | <name | |
| 12709 | nullFlavor ="UNK" | |
| 12710 | /> | |
| 12711 | </assigned Person> | |
| 12712 | <represent edOrganiza tion> | |
| 12713 | <id | |
| 12714 | root="2.16 .840.1.113 883.3.915" | |
| 12715 | extension= "31500" | |
| 12716 | displayabl e="true" | |
| 12717 | /> | |
| 12718 | <name> | |
| 12719 | Care New E ngland | |
| 12720 | </name> | |
| 12721 | <telecom | |
| 12722 | nullFlavor ="UNK" | |
| 12723 | /> | |
| 12724 | <addr | |
| 12725 | use="WP" | |
| 12726 | > | |
| 12727 | <streetAdd ressLine> | |
| 12728 | 10 Health Lane | |
| 12729 | </streetAd dressLine> | |
| 12730 | <city> | |
| 12731 | Warwick | |
| 12732 | </city> | |
| 12733 | <state> | |
| 12734 | RI | |
| 12735 | </state> | |
| 12736 | <postalCod e> | |
| 12737 | 02886 | |
| 12738 | </postalCo de> | |
| 12739 | <country> | |
| 12740 | US | |
| 12741 | </country> | |
| 12742 | </addr> | |
| 12743 | <asOrganiz ationPartO f> | |
| 12744 | <effective Time | |
| 12745 | nullFlavor ="UNK" | |
| 12746 | /> | |
| 12747 | <wholeOrga nization> | |
| 12748 | <id | |
| 12749 | root="2.16 .840.1.113 883.3.915" | |
| 12750 | /> | |
| 12751 | <id | |
| 12752 | root="2.16 .840.1.113 883.3.915" | |
| 12753 | extension= "HomeCommu nity" | |
| 12754 | displayabl e="true" | |
| 12755 | /> | |
| 12756 | <name> | |
| 12757 | CurrentCar e Test | |
| 12758 | </name> | |
| 12759 | <telecom | |
| 12760 | use="WP" | |
| 12761 | value="tel :401-276-9 141" | |
| 12762 | /> | |
| 12763 | <addr | |
| 12764 | use="WP" | |
| 12765 | > | |
| 12766 | <streetAdd ressLine> | |
| 12767 | 50 Holden St., Suite 300 | |
| 12768 | </streetAd dressLine> | |
| 12769 | <city> | |
| 12770 | Providence | |
| 12771 | </city> | |
| 12772 | <state> | |
| 12773 | RI | |
| 12774 | </state> | |
| 12775 | <postalCod e> | |
| 12776 | 02908 | |
| 12777 | </postalCo de> | |
| 12778 | <country> | |
| 12779 | US | |
| 12780 | </country> | |
| 12781 | </addr> | |
| 12782 | </wholeOrg anization> | |
| 12783 | </asOrgani zationPart Of> | |
| 12784 | </represen tedOrganiz ation> | |
| 12785 | </assigned Entity> | |
| 12786 | </informan t> | |
| 12787 | <entryRela tionship | |
| 12788 | typeCode=" REFR" | |
| 12789 | inversionI nd="false" | |
| 12790 | > | |
| 12791 | <observati on | |
| 12792 | classCode= "OBS" | |
| 12793 | moodCode=" EVN" | |
| 12794 | > | |
| 12795 | <templateI d | |
| 12796 | root="2.16 .840.1.113 883. IP " | |
| 12797 | /> | |
| 12798 | <templateI d | |
| 12799 | root="2.16 .840.1.113 883. IP " | |
| 12800 | /> | |
| 12801 | <code | |
| 12802 | code="3399 9-4" | |
| 12803 | displayNam e="Status" | |
| 12804 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 12805 | codeSystem Name="LOIN C" | |
| 12806 | /> | |
| 12807 | <statusCod e | |
| 12808 | code="comp leted" | |
| 12809 | /> | |
| 12810 | <value | |
| 12811 | code="5556 1003" | |
| 12812 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 12813 | codeSystem Name="SNOM ED-CT" | |
| 12814 | displayNam e="Active" | |
| 12815 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 12816 | xsi:type=" CD" | |
| 12817 | /> | |
| 12818 | </observat ion> | |
| 12819 | </entryRel ationship> | |
| 12820 | <entryRela tionship | |
| 12821 | typeCode=" REFR" | |
| 12822 | > | |
| 12823 | <supply | |
| 12824 | classCode= "SPLY" | |
| 12825 | moodCode=" INT" | |
| 12826 | > | |
| 12827 | <templateI d | |
| 12828 | root="2.16 .840.1.113 883. IP .17" | |
| 12829 | /> | |
| 12830 | <id | |
| 12831 | root="3150 0" | |
| 12832 | extension= "E793B9E8- A69E-11E6- A9A0-5056A 4032400" | |
| 12833 | assigningA uthorityNa me="31500- PlacerId" | |
| 12834 | /> | |
| 12835 | <statusCod e | |
| 12836 | code="comp leted" | |
| 12837 | /> | |
| 12838 | <repeatNum ber | |
| 12839 | nullFlavor ="UNK" | |
| 12840 | /> | |
| 12841 | <product | |
| 12842 | typeCode=" PRD" | |
| 12843 | > | |
| 12844 | <manufactu redProduct | |
| 12845 | classCode= "MANU" | |
| 12846 | > | |
| 12847 | <templateI d | |
| 12848 | root="2.16 .840.1.113 883. IP .23" | |
| 12849 | /> | |
| 12850 | <manufactu redMateria l | |
| 12851 | classCode= "MMAT" | |
| 12852 | determiner Code="KIND " | |
| 12853 | > | |
| 12854 | <code | |
| 12855 | code="8471 91" | |
| 12856 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 12857 | codeSystem Name="RXNO RM" | |
| 12858 | displayNam e="insulin aspart pr otamine-in sulin aspa rt (NOVOLO G MIX 70-3 0 FLEXPEN) 100 unit/ mL (70-30) injection " | |
| 12859 | > | |
| 12860 | <originalT ext> | |
| 12861 | <reference | |
| 12862 | value="#me dOrderedNa me-12" | |
| 12863 | /> | |
| 12864 | </original Text> | |
| 12865 | <translati on | |
| 12866 | code="8471 91" | |
| 12867 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 12868 | codeSystem Name="RXNO RM" | |
| 12869 | displayNam e="insulin aspart pr otamine-in sulin aspa rt (NOVOLO G MIX 70-3 0 FLEXPEN) 100 unit/ mL (70-30) injection " | |
| 12870 | /> | |
| 12871 | </code> | |
| 12872 | <name> | |
| 12873 | insulin as part prota mine-insul in aspart (NOVOLOG M IX 70-30 F LEXPEN) 10 0 unit/mL (70-30) in jection | |
| 12874 | </name> | |
| 12875 | </manufact uredMateri al> | |
| 12876 | </manufact uredProduc t> | |
| 12877 | </product> | |
| 12878 | </supply> | |
| 12879 | </entryRel ationship> | |
| 12880 | <entryRela tionship | |
| 12881 | typeCode=" SUBJ" | |
| 12882 | inversionI nd="true" | |
| 12883 | > | |
| 12884 | <encounter | |
| 12885 | classCode= "ENC" | |
| 12886 | moodCode=" EVN" | |
| 12887 | > | |
| 12888 | <id | |
| 12889 | root="3150 0" | |
| 12890 | extension= "10553224" | |
| 12891 | /> | |
| 12892 | </encounte r> | |
| 12893 | </entryRel ationship> | |
| 12894 | </substanc eAdministr ation> | |
| 12895 | </entry> | |
| 12896 | <entry | |
| 12897 | typeCode=" DRIV" | |
| 12898 | > | |
| 12899 | <substance Administra tion | |
| 12900 | classCode= "SBADM" | |
| 12901 | moodCode=" INT" | |
| 12902 | > | |
| 12903 | <templateI d | |
| 12904 | root="2.16 .840.1.113 883. IP .16" | |
| 12905 | /> | |
| 12906 | <id | |
| 12907 | root="3150 0" | |
| 12908 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .798268|42 83771" | |
| 12909 | assigningA uthorityNa me="31500- ExternalId " | |
| 12910 | /> | |
| 12911 | <id | |
| 12912 | root="3150 0" | |
| 12913 | extension= "E7943B5C- A69E-11E6- A9A0-5056A 4032400" | |
| 12914 | assigningA uthorityNa me="31500- PlacerId" | |
| 12915 | /> | |
| 12916 | <id | |
| 12917 | root="3150 0" | |
| 12918 | extension= "E7943DE6- A69E-11E6- A9A0-5056A 4032400" | |
| 12919 | assigningA uthorityNa me="31500- FillerId" | |
| 12920 | /> | |
| 12921 | <code | |
| 12922 | nullFlavor ="NA" | |
| 12923 | /> | |
| 12924 | <text> | |
| 12925 | <reference | |
| 12926 | value="#me dSignature -13" | |
| 12927 | /> | |
| 12928 | </text> | |
| 12929 | <statusCod e | |
| 12930 | code="comp leted" | |
| 12931 | /> | |
| 12932 | <effective Time | |
| 12933 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 12934 | xsi:type=" IVL_TS" | |
| 12935 | nullFlavor ="UNK" | |
| 12936 | /> | |
| 12937 | <routeCode | |
| 12938 | code="C382 88" | |
| 12939 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 12940 | codeSystem Name="nciT hesaurus" | |
| 12941 | displayNam e="Oral" | |
| 12942 | /> | |
| 12943 | <doseQuant ity | |
| 12944 | nullFlavor ="NI" | |
| 12945 | /> | |
| 12946 | <rateQuant ity | |
| 12947 | nullFlavor ="NI" | |
| 12948 | /> | |
| 12949 | <consumabl e | |
| 12950 | typeCode=" CSM" | |
| 12951 | > | |
| 12952 | <manufactu redProduct | |
| 12953 | classCode= "MANU" | |
| 12954 | > | |
| 12955 | <templateI d | |
| 12956 | root="2.16 .840.1.113 883. IP .23" | |
| 12957 | /> | |
| 12958 | <manufactu redMateria l | |
| 12959 | classCode= "MMAT" | |
| 12960 | determiner Code="KIND " | |
| 12961 | > | |
| 12962 | <code | |
| 12963 | code="1992 47" | |
| 12964 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 12965 | codeSystem Name="RXNO RM" | |
| 12966 | displayNam e="glimepi ride (AMAR YL) 4 MG t ablet" | |
| 12967 | > | |
| 12968 | <originalT ext> | |
| 12969 | <reference | |
| 12970 | value="#me dOrderedNa me-13" | |
| 12971 | /> | |
| 12972 | </original Text> | |
| 12973 | <translati on | |
| 12974 | code="1992 47" | |
| 12975 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 12976 | codeSystem Name="RXNO RM" | |
| 12977 | displayNam e="glimepi ride (AMAR YL) 4 MG t ablet" | |
| 12978 | /> | |
| 12979 | </code> | |
| 12980 | <name> | |
| 12981 | glimepirid e (AMARYL) 4 MG tabl et | |
| 12982 | </name> | |
| 12983 | </manufact uredMateri al> | |
| 12984 | </manufact uredProduc t> | |
| 12985 | </consumab le> | |
| 12986 | <author | |
| 12987 | typeCode=" AUT" | |
| 12988 | > | |
| 12989 | <time | |
| 12990 | nullFlavor ="UNK" | |
| 12991 | /> | |
| 12992 | <assignedA uthor | |
| 12993 | classCode= "ASSIGNED" | |
| 12994 | > | |
| 12995 | <id | |
| 12996 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 12997 | extension= "Historica l Provider " | |
| 12998 | /> | |
| 12999 | <addr | |
| 13000 | nullFlavor ="UNK" | |
| 13001 | /> | |
| 13002 | <telecom | |
| 13003 | nullFlavor ="UNK" | |
| 13004 | /> | |
| 13005 | <assignedP erson> | |
| 13006 | <name | |
| 13007 | use="L" | |
| 13008 | > | |
| 13009 | <family> | |
| 13010 | Provider | |
| 13011 | </family> | |
| 13012 | <given> | |
| 13013 | Historical | |
| 13014 | </given> | |
| 13015 | </name> | |
| 13016 | </assigned Person> | |
| 13017 | <represent edOrganiza tion> | |
| 13018 | <id | |
| 13019 | root="2.16 .840.1.113 883.3.915" | |
| 13020 | extension= "31500" | |
| 13021 | displayabl e="true" | |
| 13022 | /> | |
| 13023 | <name> | |
| 13024 | Care New E ngland | |
| 13025 | </name> | |
| 13026 | <telecom | |
| 13027 | nullFlavor ="UNK" | |
| 13028 | /> | |
| 13029 | <addr | |
| 13030 | use="WP" | |
| 13031 | > | |
| 13032 | <streetAdd ressLine> | |
| 13033 | 10 Health Lane | |
| 13034 | </streetAd dressLine> | |
| 13035 | <city> | |
| 13036 | Warwick | |
| 13037 | </city> | |
| 13038 | <state> | |
| 13039 | RI | |
| 13040 | </state> | |
| 13041 | <postalCod e> | |
| 13042 | 02886 | |
| 13043 | </postalCo de> | |
| 13044 | <country> | |
| 13045 | US | |
| 13046 | </country> | |
| 13047 | </addr> | |
| 13048 | <asOrganiz ationPartO f> | |
| 13049 | <effective Time | |
| 13050 | nullFlavor ="UNK" | |
| 13051 | /> | |
| 13052 | <wholeOrga nization> | |
| 13053 | <id | |
| 13054 | root="2.16 .840.1.113 883.3.915" | |
| 13055 | /> | |
| 13056 | <id | |
| 13057 | root="2.16 .840.1.113 883.3.915" | |
| 13058 | extension= "HomeCommu nity" | |
| 13059 | displayabl e="true" | |
| 13060 | /> | |
| 13061 | <name> | |
| 13062 | CurrentCar e Test | |
| 13063 | </name> | |
| 13064 | <telecom | |
| 13065 | use="WP" | |
| 13066 | value="tel :401-276-9 141" | |
| 13067 | /> | |
| 13068 | <addr | |
| 13069 | use="WP" | |
| 13070 | > | |
| 13071 | <streetAdd ressLine> | |
| 13072 | 50 Holden St., Suite 300 | |
| 13073 | </streetAd dressLine> | |
| 13074 | <city> | |
| 13075 | Providence | |
| 13076 | </city> | |
| 13077 | <state> | |
| 13078 | RI | |
| 13079 | </state> | |
| 13080 | <postalCod e> | |
| 13081 | 02908 | |
| 13082 | </postalCo de> | |
| 13083 | <country> | |
| 13084 | US | |
| 13085 | </country> | |
| 13086 | </addr> | |
| 13087 | </wholeOrg anization> | |
| 13088 | </asOrgani zationPart Of> | |
| 13089 | </represen tedOrganiz ation> | |
| 13090 | </assigned Author> | |
| 13091 | </author> | |
| 13092 | <informant > | |
| 13093 | <assignedE ntity> | |
| 13094 | <id | |
| 13095 | root="RIQI ORG" | |
| 13096 | extension= "31500" | |
| 13097 | /> | |
| 13098 | <addr | |
| 13099 | use="WP" | |
| 13100 | > | |
| 13101 | <streetAdd ressLine> | |
| 13102 | 10 Health Lane | |
| 13103 | </streetAd dressLine> | |
| 13104 | <city> | |
| 13105 | Warwick | |
| 13106 | </city> | |
| 13107 | <state> | |
| 13108 | RI | |
| 13109 | </state> | |
| 13110 | <postalCod e> | |
| 13111 | 02886 | |
| 13112 | </postalCo de> | |
| 13113 | <country> | |
| 13114 | US | |
| 13115 | </country> | |
| 13116 | </addr> | |
| 13117 | <telecom | |
| 13118 | nullFlavor ="UNK" | |
| 13119 | /> | |
| 13120 | <assignedP erson> | |
| 13121 | <name | |
| 13122 | nullFlavor ="UNK" | |
| 13123 | /> | |
| 13124 | </assigned Person> | |
| 13125 | <represent edOrganiza tion> | |
| 13126 | <id | |
| 13127 | root="2.16 .840.1.113 883.3.915" | |
| 13128 | extension= "31500" | |
| 13129 | displayabl e="true" | |
| 13130 | /> | |
| 13131 | <name> | |
| 13132 | Care New E ngland | |
| 13133 | </name> | |
| 13134 | <telecom | |
| 13135 | nullFlavor ="UNK" | |
| 13136 | /> | |
| 13137 | <addr | |
| 13138 | use="WP" | |
| 13139 | > | |
| 13140 | <streetAdd ressLine> | |
| 13141 | 10 Health Lane | |
| 13142 | </streetAd dressLine> | |
| 13143 | <city> | |
| 13144 | Warwick | |
| 13145 | </city> | |
| 13146 | <state> | |
| 13147 | RI | |
| 13148 | </state> | |
| 13149 | <postalCod e> | |
| 13150 | 02886 | |
| 13151 | </postalCo de> | |
| 13152 | <country> | |
| 13153 | US | |
| 13154 | </country> | |
| 13155 | </addr> | |
| 13156 | <asOrganiz ationPartO f> | |
| 13157 | <effective Time | |
| 13158 | nullFlavor ="UNK" | |
| 13159 | /> | |
| 13160 | <wholeOrga nization> | |
| 13161 | <id | |
| 13162 | root="2.16 .840.1.113 883.3.915" | |
| 13163 | /> | |
| 13164 | <id | |
| 13165 | root="2.16 .840.1.113 883.3.915" | |
| 13166 | extension= "HomeCommu nity" | |
| 13167 | displayabl e="true" | |
| 13168 | /> | |
| 13169 | <name> | |
| 13170 | CurrentCar e Test | |
| 13171 | </name> | |
| 13172 | <telecom | |
| 13173 | use="WP" | |
| 13174 | value="tel :401-276-9 141" | |
| 13175 | /> | |
| 13176 | <addr | |
| 13177 | use="WP" | |
| 13178 | > | |
| 13179 | <streetAdd ressLine> | |
| 13180 | 50 Holden St., Suite 300 | |
| 13181 | </streetAd dressLine> | |
| 13182 | <city> | |
| 13183 | Providence | |
| 13184 | </city> | |
| 13185 | <state> | |
| 13186 | RI | |
| 13187 | </state> | |
| 13188 | <postalCod e> | |
| 13189 | 02908 | |
| 13190 | </postalCo de> | |
| 13191 | <country> | |
| 13192 | US | |
| 13193 | </country> | |
| 13194 | </addr> | |
| 13195 | </wholeOrg anization> | |
| 13196 | </asOrgani zationPart Of> | |
| 13197 | </represen tedOrganiz ation> | |
| 13198 | </assigned Entity> | |
| 13199 | </informan t> | |
| 13200 | <entryRela tionship | |
| 13201 | typeCode=" REFR" | |
| 13202 | inversionI nd="false" | |
| 13203 | > | |
| 13204 | <observati on | |
| 13205 | classCode= "OBS" | |
| 13206 | moodCode=" EVN" | |
| 13207 | > | |
| 13208 | <templateI d | |
| 13209 | root="2.16 .840.1.113 883. IP " | |
| 13210 | /> | |
| 13211 | <templateI d | |
| 13212 | root="2.16 .840.1.113 883. IP " | |
| 13213 | /> | |
| 13214 | <code | |
| 13215 | code="3399 9-4" | |
| 13216 | displayNam e="Status" | |
| 13217 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 13218 | codeSystem Name="LOIN C" | |
| 13219 | /> | |
| 13220 | <statusCod e | |
| 13221 | code="comp leted" | |
| 13222 | /> | |
| 13223 | <value | |
| 13224 | code="5556 1003" | |
| 13225 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 13226 | codeSystem Name="SNOM ED-CT" | |
| 13227 | displayNam e="Active" | |
| 13228 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 13229 | xsi:type=" CD" | |
| 13230 | /> | |
| 13231 | </observat ion> | |
| 13232 | </entryRel ationship> | |
| 13233 | <entryRela tionship | |
| 13234 | typeCode=" REFR" | |
| 13235 | > | |
| 13236 | <supply | |
| 13237 | classCode= "SPLY" | |
| 13238 | moodCode=" INT" | |
| 13239 | > | |
| 13240 | <templateI d | |
| 13241 | root="2.16 .840.1.113 883. IP .17" | |
| 13242 | /> | |
| 13243 | <id | |
| 13244 | root="3150 0" | |
| 13245 | extension= "E7943B5C- A69E-11E6- A9A0-5056A 4032400" | |
| 13246 | assigningA uthorityNa me="31500- PlacerId" | |
| 13247 | /> | |
| 13248 | <statusCod e | |
| 13249 | code="comp leted" | |
| 13250 | /> | |
| 13251 | <repeatNum ber | |
| 13252 | nullFlavor ="UNK" | |
| 13253 | /> | |
| 13254 | <product | |
| 13255 | typeCode=" PRD" | |
| 13256 | > | |
| 13257 | <manufactu redProduct | |
| 13258 | classCode= "MANU" | |
| 13259 | > | |
| 13260 | <templateI d | |
| 13261 | root="2.16 .840.1.113 883. IP .23" | |
| 13262 | /> | |
| 13263 | <manufactu redMateria l | |
| 13264 | classCode= "MMAT" | |
| 13265 | determiner Code="KIND " | |
| 13266 | > | |
| 13267 | <code | |
| 13268 | code="1992 47" | |
| 13269 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 13270 | codeSystem Name="RXNO RM" | |
| 13271 | displayNam e="glimepi ride (AMAR YL) 4 MG t ablet" | |
| 13272 | > | |
| 13273 | <originalT ext> | |
| 13274 | <reference | |
| 13275 | value="#me dOrderedNa me-13" | |
| 13276 | /> | |
| 13277 | </original Text> | |
| 13278 | <translati on | |
| 13279 | code="1992 47" | |
| 13280 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 13281 | codeSystem Name="RXNO RM" | |
| 13282 | displayNam e="glimepi ride (AMAR YL) 4 MG t ablet" | |
| 13283 | /> | |
| 13284 | </code> | |
| 13285 | <name> | |
| 13286 | glimepirid e (AMARYL) 4 MG tabl et | |
| 13287 | </name> | |
| 13288 | </manufact uredMateri al> | |
| 13289 | </manufact uredProduc t> | |
| 13290 | </product> | |
| 13291 | </supply> | |
| 13292 | </entryRel ationship> | |
| 13293 | <entryRela tionship | |
| 13294 | typeCode=" SUBJ" | |
| 13295 | inversionI nd="true" | |
| 13296 | > | |
| 13297 | <encounter | |
| 13298 | classCode= "ENC" | |
| 13299 | moodCode=" EVN" | |
| 13300 | > | |
| 13301 | <id | |
| 13302 | root="3150 0" | |
| 13303 | extension= "10553224" | |
| 13304 | /> | |
| 13305 | </encounte r> | |
| 13306 | </entryRel ationship> | |
| 13307 | </substanc eAdministr ation> | |
| 13308 | </entry> | |
| 13309 | <entry | |
| 13310 | typeCode=" DRIV" | |
| 13311 | > | |
| 13312 | <substance Administra tion | |
| 13313 | classCode= "SBADM" | |
| 13314 | moodCode=" INT" | |
| 13315 | > | |
| 13316 | <templateI d | |
| 13317 | root="2.16 .840.1.113 883. IP .16" | |
| 13318 | /> | |
| 13319 | <id | |
| 13320 | root="3150 0" | |
| 13321 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .798268|75 66042" | |
| 13322 | assigningA uthorityNa me="31500- ExternalId " | |
| 13323 | /> | |
| 13324 | <id | |
| 13325 | root="3150 0" | |
| 13326 | extension= "E7952D1E- A69E-11E6- A9A0-5056A 4032400" | |
| 13327 | assigningA uthorityNa me="31500- PlacerId" | |
| 13328 | /> | |
| 13329 | <id | |
| 13330 | root="3150 0" | |
| 13331 | extension= "E7952F80- A69E-11E6- A9A0-5056A 4032400" | |
| 13332 | assigningA uthorityNa me="31500- FillerId" | |
| 13333 | /> | |
| 13334 | <code | |
| 13335 | nullFlavor ="NA" | |
| 13336 | /> | |
| 13337 | <text> | |
| 13338 | <reference | |
| 13339 | value="#me dSignature -14" | |
| 13340 | /> | |
| 13341 | </text> | |
| 13342 | <statusCod e | |
| 13343 | code="comp leted" | |
| 13344 | /> | |
| 13345 | <effective Time | |
| 13346 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 13347 | xsi:type=" IVL_TS" | |
| 13348 | nullFlavor ="UNK" | |
| 13349 | /> | |
| 13350 | <routeCode | |
| 13351 | code="C383 04" | |
| 13352 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 13353 | codeSystem Name="nciT hesaurus" | |
| 13354 | displayNam e="Topical " | |
| 13355 | /> | |
| 13356 | <doseQuant ity | |
| 13357 | nullFlavor ="NI" | |
| 13358 | /> | |
| 13359 | <rateQuant ity | |
| 13360 | nullFlavor ="NI" | |
| 13361 | /> | |
| 13362 | <consumabl e | |
| 13363 | typeCode=" CSM" | |
| 13364 | > | |
| 13365 | <manufactu redProduct | |
| 13366 | classCode= "MANU" | |
| 13367 | > | |
| 13368 | <templateI d | |
| 13369 | root="2.16 .840.1.113 883. IP .23" | |
| 13370 | /> | |
| 13371 | <manufactu redMateria l | |
| 13372 | classCode= "MMAT" | |
| 13373 | determiner Code="KIND " | |
| 13374 | > | |
| 13375 | <code | |
| 13376 | code="1085 745" | |
| 13377 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 13378 | codeSystem Name="RXNO RM" | |
| 13379 | displayNam e="triamci nolone (KE NALOG) 0.1 % lotion" | |
| 13380 | > | |
| 13381 | <originalT ext> | |
| 13382 | <reference | |
| 13383 | value="#me dOrderedNa me-14" | |
| 13384 | /> | |
| 13385 | </original Text> | |
| 13386 | <translati on | |
| 13387 | code="1085 745" | |
| 13388 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 13389 | codeSystem Name="RXNO RM" | |
| 13390 | displayNam e="triamci nolone (KE NALOG) 0.1 % lotion" | |
| 13391 | /> | |
| 13392 | </code> | |
| 13393 | <name> | |
| 13394 | triamcinol one (KENAL OG) 0.1 % lotion | |
| 13395 | </name> | |
| 13396 | </manufact uredMateri al> | |
| 13397 | </manufact uredProduc t> | |
| 13398 | </consumab le> | |
| 13399 | <author | |
| 13400 | typeCode=" AUT" | |
| 13401 | > | |
| 13402 | <time | |
| 13403 | nullFlavor ="UNK" | |
| 13404 | /> | |
| 13405 | <assignedA uthor | |
| 13406 | classCode= "ASSIGNED" | |
| 13407 | > | |
| 13408 | <id | |
| 13409 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 13410 | extension= "Historica l Provider " | |
| 13411 | /> | |
| 13412 | <addr | |
| 13413 | nullFlavor ="UNK" | |
| 13414 | /> | |
| 13415 | <telecom | |
| 13416 | nullFlavor ="UNK" | |
| 13417 | /> | |
| 13418 | <assignedP erson> | |
| 13419 | <name | |
| 13420 | use="L" | |
| 13421 | > | |
| 13422 | <family> | |
| 13423 | Provider | |
| 13424 | </family> | |
| 13425 | <given> | |
| 13426 | Historical | |
| 13427 | </given> | |
| 13428 | </name> | |
| 13429 | </assigned Person> | |
| 13430 | <represent edOrganiza tion> | |
| 13431 | <id | |
| 13432 | root="2.16 .840.1.113 883.3.915" | |
| 13433 | extension= "31500" | |
| 13434 | displayabl e="true" | |
| 13435 | /> | |
| 13436 | <name> | |
| 13437 | Care New E ngland | |
| 13438 | </name> | |
| 13439 | <telecom | |
| 13440 | nullFlavor ="UNK" | |
| 13441 | /> | |
| 13442 | <addr | |
| 13443 | use="WP" | |
| 13444 | > | |
| 13445 | <streetAdd ressLine> | |
| 13446 | 10 Health Lane | |
| 13447 | </streetAd dressLine> | |
| 13448 | <city> | |
| 13449 | Warwick | |
| 13450 | </city> | |
| 13451 | <state> | |
| 13452 | RI | |
| 13453 | </state> | |
| 13454 | <postalCod e> | |
| 13455 | 02886 | |
| 13456 | </postalCo de> | |
| 13457 | <country> | |
| 13458 | US | |
| 13459 | </country> | |
| 13460 | </addr> | |
| 13461 | <asOrganiz ationPartO f> | |
| 13462 | <effective Time | |
| 13463 | nullFlavor ="UNK" | |
| 13464 | /> | |
| 13465 | <wholeOrga nization> | |
| 13466 | <id | |
| 13467 | root="2.16 .840.1.113 883.3.915" | |
| 13468 | /> | |
| 13469 | <id | |
| 13470 | root="2.16 .840.1.113 883.3.915" | |
| 13471 | extension= "HomeCommu nity" | |
| 13472 | displayabl e="true" | |
| 13473 | /> | |
| 13474 | <name> | |
| 13475 | CurrentCar e Test | |
| 13476 | </name> | |
| 13477 | <telecom | |
| 13478 | use="WP" | |
| 13479 | value="tel :401-276-9 141" | |
| 13480 | /> | |
| 13481 | <addr | |
| 13482 | use="WP" | |
| 13483 | > | |
| 13484 | <streetAdd ressLine> | |
| 13485 | 50 Holden St., Suite 300 | |
| 13486 | </streetAd dressLine> | |
| 13487 | <city> | |
| 13488 | Providence | |
| 13489 | </city> | |
| 13490 | <state> | |
| 13491 | RI | |
| 13492 | </state> | |
| 13493 | <postalCod e> | |
| 13494 | 02908 | |
| 13495 | </postalCo de> | |
| 13496 | <country> | |
| 13497 | US | |
| 13498 | </country> | |
| 13499 | </addr> | |
| 13500 | </wholeOrg anization> | |
| 13501 | </asOrgani zationPart Of> | |
| 13502 | </represen tedOrganiz ation> | |
| 13503 | </assigned Author> | |
| 13504 | </author> | |
| 13505 | <informant > | |
| 13506 | <assignedE ntity> | |
| 13507 | <id | |
| 13508 | root="RIQI ORG" | |
| 13509 | extension= "31500" | |
| 13510 | /> | |
| 13511 | <addr | |
| 13512 | use="WP" | |
| 13513 | > | |
| 13514 | <streetAdd ressLine> | |
| 13515 | 10 Health Lane | |
| 13516 | </streetAd dressLine> | |
| 13517 | <city> | |
| 13518 | Warwick | |
| 13519 | </city> | |
| 13520 | <state> | |
| 13521 | RI | |
| 13522 | </state> | |
| 13523 | <postalCod e> | |
| 13524 | 02886 | |
| 13525 | </postalCo de> | |
| 13526 | <country> | |
| 13527 | US | |
| 13528 | </country> | |
| 13529 | </addr> | |
| 13530 | <telecom | |
| 13531 | nullFlavor ="UNK" | |
| 13532 | /> | |
| 13533 | <assignedP erson> | |
| 13534 | <name | |
| 13535 | nullFlavor ="UNK" | |
| 13536 | /> | |
| 13537 | </assigned Person> | |
| 13538 | <represent edOrganiza tion> | |
| 13539 | <id | |
| 13540 | root="2.16 .840.1.113 883.3.915" | |
| 13541 | extension= "31500" | |
| 13542 | displayabl e="true" | |
| 13543 | /> | |
| 13544 | <name> | |
| 13545 | Care New E ngland | |
| 13546 | </name> | |
| 13547 | <telecom | |
| 13548 | nullFlavor ="UNK" | |
| 13549 | /> | |
| 13550 | <addr | |
| 13551 | use="WP" | |
| 13552 | > | |
| 13553 | <streetAdd ressLine> | |
| 13554 | 10 Health Lane | |
| 13555 | </streetAd dressLine> | |
| 13556 | <city> | |
| 13557 | Warwick | |
| 13558 | </city> | |
| 13559 | <state> | |
| 13560 | RI | |
| 13561 | </state> | |
| 13562 | <postalCod e> | |
| 13563 | 02886 | |
| 13564 | </postalCo de> | |
| 13565 | <country> | |
| 13566 | US | |
| 13567 | </country> | |
| 13568 | </addr> | |
| 13569 | <asOrganiz ationPartO f> | |
| 13570 | <effective Time | |
| 13571 | nullFlavor ="UNK" | |
| 13572 | /> | |
| 13573 | <wholeOrga nization> | |
| 13574 | <id | |
| 13575 | root="2.16 .840.1.113 883.3.915" | |
| 13576 | /> | |
| 13577 | <id | |
| 13578 | root="2.16 .840.1.113 883.3.915" | |
| 13579 | extension= "HomeCommu nity" | |
| 13580 | displayabl e="true" | |
| 13581 | /> | |
| 13582 | <name> | |
| 13583 | CurrentCar e Test | |
| 13584 | </name> | |
| 13585 | <telecom | |
| 13586 | use="WP" | |
| 13587 | value="tel :401-276-9 141" | |
| 13588 | /> | |
| 13589 | <addr | |
| 13590 | use="WP" | |
| 13591 | > | |
| 13592 | <streetAdd ressLine> | |
| 13593 | 50 Holden St., Suite 300 | |
| 13594 | </streetAd dressLine> | |
| 13595 | <city> | |
| 13596 | Providence | |
| 13597 | </city> | |
| 13598 | <state> | |
| 13599 | RI | |
| 13600 | </state> | |
| 13601 | <postalCod e> | |
| 13602 | 02908 | |
| 13603 | </postalCo de> | |
| 13604 | <country> | |
| 13605 | US | |
| 13606 | </country> | |
| 13607 | </addr> | |
| 13608 | </wholeOrg anization> | |
| 13609 | </asOrgani zationPart Of> | |
| 13610 | </represen tedOrganiz ation> | |
| 13611 | </assigned Entity> | |
| 13612 | </informan t> | |
| 13613 | <entryRela tionship | |
| 13614 | typeCode=" REFR" | |
| 13615 | inversionI nd="false" | |
| 13616 | > | |
| 13617 | <observati on | |
| 13618 | classCode= "OBS" | |
| 13619 | moodCode=" EVN" | |
| 13620 | > | |
| 13621 | <templateI d | |
| 13622 | root="2.16 .840.1.113 883. IP " | |
| 13623 | /> | |
| 13624 | <templateI d | |
| 13625 | root="2.16 .840.1.113 883. IP " | |
| 13626 | /> | |
| 13627 | <code | |
| 13628 | code="3399 9-4" | |
| 13629 | displayNam e="Status" | |
| 13630 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 13631 | codeSystem Name="LOIN C" | |
| 13632 | /> | |
| 13633 | <statusCod e | |
| 13634 | code="comp leted" | |
| 13635 | /> | |
| 13636 | <value | |
| 13637 | code="5556 1003" | |
| 13638 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 13639 | codeSystem Name="SNOM ED-CT" | |
| 13640 | displayNam e="Active" | |
| 13641 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 13642 | xsi:type=" CD" | |
| 13643 | /> | |
| 13644 | </observat ion> | |
| 13645 | </entryRel ationship> | |
| 13646 | <entryRela tionship | |
| 13647 | typeCode=" REFR" | |
| 13648 | > | |
| 13649 | <supply | |
| 13650 | classCode= "SPLY" | |
| 13651 | moodCode=" INT" | |
| 13652 | > | |
| 13653 | <templateI d | |
| 13654 | root="2.16 .840.1.113 883. IP .17" | |
| 13655 | /> | |
| 13656 | <id | |
| 13657 | root="3150 0" | |
| 13658 | extension= "E7952D1E- A69E-11E6- A9A0-5056A 4032400" | |
| 13659 | assigningA uthorityNa me="31500- PlacerId" | |
| 13660 | /> | |
| 13661 | <statusCod e | |
| 13662 | code="comp leted" | |
| 13663 | /> | |
| 13664 | <repeatNum ber | |
| 13665 | nullFlavor ="UNK" | |
| 13666 | /> | |
| 13667 | <product | |
| 13668 | typeCode=" PRD" | |
| 13669 | > | |
| 13670 | <manufactu redProduct | |
| 13671 | classCode= "MANU" | |
| 13672 | > | |
| 13673 | <templateI d | |
| 13674 | root="2.16 .840.1.113 883. IP .23" | |
| 13675 | /> | |
| 13676 | <manufactu redMateria l | |
| 13677 | classCode= "MMAT" | |
| 13678 | determiner Code="KIND " | |
| 13679 | > | |
| 13680 | <code | |
| 13681 | code="1085 745" | |
| 13682 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 13683 | codeSystem Name="RXNO RM" | |
| 13684 | displayNam e="triamci nolone (KE NALOG) 0.1 % lotion" | |
| 13685 | > | |
| 13686 | <originalT ext> | |
| 13687 | <reference | |
| 13688 | value="#me dOrderedNa me-14" | |
| 13689 | /> | |
| 13690 | </original Text> | |
| 13691 | <translati on | |
| 13692 | code="1085 745" | |
| 13693 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 13694 | codeSystem Name="RXNO RM" | |
| 13695 | displayNam e="triamci nolone (KE NALOG) 0.1 % lotion" | |
| 13696 | /> | |
| 13697 | </code> | |
| 13698 | <name> | |
| 13699 | triamcinol one (KENAL OG) 0.1 % lotion | |
| 13700 | </name> | |
| 13701 | </manufact uredMateri al> | |
| 13702 | </manufact uredProduc t> | |
| 13703 | </product> | |
| 13704 | </supply> | |
| 13705 | </entryRel ationship> | |
| 13706 | <entryRela tionship | |
| 13707 | typeCode=" SUBJ" | |
| 13708 | inversionI nd="true" | |
| 13709 | > | |
| 13710 | <encounter | |
| 13711 | classCode= "ENC" | |
| 13712 | moodCode=" EVN" | |
| 13713 | > | |
| 13714 | <id | |
| 13715 | root="3150 0" | |
| 13716 | extension= "10553224" | |
| 13717 | /> | |
| 13718 | </encounte r> | |
| 13719 | </entryRel ationship> | |
| 13720 | </substanc eAdministr ation> | |
| 13721 | </entry> | |
| 13722 | <entry | |
| 13723 | typeCode=" DRIV" | |
| 13724 | > | |
| 13725 | <substance Administra tion | |
| 13726 | classCode= "SBADM" | |
| 13727 | moodCode=" INT" | |
| 13728 | > | |
| 13729 | <templateI d | |
| 13730 | root="2.16 .840.1.113 883. IP .16" | |
| 13731 | /> | |
| 13732 | <id | |
| 13733 | root="3150 0" | |
| 13734 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .798268|75 66043" | |
| 13735 | assigningA uthorityNa me="31500- ExternalId " | |
| 13736 | /> | |
| 13737 | <id | |
| 13738 | root="3150 0" | |
| 13739 | extension= "E795A640- A69E-11E6- A9A0-5056A 4032400" | |
| 13740 | assigningA uthorityNa me="31500- PlacerId" | |
| 13741 | /> | |
| 13742 | <id | |
| 13743 | root="3150 0" | |
| 13744 | extension= "E795A898- A69E-11E6- A9A0-5056A 4032400" | |
| 13745 | assigningA uthorityNa me="31500- FillerId" | |
| 13746 | /> | |
| 13747 | <code | |
| 13748 | nullFlavor ="NA" | |
| 13749 | /> | |
| 13750 | <text> | |
| 13751 | <reference | |
| 13752 | value="#me dSignature -15" | |
| 13753 | /> | |
| 13754 | </text> | |
| 13755 | <statusCod e | |
| 13756 | code="comp leted" | |
| 13757 | /> | |
| 13758 | <effective Time | |
| 13759 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 13760 | xsi:type=" IVL_TS" | |
| 13761 | nullFlavor ="UNK" | |
| 13762 | /> | |
| 13763 | <routeCode | |
| 13764 | code="C383 04" | |
| 13765 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 13766 | codeSystem Name="nciT hesaurus" | |
| 13767 | displayNam e="Topical " | |
| 13768 | /> | |
| 13769 | <doseQuant ity | |
| 13770 | nullFlavor ="NI" | |
| 13771 | /> | |
| 13772 | <rateQuant ity | |
| 13773 | nullFlavor ="NI" | |
| 13774 | /> | |
| 13775 | <consumabl e | |
| 13776 | typeCode=" CSM" | |
| 13777 | > | |
| 13778 | <manufactu redProduct | |
| 13779 | classCode= "MANU" | |
| 13780 | > | |
| 13781 | <templateI d | |
| 13782 | root="2.16 .840.1.113 883. IP .23" | |
| 13783 | /> | |
| 13784 | <manufactu redMateria l | |
| 13785 | classCode= "MMAT" | |
| 13786 | determiner Code="KIND " | |
| 13787 | > | |
| 13788 | <code | |
| 13789 | code="1014 314" | |
| 13790 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 13791 | codeSystem Name="RXNO RM" | |
| 13792 | displayNam e="triamci nolone (KE NALOG) 0.1 % cream" | |
| 13793 | > | |
| 13794 | <originalT ext> | |
| 13795 | <reference | |
| 13796 | value="#me dOrderedNa me-15" | |
| 13797 | /> | |
| 13798 | </original Text> | |
| 13799 | <translati on | |
| 13800 | code="1014 314" | |
| 13801 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 13802 | codeSystem Name="RXNO RM" | |
| 13803 | displayNam e="triamci nolone (KE NALOG) 0.1 % cream" | |
| 13804 | /> | |
| 13805 | </code> | |
| 13806 | <name> | |
| 13807 | triamcinol one (KENAL OG) 0.1 % cream | |
| 13808 | </name> | |
| 13809 | </manufact uredMateri al> | |
| 13810 | </manufact uredProduc t> | |
| 13811 | </consumab le> | |
| 13812 | <author | |
| 13813 | typeCode=" AUT" | |
| 13814 | > | |
| 13815 | <time | |
| 13816 | nullFlavor ="UNK" | |
| 13817 | /> | |
| 13818 | <assignedA uthor | |
| 13819 | classCode= "ASSIGNED" | |
| 13820 | > | |
| 13821 | <id | |
| 13822 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 13823 | extension= "Historica l Provider " | |
| 13824 | /> | |
| 13825 | <addr | |
| 13826 | nullFlavor ="UNK" | |
| 13827 | /> | |
| 13828 | <telecom | |
| 13829 | nullFlavor ="UNK" | |
| 13830 | /> | |
| 13831 | <assignedP erson> | |
| 13832 | <name | |
| 13833 | use="L" | |
| 13834 | > | |
| 13835 | <family> | |
| 13836 | Provider | |
| 13837 | </family> | |
| 13838 | <given> | |
| 13839 | Historical | |
| 13840 | </given> | |
| 13841 | </name> | |
| 13842 | </assigned Person> | |
| 13843 | <represent edOrganiza tion> | |
| 13844 | <id | |
| 13845 | root="2.16 .840.1.113 883.3.915" | |
| 13846 | extension= "31500" | |
| 13847 | displayabl e="true" | |
| 13848 | /> | |
| 13849 | <name> | |
| 13850 | Care New E ngland | |
| 13851 | </name> | |
| 13852 | <telecom | |
| 13853 | nullFlavor ="UNK" | |
| 13854 | /> | |
| 13855 | <addr | |
| 13856 | use="WP" | |
| 13857 | > | |
| 13858 | <streetAdd ressLine> | |
| 13859 | 10 Health Lane | |
| 13860 | </streetAd dressLine> | |
| 13861 | <city> | |
| 13862 | Warwick | |
| 13863 | </city> | |
| 13864 | <state> | |
| 13865 | RI | |
| 13866 | </state> | |
| 13867 | <postalCod e> | |
| 13868 | 02886 | |
| 13869 | </postalCo de> | |
| 13870 | <country> | |
| 13871 | US | |
| 13872 | </country> | |
| 13873 | </addr> | |
| 13874 | <asOrganiz ationPartO f> | |
| 13875 | <effective Time | |
| 13876 | nullFlavor ="UNK" | |
| 13877 | /> | |
| 13878 | <wholeOrga nization> | |
| 13879 | <id | |
| 13880 | root="2.16 .840.1.113 883.3.915" | |
| 13881 | /> | |
| 13882 | <id | |
| 13883 | root="2.16 .840.1.113 883.3.915" | |
| 13884 | extension= "HomeCommu nity" | |
| 13885 | displayabl e="true" | |
| 13886 | /> | |
| 13887 | <name> | |
| 13888 | CurrentCar e Test | |
| 13889 | </name> | |
| 13890 | <telecom | |
| 13891 | use="WP" | |
| 13892 | value="tel :401-276-9 141" | |
| 13893 | /> | |
| 13894 | <addr | |
| 13895 | use="WP" | |
| 13896 | > | |
| 13897 | <streetAdd ressLine> | |
| 13898 | 50 Holden St., Suite 300 | |
| 13899 | </streetAd dressLine> | |
| 13900 | <city> | |
| 13901 | Providence | |
| 13902 | </city> | |
| 13903 | <state> | |
| 13904 | RI | |
| 13905 | </state> | |
| 13906 | <postalCod e> | |
| 13907 | 02908 | |
| 13908 | </postalCo de> | |
| 13909 | <country> | |
| 13910 | US | |
| 13911 | </country> | |
| 13912 | </addr> | |
| 13913 | </wholeOrg anization> | |
| 13914 | </asOrgani zationPart Of> | |
| 13915 | </represen tedOrganiz ation> | |
| 13916 | </assigned Author> | |
| 13917 | </author> | |
| 13918 | <informant > | |
| 13919 | <assignedE ntity> | |
| 13920 | <id | |
| 13921 | root="RIQI ORG" | |
| 13922 | extension= "31500" | |
| 13923 | /> | |
| 13924 | <addr | |
| 13925 | use="WP" | |
| 13926 | > | |
| 13927 | <streetAdd ressLine> | |
| 13928 | 10 Health Lane | |
| 13929 | </streetAd dressLine> | |
| 13930 | <city> | |
| 13931 | Warwick | |
| 13932 | </city> | |
| 13933 | <state> | |
| 13934 | RI | |
| 13935 | </state> | |
| 13936 | <postalCod e> | |
| 13937 | 02886 | |
| 13938 | </postalCo de> | |
| 13939 | <country> | |
| 13940 | US | |
| 13941 | </country> | |
| 13942 | </addr> | |
| 13943 | <telecom | |
| 13944 | nullFlavor ="UNK" | |
| 13945 | /> | |
| 13946 | <assignedP erson> | |
| 13947 | <name | |
| 13948 | nullFlavor ="UNK" | |
| 13949 | /> | |
| 13950 | </assigned Person> | |
| 13951 | <represent edOrganiza tion> | |
| 13952 | <id | |
| 13953 | root="2.16 .840.1.113 883.3.915" | |
| 13954 | extension= "31500" | |
| 13955 | displayabl e="true" | |
| 13956 | /> | |
| 13957 | <name> | |
| 13958 | Care New E ngland | |
| 13959 | </name> | |
| 13960 | <telecom | |
| 13961 | nullFlavor ="UNK" | |
| 13962 | /> | |
| 13963 | <addr | |
| 13964 | use="WP" | |
| 13965 | > | |
| 13966 | <streetAdd ressLine> | |
| 13967 | 10 Health Lane | |
| 13968 | </streetAd dressLine> | |
| 13969 | <city> | |
| 13970 | Warwick | |
| 13971 | </city> | |
| 13972 | <state> | |
| 13973 | RI | |
| 13974 | </state> | |
| 13975 | <postalCod e> | |
| 13976 | 02886 | |
| 13977 | </postalCo de> | |
| 13978 | <country> | |
| 13979 | US | |
| 13980 | </country> | |
| 13981 | </addr> | |
| 13982 | <asOrganiz ationPartO f> | |
| 13983 | <effective Time | |
| 13984 | nullFlavor ="UNK" | |
| 13985 | /> | |
| 13986 | <wholeOrga nization> | |
| 13987 | <id | |
| 13988 | root="2.16 .840.1.113 883.3.915" | |
| 13989 | /> | |
| 13990 | <id | |
| 13991 | root="2.16 .840.1.113 883.3.915" | |
| 13992 | extension= "HomeCommu nity" | |
| 13993 | displayabl e="true" | |
| 13994 | /> | |
| 13995 | <name> | |
| 13996 | CurrentCar e Test | |
| 13997 | </name> | |
| 13998 | <telecom | |
| 13999 | use="WP" | |
| 14000 | value="tel :401-276-9 141" | |
| 14001 | /> | |
| 14002 | <addr | |
| 14003 | use="WP" | |
| 14004 | > | |
| 14005 | <streetAdd ressLine> | |
| 14006 | 50 Holden St., Suite 300 | |
| 14007 | </streetAd dressLine> | |
| 14008 | <city> | |
| 14009 | Providence | |
| 14010 | </city> | |
| 14011 | <state> | |
| 14012 | RI | |
| 14013 | </state> | |
| 14014 | <postalCod e> | |
| 14015 | 02908 | |
| 14016 | </postalCo de> | |
| 14017 | <country> | |
| 14018 | US | |
| 14019 | </country> | |
| 14020 | </addr> | |
| 14021 | </wholeOrg anization> | |
| 14022 | </asOrgani zationPart Of> | |
| 14023 | </represen tedOrganiz ation> | |
| 14024 | </assigned Entity> | |
| 14025 | </informan t> | |
| 14026 | <entryRela tionship | |
| 14027 | typeCode=" REFR" | |
| 14028 | inversionI nd="false" | |
| 14029 | > | |
| 14030 | <observati on | |
| 14031 | classCode= "OBS" | |
| 14032 | moodCode=" EVN" | |
| 14033 | > | |
| 14034 | <templateI d | |
| 14035 | root="2.16 .840.1.113 883. IP " | |
| 14036 | /> | |
| 14037 | <templateI d | |
| 14038 | root="2.16 .840.1.113 883. IP " | |
| 14039 | /> | |
| 14040 | <code | |
| 14041 | code="3399 9-4" | |
| 14042 | displayNam e="Status" | |
| 14043 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 14044 | codeSystem Name="LOIN C" | |
| 14045 | /> | |
| 14046 | <statusCod e | |
| 14047 | code="comp leted" | |
| 14048 | /> | |
| 14049 | <value | |
| 14050 | code="5556 1003" | |
| 14051 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 14052 | codeSystem Name="SNOM ED-CT" | |
| 14053 | displayNam e="Active" | |
| 14054 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 14055 | xsi:type=" CD" | |
| 14056 | /> | |
| 14057 | </observat ion> | |
| 14058 | </entryRel ationship> | |
| 14059 | <entryRela tionship | |
| 14060 | typeCode=" REFR" | |
| 14061 | > | |
| 14062 | <supply | |
| 14063 | classCode= "SPLY" | |
| 14064 | moodCode=" INT" | |
| 14065 | > | |
| 14066 | <templateI d | |
| 14067 | root="2.16 .840.1.113 883. IP .17" | |
| 14068 | /> | |
| 14069 | <id | |
| 14070 | root="3150 0" | |
| 14071 | extension= "E795A640- A69E-11E6- A9A0-5056A 4032400" | |
| 14072 | assigningA uthorityNa me="31500- PlacerId" | |
| 14073 | /> | |
| 14074 | <statusCod e | |
| 14075 | code="comp leted" | |
| 14076 | /> | |
| 14077 | <repeatNum ber | |
| 14078 | nullFlavor ="UNK" | |
| 14079 | /> | |
| 14080 | <product | |
| 14081 | typeCode=" PRD" | |
| 14082 | > | |
| 14083 | <manufactu redProduct | |
| 14084 | classCode= "MANU" | |
| 14085 | > | |
| 14086 | <templateI d | |
| 14087 | root="2.16 .840.1.113 883. IP .23" | |
| 14088 | /> | |
| 14089 | <manufactu redMateria l | |
| 14090 | classCode= "MMAT" | |
| 14091 | determiner Code="KIND " | |
| 14092 | > | |
| 14093 | <code | |
| 14094 | code="1014 314" | |
| 14095 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 14096 | codeSystem Name="RXNO RM" | |
| 14097 | displayNam e="triamci nolone (KE NALOG) 0.1 % cream" | |
| 14098 | > | |
| 14099 | <originalT ext> | |
| 14100 | <reference | |
| 14101 | value="#me dOrderedNa me-15" | |
| 14102 | /> | |
| 14103 | </original Text> | |
| 14104 | <translati on | |
| 14105 | code="1014 314" | |
| 14106 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 14107 | codeSystem Name="RXNO RM" | |
| 14108 | displayNam e="triamci nolone (KE NALOG) 0.1 % cream" | |
| 14109 | /> | |
| 14110 | </code> | |
| 14111 | <name> | |
| 14112 | triamcinol one (KENAL OG) 0.1 % cream | |
| 14113 | </name> | |
| 14114 | </manufact uredMateri al> | |
| 14115 | </manufact uredProduc t> | |
| 14116 | </product> | |
| 14117 | </supply> | |
| 14118 | </entryRel ationship> | |
| 14119 | <entryRela tionship | |
| 14120 | typeCode=" SUBJ" | |
| 14121 | inversionI nd="true" | |
| 14122 | > | |
| 14123 | <encounter | |
| 14124 | classCode= "ENC" | |
| 14125 | moodCode=" EVN" | |
| 14126 | > | |
| 14127 | <id | |
| 14128 | root="3150 0" | |
| 14129 | extension= "10553224" | |
| 14130 | /> | |
| 14131 | </encounte r> | |
| 14132 | </entryRel ationship> | |
| 14133 | </substanc eAdministr ation> | |
| 14134 | </entry> | |
| 14135 | <entry | |
| 14136 | typeCode=" DRIV" | |
| 14137 | > | |
| 14138 | <substance Administra tion | |
| 14139 | classCode= "SBADM" | |
| 14140 | moodCode=" INT" | |
| 14141 | > | |
| 14142 | <templateI d | |
| 14143 | root="2.16 .840.1.113 883. IP .16" | |
| 14144 | /> | |
| 14145 | <id | |
| 14146 | root="3150 0" | |
| 14147 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .798268|75 66044" | |
| 14148 | assigningA uthorityNa me="31500- ExternalId " | |
| 14149 | /> | |
| 14150 | <id | |
| 14151 | root="3150 0" | |
| 14152 | extension= "E7963B78- A69E-11E6- A9A0-5056A 4032400" | |
| 14153 | assigningA uthorityNa me="31500- PlacerId" | |
| 14154 | /> | |
| 14155 | <id | |
| 14156 | root="3150 0" | |
| 14157 | extension= "E7963DDA- A69E-11E6- A9A0-5056A 4032400" | |
| 14158 | assigningA uthorityNa me="31500- FillerId" | |
| 14159 | /> | |
| 14160 | <code | |
| 14161 | nullFlavor ="NA" | |
| 14162 | /> | |
| 14163 | <text> | |
| 14164 | <reference | |
| 14165 | value="#me dSignature -16" | |
| 14166 | /> | |
| 14167 | </text> | |
| 14168 | <statusCod e | |
| 14169 | code="comp leted" | |
| 14170 | /> | |
| 14171 | <effective Time | |
| 14172 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 14173 | xsi:type=" IVL_TS" | |
| 14174 | nullFlavor ="UNK" | |
| 14175 | /> | |
| 14176 | <routeCode | |
| 14177 | code="C382 88" | |
| 14178 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 14179 | codeSystem Name="nciT hesaurus" | |
| 14180 | displayNam e="Oral" | |
| 14181 | /> | |
| 14182 | <doseQuant ity | |
| 14183 | nullFlavor ="NI" | |
| 14184 | /> | |
| 14185 | <rateQuant ity | |
| 14186 | nullFlavor ="NI" | |
| 14187 | /> | |
| 14188 | <consumabl e | |
| 14189 | typeCode=" CSM" | |
| 14190 | > | |
| 14191 | <manufactu redProduct | |
| 14192 | classCode= "MANU" | |
| 14193 | > | |
| 14194 | <templateI d | |
| 14195 | root="2.16 .840.1.113 883. IP .23" | |
| 14196 | /> | |
| 14197 | <manufactu redMateria l | |
| 14198 | classCode= "MMAT" | |
| 14199 | determiner Code="KIND " | |
| 14200 | > | |
| 14201 | <code | |
| 14202 | code="8551 72" | |
| 14203 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 14204 | codeSystem Name="RXNO RM" | |
| 14205 | displayNam e="levocet irizine (X YZAL) 5 MG tablet" | |
| 14206 | > | |
| 14207 | <originalT ext> | |
| 14208 | <reference | |
| 14209 | value="#me dOrderedNa me-16" | |
| 14210 | /> | |
| 14211 | </original Text> | |
| 14212 | <translati on | |
| 14213 | code="8551 72" | |
| 14214 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 14215 | codeSystem Name="RXNO RM" | |
| 14216 | displayNam e="levocet irizine (X YZAL) 5 MG tablet" | |
| 14217 | /> | |
| 14218 | </code> | |
| 14219 | <name> | |
| 14220 | levocetiri zine (XYZA L) 5 MG ta blet | |
| 14221 | </name> | |
| 14222 | </manufact uredMateri al> | |
| 14223 | </manufact uredProduc t> | |
| 14224 | </consumab le> | |
| 14225 | <author | |
| 14226 | typeCode=" AUT" | |
| 14227 | > | |
| 14228 | <time | |
| 14229 | nullFlavor ="UNK" | |
| 14230 | /> | |
| 14231 | <assignedA uthor | |
| 14232 | classCode= "ASSIGNED" | |
| 14233 | > | |
| 14234 | <id | |
| 14235 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 14236 | extension= "Historica l Provider " | |
| 14237 | /> | |
| 14238 | <addr | |
| 14239 | nullFlavor ="UNK" | |
| 14240 | /> | |
| 14241 | <telecom | |
| 14242 | nullFlavor ="UNK" | |
| 14243 | /> | |
| 14244 | <assignedP erson> | |
| 14245 | <name | |
| 14246 | use="L" | |
| 14247 | > | |
| 14248 | <family> | |
| 14249 | Provider | |
| 14250 | </family> | |
| 14251 | <given> | |
| 14252 | Historical | |
| 14253 | </given> | |
| 14254 | </name> | |
| 14255 | </assigned Person> | |
| 14256 | <represent edOrganiza tion> | |
| 14257 | <id | |
| 14258 | root="2.16 .840.1.113 883.3.915" | |
| 14259 | extension= "31500" | |
| 14260 | displayabl e="true" | |
| 14261 | /> | |
| 14262 | <name> | |
| 14263 | Care New E ngland | |
| 14264 | </name> | |
| 14265 | <telecom | |
| 14266 | nullFlavor ="UNK" | |
| 14267 | /> | |
| 14268 | <addr | |
| 14269 | use="WP" | |
| 14270 | > | |
| 14271 | <streetAdd ressLine> | |
| 14272 | 10 Health Lane | |
| 14273 | </streetAd dressLine> | |
| 14274 | <city> | |
| 14275 | Warwick | |
| 14276 | </city> | |
| 14277 | <state> | |
| 14278 | RI | |
| 14279 | </state> | |
| 14280 | <postalCod e> | |
| 14281 | 02886 | |
| 14282 | </postalCo de> | |
| 14283 | <country> | |
| 14284 | US | |
| 14285 | </country> | |
| 14286 | </addr> | |
| 14287 | <asOrganiz ationPartO f> | |
| 14288 | <effective Time | |
| 14289 | nullFlavor ="UNK" | |
| 14290 | /> | |
| 14291 | <wholeOrga nization> | |
| 14292 | <id | |
| 14293 | root="2.16 .840.1.113 883.3.915" | |
| 14294 | /> | |
| 14295 | <id | |
| 14296 | root="2.16 .840.1.113 883.3.915" | |
| 14297 | extension= "HomeCommu nity" | |
| 14298 | displayabl e="true" | |
| 14299 | /> | |
| 14300 | <name> | |
| 14301 | CurrentCar e Test | |
| 14302 | </name> | |
| 14303 | <telecom | |
| 14304 | use="WP" | |
| 14305 | value="tel :401-276-9 141" | |
| 14306 | /> | |
| 14307 | <addr | |
| 14308 | use="WP" | |
| 14309 | > | |
| 14310 | <streetAdd ressLine> | |
| 14311 | 50 Holden St., Suite 300 | |
| 14312 | </streetAd dressLine> | |
| 14313 | <city> | |
| 14314 | Providence | |
| 14315 | </city> | |
| 14316 | <state> | |
| 14317 | RI | |
| 14318 | </state> | |
| 14319 | <postalCod e> | |
| 14320 | 02908 | |
| 14321 | </postalCo de> | |
| 14322 | <country> | |
| 14323 | US | |
| 14324 | </country> | |
| 14325 | </addr> | |
| 14326 | </wholeOrg anization> | |
| 14327 | </asOrgani zationPart Of> | |
| 14328 | </represen tedOrganiz ation> | |
| 14329 | </assigned Author> | |
| 14330 | </author> | |
| 14331 | <informant > | |
| 14332 | <assignedE ntity> | |
| 14333 | <id | |
| 14334 | root="RIQI ORG" | |
| 14335 | extension= "31500" | |
| 14336 | /> | |
| 14337 | <addr | |
| 14338 | use="WP" | |
| 14339 | > | |
| 14340 | <streetAdd ressLine> | |
| 14341 | 10 Health Lane | |
| 14342 | </streetAd dressLine> | |
| 14343 | <city> | |
| 14344 | Warwick | |
| 14345 | </city> | |
| 14346 | <state> | |
| 14347 | RI | |
| 14348 | </state> | |
| 14349 | <postalCod e> | |
| 14350 | 02886 | |
| 14351 | </postalCo de> | |
| 14352 | <country> | |
| 14353 | US | |
| 14354 | </country> | |
| 14355 | </addr> | |
| 14356 | <telecom | |
| 14357 | nullFlavor ="UNK" | |
| 14358 | /> | |
| 14359 | <assignedP erson> | |
| 14360 | <name | |
| 14361 | nullFlavor ="UNK" | |
| 14362 | /> | |
| 14363 | </assigned Person> | |
| 14364 | <represent edOrganiza tion> | |
| 14365 | <id | |
| 14366 | root="2.16 .840.1.113 883.3.915" | |
| 14367 | extension= "31500" | |
| 14368 | displayabl e="true" | |
| 14369 | /> | |
| 14370 | <name> | |
| 14371 | Care New E ngland | |
| 14372 | </name> | |
| 14373 | <telecom | |
| 14374 | nullFlavor ="UNK" | |
| 14375 | /> | |
| 14376 | <addr | |
| 14377 | use="WP" | |
| 14378 | > | |
| 14379 | <streetAdd ressLine> | |
| 14380 | 10 Health Lane | |
| 14381 | </streetAd dressLine> | |
| 14382 | <city> | |
| 14383 | Warwick | |
| 14384 | </city> | |
| 14385 | <state> | |
| 14386 | RI | |
| 14387 | </state> | |
| 14388 | <postalCod e> | |
| 14389 | 02886 | |
| 14390 | </postalCo de> | |
| 14391 | <country> | |
| 14392 | US | |
| 14393 | </country> | |
| 14394 | </addr> | |
| 14395 | <asOrganiz ationPartO f> | |
| 14396 | <effective Time | |
| 14397 | nullFlavor ="UNK" | |
| 14398 | /> | |
| 14399 | <wholeOrga nization> | |
| 14400 | <id | |
| 14401 | root="2.16 .840.1.113 883.3.915" | |
| 14402 | /> | |
| 14403 | <id | |
| 14404 | root="2.16 .840.1.113 883.3.915" | |
| 14405 | extension= "HomeCommu nity" | |
| 14406 | displayabl e="true" | |
| 14407 | /> | |
| 14408 | <name> | |
| 14409 | CurrentCar e Test | |
| 14410 | </name> | |
| 14411 | <telecom | |
| 14412 | use="WP" | |
| 14413 | value="tel :401-276-9 141" | |
| 14414 | /> | |
| 14415 | <addr | |
| 14416 | use="WP" | |
| 14417 | > | |
| 14418 | <streetAdd ressLine> | |
| 14419 | 50 Holden St., Suite 300 | |
| 14420 | </streetAd dressLine> | |
| 14421 | <city> | |
| 14422 | Providence | |
| 14423 | </city> | |
| 14424 | <state> | |
| 14425 | RI | |
| 14426 | </state> | |
| 14427 | <postalCod e> | |
| 14428 | 02908 | |
| 14429 | </postalCo de> | |
| 14430 | <country> | |
| 14431 | US | |
| 14432 | </country> | |
| 14433 | </addr> | |
| 14434 | </wholeOrg anization> | |
| 14435 | </asOrgani zationPart Of> | |
| 14436 | </represen tedOrganiz ation> | |
| 14437 | </assigned Entity> | |
| 14438 | </informan t> | |
| 14439 | <entryRela tionship | |
| 14440 | typeCode=" REFR" | |
| 14441 | inversionI nd="false" | |
| 14442 | > | |
| 14443 | <observati on | |
| 14444 | classCode= "OBS" | |
| 14445 | moodCode=" EVN" | |
| 14446 | > | |
| 14447 | <templateI d | |
| 14448 | root="2.16 .840.1.113 883. IP " | |
| 14449 | /> | |
| 14450 | <templateI d | |
| 14451 | root="2.16 .840.1.113 883. IP " | |
| 14452 | /> | |
| 14453 | <code | |
| 14454 | code="3399 9-4" | |
| 14455 | displayNam e="Status" | |
| 14456 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 14457 | codeSystem Name="LOIN C" | |
| 14458 | /> | |
| 14459 | <statusCod e | |
| 14460 | code="comp leted" | |
| 14461 | /> | |
| 14462 | <value | |
| 14463 | code="5556 1003" | |
| 14464 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 14465 | codeSystem Name="SNOM ED-CT" | |
| 14466 | displayNam e="Active" | |
| 14467 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 14468 | xsi:type=" CD" | |
| 14469 | /> | |
| 14470 | </observat ion> | |
| 14471 | </entryRel ationship> | |
| 14472 | <entryRela tionship | |
| 14473 | typeCode=" REFR" | |
| 14474 | > | |
| 14475 | <supply | |
| 14476 | classCode= "SPLY" | |
| 14477 | moodCode=" INT" | |
| 14478 | > | |
| 14479 | <templateI d | |
| 14480 | root="2.16 .840.1.113 883. IP .17" | |
| 14481 | /> | |
| 14482 | <id | |
| 14483 | root="3150 0" | |
| 14484 | extension= "E7963B78- A69E-11E6- A9A0-5056A 4032400" | |
| 14485 | assigningA uthorityNa me="31500- PlacerId" | |
| 14486 | /> | |
| 14487 | <statusCod e | |
| 14488 | code="comp leted" | |
| 14489 | /> | |
| 14490 | <repeatNum ber | |
| 14491 | nullFlavor ="UNK" | |
| 14492 | /> | |
| 14493 | <product | |
| 14494 | typeCode=" PRD" | |
| 14495 | > | |
| 14496 | <manufactu redProduct | |
| 14497 | classCode= "MANU" | |
| 14498 | > | |
| 14499 | <templateI d | |
| 14500 | root="2.16 .840.1.113 883. IP .23" | |
| 14501 | /> | |
| 14502 | <manufactu redMateria l | |
| 14503 | classCode= "MMAT" | |
| 14504 | determiner Code="KIND " | |
| 14505 | > | |
| 14506 | <code | |
| 14507 | code="8551 72" | |
| 14508 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 14509 | codeSystem Name="RXNO RM" | |
| 14510 | displayNam e="levocet irizine (X YZAL) 5 MG tablet" | |
| 14511 | > | |
| 14512 | <originalT ext> | |
| 14513 | <reference | |
| 14514 | value="#me dOrderedNa me-16" | |
| 14515 | /> | |
| 14516 | </original Text> | |
| 14517 | <translati on | |
| 14518 | code="8551 72" | |
| 14519 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 14520 | codeSystem Name="RXNO RM" | |
| 14521 | displayNam e="levocet irizine (X YZAL) 5 MG tablet" | |
| 14522 | /> | |
| 14523 | </code> | |
| 14524 | <name> | |
| 14525 | levocetiri zine (XYZA L) 5 MG ta blet | |
| 14526 | </name> | |
| 14527 | </manufact uredMateri al> | |
| 14528 | </manufact uredProduc t> | |
| 14529 | </product> | |
| 14530 | </supply> | |
| 14531 | </entryRel ationship> | |
| 14532 | <entryRela tionship | |
| 14533 | typeCode=" SUBJ" | |
| 14534 | inversionI nd="true" | |
| 14535 | > | |
| 14536 | <encounter | |
| 14537 | classCode= "ENC" | |
| 14538 | moodCode=" EVN" | |
| 14539 | > | |
| 14540 | <id | |
| 14541 | root="3150 0" | |
| 14542 | extension= "10553224" | |
| 14543 | /> | |
| 14544 | </encounte r> | |
| 14545 | </entryRel ationship> | |
| 14546 | </substanc eAdministr ation> | |
| 14547 | </entry> | |
| 14548 | <entry | |
| 14549 | typeCode=" DRIV" | |
| 14550 | > | |
| 14551 | <substance Administra tion | |
| 14552 | classCode= "SBADM" | |
| 14553 | moodCode=" INT" | |
| 14554 | > | |
| 14555 | <templateI d | |
| 14556 | root="2.16 .840.1.113 883. IP .16" | |
| 14557 | /> | |
| 14558 | <id | |
| 14559 | root="3150 0" | |
| 14560 | extension= "1.2.840.1 14350.1.13 .386.2.7.2 .798268|75 66045" | |
| 14561 | assigningA uthorityNa me="31500- ExternalId " | |
| 14562 | /> | |
| 14563 | <id | |
| 14564 | root="3150 0" | |
| 14565 | extension= "E796B206- A69E-11E6- A9A0-5056A 4032400" | |
| 14566 | assigningA uthorityNa me="31500- PlacerId" | |
| 14567 | /> | |
| 14568 | <id | |
| 14569 | root="3150 0" | |
| 14570 | extension= "E796B468- A69E-11E6- A9A0-5056A 4032400" | |
| 14571 | assigningA uthorityNa me="31500- FillerId" | |
| 14572 | /> | |
| 14573 | <code | |
| 14574 | nullFlavor ="NA" | |
| 14575 | /> | |
| 14576 | <text> | |
| 14577 | <reference | |
| 14578 | value="#me dSignature -17" | |
| 14579 | /> | |
| 14580 | </text> | |
| 14581 | <statusCod e | |
| 14582 | code="comp leted" | |
| 14583 | /> | |
| 14584 | <effective Time | |
| 14585 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 14586 | xsi:type=" IVL_TS" | |
| 14587 | nullFlavor ="UNK" | |
| 14588 | /> | |
| 14589 | <routeCode | |
| 14590 | code="C383 04" | |
| 14591 | codeSystem ="2.16.840 .1.113883. 3.26.1.1" | |
| 14592 | codeSystem Name="nciT hesaurus" | |
| 14593 | displayNam e="Topical " | |
| 14594 | /> | |
| 14595 | <doseQuant ity | |
| 14596 | nullFlavor ="NI" | |
| 14597 | /> | |
| 14598 | <rateQuant ity | |
| 14599 | nullFlavor ="NI" | |
| 14600 | /> | |
| 14601 | <consumabl e | |
| 14602 | typeCode=" CSM" | |
| 14603 | > | |
| 14604 | <manufactu redProduct | |
| 14605 | classCode= "MANU" | |
| 14606 | > | |
| 14607 | <templateI d | |
| 14608 | root="2.16 .840.1.113 883. IP .23" | |
| 14609 | /> | |
| 14610 | <manufactu redMateria l | |
| 14611 | classCode= "MMAT" | |
| 14612 | determiner Code="KIND " | |
| 14613 | > | |
| 14614 | <code | |
| 14615 | code="5435 46" | |
| 14616 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 14617 | codeSystem Name="RXNO RM" | |
| 14618 | displayNam e="nystati n (MYCOSTA TIN) cream " | |
| 14619 | > | |
| 14620 | <originalT ext> | |
| 14621 | <reference | |
| 14622 | value="#me dOrderedNa me-17" | |
| 14623 | /> | |
| 14624 | </original Text> | |
| 14625 | <translati on | |
| 14626 | code="5435 46" | |
| 14627 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 14628 | codeSystem Name="RXNO RM" | |
| 14629 | displayNam e="nystati n (MYCOSTA TIN) cream " | |
| 14630 | /> | |
| 14631 | </code> | |
| 14632 | <name> | |
| 14633 | nystatin ( MYCOSTATIN ) cream | |
| 14634 | </name> | |
| 14635 | </manufact uredMateri al> | |
| 14636 | </manufact uredProduc t> | |
| 14637 | </consumab le> | |
| 14638 | <author | |
| 14639 | typeCode=" AUT" | |
| 14640 | > | |
| 14641 | <time | |
| 14642 | nullFlavor ="UNK" | |
| 14643 | /> | |
| 14644 | <assignedA uthor | |
| 14645 | classCode= "ASSIGNED" | |
| 14646 | > | |
| 14647 | <id | |
| 14648 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 14649 | extension= "Historica l Provider " | |
| 14650 | /> | |
| 14651 | <addr | |
| 14652 | nullFlavor ="UNK" | |
| 14653 | /> | |
| 14654 | <telecom | |
| 14655 | nullFlavor ="UNK" | |
| 14656 | /> | |
| 14657 | <assignedP erson> | |
| 14658 | <name | |
| 14659 | use="L" | |
| 14660 | > | |
| 14661 | <family> | |
| 14662 | Provider | |
| 14663 | </family> | |
| 14664 | <given> | |
| 14665 | Historical | |
| 14666 | </given> | |
| 14667 | </name> | |
| 14668 | </assigned Person> | |
| 14669 | <represent edOrganiza tion> | |
| 14670 | <id | |
| 14671 | root="2.16 .840.1.113 883.3.915" | |
| 14672 | extension= "31500" | |
| 14673 | displayabl e="true" | |
| 14674 | /> | |
| 14675 | <name> | |
| 14676 | Care New E ngland | |
| 14677 | </name> | |
| 14678 | <telecom | |
| 14679 | nullFlavor ="UNK" | |
| 14680 | /> | |
| 14681 | <addr | |
| 14682 | use="WP" | |
| 14683 | > | |
| 14684 | <streetAdd ressLine> | |
| 14685 | 10 Health Lane | |
| 14686 | </streetAd dressLine> | |
| 14687 | <city> | |
| 14688 | Warwick | |
| 14689 | </city> | |
| 14690 | <state> | |
| 14691 | RI | |
| 14692 | </state> | |
| 14693 | <postalCod e> | |
| 14694 | 02886 | |
| 14695 | </postalCo de> | |
| 14696 | <country> | |
| 14697 | US | |
| 14698 | </country> | |
| 14699 | </addr> | |
| 14700 | <asOrganiz ationPartO f> | |
| 14701 | <effective Time | |
| 14702 | nullFlavor ="UNK" | |
| 14703 | /> | |
| 14704 | <wholeOrga nization> | |
| 14705 | <id | |
| 14706 | root="2.16 .840.1.113 883.3.915" | |
| 14707 | /> | |
| 14708 | <id | |
| 14709 | root="2.16 .840.1.113 883.3.915" | |
| 14710 | extension= "HomeCommu nity" | |
| 14711 | displayabl e="true" | |
| 14712 | /> | |
| 14713 | <name> | |
| 14714 | CurrentCar e Test | |
| 14715 | </name> | |
| 14716 | <telecom | |
| 14717 | use="WP" | |
| 14718 | value="tel :401-276-9 141" | |
| 14719 | /> | |
| 14720 | <addr | |
| 14721 | use="WP" | |
| 14722 | > | |
| 14723 | <streetAdd ressLine> | |
| 14724 | 50 Holden St., Suite 300 | |
| 14725 | </streetAd dressLine> | |
| 14726 | <city> | |
| 14727 | Providence | |
| 14728 | </city> | |
| 14729 | <state> | |
| 14730 | RI | |
| 14731 | </state> | |
| 14732 | <postalCod e> | |
| 14733 | 02908 | |
| 14734 | </postalCo de> | |
| 14735 | <country> | |
| 14736 | US | |
| 14737 | </country> | |
| 14738 | </addr> | |
| 14739 | </wholeOrg anization> | |
| 14740 | </asOrgani zationPart Of> | |
| 14741 | </represen tedOrganiz ation> | |
| 14742 | </assigned Author> | |
| 14743 | </author> | |
| 14744 | <informant > | |
| 14745 | <assignedE ntity> | |
| 14746 | <id | |
| 14747 | root="RIQI ORG" | |
| 14748 | extension= "31500" | |
| 14749 | /> | |
| 14750 | <addr | |
| 14751 | use="WP" | |
| 14752 | > | |
| 14753 | <streetAdd ressLine> | |
| 14754 | 10 Health Lane | |
| 14755 | </streetAd dressLine> | |
| 14756 | <city> | |
| 14757 | Warwick | |
| 14758 | </city> | |
| 14759 | <state> | |
| 14760 | RI | |
| 14761 | </state> | |
| 14762 | <postalCod e> | |
| 14763 | 02886 | |
| 14764 | </postalCo de> | |
| 14765 | <country> | |
| 14766 | US | |
| 14767 | </country> | |
| 14768 | </addr> | |
| 14769 | <telecom | |
| 14770 | nullFlavor ="UNK" | |
| 14771 | /> | |
| 14772 | <assignedP erson> | |
| 14773 | <name | |
| 14774 | nullFlavor ="UNK" | |
| 14775 | /> | |
| 14776 | </assigned Person> | |
| 14777 | <represent edOrganiza tion> | |
| 14778 | <id | |
| 14779 | root="2.16 .840.1.113 883.3.915" | |
| 14780 | extension= "31500" | |
| 14781 | displayabl e="true" | |
| 14782 | /> | |
| 14783 | <name> | |
| 14784 | Care New E ngland | |
| 14785 | </name> | |
| 14786 | <telecom | |
| 14787 | nullFlavor ="UNK" | |
| 14788 | /> | |
| 14789 | <addr | |
| 14790 | use="WP" | |
| 14791 | > | |
| 14792 | <streetAdd ressLine> | |
| 14793 | 10 Health Lane | |
| 14794 | </streetAd dressLine> | |
| 14795 | <city> | |
| 14796 | Warwick | |
| 14797 | </city> | |
| 14798 | <state> | |
| 14799 | RI | |
| 14800 | </state> | |
| 14801 | <postalCod e> | |
| 14802 | 02886 | |
| 14803 | </postalCo de> | |
| 14804 | <country> | |
| 14805 | US | |
| 14806 | </country> | |
| 14807 | </addr> | |
| 14808 | <asOrganiz ationPartO f> | |
| 14809 | <effective Time | |
| 14810 | nullFlavor ="UNK" | |
| 14811 | /> | |
| 14812 | <wholeOrga nization> | |
| 14813 | <id | |
| 14814 | root="2.16 .840.1.113 883.3.915" | |
| 14815 | /> | |
| 14816 | <id | |
| 14817 | root="2.16 .840.1.113 883.3.915" | |
| 14818 | extension= "HomeCommu nity" | |
| 14819 | displayabl e="true" | |
| 14820 | /> | |
| 14821 | <name> | |
| 14822 | CurrentCar e Test | |
| 14823 | </name> | |
| 14824 | <telecom | |
| 14825 | use="WP" | |
| 14826 | value="tel :401-276-9 141" | |
| 14827 | /> | |
| 14828 | <addr | |
| 14829 | use="WP" | |
| 14830 | > | |
| 14831 | <streetAdd ressLine> | |
| 14832 | 50 Holden St., Suite 300 | |
| 14833 | </streetAd dressLine> | |
| 14834 | <city> | |
| 14835 | Providence | |
| 14836 | </city> | |
| 14837 | <state> | |
| 14838 | RI | |
| 14839 | </state> | |
| 14840 | <postalCod e> | |
| 14841 | 02908 | |
| 14842 | </postalCo de> | |
| 14843 | <country> | |
| 14844 | US | |
| 14845 | </country> | |
| 14846 | </addr> | |
| 14847 | </wholeOrg anization> | |
| 14848 | </asOrgani zationPart Of> | |
| 14849 | </represen tedOrganiz ation> | |
| 14850 | </assigned Entity> | |
| 14851 | </informan t> | |
| 14852 | <entryRela tionship | |
| 14853 | typeCode=" REFR" | |
| 14854 | inversionI nd="false" | |
| 14855 | > | |
| 14856 | <observati on | |
| 14857 | classCode= "OBS" | |
| 14858 | moodCode=" EVN" | |
| 14859 | > | |
| 14860 | <templateI d | |
| 14861 | root="2.16 .840.1.113 883. IP " | |
| 14862 | /> | |
| 14863 | <templateI d | |
| 14864 | root="2.16 .840.1.113 883. IP " | |
| 14865 | /> | |
| 14866 | <code | |
| 14867 | code="3399 9-4" | |
| 14868 | displayNam e="Status" | |
| 14869 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 14870 | codeSystem Name="LOIN C" | |
| 14871 | /> | |
| 14872 | <statusCod e | |
| 14873 | code="comp leted" | |
| 14874 | /> | |
| 14875 | <value | |
| 14876 | code="5556 1003" | |
| 14877 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 14878 | codeSystem Name="SNOM ED-CT" | |
| 14879 | displayNam e="Active" | |
| 14880 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 14881 | xsi:type=" CD" | |
| 14882 | /> | |
| 14883 | </observat ion> | |
| 14884 | </entryRel ationship> | |
| 14885 | <entryRela tionship | |
| 14886 | typeCode=" REFR" | |
| 14887 | > | |
| 14888 | <supply | |
| 14889 | classCode= "SPLY" | |
| 14890 | moodCode=" INT" | |
| 14891 | > | |
| 14892 | <templateI d | |
| 14893 | root="2.16 .840.1.113 883. IP .17" | |
| 14894 | /> | |
| 14895 | <id | |
| 14896 | root="3150 0" | |
| 14897 | extension= "E796B206- A69E-11E6- A9A0-5056A 4032400" | |
| 14898 | assigningA uthorityNa me="31500- PlacerId" | |
| 14899 | /> | |
| 14900 | <statusCod e | |
| 14901 | code="comp leted" | |
| 14902 | /> | |
| 14903 | <repeatNum ber | |
| 14904 | nullFlavor ="UNK" | |
| 14905 | /> | |
| 14906 | <product | |
| 14907 | typeCode=" PRD" | |
| 14908 | > | |
| 14909 | <manufactu redProduct | |
| 14910 | classCode= "MANU" | |
| 14911 | > | |
| 14912 | <templateI d | |
| 14913 | root="2.16 .840.1.113 883. IP .23" | |
| 14914 | /> | |
| 14915 | <manufactu redMateria l | |
| 14916 | classCode= "MMAT" | |
| 14917 | determiner Code="KIND " | |
| 14918 | > | |
| 14919 | <code | |
| 14920 | code="5435 46" | |
| 14921 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 14922 | codeSystem Name="RXNO RM" | |
| 14923 | displayNam e="nystati n (MYCOSTA TIN) cream " | |
| 14924 | > | |
| 14925 | <originalT ext> | |
| 14926 | <reference | |
| 14927 | value="#me dOrderedNa me-17" | |
| 14928 | /> | |
| 14929 | </original Text> | |
| 14930 | <translati on | |
| 14931 | code="5435 46" | |
| 14932 | codeSystem ="2.16.840 .1.113883. 6.88" | |
| 14933 | codeSystem Name="RXNO RM" | |
| 14934 | displayNam e="nystati n (MYCOSTA TIN) cream " | |
| 14935 | /> | |
| 14936 | </code> | |
| 14937 | <name> | |
| 14938 | nystatin ( MYCOSTATIN ) cream | |
| 14939 | </name> | |
| 14940 | </manufact uredMateri al> | |
| 14941 | </manufact uredProduc t> | |
| 14942 | </product> | |
| 14943 | </supply> | |
| 14944 | </entryRel ationship> | |
| 14945 | <entryRela tionship | |
| 14946 | typeCode=" SUBJ" | |
| 14947 | inversionI nd="true" | |
| 14948 | > | |
| 14949 | <encounter | |
| 14950 | classCode= "ENC" | |
| 14951 | moodCode=" EVN" | |
| 14952 | > | |
| 14953 | <id | |
| 14954 | root="3150 0" | |
| 14955 | extension= "10553224" | |
| 14956 | /> | |
| 14957 | </encounte r> | |
| 14958 | </entryRel ationship> | |
| 14959 | </substanc eAdministr ation> | |
| 14960 | </entry> | |
| 14961 | </section> | |
| 14962 | </componen t> | |
| 14963 | <component > | |
| 14964 | <section> | |
| 14965 | <templateI d | |
| 14966 | root="2.16 .840.1.113 883.10.20. 22.2.2" | |
| 14967 | /> | |
| 14968 | <code | |
| 14969 | code="1136 9-6" | |
| 14970 | displayNam e="History of Immuni zations" | |
| 14971 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 14972 | codeSystem Name="LOIN C" | |
| 14973 | /> | |
| 14974 | <title> | |
| 14975 | Immunizati ons | |
| 14976 | </title> | |
| 14977 | <text> | |
| 14978 | <table | |
| 14979 | border="1" | |
| 14980 | width="100 %" | |
| 14981 | > | |
| 14982 | <thead> | |
| 14983 | <tr> | |
| 14984 | <th> | |
| 14985 | Ordered Im munization Name | |
| 14986 | </th> | |
| 14987 | <th> | |
| 14988 | Filled Imm unization Name | |
| 14989 | </th> | |
| 14990 | <th> | |
| 14991 | Date | |
| 14992 | </th> | |
| 14993 | <th> | |
| 14994 | Status | |
| 14995 | </th> | |
| 14996 | <th> | |
| 14997 | Comments | |
| 14998 | </th> | |
| 14999 | </tr> | |
| 15000 | </thead> | |
| 15001 | <tbody> | |
| 15002 | <tr | |
| 15003 | ID="immuni zationNarr ative-1" | |
| 15004 | > | |
| 15005 | <td | |
| 15006 | ID="immuni zationOrde redName-1" | |
| 15007 | > | |
| 15008 | FLU,3 YRS | |
| 15009 | </td> | |
| 15010 | <td | |
| 15011 | ID="immuni zationFill edName-1" | |
| 15012 | /> | |
| 15013 | <td> | |
| 15014 | 2018-03-05 00:00:00 | |
| 15015 | </td> | |
| 15016 | <td> | |
| 15017 | Completed | |
| 15018 | </td> | |
| 15019 | <td | |
| 15020 | ID="immuni zationComm ents-1" | |
| 15021 | /> | |
| 15022 | </tr> | |
| 15023 | <tr | |
| 15024 | ID="immuni zationNarr ative-2" | |
| 15025 | > | |
| 15026 | <td | |
| 15027 | ID="immuni zationOrde redName-2" | |
| 15028 | > | |
| 15029 | INFLUENZA, UNSPECIFI ED FORMULA TION | |
| 15030 | </td> | |
| 15031 | <td | |
| 15032 | ID="immuni zationFill edName-2" | |
| 15033 | /> | |
| 15034 | <td> | |
| 15035 | 2018-03-05 00:00:00 | |
| 15036 | </td> | |
| 15037 | <td> | |
| 15038 | Completed | |
| 15039 | </td> | |
| 15040 | <td | |
| 15041 | ID="immuni zationComm ents-2" | |
| 15042 | /> | |
| 15043 | </tr> | |
| 15044 | <tr | |
| 15045 | ID="immuni zationNarr ative-3" | |
| 15046 | > | |
| 15047 | <td | |
| 15048 | ID="immuni zationOrde redName-3" | |
| 15049 | > | |
| 15050 | FLU,3 YRS | |
| 15051 | </td> | |
| 15052 | <td | |
| 15053 | ID="immuni zationFill edName-3" | |
| 15054 | /> | |
| 15055 | <td> | |
| 15056 | 2017-01-24 00:00:00 | |
| 15057 | </td> | |
| 15058 | <td> | |
| 15059 | Completed | |
| 15060 | </td> | |
| 15061 | <td | |
| 15062 | ID="immuni zationComm ents-3" | |
| 15063 | /> | |
| 15064 | </tr> | |
| 15065 | <tr | |
| 15066 | ID="immuni zationNarr ative-4" | |
| 15067 | > | |
| 15068 | <td | |
| 15069 | ID="immuni zationOrde redName-4" | |
| 15070 | > | |
| 15071 | INFLUENZA, UNSPECIFI ED FORMULA TION | |
| 15072 | </td> | |
| 15073 | <td | |
| 15074 | ID="immuni zationFill edName-4" | |
| 15075 | /> | |
| 15076 | <td> | |
| 15077 | 2017-01-24 00:00:00 | |
| 15078 | </td> | |
| 15079 | <td> | |
| 15080 | Completed | |
| 15081 | </td> | |
| 15082 | <td | |
| 15083 | ID="immuni zationComm ents-4" | |
| 15084 | /> | |
| 15085 | </tr> | |
| 15086 | <tr | |
| 15087 | ID="immuni zationNarr ative-5" | |
| 15088 | > | |
| 15089 | <td | |
| 15090 | ID="immuni zationOrde redName-5" | |
| 15091 | > | |
| 15092 | FLU,3 YRS | |
| 15093 | </td> | |
| 15094 | <td | |
| 15095 | ID="immuni zationFill edName-5" | |
| 15096 | /> | |
| 15097 | <td> | |
| 15098 | 2016-01-24 00:00:00 | |
| 15099 | </td> | |
| 15100 | <td> | |
| 15101 | Completed | |
| 15102 | </td> | |
| 15103 | <td | |
| 15104 | ID="immuni zationComm ents-5" | |
| 15105 | /> | |
| 15106 | </tr> | |
| 15107 | <tr | |
| 15108 | ID="immuni zationNarr ative-6" | |
| 15109 | > | |
| 15110 | <td | |
| 15111 | ID="immuni zationOrde redName-6" | |
| 15112 | > | |
| 15113 | INFLUENZA, UNSPECIFI ED FORMULA TION | |
| 15114 | </td> | |
| 15115 | <td | |
| 15116 | ID="immuni zationFill edName-6" | |
| 15117 | /> | |
| 15118 | <td> | |
| 15119 | 2016-01-24 00:00:00 | |
| 15120 | </td> | |
| 15121 | <td> | |
| 15122 | Completed | |
| 15123 | </td> | |
| 15124 | <td | |
| 15125 | ID="immuni zationComm ents-6" | |
| 15126 | /> | |
| 15127 | </tr> | |
| 15128 | <tr | |
| 15129 | ID="immuni zationNarr ative-7" | |
| 15130 | > | |
| 15131 | <td | |
| 15132 | ID="immuni zationOrde redName-7" | |
| 15133 | > | |
| 15134 | PNEUMOVAX POLYSACCHA RIDE PPSV2 3 | |
| 15135 | </td> | |
| 15136 | <td | |
| 15137 | ID="immuni zationFill edName-7" | |
| 15138 | /> | |
| 15139 | <td> | |
| 15140 | 2015-08-06 00:00:00 | |
| 15141 | </td> | |
| 15142 | <td> | |
| 15143 | Completed | |
| 15144 | </td> | |
| 15145 | <td | |
| 15146 | ID="immuni zationComm ents-7" | |
| 15147 | /> | |
| 15148 | </tr> | |
| 15149 | <tr | |
| 15150 | ID="immuni zationNarr ative-8" | |
| 15151 | > | |
| 15152 | <td | |
| 15153 | ID="immuni zationOrde redName-8" | |
| 15154 | > | |
| 15155 | PNEUMOCOCC AL POLYSAC CHARIDE PP V23 | |
| 15156 | </td> | |
| 15157 | <td | |
| 15158 | ID="immuni zationFill edName-8" | |
| 15159 | /> | |
| 15160 | <td> | |
| 15161 | 2015-08-06 00:00:00 | |
| 15162 | </td> | |
| 15163 | <td> | |
| 15164 | Completed | |
| 15165 | </td> | |
| 15166 | <td | |
| 15167 | ID="immuni zationComm ents-8" | |
| 15168 | /> | |
| 15169 | </tr> | |
| 15170 | <tr | |
| 15171 | ID="immuni zationNarr ative-9" | |
| 15172 | > | |
| 15173 | <td | |
| 15174 | ID="immuni zationOrde redName-9" | |
| 15175 | > | |
| 15176 | PNEUMOVAX POLYSACCHA RIDE PPSV2 3 | |
| 15177 | </td> | |
| 15178 | <td | |
| 15179 | ID="immuni zationFill edName-9" | |
| 15180 | /> | |
| 15181 | <td> | |
| 15182 | 2014-09-25 00:00:00 | |
| 15183 | </td> | |
| 15184 | <td> | |
| 15185 | Completed | |
| 15186 | </td> | |
| 15187 | <td | |
| 15188 | ID="immuni zationComm ents-9" | |
| 15189 | /> | |
| 15190 | </tr> | |
| 15191 | <tr | |
| 15192 | ID="immuni zationNarr ative-10" | |
| 15193 | > | |
| 15194 | <td | |
| 15195 | ID="immuni zationOrde redName-10 " | |
| 15196 | > | |
| 15197 | PNEUMOCOCC AL POLYSAC CHARIDE PP V23 | |
| 15198 | </td> | |
| 15199 | <td | |
| 15200 | ID="immuni zationFill edName-10" | |
| 15201 | /> | |
| 15202 | <td> | |
| 15203 | 2014-09-25 00:00:00 | |
| 15204 | </td> | |
| 15205 | <td> | |
| 15206 | Completed | |
| 15207 | </td> | |
| 15208 | <td | |
| 15209 | ID="immuni zationComm ents-10" | |
| 15210 | /> | |
| 15211 | </tr> | |
| 15212 | <tr | |
| 15213 | ID="immuni zationNarr ative-11" | |
| 15214 | > | |
| 15215 | <td | |
| 15216 | ID="immuni zationOrde redName-11 " | |
| 15217 | > | |
| 15218 | PNEUMOCOCC AL CONJUGA TE PCV13 | |
| 15219 | </td> | |
| 15220 | <td | |
| 15221 | ID="immuni zationFill edName-11" | |
| 15222 | /> | |
| 15223 | <td> | |
| 15224 | 2014-08-19 00:00:00 | |
| 15225 | </td> | |
| 15226 | <td> | |
| 15227 | Completed | |
| 15228 | </td> | |
| 15229 | <td | |
| 15230 | ID="immuni zationComm ents-11" | |
| 15231 | /> | |
| 15232 | </tr> | |
| 15233 | <tr | |
| 15234 | ID="immuni zationNarr ative-12" | |
| 15235 | > | |
| 15236 | <td | |
| 15237 | ID="immuni zationOrde redName-12 " | |
| 15238 | > | |
| 15239 | INFLUENZA, HIGH DOSE SEASONAL, PRESERV-F REE | |
| 15240 | </td> | |
| 15241 | <td | |
| 15242 | ID="immuni zationFill edName-12" | |
| 15243 | /> | |
| 15244 | <td> | |
| 15245 | 2014-08-19 00:00:00 | |
| 15246 | </td> | |
| 15247 | <td> | |
| 15248 | Completed | |
| 15249 | </td> | |
| 15250 | <td | |
| 15251 | ID="immuni zationComm ents-12" | |
| 15252 | /> | |
| 15253 | </tr> | |
| 15254 | <tr | |
| 15255 | ID="immuni zationNarr ative-13" | |
| 15256 | > | |
| 15257 | <td | |
| 15258 | ID="immuni zationOrde redName-13 " | |
| 15259 | > | |
| 15260 | PNEUMOCOCC AL CONJUGA TE PCV 13 | |
| 15261 | </td> | |
| 15262 | <td | |
| 15263 | ID="immuni zationFill edName-13" | |
| 15264 | /> | |
| 15265 | <td> | |
| 15266 | 2014-08-19 00:00:00 | |
| 15267 | </td> | |
| 15268 | <td> | |
| 15269 | Completed | |
| 15270 | </td> | |
| 15271 | <td | |
| 15272 | ID="immuni zationComm ents-13" | |
| 15273 | /> | |
| 15274 | </tr> | |
| 15275 | <tr | |
| 15276 | ID="immuni zationNarr ative-14" | |
| 15277 | > | |
| 15278 | <td | |
| 15279 | ID="immuni zationOrde redName-14 " | |
| 15280 | > | |
| 15281 | INFLUENZA, HIGH DOSE SEASONAL | |
| 15282 | </td> | |
| 15283 | <td | |
| 15284 | ID="immuni zationFill edName-14" | |
| 15285 | /> | |
| 15286 | <td> | |
| 15287 | 2014-08-19 00:00:00 | |
| 15288 | </td> | |
| 15289 | <td> | |
| 15290 | Completed | |
| 15291 | </td> | |
| 15292 | <td | |
| 15293 | ID="immuni zationComm ents-14" | |
| 15294 | /> | |
| 15295 | </tr> | |
| 15296 | <tr | |
| 15297 | ID="immuni zationNarr ative-15" | |
| 15298 | > | |
| 15299 | <td | |
| 15300 | ID="immuni zationOrde redName-15 " | |
| 15301 | > | |
| 15302 | PNEUMOVAX POLYSACCHA RIDE PPSV2 3 | |
| 15303 | </td> | |
| 15304 | <td | |
| 15305 | ID="immuni zationFill edName-15" | |
| 15306 | /> | |
| 15307 | <td> | |
| 15308 | 2014-08-18 00:00:00 | |
| 15309 | </td> | |
| 15310 | <td> | |
| 15311 | Completed | |
| 15312 | </td> | |
| 15313 | <td | |
| 15314 | ID="immuni zationComm ents-15" | |
| 15315 | /> | |
| 15316 | </tr> | |
| 15317 | <tr | |
| 15318 | ID="immuni zationNarr ative-16" | |
| 15319 | > | |
| 15320 | <td | |
| 15321 | ID="immuni zationOrde redName-16 " | |
| 15322 | > | |
| 15323 | PNEUMOCOCC AL POLYSAC CHARIDE PP V23 | |
| 15324 | </td> | |
| 15325 | <td | |
| 15326 | ID="immuni zationFill edName-16" | |
| 15327 | /> | |
| 15328 | <td> | |
| 15329 | 2014-08-18 00:00:00 | |
| 15330 | </td> | |
| 15331 | <td> | |
| 15332 | Completed | |
| 15333 | </td> | |
| 15334 | <td | |
| 15335 | ID="immuni zationComm ents-16" | |
| 15336 | /> | |
| 15337 | </tr> | |
| 15338 | <tr | |
| 15339 | ID="immuni zationNarr ative-17" | |
| 15340 | > | |
| 15341 | <td | |
| 15342 | ID="immuni zationOrde redName-17 " | |
| 15343 | > | |
| 15344 | PNEUMOVAX POLYSACCHA RIDE PPSV2 3 | |
| 15345 | </td> | |
| 15346 | <td | |
| 15347 | ID="immuni zationFill edName-17" | |
| 15348 | /> | |
| 15349 | <td> | |
| 15350 | 2014-08-15 00:00:00 | |
| 15351 | </td> | |
| 15352 | <td> | |
| 15353 | Completed | |
| 15354 | </td> | |
| 15355 | <td | |
| 15356 | ID="immuni zationComm ents-17" | |
| 15357 | /> | |
| 15358 | </tr> | |
| 15359 | <tr | |
| 15360 | ID="immuni zationNarr ative-18" | |
| 15361 | > | |
| 15362 | <td | |
| 15363 | ID="immuni zationOrde redName-18 " | |
| 15364 | > | |
| 15365 | PNEUMOCOCC AL POLYSAC CHARIDE PP V23 | |
| 15366 | </td> | |
| 15367 | <td | |
| 15368 | ID="immuni zationFill edName-18" | |
| 15369 | /> | |
| 15370 | <td> | |
| 15371 | 2014-08-15 00:00:00 | |
| 15372 | </td> | |
| 15373 | <td> | |
| 15374 | Completed | |
| 15375 | </td> | |
| 15376 | <td | |
| 15377 | ID="immuni zationComm ents-18" | |
| 15378 | /> | |
| 15379 | </tr> | |
| 15380 | <tr | |
| 15381 | ID="immuni zationNarr ative-19" | |
| 15382 | > | |
| 15383 | <td | |
| 15384 | ID="immuni zationOrde redName-19 " | |
| 15385 | > | |
| 15386 | FLU,3 YRS | |
| 15387 | </td> | |
| 15388 | <td | |
| 15389 | ID="immuni zationFill edName-19" | |
| 15390 | /> | |
| 15391 | <td> | |
| 15392 | 2013-08-19 00:00:00 | |
| 15393 | </td> | |
| 15394 | <td> | |
| 15395 | Completed | |
| 15396 | </td> | |
| 15397 | <td | |
| 15398 | ID="immuni zationComm ents-19" | |
| 15399 | /> | |
| 15400 | </tr> | |
| 15401 | <tr | |
| 15402 | ID="immuni zationNarr ative-20" | |
| 15403 | > | |
| 15404 | <td | |
| 15405 | ID="immuni zationOrde redName-20 " | |
| 15406 | > | |
| 15407 | INFLUENZA, UNSPECIFI ED FORMULA TION | |
| 15408 | </td> | |
| 15409 | <td | |
| 15410 | ID="immuni zationFill edName-20" | |
| 15411 | /> | |
| 15412 | <td> | |
| 15413 | 2013-08-19 00:00:00 | |
| 15414 | </td> | |
| 15415 | <td> | |
| 15416 | Completed | |
| 15417 | </td> | |
| 15418 | <td | |
| 15419 | ID="immuni zationComm ents-20" | |
| 15420 | /> | |
| 15421 | </tr> | |
| 15422 | <tr | |
| 15423 | ID="immuni zationNarr ative-21" | |
| 15424 | > | |
| 15425 | <td | |
| 15426 | ID="immuni zationOrde redName-21 " | |
| 15427 | > | |
| 15428 | ZOSTER(SHI NGLES) | |
| 15429 | </td> | |
| 15430 | <td | |
| 15431 | ID="immuni zationFill edName-21" | |
| 15432 | /> | |
| 15433 | <td> | |
| 15434 | 2012-08-19 00:00:00 | |
| 15435 | </td> | |
| 15436 | <td> | |
| 15437 | Completed | |
| 15438 | </td> | |
| 15439 | <td | |
| 15440 | ID="immuni zationComm ents-21" | |
| 15441 | /> | |
| 15442 | </tr> | |
| 15443 | <tr | |
| 15444 | ID="immuni zationNarr ative-22" | |
| 15445 | > | |
| 15446 | <td | |
| 15447 | ID="immuni zationOrde redName-22 " | |
| 15448 | > | |
| 15449 | ZOSTER(SHI NGLES) (HI STORICAL) | |
| 15450 | </td> | |
| 15451 | <td | |
| 15452 | ID="immuni zationFill edName-22" | |
| 15453 | /> | |
| 15454 | <td> | |
| 15455 | 2012-08-19 00:00:00 | |
| 15456 | </td> | |
| 15457 | <td> | |
| 15458 | Completed | |
| 15459 | </td> | |
| 15460 | <td | |
| 15461 | ID="immuni zationComm ents-22" | |
| 15462 | /> | |
| 15463 | </tr> | |
| 15464 | <tr | |
| 15465 | ID="immuni zationNarr ative-23" | |
| 15466 | > | |
| 15467 | <td | |
| 15468 | ID="immuni zationOrde redName-23 " | |
| 15469 | > | |
| 15470 | FLU,3 YRS | |
| 15471 | </td> | |
| 15472 | <td | |
| 15473 | ID="immuni zationFill edName-23" | |
| 15474 | /> | |
| 15475 | <td> | |
| 15476 | 2012-01-24 00:00:00 | |
| 15477 | </td> | |
| 15478 | <td> | |
| 15479 | Completed | |
| 15480 | </td> | |
| 15481 | <td | |
| 15482 | ID="immuni zationComm ents-23" | |
| 15483 | /> | |
| 15484 | </tr> | |
| 15485 | <tr | |
| 15486 | ID="immuni zationNarr ative-24" | |
| 15487 | > | |
| 15488 | <td | |
| 15489 | ID="immuni zationOrde redName-24 " | |
| 15490 | > | |
| 15491 | INFLUENZA, UNSPECIFI ED FORMULA TION | |
| 15492 | </td> | |
| 15493 | <td | |
| 15494 | ID="immuni zationFill edName-24" | |
| 15495 | /> | |
| 15496 | <td> | |
| 15497 | 2012-01-24 00:00:00 | |
| 15498 | </td> | |
| 15499 | <td> | |
| 15500 | Completed | |
| 15501 | </td> | |
| 15502 | <td | |
| 15503 | ID="immuni zationComm ents-24" | |
| 15504 | /> | |
| 15505 | </tr> | |
| 15506 | <tr | |
| 15507 | ID="immuni zationNarr ative-25" | |
| 15508 | > | |
| 15509 | <td | |
| 15510 | ID="immuni zationOrde redName-25 " | |
| 15511 | > | |
| 15512 | FLU,3 YRS | |
| 15513 | </td> | |
| 15514 | <td | |
| 15515 | ID="immuni zationFill edName-25" | |
| 15516 | /> | |
| 15517 | <td> | |
| 15518 | 2011-08-19 00:00:00 | |
| 15519 | </td> | |
| 15520 | <td> | |
| 15521 | Completed | |
| 15522 | </td> | |
| 15523 | <td | |
| 15524 | ID="immuni zationComm ents-25" | |
| 15525 | /> | |
| 15526 | </tr> | |
| 15527 | <tr | |
| 15528 | ID="immuni zationNarr ative-26" | |
| 15529 | > | |
| 15530 | <td | |
| 15531 | ID="immuni zationOrde redName-26 " | |
| 15532 | > | |
| 15533 | INFLUENZA, UNSPECIFI ED FORMULA TION | |
| 15534 | </td> | |
| 15535 | <td | |
| 15536 | ID="immuni zationFill edName-26" | |
| 15537 | /> | |
| 15538 | <td> | |
| 15539 | 2011-08-19 00:00:00 | |
| 15540 | </td> | |
| 15541 | <td> | |
| 15542 | Completed | |
| 15543 | </td> | |
| 15544 | <td | |
| 15545 | ID="immuni zationComm ents-26" | |
| 15546 | /> | |
| 15547 | </tr> | |
| 15548 | <tr | |
| 15549 | ID="immuni zationNarr ative-27" | |
| 15550 | > | |
| 15551 | <td | |
| 15552 | ID="immuni zationOrde redName-27 " | |
| 15553 | > | |
| 15554 | FLU,3 YRS | |
| 15555 | </td> | |
| 15556 | <td | |
| 15557 | ID="immuni zationFill edName-27" | |
| 15558 | /> | |
| 15559 | <td> | |
| 15560 | 2010-01-24 00:00:00 | |
| 15561 | </td> | |
| 15562 | <td> | |
| 15563 | Completed | |
| 15564 | </td> | |
| 15565 | <td | |
| 15566 | ID="immuni zationComm ents-27" | |
| 15567 | /> | |
| 15568 | </tr> | |
| 15569 | <tr | |
| 15570 | ID="immuni zationNarr ative-28" | |
| 15571 | > | |
| 15572 | <td | |
| 15573 | ID="immuni zationOrde redName-28 " | |
| 15574 | > | |
| 15575 | FLU,3 YRS | |
| 15576 | </td> | |
| 15577 | <td | |
| 15578 | ID="immuni zationFill edName-28" | |
| 15579 | /> | |
| 15580 | <td> | |
| 15581 | 2009-01-24 00:00:00 | |
| 15582 | </td> | |
| 15583 | <td> | |
| 15584 | Completed | |
| 15585 | </td> | |
| 15586 | <td | |
| 15587 | ID="immuni zationComm ents-28" | |
| 15588 | /> | |
| 15589 | </tr> | |
| 15590 | <tr | |
| 15591 | ID="immuni zationNarr ative-29" | |
| 15592 | > | |
| 15593 | <td | |
| 15594 | ID="immuni zationOrde redName-29 " | |
| 15595 | > | |
| 15596 | INFLUENZA, UNSPECIFI ED FORMULA TION | |
| 15597 | </td> | |
| 15598 | <td | |
| 15599 | ID="immuni zationFill edName-29" | |
| 15600 | /> | |
| 15601 | <td> | |
| 15602 | 2009-01-24 00:00:00 | |
| 15603 | </td> | |
| 15604 | <td> | |
| 15605 | Completed | |
| 15606 | </td> | |
| 15607 | <td | |
| 15608 | ID="immuni zationComm ents-29" | |
| 15609 | /> | |
| 15610 | </tr> | |
| 15611 | <tr | |
| 15612 | ID="immuni zationNarr ative-30" | |
| 15613 | > | |
| 15614 | <td | |
| 15615 | ID="immuni zationOrde redName-30 " | |
| 15616 | > | |
| 15617 | ZOSTER(SHI NGLES) | |
| 15618 | </td> | |
| 15619 | <td | |
| 15620 | ID="immuni zationFill edName-30" | |
| 15621 | /> | |
| 15622 | <td> | |
| 15623 | 2008-06-24 00:00:00 | |
| 15624 | </td> | |
| 15625 | <td> | |
| 15626 | Completed | |
| 15627 | </td> | |
| 15628 | <td | |
| 15629 | ID="immuni zationComm ents-30" | |
| 15630 | /> | |
| 15631 | </tr> | |
| 15632 | <tr | |
| 15633 | ID="immuni zationNarr ative-31" | |
| 15634 | > | |
| 15635 | <td | |
| 15636 | ID="immuni zationOrde redName-31 " | |
| 15637 | > | |
| 15638 | ZOSTER(SHI NGLES) (HI STORICAL) | |
| 15639 | </td> | |
| 15640 | <td | |
| 15641 | ID="immuni zationFill edName-31" | |
| 15642 | /> | |
| 15643 | <td> | |
| 15644 | 2008-06-24 00:00:00 | |
| 15645 | </td> | |
| 15646 | <td> | |
| 15647 | Completed | |
| 15648 | </td> | |
| 15649 | <td | |
| 15650 | ID="immuni zationComm ents-31" | |
| 15651 | /> | |
| 15652 | </tr> | |
| 15653 | <tr | |
| 15654 | ID="immuni zationNarr ative-32" | |
| 15655 | > | |
| 15656 | <td | |
| 15657 | ID="immuni zationOrde redName-32 " | |
| 15658 | > | |
| 15659 | PNEUMOVAX POLYSACCHA RIDE PPSV2 3 | |
| 15660 | </td> | |
| 15661 | <td | |
| 15662 | ID="immuni zationFill edName-32" | |
| 15663 | /> | |
| 15664 | <td> | |
| 15665 | 2008-06-12 00:00:00 | |
| 15666 | </td> | |
| 15667 | <td> | |
| 15668 | Completed | |
| 15669 | </td> | |
| 15670 | <td | |
| 15671 | ID="immuni zationComm ents-32" | |
| 15672 | /> | |
| 15673 | </tr> | |
| 15674 | <tr | |
| 15675 | ID="immuni zationNarr ative-33" | |
| 15676 | > | |
| 15677 | <td | |
| 15678 | ID="immuni zationOrde redName-33 " | |
| 15679 | > | |
| 15680 | PNEUMOCOCC AL POLYSAC CHARIDE PP V23 | |
| 15681 | </td> | |
| 15682 | <td | |
| 15683 | ID="immuni zationFill edName-33" | |
| 15684 | /> | |
| 15685 | <td> | |
| 15686 | 2008-06-12 00:00:00 | |
| 15687 | </td> | |
| 15688 | <td> | |
| 15689 | Completed | |
| 15690 | </td> | |
| 15691 | <td | |
| 15692 | ID="immuni zationComm ents-33" | |
| 15693 | /> | |
| 15694 | </tr> | |
| 15695 | <tr | |
| 15696 | ID="immuni zationNarr ative-34" | |
| 15697 | > | |
| 15698 | <td | |
| 15699 | ID="immuni zationOrde redName-34 " | |
| 15700 | > | |
| 15701 | ZOSTER(SHI NGLES) | |
| 15702 | </td> | |
| 15703 | <td | |
| 15704 | ID="immuni zationFill edName-34" | |
| 15705 | /> | |
| 15706 | <td> | |
| 15707 | 1969-12-31 00:00:00 | |
| 15708 | </td> | |
| 15709 | <td> | |
| 15710 | Completed | |
| 15711 | </td> | |
| 15712 | <td | |
| 15713 | ID="immuni zationComm ents-34" | |
| 15714 | /> | |
| 15715 | </tr> | |
| 15716 | <tr | |
| 15717 | ID="immuni zationNarr ative-35" | |
| 15718 | > | |
| 15719 | <td | |
| 15720 | ID="immuni zationOrde redName-35 " | |
| 15721 | > | |
| 15722 | ZOSTER(SHI NGLES) | |
| 15723 | </td> | |
| 15724 | <td | |
| 15725 | ID="immuni zationFill edName-35" | |
| 15726 | /> | |
| 15727 | <td> | |
| 15728 | Unknown | |
| 15729 | </td> | |
| 15730 | <td> | |
| 15731 | Completed | |
| 15732 | </td> | |
| 15733 | <td | |
| 15734 | ID="immuni zationComm ents-35" | |
| 15735 | /> | |
| 15736 | </tr> | |
| 15737 | <tr | |
| 15738 | ID="immuni zationNarr ative-36" | |
| 15739 | > | |
| 15740 | <td | |
| 15741 | ID="immuni zationOrde redName-36 " | |
| 15742 | > | |
| 15743 | ZOSTER(SHI NGLES) (HI STORICAL) | |
| 15744 | </td> | |
| 15745 | <td | |
| 15746 | ID="immuni zationFill edName-36" | |
| 15747 | /> | |
| 15748 | <td> | |
| 15749 | Unknown | |
| 15750 | </td> | |
| 15751 | <td> | |
| 15752 | Completed | |
| 15753 | </td> | |
| 15754 | <td | |
| 15755 | ID="immuni zationComm ents-36" | |
| 15756 | /> | |
| 15757 | </tr> | |
| 15758 | <tr | |
| 15759 | ID="immuni zationNarr ative-37" | |
| 15760 | > | |
| 15761 | <td | |
| 15762 | ID="immuni zationOrde redName-37 " | |
| 15763 | > | |
| 15764 | INFLUENZA, UNSPECIFI ED FORMULA TION | |
| 15765 | </td> | |
| 15766 | <td | |
| 15767 | ID="immuni zationFill edName-37" | |
| 15768 | /> | |
| 15769 | <td> | |
| 15770 | Unknown | |
| 15771 | </td> | |
| 15772 | <td> | |
| 15773 | Completed | |
| 15774 | </td> | |
| 15775 | <td | |
| 15776 | ID="immuni zationComm ents-37" | |
| 15777 | /> | |
| 15778 | </tr> | |
| 15779 | <tr | |
| 15780 | ID="immuni zationNarr ative-38" | |
| 15781 | > | |
| 15782 | <td | |
| 15783 | ID="immuni zationOrde redName-38 " | |
| 15784 | > | |
| 15785 | Pneumococc al (HISTOR ICAL) | |
| 15786 | </td> | |
| 15787 | <td | |
| 15788 | ID="immuni zationFill edName-38" | |
| 15789 | /> | |
| 15790 | <td> | |
| 15791 | Unknown | |
| 15792 | </td> | |
| 15793 | <td> | |
| 15794 | Completed | |
| 15795 | </td> | |
| 15796 | <td | |
| 15797 | ID="immuni zationComm ents-38" | |
| 15798 | /> | |
| 15799 | </tr> | |
| 15800 | </tbody> | |
| 15801 | </table> | |
| 15802 | </text> | |
| 15803 | <entry | |
| 15804 | typeCode=" DRIV" | |
| 15805 | > | |
| 15806 | <substance Administra tion | |
| 15807 | classCode= "SBADM" | |
| 15808 | negationIn d="false" | |
| 15809 | moodCode=" EVN" | |
| 15810 | > | |
| 15811 | <templateI d | |
| 15812 | root="2.16 .840.1.113 883. IP .52" | |
| 15813 | /> | |
| 15814 | <id | |
| 15815 | nullFlavor ="UNK" | |
| 15816 | /> | |
| 15817 | <id | |
| 15818 | root="2.16 .840.1.113 883.4.349" | |
| 15819 | extension= "FFE2D716- A6A0-11E6- A9A0-5056A 4032400" | |
| 15820 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 15821 | /> | |
| 15822 | <id | |
| 15823 | root="2.16 .840.1.113 883.4.349" | |
| 15824 | extension= "FFE2DACC- A6A0-11E6- A9A0-5056A 4032400" | |
| 15825 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 15826 | /> | |
| 15827 | <code | |
| 15828 | code="IMMU NIZ" | |
| 15829 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 15830 | codeSystem Name="HL7" | |
| 15831 | /> | |
| 15832 | <text> | |
| 15833 | <reference | |
| 15834 | value="#im munization Narrative- 1" | |
| 15835 | /> | |
| 15836 | </text> | |
| 15837 | <statusCod e | |
| 15838 | code="comp leted" | |
| 15839 | /> | |
| 15840 | <effective Time | |
| 15841 | value="201 8030500000 0" | |
| 15842 | /> | |
| 15843 | <consumabl e | |
| 15844 | typeCode=" CSM" | |
| 15845 | > | |
| 15846 | <manufactu redProduct | |
| 15847 | classCode= "MANU" | |
| 15848 | > | |
| 15849 | <templateI d | |
| 15850 | root="2.16 .840.1.113 883. IP .54" | |
| 15851 | /> | |
| 15852 | <manufactu redMateria l | |
| 15853 | classCode= "MMAT" | |
| 15854 | determiner Code="KIND " | |
| 15855 | > | |
| 15856 | <code | |
| 15857 | nullFlavor ="UNK" | |
| 15858 | > | |
| 15859 | <originalT ext> | |
| 15860 | <reference | |
| 15861 | value="#im munization OrderedNam e-1" | |
| 15862 | /> | |
| 15863 | </original Text> | |
| 15864 | <translati on | |
| 15865 | nullFlavor ="UNK" | |
| 15866 | /> | |
| 15867 | </code> | |
| 15868 | <name> | |
| 15869 | FLU VACCIN E 3 YRS &a mp; > I M | |
| 15870 | </name> | |
| 15871 | </manufact uredMateri al> | |
| 15872 | </manufact uredProduc t> | |
| 15873 | </consumab le> | |
| 15874 | <informant > | |
| 15875 | <assignedE ntity> | |
| 15876 | <id | |
| 15877 | root="RIQI ORG" | |
| 15878 | extension= "CHYSHR TE ST LAB" | |
| 15879 | /> | |
| 15880 | <addr | |
| 15881 | nullFlavor ="UNK" | |
| 15882 | /> | |
| 15883 | <telecom | |
| 15884 | nullFlavor ="UNK" | |
| 15885 | /> | |
| 15886 | <assignedP erson> | |
| 15887 | <name | |
| 15888 | nullFlavor ="UNK" | |
| 15889 | /> | |
| 15890 | </assigned Person> | |
| 15891 | <represent edOrganiza tion> | |
| 15892 | <id | |
| 15893 | root="2.16 .840.1.113 883.3.915" | |
| 15894 | extension= "CHYSHR TE ST LAB" | |
| 15895 | displayabl e="true" | |
| 15896 | /> | |
| 15897 | <name> | |
| 15898 | CHYSHR TES T LAB | |
| 15899 | </name> | |
| 15900 | <telecom | |
| 15901 | nullFlavor ="UNK" | |
| 15902 | /> | |
| 15903 | <addr | |
| 15904 | nullFlavor ="UNK" | |
| 15905 | /> | |
| 15906 | <asOrganiz ationPartO f> | |
| 15907 | <effective Time | |
| 15908 | nullFlavor ="UNK" | |
| 15909 | /> | |
| 15910 | <wholeOrga nization> | |
| 15911 | <id | |
| 15912 | root="2.16 .840.1.113 883.3.915" | |
| 15913 | /> | |
| 15914 | <id | |
| 15915 | root="2.16 .840.1.113 883.3.915" | |
| 15916 | extension= "HomeCommu nity" | |
| 15917 | displayabl e="true" | |
| 15918 | /> | |
| 15919 | <name> | |
| 15920 | CurrentCar e Test | |
| 15921 | </name> | |
| 15922 | <telecom | |
| 15923 | use="WP" | |
| 15924 | value="tel :401-276-9 141" | |
| 15925 | /> | |
| 15926 | <addr | |
| 15927 | use="WP" | |
| 15928 | > | |
| 15929 | <streetAdd ressLine> | |
| 15930 | 50 Holden St., Suite 300 | |
| 15931 | </streetAd dressLine> | |
| 15932 | <city> | |
| 15933 | Providence | |
| 15934 | </city> | |
| 15935 | <state> | |
| 15936 | RI | |
| 15937 | </state> | |
| 15938 | <postalCod e> | |
| 15939 | 02908 | |
| 15940 | </postalCo de> | |
| 15941 | <country> | |
| 15942 | US | |
| 15943 | </country> | |
| 15944 | </addr> | |
| 15945 | </wholeOrg anization> | |
| 15946 | </asOrgani zationPart Of> | |
| 15947 | </represen tedOrganiz ation> | |
| 15948 | </assigned Entity> | |
| 15949 | </informan t> | |
| 15950 | <entryRela tionship | |
| 15951 | typeCode=" REFR" | |
| 15952 | inversionI nd="false" | |
| 15953 | > | |
| 15954 | <observati on | |
| 15955 | classCode= "OBS" | |
| 15956 | moodCode=" EVN" | |
| 15957 | > | |
| 15958 | <templateI d | |
| 15959 | root="2.16 .840.1.113 883. IP " | |
| 15960 | /> | |
| 15961 | <templateI d | |
| 15962 | root="2.16 .840.1.113 883. IP " | |
| 15963 | /> | |
| 15964 | <code | |
| 15965 | code="3399 9-4" | |
| 15966 | displayNam e="Status" | |
| 15967 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 15968 | codeSystem Name="LOIN C" | |
| 15969 | /> | |
| 15970 | <statusCod e | |
| 15971 | code="comp leted" | |
| 15972 | /> | |
| 15973 | <value | |
| 15974 | code="5556 1003" | |
| 15975 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 15976 | codeSystem Name="SNOM ED-CT" | |
| 15977 | displayNam e="Active" | |
| 15978 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 15979 | xsi:type=" CE" | |
| 15980 | > | |
| 15981 | <originalT ext> | |
| 15982 | Active | |
| 15983 | </original Text> | |
| 15984 | </value> | |
| 15985 | </observat ion> | |
| 15986 | </entryRel ationship> | |
| 15987 | <entryRela tionship | |
| 15988 | typeCode=" SUBJ" | |
| 15989 | > | |
| 15990 | <observati on | |
| 15991 | classCode= "OBS" | |
| 15992 | moodCode=" EVN" | |
| 15993 | > | |
| 15994 | <templateI d | |
| 15995 | root="2.16 .840.1.113 883. IP " | |
| 15996 | /> | |
| 15997 | <code | |
| 15998 | code="3097 3-2" | |
| 15999 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 16000 | codeSystem Name="LOIN C" | |
| 16001 | displayNam e="Dose nu mber" | |
| 16002 | /> | |
| 16003 | <statusCod e | |
| 16004 | code="comp leted" | |
| 16005 | /> | |
| 16006 | <value | |
| 16007 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 16008 | nullFlavor ="UNK" | |
| 16009 | xsi:type=" INT" | |
| 16010 | /> | |
| 16011 | </observat ion> | |
| 16012 | </entryRel ationship> | |
| 16013 | <entryRela tionship | |
| 16014 | typeCode=" SUBJ" | |
| 16015 | inversionI nd="true" | |
| 16016 | > | |
| 16017 | <encounter | |
| 16018 | classCode= "ENC" | |
| 16019 | moodCode=" EVN" | |
| 16020 | > | |
| 16021 | <id | |
| 16022 | root="2.16 .840.1.113 883.3.1275 " | |
| 16023 | extension= "2.16.840. 1.113883.4 .349" | |
| 16024 | /> | |
| 16025 | </encounte r> | |
| 16026 | </entryRel ationship> | |
| 16027 | </substanc eAdministr ation> | |
| 16028 | </entry> | |
| 16029 | <entry | |
| 16030 | typeCode=" DRIV" | |
| 16031 | > | |
| 16032 | <substance Administra tion | |
| 16033 | classCode= "SBADM" | |
| 16034 | negationIn d="false" | |
| 16035 | moodCode=" EVN" | |
| 16036 | > | |
| 16037 | <templateI d | |
| 16038 | root="2.16 .840.1.113 883. IP .52" | |
| 16039 | /> | |
| 16040 | <id | |
| 16041 | nullFlavor ="UNK" | |
| 16042 | /> | |
| 16043 | <id | |
| 16044 | root="2.16 .840.1.113 883.4.349" | |
| 16045 | extension= "FFEB2560- A6A0-11E6- A9A0-5056A 4032400" | |
| 16046 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 16047 | /> | |
| 16048 | <id | |
| 16049 | root="2.16 .840.1.113 883.4.349" | |
| 16050 | extension= "FFEB27D6- A6A0-11E6- A9A0-5056A 4032400" | |
| 16051 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 16052 | /> | |
| 16053 | <code | |
| 16054 | code="IMMU NIZ" | |
| 16055 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 16056 | codeSystem Name="HL7" | |
| 16057 | /> | |
| 16058 | <text> | |
| 16059 | <reference | |
| 16060 | value="#im munization Narrative- 2" | |
| 16061 | /> | |
| 16062 | </text> | |
| 16063 | <statusCod e | |
| 16064 | code="comp leted" | |
| 16065 | /> | |
| 16066 | <effective Time | |
| 16067 | value="201 8030500000 0" | |
| 16068 | /> | |
| 16069 | <consumabl e | |
| 16070 | typeCode=" CSM" | |
| 16071 | > | |
| 16072 | <manufactu redProduct | |
| 16073 | classCode= "MANU" | |
| 16074 | > | |
| 16075 | <templateI d | |
| 16076 | root="2.16 .840.1.113 883. IP .54" | |
| 16077 | /> | |
| 16078 | <manufactu redMateria l | |
| 16079 | classCode= "MMAT" | |
| 16080 | determiner Code="KIND " | |
| 16081 | > | |
| 16082 | <code | |
| 16083 | nullFlavor ="UNK" | |
| 16084 | > | |
| 16085 | <originalT ext> | |
| 16086 | <reference | |
| 16087 | value="#im munization OrderedNam e-2" | |
| 16088 | /> | |
| 16089 | </original Text> | |
| 16090 | <translati on | |
| 16091 | nullFlavor ="UNK" | |
| 16092 | /> | |
| 16093 | </code> | |
| 16094 | <name> | |
| 16095 | FLU VACCIN E 3 YRS &a mp; > I M | |
| 16096 | </name> | |
| 16097 | </manufact uredMateri al> | |
| 16098 | </manufact uredProduc t> | |
| 16099 | </consumab le> | |
| 16100 | <informant > | |
| 16101 | <assignedE ntity> | |
| 16102 | <id | |
| 16103 | root="RIQI ORG" | |
| 16104 | extension= "DAYTSHR T EST LAB" | |
| 16105 | /> | |
| 16106 | <addr | |
| 16107 | nullFlavor ="UNK" | |
| 16108 | /> | |
| 16109 | <telecom | |
| 16110 | nullFlavor ="UNK" | |
| 16111 | /> | |
| 16112 | <assignedP erson> | |
| 16113 | <name | |
| 16114 | nullFlavor ="UNK" | |
| 16115 | /> | |
| 16116 | </assigned Person> | |
| 16117 | <represent edOrganiza tion> | |
| 16118 | <id | |
| 16119 | root="2.16 .840.1.113 883.3.915" | |
| 16120 | extension= "DAYTSHR T EST LAB" | |
| 16121 | displayabl e="true" | |
| 16122 | /> | |
| 16123 | <name> | |
| 16124 | DAYTSHR TE ST LAB | |
| 16125 | </name> | |
| 16126 | <telecom | |
| 16127 | nullFlavor ="UNK" | |
| 16128 | /> | |
| 16129 | <addr | |
| 16130 | nullFlavor ="UNK" | |
| 16131 | /> | |
| 16132 | <asOrganiz ationPartO f> | |
| 16133 | <effective Time | |
| 16134 | nullFlavor ="UNK" | |
| 16135 | /> | |
| 16136 | <wholeOrga nization> | |
| 16137 | <id | |
| 16138 | root="2.16 .840.1.113 883.3.915" | |
| 16139 | /> | |
| 16140 | <id | |
| 16141 | root="2.16 .840.1.113 883.3.915" | |
| 16142 | extension= "HomeCommu nity" | |
| 16143 | displayabl e="true" | |
| 16144 | /> | |
| 16145 | <name> | |
| 16146 | CurrentCar e Test | |
| 16147 | </name> | |
| 16148 | <telecom | |
| 16149 | use="WP" | |
| 16150 | value="tel :401-276-9 141" | |
| 16151 | /> | |
| 16152 | <addr | |
| 16153 | use="WP" | |
| 16154 | > | |
| 16155 | <streetAdd ressLine> | |
| 16156 | 50 Holden St., Suite 300 | |
| 16157 | </streetAd dressLine> | |
| 16158 | <city> | |
| 16159 | Providence | |
| 16160 | </city> | |
| 16161 | <state> | |
| 16162 | RI | |
| 16163 | </state> | |
| 16164 | <postalCod e> | |
| 16165 | 02908 | |
| 16166 | </postalCo de> | |
| 16167 | <country> | |
| 16168 | US | |
| 16169 | </country> | |
| 16170 | </addr> | |
| 16171 | </wholeOrg anization> | |
| 16172 | </asOrgani zationPart Of> | |
| 16173 | </represen tedOrganiz ation> | |
| 16174 | </assigned Entity> | |
| 16175 | </informan t> | |
| 16176 | <entryRela tionship | |
| 16177 | typeCode=" REFR" | |
| 16178 | inversionI nd="false" | |
| 16179 | > | |
| 16180 | <observati on | |
| 16181 | classCode= "OBS" | |
| 16182 | moodCode=" EVN" | |
| 16183 | > | |
| 16184 | <templateI d | |
| 16185 | root="2.16 .840.1.113 883. IP " | |
| 16186 | /> | |
| 16187 | <templateI d | |
| 16188 | root="2.16 .840.1.113 883. IP " | |
| 16189 | /> | |
| 16190 | <code | |
| 16191 | code="3399 9-4" | |
| 16192 | displayNam e="Status" | |
| 16193 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 16194 | codeSystem Name="LOIN C" | |
| 16195 | /> | |
| 16196 | <statusCod e | |
| 16197 | code="comp leted" | |
| 16198 | /> | |
| 16199 | <value | |
| 16200 | code="5556 1003" | |
| 16201 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 16202 | codeSystem Name="SNOM ED-CT" | |
| 16203 | displayNam e="Active" | |
| 16204 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 16205 | xsi:type=" CE" | |
| 16206 | > | |
| 16207 | <originalT ext> | |
| 16208 | Active | |
| 16209 | </original Text> | |
| 16210 | </value> | |
| 16211 | </observat ion> | |
| 16212 | </entryRel ationship> | |
| 16213 | <entryRela tionship | |
| 16214 | typeCode=" SUBJ" | |
| 16215 | > | |
| 16216 | <observati on | |
| 16217 | classCode= "OBS" | |
| 16218 | moodCode=" EVN" | |
| 16219 | > | |
| 16220 | <templateI d | |
| 16221 | root="2.16 .840.1.113 883. IP " | |
| 16222 | /> | |
| 16223 | <code | |
| 16224 | code="3097 3-2" | |
| 16225 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 16226 | codeSystem Name="LOIN C" | |
| 16227 | displayNam e="Dose nu mber" | |
| 16228 | /> | |
| 16229 | <statusCod e | |
| 16230 | code="comp leted" | |
| 16231 | /> | |
| 16232 | <value | |
| 16233 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 16234 | nullFlavor ="UNK" | |
| 16235 | xsi:type=" INT" | |
| 16236 | /> | |
| 16237 | </observat ion> | |
| 16238 | </entryRel ationship> | |
| 16239 | <entryRela tionship | |
| 16240 | typeCode=" SUBJ" | |
| 16241 | inversionI nd="true" | |
| 16242 | > | |
| 16243 | <encounter | |
| 16244 | classCode= "ENC" | |
| 16245 | moodCode=" EVN" | |
| 16246 | > | |
| 16247 | <id | |
| 16248 | root="2.16 .840.1.113 883.3.1275 " | |
| 16249 | extension= "2.16.840. 1.113883.4 .349" | |
| 16250 | /> | |
| 16251 | </encounte r> | |
| 16252 | </entryRel ationship> | |
| 16253 | </substanc eAdministr ation> | |
| 16254 | </entry> | |
| 16255 | <entry | |
| 16256 | typeCode=" DRIV" | |
| 16257 | > | |
| 16258 | <substance Administra tion | |
| 16259 | classCode= "SBADM" | |
| 16260 | negationIn d="false" | |
| 16261 | moodCode=" EVN" | |
| 16262 | > | |
| 16263 | <templateI d | |
| 16264 | root="2.16 .840.1.113 883. IP .52" | |
| 16265 | /> | |
| 16266 | <id | |
| 16267 | nullFlavor ="UNK" | |
| 16268 | /> | |
| 16269 | <id | |
| 16270 | root="2.16 .840.1.113 883.4.349" | |
| 16271 | extension= "FFE31A46- A6A0-11E6- A9A0-5056A 4032400" | |
| 16272 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 16273 | /> | |
| 16274 | <id | |
| 16275 | root="2.16 .840.1.113 883.4.349" | |
| 16276 | extension= "FFE31CA8- A6A0-11E6- A9A0-5056A 4032400" | |
| 16277 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 16278 | /> | |
| 16279 | <code | |
| 16280 | code="IMMU NIZ" | |
| 16281 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 16282 | codeSystem Name="HL7" | |
| 16283 | /> | |
| 16284 | <text> | |
| 16285 | <reference | |
| 16286 | value="#im munization Narrative- 3" | |
| 16287 | /> | |
| 16288 | </text> | |
| 16289 | <statusCod e | |
| 16290 | code="comp leted" | |
| 16291 | /> | |
| 16292 | <effective Time | |
| 16293 | value="201 7012400000 0" | |
| 16294 | /> | |
| 16295 | <consumabl e | |
| 16296 | typeCode=" CSM" | |
| 16297 | > | |
| 16298 | <manufactu redProduct | |
| 16299 | classCode= "MANU" | |
| 16300 | > | |
| 16301 | <templateI d | |
| 16302 | root="2.16 .840.1.113 883. IP .54" | |
| 16303 | /> | |
| 16304 | <manufactu redMateria l | |
| 16305 | classCode= "MMAT" | |
| 16306 | determiner Code="KIND " | |
| 16307 | > | |
| 16308 | <code | |
| 16309 | nullFlavor ="UNK" | |
| 16310 | > | |
| 16311 | <originalT ext> | |
| 16312 | <reference | |
| 16313 | value="#im munization OrderedNam e-3" | |
| 16314 | /> | |
| 16315 | </original Text> | |
| 16316 | <translati on | |
| 16317 | nullFlavor ="UNK" | |
| 16318 | /> | |
| 16319 | </code> | |
| 16320 | <name> | |
| 16321 | FLU VACCIN E 3 YRS &a mp; > I M | |
| 16322 | </name> | |
| 16323 | </manufact uredMateri al> | |
| 16324 | </manufact uredProduc t> | |
| 16325 | </consumab le> | |
| 16326 | <informant > | |
| 16327 | <assignedE ntity> | |
| 16328 | <id | |
| 16329 | root="RIQI ORG" | |
| 16330 | extension= "CHYSHR TE ST LAB" | |
| 16331 | /> | |
| 16332 | <addr | |
| 16333 | nullFlavor ="UNK" | |
| 16334 | /> | |
| 16335 | <telecom | |
| 16336 | nullFlavor ="UNK" | |
| 16337 | /> | |
| 16338 | <assignedP erson> | |
| 16339 | <name | |
| 16340 | nullFlavor ="UNK" | |
| 16341 | /> | |
| 16342 | </assigned Person> | |
| 16343 | <represent edOrganiza tion> | |
| 16344 | <id | |
| 16345 | root="2.16 .840.1.113 883.3.915" | |
| 16346 | extension= "CHYSHR TE ST LAB" | |
| 16347 | displayabl e="true" | |
| 16348 | /> | |
| 16349 | <name> | |
| 16350 | CHYSHR TES T LAB | |
| 16351 | </name> | |
| 16352 | <telecom | |
| 16353 | nullFlavor ="UNK" | |
| 16354 | /> | |
| 16355 | <addr | |
| 16356 | nullFlavor ="UNK" | |
| 16357 | /> | |
| 16358 | <asOrganiz ationPartO f> | |
| 16359 | <effective Time | |
| 16360 | nullFlavor ="UNK" | |
| 16361 | /> | |
| 16362 | <wholeOrga nization> | |
| 16363 | <id | |
| 16364 | root="2.16 .840.1.113 883.3.915" | |
| 16365 | /> | |
| 16366 | <id | |
| 16367 | root="2.16 .840.1.113 883.3.915" | |
| 16368 | extension= "HomeCommu nity" | |
| 16369 | displayabl e="true" | |
| 16370 | /> | |
| 16371 | <name> | |
| 16372 | CurrentCar e Test | |
| 16373 | </name> | |
| 16374 | <telecom | |
| 16375 | use="WP" | |
| 16376 | value="tel :401-276-9 141" | |
| 16377 | /> | |
| 16378 | <addr | |
| 16379 | use="WP" | |
| 16380 | > | |
| 16381 | <streetAdd ressLine> | |
| 16382 | 50 Holden St., Suite 300 | |
| 16383 | </streetAd dressLine> | |
| 16384 | <city> | |
| 16385 | Providence | |
| 16386 | </city> | |
| 16387 | <state> | |
| 16388 | RI | |
| 16389 | </state> | |
| 16390 | <postalCod e> | |
| 16391 | 02908 | |
| 16392 | </postalCo de> | |
| 16393 | <country> | |
| 16394 | US | |
| 16395 | </country> | |
| 16396 | </addr> | |
| 16397 | </wholeOrg anization> | |
| 16398 | </asOrgani zationPart Of> | |
| 16399 | </represen tedOrganiz ation> | |
| 16400 | </assigned Entity> | |
| 16401 | </informan t> | |
| 16402 | <entryRela tionship | |
| 16403 | typeCode=" REFR" | |
| 16404 | inversionI nd="false" | |
| 16405 | > | |
| 16406 | <observati on | |
| 16407 | classCode= "OBS" | |
| 16408 | moodCode=" EVN" | |
| 16409 | > | |
| 16410 | <templateI d | |
| 16411 | root="2.16 .840.1.113 883. IP " | |
| 16412 | /> | |
| 16413 | <templateI d | |
| 16414 | root="2.16 .840.1.113 883. IP " | |
| 16415 | /> | |
| 16416 | <code | |
| 16417 | code="3399 9-4" | |
| 16418 | displayNam e="Status" | |
| 16419 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 16420 | codeSystem Name="LOIN C" | |
| 16421 | /> | |
| 16422 | <statusCod e | |
| 16423 | code="comp leted" | |
| 16424 | /> | |
| 16425 | <value | |
| 16426 | code="5556 1003" | |
| 16427 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 16428 | codeSystem Name="SNOM ED-CT" | |
| 16429 | displayNam e="Active" | |
| 16430 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 16431 | xsi:type=" CE" | |
| 16432 | > | |
| 16433 | <originalT ext> | |
| 16434 | Active | |
| 16435 | </original Text> | |
| 16436 | </value> | |
| 16437 | </observat ion> | |
| 16438 | </entryRel ationship> | |
| 16439 | <entryRela tionship | |
| 16440 | typeCode=" SUBJ" | |
| 16441 | > | |
| 16442 | <observati on | |
| 16443 | classCode= "OBS" | |
| 16444 | moodCode=" EVN" | |
| 16445 | > | |
| 16446 | <templateI d | |
| 16447 | root="2.16 .840.1.113 883. IP " | |
| 16448 | /> | |
| 16449 | <code | |
| 16450 | code="3097 3-2" | |
| 16451 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 16452 | codeSystem Name="LOIN C" | |
| 16453 | displayNam e="Dose nu mber" | |
| 16454 | /> | |
| 16455 | <statusCod e | |
| 16456 | code="comp leted" | |
| 16457 | /> | |
| 16458 | <value | |
| 16459 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 16460 | nullFlavor ="UNK" | |
| 16461 | xsi:type=" INT" | |
| 16462 | /> | |
| 16463 | </observat ion> | |
| 16464 | </entryRel ationship> | |
| 16465 | <entryRela tionship | |
| 16466 | typeCode=" SUBJ" | |
| 16467 | inversionI nd="true" | |
| 16468 | > | |
| 16469 | <encounter | |
| 16470 | classCode= "ENC" | |
| 16471 | moodCode=" EVN" | |
| 16472 | > | |
| 16473 | <id | |
| 16474 | root="2.16 .840.1.113 883.3.1275 " | |
| 16475 | extension= "2.16.840. 1.113883.4 .349" | |
| 16476 | /> | |
| 16477 | </encounte r> | |
| 16478 | </entryRel ationship> | |
| 16479 | </substanc eAdministr ation> | |
| 16480 | </entry> | |
| 16481 | <entry | |
| 16482 | typeCode=" DRIV" | |
| 16483 | > | |
| 16484 | <substance Administra tion | |
| 16485 | classCode= "SBADM" | |
| 16486 | negationIn d="false" | |
| 16487 | moodCode=" EVN" | |
| 16488 | > | |
| 16489 | <templateI d | |
| 16490 | root="2.16 .840.1.113 883. IP .52" | |
| 16491 | /> | |
| 16492 | <id | |
| 16493 | nullFlavor ="UNK" | |
| 16494 | /> | |
| 16495 | <id | |
| 16496 | root="2.16 .840.1.113 883.4.349" | |
| 16497 | extension= "FFEB6818- A6A0-11E6- A9A0-5056A 4032400" | |
| 16498 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 16499 | /> | |
| 16500 | <id | |
| 16501 | root="2.16 .840.1.113 883.4.349" | |
| 16502 | extension= "FFEB6A98- A6A0-11E6- A9A0-5056A 4032400" | |
| 16503 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 16504 | /> | |
| 16505 | <code | |
| 16506 | code="IMMU NIZ" | |
| 16507 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 16508 | codeSystem Name="HL7" | |
| 16509 | /> | |
| 16510 | <text> | |
| 16511 | <reference | |
| 16512 | value="#im munization Narrative- 4" | |
| 16513 | /> | |
| 16514 | </text> | |
| 16515 | <statusCod e | |
| 16516 | code="comp leted" | |
| 16517 | /> | |
| 16518 | <effective Time | |
| 16519 | value="201 7012400000 0" | |
| 16520 | /> | |
| 16521 | <consumabl e | |
| 16522 | typeCode=" CSM" | |
| 16523 | > | |
| 16524 | <manufactu redProduct | |
| 16525 | classCode= "MANU" | |
| 16526 | > | |
| 16527 | <templateI d | |
| 16528 | root="2.16 .840.1.113 883. IP .54" | |
| 16529 | /> | |
| 16530 | <manufactu redMateria l | |
| 16531 | classCode= "MMAT" | |
| 16532 | determiner Code="KIND " | |
| 16533 | > | |
| 16534 | <code | |
| 16535 | nullFlavor ="UNK" | |
| 16536 | > | |
| 16537 | <originalT ext> | |
| 16538 | <reference | |
| 16539 | value="#im munization OrderedNam e-4" | |
| 16540 | /> | |
| 16541 | </original Text> | |
| 16542 | <translati on | |
| 16543 | nullFlavor ="UNK" | |
| 16544 | /> | |
| 16545 | </code> | |
| 16546 | <name> | |
| 16547 | FLU VACCIN E 3 YRS &a mp; > I M | |
| 16548 | </name> | |
| 16549 | </manufact uredMateri al> | |
| 16550 | </manufact uredProduc t> | |
| 16551 | </consumab le> | |
| 16552 | <informant > | |
| 16553 | <assignedE ntity> | |
| 16554 | <id | |
| 16555 | root="RIQI ORG" | |
| 16556 | extension= "DAYTSHR T EST LAB" | |
| 16557 | /> | |
| 16558 | <addr | |
| 16559 | nullFlavor ="UNK" | |
| 16560 | /> | |
| 16561 | <telecom | |
| 16562 | nullFlavor ="UNK" | |
| 16563 | /> | |
| 16564 | <assignedP erson> | |
| 16565 | <name | |
| 16566 | nullFlavor ="UNK" | |
| 16567 | /> | |
| 16568 | </assigned Person> | |
| 16569 | <represent edOrganiza tion> | |
| 16570 | <id | |
| 16571 | root="2.16 .840.1.113 883.3.915" | |
| 16572 | extension= "DAYTSHR T EST LAB" | |
| 16573 | displayabl e="true" | |
| 16574 | /> | |
| 16575 | <name> | |
| 16576 | DAYTSHR TE ST LAB | |
| 16577 | </name> | |
| 16578 | <telecom | |
| 16579 | nullFlavor ="UNK" | |
| 16580 | /> | |
| 16581 | <addr | |
| 16582 | nullFlavor ="UNK" | |
| 16583 | /> | |
| 16584 | <asOrganiz ationPartO f> | |
| 16585 | <effective Time | |
| 16586 | nullFlavor ="UNK" | |
| 16587 | /> | |
| 16588 | <wholeOrga nization> | |
| 16589 | <id | |
| 16590 | root="2.16 .840.1.113 883.3.915" | |
| 16591 | /> | |
| 16592 | <id | |
| 16593 | root="2.16 .840.1.113 883.3.915" | |
| 16594 | extension= "HomeCommu nity" | |
| 16595 | displayabl e="true" | |
| 16596 | /> | |
| 16597 | <name> | |
| 16598 | CurrentCar e Test | |
| 16599 | </name> | |
| 16600 | <telecom | |
| 16601 | use="WP" | |
| 16602 | value="tel :401-276-9 141" | |
| 16603 | /> | |
| 16604 | <addr | |
| 16605 | use="WP" | |
| 16606 | > | |
| 16607 | <streetAdd ressLine> | |
| 16608 | 50 Holden St., Suite 300 | |
| 16609 | </streetAd dressLine> | |
| 16610 | <city> | |
| 16611 | Providence | |
| 16612 | </city> | |
| 16613 | <state> | |
| 16614 | RI | |
| 16615 | </state> | |
| 16616 | <postalCod e> | |
| 16617 | 02908 | |
| 16618 | </postalCo de> | |
| 16619 | <country> | |
| 16620 | US | |
| 16621 | </country> | |
| 16622 | </addr> | |
| 16623 | </wholeOrg anization> | |
| 16624 | </asOrgani zationPart Of> | |
| 16625 | </represen tedOrganiz ation> | |
| 16626 | </assigned Entity> | |
| 16627 | </informan t> | |
| 16628 | <entryRela tionship | |
| 16629 | typeCode=" REFR" | |
| 16630 | inversionI nd="false" | |
| 16631 | > | |
| 16632 | <observati on | |
| 16633 | classCode= "OBS" | |
| 16634 | moodCode=" EVN" | |
| 16635 | > | |
| 16636 | <templateI d | |
| 16637 | root="2.16 .840.1.113 883. IP " | |
| 16638 | /> | |
| 16639 | <templateI d | |
| 16640 | root="2.16 .840.1.113 883. IP " | |
| 16641 | /> | |
| 16642 | <code | |
| 16643 | code="3399 9-4" | |
| 16644 | displayNam e="Status" | |
| 16645 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 16646 | codeSystem Name="LOIN C" | |
| 16647 | /> | |
| 16648 | <statusCod e | |
| 16649 | code="comp leted" | |
| 16650 | /> | |
| 16651 | <value | |
| 16652 | code="5556 1003" | |
| 16653 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 16654 | codeSystem Name="SNOM ED-CT" | |
| 16655 | displayNam e="Active" | |
| 16656 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 16657 | xsi:type=" CE" | |
| 16658 | > | |
| 16659 | <originalT ext> | |
| 16660 | Active | |
| 16661 | </original Text> | |
| 16662 | </value> | |
| 16663 | </observat ion> | |
| 16664 | </entryRel ationship> | |
| 16665 | <entryRela tionship | |
| 16666 | typeCode=" SUBJ" | |
| 16667 | > | |
| 16668 | <observati on | |
| 16669 | classCode= "OBS" | |
| 16670 | moodCode=" EVN" | |
| 16671 | > | |
| 16672 | <templateI d | |
| 16673 | root="2.16 .840.1.113 883. IP " | |
| 16674 | /> | |
| 16675 | <code | |
| 16676 | code="3097 3-2" | |
| 16677 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 16678 | codeSystem Name="LOIN C" | |
| 16679 | displayNam e="Dose nu mber" | |
| 16680 | /> | |
| 16681 | <statusCod e | |
| 16682 | code="comp leted" | |
| 16683 | /> | |
| 16684 | <value | |
| 16685 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 16686 | nullFlavor ="UNK" | |
| 16687 | xsi:type=" INT" | |
| 16688 | /> | |
| 16689 | </observat ion> | |
| 16690 | </entryRel ationship> | |
| 16691 | <entryRela tionship | |
| 16692 | typeCode=" SUBJ" | |
| 16693 | inversionI nd="true" | |
| 16694 | > | |
| 16695 | <encounter | |
| 16696 | classCode= "ENC" | |
| 16697 | moodCode=" EVN" | |
| 16698 | > | |
| 16699 | <id | |
| 16700 | root="2.16 .840.1.113 883.3.1275 " | |
| 16701 | extension= "2.16.840. 1.113883.4 .349" | |
| 16702 | /> | |
| 16703 | </encounte r> | |
| 16704 | </entryRel ationship> | |
| 16705 | </substanc eAdministr ation> | |
| 16706 | </entry> | |
| 16707 | <entry | |
| 16708 | typeCode=" DRIV" | |
| 16709 | > | |
| 16710 | <substance Administra tion | |
| 16711 | classCode= "SBADM" | |
| 16712 | negationIn d="false" | |
| 16713 | moodCode=" EVN" | |
| 16714 | > | |
| 16715 | <templateI d | |
| 16716 | root="2.16 .840.1.113 883. IP .52" | |
| 16717 | /> | |
| 16718 | <id | |
| 16719 | nullFlavor ="UNK" | |
| 16720 | /> | |
| 16721 | <id | |
| 16722 | root="2.16 .840.1.113 883.4.349" | |
| 16723 | extension= "FFE35C40- A6A0-11E6- A9A0-5056A 4032400" | |
| 16724 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 16725 | /> | |
| 16726 | <id | |
| 16727 | root="2.16 .840.1.113 883.4.349" | |
| 16728 | extension= "FFE35F06- A6A0-11E6- A9A0-5056A 4032400" | |
| 16729 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 16730 | /> | |
| 16731 | <code | |
| 16732 | code="IMMU NIZ" | |
| 16733 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 16734 | codeSystem Name="HL7" | |
| 16735 | /> | |
| 16736 | <text> | |
| 16737 | <reference | |
| 16738 | value="#im munization Narrative- 5" | |
| 16739 | /> | |
| 16740 | </text> | |
| 16741 | <statusCod e | |
| 16742 | code="comp leted" | |
| 16743 | /> | |
| 16744 | <effective Time | |
| 16745 | value="201 6012400000 0" | |
| 16746 | /> | |
| 16747 | <consumabl e | |
| 16748 | typeCode=" CSM" | |
| 16749 | > | |
| 16750 | <manufactu redProduct | |
| 16751 | classCode= "MANU" | |
| 16752 | > | |
| 16753 | <templateI d | |
| 16754 | root="2.16 .840.1.113 883. IP .54" | |
| 16755 | /> | |
| 16756 | <manufactu redMateria l | |
| 16757 | classCode= "MMAT" | |
| 16758 | determiner Code="KIND " | |
| 16759 | > | |
| 16760 | <code | |
| 16761 | nullFlavor ="UNK" | |
| 16762 | > | |
| 16763 | <originalT ext> | |
| 16764 | <reference | |
| 16765 | value="#im munization OrderedNam e-5" | |
| 16766 | /> | |
| 16767 | </original Text> | |
| 16768 | <translati on | |
| 16769 | nullFlavor ="UNK" | |
| 16770 | /> | |
| 16771 | </code> | |
| 16772 | <name> | |
| 16773 | FLU VACCIN E 3 YRS &a mp; > I M | |
| 16774 | </name> | |
| 16775 | </manufact uredMateri al> | |
| 16776 | </manufact uredProduc t> | |
| 16777 | </consumab le> | |
| 16778 | <informant > | |
| 16779 | <assignedE ntity> | |
| 16780 | <id | |
| 16781 | root="RIQI ORG" | |
| 16782 | extension= "CHYSHR TE ST LAB" | |
| 16783 | /> | |
| 16784 | <addr | |
| 16785 | nullFlavor ="UNK" | |
| 16786 | /> | |
| 16787 | <telecom | |
| 16788 | nullFlavor ="UNK" | |
| 16789 | /> | |
| 16790 | <assignedP erson> | |
| 16791 | <name | |
| 16792 | nullFlavor ="UNK" | |
| 16793 | /> | |
| 16794 | </assigned Person> | |
| 16795 | <represent edOrganiza tion> | |
| 16796 | <id | |
| 16797 | root="2.16 .840.1.113 883.3.915" | |
| 16798 | extension= "CHYSHR TE ST LAB" | |
| 16799 | displayabl e="true" | |
| 16800 | /> | |
| 16801 | <name> | |
| 16802 | CHYSHR TES T LAB | |
| 16803 | </name> | |
| 16804 | <telecom | |
| 16805 | nullFlavor ="UNK" | |
| 16806 | /> | |
| 16807 | <addr | |
| 16808 | nullFlavor ="UNK" | |
| 16809 | /> | |
| 16810 | <asOrganiz ationPartO f> | |
| 16811 | <effective Time | |
| 16812 | nullFlavor ="UNK" | |
| 16813 | /> | |
| 16814 | <wholeOrga nization> | |
| 16815 | <id | |
| 16816 | root="2.16 .840.1.113 883.3.915" | |
| 16817 | /> | |
| 16818 | <id | |
| 16819 | root="2.16 .840.1.113 883.3.915" | |
| 16820 | extension= "HomeCommu nity" | |
| 16821 | displayabl e="true" | |
| 16822 | /> | |
| 16823 | <name> | |
| 16824 | CurrentCar e Test | |
| 16825 | </name> | |
| 16826 | <telecom | |
| 16827 | use="WP" | |
| 16828 | value="tel :401-276-9 141" | |
| 16829 | /> | |
| 16830 | <addr | |
| 16831 | use="WP" | |
| 16832 | > | |
| 16833 | <streetAdd ressLine> | |
| 16834 | 50 Holden St., Suite 300 | |
| 16835 | </streetAd dressLine> | |
| 16836 | <city> | |
| 16837 | Providence | |
| 16838 | </city> | |
| 16839 | <state> | |
| 16840 | RI | |
| 16841 | </state> | |
| 16842 | <postalCod e> | |
| 16843 | 02908 | |
| 16844 | </postalCo de> | |
| 16845 | <country> | |
| 16846 | US | |
| 16847 | </country> | |
| 16848 | </addr> | |
| 16849 | </wholeOrg anization> | |
| 16850 | </asOrgani zationPart Of> | |
| 16851 | </represen tedOrganiz ation> | |
| 16852 | </assigned Entity> | |
| 16853 | </informan t> | |
| 16854 | <entryRela tionship | |
| 16855 | typeCode=" REFR" | |
| 16856 | inversionI nd="false" | |
| 16857 | > | |
| 16858 | <observati on | |
| 16859 | classCode= "OBS" | |
| 16860 | moodCode=" EVN" | |
| 16861 | > | |
| 16862 | <templateI d | |
| 16863 | root="2.16 .840.1.113 883. IP " | |
| 16864 | /> | |
| 16865 | <templateI d | |
| 16866 | root="2.16 .840.1.113 883. IP " | |
| 16867 | /> | |
| 16868 | <code | |
| 16869 | code="3399 9-4" | |
| 16870 | displayNam e="Status" | |
| 16871 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 16872 | codeSystem Name="LOIN C" | |
| 16873 | /> | |
| 16874 | <statusCod e | |
| 16875 | code="comp leted" | |
| 16876 | /> | |
| 16877 | <value | |
| 16878 | code="5556 1003" | |
| 16879 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 16880 | codeSystem Name="SNOM ED-CT" | |
| 16881 | displayNam e="Active" | |
| 16882 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 16883 | xsi:type=" CE" | |
| 16884 | > | |
| 16885 | <originalT ext> | |
| 16886 | Active | |
| 16887 | </original Text> | |
| 16888 | </value> | |
| 16889 | </observat ion> | |
| 16890 | </entryRel ationship> | |
| 16891 | <entryRela tionship | |
| 16892 | typeCode=" SUBJ" | |
| 16893 | > | |
| 16894 | <observati on | |
| 16895 | classCode= "OBS" | |
| 16896 | moodCode=" EVN" | |
| 16897 | > | |
| 16898 | <templateI d | |
| 16899 | root="2.16 .840.1.113 883. IP " | |
| 16900 | /> | |
| 16901 | <code | |
| 16902 | code="3097 3-2" | |
| 16903 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 16904 | codeSystem Name="LOIN C" | |
| 16905 | displayNam e="Dose nu mber" | |
| 16906 | /> | |
| 16907 | <statusCod e | |
| 16908 | code="comp leted" | |
| 16909 | /> | |
| 16910 | <value | |
| 16911 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 16912 | nullFlavor ="UNK" | |
| 16913 | xsi:type=" INT" | |
| 16914 | /> | |
| 16915 | </observat ion> | |
| 16916 | </entryRel ationship> | |
| 16917 | <entryRela tionship | |
| 16918 | typeCode=" SUBJ" | |
| 16919 | inversionI nd="true" | |
| 16920 | > | |
| 16921 | <encounter | |
| 16922 | classCode= "ENC" | |
| 16923 | moodCode=" EVN" | |
| 16924 | > | |
| 16925 | <id | |
| 16926 | root="2.16 .840.1.113 883.3.1275 " | |
| 16927 | extension= "2.16.840. 1.113883.4 .349" | |
| 16928 | /> | |
| 16929 | </encounte r> | |
| 16930 | </entryRel ationship> | |
| 16931 | </substanc eAdministr ation> | |
| 16932 | </entry> | |
| 16933 | <entry | |
| 16934 | typeCode=" DRIV" | |
| 16935 | > | |
| 16936 | <substance Administra tion | |
| 16937 | classCode= "SBADM" | |
| 16938 | negationIn d="false" | |
| 16939 | moodCode=" EVN" | |
| 16940 | > | |
| 16941 | <templateI d | |
| 16942 | root="2.16 .840.1.113 883. IP .52" | |
| 16943 | /> | |
| 16944 | <id | |
| 16945 | nullFlavor ="UNK" | |
| 16946 | /> | |
| 16947 | <id | |
| 16948 | root="2.16 .840.1.113 883.4.349" | |
| 16949 | extension= "FFEBA9FE- A6A0-11E6- A9A0-5056A 4032400" | |
| 16950 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 16951 | /> | |
| 16952 | <id | |
| 16953 | root="2.16 .840.1.113 883.4.349" | |
| 16954 | extension= "FFEBAC60- A6A0-11E6- A9A0-5056A 4032400" | |
| 16955 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 16956 | /> | |
| 16957 | <code | |
| 16958 | code="IMMU NIZ" | |
| 16959 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 16960 | codeSystem Name="HL7" | |
| 16961 | /> | |
| 16962 | <text> | |
| 16963 | <reference | |
| 16964 | value="#im munization Narrative- 6" | |
| 16965 | /> | |
| 16966 | </text> | |
| 16967 | <statusCod e | |
| 16968 | code="comp leted" | |
| 16969 | /> | |
| 16970 | <effective Time | |
| 16971 | value="201 6012400000 0" | |
| 16972 | /> | |
| 16973 | <consumabl e | |
| 16974 | typeCode=" CSM" | |
| 16975 | > | |
| 16976 | <manufactu redProduct | |
| 16977 | classCode= "MANU" | |
| 16978 | > | |
| 16979 | <templateI d | |
| 16980 | root="2.16 .840.1.113 883. IP .54" | |
| 16981 | /> | |
| 16982 | <manufactu redMateria l | |
| 16983 | classCode= "MMAT" | |
| 16984 | determiner Code="KIND " | |
| 16985 | > | |
| 16986 | <code | |
| 16987 | nullFlavor ="UNK" | |
| 16988 | > | |
| 16989 | <originalT ext> | |
| 16990 | <reference | |
| 16991 | value="#im munization OrderedNam e-6" | |
| 16992 | /> | |
| 16993 | </original Text> | |
| 16994 | <translati on | |
| 16995 | nullFlavor ="UNK" | |
| 16996 | /> | |
| 16997 | </code> | |
| 16998 | <name> | |
| 16999 | FLU VACCIN E 3 YRS &a mp; > I M | |
| 17000 | </name> | |
| 17001 | </manufact uredMateri al> | |
| 17002 | </manufact uredProduc t> | |
| 17003 | </consumab le> | |
| 17004 | <informant > | |
| 17005 | <assignedE ntity> | |
| 17006 | <id | |
| 17007 | root="RIQI ORG" | |
| 17008 | extension= "DAYTSHR T EST LAB" | |
| 17009 | /> | |
| 17010 | <addr | |
| 17011 | nullFlavor ="UNK" | |
| 17012 | /> | |
| 17013 | <telecom | |
| 17014 | nullFlavor ="UNK" | |
| 17015 | /> | |
| 17016 | <assignedP erson> | |
| 17017 | <name | |
| 17018 | nullFlavor ="UNK" | |
| 17019 | /> | |
| 17020 | </assigned Person> | |
| 17021 | <represent edOrganiza tion> | |
| 17022 | <id | |
| 17023 | root="2.16 .840.1.113 883.3.915" | |
| 17024 | extension= "DAYTSHR T EST LAB" | |
| 17025 | displayabl e="true" | |
| 17026 | /> | |
| 17027 | <name> | |
| 17028 | DAYTSHR TE ST LAB | |
| 17029 | </name> | |
| 17030 | <telecom | |
| 17031 | nullFlavor ="UNK" | |
| 17032 | /> | |
| 17033 | <addr | |
| 17034 | nullFlavor ="UNK" | |
| 17035 | /> | |
| 17036 | <asOrganiz ationPartO f> | |
| 17037 | <effective Time | |
| 17038 | nullFlavor ="UNK" | |
| 17039 | /> | |
| 17040 | <wholeOrga nization> | |
| 17041 | <id | |
| 17042 | root="2.16 .840.1.113 883.3.915" | |
| 17043 | /> | |
| 17044 | <id | |
| 17045 | root="2.16 .840.1.113 883.3.915" | |
| 17046 | extension= "HomeCommu nity" | |
| 17047 | displayabl e="true" | |
| 17048 | /> | |
| 17049 | <name> | |
| 17050 | CurrentCar e Test | |
| 17051 | </name> | |
| 17052 | <telecom | |
| 17053 | use="WP" | |
| 17054 | value="tel :401-276-9 141" | |
| 17055 | /> | |
| 17056 | <addr | |
| 17057 | use="WP" | |
| 17058 | > | |
| 17059 | <streetAdd ressLine> | |
| 17060 | 50 Holden St., Suite 300 | |
| 17061 | </streetAd dressLine> | |
| 17062 | <city> | |
| 17063 | Providence | |
| 17064 | </city> | |
| 17065 | <state> | |
| 17066 | RI | |
| 17067 | </state> | |
| 17068 | <postalCod e> | |
| 17069 | 02908 | |
| 17070 | </postalCo de> | |
| 17071 | <country> | |
| 17072 | US | |
| 17073 | </country> | |
| 17074 | </addr> | |
| 17075 | </wholeOrg anization> | |
| 17076 | </asOrgani zationPart Of> | |
| 17077 | </represen tedOrganiz ation> | |
| 17078 | </assigned Entity> | |
| 17079 | </informan t> | |
| 17080 | <entryRela tionship | |
| 17081 | typeCode=" REFR" | |
| 17082 | inversionI nd="false" | |
| 17083 | > | |
| 17084 | <observati on | |
| 17085 | classCode= "OBS" | |
| 17086 | moodCode=" EVN" | |
| 17087 | > | |
| 17088 | <templateI d | |
| 17089 | root="2.16 .840.1.113 883. IP " | |
| 17090 | /> | |
| 17091 | <templateI d | |
| 17092 | root="2.16 .840.1.113 883. IP " | |
| 17093 | /> | |
| 17094 | <code | |
| 17095 | code="3399 9-4" | |
| 17096 | displayNam e="Status" | |
| 17097 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 17098 | codeSystem Name="LOIN C" | |
| 17099 | /> | |
| 17100 | <statusCod e | |
| 17101 | code="comp leted" | |
| 17102 | /> | |
| 17103 | <value | |
| 17104 | code="5556 1003" | |
| 17105 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 17106 | codeSystem Name="SNOM ED-CT" | |
| 17107 | displayNam e="Active" | |
| 17108 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 17109 | xsi:type=" CE" | |
| 17110 | > | |
| 17111 | <originalT ext> | |
| 17112 | Active | |
| 17113 | </original Text> | |
| 17114 | </value> | |
| 17115 | </observat ion> | |
| 17116 | </entryRel ationship> | |
| 17117 | <entryRela tionship | |
| 17118 | typeCode=" SUBJ" | |
| 17119 | > | |
| 17120 | <observati on | |
| 17121 | classCode= "OBS" | |
| 17122 | moodCode=" EVN" | |
| 17123 | > | |
| 17124 | <templateI d | |
| 17125 | root="2.16 .840.1.113 883. IP " | |
| 17126 | /> | |
| 17127 | <code | |
| 17128 | code="3097 3-2" | |
| 17129 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 17130 | codeSystem Name="LOIN C" | |
| 17131 | displayNam e="Dose nu mber" | |
| 17132 | /> | |
| 17133 | <statusCod e | |
| 17134 | code="comp leted" | |
| 17135 | /> | |
| 17136 | <value | |
| 17137 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 17138 | nullFlavor ="UNK" | |
| 17139 | xsi:type=" INT" | |
| 17140 | /> | |
| 17141 | </observat ion> | |
| 17142 | </entryRel ationship> | |
| 17143 | <entryRela tionship | |
| 17144 | typeCode=" SUBJ" | |
| 17145 | inversionI nd="true" | |
| 17146 | > | |
| 17147 | <encounter | |
| 17148 | classCode= "ENC" | |
| 17149 | moodCode=" EVN" | |
| 17150 | > | |
| 17151 | <id | |
| 17152 | root="2.16 .840.1.113 883.3.1275 " | |
| 17153 | extension= "2.16.840. 1.113883.4 .349" | |
| 17154 | /> | |
| 17155 | </encounte r> | |
| 17156 | </entryRel ationship> | |
| 17157 | </substanc eAdministr ation> | |
| 17158 | </entry> | |
| 17159 | <entry | |
| 17160 | typeCode=" DRIV" | |
| 17161 | > | |
| 17162 | <substance Administra tion | |
| 17163 | classCode= "SBADM" | |
| 17164 | negationIn d="false" | |
| 17165 | moodCode=" EVN" | |
| 17166 | > | |
| 17167 | <templateI d | |
| 17168 | root="2.16 .840.1.113 883. IP .52" | |
| 17169 | /> | |
| 17170 | <id | |
| 17171 | nullFlavor ="UNK" | |
| 17172 | /> | |
| 17173 | <id | |
| 17174 | root="2.16 .840.1.113 883.4.349" | |
| 17175 | extension= "FFE39ED0- A6A0-11E6- A9A0-5056A 4032400" | |
| 17176 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 17177 | /> | |
| 17178 | <id | |
| 17179 | root="2.16 .840.1.113 883.4.349" | |
| 17180 | extension= "FFE3A13C- A6A0-11E6- A9A0-5056A 4032400" | |
| 17181 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 17182 | /> | |
| 17183 | <code | |
| 17184 | code="IMMU NIZ" | |
| 17185 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 17186 | codeSystem Name="HL7" | |
| 17187 | /> | |
| 17188 | <text> | |
| 17189 | <reference | |
| 17190 | value="#im munization Narrative- 7" | |
| 17191 | /> | |
| 17192 | </text> | |
| 17193 | <statusCod e | |
| 17194 | code="comp leted" | |
| 17195 | /> | |
| 17196 | <effective Time | |
| 17197 | value="201 5080600000 0" | |
| 17198 | /> | |
| 17199 | <consumabl e | |
| 17200 | typeCode=" CSM" | |
| 17201 | > | |
| 17202 | <manufactu redProduct | |
| 17203 | classCode= "MANU" | |
| 17204 | > | |
| 17205 | <templateI d | |
| 17206 | root="2.16 .840.1.113 883. IP .54" | |
| 17207 | /> | |
| 17208 | <manufactu redMateria l | |
| 17209 | classCode= "MMAT" | |
| 17210 | determiner Code="KIND " | |
| 17211 | > | |
| 17212 | <code | |
| 17213 | nullFlavor ="UNK" | |
| 17214 | > | |
| 17215 | <originalT ext> | |
| 17216 | <reference | |
| 17217 | value="#im munization OrderedNam e-7" | |
| 17218 | /> | |
| 17219 | </original Text> | |
| 17220 | <translati on | |
| 17221 | nullFlavor ="UNK" | |
| 17222 | /> | |
| 17223 | </code> | |
| 17224 | <name> | |
| 17225 | PNEUMOVAX POLYSACCHA RIDE PPSV2 3 | |
| 17226 | </name> | |
| 17227 | </manufact uredMateri al> | |
| 17228 | </manufact uredProduc t> | |
| 17229 | </consumab le> | |
| 17230 | <informant > | |
| 17231 | <assignedE ntity> | |
| 17232 | <id | |
| 17233 | root="RIQI ORG" | |
| 17234 | extension= "CHYSHR TE ST LAB" | |
| 17235 | /> | |
| 17236 | <addr | |
| 17237 | nullFlavor ="UNK" | |
| 17238 | /> | |
| 17239 | <telecom | |
| 17240 | nullFlavor ="UNK" | |
| 17241 | /> | |
| 17242 | <assignedP erson> | |
| 17243 | <name | |
| 17244 | nullFlavor ="UNK" | |
| 17245 | /> | |
| 17246 | </assigned Person> | |
| 17247 | <represent edOrganiza tion> | |
| 17248 | <id | |
| 17249 | root="2.16 .840.1.113 883.3.915" | |
| 17250 | extension= "CHYSHR TE ST LAB" | |
| 17251 | displayabl e="true" | |
| 17252 | /> | |
| 17253 | <name> | |
| 17254 | CHYSHR TES T LAB | |
| 17255 | </name> | |
| 17256 | <telecom | |
| 17257 | nullFlavor ="UNK" | |
| 17258 | /> | |
| 17259 | <addr | |
| 17260 | nullFlavor ="UNK" | |
| 17261 | /> | |
| 17262 | <asOrganiz ationPartO f> | |
| 17263 | <effective Time | |
| 17264 | nullFlavor ="UNK" | |
| 17265 | /> | |
| 17266 | <wholeOrga nization> | |
| 17267 | <id | |
| 17268 | root="2.16 .840.1.113 883.3.915" | |
| 17269 | /> | |
| 17270 | <id | |
| 17271 | root="2.16 .840.1.113 883.3.915" | |
| 17272 | extension= "HomeCommu nity" | |
| 17273 | displayabl e="true" | |
| 17274 | /> | |
| 17275 | <name> | |
| 17276 | CurrentCar e Test | |
| 17277 | </name> | |
| 17278 | <telecom | |
| 17279 | use="WP" | |
| 17280 | value="tel :401-276-9 141" | |
| 17281 | /> | |
| 17282 | <addr | |
| 17283 | use="WP" | |
| 17284 | > | |
| 17285 | <streetAdd ressLine> | |
| 17286 | 50 Holden St., Suite 300 | |
| 17287 | </streetAd dressLine> | |
| 17288 | <city> | |
| 17289 | Providence | |
| 17290 | </city> | |
| 17291 | <state> | |
| 17292 | RI | |
| 17293 | </state> | |
| 17294 | <postalCod e> | |
| 17295 | 02908 | |
| 17296 | </postalCo de> | |
| 17297 | <country> | |
| 17298 | US | |
| 17299 | </country> | |
| 17300 | </addr> | |
| 17301 | </wholeOrg anization> | |
| 17302 | </asOrgani zationPart Of> | |
| 17303 | </represen tedOrganiz ation> | |
| 17304 | </assigned Entity> | |
| 17305 | </informan t> | |
| 17306 | <entryRela tionship | |
| 17307 | typeCode=" REFR" | |
| 17308 | inversionI nd="false" | |
| 17309 | > | |
| 17310 | <observati on | |
| 17311 | classCode= "OBS" | |
| 17312 | moodCode=" EVN" | |
| 17313 | > | |
| 17314 | <templateI d | |
| 17315 | root="2.16 .840.1.113 883. IP " | |
| 17316 | /> | |
| 17317 | <templateI d | |
| 17318 | root="2.16 .840.1.113 883. IP " | |
| 17319 | /> | |
| 17320 | <code | |
| 17321 | code="3399 9-4" | |
| 17322 | displayNam e="Status" | |
| 17323 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 17324 | codeSystem Name="LOIN C" | |
| 17325 | /> | |
| 17326 | <statusCod e | |
| 17327 | code="comp leted" | |
| 17328 | /> | |
| 17329 | <value | |
| 17330 | code="5556 1003" | |
| 17331 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 17332 | codeSystem Name="SNOM ED-CT" | |
| 17333 | displayNam e="Active" | |
| 17334 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 17335 | xsi:type=" CE" | |
| 17336 | > | |
| 17337 | <originalT ext> | |
| 17338 | Active | |
| 17339 | </original Text> | |
| 17340 | </value> | |
| 17341 | </observat ion> | |
| 17342 | </entryRel ationship> | |
| 17343 | <entryRela tionship | |
| 17344 | typeCode=" SUBJ" | |
| 17345 | > | |
| 17346 | <observati on | |
| 17347 | classCode= "OBS" | |
| 17348 | moodCode=" EVN" | |
| 17349 | > | |
| 17350 | <templateI d | |
| 17351 | root="2.16 .840.1.113 883. IP " | |
| 17352 | /> | |
| 17353 | <code | |
| 17354 | code="3097 3-2" | |
| 17355 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 17356 | codeSystem Name="LOIN C" | |
| 17357 | displayNam e="Dose nu mber" | |
| 17358 | /> | |
| 17359 | <statusCod e | |
| 17360 | code="comp leted" | |
| 17361 | /> | |
| 17362 | <value | |
| 17363 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 17364 | nullFlavor ="UNK" | |
| 17365 | xsi:type=" INT" | |
| 17366 | /> | |
| 17367 | </observat ion> | |
| 17368 | </entryRel ationship> | |
| 17369 | <entryRela tionship | |
| 17370 | typeCode=" SUBJ" | |
| 17371 | inversionI nd="true" | |
| 17372 | > | |
| 17373 | <encounter | |
| 17374 | classCode= "ENC" | |
| 17375 | moodCode=" EVN" | |
| 17376 | > | |
| 17377 | <id | |
| 17378 | root="2.16 .840.1.113 883.3.1275 " | |
| 17379 | extension= "2.16.840. 1.113883.4 .349" | |
| 17380 | /> | |
| 17381 | </encounte r> | |
| 17382 | </entryRel ationship> | |
| 17383 | </substanc eAdministr ation> | |
| 17384 | </entry> | |
| 17385 | <entry | |
| 17386 | typeCode=" DRIV" | |
| 17387 | > | |
| 17388 | <substance Administra tion | |
| 17389 | classCode= "SBADM" | |
| 17390 | negationIn d="false" | |
| 17391 | moodCode=" EVN" | |
| 17392 | > | |
| 17393 | <templateI d | |
| 17394 | root="2.16 .840.1.113 883. IP .52" | |
| 17395 | /> | |
| 17396 | <id | |
| 17397 | nullFlavor ="UNK" | |
| 17398 | /> | |
| 17399 | <id | |
| 17400 | root="2.16 .840.1.113 883.4.349" | |
| 17401 | extension= "FFEBEC34- A6A0-11E6- A9A0-5056A 4032400" | |
| 17402 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 17403 | /> | |
| 17404 | <id | |
| 17405 | root="2.16 .840.1.113 883.4.349" | |
| 17406 | extension= "FFEBEEAA- A6A0-11E6- A9A0-5056A 4032400" | |
| 17407 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 17408 | /> | |
| 17409 | <code | |
| 17410 | code="IMMU NIZ" | |
| 17411 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 17412 | codeSystem Name="HL7" | |
| 17413 | /> | |
| 17414 | <text> | |
| 17415 | <reference | |
| 17416 | value="#im munization Narrative- 8" | |
| 17417 | /> | |
| 17418 | </text> | |
| 17419 | <statusCod e | |
| 17420 | code="comp leted" | |
| 17421 | /> | |
| 17422 | <effective Time | |
| 17423 | value="201 5080600000 0" | |
| 17424 | /> | |
| 17425 | <consumabl e | |
| 17426 | typeCode=" CSM" | |
| 17427 | > | |
| 17428 | <manufactu redProduct | |
| 17429 | classCode= "MANU" | |
| 17430 | > | |
| 17431 | <templateI d | |
| 17432 | root="2.16 .840.1.113 883. IP .54" | |
| 17433 | /> | |
| 17434 | <manufactu redMateria l | |
| 17435 | classCode= "MMAT" | |
| 17436 | determiner Code="KIND " | |
| 17437 | > | |
| 17438 | <code | |
| 17439 | nullFlavor ="UNK" | |
| 17440 | > | |
| 17441 | <originalT ext> | |
| 17442 | <reference | |
| 17443 | value="#im munization OrderedNam e-8" | |
| 17444 | /> | |
| 17445 | </original Text> | |
| 17446 | <translati on | |
| 17447 | nullFlavor ="UNK" | |
| 17448 | /> | |
| 17449 | </code> | |
| 17450 | <name> | |
| 17451 | PNEUMOCOCC AL POLYSAC CHARIDE PP V23 | |
| 17452 | </name> | |
| 17453 | </manufact uredMateri al> | |
| 17454 | </manufact uredProduc t> | |
| 17455 | </consumab le> | |
| 17456 | <informant > | |
| 17457 | <assignedE ntity> | |
| 17458 | <id | |
| 17459 | root="RIQI ORG" | |
| 17460 | extension= "DAYTSHR T EST LAB" | |
| 17461 | /> | |
| 17462 | <addr | |
| 17463 | nullFlavor ="UNK" | |
| 17464 | /> | |
| 17465 | <telecom | |
| 17466 | nullFlavor ="UNK" | |
| 17467 | /> | |
| 17468 | <assignedP erson> | |
| 17469 | <name | |
| 17470 | nullFlavor ="UNK" | |
| 17471 | /> | |
| 17472 | </assigned Person> | |
| 17473 | <represent edOrganiza tion> | |
| 17474 | <id | |
| 17475 | root="2.16 .840.1.113 883.3.915" | |
| 17476 | extension= "DAYTSHR T EST LAB" | |
| 17477 | displayabl e="true" | |
| 17478 | /> | |
| 17479 | <name> | |
| 17480 | DAYTSHR TE ST LAB | |
| 17481 | </name> | |
| 17482 | <telecom | |
| 17483 | nullFlavor ="UNK" | |
| 17484 | /> | |
| 17485 | <addr | |
| 17486 | nullFlavor ="UNK" | |
| 17487 | /> | |
| 17488 | <asOrganiz ationPartO f> | |
| 17489 | <effective Time | |
| 17490 | nullFlavor ="UNK" | |
| 17491 | /> | |
| 17492 | <wholeOrga nization> | |
| 17493 | <id | |
| 17494 | root="2.16 .840.1.113 883.3.915" | |
| 17495 | /> | |
| 17496 | <id | |
| 17497 | root="2.16 .840.1.113 883.3.915" | |
| 17498 | extension= "HomeCommu nity" | |
| 17499 | displayabl e="true" | |
| 17500 | /> | |
| 17501 | <name> | |
| 17502 | CurrentCar e Test | |
| 17503 | </name> | |
| 17504 | <telecom | |
| 17505 | use="WP" | |
| 17506 | value="tel :401-276-9 141" | |
| 17507 | /> | |
| 17508 | <addr | |
| 17509 | use="WP" | |
| 17510 | > | |
| 17511 | <streetAdd ressLine> | |
| 17512 | 50 Holden St., Suite 300 | |
| 17513 | </streetAd dressLine> | |
| 17514 | <city> | |
| 17515 | Providence | |
| 17516 | </city> | |
| 17517 | <state> | |
| 17518 | RI | |
| 17519 | </state> | |
| 17520 | <postalCod e> | |
| 17521 | 02908 | |
| 17522 | </postalCo de> | |
| 17523 | <country> | |
| 17524 | US | |
| 17525 | </country> | |
| 17526 | </addr> | |
| 17527 | </wholeOrg anization> | |
| 17528 | </asOrgani zationPart Of> | |
| 17529 | </represen tedOrganiz ation> | |
| 17530 | </assigned Entity> | |
| 17531 | </informan t> | |
| 17532 | <entryRela tionship | |
| 17533 | typeCode=" REFR" | |
| 17534 | inversionI nd="false" | |
| 17535 | > | |
| 17536 | <observati on | |
| 17537 | classCode= "OBS" | |
| 17538 | moodCode=" EVN" | |
| 17539 | > | |
| 17540 | <templateI d | |
| 17541 | root="2.16 .840.1.113 883. IP " | |
| 17542 | /> | |
| 17543 | <templateI d | |
| 17544 | root="2.16 .840.1.113 883. IP " | |
| 17545 | /> | |
| 17546 | <code | |
| 17547 | code="3399 9-4" | |
| 17548 | displayNam e="Status" | |
| 17549 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 17550 | codeSystem Name="LOIN C" | |
| 17551 | /> | |
| 17552 | <statusCod e | |
| 17553 | code="comp leted" | |
| 17554 | /> | |
| 17555 | <value | |
| 17556 | code="5556 1003" | |
| 17557 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 17558 | codeSystem Name="SNOM ED-CT" | |
| 17559 | displayNam e="Active" | |
| 17560 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 17561 | xsi:type=" CE" | |
| 17562 | > | |
| 17563 | <originalT ext> | |
| 17564 | Active | |
| 17565 | </original Text> | |
| 17566 | </value> | |
| 17567 | </observat ion> | |
| 17568 | </entryRel ationship> | |
| 17569 | <entryRela tionship | |
| 17570 | typeCode=" SUBJ" | |
| 17571 | > | |
| 17572 | <observati on | |
| 17573 | classCode= "OBS" | |
| 17574 | moodCode=" EVN" | |
| 17575 | > | |
| 17576 | <templateI d | |
| 17577 | root="2.16 .840.1.113 883. IP " | |
| 17578 | /> | |
| 17579 | <code | |
| 17580 | code="3097 3-2" | |
| 17581 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 17582 | codeSystem Name="LOIN C" | |
| 17583 | displayNam e="Dose nu mber" | |
| 17584 | /> | |
| 17585 | <statusCod e | |
| 17586 | code="comp leted" | |
| 17587 | /> | |
| 17588 | <value | |
| 17589 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 17590 | nullFlavor ="UNK" | |
| 17591 | xsi:type=" INT" | |
| 17592 | /> | |
| 17593 | </observat ion> | |
| 17594 | </entryRel ationship> | |
| 17595 | <entryRela tionship | |
| 17596 | typeCode=" SUBJ" | |
| 17597 | inversionI nd="true" | |
| 17598 | > | |
| 17599 | <encounter | |
| 17600 | classCode= "ENC" | |
| 17601 | moodCode=" EVN" | |
| 17602 | > | |
| 17603 | <id | |
| 17604 | root="2.16 .840.1.113 883.3.1275 " | |
| 17605 | extension= "2.16.840. 1.113883.4 .349" | |
| 17606 | /> | |
| 17607 | </encounte r> | |
| 17608 | </entryRel ationship> | |
| 17609 | </substanc eAdministr ation> | |
| 17610 | </entry> | |
| 17611 | <entry | |
| 17612 | typeCode=" DRIV" | |
| 17613 | > | |
| 17614 | <substance Administra tion | |
| 17615 | classCode= "SBADM" | |
| 17616 | negationIn d="false" | |
| 17617 | moodCode=" EVN" | |
| 17618 | > | |
| 17619 | <templateI d | |
| 17620 | root="2.16 .840.1.113 883. IP .52" | |
| 17621 | /> | |
| 17622 | <id | |
| 17623 | nullFlavor ="UNK" | |
| 17624 | /> | |
| 17625 | <id | |
| 17626 | root="2.16 .840.1.113 883.4.349" | |
| 17627 | extension= "FFE4EBF0- A6A0-11E6- A9A0-5056A 4032400" | |
| 17628 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 17629 | /> | |
| 17630 | <id | |
| 17631 | root="2.16 .840.1.113 883.4.349" | |
| 17632 | extension= "FFE4EE5C- A6A0-11E6- A9A0-5056A 4032400" | |
| 17633 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 17634 | /> | |
| 17635 | <code | |
| 17636 | code="IMMU NIZ" | |
| 17637 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 17638 | codeSystem Name="HL7" | |
| 17639 | /> | |
| 17640 | <text> | |
| 17641 | <reference | |
| 17642 | value="#im munization Narrative- 9" | |
| 17643 | /> | |
| 17644 | </text> | |
| 17645 | <statusCod e | |
| 17646 | code="comp leted" | |
| 17647 | /> | |
| 17648 | <effective Time | |
| 17649 | value="201 4092500000 0" | |
| 17650 | /> | |
| 17651 | <consumabl e | |
| 17652 | typeCode=" CSM" | |
| 17653 | > | |
| 17654 | <manufactu redProduct | |
| 17655 | classCode= "MANU" | |
| 17656 | > | |
| 17657 | <templateI d | |
| 17658 | root="2.16 .840.1.113 883. IP .54" | |
| 17659 | /> | |
| 17660 | <manufactu redMateria l | |
| 17661 | classCode= "MMAT" | |
| 17662 | determiner Code="KIND " | |
| 17663 | > | |
| 17664 | <code | |
| 17665 | nullFlavor ="UNK" | |
| 17666 | > | |
| 17667 | <originalT ext> | |
| 17668 | <reference | |
| 17669 | value="#im munization OrderedNam e-9" | |
| 17670 | /> | |
| 17671 | </original Text> | |
| 17672 | <translati on | |
| 17673 | nullFlavor ="UNK" | |
| 17674 | /> | |
| 17675 | </code> | |
| 17676 | <name> | |
| 17677 | PNEUMOVAX POLYSACCHA RIDE PPSV2 3 | |
| 17678 | </name> | |
| 17679 | </manufact uredMateri al> | |
| 17680 | </manufact uredProduc t> | |
| 17681 | </consumab le> | |
| 17682 | <informant > | |
| 17683 | <assignedE ntity> | |
| 17684 | <id | |
| 17685 | root="RIQI ORG" | |
| 17686 | extension= "CHYSHR TE ST LAB" | |
| 17687 | /> | |
| 17688 | <addr | |
| 17689 | nullFlavor ="UNK" | |
| 17690 | /> | |
| 17691 | <telecom | |
| 17692 | nullFlavor ="UNK" | |
| 17693 | /> | |
| 17694 | <assignedP erson> | |
| 17695 | <name | |
| 17696 | nullFlavor ="UNK" | |
| 17697 | /> | |
| 17698 | </assigned Person> | |
| 17699 | <represent edOrganiza tion> | |
| 17700 | <id | |
| 17701 | root="2.16 .840.1.113 883.3.915" | |
| 17702 | extension= "CHYSHR TE ST LAB" | |
| 17703 | displayabl e="true" | |
| 17704 | /> | |
| 17705 | <name> | |
| 17706 | CHYSHR TES T LAB | |
| 17707 | </name> | |
| 17708 | <telecom | |
| 17709 | nullFlavor ="UNK" | |
| 17710 | /> | |
| 17711 | <addr | |
| 17712 | nullFlavor ="UNK" | |
| 17713 | /> | |
| 17714 | <asOrganiz ationPartO f> | |
| 17715 | <effective Time | |
| 17716 | nullFlavor ="UNK" | |
| 17717 | /> | |
| 17718 | <wholeOrga nization> | |
| 17719 | <id | |
| 17720 | root="2.16 .840.1.113 883.3.915" | |
| 17721 | /> | |
| 17722 | <id | |
| 17723 | root="2.16 .840.1.113 883.3.915" | |
| 17724 | extension= "HomeCommu nity" | |
| 17725 | displayabl e="true" | |
| 17726 | /> | |
| 17727 | <name> | |
| 17728 | CurrentCar e Test | |
| 17729 | </name> | |
| 17730 | <telecom | |
| 17731 | use="WP" | |
| 17732 | value="tel :401-276-9 141" | |
| 17733 | /> | |
| 17734 | <addr | |
| 17735 | use="WP" | |
| 17736 | > | |
| 17737 | <streetAdd ressLine> | |
| 17738 | 50 Holden St., Suite 300 | |
| 17739 | </streetAd dressLine> | |
| 17740 | <city> | |
| 17741 | Providence | |
| 17742 | </city> | |
| 17743 | <state> | |
| 17744 | RI | |
| 17745 | </state> | |
| 17746 | <postalCod e> | |
| 17747 | 02908 | |
| 17748 | </postalCo de> | |
| 17749 | <country> | |
| 17750 | US | |
| 17751 | </country> | |
| 17752 | </addr> | |
| 17753 | </wholeOrg anization> | |
| 17754 | </asOrgani zationPart Of> | |
| 17755 | </represen tedOrganiz ation> | |
| 17756 | </assigned Entity> | |
| 17757 | </informan t> | |
| 17758 | <entryRela tionship | |
| 17759 | typeCode=" REFR" | |
| 17760 | inversionI nd="false" | |
| 17761 | > | |
| 17762 | <observati on | |
| 17763 | classCode= "OBS" | |
| 17764 | moodCode=" EVN" | |
| 17765 | > | |
| 17766 | <templateI d | |
| 17767 | root="2.16 .840.1.113 883. IP " | |
| 17768 | /> | |
| 17769 | <templateI d | |
| 17770 | root="2.16 .840.1.113 883. IP " | |
| 17771 | /> | |
| 17772 | <code | |
| 17773 | code="3399 9-4" | |
| 17774 | displayNam e="Status" | |
| 17775 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 17776 | codeSystem Name="LOIN C" | |
| 17777 | /> | |
| 17778 | <statusCod e | |
| 17779 | code="comp leted" | |
| 17780 | /> | |
| 17781 | <value | |
| 17782 | code="5556 1003" | |
| 17783 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 17784 | codeSystem Name="SNOM ED-CT" | |
| 17785 | displayNam e="Active" | |
| 17786 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 17787 | xsi:type=" CE" | |
| 17788 | > | |
| 17789 | <originalT ext> | |
| 17790 | Active | |
| 17791 | </original Text> | |
| 17792 | </value> | |
| 17793 | </observat ion> | |
| 17794 | </entryRel ationship> | |
| 17795 | <entryRela tionship | |
| 17796 | typeCode=" SUBJ" | |
| 17797 | > | |
| 17798 | <observati on | |
| 17799 | classCode= "OBS" | |
| 17800 | moodCode=" EVN" | |
| 17801 | > | |
| 17802 | <templateI d | |
| 17803 | root="2.16 .840.1.113 883. IP " | |
| 17804 | /> | |
| 17805 | <code | |
| 17806 | code="3097 3-2" | |
| 17807 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 17808 | codeSystem Name="LOIN C" | |
| 17809 | displayNam e="Dose nu mber" | |
| 17810 | /> | |
| 17811 | <statusCod e | |
| 17812 | code="comp leted" | |
| 17813 | /> | |
| 17814 | <value | |
| 17815 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 17816 | nullFlavor ="UNK" | |
| 17817 | xsi:type=" INT" | |
| 17818 | /> | |
| 17819 | </observat ion> | |
| 17820 | </entryRel ationship> | |
| 17821 | <entryRela tionship | |
| 17822 | typeCode=" SUBJ" | |
| 17823 | inversionI nd="true" | |
| 17824 | > | |
| 17825 | <encounter | |
| 17826 | classCode= "ENC" | |
| 17827 | moodCode=" EVN" | |
| 17828 | > | |
| 17829 | <id | |
| 17830 | root="2.16 .840.1.113 883.3.1275 " | |
| 17831 | extension= "2.16.840. 1.113883.4 .349" | |
| 17832 | /> | |
| 17833 | </encounte r> | |
| 17834 | </entryRel ationship> | |
| 17835 | </substanc eAdministr ation> | |
| 17836 | </entry> | |
| 17837 | <entry | |
| 17838 | typeCode=" DRIV" | |
| 17839 | > | |
| 17840 | <substance Administra tion | |
| 17841 | classCode= "SBADM" | |
| 17842 | negationIn d="false" | |
| 17843 | moodCode=" EVN" | |
| 17844 | > | |
| 17845 | <templateI d | |
| 17846 | root="2.16 .840.1.113 883. IP .52" | |
| 17847 | /> | |
| 17848 | <id | |
| 17849 | nullFlavor ="UNK" | |
| 17850 | /> | |
| 17851 | <id | |
| 17852 | root="2.16 .840.1.113 883.4.349" | |
| 17853 | extension= "FFEC3D24- A6A0-11E6- A9A0-5056A 4032400" | |
| 17854 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 17855 | /> | |
| 17856 | <id | |
| 17857 | root="2.16 .840.1.113 883.4.349" | |
| 17858 | extension= "FFEC3F86- A6A0-11E6- A9A0-5056A 4032400" | |
| 17859 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 17860 | /> | |
| 17861 | <code | |
| 17862 | code="IMMU NIZ" | |
| 17863 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 17864 | codeSystem Name="HL7" | |
| 17865 | /> | |
| 17866 | <text> | |
| 17867 | <reference | |
| 17868 | value="#im munization Narrative- 10" | |
| 17869 | /> | |
| 17870 | </text> | |
| 17871 | <statusCod e | |
| 17872 | code="comp leted" | |
| 17873 | /> | |
| 17874 | <effective Time | |
| 17875 | value="201 4092500000 0" | |
| 17876 | /> | |
| 17877 | <consumabl e | |
| 17878 | typeCode=" CSM" | |
| 17879 | > | |
| 17880 | <manufactu redProduct | |
| 17881 | classCode= "MANU" | |
| 17882 | > | |
| 17883 | <templateI d | |
| 17884 | root="2.16 .840.1.113 883. IP .54" | |
| 17885 | /> | |
| 17886 | <manufactu redMateria l | |
| 17887 | classCode= "MMAT" | |
| 17888 | determiner Code="KIND " | |
| 17889 | > | |
| 17890 | <code | |
| 17891 | nullFlavor ="UNK" | |
| 17892 | > | |
| 17893 | <originalT ext> | |
| 17894 | <reference | |
| 17895 | value="#im munization OrderedNam e-10" | |
| 17896 | /> | |
| 17897 | </original Text> | |
| 17898 | <translati on | |
| 17899 | nullFlavor ="UNK" | |
| 17900 | /> | |
| 17901 | </code> | |
| 17902 | <name> | |
| 17903 | PNEUMOCOCC AL POLYSAC CHARIDE PP V23 | |
| 17904 | </name> | |
| 17905 | </manufact uredMateri al> | |
| 17906 | </manufact uredProduc t> | |
| 17907 | </consumab le> | |
| 17908 | <informant > | |
| 17909 | <assignedE ntity> | |
| 17910 | <id | |
| 17911 | root="RIQI ORG" | |
| 17912 | extension= "DAYTSHR T EST LAB" | |
| 17913 | /> | |
| 17914 | <addr | |
| 17915 | nullFlavor ="UNK" | |
| 17916 | /> | |
| 17917 | <telecom | |
| 17918 | nullFlavor ="UNK" | |
| 17919 | /> | |
| 17920 | <assignedP erson> | |
| 17921 | <name | |
| 17922 | nullFlavor ="UNK" | |
| 17923 | /> | |
| 17924 | </assigned Person> | |
| 17925 | <represent edOrganiza tion> | |
| 17926 | <id | |
| 17927 | root="2.16 .840.1.113 883.3.915" | |
| 17928 | extension= "DAYTSHR T EST LAB" | |
| 17929 | displayabl e="true" | |
| 17930 | /> | |
| 17931 | <name> | |
| 17932 | DAYTSHR TE ST LAB | |
| 17933 | </name> | |
| 17934 | <telecom | |
| 17935 | nullFlavor ="UNK" | |
| 17936 | /> | |
| 17937 | <addr | |
| 17938 | nullFlavor ="UNK" | |
| 17939 | /> | |
| 17940 | <asOrganiz ationPartO f> | |
| 17941 | <effective Time | |
| 17942 | nullFlavor ="UNK" | |
| 17943 | /> | |
| 17944 | <wholeOrga nization> | |
| 17945 | <id | |
| 17946 | root="2.16 .840.1.113 883.3.915" | |
| 17947 | /> | |
| 17948 | <id | |
| 17949 | root="2.16 .840.1.113 883.3.915" | |
| 17950 | extension= "HomeCommu nity" | |
| 17951 | displayabl e="true" | |
| 17952 | /> | |
| 17953 | <name> | |
| 17954 | CurrentCar e Test | |
| 17955 | </name> | |
| 17956 | <telecom | |
| 17957 | use="WP" | |
| 17958 | value="tel :401-276-9 141" | |
| 17959 | /> | |
| 17960 | <addr | |
| 17961 | use="WP" | |
| 17962 | > | |
| 17963 | <streetAdd ressLine> | |
| 17964 | 50 Holden St., Suite 300 | |
| 17965 | </streetAd dressLine> | |
| 17966 | <city> | |
| 17967 | Providence | |
| 17968 | </city> | |
| 17969 | <state> | |
| 17970 | RI | |
| 17971 | </state> | |
| 17972 | <postalCod e> | |
| 17973 | 02908 | |
| 17974 | </postalCo de> | |
| 17975 | <country> | |
| 17976 | US | |
| 17977 | </country> | |
| 17978 | </addr> | |
| 17979 | </wholeOrg anization> | |
| 17980 | </asOrgani zationPart Of> | |
| 17981 | </represen tedOrganiz ation> | |
| 17982 | </assigned Entity> | |
| 17983 | </informan t> | |
| 17984 | <entryRela tionship | |
| 17985 | typeCode=" REFR" | |
| 17986 | inversionI nd="false" | |
| 17987 | > | |
| 17988 | <observati on | |
| 17989 | classCode= "OBS" | |
| 17990 | moodCode=" EVN" | |
| 17991 | > | |
| 17992 | <templateI d | |
| 17993 | root="2.16 .840.1.113 883. IP " | |
| 17994 | /> | |
| 17995 | <templateI d | |
| 17996 | root="2.16 .840.1.113 883. IP " | |
| 17997 | /> | |
| 17998 | <code | |
| 17999 | code="3399 9-4" | |
| 18000 | displayNam e="Status" | |
| 18001 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 18002 | codeSystem Name="LOIN C" | |
| 18003 | /> | |
| 18004 | <statusCod e | |
| 18005 | code="comp leted" | |
| 18006 | /> | |
| 18007 | <value | |
| 18008 | code="5556 1003" | |
| 18009 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 18010 | codeSystem Name="SNOM ED-CT" | |
| 18011 | displayNam e="Active" | |
| 18012 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 18013 | xsi:type=" CE" | |
| 18014 | > | |
| 18015 | <originalT ext> | |
| 18016 | Active | |
| 18017 | </original Text> | |
| 18018 | </value> | |
| 18019 | </observat ion> | |
| 18020 | </entryRel ationship> | |
| 18021 | <entryRela tionship | |
| 18022 | typeCode=" SUBJ" | |
| 18023 | > | |
| 18024 | <observati on | |
| 18025 | classCode= "OBS" | |
| 18026 | moodCode=" EVN" | |
| 18027 | > | |
| 18028 | <templateI d | |
| 18029 | root="2.16 .840.1.113 883. IP " | |
| 18030 | /> | |
| 18031 | <code | |
| 18032 | code="3097 3-2" | |
| 18033 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 18034 | codeSystem Name="LOIN C" | |
| 18035 | displayNam e="Dose nu mber" | |
| 18036 | /> | |
| 18037 | <statusCod e | |
| 18038 | code="comp leted" | |
| 18039 | /> | |
| 18040 | <value | |
| 18041 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 18042 | nullFlavor ="UNK" | |
| 18043 | xsi:type=" INT" | |
| 18044 | /> | |
| 18045 | </observat ion> | |
| 18046 | </entryRel ationship> | |
| 18047 | <entryRela tionship | |
| 18048 | typeCode=" SUBJ" | |
| 18049 | inversionI nd="true" | |
| 18050 | > | |
| 18051 | <encounter | |
| 18052 | classCode= "ENC" | |
| 18053 | moodCode=" EVN" | |
| 18054 | > | |
| 18055 | <id | |
| 18056 | root="2.16 .840.1.113 883.3.1275 " | |
| 18057 | extension= "2.16.840. 1.113883.4 .349" | |
| 18058 | /> | |
| 18059 | </encounte r> | |
| 18060 | </entryRel ationship> | |
| 18061 | </substanc eAdministr ation> | |
| 18062 | </entry> | |
| 18063 | <entry | |
| 18064 | typeCode=" DRIV" | |
| 18065 | > | |
| 18066 | <substance Administra tion | |
| 18067 | classCode= "SBADM" | |
| 18068 | negationIn d="false" | |
| 18069 | moodCode=" EVN" | |
| 18070 | > | |
| 18071 | <templateI d | |
| 18072 | root="2.16 .840.1.113 883. IP .52" | |
| 18073 | /> | |
| 18074 | <id | |
| 18075 | nullFlavor ="UNK" | |
| 18076 | /> | |
| 18077 | <id | |
| 18078 | root="2.16 .840.1.113 883.4.349" | |
| 18079 | extension= "FFE52EBC- A6A0-11E6- A9A0-5056A 4032400" | |
| 18080 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 18081 | /> | |
| 18082 | <id | |
| 18083 | root="2.16 .840.1.113 883.4.349" | |
| 18084 | extension= "FFE53182- A6A0-11E6- A9A0-5056A 4032400" | |
| 18085 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 18086 | /> | |
| 18087 | <code | |
| 18088 | code="IMMU NIZ" | |
| 18089 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 18090 | codeSystem Name="HL7" | |
| 18091 | /> | |
| 18092 | <text> | |
| 18093 | <reference | |
| 18094 | value="#im munization Narrative- 11" | |
| 18095 | /> | |
| 18096 | </text> | |
| 18097 | <statusCod e | |
| 18098 | code="comp leted" | |
| 18099 | /> | |
| 18100 | <effective Time | |
| 18101 | value="201 4081900000 0" | |
| 18102 | /> | |
| 18103 | <consumabl e | |
| 18104 | typeCode=" CSM" | |
| 18105 | > | |
| 18106 | <manufactu redProduct | |
| 18107 | classCode= "MANU" | |
| 18108 | > | |
| 18109 | <templateI d | |
| 18110 | root="2.16 .840.1.113 883. IP .54" | |
| 18111 | /> | |
| 18112 | <manufactu redMateria l | |
| 18113 | classCode= "MMAT" | |
| 18114 | determiner Code="KIND " | |
| 18115 | > | |
| 18116 | <code | |
| 18117 | nullFlavor ="UNK" | |
| 18118 | > | |
| 18119 | <originalT ext> | |
| 18120 | <reference | |
| 18121 | value="#im munization OrderedNam e-11" | |
| 18122 | /> | |
| 18123 | </original Text> | |
| 18124 | <translati on | |
| 18125 | nullFlavor ="UNK" | |
| 18126 | /> | |
| 18127 | </code> | |
| 18128 | <name> | |
| 18129 | PNEUMOCOCC AL CONJUGA TE PCV13 | |
| 18130 | </name> | |
| 18131 | </manufact uredMateri al> | |
| 18132 | </manufact uredProduc t> | |
| 18133 | </consumab le> | |
| 18134 | <informant > | |
| 18135 | <assignedE ntity> | |
| 18136 | <id | |
| 18137 | root="RIQI ORG" | |
| 18138 | extension= "CHYSHR TE ST LAB" | |
| 18139 | /> | |
| 18140 | <addr | |
| 18141 | nullFlavor ="UNK" | |
| 18142 | /> | |
| 18143 | <telecom | |
| 18144 | nullFlavor ="UNK" | |
| 18145 | /> | |
| 18146 | <assignedP erson> | |
| 18147 | <name | |
| 18148 | nullFlavor ="UNK" | |
| 18149 | /> | |
| 18150 | </assigned Person> | |
| 18151 | <represent edOrganiza tion> | |
| 18152 | <id | |
| 18153 | root="2.16 .840.1.113 883.3.915" | |
| 18154 | extension= "CHYSHR TE ST LAB" | |
| 18155 | displayabl e="true" | |
| 18156 | /> | |
| 18157 | <name> | |
| 18158 | CHYSHR TES T LAB | |
| 18159 | </name> | |
| 18160 | <telecom | |
| 18161 | nullFlavor ="UNK" | |
| 18162 | /> | |
| 18163 | <addr | |
| 18164 | nullFlavor ="UNK" | |
| 18165 | /> | |
| 18166 | <asOrganiz ationPartO f> | |
| 18167 | <effective Time | |
| 18168 | nullFlavor ="UNK" | |
| 18169 | /> | |
| 18170 | <wholeOrga nization> | |
| 18171 | <id | |
| 18172 | root="2.16 .840.1.113 883.3.915" | |
| 18173 | /> | |
| 18174 | <id | |
| 18175 | root="2.16 .840.1.113 883.3.915" | |
| 18176 | extension= "HomeCommu nity" | |
| 18177 | displayabl e="true" | |
| 18178 | /> | |
| 18179 | <name> | |
| 18180 | CurrentCar e Test | |
| 18181 | </name> | |
| 18182 | <telecom | |
| 18183 | use="WP" | |
| 18184 | value="tel :401-276-9 141" | |
| 18185 | /> | |
| 18186 | <addr | |
| 18187 | use="WP" | |
| 18188 | > | |
| 18189 | <streetAdd ressLine> | |
| 18190 | 50 Holden St., Suite 300 | |
| 18191 | </streetAd dressLine> | |
| 18192 | <city> | |
| 18193 | Providence | |
| 18194 | </city> | |
| 18195 | <state> | |
| 18196 | RI | |
| 18197 | </state> | |
| 18198 | <postalCod e> | |
| 18199 | 02908 | |
| 18200 | </postalCo de> | |
| 18201 | <country> | |
| 18202 | US | |
| 18203 | </country> | |
| 18204 | </addr> | |
| 18205 | </wholeOrg anization> | |
| 18206 | </asOrgani zationPart Of> | |
| 18207 | </represen tedOrganiz ation> | |
| 18208 | </assigned Entity> | |
| 18209 | </informan t> | |
| 18210 | <entryRela tionship | |
| 18211 | typeCode=" REFR" | |
| 18212 | inversionI nd="false" | |
| 18213 | > | |
| 18214 | <observati on | |
| 18215 | classCode= "OBS" | |
| 18216 | moodCode=" EVN" | |
| 18217 | > | |
| 18218 | <templateI d | |
| 18219 | root="2.16 .840.1.113 883. IP " | |
| 18220 | /> | |
| 18221 | <templateI d | |
| 18222 | root="2.16 .840.1.113 883. IP " | |
| 18223 | /> | |
| 18224 | <code | |
| 18225 | code="3399 9-4" | |
| 18226 | displayNam e="Status" | |
| 18227 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 18228 | codeSystem Name="LOIN C" | |
| 18229 | /> | |
| 18230 | <statusCod e | |
| 18231 | code="comp leted" | |
| 18232 | /> | |
| 18233 | <value | |
| 18234 | code="5556 1003" | |
| 18235 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 18236 | codeSystem Name="SNOM ED-CT" | |
| 18237 | displayNam e="Active" | |
| 18238 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 18239 | xsi:type=" CE" | |
| 18240 | > | |
| 18241 | <originalT ext> | |
| 18242 | Active | |
| 18243 | </original Text> | |
| 18244 | </value> | |
| 18245 | </observat ion> | |
| 18246 | </entryRel ationship> | |
| 18247 | <entryRela tionship | |
| 18248 | typeCode=" SUBJ" | |
| 18249 | > | |
| 18250 | <observati on | |
| 18251 | classCode= "OBS" | |
| 18252 | moodCode=" EVN" | |
| 18253 | > | |
| 18254 | <templateI d | |
| 18255 | root="2.16 .840.1.113 883. IP " | |
| 18256 | /> | |
| 18257 | <code | |
| 18258 | code="3097 3-2" | |
| 18259 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 18260 | codeSystem Name="LOIN C" | |
| 18261 | displayNam e="Dose nu mber" | |
| 18262 | /> | |
| 18263 | <statusCod e | |
| 18264 | code="comp leted" | |
| 18265 | /> | |
| 18266 | <value | |
| 18267 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 18268 | nullFlavor ="UNK" | |
| 18269 | xsi:type=" INT" | |
| 18270 | /> | |
| 18271 | </observat ion> | |
| 18272 | </entryRel ationship> | |
| 18273 | <entryRela tionship | |
| 18274 | typeCode=" SUBJ" | |
| 18275 | inversionI nd="true" | |
| 18276 | > | |
| 18277 | <encounter | |
| 18278 | classCode= "ENC" | |
| 18279 | moodCode=" EVN" | |
| 18280 | > | |
| 18281 | <id | |
| 18282 | root="2.16 .840.1.113 883.3.1275 " | |
| 18283 | extension= "2.16.840. 1.113883.4 .349" | |
| 18284 | /> | |
| 18285 | </encounte r> | |
| 18286 | </entryRel ationship> | |
| 18287 | </substanc eAdministr ation> | |
| 18288 | </entry> | |
| 18289 | <entry | |
| 18290 | typeCode=" DRIV" | |
| 18291 | > | |
| 18292 | <substance Administra tion | |
| 18293 | classCode= "SBADM" | |
| 18294 | negationIn d="false" | |
| 18295 | moodCode=" EVN" | |
| 18296 | > | |
| 18297 | <templateI d | |
| 18298 | root="2.16 .840.1.113 883. IP .52" | |
| 18299 | /> | |
| 18300 | <id | |
| 18301 | nullFlavor ="UNK" | |
| 18302 | /> | |
| 18303 | <id | |
| 18304 | root="2.16 .840.1.113 883.4.349" | |
| 18305 | extension= "FFE570F2- A6A0-11E6- A9A0-5056A 4032400" | |
| 18306 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 18307 | /> | |
| 18308 | <id | |
| 18309 | root="2.16 .840.1.113 883.4.349" | |
| 18310 | extension= "FFE573A4- A6A0-11E6- A9A0-5056A 4032400" | |
| 18311 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 18312 | /> | |
| 18313 | <code | |
| 18314 | code="IMMU NIZ" | |
| 18315 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 18316 | codeSystem Name="HL7" | |
| 18317 | /> | |
| 18318 | <text> | |
| 18319 | <reference | |
| 18320 | value="#im munization Narrative- 12" | |
| 18321 | /> | |
| 18322 | </text> | |
| 18323 | <statusCod e | |
| 18324 | code="comp leted" | |
| 18325 | /> | |
| 18326 | <effective Time | |
| 18327 | value="201 4081900000 0" | |
| 18328 | /> | |
| 18329 | <consumabl e | |
| 18330 | typeCode=" CSM" | |
| 18331 | > | |
| 18332 | <manufactu redProduct | |
| 18333 | classCode= "MANU" | |
| 18334 | > | |
| 18335 | <templateI d | |
| 18336 | root="2.16 .840.1.113 883. IP .54" | |
| 18337 | /> | |
| 18338 | <manufactu redMateria l | |
| 18339 | classCode= "MMAT" | |
| 18340 | determiner Code="KIND " | |
| 18341 | > | |
| 18342 | <code | |
| 18343 | nullFlavor ="UNK" | |
| 18344 | > | |
| 18345 | <originalT ext> | |
| 18346 | <reference | |
| 18347 | value="#im munization OrderedNam e-12" | |
| 18348 | /> | |
| 18349 | </original Text> | |
| 18350 | <translati on | |
| 18351 | nullFlavor ="UNK" | |
| 18352 | /> | |
| 18353 | </code> | |
| 18354 | <name> | |
| 18355 | INFLUENZA, HIGH DOSE SEASONAL, PRESERV-F REE | |
| 18356 | </name> | |
| 18357 | </manufact uredMateri al> | |
| 18358 | </manufact uredProduc t> | |
| 18359 | </consumab le> | |
| 18360 | <informant > | |
| 18361 | <assignedE ntity> | |
| 18362 | <id | |
| 18363 | root="RIQI ORG" | |
| 18364 | extension= "CHYSHR TE ST LAB" | |
| 18365 | /> | |
| 18366 | <addr | |
| 18367 | nullFlavor ="UNK" | |
| 18368 | /> | |
| 18369 | <telecom | |
| 18370 | nullFlavor ="UNK" | |
| 18371 | /> | |
| 18372 | <assignedP erson> | |
| 18373 | <name | |
| 18374 | nullFlavor ="UNK" | |
| 18375 | /> | |
| 18376 | </assigned Person> | |
| 18377 | <represent edOrganiza tion> | |
| 18378 | <id | |
| 18379 | root="2.16 .840.1.113 883.3.915" | |
| 18380 | extension= "CHYSHR TE ST LAB" | |
| 18381 | displayabl e="true" | |
| 18382 | /> | |
| 18383 | <name> | |
| 18384 | CHYSHR TES T LAB | |
| 18385 | </name> | |
| 18386 | <telecom | |
| 18387 | nullFlavor ="UNK" | |
| 18388 | /> | |
| 18389 | <addr | |
| 18390 | nullFlavor ="UNK" | |
| 18391 | /> | |
| 18392 | <asOrganiz ationPartO f> | |
| 18393 | <effective Time | |
| 18394 | nullFlavor ="UNK" | |
| 18395 | /> | |
| 18396 | <wholeOrga nization> | |
| 18397 | <id | |
| 18398 | root="2.16 .840.1.113 883.3.915" | |
| 18399 | /> | |
| 18400 | <id | |
| 18401 | root="2.16 .840.1.113 883.3.915" | |
| 18402 | extension= "HomeCommu nity" | |
| 18403 | displayabl e="true" | |
| 18404 | /> | |
| 18405 | <name> | |
| 18406 | CurrentCar e Test | |
| 18407 | </name> | |
| 18408 | <telecom | |
| 18409 | use="WP" | |
| 18410 | value="tel :401-276-9 141" | |
| 18411 | /> | |
| 18412 | <addr | |
| 18413 | use="WP" | |
| 18414 | > | |
| 18415 | <streetAdd ressLine> | |
| 18416 | 50 Holden St., Suite 300 | |
| 18417 | </streetAd dressLine> | |
| 18418 | <city> | |
| 18419 | Providence | |
| 18420 | </city> | |
| 18421 | <state> | |
| 18422 | RI | |
| 18423 | </state> | |
| 18424 | <postalCod e> | |
| 18425 | 02908 | |
| 18426 | </postalCo de> | |
| 18427 | <country> | |
| 18428 | US | |
| 18429 | </country> | |
| 18430 | </addr> | |
| 18431 | </wholeOrg anization> | |
| 18432 | </asOrgani zationPart Of> | |
| 18433 | </represen tedOrganiz ation> | |
| 18434 | </assigned Entity> | |
| 18435 | </informan t> | |
| 18436 | <entryRela tionship | |
| 18437 | typeCode=" REFR" | |
| 18438 | inversionI nd="false" | |
| 18439 | > | |
| 18440 | <observati on | |
| 18441 | classCode= "OBS" | |
| 18442 | moodCode=" EVN" | |
| 18443 | > | |
| 18444 | <templateI d | |
| 18445 | root="2.16 .840.1.113 883. IP " | |
| 18446 | /> | |
| 18447 | <templateI d | |
| 18448 | root="2.16 .840.1.113 883. IP " | |
| 18449 | /> | |
| 18450 | <code | |
| 18451 | code="3399 9-4" | |
| 18452 | displayNam e="Status" | |
| 18453 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 18454 | codeSystem Name="LOIN C" | |
| 18455 | /> | |
| 18456 | <statusCod e | |
| 18457 | code="comp leted" | |
| 18458 | /> | |
| 18459 | <value | |
| 18460 | code="5556 1003" | |
| 18461 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 18462 | codeSystem Name="SNOM ED-CT" | |
| 18463 | displayNam e="Active" | |
| 18464 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 18465 | xsi:type=" CE" | |
| 18466 | > | |
| 18467 | <originalT ext> | |
| 18468 | Active | |
| 18469 | </original Text> | |
| 18470 | </value> | |
| 18471 | </observat ion> | |
| 18472 | </entryRel ationship> | |
| 18473 | <entryRela tionship | |
| 18474 | typeCode=" SUBJ" | |
| 18475 | > | |
| 18476 | <observati on | |
| 18477 | classCode= "OBS" | |
| 18478 | moodCode=" EVN" | |
| 18479 | > | |
| 18480 | <templateI d | |
| 18481 | root="2.16 .840.1.113 883. IP " | |
| 18482 | /> | |
| 18483 | <code | |
| 18484 | code="3097 3-2" | |
| 18485 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 18486 | codeSystem Name="LOIN C" | |
| 18487 | displayNam e="Dose nu mber" | |
| 18488 | /> | |
| 18489 | <statusCod e | |
| 18490 | code="comp leted" | |
| 18491 | /> | |
| 18492 | <value | |
| 18493 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 18494 | nullFlavor ="UNK" | |
| 18495 | xsi:type=" INT" | |
| 18496 | /> | |
| 18497 | </observat ion> | |
| 18498 | </entryRel ationship> | |
| 18499 | <entryRela tionship | |
| 18500 | typeCode=" SUBJ" | |
| 18501 | inversionI nd="true" | |
| 18502 | > | |
| 18503 | <encounter | |
| 18504 | classCode= "ENC" | |
| 18505 | moodCode=" EVN" | |
| 18506 | > | |
| 18507 | <id | |
| 18508 | root="2.16 .840.1.113 883.3.1275 " | |
| 18509 | extension= "2.16.840. 1.113883.4 .349" | |
| 18510 | /> | |
| 18511 | </encounte r> | |
| 18512 | </entryRel ationship> | |
| 18513 | </substanc eAdministr ation> | |
| 18514 | </entry> | |
| 18515 | <entry | |
| 18516 | typeCode=" DRIV" | |
| 18517 | > | |
| 18518 | <substance Administra tion | |
| 18519 | classCode= "SBADM" | |
| 18520 | negationIn d="false" | |
| 18521 | moodCode=" EVN" | |
| 18522 | > | |
| 18523 | <templateI d | |
| 18524 | root="2.16 .840.1.113 883. IP .52" | |
| 18525 | /> | |
| 18526 | <id | |
| 18527 | nullFlavor ="UNK" | |
| 18528 | /> | |
| 18529 | <id | |
| 18530 | root="2.16 .840.1.113 883.4.349" | |
| 18531 | extension= "FFEC8432- A6A0-11E6- A9A0-5056A 4032400" | |
| 18532 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 18533 | /> | |
| 18534 | <id | |
| 18535 | root="2.16 .840.1.113 883.4.349" | |
| 18536 | extension= "FFEC869E- A6A0-11E6- A9A0-5056A 4032400" | |
| 18537 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 18538 | /> | |
| 18539 | <code | |
| 18540 | code="IMMU NIZ" | |
| 18541 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 18542 | codeSystem Name="HL7" | |
| 18543 | /> | |
| 18544 | <text> | |
| 18545 | <reference | |
| 18546 | value="#im munization Narrative- 13" | |
| 18547 | /> | |
| 18548 | </text> | |
| 18549 | <statusCod e | |
| 18550 | code="comp leted" | |
| 18551 | /> | |
| 18552 | <effective Time | |
| 18553 | value="201 4081900000 0" | |
| 18554 | /> | |
| 18555 | <consumabl e | |
| 18556 | typeCode=" CSM" | |
| 18557 | > | |
| 18558 | <manufactu redProduct | |
| 18559 | classCode= "MANU" | |
| 18560 | > | |
| 18561 | <templateI d | |
| 18562 | root="2.16 .840.1.113 883. IP .54" | |
| 18563 | /> | |
| 18564 | <manufactu redMateria l | |
| 18565 | classCode= "MMAT" | |
| 18566 | determiner Code="KIND " | |
| 18567 | > | |
| 18568 | <code | |
| 18569 | nullFlavor ="UNK" | |
| 18570 | > | |
| 18571 | <originalT ext> | |
| 18572 | <reference | |
| 18573 | value="#im munization OrderedNam e-13" | |
| 18574 | /> | |
| 18575 | </original Text> | |
| 18576 | <translati on | |
| 18577 | nullFlavor ="UNK" | |
| 18578 | /> | |
| 18579 | </code> | |
| 18580 | <name> | |
| 18581 | PNEUMOCOCC AL CONJUGA TE PCV 13 | |
| 18582 | </name> | |
| 18583 | </manufact uredMateri al> | |
| 18584 | </manufact uredProduc t> | |
| 18585 | </consumab le> | |
| 18586 | <informant > | |
| 18587 | <assignedE ntity> | |
| 18588 | <id | |
| 18589 | root="RIQI ORG" | |
| 18590 | extension= "DAYTSHR T EST LAB" | |
| 18591 | /> | |
| 18592 | <addr | |
| 18593 | nullFlavor ="UNK" | |
| 18594 | /> | |
| 18595 | <telecom | |
| 18596 | nullFlavor ="UNK" | |
| 18597 | /> | |
| 18598 | <assignedP erson> | |
| 18599 | <name | |
| 18600 | nullFlavor ="UNK" | |
| 18601 | /> | |
| 18602 | </assigned Person> | |
| 18603 | <represent edOrganiza tion> | |
| 18604 | <id | |
| 18605 | root="2.16 .840.1.113 883.3.915" | |
| 18606 | extension= "DAYTSHR T EST LAB" | |
| 18607 | displayabl e="true" | |
| 18608 | /> | |
| 18609 | <name> | |
| 18610 | DAYTSHR TE ST LAB | |
| 18611 | </name> | |
| 18612 | <telecom | |
| 18613 | nullFlavor ="UNK" | |
| 18614 | /> | |
| 18615 | <addr | |
| 18616 | nullFlavor ="UNK" | |
| 18617 | /> | |
| 18618 | <asOrganiz ationPartO f> | |
| 18619 | <effective Time | |
| 18620 | nullFlavor ="UNK" | |
| 18621 | /> | |
| 18622 | <wholeOrga nization> | |
| 18623 | <id | |
| 18624 | root="2.16 .840.1.113 883.3.915" | |
| 18625 | /> | |
| 18626 | <id | |
| 18627 | root="2.16 .840.1.113 883.3.915" | |
| 18628 | extension= "HomeCommu nity" | |
| 18629 | displayabl e="true" | |
| 18630 | /> | |
| 18631 | <name> | |
| 18632 | CurrentCar e Test | |
| 18633 | </name> | |
| 18634 | <telecom | |
| 18635 | use="WP" | |
| 18636 | value="tel :401-276-9 141" | |
| 18637 | /> | |
| 18638 | <addr | |
| 18639 | use="WP" | |
| 18640 | > | |
| 18641 | <streetAdd ressLine> | |
| 18642 | 50 Holden St., Suite 300 | |
| 18643 | </streetAd dressLine> | |
| 18644 | <city> | |
| 18645 | Providence | |
| 18646 | </city> | |
| 18647 | <state> | |
| 18648 | RI | |
| 18649 | </state> | |
| 18650 | <postalCod e> | |
| 18651 | 02908 | |
| 18652 | </postalCo de> | |
| 18653 | <country> | |
| 18654 | US | |
| 18655 | </country> | |
| 18656 | </addr> | |
| 18657 | </wholeOrg anization> | |
| 18658 | </asOrgani zationPart Of> | |
| 18659 | </represen tedOrganiz ation> | |
| 18660 | </assigned Entity> | |
| 18661 | </informan t> | |
| 18662 | <entryRela tionship | |
| 18663 | typeCode=" REFR" | |
| 18664 | inversionI nd="false" | |
| 18665 | > | |
| 18666 | <observati on | |
| 18667 | classCode= "OBS" | |
| 18668 | moodCode=" EVN" | |
| 18669 | > | |
| 18670 | <templateI d | |
| 18671 | root="2.16 .840.1.113 883. IP " | |
| 18672 | /> | |
| 18673 | <templateI d | |
| 18674 | root="2.16 .840.1.113 883. IP " | |
| 18675 | /> | |
| 18676 | <code | |
| 18677 | code="3399 9-4" | |
| 18678 | displayNam e="Status" | |
| 18679 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 18680 | codeSystem Name="LOIN C" | |
| 18681 | /> | |
| 18682 | <statusCod e | |
| 18683 | code="comp leted" | |
| 18684 | /> | |
| 18685 | <value | |
| 18686 | code="5556 1003" | |
| 18687 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 18688 | codeSystem Name="SNOM ED-CT" | |
| 18689 | displayNam e="Active" | |
| 18690 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 18691 | xsi:type=" CE" | |
| 18692 | > | |
| 18693 | <originalT ext> | |
| 18694 | Active | |
| 18695 | </original Text> | |
| 18696 | </value> | |
| 18697 | </observat ion> | |
| 18698 | </entryRel ationship> | |
| 18699 | <entryRela tionship | |
| 18700 | typeCode=" SUBJ" | |
| 18701 | > | |
| 18702 | <observati on | |
| 18703 | classCode= "OBS" | |
| 18704 | moodCode=" EVN" | |
| 18705 | > | |
| 18706 | <templateI d | |
| 18707 | root="2.16 .840.1.113 883. IP " | |
| 18708 | /> | |
| 18709 | <code | |
| 18710 | code="3097 3-2" | |
| 18711 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 18712 | codeSystem Name="LOIN C" | |
| 18713 | displayNam e="Dose nu mber" | |
| 18714 | /> | |
| 18715 | <statusCod e | |
| 18716 | code="comp leted" | |
| 18717 | /> | |
| 18718 | <value | |
| 18719 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 18720 | nullFlavor ="UNK" | |
| 18721 | xsi:type=" INT" | |
| 18722 | /> | |
| 18723 | </observat ion> | |
| 18724 | </entryRel ationship> | |
| 18725 | <entryRela tionship | |
| 18726 | typeCode=" SUBJ" | |
| 18727 | inversionI nd="true" | |
| 18728 | > | |
| 18729 | <encounter | |
| 18730 | classCode= "ENC" | |
| 18731 | moodCode=" EVN" | |
| 18732 | > | |
| 18733 | <id | |
| 18734 | root="2.16 .840.1.113 883.3.1275 " | |
| 18735 | extension= "2.16.840. 1.113883.4 .349" | |
| 18736 | /> | |
| 18737 | </encounte r> | |
| 18738 | </entryRel ationship> | |
| 18739 | </substanc eAdministr ation> | |
| 18740 | </entry> | |
| 18741 | <entry | |
| 18742 | typeCode=" DRIV" | |
| 18743 | > | |
| 18744 | <substance Administra tion | |
| 18745 | classCode= "SBADM" | |
| 18746 | negationIn d="false" | |
| 18747 | moodCode=" EVN" | |
| 18748 | > | |
| 18749 | <templateI d | |
| 18750 | root="2.16 .840.1.113 883. IP .52" | |
| 18751 | /> | |
| 18752 | <id | |
| 18753 | nullFlavor ="UNK" | |
| 18754 | /> | |
| 18755 | <id | |
| 18756 | root="2.16 .840.1.113 883.4.349" | |
| 18757 | extension= "FFECC7DA- A6A0-11E6- A9A0-5056A 4032400" | |
| 18758 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 18759 | /> | |
| 18760 | <id | |
| 18761 | root="2.16 .840.1.113 883.4.349" | |
| 18762 | extension= "FFECCABE- A6A0-11E6- A9A0-5056A 4032400" | |
| 18763 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 18764 | /> | |
| 18765 | <code | |
| 18766 | code="IMMU NIZ" | |
| 18767 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 18768 | codeSystem Name="HL7" | |
| 18769 | /> | |
| 18770 | <text> | |
| 18771 | <reference | |
| 18772 | value="#im munization Narrative- 14" | |
| 18773 | /> | |
| 18774 | </text> | |
| 18775 | <statusCod e | |
| 18776 | code="comp leted" | |
| 18777 | /> | |
| 18778 | <effective Time | |
| 18779 | value="201 4081900000 0" | |
| 18780 | /> | |
| 18781 | <consumabl e | |
| 18782 | typeCode=" CSM" | |
| 18783 | > | |
| 18784 | <manufactu redProduct | |
| 18785 | classCode= "MANU" | |
| 18786 | > | |
| 18787 | <templateI d | |
| 18788 | root="2.16 .840.1.113 883. IP .54" | |
| 18789 | /> | |
| 18790 | <manufactu redMateria l | |
| 18791 | classCode= "MMAT" | |
| 18792 | determiner Code="KIND " | |
| 18793 | > | |
| 18794 | <code | |
| 18795 | nullFlavor ="UNK" | |
| 18796 | > | |
| 18797 | <originalT ext> | |
| 18798 | <reference | |
| 18799 | value="#im munization OrderedNam e-14" | |
| 18800 | /> | |
| 18801 | </original Text> | |
| 18802 | <translati on | |
| 18803 | nullFlavor ="UNK" | |
| 18804 | /> | |
| 18805 | </code> | |
| 18806 | <name> | |
| 18807 | INFLUENZA, HIGH DOSE SEASONAL | |
| 18808 | </name> | |
| 18809 | </manufact uredMateri al> | |
| 18810 | </manufact uredProduc t> | |
| 18811 | </consumab le> | |
| 18812 | <informant > | |
| 18813 | <assignedE ntity> | |
| 18814 | <id | |
| 18815 | root="RIQI ORG" | |
| 18816 | extension= "DAYTSHR T EST LAB" | |
| 18817 | /> | |
| 18818 | <addr | |
| 18819 | nullFlavor ="UNK" | |
| 18820 | /> | |
| 18821 | <telecom | |
| 18822 | nullFlavor ="UNK" | |
| 18823 | /> | |
| 18824 | <assignedP erson> | |
| 18825 | <name | |
| 18826 | nullFlavor ="UNK" | |
| 18827 | /> | |
| 18828 | </assigned Person> | |
| 18829 | <represent edOrganiza tion> | |
| 18830 | <id | |
| 18831 | root="2.16 .840.1.113 883.3.915" | |
| 18832 | extension= "DAYTSHR T EST LAB" | |
| 18833 | displayabl e="true" | |
| 18834 | /> | |
| 18835 | <name> | |
| 18836 | DAYTSHR TE ST LAB | |
| 18837 | </name> | |
| 18838 | <telecom | |
| 18839 | nullFlavor ="UNK" | |
| 18840 | /> | |
| 18841 | <addr | |
| 18842 | nullFlavor ="UNK" | |
| 18843 | /> | |
| 18844 | <asOrganiz ationPartO f> | |
| 18845 | <effective Time | |
| 18846 | nullFlavor ="UNK" | |
| 18847 | /> | |
| 18848 | <wholeOrga nization> | |
| 18849 | <id | |
| 18850 | root="2.16 .840.1.113 883.3.915" | |
| 18851 | /> | |
| 18852 | <id | |
| 18853 | root="2.16 .840.1.113 883.3.915" | |
| 18854 | extension= "HomeCommu nity" | |
| 18855 | displayabl e="true" | |
| 18856 | /> | |
| 18857 | <name> | |
| 18858 | CurrentCar e Test | |
| 18859 | </name> | |
| 18860 | <telecom | |
| 18861 | use="WP" | |
| 18862 | value="tel :401-276-9 141" | |
| 18863 | /> | |
| 18864 | <addr | |
| 18865 | use="WP" | |
| 18866 | > | |
| 18867 | <streetAdd ressLine> | |
| 18868 | 50 Holden St., Suite 300 | |
| 18869 | </streetAd dressLine> | |
| 18870 | <city> | |
| 18871 | Providence | |
| 18872 | </city> | |
| 18873 | <state> | |
| 18874 | RI | |
| 18875 | </state> | |
| 18876 | <postalCod e> | |
| 18877 | 02908 | |
| 18878 | </postalCo de> | |
| 18879 | <country> | |
| 18880 | US | |
| 18881 | </country> | |
| 18882 | </addr> | |
| 18883 | </wholeOrg anization> | |
| 18884 | </asOrgani zationPart Of> | |
| 18885 | </represen tedOrganiz ation> | |
| 18886 | </assigned Entity> | |
| 18887 | </informan t> | |
| 18888 | <entryRela tionship | |
| 18889 | typeCode=" REFR" | |
| 18890 | inversionI nd="false" | |
| 18891 | > | |
| 18892 | <observati on | |
| 18893 | classCode= "OBS" | |
| 18894 | moodCode=" EVN" | |
| 18895 | > | |
| 18896 | <templateI d | |
| 18897 | root="2.16 .840.1.113 883. IP " | |
| 18898 | /> | |
| 18899 | <templateI d | |
| 18900 | root="2.16 .840.1.113 883. IP " | |
| 18901 | /> | |
| 18902 | <code | |
| 18903 | code="3399 9-4" | |
| 18904 | displayNam e="Status" | |
| 18905 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 18906 | codeSystem Name="LOIN C" | |
| 18907 | /> | |
| 18908 | <statusCod e | |
| 18909 | code="comp leted" | |
| 18910 | /> | |
| 18911 | <value | |
| 18912 | code="5556 1003" | |
| 18913 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 18914 | codeSystem Name="SNOM ED-CT" | |
| 18915 | displayNam e="Active" | |
| 18916 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 18917 | xsi:type=" CE" | |
| 18918 | > | |
| 18919 | <originalT ext> | |
| 18920 | Active | |
| 18921 | </original Text> | |
| 18922 | </value> | |
| 18923 | </observat ion> | |
| 18924 | </entryRel ationship> | |
| 18925 | <entryRela tionship | |
| 18926 | typeCode=" SUBJ" | |
| 18927 | > | |
| 18928 | <observati on | |
| 18929 | classCode= "OBS" | |
| 18930 | moodCode=" EVN" | |
| 18931 | > | |
| 18932 | <templateI d | |
| 18933 | root="2.16 .840.1.113 883. IP " | |
| 18934 | /> | |
| 18935 | <code | |
| 18936 | code="3097 3-2" | |
| 18937 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 18938 | codeSystem Name="LOIN C" | |
| 18939 | displayNam e="Dose nu mber" | |
| 18940 | /> | |
| 18941 | <statusCod e | |
| 18942 | code="comp leted" | |
| 18943 | /> | |
| 18944 | <value | |
| 18945 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 18946 | nullFlavor ="UNK" | |
| 18947 | xsi:type=" INT" | |
| 18948 | /> | |
| 18949 | </observat ion> | |
| 18950 | </entryRel ationship> | |
| 18951 | <entryRela tionship | |
| 18952 | typeCode=" SUBJ" | |
| 18953 | inversionI nd="true" | |
| 18954 | > | |
| 18955 | <encounter | |
| 18956 | classCode= "ENC" | |
| 18957 | moodCode=" EVN" | |
| 18958 | > | |
| 18959 | <id | |
| 18960 | root="2.16 .840.1.113 883.3.1275 " | |
| 18961 | extension= "2.16.840. 1.113883.4 .349" | |
| 18962 | /> | |
| 18963 | </encounte r> | |
| 18964 | </entryRel ationship> | |
| 18965 | </substanc eAdministr ation> | |
| 18966 | </entry> | |
| 18967 | <entry | |
| 18968 | typeCode=" DRIV" | |
| 18969 | > | |
| 18970 | <substance Administra tion | |
| 18971 | classCode= "SBADM" | |
| 18972 | negationIn d="false" | |
| 18973 | moodCode=" EVN" | |
| 18974 | > | |
| 18975 | <templateI d | |
| 18976 | root="2.16 .840.1.113 883. IP .52" | |
| 18977 | /> | |
| 18978 | <id | |
| 18979 | nullFlavor ="UNK" | |
| 18980 | /> | |
| 18981 | <id | |
| 18982 | root="2.16 .840.1.113 883.4.349" | |
| 18983 | extension= "FFE5DA7E- A6A0-11E6- A9A0-5056A 4032400" | |
| 18984 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 18985 | /> | |
| 18986 | <id | |
| 18987 | root="2.16 .840.1.113 883.4.349" | |
| 18988 | extension= "FFE5DD4E- A6A0-11E6- A9A0-5056A 4032400" | |
| 18989 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 18990 | /> | |
| 18991 | <code | |
| 18992 | code="IMMU NIZ" | |
| 18993 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 18994 | codeSystem Name="HL7" | |
| 18995 | /> | |
| 18996 | <text> | |
| 18997 | <reference | |
| 18998 | value="#im munization Narrative- 15" | |
| 18999 | /> | |
| 19000 | </text> | |
| 19001 | <statusCod e | |
| 19002 | code="comp leted" | |
| 19003 | /> | |
| 19004 | <effective Time | |
| 19005 | value="201 4081800000 0" | |
| 19006 | /> | |
| 19007 | <consumabl e | |
| 19008 | typeCode=" CSM" | |
| 19009 | > | |
| 19010 | <manufactu redProduct | |
| 19011 | classCode= "MANU" | |
| 19012 | > | |
| 19013 | <templateI d | |
| 19014 | root="2.16 .840.1.113 883. IP .54" | |
| 19015 | /> | |
| 19016 | <manufactu redMateria l | |
| 19017 | classCode= "MMAT" | |
| 19018 | determiner Code="KIND " | |
| 19019 | > | |
| 19020 | <code | |
| 19021 | nullFlavor ="UNK" | |
| 19022 | > | |
| 19023 | <originalT ext> | |
| 19024 | <reference | |
| 19025 | value="#im munization OrderedNam e-15" | |
| 19026 | /> | |
| 19027 | </original Text> | |
| 19028 | <translati on | |
| 19029 | nullFlavor ="UNK" | |
| 19030 | /> | |
| 19031 | </code> | |
| 19032 | <name> | |
| 19033 | PNEUMOVAX POLYSACCHA RIDE PPSV2 3 | |
| 19034 | </name> | |
| 19035 | </manufact uredMateri al> | |
| 19036 | </manufact uredProduc t> | |
| 19037 | </consumab le> | |
| 19038 | <informant > | |
| 19039 | <assignedE ntity> | |
| 19040 | <id | |
| 19041 | root="RIQI ORG" | |
| 19042 | extension= "CHYSHR TE ST LAB" | |
| 19043 | /> | |
| 19044 | <addr | |
| 19045 | nullFlavor ="UNK" | |
| 19046 | /> | |
| 19047 | <telecom | |
| 19048 | nullFlavor ="UNK" | |
| 19049 | /> | |
| 19050 | <assignedP erson> | |
| 19051 | <name | |
| 19052 | nullFlavor ="UNK" | |
| 19053 | /> | |
| 19054 | </assigned Person> | |
| 19055 | <represent edOrganiza tion> | |
| 19056 | <id | |
| 19057 | root="2.16 .840.1.113 883.3.915" | |
| 19058 | extension= "CHYSHR TE ST LAB" | |
| 19059 | displayabl e="true" | |
| 19060 | /> | |
| 19061 | <name> | |
| 19062 | CHYSHR TES T LAB | |
| 19063 | </name> | |
| 19064 | <telecom | |
| 19065 | nullFlavor ="UNK" | |
| 19066 | /> | |
| 19067 | <addr | |
| 19068 | nullFlavor ="UNK" | |
| 19069 | /> | |
| 19070 | <asOrganiz ationPartO f> | |
| 19071 | <effective Time | |
| 19072 | nullFlavor ="UNK" | |
| 19073 | /> | |
| 19074 | <wholeOrga nization> | |
| 19075 | <id | |
| 19076 | root="2.16 .840.1.113 883.3.915" | |
| 19077 | /> | |
| 19078 | <id | |
| 19079 | root="2.16 .840.1.113 883.3.915" | |
| 19080 | extension= "HomeCommu nity" | |
| 19081 | displayabl e="true" | |
| 19082 | /> | |
| 19083 | <name> | |
| 19084 | CurrentCar e Test | |
| 19085 | </name> | |
| 19086 | <telecom | |
| 19087 | use="WP" | |
| 19088 | value="tel :401-276-9 141" | |
| 19089 | /> | |
| 19090 | <addr | |
| 19091 | use="WP" | |
| 19092 | > | |
| 19093 | <streetAdd ressLine> | |
| 19094 | 50 Holden St., Suite 300 | |
| 19095 | </streetAd dressLine> | |
| 19096 | <city> | |
| 19097 | Providence | |
| 19098 | </city> | |
| 19099 | <state> | |
| 19100 | RI | |
| 19101 | </state> | |
| 19102 | <postalCod e> | |
| 19103 | 02908 | |
| 19104 | </postalCo de> | |
| 19105 | <country> | |
| 19106 | US | |
| 19107 | </country> | |
| 19108 | </addr> | |
| 19109 | </wholeOrg anization> | |
| 19110 | </asOrgani zationPart Of> | |
| 19111 | </represen tedOrganiz ation> | |
| 19112 | </assigned Entity> | |
| 19113 | </informan t> | |
| 19114 | <entryRela tionship | |
| 19115 | typeCode=" REFR" | |
| 19116 | inversionI nd="false" | |
| 19117 | > | |
| 19118 | <observati on | |
| 19119 | classCode= "OBS" | |
| 19120 | moodCode=" EVN" | |
| 19121 | > | |
| 19122 | <templateI d | |
| 19123 | root="2.16 .840.1.113 883. IP " | |
| 19124 | /> | |
| 19125 | <templateI d | |
| 19126 | root="2.16 .840.1.113 883. IP " | |
| 19127 | /> | |
| 19128 | <code | |
| 19129 | code="3399 9-4" | |
| 19130 | displayNam e="Status" | |
| 19131 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 19132 | codeSystem Name="LOIN C" | |
| 19133 | /> | |
| 19134 | <statusCod e | |
| 19135 | code="comp leted" | |
| 19136 | /> | |
| 19137 | <value | |
| 19138 | code="5556 1003" | |
| 19139 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 19140 | codeSystem Name="SNOM ED-CT" | |
| 19141 | displayNam e="Active" | |
| 19142 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 19143 | xsi:type=" CE" | |
| 19144 | > | |
| 19145 | <originalT ext> | |
| 19146 | Active | |
| 19147 | </original Text> | |
| 19148 | </value> | |
| 19149 | </observat ion> | |
| 19150 | </entryRel ationship> | |
| 19151 | <entryRela tionship | |
| 19152 | typeCode=" SUBJ" | |
| 19153 | > | |
| 19154 | <observati on | |
| 19155 | classCode= "OBS" | |
| 19156 | moodCode=" EVN" | |
| 19157 | > | |
| 19158 | <templateI d | |
| 19159 | root="2.16 .840.1.113 883. IP " | |
| 19160 | /> | |
| 19161 | <code | |
| 19162 | code="3097 3-2" | |
| 19163 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 19164 | codeSystem Name="LOIN C" | |
| 19165 | displayNam e="Dose nu mber" | |
| 19166 | /> | |
| 19167 | <statusCod e | |
| 19168 | code="comp leted" | |
| 19169 | /> | |
| 19170 | <value | |
| 19171 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 19172 | nullFlavor ="UNK" | |
| 19173 | xsi:type=" INT" | |
| 19174 | /> | |
| 19175 | </observat ion> | |
| 19176 | </entryRel ationship> | |
| 19177 | <entryRela tionship | |
| 19178 | typeCode=" SUBJ" | |
| 19179 | inversionI nd="true" | |
| 19180 | > | |
| 19181 | <encounter | |
| 19182 | classCode= "ENC" | |
| 19183 | moodCode=" EVN" | |
| 19184 | > | |
| 19185 | <id | |
| 19186 | root="2.16 .840.1.113 883.3.1275 " | |
| 19187 | extension= "2.16.840. 1.113883.4 .349" | |
| 19188 | /> | |
| 19189 | </encounte r> | |
| 19190 | </entryRel ationship> | |
| 19191 | </substanc eAdministr ation> | |
| 19192 | </entry> | |
| 19193 | <entry | |
| 19194 | typeCode=" DRIV" | |
| 19195 | > | |
| 19196 | <substance Administra tion | |
| 19197 | classCode= "SBADM" | |
| 19198 | negationIn d="false" | |
| 19199 | moodCode=" EVN" | |
| 19200 | > | |
| 19201 | <templateI d | |
| 19202 | root="2.16 .840.1.113 883. IP .52" | |
| 19203 | /> | |
| 19204 | <id | |
| 19205 | nullFlavor ="UNK" | |
| 19206 | /> | |
| 19207 | <id | |
| 19208 | root="2.16 .840.1.113 883.4.349" | |
| 19209 | extension= "FFED0948- A6A0-11E6- A9A0-5056A 4032400" | |
| 19210 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 19211 | /> | |
| 19212 | <id | |
| 19213 | root="2.16 .840.1.113 883.4.349" | |
| 19214 | extension= "FFED0BA0- A6A0-11E6- A9A0-5056A 4032400" | |
| 19215 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 19216 | /> | |
| 19217 | <code | |
| 19218 | code="IMMU NIZ" | |
| 19219 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 19220 | codeSystem Name="HL7" | |
| 19221 | /> | |
| 19222 | <text> | |
| 19223 | <reference | |
| 19224 | value="#im munization Narrative- 16" | |
| 19225 | /> | |
| 19226 | </text> | |
| 19227 | <statusCod e | |
| 19228 | code="comp leted" | |
| 19229 | /> | |
| 19230 | <effective Time | |
| 19231 | value="201 4081800000 0" | |
| 19232 | /> | |
| 19233 | <consumabl e | |
| 19234 | typeCode=" CSM" | |
| 19235 | > | |
| 19236 | <manufactu redProduct | |
| 19237 | classCode= "MANU" | |
| 19238 | > | |
| 19239 | <templateI d | |
| 19240 | root="2.16 .840.1.113 883. IP .54" | |
| 19241 | /> | |
| 19242 | <manufactu redMateria l | |
| 19243 | classCode= "MMAT" | |
| 19244 | determiner Code="KIND " | |
| 19245 | > | |
| 19246 | <code | |
| 19247 | nullFlavor ="UNK" | |
| 19248 | > | |
| 19249 | <originalT ext> | |
| 19250 | <reference | |
| 19251 | value="#im munization OrderedNam e-16" | |
| 19252 | /> | |
| 19253 | </original Text> | |
| 19254 | <translati on | |
| 19255 | nullFlavor ="UNK" | |
| 19256 | /> | |
| 19257 | </code> | |
| 19258 | <name> | |
| 19259 | PNEUMOCOCC AL POLYSAC CHARIDE PP V23 | |
| 19260 | </name> | |
| 19261 | </manufact uredMateri al> | |
| 19262 | </manufact uredProduc t> | |
| 19263 | </consumab le> | |
| 19264 | <informant > | |
| 19265 | <assignedE ntity> | |
| 19266 | <id | |
| 19267 | root="RIQI ORG" | |
| 19268 | extension= "DAYTSHR T EST LAB" | |
| 19269 | /> | |
| 19270 | <addr | |
| 19271 | nullFlavor ="UNK" | |
| 19272 | /> | |
| 19273 | <telecom | |
| 19274 | nullFlavor ="UNK" | |
| 19275 | /> | |
| 19276 | <assignedP erson> | |
| 19277 | <name | |
| 19278 | nullFlavor ="UNK" | |
| 19279 | /> | |
| 19280 | </assigned Person> | |
| 19281 | <represent edOrganiza tion> | |
| 19282 | <id | |
| 19283 | root="2.16 .840.1.113 883.3.915" | |
| 19284 | extension= "DAYTSHR T EST LAB" | |
| 19285 | displayabl e="true" | |
| 19286 | /> | |
| 19287 | <name> | |
| 19288 | DAYTSHR TE ST LAB | |
| 19289 | </name> | |
| 19290 | <telecom | |
| 19291 | nullFlavor ="UNK" | |
| 19292 | /> | |
| 19293 | <addr | |
| 19294 | nullFlavor ="UNK" | |
| 19295 | /> | |
| 19296 | <asOrganiz ationPartO f> | |
| 19297 | <effective Time | |
| 19298 | nullFlavor ="UNK" | |
| 19299 | /> | |
| 19300 | <wholeOrga nization> | |
| 19301 | <id | |
| 19302 | root="2.16 .840.1.113 883.3.915" | |
| 19303 | /> | |
| 19304 | <id | |
| 19305 | root="2.16 .840.1.113 883.3.915" | |
| 19306 | extension= "HomeCommu nity" | |
| 19307 | displayabl e="true" | |
| 19308 | /> | |
| 19309 | <name> | |
| 19310 | CurrentCar e Test | |
| 19311 | </name> | |
| 19312 | <telecom | |
| 19313 | use="WP" | |
| 19314 | value="tel :401-276-9 141" | |
| 19315 | /> | |
| 19316 | <addr | |
| 19317 | use="WP" | |
| 19318 | > | |
| 19319 | <streetAdd ressLine> | |
| 19320 | 50 Holden St., Suite 300 | |
| 19321 | </streetAd dressLine> | |
| 19322 | <city> | |
| 19323 | Providence | |
| 19324 | </city> | |
| 19325 | <state> | |
| 19326 | RI | |
| 19327 | </state> | |
| 19328 | <postalCod e> | |
| 19329 | 02908 | |
| 19330 | </postalCo de> | |
| 19331 | <country> | |
| 19332 | US | |
| 19333 | </country> | |
| 19334 | </addr> | |
| 19335 | </wholeOrg anization> | |
| 19336 | </asOrgani zationPart Of> | |
| 19337 | </represen tedOrganiz ation> | |
| 19338 | </assigned Entity> | |
| 19339 | </informan t> | |
| 19340 | <entryRela tionship | |
| 19341 | typeCode=" REFR" | |
| 19342 | inversionI nd="false" | |
| 19343 | > | |
| 19344 | <observati on | |
| 19345 | classCode= "OBS" | |
| 19346 | moodCode=" EVN" | |
| 19347 | > | |
| 19348 | <templateI d | |
| 19349 | root="2.16 .840.1.113 883. IP " | |
| 19350 | /> | |
| 19351 | <templateI d | |
| 19352 | root="2.16 .840.1.113 883. IP " | |
| 19353 | /> | |
| 19354 | <code | |
| 19355 | code="3399 9-4" | |
| 19356 | displayNam e="Status" | |
| 19357 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 19358 | codeSystem Name="LOIN C" | |
| 19359 | /> | |
| 19360 | <statusCod e | |
| 19361 | code="comp leted" | |
| 19362 | /> | |
| 19363 | <value | |
| 19364 | code="5556 1003" | |
| 19365 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 19366 | codeSystem Name="SNOM ED-CT" | |
| 19367 | displayNam e="Active" | |
| 19368 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 19369 | xsi:type=" CE" | |
| 19370 | > | |
| 19371 | <originalT ext> | |
| 19372 | Active | |
| 19373 | </original Text> | |
| 19374 | </value> | |
| 19375 | </observat ion> | |
| 19376 | </entryRel ationship> | |
| 19377 | <entryRela tionship | |
| 19378 | typeCode=" SUBJ" | |
| 19379 | > | |
| 19380 | <observati on | |
| 19381 | classCode= "OBS" | |
| 19382 | moodCode=" EVN" | |
| 19383 | > | |
| 19384 | <templateI d | |
| 19385 | root="2.16 .840.1.113 883. IP " | |
| 19386 | /> | |
| 19387 | <code | |
| 19388 | code="3097 3-2" | |
| 19389 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 19390 | codeSystem Name="LOIN C" | |
| 19391 | displayNam e="Dose nu mber" | |
| 19392 | /> | |
| 19393 | <statusCod e | |
| 19394 | code="comp leted" | |
| 19395 | /> | |
| 19396 | <value | |
| 19397 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 19398 | nullFlavor ="UNK" | |
| 19399 | xsi:type=" INT" | |
| 19400 | /> | |
| 19401 | </observat ion> | |
| 19402 | </entryRel ationship> | |
| 19403 | <entryRela tionship | |
| 19404 | typeCode=" SUBJ" | |
| 19405 | inversionI nd="true" | |
| 19406 | > | |
| 19407 | <encounter | |
| 19408 | classCode= "ENC" | |
| 19409 | moodCode=" EVN" | |
| 19410 | > | |
| 19411 | <id | |
| 19412 | root="2.16 .840.1.113 883.3.1275 " | |
| 19413 | extension= "2.16.840. 1.113883.4 .349" | |
| 19414 | /> | |
| 19415 | </encounte r> | |
| 19416 | </entryRel ationship> | |
| 19417 | </substanc eAdministr ation> | |
| 19418 | </entry> | |
| 19419 | <entry | |
| 19420 | typeCode=" DRIV" | |
| 19421 | > | |
| 19422 | <substance Administra tion | |
| 19423 | classCode= "SBADM" | |
| 19424 | negationIn d="false" | |
| 19425 | moodCode=" EVN" | |
| 19426 | > | |
| 19427 | <templateI d | |
| 19428 | root="2.16 .840.1.113 883. IP .52" | |
| 19429 | /> | |
| 19430 | <id | |
| 19431 | nullFlavor ="UNK" | |
| 19432 | /> | |
| 19433 | <id | |
| 19434 | root="2.16 .840.1.113 883.4.349" | |
| 19435 | extension= "FFE61D72- A6A0-11E6- A9A0-5056A 4032400" | |
| 19436 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 19437 | /> | |
| 19438 | <id | |
| 19439 | root="2.16 .840.1.113 883.4.349" | |
| 19440 | extension= "FFE62042- A6A0-11E6- A9A0-5056A 4032400" | |
| 19441 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 19442 | /> | |
| 19443 | <code | |
| 19444 | code="IMMU NIZ" | |
| 19445 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 19446 | codeSystem Name="HL7" | |
| 19447 | /> | |
| 19448 | <text> | |
| 19449 | <reference | |
| 19450 | value="#im munization Narrative- 17" | |
| 19451 | /> | |
| 19452 | </text> | |
| 19453 | <statusCod e | |
| 19454 | code="comp leted" | |
| 19455 | /> | |
| 19456 | <effective Time | |
| 19457 | value="201 4081500000 0" | |
| 19458 | /> | |
| 19459 | <consumabl e | |
| 19460 | typeCode=" CSM" | |
| 19461 | > | |
| 19462 | <manufactu redProduct | |
| 19463 | classCode= "MANU" | |
| 19464 | > | |
| 19465 | <templateI d | |
| 19466 | root="2.16 .840.1.113 883. IP .54" | |
| 19467 | /> | |
| 19468 | <manufactu redMateria l | |
| 19469 | classCode= "MMAT" | |
| 19470 | determiner Code="KIND " | |
| 19471 | > | |
| 19472 | <code | |
| 19473 | nullFlavor ="UNK" | |
| 19474 | > | |
| 19475 | <originalT ext> | |
| 19476 | <reference | |
| 19477 | value="#im munization OrderedNam e-17" | |
| 19478 | /> | |
| 19479 | </original Text> | |
| 19480 | <translati on | |
| 19481 | nullFlavor ="UNK" | |
| 19482 | /> | |
| 19483 | </code> | |
| 19484 | <name> | |
| 19485 | PNEUMOVAX POLYSACCHA RIDE PPSV2 3 | |
| 19486 | </name> | |
| 19487 | </manufact uredMateri al> | |
| 19488 | </manufact uredProduc t> | |
| 19489 | </consumab le> | |
| 19490 | <informant > | |
| 19491 | <assignedE ntity> | |
| 19492 | <id | |
| 19493 | root="RIQI ORG" | |
| 19494 | extension= "CHYSHR TE ST LAB" | |
| 19495 | /> | |
| 19496 | <addr | |
| 19497 | nullFlavor ="UNK" | |
| 19498 | /> | |
| 19499 | <telecom | |
| 19500 | nullFlavor ="UNK" | |
| 19501 | /> | |
| 19502 | <assignedP erson> | |
| 19503 | <name | |
| 19504 | nullFlavor ="UNK" | |
| 19505 | /> | |
| 19506 | </assigned Person> | |
| 19507 | <represent edOrganiza tion> | |
| 19508 | <id | |
| 19509 | root="2.16 .840.1.113 883.3.915" | |
| 19510 | extension= "CHYSHR TE ST LAB" | |
| 19511 | displayabl e="true" | |
| 19512 | /> | |
| 19513 | <name> | |
| 19514 | CHYSHR TES T LAB | |
| 19515 | </name> | |
| 19516 | <telecom | |
| 19517 | nullFlavor ="UNK" | |
| 19518 | /> | |
| 19519 | <addr | |
| 19520 | nullFlavor ="UNK" | |
| 19521 | /> | |
| 19522 | <asOrganiz ationPartO f> | |
| 19523 | <effective Time | |
| 19524 | nullFlavor ="UNK" | |
| 19525 | /> | |
| 19526 | <wholeOrga nization> | |
| 19527 | <id | |
| 19528 | root="2.16 .840.1.113 883.3.915" | |
| 19529 | /> | |
| 19530 | <id | |
| 19531 | root="2.16 .840.1.113 883.3.915" | |
| 19532 | extension= "HomeCommu nity" | |
| 19533 | displayabl e="true" | |
| 19534 | /> | |
| 19535 | <name> | |
| 19536 | CurrentCar e Test | |
| 19537 | </name> | |
| 19538 | <telecom | |
| 19539 | use="WP" | |
| 19540 | value="tel :401-276-9 141" | |
| 19541 | /> | |
| 19542 | <addr | |
| 19543 | use="WP" | |
| 19544 | > | |
| 19545 | <streetAdd ressLine> | |
| 19546 | 50 Holden St., Suite 300 | |
| 19547 | </streetAd dressLine> | |
| 19548 | <city> | |
| 19549 | Providence | |
| 19550 | </city> | |
| 19551 | <state> | |
| 19552 | RI | |
| 19553 | </state> | |
| 19554 | <postalCod e> | |
| 19555 | 02908 | |
| 19556 | </postalCo de> | |
| 19557 | <country> | |
| 19558 | US | |
| 19559 | </country> | |
| 19560 | </addr> | |
| 19561 | </wholeOrg anization> | |
| 19562 | </asOrgani zationPart Of> | |
| 19563 | </represen tedOrganiz ation> | |
| 19564 | </assigned Entity> | |
| 19565 | </informan t> | |
| 19566 | <entryRela tionship | |
| 19567 | typeCode=" REFR" | |
| 19568 | inversionI nd="false" | |
| 19569 | > | |
| 19570 | <observati on | |
| 19571 | classCode= "OBS" | |
| 19572 | moodCode=" EVN" | |
| 19573 | > | |
| 19574 | <templateI d | |
| 19575 | root="2.16 .840.1.113 883. IP " | |
| 19576 | /> | |
| 19577 | <templateI d | |
| 19578 | root="2.16 .840.1.113 883. IP " | |
| 19579 | /> | |
| 19580 | <code | |
| 19581 | code="3399 9-4" | |
| 19582 | displayNam e="Status" | |
| 19583 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 19584 | codeSystem Name="LOIN C" | |
| 19585 | /> | |
| 19586 | <statusCod e | |
| 19587 | code="comp leted" | |
| 19588 | /> | |
| 19589 | <value | |
| 19590 | code="5556 1003" | |
| 19591 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 19592 | codeSystem Name="SNOM ED-CT" | |
| 19593 | displayNam e="Active" | |
| 19594 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 19595 | xsi:type=" CE" | |
| 19596 | > | |
| 19597 | <originalT ext> | |
| 19598 | Active | |
| 19599 | </original Text> | |
| 19600 | </value> | |
| 19601 | </observat ion> | |
| 19602 | </entryRel ationship> | |
| 19603 | <entryRela tionship | |
| 19604 | typeCode=" SUBJ" | |
| 19605 | > | |
| 19606 | <observati on | |
| 19607 | classCode= "OBS" | |
| 19608 | moodCode=" EVN" | |
| 19609 | > | |
| 19610 | <templateI d | |
| 19611 | root="2.16 .840.1.113 883. IP " | |
| 19612 | /> | |
| 19613 | <code | |
| 19614 | code="3097 3-2" | |
| 19615 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 19616 | codeSystem Name="LOIN C" | |
| 19617 | displayNam e="Dose nu mber" | |
| 19618 | /> | |
| 19619 | <statusCod e | |
| 19620 | code="comp leted" | |
| 19621 | /> | |
| 19622 | <value | |
| 19623 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 19624 | nullFlavor ="UNK" | |
| 19625 | xsi:type=" INT" | |
| 19626 | /> | |
| 19627 | </observat ion> | |
| 19628 | </entryRel ationship> | |
| 19629 | <entryRela tionship | |
| 19630 | typeCode=" SUBJ" | |
| 19631 | inversionI nd="true" | |
| 19632 | > | |
| 19633 | <encounter | |
| 19634 | classCode= "ENC" | |
| 19635 | moodCode=" EVN" | |
| 19636 | > | |
| 19637 | <id | |
| 19638 | root="2.16 .840.1.113 883.3.1275 " | |
| 19639 | extension= "2.16.840. 1.113883.4 .349" | |
| 19640 | /> | |
| 19641 | </encounte r> | |
| 19642 | </entryRel ationship> | |
| 19643 | </substanc eAdministr ation> | |
| 19644 | </entry> | |
| 19645 | <entry | |
| 19646 | typeCode=" DRIV" | |
| 19647 | > | |
| 19648 | <substance Administra tion | |
| 19649 | classCode= "SBADM" | |
| 19650 | negationIn d="false" | |
| 19651 | moodCode=" EVN" | |
| 19652 | > | |
| 19653 | <templateI d | |
| 19654 | root="2.16 .840.1.113 883. IP .52" | |
| 19655 | /> | |
| 19656 | <id | |
| 19657 | nullFlavor ="UNK" | |
| 19658 | /> | |
| 19659 | <id | |
| 19660 | root="2.16 .840.1.113 883.4.349" | |
| 19661 | extension= "FFED4BEC- A6A0-11E6- A9A0-5056A 4032400" | |
| 19662 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 19663 | /> | |
| 19664 | <id | |
| 19665 | root="2.16 .840.1.113 883.4.349" | |
| 19666 | extension= "FFED4E4E- A6A0-11E6- A9A0-5056A 4032400" | |
| 19667 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 19668 | /> | |
| 19669 | <code | |
| 19670 | code="IMMU NIZ" | |
| 19671 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 19672 | codeSystem Name="HL7" | |
| 19673 | /> | |
| 19674 | <text> | |
| 19675 | <reference | |
| 19676 | value="#im munization Narrative- 18" | |
| 19677 | /> | |
| 19678 | </text> | |
| 19679 | <statusCod e | |
| 19680 | code="comp leted" | |
| 19681 | /> | |
| 19682 | <effective Time | |
| 19683 | value="201 4081500000 0" | |
| 19684 | /> | |
| 19685 | <consumabl e | |
| 19686 | typeCode=" CSM" | |
| 19687 | > | |
| 19688 | <manufactu redProduct | |
| 19689 | classCode= "MANU" | |
| 19690 | > | |
| 19691 | <templateI d | |
| 19692 | root="2.16 .840.1.113 883. IP .54" | |
| 19693 | /> | |
| 19694 | <manufactu redMateria l | |
| 19695 | classCode= "MMAT" | |
| 19696 | determiner Code="KIND " | |
| 19697 | > | |
| 19698 | <code | |
| 19699 | nullFlavor ="UNK" | |
| 19700 | > | |
| 19701 | <originalT ext> | |
| 19702 | <reference | |
| 19703 | value="#im munization OrderedNam e-18" | |
| 19704 | /> | |
| 19705 | </original Text> | |
| 19706 | <translati on | |
| 19707 | nullFlavor ="UNK" | |
| 19708 | /> | |
| 19709 | </code> | |
| 19710 | <name> | |
| 19711 | PNEUMOCOCC AL POLYSAC CHARIDE PP V23 | |
| 19712 | </name> | |
| 19713 | </manufact uredMateri al> | |
| 19714 | </manufact uredProduc t> | |
| 19715 | </consumab le> | |
| 19716 | <informant > | |
| 19717 | <assignedE ntity> | |
| 19718 | <id | |
| 19719 | root="RIQI ORG" | |
| 19720 | extension= "DAYTSHR T EST LAB" | |
| 19721 | /> | |
| 19722 | <addr | |
| 19723 | nullFlavor ="UNK" | |
| 19724 | /> | |
| 19725 | <telecom | |
| 19726 | nullFlavor ="UNK" | |
| 19727 | /> | |
| 19728 | <assignedP erson> | |
| 19729 | <name | |
| 19730 | nullFlavor ="UNK" | |
| 19731 | /> | |
| 19732 | </assigned Person> | |
| 19733 | <represent edOrganiza tion> | |
| 19734 | <id | |
| 19735 | root="2.16 .840.1.113 883.3.915" | |
| 19736 | extension= "DAYTSHR T EST LAB" | |
| 19737 | displayabl e="true" | |
| 19738 | /> | |
| 19739 | <name> | |
| 19740 | DAYTSHR TE ST LAB | |
| 19741 | </name> | |
| 19742 | <telecom | |
| 19743 | nullFlavor ="UNK" | |
| 19744 | /> | |
| 19745 | <addr | |
| 19746 | nullFlavor ="UNK" | |
| 19747 | /> | |
| 19748 | <asOrganiz ationPartO f> | |
| 19749 | <effective Time | |
| 19750 | nullFlavor ="UNK" | |
| 19751 | /> | |
| 19752 | <wholeOrga nization> | |
| 19753 | <id | |
| 19754 | root="2.16 .840.1.113 883.3.915" | |
| 19755 | /> | |
| 19756 | <id | |
| 19757 | root="2.16 .840.1.113 883.3.915" | |
| 19758 | extension= "HomeCommu nity" | |
| 19759 | displayabl e="true" | |
| 19760 | /> | |
| 19761 | <name> | |
| 19762 | CurrentCar e Test | |
| 19763 | </name> | |
| 19764 | <telecom | |
| 19765 | use="WP" | |
| 19766 | value="tel :401-276-9 141" | |
| 19767 | /> | |
| 19768 | <addr | |
| 19769 | use="WP" | |
| 19770 | > | |
| 19771 | <streetAdd ressLine> | |
| 19772 | 50 Holden St., Suite 300 | |
| 19773 | </streetAd dressLine> | |
| 19774 | <city> | |
| 19775 | Providence | |
| 19776 | </city> | |
| 19777 | <state> | |
| 19778 | RI | |
| 19779 | </state> | |
| 19780 | <postalCod e> | |
| 19781 | 02908 | |
| 19782 | </postalCo de> | |
| 19783 | <country> | |
| 19784 | US | |
| 19785 | </country> | |
| 19786 | </addr> | |
| 19787 | </wholeOrg anization> | |
| 19788 | </asOrgani zationPart Of> | |
| 19789 | </represen tedOrganiz ation> | |
| 19790 | </assigned Entity> | |
| 19791 | </informan t> | |
| 19792 | <entryRela tionship | |
| 19793 | typeCode=" REFR" | |
| 19794 | inversionI nd="false" | |
| 19795 | > | |
| 19796 | <observati on | |
| 19797 | classCode= "OBS" | |
| 19798 | moodCode=" EVN" | |
| 19799 | > | |
| 19800 | <templateI d | |
| 19801 | root="2.16 .840.1.113 883. IP " | |
| 19802 | /> | |
| 19803 | <templateI d | |
| 19804 | root="2.16 .840.1.113 883. IP " | |
| 19805 | /> | |
| 19806 | <code | |
| 19807 | code="3399 9-4" | |
| 19808 | displayNam e="Status" | |
| 19809 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 19810 | codeSystem Name="LOIN C" | |
| 19811 | /> | |
| 19812 | <statusCod e | |
| 19813 | code="comp leted" | |
| 19814 | /> | |
| 19815 | <value | |
| 19816 | code="5556 1003" | |
| 19817 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 19818 | codeSystem Name="SNOM ED-CT" | |
| 19819 | displayNam e="Active" | |
| 19820 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 19821 | xsi:type=" CE" | |
| 19822 | > | |
| 19823 | <originalT ext> | |
| 19824 | Active | |
| 19825 | </original Text> | |
| 19826 | </value> | |
| 19827 | </observat ion> | |
| 19828 | </entryRel ationship> | |
| 19829 | <entryRela tionship | |
| 19830 | typeCode=" SUBJ" | |
| 19831 | > | |
| 19832 | <observati on | |
| 19833 | classCode= "OBS" | |
| 19834 | moodCode=" EVN" | |
| 19835 | > | |
| 19836 | <templateI d | |
| 19837 | root="2.16 .840.1.113 883. IP " | |
| 19838 | /> | |
| 19839 | <code | |
| 19840 | code="3097 3-2" | |
| 19841 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 19842 | codeSystem Name="LOIN C" | |
| 19843 | displayNam e="Dose nu mber" | |
| 19844 | /> | |
| 19845 | <statusCod e | |
| 19846 | code="comp leted" | |
| 19847 | /> | |
| 19848 | <value | |
| 19849 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 19850 | nullFlavor ="UNK" | |
| 19851 | xsi:type=" INT" | |
| 19852 | /> | |
| 19853 | </observat ion> | |
| 19854 | </entryRel ationship> | |
| 19855 | <entryRela tionship | |
| 19856 | typeCode=" SUBJ" | |
| 19857 | inversionI nd="true" | |
| 19858 | > | |
| 19859 | <encounter | |
| 19860 | classCode= "ENC" | |
| 19861 | moodCode=" EVN" | |
| 19862 | > | |
| 19863 | <id | |
| 19864 | root="2.16 .840.1.113 883.3.1275 " | |
| 19865 | extension= "2.16.840. 1.113883.4 .349" | |
| 19866 | /> | |
| 19867 | </encounte r> | |
| 19868 | </entryRel ationship> | |
| 19869 | </substanc eAdministr ation> | |
| 19870 | </entry> | |
| 19871 | <entry | |
| 19872 | typeCode=" DRIV" | |
| 19873 | > | |
| 19874 | <substance Administra tion | |
| 19875 | classCode= "SBADM" | |
| 19876 | negationIn d="false" | |
| 19877 | moodCode=" EVN" | |
| 19878 | > | |
| 19879 | <templateI d | |
| 19880 | root="2.16 .840.1.113 883. IP .52" | |
| 19881 | /> | |
| 19882 | <id | |
| 19883 | nullFlavor ="UNK" | |
| 19884 | /> | |
| 19885 | <id | |
| 19886 | root="2.16 .840.1.113 883.4.349" | |
| 19887 | extension= "FFE7DBE4- A6A0-11E6- A9A0-5056A 4032400" | |
| 19888 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 19889 | /> | |
| 19890 | <id | |
| 19891 | root="2.16 .840.1.113 883.4.349" | |
| 19892 | extension= "FFE7DE50- A6A0-11E6- A9A0-5056A 4032400" | |
| 19893 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 19894 | /> | |
| 19895 | <code | |
| 19896 | code="IMMU NIZ" | |
| 19897 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 19898 | codeSystem Name="HL7" | |
| 19899 | /> | |
| 19900 | <text> | |
| 19901 | <reference | |
| 19902 | value="#im munization Narrative- 19" | |
| 19903 | /> | |
| 19904 | </text> | |
| 19905 | <statusCod e | |
| 19906 | code="comp leted" | |
| 19907 | /> | |
| 19908 | <effective Time | |
| 19909 | value="201 3081900000 0" | |
| 19910 | /> | |
| 19911 | <consumabl e | |
| 19912 | typeCode=" CSM" | |
| 19913 | > | |
| 19914 | <manufactu redProduct | |
| 19915 | classCode= "MANU" | |
| 19916 | > | |
| 19917 | <templateI d | |
| 19918 | root="2.16 .840.1.113 883. IP .54" | |
| 19919 | /> | |
| 19920 | <manufactu redMateria l | |
| 19921 | classCode= "MMAT" | |
| 19922 | determiner Code="KIND " | |
| 19923 | > | |
| 19924 | <code | |
| 19925 | nullFlavor ="UNK" | |
| 19926 | > | |
| 19927 | <originalT ext> | |
| 19928 | <reference | |
| 19929 | value="#im munization OrderedNam e-19" | |
| 19930 | /> | |
| 19931 | </original Text> | |
| 19932 | <translati on | |
| 19933 | nullFlavor ="UNK" | |
| 19934 | /> | |
| 19935 | </code> | |
| 19936 | <name> | |
| 19937 | FLU VACCIN E 3 YRS &a mp; > I M | |
| 19938 | </name> | |
| 19939 | </manufact uredMateri al> | |
| 19940 | </manufact uredProduc t> | |
| 19941 | </consumab le> | |
| 19942 | <informant > | |
| 19943 | <assignedE ntity> | |
| 19944 | <id | |
| 19945 | root="RIQI ORG" | |
| 19946 | extension= "CHYSHR TE ST LAB" | |
| 19947 | /> | |
| 19948 | <addr | |
| 19949 | nullFlavor ="UNK" | |
| 19950 | /> | |
| 19951 | <telecom | |
| 19952 | nullFlavor ="UNK" | |
| 19953 | /> | |
| 19954 | <assignedP erson> | |
| 19955 | <name | |
| 19956 | nullFlavor ="UNK" | |
| 19957 | /> | |
| 19958 | </assigned Person> | |
| 19959 | <represent edOrganiza tion> | |
| 19960 | <id | |
| 19961 | root="2.16 .840.1.113 883.3.915" | |
| 19962 | extension= "CHYSHR TE ST LAB" | |
| 19963 | displayabl e="true" | |
| 19964 | /> | |
| 19965 | <name> | |
| 19966 | CHYSHR TES T LAB | |
| 19967 | </name> | |
| 19968 | <telecom | |
| 19969 | nullFlavor ="UNK" | |
| 19970 | /> | |
| 19971 | <addr | |
| 19972 | nullFlavor ="UNK" | |
| 19973 | /> | |
| 19974 | <asOrganiz ationPartO f> | |
| 19975 | <effective Time | |
| 19976 | nullFlavor ="UNK" | |
| 19977 | /> | |
| 19978 | <wholeOrga nization> | |
| 19979 | <id | |
| 19980 | root="2.16 .840.1.113 883.3.915" | |
| 19981 | /> | |
| 19982 | <id | |
| 19983 | root="2.16 .840.1.113 883.3.915" | |
| 19984 | extension= "HomeCommu nity" | |
| 19985 | displayabl e="true" | |
| 19986 | /> | |
| 19987 | <name> | |
| 19988 | CurrentCar e Test | |
| 19989 | </name> | |
| 19990 | <telecom | |
| 19991 | use="WP" | |
| 19992 | value="tel :401-276-9 141" | |
| 19993 | /> | |
| 19994 | <addr | |
| 19995 | use="WP" | |
| 19996 | > | |
| 19997 | <streetAdd ressLine> | |
| 19998 | 50 Holden St., Suite 300 | |
| 19999 | </streetAd dressLine> | |
| 20000 | <city> | |
| 20001 | Providence | |
| 20002 | </city> | |
| 20003 | <state> | |
| 20004 | RI | |
| 20005 | </state> | |
| 20006 | <postalCod e> | |
| 20007 | 02908 | |
| 20008 | </postalCo de> | |
| 20009 | <country> | |
| 20010 | US | |
| 20011 | </country> | |
| 20012 | </addr> | |
| 20013 | </wholeOrg anization> | |
| 20014 | </asOrgani zationPart Of> | |
| 20015 | </represen tedOrganiz ation> | |
| 20016 | </assigned Entity> | |
| 20017 | </informan t> | |
| 20018 | <entryRela tionship | |
| 20019 | typeCode=" REFR" | |
| 20020 | inversionI nd="false" | |
| 20021 | > | |
| 20022 | <observati on | |
| 20023 | classCode= "OBS" | |
| 20024 | moodCode=" EVN" | |
| 20025 | > | |
| 20026 | <templateI d | |
| 20027 | root="2.16 .840.1.113 883. IP " | |
| 20028 | /> | |
| 20029 | <templateI d | |
| 20030 | root="2.16 .840.1.113 883. IP " | |
| 20031 | /> | |
| 20032 | <code | |
| 20033 | code="3399 9-4" | |
| 20034 | displayNam e="Status" | |
| 20035 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 20036 | codeSystem Name="LOIN C" | |
| 20037 | /> | |
| 20038 | <statusCod e | |
| 20039 | code="comp leted" | |
| 20040 | /> | |
| 20041 | <value | |
| 20042 | code="5556 1003" | |
| 20043 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 20044 | codeSystem Name="SNOM ED-CT" | |
| 20045 | displayNam e="Active" | |
| 20046 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 20047 | xsi:type=" CE" | |
| 20048 | > | |
| 20049 | <originalT ext> | |
| 20050 | Active | |
| 20051 | </original Text> | |
| 20052 | </value> | |
| 20053 | </observat ion> | |
| 20054 | </entryRel ationship> | |
| 20055 | <entryRela tionship | |
| 20056 | typeCode=" SUBJ" | |
| 20057 | > | |
| 20058 | <observati on | |
| 20059 | classCode= "OBS" | |
| 20060 | moodCode=" EVN" | |
| 20061 | > | |
| 20062 | <templateI d | |
| 20063 | root="2.16 .840.1.113 883. IP " | |
| 20064 | /> | |
| 20065 | <code | |
| 20066 | code="3097 3-2" | |
| 20067 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 20068 | codeSystem Name="LOIN C" | |
| 20069 | displayNam e="Dose nu mber" | |
| 20070 | /> | |
| 20071 | <statusCod e | |
| 20072 | code="comp leted" | |
| 20073 | /> | |
| 20074 | <value | |
| 20075 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 20076 | nullFlavor ="UNK" | |
| 20077 | xsi:type=" INT" | |
| 20078 | /> | |
| 20079 | </observat ion> | |
| 20080 | </entryRel ationship> | |
| 20081 | <entryRela tionship | |
| 20082 | typeCode=" SUBJ" | |
| 20083 | inversionI nd="true" | |
| 20084 | > | |
| 20085 | <encounter | |
| 20086 | classCode= "ENC" | |
| 20087 | moodCode=" EVN" | |
| 20088 | > | |
| 20089 | <id | |
| 20090 | root="2.16 .840.1.113 883.3.1275 " | |
| 20091 | extension= "2.16.840. 1.113883.4 .349" | |
| 20092 | /> | |
| 20093 | </encounte r> | |
| 20094 | </entryRel ationship> | |
| 20095 | </substanc eAdministr ation> | |
| 20096 | </entry> | |
| 20097 | <entry | |
| 20098 | typeCode=" DRIV" | |
| 20099 | > | |
| 20100 | <substance Administra tion | |
| 20101 | classCode= "SBADM" | |
| 20102 | negationIn d="false" | |
| 20103 | moodCode=" EVN" | |
| 20104 | > | |
| 20105 | <templateI d | |
| 20106 | root="2.16 .840.1.113 883. IP .52" | |
| 20107 | /> | |
| 20108 | <id | |
| 20109 | nullFlavor ="UNK" | |
| 20110 | /> | |
| 20111 | <id | |
| 20112 | root="2.16 .840.1.113 883.4.349" | |
| 20113 | extension= "FFEE7C10- A6A0-11E6- A9A0-5056A 4032400" | |
| 20114 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 20115 | /> | |
| 20116 | <id | |
| 20117 | root="2.16 .840.1.113 883.4.349" | |
| 20118 | extension= "FFEE7E7C- A6A0-11E6- A9A0-5056A 4032400" | |
| 20119 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 20120 | /> | |
| 20121 | <code | |
| 20122 | code="IMMU NIZ" | |
| 20123 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 20124 | codeSystem Name="HL7" | |
| 20125 | /> | |
| 20126 | <text> | |
| 20127 | <reference | |
| 20128 | value="#im munization Narrative- 20" | |
| 20129 | /> | |
| 20130 | </text> | |
| 20131 | <statusCod e | |
| 20132 | code="comp leted" | |
| 20133 | /> | |
| 20134 | <effective Time | |
| 20135 | value="201 3081900000 0" | |
| 20136 | /> | |
| 20137 | <consumabl e | |
| 20138 | typeCode=" CSM" | |
| 20139 | > | |
| 20140 | <manufactu redProduct | |
| 20141 | classCode= "MANU" | |
| 20142 | > | |
| 20143 | <templateI d | |
| 20144 | root="2.16 .840.1.113 883. IP .54" | |
| 20145 | /> | |
| 20146 | <manufactu redMateria l | |
| 20147 | classCode= "MMAT" | |
| 20148 | determiner Code="KIND " | |
| 20149 | > | |
| 20150 | <code | |
| 20151 | nullFlavor ="UNK" | |
| 20152 | > | |
| 20153 | <originalT ext> | |
| 20154 | <reference | |
| 20155 | value="#im munization OrderedNam e-20" | |
| 20156 | /> | |
| 20157 | </original Text> | |
| 20158 | <translati on | |
| 20159 | nullFlavor ="UNK" | |
| 20160 | /> | |
| 20161 | </code> | |
| 20162 | <name> | |
| 20163 | FLU VACCIN E 3 YRS &a mp; > I M | |
| 20164 | </name> | |
| 20165 | </manufact uredMateri al> | |
| 20166 | </manufact uredProduc t> | |
| 20167 | </consumab le> | |
| 20168 | <informant > | |
| 20169 | <assignedE ntity> | |
| 20170 | <id | |
| 20171 | root="RIQI ORG" | |
| 20172 | extension= "DAYTSHR T EST LAB" | |
| 20173 | /> | |
| 20174 | <addr | |
| 20175 | nullFlavor ="UNK" | |
| 20176 | /> | |
| 20177 | <telecom | |
| 20178 | nullFlavor ="UNK" | |
| 20179 | /> | |
| 20180 | <assignedP erson> | |
| 20181 | <name | |
| 20182 | nullFlavor ="UNK" | |
| 20183 | /> | |
| 20184 | </assigned Person> | |
| 20185 | <represent edOrganiza tion> | |
| 20186 | <id | |
| 20187 | root="2.16 .840.1.113 883.3.915" | |
| 20188 | extension= "DAYTSHR T EST LAB" | |
| 20189 | displayabl e="true" | |
| 20190 | /> | |
| 20191 | <name> | |
| 20192 | DAYTSHR TE ST LAB | |
| 20193 | </name> | |
| 20194 | <telecom | |
| 20195 | nullFlavor ="UNK" | |
| 20196 | /> | |
| 20197 | <addr | |
| 20198 | nullFlavor ="UNK" | |
| 20199 | /> | |
| 20200 | <asOrganiz ationPartO f> | |
| 20201 | <effective Time | |
| 20202 | nullFlavor ="UNK" | |
| 20203 | /> | |
| 20204 | <wholeOrga nization> | |
| 20205 | <id | |
| 20206 | root="2.16 .840.1.113 883.3.915" | |
| 20207 | /> | |
| 20208 | <id | |
| 20209 | root="2.16 .840.1.113 883.3.915" | |
| 20210 | extension= "HomeCommu nity" | |
| 20211 | displayabl e="true" | |
| 20212 | /> | |
| 20213 | <name> | |
| 20214 | CurrentCar e Test | |
| 20215 | </name> | |
| 20216 | <telecom | |
| 20217 | use="WP" | |
| 20218 | value="tel :401-276-9 141" | |
| 20219 | /> | |
| 20220 | <addr | |
| 20221 | use="WP" | |
| 20222 | > | |
| 20223 | <streetAdd ressLine> | |
| 20224 | 50 Holden St., Suite 300 | |
| 20225 | </streetAd dressLine> | |
| 20226 | <city> | |
| 20227 | Providence | |
| 20228 | </city> | |
| 20229 | <state> | |
| 20230 | RI | |
| 20231 | </state> | |
| 20232 | <postalCod e> | |
| 20233 | 02908 | |
| 20234 | </postalCo de> | |
| 20235 | <country> | |
| 20236 | US | |
| 20237 | </country> | |
| 20238 | </addr> | |
| 20239 | </wholeOrg anization> | |
| 20240 | </asOrgani zationPart Of> | |
| 20241 | </represen tedOrganiz ation> | |
| 20242 | </assigned Entity> | |
| 20243 | </informan t> | |
| 20244 | <entryRela tionship | |
| 20245 | typeCode=" REFR" | |
| 20246 | inversionI nd="false" | |
| 20247 | > | |
| 20248 | <observati on | |
| 20249 | classCode= "OBS" | |
| 20250 | moodCode=" EVN" | |
| 20251 | > | |
| 20252 | <templateI d | |
| 20253 | root="2.16 .840.1.113 883. IP " | |
| 20254 | /> | |
| 20255 | <templateI d | |
| 20256 | root="2.16 .840.1.113 883. IP " | |
| 20257 | /> | |
| 20258 | <code | |
| 20259 | code="3399 9-4" | |
| 20260 | displayNam e="Status" | |
| 20261 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 20262 | codeSystem Name="LOIN C" | |
| 20263 | /> | |
| 20264 | <statusCod e | |
| 20265 | code="comp leted" | |
| 20266 | /> | |
| 20267 | <value | |
| 20268 | code="5556 1003" | |
| 20269 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 20270 | codeSystem Name="SNOM ED-CT" | |
| 20271 | displayNam e="Active" | |
| 20272 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 20273 | xsi:type=" CE" | |
| 20274 | > | |
| 20275 | <originalT ext> | |
| 20276 | Active | |
| 20277 | </original Text> | |
| 20278 | </value> | |
| 20279 | </observat ion> | |
| 20280 | </entryRel ationship> | |
| 20281 | <entryRela tionship | |
| 20282 | typeCode=" SUBJ" | |
| 20283 | > | |
| 20284 | <observati on | |
| 20285 | classCode= "OBS" | |
| 20286 | moodCode=" EVN" | |
| 20287 | > | |
| 20288 | <templateI d | |
| 20289 | root="2.16 .840.1.113 883. IP " | |
| 20290 | /> | |
| 20291 | <code | |
| 20292 | code="3097 3-2" | |
| 20293 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 20294 | codeSystem Name="LOIN C" | |
| 20295 | displayNam e="Dose nu mber" | |
| 20296 | /> | |
| 20297 | <statusCod e | |
| 20298 | code="comp leted" | |
| 20299 | /> | |
| 20300 | <value | |
| 20301 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 20302 | nullFlavor ="UNK" | |
| 20303 | xsi:type=" INT" | |
| 20304 | /> | |
| 20305 | </observat ion> | |
| 20306 | </entryRel ationship> | |
| 20307 | <entryRela tionship | |
| 20308 | typeCode=" SUBJ" | |
| 20309 | inversionI nd="true" | |
| 20310 | > | |
| 20311 | <encounter | |
| 20312 | classCode= "ENC" | |
| 20313 | moodCode=" EVN" | |
| 20314 | > | |
| 20315 | <id | |
| 20316 | root="2.16 .840.1.113 883.3.1275 " | |
| 20317 | extension= "2.16.840. 1.113883.4 .349" | |
| 20318 | /> | |
| 20319 | </encounte r> | |
| 20320 | </entryRel ationship> | |
| 20321 | </substanc eAdministr ation> | |
| 20322 | </entry> | |
| 20323 | <entry | |
| 20324 | typeCode=" DRIV" | |
| 20325 | > | |
| 20326 | <substance Administra tion | |
| 20327 | classCode= "SBADM" | |
| 20328 | negationIn d="false" | |
| 20329 | moodCode=" EVN" | |
| 20330 | > | |
| 20331 | <templateI d | |
| 20332 | root="2.16 .840.1.113 883. IP .52" | |
| 20333 | /> | |
| 20334 | <id | |
| 20335 | nullFlavor ="UNK" | |
| 20336 | /> | |
| 20337 | <id | |
| 20338 | root="2.16 .840.1.113 883.4.349" | |
| 20339 | extension= "FFE81DB6- A6A0-11E6- A9A0-5056A 4032400" | |
| 20340 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 20341 | /> | |
| 20342 | <id | |
| 20343 | root="2.16 .840.1.113 883.4.349" | |
| 20344 | extension= "FFE82018- A6A0-11E6- A9A0-5056A 4032400" | |
| 20345 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 20346 | /> | |
| 20347 | <code | |
| 20348 | code="IMMU NIZ" | |
| 20349 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 20350 | codeSystem Name="HL7" | |
| 20351 | /> | |
| 20352 | <text> | |
| 20353 | <reference | |
| 20354 | value="#im munization Narrative- 21" | |
| 20355 | /> | |
| 20356 | </text> | |
| 20357 | <statusCod e | |
| 20358 | code="comp leted" | |
| 20359 | /> | |
| 20360 | <effective Time | |
| 20361 | value="201 2081900000 0" | |
| 20362 | /> | |
| 20363 | <consumabl e | |
| 20364 | typeCode=" CSM" | |
| 20365 | > | |
| 20366 | <manufactu redProduct | |
| 20367 | classCode= "MANU" | |
| 20368 | > | |
| 20369 | <templateI d | |
| 20370 | root="2.16 .840.1.113 883. IP .54" | |
| 20371 | /> | |
| 20372 | <manufactu redMateria l | |
| 20373 | classCode= "MMAT" | |
| 20374 | determiner Code="KIND " | |
| 20375 | > | |
| 20376 | <code | |
| 20377 | nullFlavor ="UNK" | |
| 20378 | > | |
| 20379 | <originalT ext> | |
| 20380 | <reference | |
| 20381 | value="#im munization OrderedNam e-21" | |
| 20382 | /> | |
| 20383 | </original Text> | |
| 20384 | <translati on | |
| 20385 | nullFlavor ="UNK" | |
| 20386 | /> | |
| 20387 | </code> | |
| 20388 | <name> | |
| 20389 | ZOSTER(SHI NGLES) | |
| 20390 | </name> | |
| 20391 | </manufact uredMateri al> | |
| 20392 | </manufact uredProduc t> | |
| 20393 | </consumab le> | |
| 20394 | <informant > | |
| 20395 | <assignedE ntity> | |
| 20396 | <id | |
| 20397 | root="RIQI ORG" | |
| 20398 | extension= "CHYSHR TE ST LAB" | |
| 20399 | /> | |
| 20400 | <addr | |
| 20401 | nullFlavor ="UNK" | |
| 20402 | /> | |
| 20403 | <telecom | |
| 20404 | nullFlavor ="UNK" | |
| 20405 | /> | |
| 20406 | <assignedP erson> | |
| 20407 | <name | |
| 20408 | nullFlavor ="UNK" | |
| 20409 | /> | |
| 20410 | </assigned Person> | |
| 20411 | <represent edOrganiza tion> | |
| 20412 | <id | |
| 20413 | root="2.16 .840.1.113 883.3.915" | |
| 20414 | extension= "CHYSHR TE ST LAB" | |
| 20415 | displayabl e="true" | |
| 20416 | /> | |
| 20417 | <name> | |
| 20418 | CHYSHR TES T LAB | |
| 20419 | </name> | |
| 20420 | <telecom | |
| 20421 | nullFlavor ="UNK" | |
| 20422 | /> | |
| 20423 | <addr | |
| 20424 | nullFlavor ="UNK" | |
| 20425 | /> | |
| 20426 | <asOrganiz ationPartO f> | |
| 20427 | <effective Time | |
| 20428 | nullFlavor ="UNK" | |
| 20429 | /> | |
| 20430 | <wholeOrga nization> | |
| 20431 | <id | |
| 20432 | root="2.16 .840.1.113 883.3.915" | |
| 20433 | /> | |
| 20434 | <id | |
| 20435 | root="2.16 .840.1.113 883.3.915" | |
| 20436 | extension= "HomeCommu nity" | |
| 20437 | displayabl e="true" | |
| 20438 | /> | |
| 20439 | <name> | |
| 20440 | CurrentCar e Test | |
| 20441 | </name> | |
| 20442 | <telecom | |
| 20443 | use="WP" | |
| 20444 | value="tel :401-276-9 141" | |
| 20445 | /> | |
| 20446 | <addr | |
| 20447 | use="WP" | |
| 20448 | > | |
| 20449 | <streetAdd ressLine> | |
| 20450 | 50 Holden St., Suite 300 | |
| 20451 | </streetAd dressLine> | |
| 20452 | <city> | |
| 20453 | Providence | |
| 20454 | </city> | |
| 20455 | <state> | |
| 20456 | RI | |
| 20457 | </state> | |
| 20458 | <postalCod e> | |
| 20459 | 02908 | |
| 20460 | </postalCo de> | |
| 20461 | <country> | |
| 20462 | US | |
| 20463 | </country> | |
| 20464 | </addr> | |
| 20465 | </wholeOrg anization> | |
| 20466 | </asOrgani zationPart Of> | |
| 20467 | </represen tedOrganiz ation> | |
| 20468 | </assigned Entity> | |
| 20469 | </informan t> | |
| 20470 | <entryRela tionship | |
| 20471 | typeCode=" REFR" | |
| 20472 | inversionI nd="false" | |
| 20473 | > | |
| 20474 | <observati on | |
| 20475 | classCode= "OBS" | |
| 20476 | moodCode=" EVN" | |
| 20477 | > | |
| 20478 | <templateI d | |
| 20479 | root="2.16 .840.1.113 883. IP " | |
| 20480 | /> | |
| 20481 | <templateI d | |
| 20482 | root="2.16 .840.1.113 883. IP " | |
| 20483 | /> | |
| 20484 | <code | |
| 20485 | code="3399 9-4" | |
| 20486 | displayNam e="Status" | |
| 20487 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 20488 | codeSystem Name="LOIN C" | |
| 20489 | /> | |
| 20490 | <statusCod e | |
| 20491 | code="comp leted" | |
| 20492 | /> | |
| 20493 | <value | |
| 20494 | code="5556 1003" | |
| 20495 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 20496 | codeSystem Name="SNOM ED-CT" | |
| 20497 | displayNam e="Active" | |
| 20498 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 20499 | xsi:type=" CE" | |
| 20500 | > | |
| 20501 | <originalT ext> | |
| 20502 | Active | |
| 20503 | </original Text> | |
| 20504 | </value> | |
| 20505 | </observat ion> | |
| 20506 | </entryRel ationship> | |
| 20507 | <entryRela tionship | |
| 20508 | typeCode=" SUBJ" | |
| 20509 | > | |
| 20510 | <observati on | |
| 20511 | classCode= "OBS" | |
| 20512 | moodCode=" EVN" | |
| 20513 | > | |
| 20514 | <templateI d | |
| 20515 | root="2.16 .840.1.113 883. IP " | |
| 20516 | /> | |
| 20517 | <code | |
| 20518 | code="3097 3-2" | |
| 20519 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 20520 | codeSystem Name="LOIN C" | |
| 20521 | displayNam e="Dose nu mber" | |
| 20522 | /> | |
| 20523 | <statusCod e | |
| 20524 | code="comp leted" | |
| 20525 | /> | |
| 20526 | <value | |
| 20527 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 20528 | nullFlavor ="UNK" | |
| 20529 | xsi:type=" INT" | |
| 20530 | /> | |
| 20531 | </observat ion> | |
| 20532 | </entryRel ationship> | |
| 20533 | <entryRela tionship | |
| 20534 | typeCode=" SUBJ" | |
| 20535 | inversionI nd="true" | |
| 20536 | > | |
| 20537 | <encounter | |
| 20538 | classCode= "ENC" | |
| 20539 | moodCode=" EVN" | |
| 20540 | > | |
| 20541 | <id | |
| 20542 | root="2.16 .840.1.113 883.3.1275 " | |
| 20543 | extension= "2.16.840. 1.113883.4 .349" | |
| 20544 | /> | |
| 20545 | </encounte r> | |
| 20546 | </entryRel ationship> | |
| 20547 | </substanc eAdministr ation> | |
| 20548 | </entry> | |
| 20549 | <entry | |
| 20550 | typeCode=" DRIV" | |
| 20551 | > | |
| 20552 | <substance Administra tion | |
| 20553 | classCode= "SBADM" | |
| 20554 | negationIn d="false" | |
| 20555 | moodCode=" EVN" | |
| 20556 | > | |
| 20557 | <templateI d | |
| 20558 | root="2.16 .840.1.113 883. IP .52" | |
| 20559 | /> | |
| 20560 | <id | |
| 20561 | nullFlavor ="UNK" | |
| 20562 | /> | |
| 20563 | <id | |
| 20564 | root="2.16 .840.1.113 883.4.349" | |
| 20565 | extension= "FFEEBF40- A6A0-11E6- A9A0-5056A 4032400" | |
| 20566 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 20567 | /> | |
| 20568 | <id | |
| 20569 | root="2.16 .840.1.113 883.4.349" | |
| 20570 | extension= "FFEEC1FC- A6A0-11E6- A9A0-5056A 4032400" | |
| 20571 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 20572 | /> | |
| 20573 | <code | |
| 20574 | code="IMMU NIZ" | |
| 20575 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 20576 | codeSystem Name="HL7" | |
| 20577 | /> | |
| 20578 | <text> | |
| 20579 | <reference | |
| 20580 | value="#im munization Narrative- 22" | |
| 20581 | /> | |
| 20582 | </text> | |
| 20583 | <statusCod e | |
| 20584 | code="comp leted" | |
| 20585 | /> | |
| 20586 | <effective Time | |
| 20587 | value="201 2081900000 0" | |
| 20588 | /> | |
| 20589 | <consumabl e | |
| 20590 | typeCode=" CSM" | |
| 20591 | > | |
| 20592 | <manufactu redProduct | |
| 20593 | classCode= "MANU" | |
| 20594 | > | |
| 20595 | <templateI d | |
| 20596 | root="2.16 .840.1.113 883. IP .54" | |
| 20597 | /> | |
| 20598 | <manufactu redMateria l | |
| 20599 | classCode= "MMAT" | |
| 20600 | determiner Code="KIND " | |
| 20601 | > | |
| 20602 | <code | |
| 20603 | nullFlavor ="UNK" | |
| 20604 | > | |
| 20605 | <originalT ext> | |
| 20606 | <reference | |
| 20607 | value="#im munization OrderedNam e-22" | |
| 20608 | /> | |
| 20609 | </original Text> | |
| 20610 | <translati on | |
| 20611 | nullFlavor ="UNK" | |
| 20612 | /> | |
| 20613 | </code> | |
| 20614 | <name> | |
| 20615 | ZOSTER(SHI NGLES) (HI STORICAL) | |
| 20616 | </name> | |
| 20617 | </manufact uredMateri al> | |
| 20618 | </manufact uredProduc t> | |
| 20619 | </consumab le> | |
| 20620 | <informant > | |
| 20621 | <assignedE ntity> | |
| 20622 | <id | |
| 20623 | root="RIQI ORG" | |
| 20624 | extension= "DAYTSHR T EST LAB" | |
| 20625 | /> | |
| 20626 | <addr | |
| 20627 | nullFlavor ="UNK" | |
| 20628 | /> | |
| 20629 | <telecom | |
| 20630 | nullFlavor ="UNK" | |
| 20631 | /> | |
| 20632 | <assignedP erson> | |
| 20633 | <name | |
| 20634 | nullFlavor ="UNK" | |
| 20635 | /> | |
| 20636 | </assigned Person> | |
| 20637 | <represent edOrganiza tion> | |
| 20638 | <id | |
| 20639 | root="2.16 .840.1.113 883.3.915" | |
| 20640 | extension= "DAYTSHR T EST LAB" | |
| 20641 | displayabl e="true" | |
| 20642 | /> | |
| 20643 | <name> | |
| 20644 | DAYTSHR TE ST LAB | |
| 20645 | </name> | |
| 20646 | <telecom | |
| 20647 | nullFlavor ="UNK" | |
| 20648 | /> | |
| 20649 | <addr | |
| 20650 | nullFlavor ="UNK" | |
| 20651 | /> | |
| 20652 | <asOrganiz ationPartO f> | |
| 20653 | <effective Time | |
| 20654 | nullFlavor ="UNK" | |
| 20655 | /> | |
| 20656 | <wholeOrga nization> | |
| 20657 | <id | |
| 20658 | root="2.16 .840.1.113 883.3.915" | |
| 20659 | /> | |
| 20660 | <id | |
| 20661 | root="2.16 .840.1.113 883.3.915" | |
| 20662 | extension= "HomeCommu nity" | |
| 20663 | displayabl e="true" | |
| 20664 | /> | |
| 20665 | <name> | |
| 20666 | CurrentCar e Test | |
| 20667 | </name> | |
| 20668 | <telecom | |
| 20669 | use="WP" | |
| 20670 | value="tel :401-276-9 141" | |
| 20671 | /> | |
| 20672 | <addr | |
| 20673 | use="WP" | |
| 20674 | > | |
| 20675 | <streetAdd ressLine> | |
| 20676 | 50 Holden St., Suite 300 | |
| 20677 | </streetAd dressLine> | |
| 20678 | <city> | |
| 20679 | Providence | |
| 20680 | </city> | |
| 20681 | <state> | |
| 20682 | RI | |
| 20683 | </state> | |
| 20684 | <postalCod e> | |
| 20685 | 02908 | |
| 20686 | </postalCo de> | |
| 20687 | <country> | |
| 20688 | US | |
| 20689 | </country> | |
| 20690 | </addr> | |
| 20691 | </wholeOrg anization> | |
| 20692 | </asOrgani zationPart Of> | |
| 20693 | </represen tedOrganiz ation> | |
| 20694 | </assigned Entity> | |
| 20695 | </informan t> | |
| 20696 | <entryRela tionship | |
| 20697 | typeCode=" REFR" | |
| 20698 | inversionI nd="false" | |
| 20699 | > | |
| 20700 | <observati on | |
| 20701 | classCode= "OBS" | |
| 20702 | moodCode=" EVN" | |
| 20703 | > | |
| 20704 | <templateI d | |
| 20705 | root="2.16 .840.1.113 883. IP " | |
| 20706 | /> | |
| 20707 | <templateI d | |
| 20708 | root="2.16 .840.1.113 883. IP " | |
| 20709 | /> | |
| 20710 | <code | |
| 20711 | code="3399 9-4" | |
| 20712 | displayNam e="Status" | |
| 20713 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 20714 | codeSystem Name="LOIN C" | |
| 20715 | /> | |
| 20716 | <statusCod e | |
| 20717 | code="comp leted" | |
| 20718 | /> | |
| 20719 | <value | |
| 20720 | code="5556 1003" | |
| 20721 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 20722 | codeSystem Name="SNOM ED-CT" | |
| 20723 | displayNam e="Active" | |
| 20724 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 20725 | xsi:type=" CE" | |
| 20726 | > | |
| 20727 | <originalT ext> | |
| 20728 | Active | |
| 20729 | </original Text> | |
| 20730 | </value> | |
| 20731 | </observat ion> | |
| 20732 | </entryRel ationship> | |
| 20733 | <entryRela tionship | |
| 20734 | typeCode=" SUBJ" | |
| 20735 | > | |
| 20736 | <observati on | |
| 20737 | classCode= "OBS" | |
| 20738 | moodCode=" EVN" | |
| 20739 | > | |
| 20740 | <templateI d | |
| 20741 | root="2.16 .840.1.113 883. IP " | |
| 20742 | /> | |
| 20743 | <code | |
| 20744 | code="3097 3-2" | |
| 20745 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 20746 | codeSystem Name="LOIN C" | |
| 20747 | displayNam e="Dose nu mber" | |
| 20748 | /> | |
| 20749 | <statusCod e | |
| 20750 | code="comp leted" | |
| 20751 | /> | |
| 20752 | <value | |
| 20753 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 20754 | nullFlavor ="UNK" | |
| 20755 | xsi:type=" INT" | |
| 20756 | /> | |
| 20757 | </observat ion> | |
| 20758 | </entryRel ationship> | |
| 20759 | <entryRela tionship | |
| 20760 | typeCode=" SUBJ" | |
| 20761 | inversionI nd="true" | |
| 20762 | > | |
| 20763 | <encounter | |
| 20764 | classCode= "ENC" | |
| 20765 | moodCode=" EVN" | |
| 20766 | > | |
| 20767 | <id | |
| 20768 | root="2.16 .840.1.113 883.3.1275 " | |
| 20769 | extension= "2.16.840. 1.113883.4 .349" | |
| 20770 | /> | |
| 20771 | </encounte r> | |
| 20772 | </entryRel ationship> | |
| 20773 | </substanc eAdministr ation> | |
| 20774 | </entry> | |
| 20775 | <entry | |
| 20776 | typeCode=" DRIV" | |
| 20777 | > | |
| 20778 | <substance Administra tion | |
| 20779 | classCode= "SBADM" | |
| 20780 | negationIn d="false" | |
| 20781 | moodCode=" EVN" | |
| 20782 | > | |
| 20783 | <templateI d | |
| 20784 | root="2.16 .840.1.113 883. IP .52" | |
| 20785 | /> | |
| 20786 | <id | |
| 20787 | nullFlavor ="UNK" | |
| 20788 | /> | |
| 20789 | <id | |
| 20790 | root="2.16 .840.1.113 883.4.349" | |
| 20791 | extension= "FFE86096- A6A0-11E6- A9A0-5056A 4032400" | |
| 20792 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 20793 | /> | |
| 20794 | <id | |
| 20795 | root="2.16 .840.1.113 883.4.349" | |
| 20796 | extension= "FFE863DE- A6A0-11E6- A9A0-5056A 4032400" | |
| 20797 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 20798 | /> | |
| 20799 | <code | |
| 20800 | code="IMMU NIZ" | |
| 20801 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 20802 | codeSystem Name="HL7" | |
| 20803 | /> | |
| 20804 | <text> | |
| 20805 | <reference | |
| 20806 | value="#im munization Narrative- 23" | |
| 20807 | /> | |
| 20808 | </text> | |
| 20809 | <statusCod e | |
| 20810 | code="comp leted" | |
| 20811 | /> | |
| 20812 | <effective Time | |
| 20813 | value="201 2012400000 0" | |
| 20814 | /> | |
| 20815 | <consumabl e | |
| 20816 | typeCode=" CSM" | |
| 20817 | > | |
| 20818 | <manufactu redProduct | |
| 20819 | classCode= "MANU" | |
| 20820 | > | |
| 20821 | <templateI d | |
| 20822 | root="2.16 .840.1.113 883. IP .54" | |
| 20823 | /> | |
| 20824 | <manufactu redMateria l | |
| 20825 | classCode= "MMAT" | |
| 20826 | determiner Code="KIND " | |
| 20827 | > | |
| 20828 | <code | |
| 20829 | nullFlavor ="UNK" | |
| 20830 | > | |
| 20831 | <originalT ext> | |
| 20832 | <reference | |
| 20833 | value="#im munization OrderedNam e-23" | |
| 20834 | /> | |
| 20835 | </original Text> | |
| 20836 | <translati on | |
| 20837 | nullFlavor ="UNK" | |
| 20838 | /> | |
| 20839 | </code> | |
| 20840 | <name> | |
| 20841 | FLU VACCIN E 3 YRS &a mp; > I M | |
| 20842 | </name> | |
| 20843 | </manufact uredMateri al> | |
| 20844 | </manufact uredProduc t> | |
| 20845 | </consumab le> | |
| 20846 | <informant > | |
| 20847 | <assignedE ntity> | |
| 20848 | <id | |
| 20849 | root="RIQI ORG" | |
| 20850 | extension= "CHYSHR TE ST LAB" | |
| 20851 | /> | |
| 20852 | <addr | |
| 20853 | nullFlavor ="UNK" | |
| 20854 | /> | |
| 20855 | <telecom | |
| 20856 | nullFlavor ="UNK" | |
| 20857 | /> | |
| 20858 | <assignedP erson> | |
| 20859 | <name | |
| 20860 | nullFlavor ="UNK" | |
| 20861 | /> | |
| 20862 | </assigned Person> | |
| 20863 | <represent edOrganiza tion> | |
| 20864 | <id | |
| 20865 | root="2.16 .840.1.113 883.3.915" | |
| 20866 | extension= "CHYSHR TE ST LAB" | |
| 20867 | displayabl e="true" | |
| 20868 | /> | |
| 20869 | <name> | |
| 20870 | CHYSHR TES T LAB | |
| 20871 | </name> | |
| 20872 | <telecom | |
| 20873 | nullFlavor ="UNK" | |
| 20874 | /> | |
| 20875 | <addr | |
| 20876 | nullFlavor ="UNK" | |
| 20877 | /> | |
| 20878 | <asOrganiz ationPartO f> | |
| 20879 | <effective Time | |
| 20880 | nullFlavor ="UNK" | |
| 20881 | /> | |
| 20882 | <wholeOrga nization> | |
| 20883 | <id | |
| 20884 | root="2.16 .840.1.113 883.3.915" | |
| 20885 | /> | |
| 20886 | <id | |
| 20887 | root="2.16 .840.1.113 883.3.915" | |
| 20888 | extension= "HomeCommu nity" | |
| 20889 | displayabl e="true" | |
| 20890 | /> | |
| 20891 | <name> | |
| 20892 | CurrentCar e Test | |
| 20893 | </name> | |
| 20894 | <telecom | |
| 20895 | use="WP" | |
| 20896 | value="tel :401-276-9 141" | |
| 20897 | /> | |
| 20898 | <addr | |
| 20899 | use="WP" | |
| 20900 | > | |
| 20901 | <streetAdd ressLine> | |
| 20902 | 50 Holden St., Suite 300 | |
| 20903 | </streetAd dressLine> | |
| 20904 | <city> | |
| 20905 | Providence | |
| 20906 | </city> | |
| 20907 | <state> | |
| 20908 | RI | |
| 20909 | </state> | |
| 20910 | <postalCod e> | |
| 20911 | 02908 | |
| 20912 | </postalCo de> | |
| 20913 | <country> | |
| 20914 | US | |
| 20915 | </country> | |
| 20916 | </addr> | |
| 20917 | </wholeOrg anization> | |
| 20918 | </asOrgani zationPart Of> | |
| 20919 | </represen tedOrganiz ation> | |
| 20920 | </assigned Entity> | |
| 20921 | </informan t> | |
| 20922 | <entryRela tionship | |
| 20923 | typeCode=" REFR" | |
| 20924 | inversionI nd="false" | |
| 20925 | > | |
| 20926 | <observati on | |
| 20927 | classCode= "OBS" | |
| 20928 | moodCode=" EVN" | |
| 20929 | > | |
| 20930 | <templateI d | |
| 20931 | root="2.16 .840.1.113 883. IP " | |
| 20932 | /> | |
| 20933 | <templateI d | |
| 20934 | root="2.16 .840.1.113 883. IP " | |
| 20935 | /> | |
| 20936 | <code | |
| 20937 | code="3399 9-4" | |
| 20938 | displayNam e="Status" | |
| 20939 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 20940 | codeSystem Name="LOIN C" | |
| 20941 | /> | |
| 20942 | <statusCod e | |
| 20943 | code="comp leted" | |
| 20944 | /> | |
| 20945 | <value | |
| 20946 | code="5556 1003" | |
| 20947 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 20948 | codeSystem Name="SNOM ED-CT" | |
| 20949 | displayNam e="Active" | |
| 20950 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 20951 | xsi:type=" CE" | |
| 20952 | > | |
| 20953 | <originalT ext> | |
| 20954 | Active | |
| 20955 | </original Text> | |
| 20956 | </value> | |
| 20957 | </observat ion> | |
| 20958 | </entryRel ationship> | |
| 20959 | <entryRela tionship | |
| 20960 | typeCode=" SUBJ" | |
| 20961 | > | |
| 20962 | <observati on | |
| 20963 | classCode= "OBS" | |
| 20964 | moodCode=" EVN" | |
| 20965 | > | |
| 20966 | <templateI d | |
| 20967 | root="2.16 .840.1.113 883. IP " | |
| 20968 | /> | |
| 20969 | <code | |
| 20970 | code="3097 3-2" | |
| 20971 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 20972 | codeSystem Name="LOIN C" | |
| 20973 | displayNam e="Dose nu mber" | |
| 20974 | /> | |
| 20975 | <statusCod e | |
| 20976 | code="comp leted" | |
| 20977 | /> | |
| 20978 | <value | |
| 20979 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 20980 | nullFlavor ="UNK" | |
| 20981 | xsi:type=" INT" | |
| 20982 | /> | |
| 20983 | </observat ion> | |
| 20984 | </entryRel ationship> | |
| 20985 | <entryRela tionship | |
| 20986 | typeCode=" SUBJ" | |
| 20987 | inversionI nd="true" | |
| 20988 | > | |
| 20989 | <encounter | |
| 20990 | classCode= "ENC" | |
| 20991 | moodCode=" EVN" | |
| 20992 | > | |
| 20993 | <id | |
| 20994 | root="2.16 .840.1.113 883.3.1275 " | |
| 20995 | extension= "2.16.840. 1.113883.4 .349" | |
| 20996 | /> | |
| 20997 | </encounte r> | |
| 20998 | </entryRel ationship> | |
| 20999 | </substanc eAdministr ation> | |
| 21000 | </entry> | |
| 21001 | <entry | |
| 21002 | typeCode=" DRIV" | |
| 21003 | > | |
| 21004 | <substance Administra tion | |
| 21005 | classCode= "SBADM" | |
| 21006 | negationIn d="false" | |
| 21007 | moodCode=" EVN" | |
| 21008 | > | |
| 21009 | <templateI d | |
| 21010 | root="2.16 .840.1.113 883. IP .52" | |
| 21011 | /> | |
| 21012 | <id | |
| 21013 | nullFlavor ="UNK" | |
| 21014 | /> | |
| 21015 | <id | |
| 21016 | root="2.16 .840.1.113 883.4.349" | |
| 21017 | extension= "FFEF0126- A6A0-11E6- A9A0-5056A 4032400" | |
| 21018 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 21019 | /> | |
| 21020 | <id | |
| 21021 | root="2.16 .840.1.113 883.4.349" | |
| 21022 | extension= "FFEF0388- A6A0-11E6- A9A0-5056A 4032400" | |
| 21023 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 21024 | /> | |
| 21025 | <code | |
| 21026 | code="IMMU NIZ" | |
| 21027 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 21028 | codeSystem Name="HL7" | |
| 21029 | /> | |
| 21030 | <text> | |
| 21031 | <reference | |
| 21032 | value="#im munization Narrative- 24" | |
| 21033 | /> | |
| 21034 | </text> | |
| 21035 | <statusCod e | |
| 21036 | code="comp leted" | |
| 21037 | /> | |
| 21038 | <effective Time | |
| 21039 | value="201 2012400000 0" | |
| 21040 | /> | |
| 21041 | <consumabl e | |
| 21042 | typeCode=" CSM" | |
| 21043 | > | |
| 21044 | <manufactu redProduct | |
| 21045 | classCode= "MANU" | |
| 21046 | > | |
| 21047 | <templateI d | |
| 21048 | root="2.16 .840.1.113 883. IP .54" | |
| 21049 | /> | |
| 21050 | <manufactu redMateria l | |
| 21051 | classCode= "MMAT" | |
| 21052 | determiner Code="KIND " | |
| 21053 | > | |
| 21054 | <code | |
| 21055 | nullFlavor ="UNK" | |
| 21056 | > | |
| 21057 | <originalT ext> | |
| 21058 | <reference | |
| 21059 | value="#im munization OrderedNam e-24" | |
| 21060 | /> | |
| 21061 | </original Text> | |
| 21062 | <translati on | |
| 21063 | nullFlavor ="UNK" | |
| 21064 | /> | |
| 21065 | </code> | |
| 21066 | <name> | |
| 21067 | FLU VACCIN E 3 YRS &a mp; > I M | |
| 21068 | </name> | |
| 21069 | </manufact uredMateri al> | |
| 21070 | </manufact uredProduc t> | |
| 21071 | </consumab le> | |
| 21072 | <informant > | |
| 21073 | <assignedE ntity> | |
| 21074 | <id | |
| 21075 | root="RIQI ORG" | |
| 21076 | extension= "DAYTSHR T EST LAB" | |
| 21077 | /> | |
| 21078 | <addr | |
| 21079 | nullFlavor ="UNK" | |
| 21080 | /> | |
| 21081 | <telecom | |
| 21082 | nullFlavor ="UNK" | |
| 21083 | /> | |
| 21084 | <assignedP erson> | |
| 21085 | <name | |
| 21086 | nullFlavor ="UNK" | |
| 21087 | /> | |
| 21088 | </assigned Person> | |
| 21089 | <represent edOrganiza tion> | |
| 21090 | <id | |
| 21091 | root="2.16 .840.1.113 883.3.915" | |
| 21092 | extension= "DAYTSHR T EST LAB" | |
| 21093 | displayabl e="true" | |
| 21094 | /> | |
| 21095 | <name> | |
| 21096 | DAYTSHR TE ST LAB | |
| 21097 | </name> | |
| 21098 | <telecom | |
| 21099 | nullFlavor ="UNK" | |
| 21100 | /> | |
| 21101 | <addr | |
| 21102 | nullFlavor ="UNK" | |
| 21103 | /> | |
| 21104 | <asOrganiz ationPartO f> | |
| 21105 | <effective Time | |
| 21106 | nullFlavor ="UNK" | |
| 21107 | /> | |
| 21108 | <wholeOrga nization> | |
| 21109 | <id | |
| 21110 | root="2.16 .840.1.113 883.3.915" | |
| 21111 | /> | |
| 21112 | <id | |
| 21113 | root="2.16 .840.1.113 883.3.915" | |
| 21114 | extension= "HomeCommu nity" | |
| 21115 | displayabl e="true" | |
| 21116 | /> | |
| 21117 | <name> | |
| 21118 | CurrentCar e Test | |
| 21119 | </name> | |
| 21120 | <telecom | |
| 21121 | use="WP" | |
| 21122 | value="tel :401-276-9 141" | |
| 21123 | /> | |
| 21124 | <addr | |
| 21125 | use="WP" | |
| 21126 | > | |
| 21127 | <streetAdd ressLine> | |
| 21128 | 50 Holden St., Suite 300 | |
| 21129 | </streetAd dressLine> | |
| 21130 | <city> | |
| 21131 | Providence | |
| 21132 | </city> | |
| 21133 | <state> | |
| 21134 | RI | |
| 21135 | </state> | |
| 21136 | <postalCod e> | |
| 21137 | 02908 | |
| 21138 | </postalCo de> | |
| 21139 | <country> | |
| 21140 | US | |
| 21141 | </country> | |
| 21142 | </addr> | |
| 21143 | </wholeOrg anization> | |
| 21144 | </asOrgani zationPart Of> | |
| 21145 | </represen tedOrganiz ation> | |
| 21146 | </assigned Entity> | |
| 21147 | </informan t> | |
| 21148 | <entryRela tionship | |
| 21149 | typeCode=" REFR" | |
| 21150 | inversionI nd="false" | |
| 21151 | > | |
| 21152 | <observati on | |
| 21153 | classCode= "OBS" | |
| 21154 | moodCode=" EVN" | |
| 21155 | > | |
| 21156 | <templateI d | |
| 21157 | root="2.16 .840.1.113 883. IP " | |
| 21158 | /> | |
| 21159 | <templateI d | |
| 21160 | root="2.16 .840.1.113 883. IP " | |
| 21161 | /> | |
| 21162 | <code | |
| 21163 | code="3399 9-4" | |
| 21164 | displayNam e="Status" | |
| 21165 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 21166 | codeSystem Name="LOIN C" | |
| 21167 | /> | |
| 21168 | <statusCod e | |
| 21169 | code="comp leted" | |
| 21170 | /> | |
| 21171 | <value | |
| 21172 | code="5556 1003" | |
| 21173 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 21174 | codeSystem Name="SNOM ED-CT" | |
| 21175 | displayNam e="Active" | |
| 21176 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 21177 | xsi:type=" CE" | |
| 21178 | > | |
| 21179 | <originalT ext> | |
| 21180 | Active | |
| 21181 | </original Text> | |
| 21182 | </value> | |
| 21183 | </observat ion> | |
| 21184 | </entryRel ationship> | |
| 21185 | <entryRela tionship | |
| 21186 | typeCode=" SUBJ" | |
| 21187 | > | |
| 21188 | <observati on | |
| 21189 | classCode= "OBS" | |
| 21190 | moodCode=" EVN" | |
| 21191 | > | |
| 21192 | <templateI d | |
| 21193 | root="2.16 .840.1.113 883. IP " | |
| 21194 | /> | |
| 21195 | <code | |
| 21196 | code="3097 3-2" | |
| 21197 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 21198 | codeSystem Name="LOIN C" | |
| 21199 | displayNam e="Dose nu mber" | |
| 21200 | /> | |
| 21201 | <statusCod e | |
| 21202 | code="comp leted" | |
| 21203 | /> | |
| 21204 | <value | |
| 21205 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 21206 | nullFlavor ="UNK" | |
| 21207 | xsi:type=" INT" | |
| 21208 | /> | |
| 21209 | </observat ion> | |
| 21210 | </entryRel ationship> | |
| 21211 | <entryRela tionship | |
| 21212 | typeCode=" SUBJ" | |
| 21213 | inversionI nd="true" | |
| 21214 | > | |
| 21215 | <encounter | |
| 21216 | classCode= "ENC" | |
| 21217 | moodCode=" EVN" | |
| 21218 | > | |
| 21219 | <id | |
| 21220 | root="2.16 .840.1.113 883.3.1275 " | |
| 21221 | extension= "2.16.840. 1.113883.4 .349" | |
| 21222 | /> | |
| 21223 | </encounte r> | |
| 21224 | </entryRel ationship> | |
| 21225 | </substanc eAdministr ation> | |
| 21226 | </entry> | |
| 21227 | <entry | |
| 21228 | typeCode=" DRIV" | |
| 21229 | > | |
| 21230 | <substance Administra tion | |
| 21231 | classCode= "SBADM" | |
| 21232 | negationIn d="false" | |
| 21233 | moodCode=" EVN" | |
| 21234 | > | |
| 21235 | <templateI d | |
| 21236 | root="2.16 .840.1.113 883. IP .52" | |
| 21237 | /> | |
| 21238 | <id | |
| 21239 | nullFlavor ="UNK" | |
| 21240 | /> | |
| 21241 | <id | |
| 21242 | root="2.16 .840.1.113 883.4.349" | |
| 21243 | extension= "FFE8A2EA- A6A0-11E6- A9A0-5056A 4032400" | |
| 21244 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 21245 | /> | |
| 21246 | <id | |
| 21247 | root="2.16 .840.1.113 883.4.349" | |
| 21248 | extension= "FFE8A696- A6A0-11E6- A9A0-5056A 4032400" | |
| 21249 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 21250 | /> | |
| 21251 | <code | |
| 21252 | code="IMMU NIZ" | |
| 21253 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 21254 | codeSystem Name="HL7" | |
| 21255 | /> | |
| 21256 | <text> | |
| 21257 | <reference | |
| 21258 | value="#im munization Narrative- 25" | |
| 21259 | /> | |
| 21260 | </text> | |
| 21261 | <statusCod e | |
| 21262 | code="comp leted" | |
| 21263 | /> | |
| 21264 | <effective Time | |
| 21265 | value="201 1081900000 0" | |
| 21266 | /> | |
| 21267 | <consumabl e | |
| 21268 | typeCode=" CSM" | |
| 21269 | > | |
| 21270 | <manufactu redProduct | |
| 21271 | classCode= "MANU" | |
| 21272 | > | |
| 21273 | <templateI d | |
| 21274 | root="2.16 .840.1.113 883. IP .54" | |
| 21275 | /> | |
| 21276 | <manufactu redMateria l | |
| 21277 | classCode= "MMAT" | |
| 21278 | determiner Code="KIND " | |
| 21279 | > | |
| 21280 | <code | |
| 21281 | nullFlavor ="UNK" | |
| 21282 | > | |
| 21283 | <originalT ext> | |
| 21284 | <reference | |
| 21285 | value="#im munization OrderedNam e-25" | |
| 21286 | /> | |
| 21287 | </original Text> | |
| 21288 | <translati on | |
| 21289 | nullFlavor ="UNK" | |
| 21290 | /> | |
| 21291 | </code> | |
| 21292 | <name> | |
| 21293 | FLU VACCIN E 3 YRS &a mp; > I M | |
| 21294 | </name> | |
| 21295 | </manufact uredMateri al> | |
| 21296 | </manufact uredProduc t> | |
| 21297 | </consumab le> | |
| 21298 | <informant > | |
| 21299 | <assignedE ntity> | |
| 21300 | <id | |
| 21301 | root="RIQI ORG" | |
| 21302 | extension= "CHYSHR TE ST LAB" | |
| 21303 | /> | |
| 21304 | <addr | |
| 21305 | nullFlavor ="UNK" | |
| 21306 | /> | |
| 21307 | <telecom | |
| 21308 | nullFlavor ="UNK" | |
| 21309 | /> | |
| 21310 | <assignedP erson> | |
| 21311 | <name | |
| 21312 | nullFlavor ="UNK" | |
| 21313 | /> | |
| 21314 | </assigned Person> | |
| 21315 | <represent edOrganiza tion> | |
| 21316 | <id | |
| 21317 | root="2.16 .840.1.113 883.3.915" | |
| 21318 | extension= "CHYSHR TE ST LAB" | |
| 21319 | displayabl e="true" | |
| 21320 | /> | |
| 21321 | <name> | |
| 21322 | CHYSHR TES T LAB | |
| 21323 | </name> | |
| 21324 | <telecom | |
| 21325 | nullFlavor ="UNK" | |
| 21326 | /> | |
| 21327 | <addr | |
| 21328 | nullFlavor ="UNK" | |
| 21329 | /> | |
| 21330 | <asOrganiz ationPartO f> | |
| 21331 | <effective Time | |
| 21332 | nullFlavor ="UNK" | |
| 21333 | /> | |
| 21334 | <wholeOrga nization> | |
| 21335 | <id | |
| 21336 | root="2.16 .840.1.113 883.3.915" | |
| 21337 | /> | |
| 21338 | <id | |
| 21339 | root="2.16 .840.1.113 883.3.915" | |
| 21340 | extension= "HomeCommu nity" | |
| 21341 | displayabl e="true" | |
| 21342 | /> | |
| 21343 | <name> | |
| 21344 | CurrentCar e Test | |
| 21345 | </name> | |
| 21346 | <telecom | |
| 21347 | use="WP" | |
| 21348 | value="tel :401-276-9 141" | |
| 21349 | /> | |
| 21350 | <addr | |
| 21351 | use="WP" | |
| 21352 | > | |
| 21353 | <streetAdd ressLine> | |
| 21354 | 50 Holden St., Suite 300 | |
| 21355 | </streetAd dressLine> | |
| 21356 | <city> | |
| 21357 | Providence | |
| 21358 | </city> | |
| 21359 | <state> | |
| 21360 | RI | |
| 21361 | </state> | |
| 21362 | <postalCod e> | |
| 21363 | 02908 | |
| 21364 | </postalCo de> | |
| 21365 | <country> | |
| 21366 | US | |
| 21367 | </country> | |
| 21368 | </addr> | |
| 21369 | </wholeOrg anization> | |
| 21370 | </asOrgani zationPart Of> | |
| 21371 | </represen tedOrganiz ation> | |
| 21372 | </assigned Entity> | |
| 21373 | </informan t> | |
| 21374 | <entryRela tionship | |
| 21375 | typeCode=" REFR" | |
| 21376 | inversionI nd="false" | |
| 21377 | > | |
| 21378 | <observati on | |
| 21379 | classCode= "OBS" | |
| 21380 | moodCode=" EVN" | |
| 21381 | > | |
| 21382 | <templateI d | |
| 21383 | root="2.16 .840.1.113 883. IP " | |
| 21384 | /> | |
| 21385 | <templateI d | |
| 21386 | root="2.16 .840.1.113 883. IP " | |
| 21387 | /> | |
| 21388 | <code | |
| 21389 | code="3399 9-4" | |
| 21390 | displayNam e="Status" | |
| 21391 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 21392 | codeSystem Name="LOIN C" | |
| 21393 | /> | |
| 21394 | <statusCod e | |
| 21395 | code="comp leted" | |
| 21396 | /> | |
| 21397 | <value | |
| 21398 | code="5556 1003" | |
| 21399 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 21400 | codeSystem Name="SNOM ED-CT" | |
| 21401 | displayNam e="Active" | |
| 21402 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 21403 | xsi:type=" CE" | |
| 21404 | > | |
| 21405 | <originalT ext> | |
| 21406 | Active | |
| 21407 | </original Text> | |
| 21408 | </value> | |
| 21409 | </observat ion> | |
| 21410 | </entryRel ationship> | |
| 21411 | <entryRela tionship | |
| 21412 | typeCode=" SUBJ" | |
| 21413 | > | |
| 21414 | <observati on | |
| 21415 | classCode= "OBS" | |
| 21416 | moodCode=" EVN" | |
| 21417 | > | |
| 21418 | <templateI d | |
| 21419 | root="2.16 .840.1.113 883. IP " | |
| 21420 | /> | |
| 21421 | <code | |
| 21422 | code="3097 3-2" | |
| 21423 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 21424 | codeSystem Name="LOIN C" | |
| 21425 | displayNam e="Dose nu mber" | |
| 21426 | /> | |
| 21427 | <statusCod e | |
| 21428 | code="comp leted" | |
| 21429 | /> | |
| 21430 | <value | |
| 21431 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 21432 | nullFlavor ="UNK" | |
| 21433 | xsi:type=" INT" | |
| 21434 | /> | |
| 21435 | </observat ion> | |
| 21436 | </entryRel ationship> | |
| 21437 | <entryRela tionship | |
| 21438 | typeCode=" SUBJ" | |
| 21439 | inversionI nd="true" | |
| 21440 | > | |
| 21441 | <encounter | |
| 21442 | classCode= "ENC" | |
| 21443 | moodCode=" EVN" | |
| 21444 | > | |
| 21445 | <id | |
| 21446 | root="2.16 .840.1.113 883.3.1275 " | |
| 21447 | extension= "2.16.840. 1.113883.4 .349" | |
| 21448 | /> | |
| 21449 | </encounte r> | |
| 21450 | </entryRel ationship> | |
| 21451 | </substanc eAdministr ation> | |
| 21452 | </entry> | |
| 21453 | <entry | |
| 21454 | typeCode=" DRIV" | |
| 21455 | > | |
| 21456 | <substance Administra tion | |
| 21457 | classCode= "SBADM" | |
| 21458 | negationIn d="false" | |
| 21459 | moodCode=" EVN" | |
| 21460 | > | |
| 21461 | <templateI d | |
| 21462 | root="2.16 .840.1.113 883. IP .52" | |
| 21463 | /> | |
| 21464 | <id | |
| 21465 | nullFlavor ="UNK" | |
| 21466 | /> | |
| 21467 | <id | |
| 21468 | root="2.16 .840.1.113 883.4.349" | |
| 21469 | extension= "FFF03C94- A6A0-11E6- A9A0-5056A 4032400" | |
| 21470 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 21471 | /> | |
| 21472 | <id | |
| 21473 | root="2.16 .840.1.113 883.4.349" | |
| 21474 | extension= "FFF03F00- A6A0-11E6- A9A0-5056A 4032400" | |
| 21475 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 21476 | /> | |
| 21477 | <code | |
| 21478 | code="IMMU NIZ" | |
| 21479 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 21480 | codeSystem Name="HL7" | |
| 21481 | /> | |
| 21482 | <text> | |
| 21483 | <reference | |
| 21484 | value="#im munization Narrative- 26" | |
| 21485 | /> | |
| 21486 | </text> | |
| 21487 | <statusCod e | |
| 21488 | code="comp leted" | |
| 21489 | /> | |
| 21490 | <effective Time | |
| 21491 | value="201 1081900000 0" | |
| 21492 | /> | |
| 21493 | <consumabl e | |
| 21494 | typeCode=" CSM" | |
| 21495 | > | |
| 21496 | <manufactu redProduct | |
| 21497 | classCode= "MANU" | |
| 21498 | > | |
| 21499 | <templateI d | |
| 21500 | root="2.16 .840.1.113 883. IP .54" | |
| 21501 | /> | |
| 21502 | <manufactu redMateria l | |
| 21503 | classCode= "MMAT" | |
| 21504 | determiner Code="KIND " | |
| 21505 | > | |
| 21506 | <code | |
| 21507 | nullFlavor ="UNK" | |
| 21508 | > | |
| 21509 | <originalT ext> | |
| 21510 | <reference | |
| 21511 | value="#im munization OrderedNam e-26" | |
| 21512 | /> | |
| 21513 | </original Text> | |
| 21514 | <translati on | |
| 21515 | nullFlavor ="UNK" | |
| 21516 | /> | |
| 21517 | </code> | |
| 21518 | <name> | |
| 21519 | FLU VACCIN E 3 YRS &a mp; > I M | |
| 21520 | </name> | |
| 21521 | </manufact uredMateri al> | |
| 21522 | </manufact uredProduc t> | |
| 21523 | </consumab le> | |
| 21524 | <informant > | |
| 21525 | <assignedE ntity> | |
| 21526 | <id | |
| 21527 | root="RIQI ORG" | |
| 21528 | extension= "DAYTSHR T EST LAB" | |
| 21529 | /> | |
| 21530 | <addr | |
| 21531 | nullFlavor ="UNK" | |
| 21532 | /> | |
| 21533 | <telecom | |
| 21534 | nullFlavor ="UNK" | |
| 21535 | /> | |
| 21536 | <assignedP erson> | |
| 21537 | <name | |
| 21538 | nullFlavor ="UNK" | |
| 21539 | /> | |
| 21540 | </assigned Person> | |
| 21541 | <represent edOrganiza tion> | |
| 21542 | <id | |
| 21543 | root="2.16 .840.1.113 883.3.915" | |
| 21544 | extension= "DAYTSHR T EST LAB" | |
| 21545 | displayabl e="true" | |
| 21546 | /> | |
| 21547 | <name> | |
| 21548 | DAYTSHR TE ST LAB | |
| 21549 | </name> | |
| 21550 | <telecom | |
| 21551 | nullFlavor ="UNK" | |
| 21552 | /> | |
| 21553 | <addr | |
| 21554 | nullFlavor ="UNK" | |
| 21555 | /> | |
| 21556 | <asOrganiz ationPartO f> | |
| 21557 | <effective Time | |
| 21558 | nullFlavor ="UNK" | |
| 21559 | /> | |
| 21560 | <wholeOrga nization> | |
| 21561 | <id | |
| 21562 | root="2.16 .840.1.113 883.3.915" | |
| 21563 | /> | |
| 21564 | <id | |
| 21565 | root="2.16 .840.1.113 883.3.915" | |
| 21566 | extension= "HomeCommu nity" | |
| 21567 | displayabl e="true" | |
| 21568 | /> | |
| 21569 | <name> | |
| 21570 | CurrentCar e Test | |
| 21571 | </name> | |
| 21572 | <telecom | |
| 21573 | use="WP" | |
| 21574 | value="tel :401-276-9 141" | |
| 21575 | /> | |
| 21576 | <addr | |
| 21577 | use="WP" | |
| 21578 | > | |
| 21579 | <streetAdd ressLine> | |
| 21580 | 50 Holden St., Suite 300 | |
| 21581 | </streetAd dressLine> | |
| 21582 | <city> | |
| 21583 | Providence | |
| 21584 | </city> | |
| 21585 | <state> | |
| 21586 | RI | |
| 21587 | </state> | |
| 21588 | <postalCod e> | |
| 21589 | 02908 | |
| 21590 | </postalCo de> | |
| 21591 | <country> | |
| 21592 | US | |
| 21593 | </country> | |
| 21594 | </addr> | |
| 21595 | </wholeOrg anization> | |
| 21596 | </asOrgani zationPart Of> | |
| 21597 | </represen tedOrganiz ation> | |
| 21598 | </assigned Entity> | |
| 21599 | </informan t> | |
| 21600 | <entryRela tionship | |
| 21601 | typeCode=" REFR" | |
| 21602 | inversionI nd="false" | |
| 21603 | > | |
| 21604 | <observati on | |
| 21605 | classCode= "OBS" | |
| 21606 | moodCode=" EVN" | |
| 21607 | > | |
| 21608 | <templateI d | |
| 21609 | root="2.16 .840.1.113 883. IP " | |
| 21610 | /> | |
| 21611 | <templateI d | |
| 21612 | root="2.16 .840.1.113 883. IP " | |
| 21613 | /> | |
| 21614 | <code | |
| 21615 | code="3399 9-4" | |
| 21616 | displayNam e="Status" | |
| 21617 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 21618 | codeSystem Name="LOIN C" | |
| 21619 | /> | |
| 21620 | <statusCod e | |
| 21621 | code="comp leted" | |
| 21622 | /> | |
| 21623 | <value | |
| 21624 | code="5556 1003" | |
| 21625 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 21626 | codeSystem Name="SNOM ED-CT" | |
| 21627 | displayNam e="Active" | |
| 21628 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 21629 | xsi:type=" CE" | |
| 21630 | > | |
| 21631 | <originalT ext> | |
| 21632 | Active | |
| 21633 | </original Text> | |
| 21634 | </value> | |
| 21635 | </observat ion> | |
| 21636 | </entryRel ationship> | |
| 21637 | <entryRela tionship | |
| 21638 | typeCode=" SUBJ" | |
| 21639 | > | |
| 21640 | <observati on | |
| 21641 | classCode= "OBS" | |
| 21642 | moodCode=" EVN" | |
| 21643 | > | |
| 21644 | <templateI d | |
| 21645 | root="2.16 .840.1.113 883. IP " | |
| 21646 | /> | |
| 21647 | <code | |
| 21648 | code="3097 3-2" | |
| 21649 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 21650 | codeSystem Name="LOIN C" | |
| 21651 | displayNam e="Dose nu mber" | |
| 21652 | /> | |
| 21653 | <statusCod e | |
| 21654 | code="comp leted" | |
| 21655 | /> | |
| 21656 | <value | |
| 21657 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 21658 | nullFlavor ="UNK" | |
| 21659 | xsi:type=" INT" | |
| 21660 | /> | |
| 21661 | </observat ion> | |
| 21662 | </entryRel ationship> | |
| 21663 | <entryRela tionship | |
| 21664 | typeCode=" SUBJ" | |
| 21665 | inversionI nd="true" | |
| 21666 | > | |
| 21667 | <encounter | |
| 21668 | classCode= "ENC" | |
| 21669 | moodCode=" EVN" | |
| 21670 | > | |
| 21671 | <id | |
| 21672 | root="2.16 .840.1.113 883.3.1275 " | |
| 21673 | extension= "2.16.840. 1.113883.4 .349" | |
| 21674 | /> | |
| 21675 | </encounte r> | |
| 21676 | </entryRel ationship> | |
| 21677 | </substanc eAdministr ation> | |
| 21678 | </entry> | |
| 21679 | <entry | |
| 21680 | typeCode=" DRIV" | |
| 21681 | > | |
| 21682 | <substance Administra tion | |
| 21683 | classCode= "SBADM" | |
| 21684 | negationIn d="false" | |
| 21685 | moodCode=" EVN" | |
| 21686 | > | |
| 21687 | <templateI d | |
| 21688 | root="2.16 .840.1.113 883. IP .52" | |
| 21689 | /> | |
| 21690 | <id | |
| 21691 | nullFlavor ="UNK" | |
| 21692 | /> | |
| 21693 | <id | |
| 21694 | root="2.16 .840.1.113 883.4.349" | |
| 21695 | extension= "FFE9A852- A6A0-11E6- A9A0-5056A 4032400" | |
| 21696 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 21697 | /> | |
| 21698 | <id | |
| 21699 | root="2.16 .840.1.113 883.4.349" | |
| 21700 | extension= "FFE9AB22- A6A0-11E6- A9A0-5056A 4032400" | |
| 21701 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 21702 | /> | |
| 21703 | <code | |
| 21704 | code="IMMU NIZ" | |
| 21705 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 21706 | codeSystem Name="HL7" | |
| 21707 | /> | |
| 21708 | <text> | |
| 21709 | <reference | |
| 21710 | value="#im munization Narrative- 27" | |
| 21711 | /> | |
| 21712 | </text> | |
| 21713 | <statusCod e | |
| 21714 | code="comp leted" | |
| 21715 | /> | |
| 21716 | <effective Time | |
| 21717 | value="201 0012400000 0" | |
| 21718 | /> | |
| 21719 | <consumabl e | |
| 21720 | typeCode=" CSM" | |
| 21721 | > | |
| 21722 | <manufactu redProduct | |
| 21723 | classCode= "MANU" | |
| 21724 | > | |
| 21725 | <templateI d | |
| 21726 | root="2.16 .840.1.113 883. IP .54" | |
| 21727 | /> | |
| 21728 | <manufactu redMateria l | |
| 21729 | classCode= "MMAT" | |
| 21730 | determiner Code="KIND " | |
| 21731 | > | |
| 21732 | <code | |
| 21733 | nullFlavor ="UNK" | |
| 21734 | > | |
| 21735 | <originalT ext> | |
| 21736 | <reference | |
| 21737 | value="#im munization OrderedNam e-27" | |
| 21738 | /> | |
| 21739 | </original Text> | |
| 21740 | <translati on | |
| 21741 | nullFlavor ="UNK" | |
| 21742 | /> | |
| 21743 | </code> | |
| 21744 | <name> | |
| 21745 | FLU VACCIN E 3 YRS &a mp; > I M | |
| 21746 | </name> | |
| 21747 | </manufact uredMateri al> | |
| 21748 | </manufact uredProduc t> | |
| 21749 | </consumab le> | |
| 21750 | <informant > | |
| 21751 | <assignedE ntity> | |
| 21752 | <id | |
| 21753 | root="RIQI ORG" | |
| 21754 | extension= "CHYSHR TE ST LAB" | |
| 21755 | /> | |
| 21756 | <addr | |
| 21757 | nullFlavor ="UNK" | |
| 21758 | /> | |
| 21759 | <telecom | |
| 21760 | nullFlavor ="UNK" | |
| 21761 | /> | |
| 21762 | <assignedP erson> | |
| 21763 | <name | |
| 21764 | nullFlavor ="UNK" | |
| 21765 | /> | |
| 21766 | </assigned Person> | |
| 21767 | <represent edOrganiza tion> | |
| 21768 | <id | |
| 21769 | root="2.16 .840.1.113 883.3.915" | |
| 21770 | extension= "CHYSHR TE ST LAB" | |
| 21771 | displayabl e="true" | |
| 21772 | /> | |
| 21773 | <name> | |
| 21774 | CHYSHR TES T LAB | |
| 21775 | </name> | |
| 21776 | <telecom | |
| 21777 | nullFlavor ="UNK" | |
| 21778 | /> | |
| 21779 | <addr | |
| 21780 | nullFlavor ="UNK" | |
| 21781 | /> | |
| 21782 | <asOrganiz ationPartO f> | |
| 21783 | <effective Time | |
| 21784 | nullFlavor ="UNK" | |
| 21785 | /> | |
| 21786 | <wholeOrga nization> | |
| 21787 | <id | |
| 21788 | root="2.16 .840.1.113 883.3.915" | |
| 21789 | /> | |
| 21790 | <id | |
| 21791 | root="2.16 .840.1.113 883.3.915" | |
| 21792 | extension= "HomeCommu nity" | |
| 21793 | displayabl e="true" | |
| 21794 | /> | |
| 21795 | <name> | |
| 21796 | CurrentCar e Test | |
| 21797 | </name> | |
| 21798 | <telecom | |
| 21799 | use="WP" | |
| 21800 | value="tel :401-276-9 141" | |
| 21801 | /> | |
| 21802 | <addr | |
| 21803 | use="WP" | |
| 21804 | > | |
| 21805 | <streetAdd ressLine> | |
| 21806 | 50 Holden St., Suite 300 | |
| 21807 | </streetAd dressLine> | |
| 21808 | <city> | |
| 21809 | Providence | |
| 21810 | </city> | |
| 21811 | <state> | |
| 21812 | RI | |
| 21813 | </state> | |
| 21814 | <postalCod e> | |
| 21815 | 02908 | |
| 21816 | </postalCo de> | |
| 21817 | <country> | |
| 21818 | US | |
| 21819 | </country> | |
| 21820 | </addr> | |
| 21821 | </wholeOrg anization> | |
| 21822 | </asOrgani zationPart Of> | |
| 21823 | </represen tedOrganiz ation> | |
| 21824 | </assigned Entity> | |
| 21825 | </informan t> | |
| 21826 | <entryRela tionship | |
| 21827 | typeCode=" REFR" | |
| 21828 | inversionI nd="false" | |
| 21829 | > | |
| 21830 | <observati on | |
| 21831 | classCode= "OBS" | |
| 21832 | moodCode=" EVN" | |
| 21833 | > | |
| 21834 | <templateI d | |
| 21835 | root="2.16 .840.1.113 883. IP " | |
| 21836 | /> | |
| 21837 | <templateI d | |
| 21838 | root="2.16 .840.1.113 883. IP " | |
| 21839 | /> | |
| 21840 | <code | |
| 21841 | code="3399 9-4" | |
| 21842 | displayNam e="Status" | |
| 21843 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 21844 | codeSystem Name="LOIN C" | |
| 21845 | /> | |
| 21846 | <statusCod e | |
| 21847 | code="comp leted" | |
| 21848 | /> | |
| 21849 | <value | |
| 21850 | code="5556 1003" | |
| 21851 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 21852 | codeSystem Name="SNOM ED-CT" | |
| 21853 | displayNam e="Active" | |
| 21854 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 21855 | xsi:type=" CE" | |
| 21856 | > | |
| 21857 | <originalT ext> | |
| 21858 | Active | |
| 21859 | </original Text> | |
| 21860 | </value> | |
| 21861 | </observat ion> | |
| 21862 | </entryRel ationship> | |
| 21863 | <entryRela tionship | |
| 21864 | typeCode=" SUBJ" | |
| 21865 | > | |
| 21866 | <observati on | |
| 21867 | classCode= "OBS" | |
| 21868 | moodCode=" EVN" | |
| 21869 | > | |
| 21870 | <templateI d | |
| 21871 | root="2.16 .840.1.113 883. IP " | |
| 21872 | /> | |
| 21873 | <code | |
| 21874 | code="3097 3-2" | |
| 21875 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 21876 | codeSystem Name="LOIN C" | |
| 21877 | displayNam e="Dose nu mber" | |
| 21878 | /> | |
| 21879 | <statusCod e | |
| 21880 | code="comp leted" | |
| 21881 | /> | |
| 21882 | <value | |
| 21883 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 21884 | nullFlavor ="UNK" | |
| 21885 | xsi:type=" INT" | |
| 21886 | /> | |
| 21887 | </observat ion> | |
| 21888 | </entryRel ationship> | |
| 21889 | <entryRela tionship | |
| 21890 | typeCode=" SUBJ" | |
| 21891 | inversionI nd="true" | |
| 21892 | > | |
| 21893 | <encounter | |
| 21894 | classCode= "ENC" | |
| 21895 | moodCode=" EVN" | |
| 21896 | > | |
| 21897 | <id | |
| 21898 | root="2.16 .840.1.113 883.3.1275 " | |
| 21899 | extension= "2.16.840. 1.113883.4 .349" | |
| 21900 | /> | |
| 21901 | </encounte r> | |
| 21902 | </entryRel ationship> | |
| 21903 | </substanc eAdministr ation> | |
| 21904 | </entry> | |
| 21905 | <entry | |
| 21906 | typeCode=" DRIV" | |
| 21907 | > | |
| 21908 | <substance Administra tion | |
| 21909 | classCode= "SBADM" | |
| 21910 | negationIn d="false" | |
| 21911 | moodCode=" EVN" | |
| 21912 | > | |
| 21913 | <templateI d | |
| 21914 | root="2.16 .840.1.113 883. IP .52" | |
| 21915 | /> | |
| 21916 | <id | |
| 21917 | nullFlavor ="UNK" | |
| 21918 | /> | |
| 21919 | <id | |
| 21920 | root="2.16 .840.1.113 883.4.349" | |
| 21921 | extension= "FFE9EB50- A6A0-11E6- A9A0-5056A 4032400" | |
| 21922 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 21923 | /> | |
| 21924 | <id | |
| 21925 | root="2.16 .840.1.113 883.4.349" | |
| 21926 | extension= "FFE9EDB2- A6A0-11E6- A9A0-5056A 4032400" | |
| 21927 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 21928 | /> | |
| 21929 | <code | |
| 21930 | code="IMMU NIZ" | |
| 21931 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 21932 | codeSystem Name="HL7" | |
| 21933 | /> | |
| 21934 | <text> | |
| 21935 | <reference | |
| 21936 | value="#im munization Narrative- 28" | |
| 21937 | /> | |
| 21938 | </text> | |
| 21939 | <statusCod e | |
| 21940 | code="comp leted" | |
| 21941 | /> | |
| 21942 | <effective Time | |
| 21943 | value="200 9012400000 0" | |
| 21944 | /> | |
| 21945 | <consumabl e | |
| 21946 | typeCode=" CSM" | |
| 21947 | > | |
| 21948 | <manufactu redProduct | |
| 21949 | classCode= "MANU" | |
| 21950 | > | |
| 21951 | <templateI d | |
| 21952 | root="2.16 .840.1.113 883. IP .54" | |
| 21953 | /> | |
| 21954 | <manufactu redMateria l | |
| 21955 | classCode= "MMAT" | |
| 21956 | determiner Code="KIND " | |
| 21957 | > | |
| 21958 | <code | |
| 21959 | nullFlavor ="UNK" | |
| 21960 | > | |
| 21961 | <originalT ext> | |
| 21962 | <reference | |
| 21963 | value="#im munization OrderedNam e-28" | |
| 21964 | /> | |
| 21965 | </original Text> | |
| 21966 | <translati on | |
| 21967 | nullFlavor ="UNK" | |
| 21968 | /> | |
| 21969 | </code> | |
| 21970 | <name> | |
| 21971 | FLU VACCIN E 3 YRS &a mp; > I M | |
| 21972 | </name> | |
| 21973 | </manufact uredMateri al> | |
| 21974 | </manufact uredProduc t> | |
| 21975 | </consumab le> | |
| 21976 | <informant > | |
| 21977 | <assignedE ntity> | |
| 21978 | <id | |
| 21979 | root="RIQI ORG" | |
| 21980 | extension= "CHYSHR TE ST LAB" | |
| 21981 | /> | |
| 21982 | <addr | |
| 21983 | nullFlavor ="UNK" | |
| 21984 | /> | |
| 21985 | <telecom | |
| 21986 | nullFlavor ="UNK" | |
| 21987 | /> | |
| 21988 | <assignedP erson> | |
| 21989 | <name | |
| 21990 | nullFlavor ="UNK" | |
| 21991 | /> | |
| 21992 | </assigned Person> | |
| 21993 | <represent edOrganiza tion> | |
| 21994 | <id | |
| 21995 | root="2.16 .840.1.113 883.3.915" | |
| 21996 | extension= "CHYSHR TE ST LAB" | |
| 21997 | displayabl e="true" | |
| 21998 | /> | |
| 21999 | <name> | |
| 22000 | CHYSHR TES T LAB | |
| 22001 | </name> | |
| 22002 | <telecom | |
| 22003 | nullFlavor ="UNK" | |
| 22004 | /> | |
| 22005 | <addr | |
| 22006 | nullFlavor ="UNK" | |
| 22007 | /> | |
| 22008 | <asOrganiz ationPartO f> | |
| 22009 | <effective Time | |
| 22010 | nullFlavor ="UNK" | |
| 22011 | /> | |
| 22012 | <wholeOrga nization> | |
| 22013 | <id | |
| 22014 | root="2.16 .840.1.113 883.3.915" | |
| 22015 | /> | |
| 22016 | <id | |
| 22017 | root="2.16 .840.1.113 883.3.915" | |
| 22018 | extension= "HomeCommu nity" | |
| 22019 | displayabl e="true" | |
| 22020 | /> | |
| 22021 | <name> | |
| 22022 | CurrentCar e Test | |
| 22023 | </name> | |
| 22024 | <telecom | |
| 22025 | use="WP" | |
| 22026 | value="tel :401-276-9 141" | |
| 22027 | /> | |
| 22028 | <addr | |
| 22029 | use="WP" | |
| 22030 | > | |
| 22031 | <streetAdd ressLine> | |
| 22032 | 50 Holden St., Suite 300 | |
| 22033 | </streetAd dressLine> | |
| 22034 | <city> | |
| 22035 | Providence | |
| 22036 | </city> | |
| 22037 | <state> | |
| 22038 | RI | |
| 22039 | </state> | |
| 22040 | <postalCod e> | |
| 22041 | 02908 | |
| 22042 | </postalCo de> | |
| 22043 | <country> | |
| 22044 | US | |
| 22045 | </country> | |
| 22046 | </addr> | |
| 22047 | </wholeOrg anization> | |
| 22048 | </asOrgani zationPart Of> | |
| 22049 | </represen tedOrganiz ation> | |
| 22050 | </assigned Entity> | |
| 22051 | </informan t> | |
| 22052 | <entryRela tionship | |
| 22053 | typeCode=" REFR" | |
| 22054 | inversionI nd="false" | |
| 22055 | > | |
| 22056 | <observati on | |
| 22057 | classCode= "OBS" | |
| 22058 | moodCode=" EVN" | |
| 22059 | > | |
| 22060 | <templateI d | |
| 22061 | root="2.16 .840.1.113 883. IP " | |
| 22062 | /> | |
| 22063 | <templateI d | |
| 22064 | root="2.16 .840.1.113 883. IP " | |
| 22065 | /> | |
| 22066 | <code | |
| 22067 | code="3399 9-4" | |
| 22068 | displayNam e="Status" | |
| 22069 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 22070 | codeSystem Name="LOIN C" | |
| 22071 | /> | |
| 22072 | <statusCod e | |
| 22073 | code="comp leted" | |
| 22074 | /> | |
| 22075 | <value | |
| 22076 | code="5556 1003" | |
| 22077 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 22078 | codeSystem Name="SNOM ED-CT" | |
| 22079 | displayNam e="Active" | |
| 22080 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 22081 | xsi:type=" CE" | |
| 22082 | > | |
| 22083 | <originalT ext> | |
| 22084 | Active | |
| 22085 | </original Text> | |
| 22086 | </value> | |
| 22087 | </observat ion> | |
| 22088 | </entryRel ationship> | |
| 22089 | <entryRela tionship | |
| 22090 | typeCode=" SUBJ" | |
| 22091 | > | |
| 22092 | <observati on | |
| 22093 | classCode= "OBS" | |
| 22094 | moodCode=" EVN" | |
| 22095 | > | |
| 22096 | <templateI d | |
| 22097 | root="2.16 .840.1.113 883. IP " | |
| 22098 | /> | |
| 22099 | <code | |
| 22100 | code="3097 3-2" | |
| 22101 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 22102 | codeSystem Name="LOIN C" | |
| 22103 | displayNam e="Dose nu mber" | |
| 22104 | /> | |
| 22105 | <statusCod e | |
| 22106 | code="comp leted" | |
| 22107 | /> | |
| 22108 | <value | |
| 22109 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 22110 | nullFlavor ="UNK" | |
| 22111 | xsi:type=" INT" | |
| 22112 | /> | |
| 22113 | </observat ion> | |
| 22114 | </entryRel ationship> | |
| 22115 | <entryRela tionship | |
| 22116 | typeCode=" SUBJ" | |
| 22117 | inversionI nd="true" | |
| 22118 | > | |
| 22119 | <encounter | |
| 22120 | classCode= "ENC" | |
| 22121 | moodCode=" EVN" | |
| 22122 | > | |
| 22123 | <id | |
| 22124 | root="2.16 .840.1.113 883.3.1275 " | |
| 22125 | extension= "2.16.840. 1.113883.4 .349" | |
| 22126 | /> | |
| 22127 | </encounte r> | |
| 22128 | </entryRel ationship> | |
| 22129 | </substanc eAdministr ation> | |
| 22130 | </entry> | |
| 22131 | <entry | |
| 22132 | typeCode=" DRIV" | |
| 22133 | > | |
| 22134 | <substance Administra tion | |
| 22135 | classCode= "SBADM" | |
| 22136 | negationIn d="false" | |
| 22137 | moodCode=" EVN" | |
| 22138 | > | |
| 22139 | <templateI d | |
| 22140 | root="2.16 .840.1.113 883. IP .52" | |
| 22141 | /> | |
| 22142 | <id | |
| 22143 | nullFlavor ="UNK" | |
| 22144 | /> | |
| 22145 | <id | |
| 22146 | root="2.16 .840.1.113 883.4.349" | |
| 22147 | extension= "FFF0C0E2- A6A0-11E6- A9A0-5056A 4032400" | |
| 22148 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 22149 | /> | |
| 22150 | <id | |
| 22151 | root="2.16 .840.1.113 883.4.349" | |
| 22152 | extension= "FFF0C358- A6A0-11E6- A9A0-5056A 4032400" | |
| 22153 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 22154 | /> | |
| 22155 | <code | |
| 22156 | code="IMMU NIZ" | |
| 22157 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 22158 | codeSystem Name="HL7" | |
| 22159 | /> | |
| 22160 | <text> | |
| 22161 | <reference | |
| 22162 | value="#im munization Narrative- 29" | |
| 22163 | /> | |
| 22164 | </text> | |
| 22165 | <statusCod e | |
| 22166 | code="comp leted" | |
| 22167 | /> | |
| 22168 | <effective Time | |
| 22169 | value="200 9012400000 0" | |
| 22170 | /> | |
| 22171 | <consumabl e | |
| 22172 | typeCode=" CSM" | |
| 22173 | > | |
| 22174 | <manufactu redProduct | |
| 22175 | classCode= "MANU" | |
| 22176 | > | |
| 22177 | <templateI d | |
| 22178 | root="2.16 .840.1.113 883. IP .54" | |
| 22179 | /> | |
| 22180 | <manufactu redMateria l | |
| 22181 | classCode= "MMAT" | |
| 22182 | determiner Code="KIND " | |
| 22183 | > | |
| 22184 | <code | |
| 22185 | nullFlavor ="UNK" | |
| 22186 | > | |
| 22187 | <originalT ext> | |
| 22188 | <reference | |
| 22189 | value="#im munization OrderedNam e-29" | |
| 22190 | /> | |
| 22191 | </original Text> | |
| 22192 | <translati on | |
| 22193 | nullFlavor ="UNK" | |
| 22194 | /> | |
| 22195 | </code> | |
| 22196 | <name> | |
| 22197 | FLU VACCIN E 3 YRS &a mp; > I M | |
| 22198 | </name> | |
| 22199 | </manufact uredMateri al> | |
| 22200 | </manufact uredProduc t> | |
| 22201 | </consumab le> | |
| 22202 | <informant > | |
| 22203 | <assignedE ntity> | |
| 22204 | <id | |
| 22205 | root="RIQI ORG" | |
| 22206 | extension= "DAYTSHR T EST LAB" | |
| 22207 | /> | |
| 22208 | <addr | |
| 22209 | nullFlavor ="UNK" | |
| 22210 | /> | |
| 22211 | <telecom | |
| 22212 | nullFlavor ="UNK" | |
| 22213 | /> | |
| 22214 | <assignedP erson> | |
| 22215 | <name | |
| 22216 | nullFlavor ="UNK" | |
| 22217 | /> | |
| 22218 | </assigned Person> | |
| 22219 | <represent edOrganiza tion> | |
| 22220 | <id | |
| 22221 | root="2.16 .840.1.113 883.3.915" | |
| 22222 | extension= "DAYTSHR T EST LAB" | |
| 22223 | displayabl e="true" | |
| 22224 | /> | |
| 22225 | <name> | |
| 22226 | DAYTSHR TE ST LAB | |
| 22227 | </name> | |
| 22228 | <telecom | |
| 22229 | nullFlavor ="UNK" | |
| 22230 | /> | |
| 22231 | <addr | |
| 22232 | nullFlavor ="UNK" | |
| 22233 | /> | |
| 22234 | <asOrganiz ationPartO f> | |
| 22235 | <effective Time | |
| 22236 | nullFlavor ="UNK" | |
| 22237 | /> | |
| 22238 | <wholeOrga nization> | |
| 22239 | <id | |
| 22240 | root="2.16 .840.1.113 883.3.915" | |
| 22241 | /> | |
| 22242 | <id | |
| 22243 | root="2.16 .840.1.113 883.3.915" | |
| 22244 | extension= "HomeCommu nity" | |
| 22245 | displayabl e="true" | |
| 22246 | /> | |
| 22247 | <name> | |
| 22248 | CurrentCar e Test | |
| 22249 | </name> | |
| 22250 | <telecom | |
| 22251 | use="WP" | |
| 22252 | value="tel :401-276-9 141" | |
| 22253 | /> | |
| 22254 | <addr | |
| 22255 | use="WP" | |
| 22256 | > | |
| 22257 | <streetAdd ressLine> | |
| 22258 | 50 Holden St., Suite 300 | |
| 22259 | </streetAd dressLine> | |
| 22260 | <city> | |
| 22261 | Providence | |
| 22262 | </city> | |
| 22263 | <state> | |
| 22264 | RI | |
| 22265 | </state> | |
| 22266 | <postalCod e> | |
| 22267 | 02908 | |
| 22268 | </postalCo de> | |
| 22269 | <country> | |
| 22270 | US | |
| 22271 | </country> | |
| 22272 | </addr> | |
| 22273 | </wholeOrg anization> | |
| 22274 | </asOrgani zationPart Of> | |
| 22275 | </represen tedOrganiz ation> | |
| 22276 | </assigned Entity> | |
| 22277 | </informan t> | |
| 22278 | <entryRela tionship | |
| 22279 | typeCode=" REFR" | |
| 22280 | inversionI nd="false" | |
| 22281 | > | |
| 22282 | <observati on | |
| 22283 | classCode= "OBS" | |
| 22284 | moodCode=" EVN" | |
| 22285 | > | |
| 22286 | <templateI d | |
| 22287 | root="2.16 .840.1.113 883. IP " | |
| 22288 | /> | |
| 22289 | <templateI d | |
| 22290 | root="2.16 .840.1.113 883. IP " | |
| 22291 | /> | |
| 22292 | <code | |
| 22293 | code="3399 9-4" | |
| 22294 | displayNam e="Status" | |
| 22295 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 22296 | codeSystem Name="LOIN C" | |
| 22297 | /> | |
| 22298 | <statusCod e | |
| 22299 | code="comp leted" | |
| 22300 | /> | |
| 22301 | <value | |
| 22302 | code="5556 1003" | |
| 22303 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 22304 | codeSystem Name="SNOM ED-CT" | |
| 22305 | displayNam e="Active" | |
| 22306 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 22307 | xsi:type=" CE" | |
| 22308 | > | |
| 22309 | <originalT ext> | |
| 22310 | Active | |
| 22311 | </original Text> | |
| 22312 | </value> | |
| 22313 | </observat ion> | |
| 22314 | </entryRel ationship> | |
| 22315 | <entryRela tionship | |
| 22316 | typeCode=" SUBJ" | |
| 22317 | > | |
| 22318 | <observati on | |
| 22319 | classCode= "OBS" | |
| 22320 | moodCode=" EVN" | |
| 22321 | > | |
| 22322 | <templateI d | |
| 22323 | root="2.16 .840.1.113 883. IP " | |
| 22324 | /> | |
| 22325 | <code | |
| 22326 | code="3097 3-2" | |
| 22327 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 22328 | codeSystem Name="LOIN C" | |
| 22329 | displayNam e="Dose nu mber" | |
| 22330 | /> | |
| 22331 | <statusCod e | |
| 22332 | code="comp leted" | |
| 22333 | /> | |
| 22334 | <value | |
| 22335 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 22336 | nullFlavor ="UNK" | |
| 22337 | xsi:type=" INT" | |
| 22338 | /> | |
| 22339 | </observat ion> | |
| 22340 | </entryRel ationship> | |
| 22341 | <entryRela tionship | |
| 22342 | typeCode=" SUBJ" | |
| 22343 | inversionI nd="true" | |
| 22344 | > | |
| 22345 | <encounter | |
| 22346 | classCode= "ENC" | |
| 22347 | moodCode=" EVN" | |
| 22348 | > | |
| 22349 | <id | |
| 22350 | root="2.16 .840.1.113 883.3.1275 " | |
| 22351 | extension= "2.16.840. 1.113883.4 .349" | |
| 22352 | /> | |
| 22353 | </encounte r> | |
| 22354 | </entryRel ationship> | |
| 22355 | </substanc eAdministr ation> | |
| 22356 | </entry> | |
| 22357 | <entry | |
| 22358 | typeCode=" DRIV" | |
| 22359 | > | |
| 22360 | <substance Administra tion | |
| 22361 | classCode= "SBADM" | |
| 22362 | negationIn d="false" | |
| 22363 | moodCode=" EVN" | |
| 22364 | > | |
| 22365 | <templateI d | |
| 22366 | root="2.16 .840.1.113 883. IP .52" | |
| 22367 | /> | |
| 22368 | <id | |
| 22369 | nullFlavor ="UNK" | |
| 22370 | /> | |
| 22371 | <id | |
| 22372 | root="2.16 .840.1.113 883.4.349" | |
| 22373 | extension= "FFEA421C- A6A0-11E6- A9A0-5056A 4032400" | |
| 22374 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 22375 | /> | |
| 22376 | <id | |
| 22377 | root="2.16 .840.1.113 883.4.349" | |
| 22378 | extension= "FFEA449C- A6A0-11E6- A9A0-5056A 4032400" | |
| 22379 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 22380 | /> | |
| 22381 | <code | |
| 22382 | code="IMMU NIZ" | |
| 22383 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 22384 | codeSystem Name="HL7" | |
| 22385 | /> | |
| 22386 | <text> | |
| 22387 | <reference | |
| 22388 | value="#im munization Narrative- 30" | |
| 22389 | /> | |
| 22390 | </text> | |
| 22391 | <statusCod e | |
| 22392 | code="comp leted" | |
| 22393 | /> | |
| 22394 | <effective Time | |
| 22395 | value="200 8062400000 0" | |
| 22396 | /> | |
| 22397 | <consumabl e | |
| 22398 | typeCode=" CSM" | |
| 22399 | > | |
| 22400 | <manufactu redProduct | |
| 22401 | classCode= "MANU" | |
| 22402 | > | |
| 22403 | <templateI d | |
| 22404 | root="2.16 .840.1.113 883. IP .54" | |
| 22405 | /> | |
| 22406 | <manufactu redMateria l | |
| 22407 | classCode= "MMAT" | |
| 22408 | determiner Code="KIND " | |
| 22409 | > | |
| 22410 | <code | |
| 22411 | nullFlavor ="UNK" | |
| 22412 | > | |
| 22413 | <originalT ext> | |
| 22414 | <reference | |
| 22415 | value="#im munization OrderedNam e-30" | |
| 22416 | /> | |
| 22417 | </original Text> | |
| 22418 | <translati on | |
| 22419 | nullFlavor ="UNK" | |
| 22420 | /> | |
| 22421 | </code> | |
| 22422 | <name> | |
| 22423 | ZOSTER(SHI NGLES) | |
| 22424 | </name> | |
| 22425 | </manufact uredMateri al> | |
| 22426 | </manufact uredProduc t> | |
| 22427 | </consumab le> | |
| 22428 | <informant > | |
| 22429 | <assignedE ntity> | |
| 22430 | <id | |
| 22431 | root="RIQI ORG" | |
| 22432 | extension= "CHYSHR TE ST LAB" | |
| 22433 | /> | |
| 22434 | <addr | |
| 22435 | nullFlavor ="UNK" | |
| 22436 | /> | |
| 22437 | <telecom | |
| 22438 | nullFlavor ="UNK" | |
| 22439 | /> | |
| 22440 | <assignedP erson> | |
| 22441 | <name | |
| 22442 | nullFlavor ="UNK" | |
| 22443 | /> | |
| 22444 | </assigned Person> | |
| 22445 | <represent edOrganiza tion> | |
| 22446 | <id | |
| 22447 | root="2.16 .840.1.113 883.3.915" | |
| 22448 | extension= "CHYSHR TE ST LAB" | |
| 22449 | displayabl e="true" | |
| 22450 | /> | |
| 22451 | <name> | |
| 22452 | CHYSHR TES T LAB | |
| 22453 | </name> | |
| 22454 | <telecom | |
| 22455 | nullFlavor ="UNK" | |
| 22456 | /> | |
| 22457 | <addr | |
| 22458 | nullFlavor ="UNK" | |
| 22459 | /> | |
| 22460 | <asOrganiz ationPartO f> | |
| 22461 | <effective Time | |
| 22462 | nullFlavor ="UNK" | |
| 22463 | /> | |
| 22464 | <wholeOrga nization> | |
| 22465 | <id | |
| 22466 | root="2.16 .840.1.113 883.3.915" | |
| 22467 | /> | |
| 22468 | <id | |
| 22469 | root="2.16 .840.1.113 883.3.915" | |
| 22470 | extension= "HomeCommu nity" | |
| 22471 | displayabl e="true" | |
| 22472 | /> | |
| 22473 | <name> | |
| 22474 | CurrentCar e Test | |
| 22475 | </name> | |
| 22476 | <telecom | |
| 22477 | use="WP" | |
| 22478 | value="tel :401-276-9 141" | |
| 22479 | /> | |
| 22480 | <addr | |
| 22481 | use="WP" | |
| 22482 | > | |
| 22483 | <streetAdd ressLine> | |
| 22484 | 50 Holden St., Suite 300 | |
| 22485 | </streetAd dressLine> | |
| 22486 | <city> | |
| 22487 | Providence | |
| 22488 | </city> | |
| 22489 | <state> | |
| 22490 | RI | |
| 22491 | </state> | |
| 22492 | <postalCod e> | |
| 22493 | 02908 | |
| 22494 | </postalCo de> | |
| 22495 | <country> | |
| 22496 | US | |
| 22497 | </country> | |
| 22498 | </addr> | |
| 22499 | </wholeOrg anization> | |
| 22500 | </asOrgani zationPart Of> | |
| 22501 | </represen tedOrganiz ation> | |
| 22502 | </assigned Entity> | |
| 22503 | </informan t> | |
| 22504 | <entryRela tionship | |
| 22505 | typeCode=" REFR" | |
| 22506 | inversionI nd="false" | |
| 22507 | > | |
| 22508 | <observati on | |
| 22509 | classCode= "OBS" | |
| 22510 | moodCode=" EVN" | |
| 22511 | > | |
| 22512 | <templateI d | |
| 22513 | root="2.16 .840.1.113 883. IP " | |
| 22514 | /> | |
| 22515 | <templateI d | |
| 22516 | root="2.16 .840.1.113 883. IP " | |
| 22517 | /> | |
| 22518 | <code | |
| 22519 | code="3399 9-4" | |
| 22520 | displayNam e="Status" | |
| 22521 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 22522 | codeSystem Name="LOIN C" | |
| 22523 | /> | |
| 22524 | <statusCod e | |
| 22525 | code="comp leted" | |
| 22526 | /> | |
| 22527 | <value | |
| 22528 | code="5556 1003" | |
| 22529 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 22530 | codeSystem Name="SNOM ED-CT" | |
| 22531 | displayNam e="Active" | |
| 22532 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 22533 | xsi:type=" CE" | |
| 22534 | > | |
| 22535 | <originalT ext> | |
| 22536 | Active | |
| 22537 | </original Text> | |
| 22538 | </value> | |
| 22539 | </observat ion> | |
| 22540 | </entryRel ationship> | |
| 22541 | <entryRela tionship | |
| 22542 | typeCode=" SUBJ" | |
| 22543 | > | |
| 22544 | <observati on | |
| 22545 | classCode= "OBS" | |
| 22546 | moodCode=" EVN" | |
| 22547 | > | |
| 22548 | <templateI d | |
| 22549 | root="2.16 .840.1.113 883. IP " | |
| 22550 | /> | |
| 22551 | <code | |
| 22552 | code="3097 3-2" | |
| 22553 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 22554 | codeSystem Name="LOIN C" | |
| 22555 | displayNam e="Dose nu mber" | |
| 22556 | /> | |
| 22557 | <statusCod e | |
| 22558 | code="comp leted" | |
| 22559 | /> | |
| 22560 | <value | |
| 22561 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 22562 | nullFlavor ="UNK" | |
| 22563 | xsi:type=" INT" | |
| 22564 | /> | |
| 22565 | </observat ion> | |
| 22566 | </entryRel ationship> | |
| 22567 | <entryRela tionship | |
| 22568 | typeCode=" SUBJ" | |
| 22569 | inversionI nd="true" | |
| 22570 | > | |
| 22571 | <encounter | |
| 22572 | classCode= "ENC" | |
| 22573 | moodCode=" EVN" | |
| 22574 | > | |
| 22575 | <id | |
| 22576 | root="2.16 .840.1.113 883.3.1275 " | |
| 22577 | extension= "2.16.840. 1.113883.4 .349" | |
| 22578 | /> | |
| 22579 | </encounte r> | |
| 22580 | </entryRel ationship> | |
| 22581 | </substanc eAdministr ation> | |
| 22582 | </entry> | |
| 22583 | <entry | |
| 22584 | typeCode=" DRIV" | |
| 22585 | > | |
| 22586 | <substance Administra tion | |
| 22587 | classCode= "SBADM" | |
| 22588 | negationIn d="false" | |
| 22589 | moodCode=" EVN" | |
| 22590 | > | |
| 22591 | <templateI d | |
| 22592 | root="2.16 .840.1.113 883. IP .52" | |
| 22593 | /> | |
| 22594 | <id | |
| 22595 | nullFlavor ="UNK" | |
| 22596 | /> | |
| 22597 | <id | |
| 22598 | root="2.16 .840.1.113 883.4.349" | |
| 22599 | extension= "FFF16236- A6A0-11E6- A9A0-5056A 4032400" | |
| 22600 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 22601 | /> | |
| 22602 | <id | |
| 22603 | root="2.16 .840.1.113 883.4.349" | |
| 22604 | extension= "FFF16498- A6A0-11E6- A9A0-5056A 4032400" | |
| 22605 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 22606 | /> | |
| 22607 | <code | |
| 22608 | code="IMMU NIZ" | |
| 22609 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 22610 | codeSystem Name="HL7" | |
| 22611 | /> | |
| 22612 | <text> | |
| 22613 | <reference | |
| 22614 | value="#im munization Narrative- 31" | |
| 22615 | /> | |
| 22616 | </text> | |
| 22617 | <statusCod e | |
| 22618 | code="comp leted" | |
| 22619 | /> | |
| 22620 | <effective Time | |
| 22621 | value="200 8062400000 0" | |
| 22622 | /> | |
| 22623 | <consumabl e | |
| 22624 | typeCode=" CSM" | |
| 22625 | > | |
| 22626 | <manufactu redProduct | |
| 22627 | classCode= "MANU" | |
| 22628 | > | |
| 22629 | <templateI d | |
| 22630 | root="2.16 .840.1.113 883. IP .54" | |
| 22631 | /> | |
| 22632 | <manufactu redMateria l | |
| 22633 | classCode= "MMAT" | |
| 22634 | determiner Code="KIND " | |
| 22635 | > | |
| 22636 | <code | |
| 22637 | nullFlavor ="UNK" | |
| 22638 | > | |
| 22639 | <originalT ext> | |
| 22640 | <reference | |
| 22641 | value="#im munization OrderedNam e-31" | |
| 22642 | /> | |
| 22643 | </original Text> | |
| 22644 | <translati on | |
| 22645 | nullFlavor ="UNK" | |
| 22646 | /> | |
| 22647 | </code> | |
| 22648 | <name> | |
| 22649 | ZOSTER(SHI NGLES) (HI STORICAL) | |
| 22650 | </name> | |
| 22651 | </manufact uredMateri al> | |
| 22652 | </manufact uredProduc t> | |
| 22653 | </consumab le> | |
| 22654 | <informant > | |
| 22655 | <assignedE ntity> | |
| 22656 | <id | |
| 22657 | root="RIQI ORG" | |
| 22658 | extension= "DAYTSHR T EST LAB" | |
| 22659 | /> | |
| 22660 | <addr | |
| 22661 | nullFlavor ="UNK" | |
| 22662 | /> | |
| 22663 | <telecom | |
| 22664 | nullFlavor ="UNK" | |
| 22665 | /> | |
| 22666 | <assignedP erson> | |
| 22667 | <name | |
| 22668 | nullFlavor ="UNK" | |
| 22669 | /> | |
| 22670 | </assigned Person> | |
| 22671 | <represent edOrganiza tion> | |
| 22672 | <id | |
| 22673 | root="2.16 .840.1.113 883.3.915" | |
| 22674 | extension= "DAYTSHR T EST LAB" | |
| 22675 | displayabl e="true" | |
| 22676 | /> | |
| 22677 | <name> | |
| 22678 | DAYTSHR TE ST LAB | |
| 22679 | </name> | |
| 22680 | <telecom | |
| 22681 | nullFlavor ="UNK" | |
| 22682 | /> | |
| 22683 | <addr | |
| 22684 | nullFlavor ="UNK" | |
| 22685 | /> | |
| 22686 | <asOrganiz ationPartO f> | |
| 22687 | <effective Time | |
| 22688 | nullFlavor ="UNK" | |
| 22689 | /> | |
| 22690 | <wholeOrga nization> | |
| 22691 | <id | |
| 22692 | root="2.16 .840.1.113 883.3.915" | |
| 22693 | /> | |
| 22694 | <id | |
| 22695 | root="2.16 .840.1.113 883.3.915" | |
| 22696 | extension= "HomeCommu nity" | |
| 22697 | displayabl e="true" | |
| 22698 | /> | |
| 22699 | <name> | |
| 22700 | CurrentCar e Test | |
| 22701 | </name> | |
| 22702 | <telecom | |
| 22703 | use="WP" | |
| 22704 | value="tel :401-276-9 141" | |
| 22705 | /> | |
| 22706 | <addr | |
| 22707 | use="WP" | |
| 22708 | > | |
| 22709 | <streetAdd ressLine> | |
| 22710 | 50 Holden St., Suite 300 | |
| 22711 | </streetAd dressLine> | |
| 22712 | <city> | |
| 22713 | Providence | |
| 22714 | </city> | |
| 22715 | <state> | |
| 22716 | RI | |
| 22717 | </state> | |
| 22718 | <postalCod e> | |
| 22719 | 02908 | |
| 22720 | </postalCo de> | |
| 22721 | <country> | |
| 22722 | US | |
| 22723 | </country> | |
| 22724 | </addr> | |
| 22725 | </wholeOrg anization> | |
| 22726 | </asOrgani zationPart Of> | |
| 22727 | </represen tedOrganiz ation> | |
| 22728 | </assigned Entity> | |
| 22729 | </informan t> | |
| 22730 | <entryRela tionship | |
| 22731 | typeCode=" REFR" | |
| 22732 | inversionI nd="false" | |
| 22733 | > | |
| 22734 | <observati on | |
| 22735 | classCode= "OBS" | |
| 22736 | moodCode=" EVN" | |
| 22737 | > | |
| 22738 | <templateI d | |
| 22739 | root="2.16 .840.1.113 883. IP " | |
| 22740 | /> | |
| 22741 | <templateI d | |
| 22742 | root="2.16 .840.1.113 883. IP " | |
| 22743 | /> | |
| 22744 | <code | |
| 22745 | code="3399 9-4" | |
| 22746 | displayNam e="Status" | |
| 22747 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 22748 | codeSystem Name="LOIN C" | |
| 22749 | /> | |
| 22750 | <statusCod e | |
| 22751 | code="comp leted" | |
| 22752 | /> | |
| 22753 | <value | |
| 22754 | code="5556 1003" | |
| 22755 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 22756 | codeSystem Name="SNOM ED-CT" | |
| 22757 | displayNam e="Active" | |
| 22758 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 22759 | xsi:type=" CE" | |
| 22760 | > | |
| 22761 | <originalT ext> | |
| 22762 | Active | |
| 22763 | </original Text> | |
| 22764 | </value> | |
| 22765 | </observat ion> | |
| 22766 | </entryRel ationship> | |
| 22767 | <entryRela tionship | |
| 22768 | typeCode=" SUBJ" | |
| 22769 | > | |
| 22770 | <observati on | |
| 22771 | classCode= "OBS" | |
| 22772 | moodCode=" EVN" | |
| 22773 | > | |
| 22774 | <templateI d | |
| 22775 | root="2.16 .840.1.113 883. IP " | |
| 22776 | /> | |
| 22777 | <code | |
| 22778 | code="3097 3-2" | |
| 22779 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 22780 | codeSystem Name="LOIN C" | |
| 22781 | displayNam e="Dose nu mber" | |
| 22782 | /> | |
| 22783 | <statusCod e | |
| 22784 | code="comp leted" | |
| 22785 | /> | |
| 22786 | <value | |
| 22787 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 22788 | nullFlavor ="UNK" | |
| 22789 | xsi:type=" INT" | |
| 22790 | /> | |
| 22791 | </observat ion> | |
| 22792 | </entryRel ationship> | |
| 22793 | <entryRela tionship | |
| 22794 | typeCode=" SUBJ" | |
| 22795 | inversionI nd="true" | |
| 22796 | > | |
| 22797 | <encounter | |
| 22798 | classCode= "ENC" | |
| 22799 | moodCode=" EVN" | |
| 22800 | > | |
| 22801 | <id | |
| 22802 | root="2.16 .840.1.113 883.3.1275 " | |
| 22803 | extension= "2.16.840. 1.113883.4 .349" | |
| 22804 | /> | |
| 22805 | </encounte r> | |
| 22806 | </entryRel ationship> | |
| 22807 | </substanc eAdministr ation> | |
| 22808 | </entry> | |
| 22809 | <entry | |
| 22810 | typeCode=" DRIV" | |
| 22811 | > | |
| 22812 | <substance Administra tion | |
| 22813 | classCode= "SBADM" | |
| 22814 | negationIn d="false" | |
| 22815 | moodCode=" EVN" | |
| 22816 | > | |
| 22817 | <templateI d | |
| 22818 | root="2.16 .840.1.113 883. IP .52" | |
| 22819 | /> | |
| 22820 | <id | |
| 22821 | nullFlavor ="UNK" | |
| 22822 | /> | |
| 22823 | <id | |
| 22824 | root="2.16 .840.1.113 883.4.349" | |
| 22825 | extension= "FFEA84D4- A6A0-11E6- A9A0-5056A 4032400" | |
| 22826 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 22827 | /> | |
| 22828 | <id | |
| 22829 | root="2.16 .840.1.113 883.4.349" | |
| 22830 | extension= "FFEA8736- A6A0-11E6- A9A0-5056A 4032400" | |
| 22831 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 22832 | /> | |
| 22833 | <code | |
| 22834 | code="IMMU NIZ" | |
| 22835 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 22836 | codeSystem Name="HL7" | |
| 22837 | /> | |
| 22838 | <text> | |
| 22839 | <reference | |
| 22840 | value="#im munization Narrative- 32" | |
| 22841 | /> | |
| 22842 | </text> | |
| 22843 | <statusCod e | |
| 22844 | code="comp leted" | |
| 22845 | /> | |
| 22846 | <effective Time | |
| 22847 | value="200 8061200000 0" | |
| 22848 | /> | |
| 22849 | <consumabl e | |
| 22850 | typeCode=" CSM" | |
| 22851 | > | |
| 22852 | <manufactu redProduct | |
| 22853 | classCode= "MANU" | |
| 22854 | > | |
| 22855 | <templateI d | |
| 22856 | root="2.16 .840.1.113 883. IP .54" | |
| 22857 | /> | |
| 22858 | <manufactu redMateria l | |
| 22859 | classCode= "MMAT" | |
| 22860 | determiner Code="KIND " | |
| 22861 | > | |
| 22862 | <code | |
| 22863 | nullFlavor ="UNK" | |
| 22864 | > | |
| 22865 | <originalT ext> | |
| 22866 | <reference | |
| 22867 | value="#im munization OrderedNam e-32" | |
| 22868 | /> | |
| 22869 | </original Text> | |
| 22870 | <translati on | |
| 22871 | nullFlavor ="UNK" | |
| 22872 | /> | |
| 22873 | </code> | |
| 22874 | <name> | |
| 22875 | PNEUMOVAX POLYSACCHA RIDE PPSV2 3 | |
| 22876 | </name> | |
| 22877 | </manufact uredMateri al> | |
| 22878 | </manufact uredProduc t> | |
| 22879 | </consumab le> | |
| 22880 | <informant > | |
| 22881 | <assignedE ntity> | |
| 22882 | <id | |
| 22883 | root="RIQI ORG" | |
| 22884 | extension= "CHYSHR TE ST LAB" | |
| 22885 | /> | |
| 22886 | <addr | |
| 22887 | nullFlavor ="UNK" | |
| 22888 | /> | |
| 22889 | <telecom | |
| 22890 | nullFlavor ="UNK" | |
| 22891 | /> | |
| 22892 | <assignedP erson> | |
| 22893 | <name | |
| 22894 | nullFlavor ="UNK" | |
| 22895 | /> | |
| 22896 | </assigned Person> | |
| 22897 | <represent edOrganiza tion> | |
| 22898 | <id | |
| 22899 | root="2.16 .840.1.113 883.3.915" | |
| 22900 | extension= "CHYSHR TE ST LAB" | |
| 22901 | displayabl e="true" | |
| 22902 | /> | |
| 22903 | <name> | |
| 22904 | CHYSHR TES T LAB | |
| 22905 | </name> | |
| 22906 | <telecom | |
| 22907 | nullFlavor ="UNK" | |
| 22908 | /> | |
| 22909 | <addr | |
| 22910 | nullFlavor ="UNK" | |
| 22911 | /> | |
| 22912 | <asOrganiz ationPartO f> | |
| 22913 | <effective Time | |
| 22914 | nullFlavor ="UNK" | |
| 22915 | /> | |
| 22916 | <wholeOrga nization> | |
| 22917 | <id | |
| 22918 | root="2.16 .840.1.113 883.3.915" | |
| 22919 | /> | |
| 22920 | <id | |
| 22921 | root="2.16 .840.1.113 883.3.915" | |
| 22922 | extension= "HomeCommu nity" | |
| 22923 | displayabl e="true" | |
| 22924 | /> | |
| 22925 | <name> | |
| 22926 | CurrentCar e Test | |
| 22927 | </name> | |
| 22928 | <telecom | |
| 22929 | use="WP" | |
| 22930 | value="tel :401-276-9 141" | |
| 22931 | /> | |
| 22932 | <addr | |
| 22933 | use="WP" | |
| 22934 | > | |
| 22935 | <streetAdd ressLine> | |
| 22936 | 50 Holden St., Suite 300 | |
| 22937 | </streetAd dressLine> | |
| 22938 | <city> | |
| 22939 | Providence | |
| 22940 | </city> | |
| 22941 | <state> | |
| 22942 | RI | |
| 22943 | </state> | |
| 22944 | <postalCod e> | |
| 22945 | 02908 | |
| 22946 | </postalCo de> | |
| 22947 | <country> | |
| 22948 | US | |
| 22949 | </country> | |
| 22950 | </addr> | |
| 22951 | </wholeOrg anization> | |
| 22952 | </asOrgani zationPart Of> | |
| 22953 | </represen tedOrganiz ation> | |
| 22954 | </assigned Entity> | |
| 22955 | </informan t> | |
| 22956 | <entryRela tionship | |
| 22957 | typeCode=" REFR" | |
| 22958 | inversionI nd="false" | |
| 22959 | > | |
| 22960 | <observati on | |
| 22961 | classCode= "OBS" | |
| 22962 | moodCode=" EVN" | |
| 22963 | > | |
| 22964 | <templateI d | |
| 22965 | root="2.16 .840.1.113 883. IP " | |
| 22966 | /> | |
| 22967 | <templateI d | |
| 22968 | root="2.16 .840.1.113 883. IP " | |
| 22969 | /> | |
| 22970 | <code | |
| 22971 | code="3399 9-4" | |
| 22972 | displayNam e="Status" | |
| 22973 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 22974 | codeSystem Name="LOIN C" | |
| 22975 | /> | |
| 22976 | <statusCod e | |
| 22977 | code="comp leted" | |
| 22978 | /> | |
| 22979 | <value | |
| 22980 | code="5556 1003" | |
| 22981 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 22982 | codeSystem Name="SNOM ED-CT" | |
| 22983 | displayNam e="Active" | |
| 22984 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 22985 | xsi:type=" CE" | |
| 22986 | > | |
| 22987 | <originalT ext> | |
| 22988 | Active | |
| 22989 | </original Text> | |
| 22990 | </value> | |
| 22991 | </observat ion> | |
| 22992 | </entryRel ationship> | |
| 22993 | <entryRela tionship | |
| 22994 | typeCode=" SUBJ" | |
| 22995 | > | |
| 22996 | <observati on | |
| 22997 | classCode= "OBS" | |
| 22998 | moodCode=" EVN" | |
| 22999 | > | |
| 23000 | <templateI d | |
| 23001 | root="2.16 .840.1.113 883. IP " | |
| 23002 | /> | |
| 23003 | <code | |
| 23004 | code="3097 3-2" | |
| 23005 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 23006 | codeSystem Name="LOIN C" | |
| 23007 | displayNam e="Dose nu mber" | |
| 23008 | /> | |
| 23009 | <statusCod e | |
| 23010 | code="comp leted" | |
| 23011 | /> | |
| 23012 | <value | |
| 23013 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 23014 | nullFlavor ="UNK" | |
| 23015 | xsi:type=" INT" | |
| 23016 | /> | |
| 23017 | </observat ion> | |
| 23018 | </entryRel ationship> | |
| 23019 | <entryRela tionship | |
| 23020 | typeCode=" SUBJ" | |
| 23021 | inversionI nd="true" | |
| 23022 | > | |
| 23023 | <encounter | |
| 23024 | classCode= "ENC" | |
| 23025 | moodCode=" EVN" | |
| 23026 | > | |
| 23027 | <id | |
| 23028 | root="2.16 .840.1.113 883.3.1275 " | |
| 23029 | extension= "2.16.840. 1.113883.4 .349" | |
| 23030 | /> | |
| 23031 | </encounte r> | |
| 23032 | </entryRel ationship> | |
| 23033 | </substanc eAdministr ation> | |
| 23034 | </entry> | |
| 23035 | <entry | |
| 23036 | typeCode=" DRIV" | |
| 23037 | > | |
| 23038 | <substance Administra tion | |
| 23039 | classCode= "SBADM" | |
| 23040 | negationIn d="false" | |
| 23041 | moodCode=" EVN" | |
| 23042 | > | |
| 23043 | <templateI d | |
| 23044 | root="2.16 .840.1.113 883. IP .52" | |
| 23045 | /> | |
| 23046 | <id | |
| 23047 | nullFlavor ="UNK" | |
| 23048 | /> | |
| 23049 | <id | |
| 23050 | root="2.16 .840.1.113 883.4.349" | |
| 23051 | extension= "FFF1A336- A6A0-11E6- A9A0-5056A 4032400" | |
| 23052 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 23053 | /> | |
| 23054 | <id | |
| 23055 | root="2.16 .840.1.113 883.4.349" | |
| 23056 | extension= "FFF1A6CE- A6A0-11E6- A9A0-5056A 4032400" | |
| 23057 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 23058 | /> | |
| 23059 | <code | |
| 23060 | code="IMMU NIZ" | |
| 23061 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 23062 | codeSystem Name="HL7" | |
| 23063 | /> | |
| 23064 | <text> | |
| 23065 | <reference | |
| 23066 | value="#im munization Narrative- 33" | |
| 23067 | /> | |
| 23068 | </text> | |
| 23069 | <statusCod e | |
| 23070 | code="comp leted" | |
| 23071 | /> | |
| 23072 | <effective Time | |
| 23073 | value="200 8061200000 0" | |
| 23074 | /> | |
| 23075 | <consumabl e | |
| 23076 | typeCode=" CSM" | |
| 23077 | > | |
| 23078 | <manufactu redProduct | |
| 23079 | classCode= "MANU" | |
| 23080 | > | |
| 23081 | <templateI d | |
| 23082 | root="2.16 .840.1.113 883. IP .54" | |
| 23083 | /> | |
| 23084 | <manufactu redMateria l | |
| 23085 | classCode= "MMAT" | |
| 23086 | determiner Code="KIND " | |
| 23087 | > | |
| 23088 | <code | |
| 23089 | nullFlavor ="UNK" | |
| 23090 | > | |
| 23091 | <originalT ext> | |
| 23092 | <reference | |
| 23093 | value="#im munization OrderedNam e-33" | |
| 23094 | /> | |
| 23095 | </original Text> | |
| 23096 | <translati on | |
| 23097 | nullFlavor ="UNK" | |
| 23098 | /> | |
| 23099 | </code> | |
| 23100 | <name> | |
| 23101 | PNEUMOCOCC AL POLYSAC CHARIDE PP V23 | |
| 23102 | </name> | |
| 23103 | </manufact uredMateri al> | |
| 23104 | </manufact uredProduc t> | |
| 23105 | </consumab le> | |
| 23106 | <informant > | |
| 23107 | <assignedE ntity> | |
| 23108 | <id | |
| 23109 | root="RIQI ORG" | |
| 23110 | extension= "DAYTSHR T EST LAB" | |
| 23111 | /> | |
| 23112 | <addr | |
| 23113 | nullFlavor ="UNK" | |
| 23114 | /> | |
| 23115 | <telecom | |
| 23116 | nullFlavor ="UNK" | |
| 23117 | /> | |
| 23118 | <assignedP erson> | |
| 23119 | <name | |
| 23120 | nullFlavor ="UNK" | |
| 23121 | /> | |
| 23122 | </assigned Person> | |
| 23123 | <represent edOrganiza tion> | |
| 23124 | <id | |
| 23125 | root="2.16 .840.1.113 883.3.915" | |
| 23126 | extension= "DAYTSHR T EST LAB" | |
| 23127 | displayabl e="true" | |
| 23128 | /> | |
| 23129 | <name> | |
| 23130 | DAYTSHR TE ST LAB | |
| 23131 | </name> | |
| 23132 | <telecom | |
| 23133 | nullFlavor ="UNK" | |
| 23134 | /> | |
| 23135 | <addr | |
| 23136 | nullFlavor ="UNK" | |
| 23137 | /> | |
| 23138 | <asOrganiz ationPartO f> | |
| 23139 | <effective Time | |
| 23140 | nullFlavor ="UNK" | |
| 23141 | /> | |
| 23142 | <wholeOrga nization> | |
| 23143 | <id | |
| 23144 | root="2.16 .840.1.113 883.3.915" | |
| 23145 | /> | |
| 23146 | <id | |
| 23147 | root="2.16 .840.1.113 883.3.915" | |
| 23148 | extension= "HomeCommu nity" | |
| 23149 | displayabl e="true" | |
| 23150 | /> | |
| 23151 | <name> | |
| 23152 | CurrentCar e Test | |
| 23153 | </name> | |
| 23154 | <telecom | |
| 23155 | use="WP" | |
| 23156 | value="tel :401-276-9 141" | |
| 23157 | /> | |
| 23158 | <addr | |
| 23159 | use="WP" | |
| 23160 | > | |
| 23161 | <streetAdd ressLine> | |
| 23162 | 50 Holden St., Suite 300 | |
| 23163 | </streetAd dressLine> | |
| 23164 | <city> | |
| 23165 | Providence | |
| 23166 | </city> | |
| 23167 | <state> | |
| 23168 | RI | |
| 23169 | </state> | |
| 23170 | <postalCod e> | |
| 23171 | 02908 | |
| 23172 | </postalCo de> | |
| 23173 | <country> | |
| 23174 | US | |
| 23175 | </country> | |
| 23176 | </addr> | |
| 23177 | </wholeOrg anization> | |
| 23178 | </asOrgani zationPart Of> | |
| 23179 | </represen tedOrganiz ation> | |
| 23180 | </assigned Entity> | |
| 23181 | </informan t> | |
| 23182 | <entryRela tionship | |
| 23183 | typeCode=" REFR" | |
| 23184 | inversionI nd="false" | |
| 23185 | > | |
| 23186 | <observati on | |
| 23187 | classCode= "OBS" | |
| 23188 | moodCode=" EVN" | |
| 23189 | > | |
| 23190 | <templateI d | |
| 23191 | root="2.16 .840.1.113 883. IP " | |
| 23192 | /> | |
| 23193 | <templateI d | |
| 23194 | root="2.16 .840.1.113 883. IP " | |
| 23195 | /> | |
| 23196 | <code | |
| 23197 | code="3399 9-4" | |
| 23198 | displayNam e="Status" | |
| 23199 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 23200 | codeSystem Name="LOIN C" | |
| 23201 | /> | |
| 23202 | <statusCod e | |
| 23203 | code="comp leted" | |
| 23204 | /> | |
| 23205 | <value | |
| 23206 | code="5556 1003" | |
| 23207 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 23208 | codeSystem Name="SNOM ED-CT" | |
| 23209 | displayNam e="Active" | |
| 23210 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 23211 | xsi:type=" CE" | |
| 23212 | > | |
| 23213 | <originalT ext> | |
| 23214 | Active | |
| 23215 | </original Text> | |
| 23216 | </value> | |
| 23217 | </observat ion> | |
| 23218 | </entryRel ationship> | |
| 23219 | <entryRela tionship | |
| 23220 | typeCode=" SUBJ" | |
| 23221 | > | |
| 23222 | <observati on | |
| 23223 | classCode= "OBS" | |
| 23224 | moodCode=" EVN" | |
| 23225 | > | |
| 23226 | <templateI d | |
| 23227 | root="2.16 .840.1.113 883. IP " | |
| 23228 | /> | |
| 23229 | <code | |
| 23230 | code="3097 3-2" | |
| 23231 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 23232 | codeSystem Name="LOIN C" | |
| 23233 | displayNam e="Dose nu mber" | |
| 23234 | /> | |
| 23235 | <statusCod e | |
| 23236 | code="comp leted" | |
| 23237 | /> | |
| 23238 | <value | |
| 23239 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 23240 | nullFlavor ="UNK" | |
| 23241 | xsi:type=" INT" | |
| 23242 | /> | |
| 23243 | </observat ion> | |
| 23244 | </entryRel ationship> | |
| 23245 | <entryRela tionship | |
| 23246 | typeCode=" SUBJ" | |
| 23247 | inversionI nd="true" | |
| 23248 | > | |
| 23249 | <encounter | |
| 23250 | classCode= "ENC" | |
| 23251 | moodCode=" EVN" | |
| 23252 | > | |
| 23253 | <id | |
| 23254 | root="2.16 .840.1.113 883.3.1275 " | |
| 23255 | extension= "2.16.840. 1.113883.4 .349" | |
| 23256 | /> | |
| 23257 | </encounte r> | |
| 23258 | </entryRel ationship> | |
| 23259 | </substanc eAdministr ation> | |
| 23260 | </entry> | |
| 23261 | <entry | |
| 23262 | typeCode=" DRIV" | |
| 23263 | > | |
| 23264 | <substance Administra tion | |
| 23265 | classCode= "SBADM" | |
| 23266 | negationIn d="false" | |
| 23267 | moodCode=" EVN" | |
| 23268 | > | |
| 23269 | <templateI d | |
| 23270 | root="2.16 .840.1.113 883. IP .52" | |
| 23271 | /> | |
| 23272 | <id | |
| 23273 | nullFlavor ="UNK" | |
| 23274 | /> | |
| 23275 | <id | |
| 23276 | root="2.16 .840.1.113 883.4.349" | |
| 23277 | extension= "FFEAC5AC- A6A0-11E6- A9A0-5056A 4032400" | |
| 23278 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 23279 | /> | |
| 23280 | <id | |
| 23281 | root="2.16 .840.1.113 883.4.349" | |
| 23282 | extension= "FFEAC958- A6A0-11E6- A9A0-5056A 4032400" | |
| 23283 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 23284 | /> | |
| 23285 | <code | |
| 23286 | code="IMMU NIZ" | |
| 23287 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 23288 | codeSystem Name="HL7" | |
| 23289 | /> | |
| 23290 | <text> | |
| 23291 | <reference | |
| 23292 | value="#im munization Narrative- 34" | |
| 23293 | /> | |
| 23294 | </text> | |
| 23295 | <statusCod e | |
| 23296 | code="comp leted" | |
| 23297 | /> | |
| 23298 | <effective Time | |
| 23299 | value="196 9123100000 0" | |
| 23300 | /> | |
| 23301 | <consumabl e | |
| 23302 | typeCode=" CSM" | |
| 23303 | > | |
| 23304 | <manufactu redProduct | |
| 23305 | classCode= "MANU" | |
| 23306 | > | |
| 23307 | <templateI d | |
| 23308 | root="2.16 .840.1.113 883. IP .54" | |
| 23309 | /> | |
| 23310 | <manufactu redMateria l | |
| 23311 | classCode= "MMAT" | |
| 23312 | determiner Code="KIND " | |
| 23313 | > | |
| 23314 | <code | |
| 23315 | nullFlavor ="UNK" | |
| 23316 | > | |
| 23317 | <originalT ext> | |
| 23318 | <reference | |
| 23319 | value="#im munization OrderedNam e-34" | |
| 23320 | /> | |
| 23321 | </original Text> | |
| 23322 | <translati on | |
| 23323 | nullFlavor ="UNK" | |
| 23324 | /> | |
| 23325 | </code> | |
| 23326 | <name> | |
| 23327 | ZOSTER(SHI NGLES) | |
| 23328 | </name> | |
| 23329 | </manufact uredMateri al> | |
| 23330 | </manufact uredProduc t> | |
| 23331 | </consumab le> | |
| 23332 | <informant > | |
| 23333 | <assignedE ntity> | |
| 23334 | <id | |
| 23335 | root="RIQI ORG" | |
| 23336 | extension= "CHYSHR TE ST LAB" | |
| 23337 | /> | |
| 23338 | <addr | |
| 23339 | nullFlavor ="UNK" | |
| 23340 | /> | |
| 23341 | <telecom | |
| 23342 | nullFlavor ="UNK" | |
| 23343 | /> | |
| 23344 | <assignedP erson> | |
| 23345 | <name | |
| 23346 | nullFlavor ="UNK" | |
| 23347 | /> | |
| 23348 | </assigned Person> | |
| 23349 | <represent edOrganiza tion> | |
| 23350 | <id | |
| 23351 | root="2.16 .840.1.113 883.3.915" | |
| 23352 | extension= "CHYSHR TE ST LAB" | |
| 23353 | displayabl e="true" | |
| 23354 | /> | |
| 23355 | <name> | |
| 23356 | CHYSHR TES T LAB | |
| 23357 | </name> | |
| 23358 | <telecom | |
| 23359 | nullFlavor ="UNK" | |
| 23360 | /> | |
| 23361 | <addr | |
| 23362 | nullFlavor ="UNK" | |
| 23363 | /> | |
| 23364 | <asOrganiz ationPartO f> | |
| 23365 | <effective Time | |
| 23366 | nullFlavor ="UNK" | |
| 23367 | /> | |
| 23368 | <wholeOrga nization> | |
| 23369 | <id | |
| 23370 | root="2.16 .840.1.113 883.3.915" | |
| 23371 | /> | |
| 23372 | <id | |
| 23373 | root="2.16 .840.1.113 883.3.915" | |
| 23374 | extension= "HomeCommu nity" | |
| 23375 | displayabl e="true" | |
| 23376 | /> | |
| 23377 | <name> | |
| 23378 | CurrentCar e Test | |
| 23379 | </name> | |
| 23380 | <telecom | |
| 23381 | use="WP" | |
| 23382 | value="tel :401-276-9 141" | |
| 23383 | /> | |
| 23384 | <addr | |
| 23385 | use="WP" | |
| 23386 | > | |
| 23387 | <streetAdd ressLine> | |
| 23388 | 50 Holden St., Suite 300 | |
| 23389 | </streetAd dressLine> | |
| 23390 | <city> | |
| 23391 | Providence | |
| 23392 | </city> | |
| 23393 | <state> | |
| 23394 | RI | |
| 23395 | </state> | |
| 23396 | <postalCod e> | |
| 23397 | 02908 | |
| 23398 | </postalCo de> | |
| 23399 | <country> | |
| 23400 | US | |
| 23401 | </country> | |
| 23402 | </addr> | |
| 23403 | </wholeOrg anization> | |
| 23404 | </asOrgani zationPart Of> | |
| 23405 | </represen tedOrganiz ation> | |
| 23406 | </assigned Entity> | |
| 23407 | </informan t> | |
| 23408 | <entryRela tionship | |
| 23409 | typeCode=" REFR" | |
| 23410 | inversionI nd="false" | |
| 23411 | > | |
| 23412 | <observati on | |
| 23413 | classCode= "OBS" | |
| 23414 | moodCode=" EVN" | |
| 23415 | > | |
| 23416 | <templateI d | |
| 23417 | root="2.16 .840.1.113 883. IP " | |
| 23418 | /> | |
| 23419 | <templateI d | |
| 23420 | root="2.16 .840.1.113 883. IP " | |
| 23421 | /> | |
| 23422 | <code | |
| 23423 | code="3399 9-4" | |
| 23424 | displayNam e="Status" | |
| 23425 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 23426 | codeSystem Name="LOIN C" | |
| 23427 | /> | |
| 23428 | <statusCod e | |
| 23429 | code="comp leted" | |
| 23430 | /> | |
| 23431 | <value | |
| 23432 | code="5556 1003" | |
| 23433 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 23434 | codeSystem Name="SNOM ED-CT" | |
| 23435 | displayNam e="Active" | |
| 23436 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 23437 | xsi:type=" CE" | |
| 23438 | > | |
| 23439 | <originalT ext> | |
| 23440 | Active | |
| 23441 | </original Text> | |
| 23442 | </value> | |
| 23443 | </observat ion> | |
| 23444 | </entryRel ationship> | |
| 23445 | <entryRela tionship | |
| 23446 | typeCode=" SUBJ" | |
| 23447 | > | |
| 23448 | <observati on | |
| 23449 | classCode= "OBS" | |
| 23450 | moodCode=" EVN" | |
| 23451 | > | |
| 23452 | <templateI d | |
| 23453 | root="2.16 .840.1.113 883. IP " | |
| 23454 | /> | |
| 23455 | <code | |
| 23456 | code="3097 3-2" | |
| 23457 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 23458 | codeSystem Name="LOIN C" | |
| 23459 | displayNam e="Dose nu mber" | |
| 23460 | /> | |
| 23461 | <statusCod e | |
| 23462 | code="comp leted" | |
| 23463 | /> | |
| 23464 | <value | |
| 23465 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 23466 | nullFlavor ="UNK" | |
| 23467 | xsi:type=" INT" | |
| 23468 | /> | |
| 23469 | </observat ion> | |
| 23470 | </entryRel ationship> | |
| 23471 | <entryRela tionship | |
| 23472 | typeCode=" SUBJ" | |
| 23473 | inversionI nd="true" | |
| 23474 | > | |
| 23475 | <encounter | |
| 23476 | classCode= "ENC" | |
| 23477 | moodCode=" EVN" | |
| 23478 | > | |
| 23479 | <id | |
| 23480 | root="2.16 .840.1.113 883.3.1275 " | |
| 23481 | extension= "2.16.840. 1.113883.4 .349" | |
| 23482 | /> | |
| 23483 | </encounte r> | |
| 23484 | </entryRel ationship> | |
| 23485 | </substanc eAdministr ation> | |
| 23486 | </entry> | |
| 23487 | <entry | |
| 23488 | typeCode=" DRIV" | |
| 23489 | > | |
| 23490 | <substance Administra tion | |
| 23491 | classCode= "SBADM" | |
| 23492 | negationIn d="false" | |
| 23493 | moodCode=" EVN" | |
| 23494 | > | |
| 23495 | <templateI d | |
| 23496 | root="2.16 .840.1.113 883. IP .52" | |
| 23497 | /> | |
| 23498 | <id | |
| 23499 | nullFlavor ="UNK" | |
| 23500 | /> | |
| 23501 | <id | |
| 23502 | root="2.16 .840.1.113 883.4.349" | |
| 23503 | extension= "FFE660C0- A6A0-11E6- A9A0-5056A 4032400" | |
| 23504 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 23505 | /> | |
| 23506 | <id | |
| 23507 | root="2.16 .840.1.113 883.4.349" | |
| 23508 | extension= "FFE6632C- A6A0-11E6- A9A0-5056A 4032400" | |
| 23509 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 23510 | /> | |
| 23511 | <code | |
| 23512 | code="IMMU NIZ" | |
| 23513 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 23514 | codeSystem Name="HL7" | |
| 23515 | /> | |
| 23516 | <text> | |
| 23517 | <reference | |
| 23518 | value="#im munization Narrative- 35" | |
| 23519 | /> | |
| 23520 | </text> | |
| 23521 | <statusCod e | |
| 23522 | code="comp leted" | |
| 23523 | /> | |
| 23524 | <effective Time | |
| 23525 | nullFlavor ="UNK" | |
| 23526 | /> | |
| 23527 | <consumabl e | |
| 23528 | typeCode=" CSM" | |
| 23529 | > | |
| 23530 | <manufactu redProduct | |
| 23531 | classCode= "MANU" | |
| 23532 | > | |
| 23533 | <templateI d | |
| 23534 | root="2.16 .840.1.113 883. IP .54" | |
| 23535 | /> | |
| 23536 | <manufactu redMateria l | |
| 23537 | classCode= "MMAT" | |
| 23538 | determiner Code="KIND " | |
| 23539 | > | |
| 23540 | <code | |
| 23541 | nullFlavor ="UNK" | |
| 23542 | > | |
| 23543 | <originalT ext> | |
| 23544 | <reference | |
| 23545 | value="#im munization OrderedNam e-35" | |
| 23546 | /> | |
| 23547 | </original Text> | |
| 23548 | <translati on | |
| 23549 | nullFlavor ="UNK" | |
| 23550 | /> | |
| 23551 | </code> | |
| 23552 | <name> | |
| 23553 | ZOSTER(SHI NGLES) | |
| 23554 | </name> | |
| 23555 | </manufact uredMateri al> | |
| 23556 | </manufact uredProduc t> | |
| 23557 | </consumab le> | |
| 23558 | <informant > | |
| 23559 | <assignedE ntity> | |
| 23560 | <id | |
| 23561 | root="RIQI ORG" | |
| 23562 | extension= "CHYSHR TE ST LAB" | |
| 23563 | /> | |
| 23564 | <addr | |
| 23565 | nullFlavor ="UNK" | |
| 23566 | /> | |
| 23567 | <telecom | |
| 23568 | nullFlavor ="UNK" | |
| 23569 | /> | |
| 23570 | <assignedP erson> | |
| 23571 | <name | |
| 23572 | nullFlavor ="UNK" | |
| 23573 | /> | |
| 23574 | </assigned Person> | |
| 23575 | <represent edOrganiza tion> | |
| 23576 | <id | |
| 23577 | root="2.16 .840.1.113 883.3.915" | |
| 23578 | extension= "CHYSHR TE ST LAB" | |
| 23579 | displayabl e="true" | |
| 23580 | /> | |
| 23581 | <name> | |
| 23582 | CHYSHR TES T LAB | |
| 23583 | </name> | |
| 23584 | <telecom | |
| 23585 | nullFlavor ="UNK" | |
| 23586 | /> | |
| 23587 | <addr | |
| 23588 | nullFlavor ="UNK" | |
| 23589 | /> | |
| 23590 | <asOrganiz ationPartO f> | |
| 23591 | <effective Time | |
| 23592 | nullFlavor ="UNK" | |
| 23593 | /> | |
| 23594 | <wholeOrga nization> | |
| 23595 | <id | |
| 23596 | root="2.16 .840.1.113 883.3.915" | |
| 23597 | /> | |
| 23598 | <id | |
| 23599 | root="2.16 .840.1.113 883.3.915" | |
| 23600 | extension= "HomeCommu nity" | |
| 23601 | displayabl e="true" | |
| 23602 | /> | |
| 23603 | <name> | |
| 23604 | CurrentCar e Test | |
| 23605 | </name> | |
| 23606 | <telecom | |
| 23607 | use="WP" | |
| 23608 | value="tel :401-276-9 141" | |
| 23609 | /> | |
| 23610 | <addr | |
| 23611 | use="WP" | |
| 23612 | > | |
| 23613 | <streetAdd ressLine> | |
| 23614 | 50 Holden St., Suite 300 | |
| 23615 | </streetAd dressLine> | |
| 23616 | <city> | |
| 23617 | Providence | |
| 23618 | </city> | |
| 23619 | <state> | |
| 23620 | RI | |
| 23621 | </state> | |
| 23622 | <postalCod e> | |
| 23623 | 02908 | |
| 23624 | </postalCo de> | |
| 23625 | <country> | |
| 23626 | US | |
| 23627 | </country> | |
| 23628 | </addr> | |
| 23629 | </wholeOrg anization> | |
| 23630 | </asOrgani zationPart Of> | |
| 23631 | </represen tedOrganiz ation> | |
| 23632 | </assigned Entity> | |
| 23633 | </informan t> | |
| 23634 | <entryRela tionship | |
| 23635 | typeCode=" REFR" | |
| 23636 | inversionI nd="false" | |
| 23637 | > | |
| 23638 | <observati on | |
| 23639 | classCode= "OBS" | |
| 23640 | moodCode=" EVN" | |
| 23641 | > | |
| 23642 | <templateI d | |
| 23643 | root="2.16 .840.1.113 883. IP " | |
| 23644 | /> | |
| 23645 | <templateI d | |
| 23646 | root="2.16 .840.1.113 883. IP " | |
| 23647 | /> | |
| 23648 | <code | |
| 23649 | code="3399 9-4" | |
| 23650 | displayNam e="Status" | |
| 23651 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 23652 | codeSystem Name="LOIN C" | |
| 23653 | /> | |
| 23654 | <statusCod e | |
| 23655 | code="comp leted" | |
| 23656 | /> | |
| 23657 | <value | |
| 23658 | code="5556 1003" | |
| 23659 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 23660 | codeSystem Name="SNOM ED-CT" | |
| 23661 | displayNam e="Active" | |
| 23662 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 23663 | xsi:type=" CE" | |
| 23664 | > | |
| 23665 | <originalT ext> | |
| 23666 | Active | |
| 23667 | </original Text> | |
| 23668 | </value> | |
| 23669 | </observat ion> | |
| 23670 | </entryRel ationship> | |
| 23671 | <entryRela tionship | |
| 23672 | typeCode=" SUBJ" | |
| 23673 | > | |
| 23674 | <observati on | |
| 23675 | classCode= "OBS" | |
| 23676 | moodCode=" EVN" | |
| 23677 | > | |
| 23678 | <templateI d | |
| 23679 | root="2.16 .840.1.113 883. IP " | |
| 23680 | /> | |
| 23681 | <code | |
| 23682 | code="3097 3-2" | |
| 23683 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 23684 | codeSystem Name="LOIN C" | |
| 23685 | displayNam e="Dose nu mber" | |
| 23686 | /> | |
| 23687 | <statusCod e | |
| 23688 | code="comp leted" | |
| 23689 | /> | |
| 23690 | <value | |
| 23691 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 23692 | nullFlavor ="UNK" | |
| 23693 | xsi:type=" INT" | |
| 23694 | /> | |
| 23695 | </observat ion> | |
| 23696 | </entryRel ationship> | |
| 23697 | <entryRela tionship | |
| 23698 | typeCode=" SUBJ" | |
| 23699 | inversionI nd="true" | |
| 23700 | > | |
| 23701 | <encounter | |
| 23702 | classCode= "ENC" | |
| 23703 | moodCode=" EVN" | |
| 23704 | > | |
| 23705 | <id | |
| 23706 | root="2.16 .840.1.113 883.3.1275 " | |
| 23707 | extension= "2.16.840. 1.113883.4 .349" | |
| 23708 | /> | |
| 23709 | </encounte r> | |
| 23710 | </entryRel ationship> | |
| 23711 | </substanc eAdministr ation> | |
| 23712 | </entry> | |
| 23713 | <entry | |
| 23714 | typeCode=" DRIV" | |
| 23715 | > | |
| 23716 | <substance Administra tion | |
| 23717 | classCode= "SBADM" | |
| 23718 | negationIn d="false" | |
| 23719 | moodCode=" EVN" | |
| 23720 | > | |
| 23721 | <templateI d | |
| 23722 | root="2.16 .840.1.113 883. IP .52" | |
| 23723 | /> | |
| 23724 | <id | |
| 23725 | nullFlavor ="UNK" | |
| 23726 | /> | |
| 23727 | <id | |
| 23728 | root="2.16 .840.1.113 883.4.349" | |
| 23729 | extension= "FFEE39DA- A6A0-11E6- A9A0-5056A 4032400" | |
| 23730 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 23731 | /> | |
| 23732 | <id | |
| 23733 | root="2.16 .840.1.113 883.4.349" | |
| 23734 | extension= "FFEE3C50- A6A0-11E6- A9A0-5056A 4032400" | |
| 23735 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 23736 | /> | |
| 23737 | <code | |
| 23738 | code="IMMU NIZ" | |
| 23739 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 23740 | codeSystem Name="HL7" | |
| 23741 | /> | |
| 23742 | <text> | |
| 23743 | <reference | |
| 23744 | value="#im munization Narrative- 36" | |
| 23745 | /> | |
| 23746 | </text> | |
| 23747 | <statusCod e | |
| 23748 | code="comp leted" | |
| 23749 | /> | |
| 23750 | <effective Time | |
| 23751 | nullFlavor ="UNK" | |
| 23752 | /> | |
| 23753 | <consumabl e | |
| 23754 | typeCode=" CSM" | |
| 23755 | > | |
| 23756 | <manufactu redProduct | |
| 23757 | classCode= "MANU" | |
| 23758 | > | |
| 23759 | <templateI d | |
| 23760 | root="2.16 .840.1.113 883. IP .54" | |
| 23761 | /> | |
| 23762 | <manufactu redMateria l | |
| 23763 | classCode= "MMAT" | |
| 23764 | determiner Code="KIND " | |
| 23765 | > | |
| 23766 | <code | |
| 23767 | nullFlavor ="UNK" | |
| 23768 | > | |
| 23769 | <originalT ext> | |
| 23770 | <reference | |
| 23771 | value="#im munization OrderedNam e-36" | |
| 23772 | /> | |
| 23773 | </original Text> | |
| 23774 | <translati on | |
| 23775 | nullFlavor ="UNK" | |
| 23776 | /> | |
| 23777 | </code> | |
| 23778 | <name> | |
| 23779 | ZOSTER(SHI NGLES) (HI STORICAL) | |
| 23780 | </name> | |
| 23781 | </manufact uredMateri al> | |
| 23782 | </manufact uredProduc t> | |
| 23783 | </consumab le> | |
| 23784 | <informant > | |
| 23785 | <assignedE ntity> | |
| 23786 | <id | |
| 23787 | root="RIQI ORG" | |
| 23788 | extension= "DAYTSHR T EST LAB" | |
| 23789 | /> | |
| 23790 | <addr | |
| 23791 | nullFlavor ="UNK" | |
| 23792 | /> | |
| 23793 | <telecom | |
| 23794 | nullFlavor ="UNK" | |
| 23795 | /> | |
| 23796 | <assignedP erson> | |
| 23797 | <name | |
| 23798 | nullFlavor ="UNK" | |
| 23799 | /> | |
| 23800 | </assigned Person> | |
| 23801 | <represent edOrganiza tion> | |
| 23802 | <id | |
| 23803 | root="2.16 .840.1.113 883.3.915" | |
| 23804 | extension= "DAYTSHR T EST LAB" | |
| 23805 | displayabl e="true" | |
| 23806 | /> | |
| 23807 | <name> | |
| 23808 | DAYTSHR TE ST LAB | |
| 23809 | </name> | |
| 23810 | <telecom | |
| 23811 | nullFlavor ="UNK" | |
| 23812 | /> | |
| 23813 | <addr | |
| 23814 | nullFlavor ="UNK" | |
| 23815 | /> | |
| 23816 | <asOrganiz ationPartO f> | |
| 23817 | <effective Time | |
| 23818 | nullFlavor ="UNK" | |
| 23819 | /> | |
| 23820 | <wholeOrga nization> | |
| 23821 | <id | |
| 23822 | root="2.16 .840.1.113 883.3.915" | |
| 23823 | /> | |
| 23824 | <id | |
| 23825 | root="2.16 .840.1.113 883.3.915" | |
| 23826 | extension= "HomeCommu nity" | |
| 23827 | displayabl e="true" | |
| 23828 | /> | |
| 23829 | <name> | |
| 23830 | CurrentCar e Test | |
| 23831 | </name> | |
| 23832 | <telecom | |
| 23833 | use="WP" | |
| 23834 | value="tel :401-276-9 141" | |
| 23835 | /> | |
| 23836 | <addr | |
| 23837 | use="WP" | |
| 23838 | > | |
| 23839 | <streetAdd ressLine> | |
| 23840 | 50 Holden St., Suite 300 | |
| 23841 | </streetAd dressLine> | |
| 23842 | <city> | |
| 23843 | Providence | |
| 23844 | </city> | |
| 23845 | <state> | |
| 23846 | RI | |
| 23847 | </state> | |
| 23848 | <postalCod e> | |
| 23849 | 02908 | |
| 23850 | </postalCo de> | |
| 23851 | <country> | |
| 23852 | US | |
| 23853 | </country> | |
| 23854 | </addr> | |
| 23855 | </wholeOrg anization> | |
| 23856 | </asOrgani zationPart Of> | |
| 23857 | </represen tedOrganiz ation> | |
| 23858 | </assigned Entity> | |
| 23859 | </informan t> | |
| 23860 | <entryRela tionship | |
| 23861 | typeCode=" REFR" | |
| 23862 | inversionI nd="false" | |
| 23863 | > | |
| 23864 | <observati on | |
| 23865 | classCode= "OBS" | |
| 23866 | moodCode=" EVN" | |
| 23867 | > | |
| 23868 | <templateI d | |
| 23869 | root="2.16 .840.1.113 883. IP " | |
| 23870 | /> | |
| 23871 | <templateI d | |
| 23872 | root="2.16 .840.1.113 883. IP " | |
| 23873 | /> | |
| 23874 | <code | |
| 23875 | code="3399 9-4" | |
| 23876 | displayNam e="Status" | |
| 23877 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 23878 | codeSystem Name="LOIN C" | |
| 23879 | /> | |
| 23880 | <statusCod e | |
| 23881 | code="comp leted" | |
| 23882 | /> | |
| 23883 | <value | |
| 23884 | code="5556 1003" | |
| 23885 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 23886 | codeSystem Name="SNOM ED-CT" | |
| 23887 | displayNam e="Active" | |
| 23888 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 23889 | xsi:type=" CE" | |
| 23890 | > | |
| 23891 | <originalT ext> | |
| 23892 | Active | |
| 23893 | </original Text> | |
| 23894 | </value> | |
| 23895 | </observat ion> | |
| 23896 | </entryRel ationship> | |
| 23897 | <entryRela tionship | |
| 23898 | typeCode=" SUBJ" | |
| 23899 | > | |
| 23900 | <observati on | |
| 23901 | classCode= "OBS" | |
| 23902 | moodCode=" EVN" | |
| 23903 | > | |
| 23904 | <templateI d | |
| 23905 | root="2.16 .840.1.113 883. IP " | |
| 23906 | /> | |
| 23907 | <code | |
| 23908 | code="3097 3-2" | |
| 23909 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 23910 | codeSystem Name="LOIN C" | |
| 23911 | displayNam e="Dose nu mber" | |
| 23912 | /> | |
| 23913 | <statusCod e | |
| 23914 | code="comp leted" | |
| 23915 | /> | |
| 23916 | <value | |
| 23917 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 23918 | nullFlavor ="UNK" | |
| 23919 | xsi:type=" INT" | |
| 23920 | /> | |
| 23921 | </observat ion> | |
| 23922 | </entryRel ationship> | |
| 23923 | <entryRela tionship | |
| 23924 | typeCode=" SUBJ" | |
| 23925 | inversionI nd="true" | |
| 23926 | > | |
| 23927 | <encounter | |
| 23928 | classCode= "ENC" | |
| 23929 | moodCode=" EVN" | |
| 23930 | > | |
| 23931 | <id | |
| 23932 | root="2.16 .840.1.113 883.3.1275 " | |
| 23933 | extension= "2.16.840. 1.113883.4 .349" | |
| 23934 | /> | |
| 23935 | </encounte r> | |
| 23936 | </entryRel ationship> | |
| 23937 | </substanc eAdministr ation> | |
| 23938 | </entry> | |
| 23939 | <entry | |
| 23940 | typeCode=" DRIV" | |
| 23941 | > | |
| 23942 | <substance Administra tion | |
| 23943 | classCode= "SBADM" | |
| 23944 | negationIn d="false" | |
| 23945 | moodCode=" EVN" | |
| 23946 | > | |
| 23947 | <templateI d | |
| 23948 | root="2.16 .840.1.113 883. IP .52" | |
| 23949 | /> | |
| 23950 | <id | |
| 23951 | nullFlavor ="UNK" | |
| 23952 | /> | |
| 23953 | <id | |
| 23954 | root="2.16 .840.1.113 883.4.349" | |
| 23955 | extension= "FFF07F42- A6A0-11E6- A9A0-5056A 4032400" | |
| 23956 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 23957 | /> | |
| 23958 | <id | |
| 23959 | root="2.16 .840.1.113 883.4.349" | |
| 23960 | extension= "FFF081A4- A6A0-11E6- A9A0-5056A 4032400" | |
| 23961 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 23962 | /> | |
| 23963 | <code | |
| 23964 | code="IMMU NIZ" | |
| 23965 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 23966 | codeSystem Name="HL7" | |
| 23967 | /> | |
| 23968 | <text> | |
| 23969 | <reference | |
| 23970 | value="#im munization Narrative- 37" | |
| 23971 | /> | |
| 23972 | </text> | |
| 23973 | <statusCod e | |
| 23974 | code="comp leted" | |
| 23975 | /> | |
| 23976 | <effective Time | |
| 23977 | nullFlavor ="UNK" | |
| 23978 | /> | |
| 23979 | <consumabl e | |
| 23980 | typeCode=" CSM" | |
| 23981 | > | |
| 23982 | <manufactu redProduct | |
| 23983 | classCode= "MANU" | |
| 23984 | > | |
| 23985 | <templateI d | |
| 23986 | root="2.16 .840.1.113 883. IP .54" | |
| 23987 | /> | |
| 23988 | <manufactu redMateria l | |
| 23989 | classCode= "MMAT" | |
| 23990 | determiner Code="KIND " | |
| 23991 | > | |
| 23992 | <code | |
| 23993 | nullFlavor ="UNK" | |
| 23994 | > | |
| 23995 | <originalT ext> | |
| 23996 | <reference | |
| 23997 | value="#im munization OrderedNam e-37" | |
| 23998 | /> | |
| 23999 | </original Text> | |
| 24000 | <translati on | |
| 24001 | nullFlavor ="UNK" | |
| 24002 | /> | |
| 24003 | </code> | |
| 24004 | <name> | |
| 24005 | FLU VACCIN E 3 YRS &a mp; > I M | |
| 24006 | </name> | |
| 24007 | </manufact uredMateri al> | |
| 24008 | </manufact uredProduc t> | |
| 24009 | </consumab le> | |
| 24010 | <informant > | |
| 24011 | <assignedE ntity> | |
| 24012 | <id | |
| 24013 | root="RIQI ORG" | |
| 24014 | extension= "DAYTSHR T EST LAB" | |
| 24015 | /> | |
| 24016 | <addr | |
| 24017 | nullFlavor ="UNK" | |
| 24018 | /> | |
| 24019 | <telecom | |
| 24020 | nullFlavor ="UNK" | |
| 24021 | /> | |
| 24022 | <assignedP erson> | |
| 24023 | <name | |
| 24024 | nullFlavor ="UNK" | |
| 24025 | /> | |
| 24026 | </assigned Person> | |
| 24027 | <represent edOrganiza tion> | |
| 24028 | <id | |
| 24029 | root="2.16 .840.1.113 883.3.915" | |
| 24030 | extension= "DAYTSHR T EST LAB" | |
| 24031 | displayabl e="true" | |
| 24032 | /> | |
| 24033 | <name> | |
| 24034 | DAYTSHR TE ST LAB | |
| 24035 | </name> | |
| 24036 | <telecom | |
| 24037 | nullFlavor ="UNK" | |
| 24038 | /> | |
| 24039 | <addr | |
| 24040 | nullFlavor ="UNK" | |
| 24041 | /> | |
| 24042 | <asOrganiz ationPartO f> | |
| 24043 | <effective Time | |
| 24044 | nullFlavor ="UNK" | |
| 24045 | /> | |
| 24046 | <wholeOrga nization> | |
| 24047 | <id | |
| 24048 | root="2.16 .840.1.113 883.3.915" | |
| 24049 | /> | |
| 24050 | <id | |
| 24051 | root="2.16 .840.1.113 883.3.915" | |
| 24052 | extension= "HomeCommu nity" | |
| 24053 | displayabl e="true" | |
| 24054 | /> | |
| 24055 | <name> | |
| 24056 | CurrentCar e Test | |
| 24057 | </name> | |
| 24058 | <telecom | |
| 24059 | use="WP" | |
| 24060 | value="tel :401-276-9 141" | |
| 24061 | /> | |
| 24062 | <addr | |
| 24063 | use="WP" | |
| 24064 | > | |
| 24065 | <streetAdd ressLine> | |
| 24066 | 50 Holden St., Suite 300 | |
| 24067 | </streetAd dressLine> | |
| 24068 | <city> | |
| 24069 | Providence | |
| 24070 | </city> | |
| 24071 | <state> | |
| 24072 | RI | |
| 24073 | </state> | |
| 24074 | <postalCod e> | |
| 24075 | 02908 | |
| 24076 | </postalCo de> | |
| 24077 | <country> | |
| 24078 | US | |
| 24079 | </country> | |
| 24080 | </addr> | |
| 24081 | </wholeOrg anization> | |
| 24082 | </asOrgani zationPart Of> | |
| 24083 | </represen tedOrganiz ation> | |
| 24084 | </assigned Entity> | |
| 24085 | </informan t> | |
| 24086 | <entryRela tionship | |
| 24087 | typeCode=" REFR" | |
| 24088 | inversionI nd="false" | |
| 24089 | > | |
| 24090 | <observati on | |
| 24091 | classCode= "OBS" | |
| 24092 | moodCode=" EVN" | |
| 24093 | > | |
| 24094 | <templateI d | |
| 24095 | root="2.16 .840.1.113 883. IP " | |
| 24096 | /> | |
| 24097 | <templateI d | |
| 24098 | root="2.16 .840.1.113 883. IP " | |
| 24099 | /> | |
| 24100 | <code | |
| 24101 | code="3399 9-4" | |
| 24102 | displayNam e="Status" | |
| 24103 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 24104 | codeSystem Name="LOIN C" | |
| 24105 | /> | |
| 24106 | <statusCod e | |
| 24107 | code="comp leted" | |
| 24108 | /> | |
| 24109 | <value | |
| 24110 | code="5556 1003" | |
| 24111 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 24112 | codeSystem Name="SNOM ED-CT" | |
| 24113 | displayNam e="Active" | |
| 24114 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 24115 | xsi:type=" CE" | |
| 24116 | > | |
| 24117 | <originalT ext> | |
| 24118 | Active | |
| 24119 | </original Text> | |
| 24120 | </value> | |
| 24121 | </observat ion> | |
| 24122 | </entryRel ationship> | |
| 24123 | <entryRela tionship | |
| 24124 | typeCode=" SUBJ" | |
| 24125 | > | |
| 24126 | <observati on | |
| 24127 | classCode= "OBS" | |
| 24128 | moodCode=" EVN" | |
| 24129 | > | |
| 24130 | <templateI d | |
| 24131 | root="2.16 .840.1.113 883. IP " | |
| 24132 | /> | |
| 24133 | <code | |
| 24134 | code="3097 3-2" | |
| 24135 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 24136 | codeSystem Name="LOIN C" | |
| 24137 | displayNam e="Dose nu mber" | |
| 24138 | /> | |
| 24139 | <statusCod e | |
| 24140 | code="comp leted" | |
| 24141 | /> | |
| 24142 | <value | |
| 24143 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 24144 | nullFlavor ="UNK" | |
| 24145 | xsi:type=" INT" | |
| 24146 | /> | |
| 24147 | </observat ion> | |
| 24148 | </entryRel ationship> | |
| 24149 | <entryRela tionship | |
| 24150 | typeCode=" SUBJ" | |
| 24151 | inversionI nd="true" | |
| 24152 | > | |
| 24153 | <encounter | |
| 24154 | classCode= "ENC" | |
| 24155 | moodCode=" EVN" | |
| 24156 | > | |
| 24157 | <id | |
| 24158 | root="2.16 .840.1.113 883.3.1275 " | |
| 24159 | extension= "2.16.840. 1.113883.4 .349" | |
| 24160 | /> | |
| 24161 | </encounte r> | |
| 24162 | </entryRel ationship> | |
| 24163 | </substanc eAdministr ation> | |
| 24164 | </entry> | |
| 24165 | <entry | |
| 24166 | typeCode=" DRIV" | |
| 24167 | > | |
| 24168 | <substance Administra tion | |
| 24169 | classCode= "SBADM" | |
| 24170 | negationIn d="false" | |
| 24171 | moodCode=" EVN" | |
| 24172 | > | |
| 24173 | <templateI d | |
| 24174 | root="2.16 .840.1.113 883. IP .52" | |
| 24175 | /> | |
| 24176 | <id | |
| 24177 | nullFlavor ="UNK" | |
| 24178 | /> | |
| 24179 | <id | |
| 24180 | root="2.16 .840.1.113 883.4.349" | |
| 24181 | extension= "FFF12028- A6A0-11E6- A9A0-5056A 4032400" | |
| 24182 | assigningA uthorityNa me="eHealt hVA-Placer Id" | |
| 24183 | /> | |
| 24184 | <id | |
| 24185 | root="2.16 .840.1.113 883.4.349" | |
| 24186 | extension= "FFF1228A- A6A0-11E6- A9A0-5056A 4032400" | |
| 24187 | assigningA uthorityNa me="eHealt hVA-Filler Id" | |
| 24188 | /> | |
| 24189 | <code | |
| 24190 | code="IMMU NIZ" | |
| 24191 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 24192 | codeSystem Name="HL7" | |
| 24193 | /> | |
| 24194 | <text> | |
| 24195 | <reference | |
| 24196 | value="#im munization Narrative- 38" | |
| 24197 | /> | |
| 24198 | </text> | |
| 24199 | <statusCod e | |
| 24200 | code="comp leted" | |
| 24201 | /> | |
| 24202 | <effective Time | |
| 24203 | nullFlavor ="UNK" | |
| 24204 | /> | |
| 24205 | <consumabl e | |
| 24206 | typeCode=" CSM" | |
| 24207 | > | |
| 24208 | <manufactu redProduct | |
| 24209 | classCode= "MANU" | |
| 24210 | > | |
| 24211 | <templateI d | |
| 24212 | root="2.16 .840.1.113 883. IP .54" | |
| 24213 | /> | |
| 24214 | <manufactu redMateria l | |
| 24215 | classCode= "MMAT" | |
| 24216 | determiner Code="KIND " | |
| 24217 | > | |
| 24218 | <code | |
| 24219 | nullFlavor ="UNK" | |
| 24220 | > | |
| 24221 | <originalT ext> | |
| 24222 | <reference | |
| 24223 | value="#im munization OrderedNam e-38" | |
| 24224 | /> | |
| 24225 | </original Text> | |
| 24226 | <translati on | |
| 24227 | nullFlavor ="UNK" | |
| 24228 | /> | |
| 24229 | </code> | |
| 24230 | <name> | |
| 24231 | Pneumococc al (HISTOR ICAL) | |
| 24232 | </name> | |
| 24233 | </manufact uredMateri al> | |
| 24234 | </manufact uredProduc t> | |
| 24235 | </consumab le> | |
| 24236 | <informant > | |
| 24237 | <assignedE ntity> | |
| 24238 | <id | |
| 24239 | root="RIQI ORG" | |
| 24240 | extension= "DAYTSHR T EST LAB" | |
| 24241 | /> | |
| 24242 | <addr | |
| 24243 | nullFlavor ="UNK" | |
| 24244 | /> | |
| 24245 | <telecom | |
| 24246 | nullFlavor ="UNK" | |
| 24247 | /> | |
| 24248 | <assignedP erson> | |
| 24249 | <name | |
| 24250 | nullFlavor ="UNK" | |
| 24251 | /> | |
| 24252 | </assigned Person> | |
| 24253 | <represent edOrganiza tion> | |
| 24254 | <id | |
| 24255 | root="2.16 .840.1.113 883.3.915" | |
| 24256 | extension= "DAYTSHR T EST LAB" | |
| 24257 | displayabl e="true" | |
| 24258 | /> | |
| 24259 | <name> | |
| 24260 | DAYTSHR TE ST LAB | |
| 24261 | </name> | |
| 24262 | <telecom | |
| 24263 | nullFlavor ="UNK" | |
| 24264 | /> | |
| 24265 | <addr | |
| 24266 | nullFlavor ="UNK" | |
| 24267 | /> | |
| 24268 | <asOrganiz ationPartO f> | |
| 24269 | <effective Time | |
| 24270 | nullFlavor ="UNK" | |
| 24271 | /> | |
| 24272 | <wholeOrga nization> | |
| 24273 | <id | |
| 24274 | root="2.16 .840.1.113 883.3.915" | |
| 24275 | /> | |
| 24276 | <id | |
| 24277 | root="2.16 .840.1.113 883.3.915" | |
| 24278 | extension= "HomeCommu nity" | |
| 24279 | displayabl e="true" | |
| 24280 | /> | |
| 24281 | <name> | |
| 24282 | CurrentCar e Test | |
| 24283 | </name> | |
| 24284 | <telecom | |
| 24285 | use="WP" | |
| 24286 | value="tel :401-276-9 141" | |
| 24287 | /> | |
| 24288 | <addr | |
| 24289 | use="WP" | |
| 24290 | > | |
| 24291 | <streetAdd ressLine> | |
| 24292 | 50 Holden St., Suite 300 | |
| 24293 | </streetAd dressLine> | |
| 24294 | <city> | |
| 24295 | Providence | |
| 24296 | </city> | |
| 24297 | <state> | |
| 24298 | RI | |
| 24299 | </state> | |
| 24300 | <postalCod e> | |
| 24301 | 02908 | |
| 24302 | </postalCo de> | |
| 24303 | <country> | |
| 24304 | US | |
| 24305 | </country> | |
| 24306 | </addr> | |
| 24307 | </wholeOrg anization> | |
| 24308 | </asOrgani zationPart Of> | |
| 24309 | </represen tedOrganiz ation> | |
| 24310 | </assigned Entity> | |
| 24311 | </informan t> | |
| 24312 | <entryRela tionship | |
| 24313 | typeCode=" REFR" | |
| 24314 | inversionI nd="false" | |
| 24315 | > | |
| 24316 | <observati on | |
| 24317 | classCode= "OBS" | |
| 24318 | moodCode=" EVN" | |
| 24319 | > | |
| 24320 | <templateI d | |
| 24321 | root="2.16 .840.1.113 883. IP " | |
| 24322 | /> | |
| 24323 | <templateI d | |
| 24324 | root="2.16 .840.1.113 883. IP " | |
| 24325 | /> | |
| 24326 | <code | |
| 24327 | code="3399 9-4" | |
| 24328 | displayNam e="Status" | |
| 24329 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 24330 | codeSystem Name="LOIN C" | |
| 24331 | /> | |
| 24332 | <statusCod e | |
| 24333 | code="comp leted" | |
| 24334 | /> | |
| 24335 | <value | |
| 24336 | code="5556 1003" | |
| 24337 | codeSystem ="2.16.840 .1.113883. 6.96" | |
| 24338 | codeSystem Name="SNOM ED-CT" | |
| 24339 | displayNam e="Active" | |
| 24340 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 24341 | xsi:type=" CE" | |
| 24342 | > | |
| 24343 | <originalT ext> | |
| 24344 | Active | |
| 24345 | </original Text> | |
| 24346 | </value> | |
| 24347 | </observat ion> | |
| 24348 | </entryRel ationship> | |
| 24349 | <entryRela tionship | |
| 24350 | typeCode=" SUBJ" | |
| 24351 | > | |
| 24352 | <observati on | |
| 24353 | classCode= "OBS" | |
| 24354 | moodCode=" EVN" | |
| 24355 | > | |
| 24356 | <templateI d | |
| 24357 | root="2.16 .840.1.113 883. IP " | |
| 24358 | /> | |
| 24359 | <code | |
| 24360 | code="3097 3-2" | |
| 24361 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 24362 | codeSystem Name="LOIN C" | |
| 24363 | displayNam e="Dose nu mber" | |
| 24364 | /> | |
| 24365 | <statusCod e | |
| 24366 | code="comp leted" | |
| 24367 | /> | |
| 24368 | <value | |
| 24369 | xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce" | |
| 24370 | nullFlavor ="UNK" | |
| 24371 | xsi:type=" INT" | |
| 24372 | /> | |
| 24373 | </observat ion> | |
| 24374 | </entryRel ationship> | |
| 24375 | <entryRela tionship | |
| 24376 | typeCode=" SUBJ" | |
| 24377 | inversionI nd="true" | |
| 24378 | > | |
| 24379 | <encounter | |
| 24380 | classCode= "ENC" | |
| 24381 | moodCode=" EVN" | |
| 24382 | > | |
| 24383 | <id | |
| 24384 | root="2.16 .840.1.113 883.3.1275 " | |
| 24385 | extension= "2.16.840. 1.113883.4 .349" | |
| 24386 | /> | |
| 24387 | </encounte r> | |
| 24388 | </entryRel ationship> | |
| 24389 | </substanc eAdministr ation> | |
| 24390 | </entry> | |
| 24391 | </section> | |
| 24392 | </componen t> | |
| 24393 | <component > | |
| 24394 | <section> | |
| 24395 | <templateI d | |
| 24396 | root="2.16 .840.1.113 883.10.20. 22.2.22" | |
| 24397 | /> | |
| 24398 | <code | |
| 24399 | code="4624 0-8" | |
| 24400 | displayNam e="History of Encoun ters" | |
| 24401 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 24402 | codeSystem Name="LOIN C" | |
| 24403 | /> | |
| 24404 | <title> | |
| 24405 | Encounters | |
| 24406 | </title> | |
| 24407 | <text> | |
| 24408 | <table | |
| 24409 | border="1" | |
| 24410 | width="100 %" | |
| 24411 | > | |
| 24412 | <thead> | |
| 24413 | <tr> | |
| 24414 | <th> | |
| 24415 | Start Date /Time | |
| 24416 | </th> | |
| 24417 | <th> | |
| 24418 | End Date/T ime | |
| 24419 | </th> | |
| 24420 | <th> | |
| 24421 | Encounter Type | |
| 24422 | </th> | |
| 24423 | <th> | |
| 24424 | Attending Clinicians | |
| 24425 | </th> | |
| 24426 | <th> | |
| 24427 | Care Facil ity | |
| 24428 | </th> | |
| 24429 | <th> | |
| 24430 | Care Depar tment | |
| 24431 | </th> | |
| 24432 | <th> | |
| 24433 | Encounter ID | |
| 24434 | </th> | |
| 24435 | <th> | |
| 24436 | Reason for Visit | |
| 24437 | </th> | |
| 24438 | </tr> | |
| 24439 | </thead> | |
| 24440 | <tbody> | |
| 24441 | <tr | |
| 24442 | ID="encoun terNarrati ve-1" | |
| 24443 | > | |
| 24444 | <td> | |
| 24445 | 2016-11-09 12:21:50 | |
| 24446 | </td> | |
| 24447 | <td/> | |
| 24448 | <td | |
| 24449 | ID="encoun terDescrip tion-1" | |
| 24450 | > | |
| 24451 | Outpatient | |
| 24452 | </td> | |
| 24453 | <td/> | |
| 24454 | <td> | |
| 24455 | VA | |
| 24456 | </td> | |
| 24457 | <td> | |
| 24458 | VA | |
| 24459 | </td> | |
| 24460 | <td> | |
| 24461 | 2.16.840.1 .113883.4. 349 | |
| 24462 | </td> | |
| 24463 | <td/> | |
| 24464 | </tr> | |
| 24465 | <tr | |
| 24466 | ID="encoun terNarrati ve-2" | |
| 24467 | > | |
| 24468 | <td> | |
| 24469 | 2016-10-21 12:45:57 | |
| 24470 | </td> | |
| 24471 | <td> | |
| 24472 | 2016-10-21 12:45:57 | |
| 24473 | </td> | |
| 24474 | <td | |
| 24475 | ID="encoun terDescrip tion-2" | |
| 24476 | > | |
| 24477 | Office Vis it | |
| 24478 | </td> | |
| 24479 | <td> | |
| 24480 | Salk, Robe rt | |
| 24481 | </td> | |
| 24482 | <td> | |
| 24483 | 31500 | |
| 24484 | </td> | |
| 24485 | <td> | |
| 24486 | Caring for Women War wick | |
| 24487 | </td> | |
| 24488 | <td> | |
| 24489 | 10553224 | |
| 24490 | </td> | |
| 24491 | <td> | |
| 24492 | Routine gy necologica l examinat ion (Prima ry Dx) | |
| 24493 | </td> | |
| 24494 | </tr> | |
| 24495 | <tr | |
| 24496 | ID="encoun terNarrati ve-3" | |
| 24497 | > | |
| 24498 | <td> | |
| 24499 | 2015-01-14 06:49:19 | |
| 24500 | </td> | |
| 24501 | <td/> | |
| 24502 | <td | |
| 24503 | ID="encoun terDescrip tion-3" | |
| 24504 | > | |
| 24505 | SURGICAL P ROCEDURE U NIT | |
| 24506 | </td> | |
| 24507 | <td/> | |
| 24508 | <td> | |
| 24509 | VA | |
| 24510 | </td> | |
| 24511 | <td> | |
| 24512 | VA | |
| 24513 | </td> | |
| 24514 | <td> | |
| 24515 | 1012638924 V546709-20 150114 | |
| 24516 | </td> | |
| 24517 | <td/> | |
| 24518 | </tr> | |
| 24519 | <tr | |
| 24520 | ID="encoun terNarrati ve-4" | |
| 24521 | > | |
| 24522 | <td> | |
| 24523 | 2014-12-08 14:27:23 | |
| 24524 | </td> | |
| 24525 | <td/> | |
| 24526 | <td | |
| 24527 | ID="encoun terDescrip tion-4" | |
| 24528 | > | |
| 24529 | SURGICAL P ROCEDURE U NIT | |
| 24530 | </td> | |
| 24531 | <td/> | |
| 24532 | <td> | |
| 24533 | VA | |
| 24534 | </td> | |
| 24535 | <td> | |
| 24536 | VA | |
| 24537 | </td> | |
| 24538 | <td> | |
| 24539 | 1012638924 V546709-20 141208 | |
| 24540 | </td> | |
| 24541 | <td/> | |
| 24542 | </tr> | |
| 24543 | <tr | |
| 24544 | ID="encoun terNarrati ve-5" | |
| 24545 | > | |
| 24546 | <td> | |
| 24547 | 2014-12-05 15:04:39 | |
| 24548 | </td> | |
| 24549 | <td/> | |
| 24550 | <td | |
| 24551 | ID="encoun terDescrip tion-5" | |
| 24552 | > | |
| 24553 | HCHV/HCMI GROUP | |
| 24554 | </td> | |
| 24555 | <td/> | |
| 24556 | <td> | |
| 24557 | VA | |
| 24558 | </td> | |
| 24559 | <td> | |
| 24560 | VA | |
| 24561 | </td> | |
| 24562 | <td> | |
| 24563 | 1012638924 V546709-20 141205 | |
| 24564 | </td> | |
| 24565 | <td/> | |
| 24566 | </tr> | |
| 24567 | <tr | |
| 24568 | ID="encoun terNarrati ve-6" | |
| 24569 | > | |
| 24570 | <td> | |
| 24571 | 2014-11-05 18:33:12 | |
| 24572 | </td> | |
| 24573 | <td/> | |
| 24574 | <td | |
| 24575 | ID="encoun terDescrip tion-6" | |
| 24576 | > | |
| 24577 | ADMITTING/ SCREENING | |
| 24578 | </td> | |
| 24579 | <td/> | |
| 24580 | <td> | |
| 24581 | VA | |
| 24582 | </td> | |
| 24583 | <td> | |
| 24584 | VA | |
| 24585 | </td> | |
| 24586 | <td> | |
| 24587 | 1012638924 V546709-20 141105 | |
| 24588 | </td> | |
| 24589 | <td/> | |
| 24590 | </tr> | |
| 24591 | <tr | |
| 24592 | ID="encoun terNarrati ve-7" | |
| 24593 | > | |
| 24594 | <td> | |
| 24595 | 2014-09-30 15:46:22 | |
| 24596 | </td> | |
| 24597 | <td/> | |
| 24598 | <td | |
| 24599 | ID="encoun terDescrip tion-7" | |
| 24600 | > | |
| 24601 | GENERAL IN TERNAL MED ICINE | |
| 24602 | </td> | |
| 24603 | <td/> | |
| 24604 | <td> | |
| 24605 | VA | |
| 24606 | </td> | |
| 24607 | <td> | |
| 24608 | VA | |
| 24609 | </td> | |
| 24610 | <td> | |
| 24611 | 1012638924 V546709-20 140930 | |
| 24612 | </td> | |
| 24613 | <td/> | |
| 24614 | </tr> | |
| 24615 | <tr | |
| 24616 | ID="encoun terNarrati ve-8" | |
| 24617 | > | |
| 24618 | <td> | |
| 24619 | 2014-07-18 16:00:55 | |
| 24620 | </td> | |
| 24621 | <td/> | |
| 24622 | <td | |
| 24623 | ID="encoun terDescrip tion-8" | |
| 24624 | > | |
| 24625 | AUDIOLOGY | |
| 24626 | </td> | |
| 24627 | <td/> | |
| 24628 | <td> | |
| 24629 | VA | |
| 24630 | </td> | |
| 24631 | <td> | |
| 24632 | VA | |
| 24633 | </td> | |
| 24634 | <td> | |
| 24635 | 1012638924 V546709-20 140718 | |
| 24636 | </td> | |
| 24637 | <td/> | |
| 24638 | </tr> | |
| 24639 | <tr | |
| 24640 | ID="encoun terNarrati ve-9" | |
| 24641 | > | |
| 24642 | <td> | |
| 24643 | 2014-01-24 04:00:00 | |
| 24644 | </td> | |
| 24645 | <td/> | |
| 24646 | <td | |
| 24647 | ID="encoun terDescrip tion-9" | |
| 24648 | > | |
| 24649 | ALLERGY IM MUNOLOGY | |
| 24650 | </td> | |
| 24651 | <td/> | |
| 24652 | <td> | |
| 24653 | VA | |
| 24654 | </td> | |
| 24655 | <td> | |
| 24656 | VA | |
| 24657 | </td> | |
| 24658 | <td> | |
| 24659 | 1012638924 V546709-20 140124 | |
| 24660 | </td> | |
| 24661 | <td/> | |
| 24662 | </tr> | |
| 24663 | <tr | |
| 24664 | ID="encoun terNarrati ve-10" | |
| 24665 | > | |
| 24666 | <td> | |
| 24667 | 2013-06-17 10:57:15 | |
| 24668 | </td> | |
| 24669 | <td/> | |
| 24670 | <td | |
| 24671 | ID="encoun terDescrip tion-10" | |
| 24672 | > | |
| 24673 | ADMIN PAT ACTIVTIES (MASNONCT) | |
| 24674 | </td> | |
| 24675 | <td/> | |
| 24676 | <td> | |
| 24677 | VA | |
| 24678 | </td> | |
| 24679 | <td> | |
| 24680 | VA | |
| 24681 | </td> | |
| 24682 | <td> | |
| 24683 | 1012638924 V546709-20 130617 | |
| 24684 | </td> | |
| 24685 | <td/> | |
| 24686 | </tr> | |
| 24687 | <tr | |
| 24688 | ID="encoun terNarrati ve-11" | |
| 24689 | > | |
| 24690 | <td> | |
| 24691 | 2012-10-30 11:08:00 | |
| 24692 | </td> | |
| 24693 | <td/> | |
| 24694 | <td | |
| 24695 | ID="encoun terDescrip tion-11" | |
| 24696 | > | |
| 24697 | GENERAL IN TERNAL MED ICINE | |
| 24698 | </td> | |
| 24699 | <td/> | |
| 24700 | <td> | |
| 24701 | VA | |
| 24702 | </td> | |
| 24703 | <td> | |
| 24704 | VA | |
| 24705 | </td> | |
| 24706 | <td> | |
| 24707 | 1012638924 V546709-20 121030 | |
| 24708 | </td> | |
| 24709 | <td/> | |
| 24710 | </tr> | |
| 24711 | </tbody> | |
| 24712 | </table> | |
| 24713 | </text> | |
| 24714 | <entry> | |
| 24715 | <encounter | |
| 24716 | classCode= "ENC" | |
| 24717 | moodCode=" EVN" | |
| 24718 | > | |
| 24719 | <templateI d | |
| 24720 | root="2.16 .840.1.113 883. IP .49" | |
| 24721 | /> | |
| 24722 | <id | |
| 24723 | root="2.16 .840.1.113 883.4.349" | |
| 24724 | extension= "2.16.840. 1.113883.4 .349" | |
| 24725 | assigningA uthorityNa me="eHealt hVA-Extern alId" | |
| 24726 | /> | |
| 24727 | <id | |
| 24728 | root="2.16 .840.1.113 883.3.1275 " | |
| 24729 | extension= "2.16.840. 1.113883.4 .349" | |
| 24730 | assigningA uthorityNa me="VA-Enc ounterId" | |
| 24731 | /> | |
| 24732 | <code | |
| 24733 | code="AMB" | |
| 24734 | codeSystem ="2.16.840 .1.113883. 6.12" | |
| 24735 | codeSystem Name="CPT- 4" | |
| 24736 | displayNam e="Ambulat ory" | |
| 24737 | > | |
| 24738 | <originalT ext> | |
| 24739 | <reference | |
| 24740 | value="#en counterDes cription-1 " | |
| 24741 | /> | |
| 24742 | </original Text> | |
| 24743 | </code> | |
| 24744 | <text> | |
| 24745 | <reference | |
| 24746 | value="#en counterNar rative-1" | |
| 24747 | /> | |
| 24748 | </text> | |
| 24749 | <effective Time> | |
| 24750 | <low | |
| 24751 | value="201 6110912215 0" | |
| 24752 | /> | |
| 24753 | <high | |
| 24754 | nullFlavor ="UNK" | |
| 24755 | /> | |
| 24756 | </effectiv eTime> | |
| 24757 | <author | |
| 24758 | typeCode=" AUT" | |
| 24759 | > | |
| 24760 | <time | |
| 24761 | value="201 5011514012 6" | |
| 24762 | /> | |
| 24763 | <assignedA uthor | |
| 24764 | classCode= "ASSIGNED" | |
| 24765 | > | |
| 24766 | <id | |
| 24767 | root="2.16 .840.1.113 883.3.86.3 .1" | |
| 24768 | extension= "Departmen t of Veter ans Affair s" | |
| 24769 | /> | |
| 24770 | <addr | |
| 24771 | nullFlavor ="UNK" | |
| 24772 | /> | |
| 24773 | <telecom | |
| 24774 | nullFlavor ="UNK" | |
| 24775 | /> | |
| 24776 | <assignedP erson> | |
| 24777 | <name | |
| 24778 | use="L" | |
| 24779 | > | |
| 24780 | <family> | |
| 24781 | of Veteran s Affairs | |
| 24782 | </family> | |
| 24783 | <given> | |
| 24784 | Department | |
| 24785 | </given> | |
| 24786 | </name> | |
| 24787 | </assigned Person> | |
| 24788 | <represent edOrganiza tion> | |
| 24789 | <id | |
| 24790 | root="2.16 .840.1.113 883.4.349" | |
| 24791 | /> | |
| 24792 | <id | |
| 24793 | root="2.16 .840.1.113 883.3.915" | |
| 24794 | extension= "eHealthVA " | |
| 24795 | displayabl e="true" | |
| 24796 | /> | |
| 24797 | <name> | |
| 24798 | Department of Vetera ns Affairs | |
| 24799 | </name> | |
| 24800 | <telecom | |
| 24801 | nullFlavor ="UNK" | |
| 24802 | /> | |
| 24803 | <addr | |
| 24804 | nullFlavor ="UNK" | |
| 24805 | /> | |
| 24806 | <asOrganiz ationPartO f> | |
| 24807 | <effective Time | |
| 24808 | nullFlavor ="UNK" | |
| 24809 | /> | |
| 24810 | <wholeOrga nization> | |
| 24811 | <id | |
| 24812 | root="2.16 .840.1.113 883.3.915" | |
| 24813 | /> | |
| 24814 | <id | |
| 24815 | root="2.16 .840.1.113 883.3.915" | |
| 24816 | extension= "HomeCommu nity" | |
| 24817 | displayabl e="true" | |
| 24818 | /> | |
| 24819 | <name> | |
| 24820 | CurrentCar e Test | |
| 24821 | </name> | |
| 24822 | <telecom | |
| 24823 | use="WP" | |
| 24824 | value="tel :401-276-9 141" | |
| 24825 | /> | |
| 24826 | <addr | |
| 24827 | use="WP" | |
| 24828 | > | |
| 24829 | <streetAdd ressLine> | |
| 24830 | 50 Holden St., Suite 300 | |
| 24831 | </streetAd dressLine> | |
| 24832 | <city> | |
| 24833 | Providence | |
| 24834 | </city> | |
| 24835 | <state> | |
| 24836 | RI | |
| 24837 | </state> | |
| 24838 | <postalCod e> | |
| 24839 | 02908 | |
| 24840 | </postalCo de> | |
| 24841 | <country> | |
| 24842 | US | |
| 24843 | </country> | |
| 24844 | </addr> | |
| 24845 | </wholeOrg anization> | |
| 24846 | </asOrgani zationPart Of> | |
| 24847 | </represen tedOrganiz ation> | |
| 24848 | </assigned Author> | |
| 24849 | </author> | |
| 24850 | <informant > | |
| 24851 | <assignedE ntity> | |
| 24852 | <id | |
| 24853 | root="RIQI ORG" | |
| 24854 | extension= "eHealthVA " | |
| 24855 | /> | |
| 24856 | <addr | |
| 24857 | nullFlavor ="UNK" | |
| 24858 | /> | |
| 24859 | <telecom | |
| 24860 | nullFlavor ="UNK" | |
| 24861 | /> | |
| 24862 | <assignedP erson> | |
| 24863 | <name | |
| 24864 | nullFlavor ="UNK" | |
| 24865 | /> | |
| 24866 | </assigned Person> | |
| 24867 | <represent edOrganiza tion> | |
| 24868 | <id | |
| 24869 | root="2.16 .840.1.113 883.4.349" | |
| 24870 | /> | |
| 24871 | <id | |
| 24872 | root="2.16 .840.1.113 883.3.915" | |
| 24873 | extension= "eHealthVA " | |
| 24874 | displayabl e="true" | |
| 24875 | /> | |
| 24876 | <name> | |
| 24877 | Department of Vetera ns Affairs | |
| 24878 | </name> | |
| 24879 | <telecom | |
| 24880 | nullFlavor ="UNK" | |
| 24881 | /> | |
| 24882 | <addr | |
| 24883 | nullFlavor ="UNK" | |
| 24884 | /> | |
| 24885 | <asOrganiz ationPartO f> | |
| 24886 | <effective Time | |
| 24887 | nullFlavor ="UNK" | |
| 24888 | /> | |
| 24889 | <wholeOrga nization> | |
| 24890 | <id | |
| 24891 | root="2.16 .840.1.113 883.3.915" | |
| 24892 | /> | |
| 24893 | <id | |
| 24894 | root="2.16 .840.1.113 883.3.915" | |
| 24895 | extension= "HomeCommu nity" | |
| 24896 | displayabl e="true" | |
| 24897 | /> | |
| 24898 | <name> | |
| 24899 | CurrentCar e Test | |
| 24900 | </name> | |
| 24901 | <telecom | |
| 24902 | use="WP" | |
| 24903 | value="tel :401-276-9 141" | |
| 24904 | /> | |
| 24905 | <addr | |
| 24906 | use="WP" | |
| 24907 | > | |
| 24908 | <streetAdd ressLine> | |
| 24909 | 50 Holden St., Suite 300 | |
| 24910 | </streetAd dressLine> | |
| 24911 | <city> | |
| 24912 | Providence | |
| 24913 | </city> | |
| 24914 | <state> | |
| 24915 | RI | |
| 24916 | </state> | |
| 24917 | <postalCod e> | |
| 24918 | 02908 | |
| 24919 | </postalCo de> | |
| 24920 | <country> | |
| 24921 | US | |
| 24922 | </country> | |
| 24923 | </addr> | |
| 24924 | </wholeOrg anization> | |
| 24925 | </asOrgani zationPart Of> | |
| 24926 | </represen tedOrganiz ation> | |
| 24927 | </assigned Entity> | |
| 24928 | </informan t> | |
| 24929 | <participa nt | |
| 24930 | typeCode=" LOC" | |
| 24931 | > | |
| 24932 | <participa ntRole | |
| 24933 | classCode= "SDLOC" | |
| 24934 | > | |
| 24935 | <templateI d | |
| 24936 | root="2.16 .840.1.113 883. IP .32" | |
| 24937 | /> | |
| 24938 | <id | |
| 24939 | root="2.16 .840.1.113 883.3.1275 " | |
| 24940 | extension= "VA" | |
| 24941 | /> | |
| 24942 | <code | |
| 24943 | code="1160 -1" | |
| 24944 | codeSystem ="2.16.840 .1.113883. 6.259" | |
| 24945 | codeSystem Name="Heal thcareServ iceLocatio n" | |
| 24946 | displayNam e="Urgent Care Cente r" | |
| 24947 | /> | |
| 24948 | <playingEn tity | |
| 24949 | classCode= "PLC" | |
| 24950 | > | |
| 24951 | <name> | |
| 24952 | VA | |
| 24953 | </name> | |
| 24954 | </playingE ntity> | |
| 24955 | </particip antRole> | |
| 24956 | </particip ant> | |
| 24957 | </encounte r> | |
| 24958 | </entry> | |
| 24959 | <entry> | |
| 24960 | <encounter | |
| 24961 | classCode= "ENC" | |
| 24962 | moodCode=" EVN" | |
| 24963 | > | |
| 24964 | <templateI d | |
| 24965 | root="2.16 .840.1.113 883. IP .49" | |
| 24966 | /> | |
| 24967 | <id | |
| 24968 | root="3150 0" | |
| 24969 | extension= "1.2.840.1 14350.1.13 .386.2.7.3 .698084.8| 10553224" | |
| 24970 | assigningA uthorityNa me="31500- ExternalId " | |
| 24971 | /> | |
| 24972 | <id | |
| 24973 | root="3150 0" | |
| 24974 | extension= "10553224" | |
| 24975 | assigningA uthorityNa me="31500- EncounterI d" | |
| 24976 | /> | |
| 24977 | <code | |
| 24978 | code="9939 6" | |
| 24979 | codeSystem ="2.16.840 .1.113883. 6.12" | |
| 24980 | codeSystem Name="CPT- 4" | |
| 24981 | displayNam e="Office Visit" | |
| 24982 | > | |
| 24983 | <originalT ext> | |
| 24984 | <reference | |
| 24985 | value="#en counterDes cription-2 " | |
| 24986 | /> | |
| 24987 | </original Text> | |
| 24988 | </code> | |
| 24989 | <text> | |
| 24990 | <reference | |
| 24991 | value="#en counterNar rative-2" | |
| 24992 | /> | |
| 24993 | </text> | |
| 24994 | <effective Time> | |
| 24995 | <low | |
| 24996 | value="201 6102112455 7" | |
| 24997 | /> | |
| 24998 | <high | |
| 24999 | value="201 6102112455 7" | |
| 25000 | /> | |
| 25001 | </effectiv eTime> | |
| 25002 | <performer | |
| 25003 | typeCode=" PRF" | |
| 25004 | > | |
| 25005 | <time | |
| 25006 | nullFlavor ="UNK" | |
| 25007 | /> | |
| 25008 | <assignedE ntity | |
| 25009 | classCode= "ASSIGNED" | |
| 25010 | > | |
| 25011 | <id | |
| 25012 | root="2.16 .840.1.113 883.4.6" | |
| 25013 | extension= "154828055 5" | |
| 25014 | /> | |
| 25015 | <addr | |
| 25016 | use="WP" | |
| 25017 | > | |
| 25018 | <streetAdd ressLine> | |
| 25019 | 166 TOLLGA TE ROAD | |
| 25020 | </streetAd dressLine> | |
| 25021 | <city> | |
| 25022 | WARWICK | |
| 25023 | </city> | |
| 25024 | <state> | |
| 25025 | RI | |
| 25026 | </state> | |
| 25027 | <postalCod e> | |
| 25028 | 02886 | |
| 25029 | </postalCo de> | |
| 25030 | <country | |
| 25031 | nullFlavor ="UNK" | |
| 25032 | /> | |
| 25033 | </addr> | |
| 25034 | <telecom | |
| 25035 | use="WP" | |
| 25036 | value="tel :+14017392 000" | |
| 25037 | /> | |
| 25038 | <assignedP erson> | |
| 25039 | <name | |
| 25040 | use="L" | |
| 25041 | > | |
| 25042 | <family> | |
| 25043 | Salk | |
| 25044 | </family> | |
| 25045 | <given> | |
| 25046 | Robert | |
| 25047 | </given> | |
| 25048 | </name> | |
| 25049 | </assigned Person> | |
| 25050 | </assigned Entity> | |
| 25051 | </performe r> | |
| 25052 | <informant > | |
| 25053 | <assignedE ntity> | |
| 25054 | <id | |
| 25055 | root="RIQI ORG" | |
| 25056 | extension= "31500" | |
| 25057 | /> | |
| 25058 | <addr | |
| 25059 | use="WP" | |
| 25060 | > | |
| 25061 | <streetAdd ressLine> | |
| 25062 | 10 Health Lane | |
| 25063 | </streetAd dressLine> | |
| 25064 | <city> | |
| 25065 | Warwick | |
| 25066 | </city> | |
| 25067 | <state> | |
| 25068 | RI | |
| 25069 | </state> | |
| 25070 | <postalCod e> | |
| 25071 | 02886 | |
| 25072 | </postalCo de> | |
| 25073 | <country> | |
| 25074 | US | |
| 25075 | </country> | |
| 25076 | </addr> | |
| 25077 | <telecom | |
| 25078 | nullFlavor ="UNK" | |
| 25079 | /> | |
| 25080 | <assignedP erson> | |
| 25081 | <name | |
| 25082 | nullFlavor ="UNK" | |
| 25083 | /> | |
| 25084 | </assigned Person> | |
| 25085 | <represent edOrganiza tion> | |
| 25086 | <id | |
| 25087 | root="2.16 .840.1.113 883.3.915" | |
| 25088 | extension= "31500" | |
| 25089 | displayabl e="true" | |
| 25090 | /> | |
| 25091 | <name> | |
| 25092 | Care New E ngland | |
| 25093 | </name> | |
| 25094 | <telecom | |
| 25095 | nullFlavor ="UNK" | |
| 25096 | /> | |
| 25097 | <addr | |
| 25098 | use="WP" | |
| 25099 | > | |
| 25100 | <streetAdd ressLine> | |
| 25101 | 10 Health Lane | |
| 25102 | </streetAd dressLine> | |
| 25103 | <city> | |
| 25104 | Warwick | |
| 25105 | </city> | |
| 25106 | <state> | |
| 25107 | RI | |
| 25108 | </state> | |
| 25109 | <postalCod e> | |
| 25110 | 02886 | |
| 25111 | </postalCo de> | |
| 25112 | <country> | |
| 25113 | US | |
| 25114 | </country> | |
| 25115 | </addr> | |
| 25116 | <asOrganiz ationPartO f> | |
| 25117 | <effective Time | |
| 25118 | nullFlavor ="UNK" | |
| 25119 | /> | |
| 25120 | <wholeOrga nization> | |
| 25121 | <id | |
| 25122 | root="2.16 .840.1.113 883.3.915" | |
| 25123 | /> | |
| 25124 | <id | |
| 25125 | root="2.16 .840.1.113 883.3.915" | |
| 25126 | extension= "HomeCommu nity" | |
| 25127 | displayabl e="true" | |
| 25128 | /> | |
| 25129 | <name> | |
| 25130 | CurrentCar e Test | |
| 25131 | </name> | |
| 25132 | <telecom | |
| 25133 | use="WP" | |
| 25134 | value="tel :401-276-9 141" | |
| 25135 | /> | |
| 25136 | <addr | |
| 25137 | use="WP" | |
| 25138 | > | |
| 25139 | <streetAdd ressLine> | |
| 25140 | 50 Holden St., Suite 300 | |
| 25141 | </streetAd dressLine> | |
| 25142 | <city> | |
| 25143 | Providence | |
| 25144 | </city> | |
| 25145 | <state> | |
| 25146 | RI | |
| 25147 | </state> | |
| 25148 | <postalCod e> | |
| 25149 | 02908 | |
| 25150 | </postalCo de> | |
| 25151 | <country> | |
| 25152 | US | |
| 25153 | </country> | |
| 25154 | </addr> | |
| 25155 | </wholeOrg anization> | |
| 25156 | </asOrgani zationPart Of> | |
| 25157 | </represen tedOrganiz ation> | |
| 25158 | </assigned Entity> | |
| 25159 | </informan t> | |
| 25160 | <participa nt | |
| 25161 | typeCode=" LOC" | |
| 25162 | > | |
| 25163 | <participa ntRole | |
| 25164 | classCode= "SDLOC" | |
| 25165 | > | |
| 25166 | <templateI d | |
| 25167 | root="2.16 .840.1.113 883. IP .32" | |
| 25168 | /> | |
| 25169 | <id | |
| 25170 | root="3150 0" | |
| 25171 | extension= "Caring fo r Women Wa rwick" | |
| 25172 | /> | |
| 25173 | <code | |
| 25174 | code="1160 -1" | |
| 25175 | codeSystem ="2.16.840 .1.113883. 6.259" | |
| 25176 | codeSystem Name="Heal thcareServ iceLocatio n" | |
| 25177 | displayNam e="Urgent Care Cente r" | |
| 25178 | /> | |
| 25179 | <playingEn tity | |
| 25180 | classCode= "PLC" | |
| 25181 | > | |
| 25182 | <name> | |
| 25183 | 31500 | |
| 25184 | </name> | |
| 25185 | </playingE ntity> | |
| 25186 | </particip antRole> | |
| 25187 | </particip ant> | |
| 25188 | </encounte r> | |
| 25189 | </entry> | |
| 25190 | <entry> | |
| 25191 | <encounter | |
| 25192 | classCode= "ENC" | |
| 25193 | moodCode=" EVN" | |
| 25194 | > | |
| 25195 | <templateI d | |
| 25196 | root="2.16 .840.1.113 883. IP .49" | |
| 25197 | /> | |
| 25198 | <id | |
| 25199 | nullFlavor ="UNK" | |
| 25200 | /> | |
| 25201 | <id | |
| 25202 | root="2.16 .840.1.113 883.3.1275 " | |
| 25203 | extension= "101263892 4V546709-2 0150114" | |
| 25204 | assigningA uthorityNa me="VA-Enc ounterId" | |
| 25205 | /> | |
| 25206 | <code | |
| 25207 | nullFlavor ="OTH" | |
| 25208 | > | |
| 25209 | <originalT ext> | |
| 25210 | <reference | |
| 25211 | value="#en counterDes cription-3 " | |
| 25212 | /> | |
| 25213 | </original Text> | |
| 25214 | <translati on | |
| 25215 | code="SURG ICAL_PROCE DURE_UNIT" | |
| 25216 | codeSystem ="2.16.840 .1.113883. 3.86.3.1" | |
| 25217 | codeSystem Name="ISC- NoCodeSyst em" | |
| 25218 | displayNam e="SURGICA L PROCEDUR E UNIT" | |
| 25219 | /> | |
| 25220 | </code> | |
| 25221 | <text> | |
| 25222 | <reference | |
| 25223 | value="#en counterNar rative-3" | |
| 25224 | /> | |
| 25225 | </text> | |
| 25226 | <effective Time> | |
| 25227 | <low | |
| 25228 | value="201 5011406491 9" | |
| 25229 | /> | |
| 25230 | <high | |
| 25231 | nullFlavor ="UNK" | |
| 25232 | /> | |
| 25233 | </effectiv eTime> | |
| 25234 | <informant > | |
| 25235 | <assignedE ntity> | |
| 25236 | <id | |
| 25237 | root="RIQI ORG" | |
| 25238 | extension= "442" | |
| 25239 | /> | |
| 25240 | <addr | |
| 25241 | nullFlavor ="UNK" | |
| 25242 | /> | |
| 25243 | <telecom | |
| 25244 | nullFlavor ="UNK" | |
| 25245 | /> | |
| 25246 | <assignedP erson> | |
| 25247 | <name | |
| 25248 | nullFlavor ="UNK" | |
| 25249 | /> | |
| 25250 | </assigned Person> | |
| 25251 | <represent edOrganiza tion> | |
| 25252 | <id | |
| 25253 | root="2.16 .840.1.113 883.3.915" | |
| 25254 | extension= "442" | |
| 25255 | displayabl e="true" | |
| 25256 | /> | |
| 25257 | <name> | |
| 25258 | CHEYENNE V AMC | |
| 25259 | </name> | |
| 25260 | <telecom | |
| 25261 | nullFlavor ="UNK" | |
| 25262 | /> | |
| 25263 | <addr | |
| 25264 | nullFlavor ="UNK" | |
| 25265 | /> | |
| 25266 | <asOrganiz ationPartO f> | |
| 25267 | <effective Time | |
| 25268 | nullFlavor ="UNK" | |
| 25269 | /> | |
| 25270 | <wholeOrga nization> | |
| 25271 | <id | |
| 25272 | root="2.16 .840.1.113 883.3.915" | |
| 25273 | /> | |
| 25274 | <id | |
| 25275 | root="2.16 .840.1.113 883.3.915" | |
| 25276 | extension= "HomeCommu nity" | |
| 25277 | displayabl e="true" | |
| 25278 | /> | |
| 25279 | <name> | |
| 25280 | CurrentCar e Test | |
| 25281 | </name> | |
| 25282 | <telecom | |
| 25283 | use="WP" | |
| 25284 | value="tel :401-276-9 141" | |
| 25285 | /> | |
| 25286 | <addr | |
| 25287 | use="WP" | |
| 25288 | > | |
| 25289 | <streetAdd ressLine> | |
| 25290 | 50 Holden St., Suite 300 | |
| 25291 | </streetAd dressLine> | |
| 25292 | <city> | |
| 25293 | Providence | |
| 25294 | </city> | |
| 25295 | <state> | |
| 25296 | RI | |
| 25297 | </state> | |
| 25298 | <postalCod e> | |
| 25299 | 02908 | |
| 25300 | </postalCo de> | |
| 25301 | <country> | |
| 25302 | US | |
| 25303 | </country> | |
| 25304 | </addr> | |
| 25305 | </wholeOrg anization> | |
| 25306 | </asOrgani zationPart Of> | |
| 25307 | </represen tedOrganiz ation> | |
| 25308 | </assigned Entity> | |
| 25309 | </informan t> | |
| 25310 | <participa nt | |
| 25311 | typeCode=" LOC" | |
| 25312 | > | |
| 25313 | <participa ntRole | |
| 25314 | classCode= "SDLOC" | |
| 25315 | > | |
| 25316 | <templateI d | |
| 25317 | root="2.16 .840.1.113 883. IP .32" | |
| 25318 | /> | |
| 25319 | <id | |
| 25320 | root="2.16 .840.1.113 883.3.1275 " | |
| 25321 | extension= "VA" | |
| 25322 | /> | |
| 25323 | <code | |
| 25324 | code="1160 -1" | |
| 25325 | codeSystem ="2.16.840 .1.113883. 6.259" | |
| 25326 | codeSystem Name="Heal thcareServ iceLocatio n" | |
| 25327 | displayNam e="Urgent Care Cente r" | |
| 25328 | /> | |
| 25329 | <playingEn tity | |
| 25330 | classCode= "PLC" | |
| 25331 | > | |
| 25332 | <name> | |
| 25333 | VA | |
| 25334 | </name> | |
| 25335 | </playingE ntity> | |
| 25336 | </particip antRole> | |
| 25337 | </particip ant> | |
| 25338 | </encounte r> | |
| 25339 | </entry> | |
| 25340 | <entry> | |
| 25341 | <encounter | |
| 25342 | classCode= "ENC" | |
| 25343 | moodCode=" EVN" | |
| 25344 | > | |
| 25345 | <templateI d | |
| 25346 | root="2.16 .840.1.113 883. IP .49" | |
| 25347 | /> | |
| 25348 | <id | |
| 25349 | nullFlavor ="UNK" | |
| 25350 | /> | |
| 25351 | <id | |
| 25352 | root="2.16 .840.1.113 883.3.1275 " | |
| 25353 | extension= "101263892 4V546709-2 0141208" | |
| 25354 | assigningA uthorityNa me="VA-Enc ounterId" | |
| 25355 | /> | |
| 25356 | <code | |
| 25357 | nullFlavor ="OTH" | |
| 25358 | > | |
| 25359 | <originalT ext> | |
| 25360 | <reference | |
| 25361 | value="#en counterDes cription-4 " | |
| 25362 | /> | |
| 25363 | </original Text> | |
| 25364 | <translati on | |
| 25365 | code="SURG ICAL_PROCE DURE_UNIT" | |
| 25366 | codeSystem ="2.16.840 .1.113883. 3.86.3.1" | |
| 25367 | codeSystem Name=" DN S NoCodeSyst em" | |
| 25368 | displayNam e="SURGICA L PROCEDUR E UNIT" | |
| 25369 | /> | |
| 25370 | </code> | |
| 25371 | <text> | |
| 25372 | <reference | |
| 25373 | value="#en counterNar rative-4" | |
| 25374 | /> | |
| 25375 | </text> | |
| 25376 | <effective Time> | |
| 25377 | <low | |
| 25378 | value="201 4120814272 3" | |
| 25379 | /> | |
| 25380 | <high | |
| 25381 | nullFlavor ="UNK" | |
| 25382 | /> | |
| 25383 | </effectiv eTime> | |
| 25384 | <informant > | |
| 25385 | <assignedE ntity> | |
| 25386 | <id | |
| 25387 | root="RIQI ORG" | |
| 25388 | extension= "442" | |
| 25389 | /> | |
| 25390 | <addr | |
| 25391 | nullFlavor ="UNK" | |
| 25392 | /> | |
| 25393 | <telecom | |
| 25394 | nullFlavor ="UNK" | |
| 25395 | /> | |
| 25396 | <assignedP erson> | |
| 25397 | <name | |
| 25398 | nullFlavor ="UNK" | |
| 25399 | /> | |
| 25400 | </assigned Person> | |
| 25401 | <represent edOrganiza tion> | |
| 25402 | <id | |
| 25403 | root="2.16 .840.1.113 883.3.915" | |
| 25404 | extension= "442" | |
| 25405 | displayabl e="true" | |
| 25406 | /> | |
| 25407 | <name> | |
| 25408 | CHEYENNE V AMC | |
| 25409 | </name> | |
| 25410 | <telecom | |
| 25411 | nullFlavor ="UNK" | |
| 25412 | /> | |
| 25413 | <addr | |
| 25414 | nullFlavor ="UNK" | |
| 25415 | /> | |
| 25416 | <asOrganiz ationPartO f> | |
| 25417 | <effective Time | |
| 25418 | nullFlavor ="UNK" | |
| 25419 | /> | |
| 25420 | <wholeOrga nization> | |
| 25421 | <id | |
| 25422 | root="2.16 .840.1.113 883.3.915" | |
| 25423 | /> | |
| 25424 | <id | |
| 25425 | root="2.16 .840.1.113 883.3.915" | |
| 25426 | extension= "HomeCommu nity" | |
| 25427 | displayabl e="true" | |
| 25428 | /> | |
| 25429 | <name> | |
| 25430 | CurrentCar e Test | |
| 25431 | </name> | |
| 25432 | <telecom | |
| 25433 | use="WP" | |
| 25434 | value="tel :401-276-9 141" | |
| 25435 | /> | |
| 25436 | <addr | |
| 25437 | use="WP" | |
| 25438 | > | |
| 25439 | <streetAdd ressLine> | |
| 25440 | 50 Holden St., Suite 300 | |
| 25441 | </streetAd dressLine> | |
| 25442 | <city> | |
| 25443 | Providence | |
| 25444 | </city> | |
| 25445 | <state> | |
| 25446 | RI | |
| 25447 | </state> | |
| 25448 | <postalCod e> | |
| 25449 | 02908 | |
| 25450 | </postalCo de> | |
| 25451 | <country> | |
| 25452 | US | |
| 25453 | </country> | |
| 25454 | </addr> | |
| 25455 | </wholeOrg anization> | |
| 25456 | </asOrgani zationPart Of> | |
| 25457 | </represen tedOrganiz ation> | |
| 25458 | </assigned Entity> | |
| 25459 | </informan t> | |
| 25460 | <participa nt | |
| 25461 | typeCode=" LOC" | |
| 25462 | > | |
| 25463 | <participa ntRole | |
| 25464 | classCode= "SDLOC" | |
| 25465 | > | |
| 25466 | <templateI d | |
| 25467 | root="2.16 .840.1.113 883. IP .32" | |
| 25468 | /> | |
| 25469 | <id | |
| 25470 | root="2.16 .840.1.113 883.3.1275 " | |
| 25471 | extension= "VA" | |
| 25472 | /> | |
| 25473 | <code | |
| 25474 | code="1160 -1" | |
| 25475 | codeSystem ="2.16.840 .1.113883. 6.259" | |
| 25476 | codeSystem Name="Heal thcareServ iceLocatio n" | |
| 25477 | displayNam e="Urgent Care Cente r" | |
| 25478 | /> | |
| 25479 | <playingEn tity | |
| 25480 | classCode= "PLC" | |
| 25481 | > | |
| 25482 | <name> | |
| 25483 | VA | |
| 25484 | </name> | |
| 25485 | </playingE ntity> | |
| 25486 | </particip antRole> | |
| 25487 | </particip ant> | |
| 25488 | </encounte r> | |
| 25489 | </entry> | |
| 25490 | <entry> | |
| 25491 | <encounter | |
| 25492 | classCode= "ENC" | |
| 25493 | moodCode=" EVN" | |
| 25494 | > | |
| 25495 | <templateI d | |
| 25496 | root="2.16 .840.1.113 883. IP .49" | |
| 25497 | /> | |
| 25498 | <id | |
| 25499 | nullFlavor ="UNK" | |
| 25500 | /> | |
| 25501 | <id | |
| 25502 | root="2.16 .840.1.113 883.3.1275 " | |
| 25503 | extension= "101263892 4V546709-2 0141205" | |
| 25504 | assigningA uthorityNa me="VA-Enc ounterId" | |
| 25505 | /> | |
| 25506 | <code | |
| 25507 | nullFlavor ="OTH" | |
| 25508 | > | |
| 25509 | <originalT ext> | |
| 25510 | <reference | |
| 25511 | value="#en counterDes cription-5 " | |
| 25512 | /> | |
| 25513 | </original Text> | |
| 25514 | <translati on | |
| 25515 | code="HCHV /HCMI_GROU P" | |
| 25516 | codeSystem ="2.16.840 .1.113883. 3.86.3.1" | |
| 25517 | codeSystem Name=" DN S NoCodeSyst em" | |
| 25518 | displayNam e="HCHV/HC MI GROUP" | |
| 25519 | /> | |
| 25520 | </code> | |
| 25521 | <text> | |
| 25522 | <reference | |
| 25523 | value="#en counterNar rative-5" | |
| 25524 | /> | |
| 25525 | </text> | |
| 25526 | <effective Time> | |
| 25527 | <low | |
| 25528 | value="201 4120515043 9" | |
| 25529 | /> | |
| 25530 | <high | |
| 25531 | nullFlavor ="UNK" | |
| 25532 | /> | |
| 25533 | </effectiv eTime> | |
| 25534 | <informant > | |
| 25535 | <assignedE ntity> | |
| 25536 | <id | |
| 25537 | root="RIQI ORG" | |
| 25538 | extension= "442" | |
| 25539 | /> | |
| 25540 | <addr | |
| 25541 | nullFlavor ="UNK" | |
| 25542 | /> | |
| 25543 | <telecom | |
| 25544 | nullFlavor ="UNK" | |
| 25545 | /> | |
| 25546 | <assignedP erson> | |
| 25547 | <name | |
| 25548 | nullFlavor ="UNK" | |
| 25549 | /> | |
| 25550 | </assigned Person> | |
| 25551 | <represent edOrganiza tion> | |
| 25552 | <id | |
| 25553 | root="2.16 .840.1.113 883.3.915" | |
| 25554 | extension= "442" | |
| 25555 | displayabl e="true" | |
| 25556 | /> | |
| 25557 | <name> | |
| 25558 | CHEYENNE V AMC | |
| 25559 | </name> | |
| 25560 | <telecom | |
| 25561 | nullFlavor ="UNK" | |
| 25562 | /> | |
| 25563 | <addr | |
| 25564 | nullFlavor ="UNK" | |
| 25565 | /> | |
| 25566 | <asOrganiz ationPartO f> | |
| 25567 | <effective Time | |
| 25568 | nullFlavor ="UNK" | |
| 25569 | /> | |
| 25570 | <wholeOrga nization> | |
| 25571 | <id | |
| 25572 | root="2.16 .840.1.113 883.3.915" | |
| 25573 | /> | |
| 25574 | <id | |
| 25575 | root="2.16 .840.1.113 883.3.915" | |
| 25576 | extension= "HomeCommu nity" | |
| 25577 | displayabl e="true" | |
| 25578 | /> | |
| 25579 | <name> | |
| 25580 | CurrentCar e Test | |
| 25581 | </name> | |
| 25582 | <telecom | |
| 25583 | use="WP" | |
| 25584 | value="tel :401-276-9 141" | |
| 25585 | /> | |
| 25586 | <addr | |
| 25587 | use="WP" | |
| 25588 | > | |
| 25589 | <streetAdd ressLine> | |
| 25590 | 50 Holden St., Suite 300 | |
| 25591 | </streetAd dressLine> | |
| 25592 | <city> | |
| 25593 | Providence | |
| 25594 | </city> | |
| 25595 | <state> | |
| 25596 | RI | |
| 25597 | </state> | |
| 25598 | <postalCod e> | |
| 25599 | 02908 | |
| 25600 | </postalCo de> | |
| 25601 | <country> | |
| 25602 | US | |
| 25603 | </country> | |
| 25604 | </addr> | |
| 25605 | </wholeOrg anization> | |
| 25606 | </asOrgani zationPart Of> | |
| 25607 | </represen tedOrganiz ation> | |
| 25608 | </assigned Entity> | |
| 25609 | </informan t> | |
| 25610 | <participa nt | |
| 25611 | typeCode=" LOC" | |
| 25612 | > | |
| 25613 | <participa ntRole | |
| 25614 | classCode= "SDLOC" | |
| 25615 | > | |
| 25616 | <templateI d | |
| 25617 | root="2.16 .840.1.113 883. IP .32" | |
| 25618 | /> | |
| 25619 | <id | |
| 25620 | root="2.16 .840.1.113 883.3.1275 " | |
| 25621 | extension= "VA" | |
| 25622 | /> | |
| 25623 | <code | |
| 25624 | code="1160 -1" | |
| 25625 | codeSystem ="2.16.840 .1.113883. 6.259" | |
| 25626 | codeSystem Name="Heal thcareServ iceLocatio n" | |
| 25627 | displayNam e="Urgent Care Cente r" | |
| 25628 | /> | |
| 25629 | <playingEn tity | |
| 25630 | classCode= "PLC" | |
| 25631 | > | |
| 25632 | <name> | |
| 25633 | VA | |
| 25634 | </name> | |
| 25635 | </playingE ntity> | |
| 25636 | </particip antRole> | |
| 25637 | </particip ant> | |
| 25638 | </encounte r> | |
| 25639 | </entry> | |
| 25640 | <entry> | |
| 25641 | <encounter | |
| 25642 | classCode= "ENC" | |
| 25643 | moodCode=" EVN" | |
| 25644 | > | |
| 25645 | <templateI d | |
| 25646 | root="2.16 .840.1.113 883. IP .49" | |
| 25647 | /> | |
| 25648 | <id | |
| 25649 | nullFlavor ="UNK" | |
| 25650 | /> | |
| 25651 | <id | |
| 25652 | root="2.16 .840.1.113 883.3.1275 " | |
| 25653 | extension= "101263892 4V546709-2 0141105" | |
| 25654 | assigningA uthorityNa me="VA-Enc ounterId" | |
| 25655 | /> | |
| 25656 | <code | |
| 25657 | code="9921 2" | |
| 25658 | codeSystem ="2.16.840 .1.113883. 6.12" | |
| 25659 | codeSystem Name="CPT- 4" | |
| 25660 | displayNam e="ADMITTI NG/SCREENI NG" | |
| 25661 | > | |
| 25662 | <originalT ext> | |
| 25663 | <reference | |
| 25664 | value="#en counterDes cription-6 " | |
| 25665 | /> | |
| 25666 | </original Text> | |
| 25667 | </code> | |
| 25668 | <text> | |
| 25669 | <reference | |
| 25670 | value="#en counterNar rative-6" | |
| 25671 | /> | |
| 25672 | </text> | |
| 25673 | <effective Time> | |
| 25674 | <low | |
| 25675 | value="201 4110518331 2" | |
| 25676 | /> | |
| 25677 | <high | |
| 25678 | nullFlavor ="UNK" | |
| 25679 | /> | |
| 25680 | </effectiv eTime> | |
| 25681 | <informant > | |
| 25682 | <assignedE ntity> | |
| 25683 | <id | |
| 25684 | root="RIQI ORG" | |
| 25685 | extension= "552" | |
| 25686 | /> | |
| 25687 | <addr | |
| 25688 | nullFlavor ="UNK" | |
| 25689 | /> | |
| 25690 | <telecom | |
| 25691 | nullFlavor ="UNK" | |
| 25692 | /> | |
| 25693 | <assignedP erson> | |
| 25694 | <name | |
| 25695 | nullFlavor ="UNK" | |
| 25696 | /> | |
| 25697 | </assigned Person> | |
| 25698 | <represent edOrganiza tion> | |
| 25699 | <id | |
| 25700 | root="2.16 .840.1.113 883.3.915" | |
| 25701 | extension= "552" | |
| 25702 | displayabl e="true" | |
| 25703 | /> | |
| 25704 | <name> | |
| 25705 | DAYTON | |
| 25706 | </name> | |
| 25707 | <telecom | |
| 25708 | nullFlavor ="UNK" | |
| 25709 | /> | |
| 25710 | <addr | |
| 25711 | nullFlavor ="UNK" | |
| 25712 | /> | |
| 25713 | <asOrganiz ationPartO f> | |
| 25714 | <effective Time | |
| 25715 | nullFlavor ="UNK" | |
| 25716 | /> | |
| 25717 | <wholeOrga nization> | |
| 25718 | <id | |
| 25719 | root="2.16 .840.1.113 883.3.915" | |
| 25720 | /> | |
| 25721 | <id | |
| 25722 | root="2.16 .840.1.113 883.3.915" | |
| 25723 | extension= "HomeCommu nity" | |
| 25724 | displayabl e="true" | |
| 25725 | /> | |
| 25726 | <name> | |
| 25727 | CurrentCar e Test | |
| 25728 | </name> | |
| 25729 | <telecom | |
| 25730 | use="WP" | |
| 25731 | value="tel :401-276-9 141" | |
| 25732 | /> | |
| 25733 | <addr | |
| 25734 | use="WP" | |
| 25735 | > | |
| 25736 | <streetAdd ressLine> | |
| 25737 | 50 Holden St., Suite 300 | |
| 25738 | </streetAd dressLine> | |
| 25739 | <city> | |
| 25740 | Providence | |
| 25741 | </city> | |
| 25742 | <state> | |
| 25743 | RI | |
| 25744 | </state> | |
| 25745 | <postalCod e> | |
| 25746 | 02908 | |
| 25747 | </postalCo de> | |
| 25748 | <country> | |
| 25749 | US | |
| 25750 | </country> | |
| 25751 | </addr> | |
| 25752 | </wholeOrg anization> | |
| 25753 | </asOrgani zationPart Of> | |
| 25754 | </represen tedOrganiz ation> | |
| 25755 | </assigned Entity> | |
| 25756 | </informan t> | |
| 25757 | <participa nt | |
| 25758 | typeCode=" LOC" | |
| 25759 | > | |
| 25760 | <participa ntRole | |
| 25761 | classCode= "SDLOC" | |
| 25762 | > | |
| 25763 | <templateI d | |
| 25764 | root="2.16 .840.1.113 883. IP .32" | |
| 25765 | /> | |
| 25766 | <id | |
| 25767 | root="2.16 .840.1.113 883.3.1275 " | |
| 25768 | extension= "VA" | |
| 25769 | /> | |
| 25770 | <code | |
| 25771 | code="1160 -1" | |
| 25772 | codeSystem ="2.16.840 .1.113883. 6.259" | |
| 25773 | codeSystem Name="Heal thcareServ iceLocatio n" | |
| 25774 | displayNam e="Urgent Care Cente r" | |
| 25775 | /> | |
| 25776 | <playingEn tity | |
| 25777 | classCode= "PLC" | |
| 25778 | > | |
| 25779 | <name> | |
| 25780 | VA | |
| 25781 | </name> | |
| 25782 | </playingE ntity> | |
| 25783 | </particip antRole> | |
| 25784 | </particip ant> | |
| 25785 | </encounte r> | |
| 25786 | </entry> | |
| 25787 | <entry> | |
| 25788 | <encounter | |
| 25789 | classCode= "ENC" | |
| 25790 | moodCode=" EVN" | |
| 25791 | > | |
| 25792 | <templateI d | |
| 25793 | root="2.16 .840.1.113 883. IP .49" | |
| 25794 | /> | |
| 25795 | <id | |
| 25796 | nullFlavor ="UNK" | |
| 25797 | /> | |
| 25798 | <id | |
| 25799 | root="2.16 .840.1.113 883.3.1275 " | |
| 25800 | extension= "101263892 4V546709-2 0140930" | |
| 25801 | assigningA uthorityNa me="VA-Enc ounterId" | |
| 25802 | /> | |
| 25803 | <code | |
| 25804 | nullFlavor ="OTH" | |
| 25805 | > | |
| 25806 | <originalT ext> | |
| 25807 | <reference | |
| 25808 | value="#en counterDes cription-7 " | |
| 25809 | /> | |
| 25810 | </original Text> | |
| 25811 | <translati on | |
| 25812 | code="GENE RAL_INTERN AL_MEDICIN E" | |
| 25813 | codeSystem ="2.16.840 .1.113883. 3.86.3.1" | |
| 25814 | codeSystem Name=" DN S NoCodeSyst em" | |
| 25815 | displayNam e="GENERAL INTERNAL MEDICINE" | |
| 25816 | /> | |
| 25817 | </code> | |
| 25818 | <text> | |
| 25819 | <reference | |
| 25820 | value="#en counterNar rative-7" | |
| 25821 | /> | |
| 25822 | </text> | |
| 25823 | <effective Time> | |
| 25824 | <low | |
| 25825 | value="201 4093015462 2" | |
| 25826 | /> | |
| 25827 | <high | |
| 25828 | nullFlavor ="UNK" | |
| 25829 | /> | |
| 25830 | </effectiv eTime> | |
| 25831 | <informant > | |
| 25832 | <assignedE ntity> | |
| 25833 | <id | |
| 25834 | root="RIQI ORG" | |
| 25835 | extension= "552" | |
| 25836 | /> | |
| 25837 | <addr | |
| 25838 | nullFlavor ="UNK" | |
| 25839 | /> | |
| 25840 | <telecom | |
| 25841 | nullFlavor ="UNK" | |
| 25842 | /> | |
| 25843 | <assignedP erson> | |
| 25844 | <name | |
| 25845 | nullFlavor ="UNK" | |
| 25846 | /> | |
| 25847 | </assigned Person> | |
| 25848 | <represent edOrganiza tion> | |
| 25849 | <id | |
| 25850 | root="2.16 .840.1.113 883.3.915" | |
| 25851 | extension= "552" | |
| 25852 | displayabl e="true" | |
| 25853 | /> | |
| 25854 | <name> | |
| 25855 | DAYTON | |
| 25856 | </name> | |
| 25857 | <telecom | |
| 25858 | nullFlavor ="UNK" | |
| 25859 | /> | |
| 25860 | <addr | |
| 25861 | nullFlavor ="UNK" | |
| 25862 | /> | |
| 25863 | <asOrganiz ationPartO f> | |
| 25864 | <effective Time | |
| 25865 | nullFlavor ="UNK" | |
| 25866 | /> | |
| 25867 | <wholeOrga nization> | |
| 25868 | <id | |
| 25869 | root="2.16 .840.1.113 883.3.915" | |
| 25870 | /> | |
| 25871 | <id | |
| 25872 | root="2.16 .840.1.113 883.3.915" | |
| 25873 | extension= "HomeCommu nity" | |
| 25874 | displayabl e="true" | |
| 25875 | /> | |
| 25876 | <name> | |
| 25877 | CurrentCar e Test | |
| 25878 | </name> | |
| 25879 | <telecom | |
| 25880 | use="WP" | |
| 25881 | value="tel :401-276-9 141" | |
| 25882 | /> | |
| 25883 | <addr | |
| 25884 | use="WP" | |
| 25885 | > | |
| 25886 | <streetAdd ressLine> | |
| 25887 | 50 Holden St., Suite 300 | |
| 25888 | </streetAd dressLine> | |
| 25889 | <city> | |
| 25890 | Providence | |
| 25891 | </city> | |
| 25892 | <state> | |
| 25893 | RI | |
| 25894 | </state> | |
| 25895 | <postalCod e> | |
| 25896 | 02908 | |
| 25897 | </postalCo de> | |
| 25898 | <country> | |
| 25899 | US | |
| 25900 | </country> | |
| 25901 | </addr> | |
| 25902 | </wholeOrg anization> | |
| 25903 | </asOrgani zationPart Of> | |
| 25904 | </represen tedOrganiz ation> | |
| 25905 | </assigned Entity> | |
| 25906 | </informan t> | |
| 25907 | <participa nt | |
| 25908 | typeCode=" LOC" | |
| 25909 | > | |
| 25910 | <participa ntRole | |
| 25911 | classCode= "SDLOC" | |
| 25912 | > | |
| 25913 | <templateI d | |
| 25914 | root="2.16 .840.1.113 883. IP .32" | |
| 25915 | /> | |
| 25916 | <id | |
| 25917 | root="2.16 .840.1.113 883.3.1275 " | |
| 25918 | extension= "VA" | |
| 25919 | /> | |
| 25920 | <code | |
| 25921 | code="1160 -1" | |
| 25922 | codeSystem ="2.16.840 .1.113883. 6.259" | |
| 25923 | codeSystem Name="Heal thcareServ iceLocatio n" | |
| 25924 | displayNam e="Urgent Care Cente r" | |
| 25925 | /> | |
| 25926 | <playingEn tity | |
| 25927 | classCode= "PLC" | |
| 25928 | > | |
| 25929 | <name> | |
| 25930 | VA | |
| 25931 | </name> | |
| 25932 | </playingE ntity> | |
| 25933 | </particip antRole> | |
| 25934 | </particip ant> | |
| 25935 | </encounte r> | |
| 25936 | </entry> | |
| 25937 | <entry> | |
| 25938 | <encounter | |
| 25939 | classCode= "ENC" | |
| 25940 | moodCode=" EVN" | |
| 25941 | > | |
| 25942 | <templateI d | |
| 25943 | root="2.16 .840.1.113 883. IP .49" | |
| 25944 | /> | |
| 25945 | <id | |
| 25946 | nullFlavor ="UNK" | |
| 25947 | /> | |
| 25948 | <id | |
| 25949 | root="2.16 .840.1.113 883.3.1275 " | |
| 25950 | extension= "101263892 4V546709-2 0140718" | |
| 25951 | assigningA uthorityNa me="VA-Enc ounterId" | |
| 25952 | /> | |
| 25953 | <code | |
| 25954 | nullFlavor ="OTH" | |
| 25955 | > | |
| 25956 | <originalT ext> | |
| 25957 | <reference | |
| 25958 | value="#en counterDes cription-8 " | |
| 25959 | /> | |
| 25960 | </original Text> | |
| 25961 | <translati on | |
| 25962 | code="AUDI OLOGY" | |
| 25963 | codeSystem ="2.16.840 .1.113883. 3.86.3.1" | |
| 25964 | codeSystem Name=" DN S NoCodeSyst em" | |
| 25965 | displayNam e="AUDIOLO GY" | |
| 25966 | /> | |
| 25967 | </code> | |
| 25968 | <text> | |
| 25969 | <reference | |
| 25970 | value="#en counterNar rative-8" | |
| 25971 | /> | |
| 25972 | </text> | |
| 25973 | <effective Time> | |
| 25974 | <low | |
| 25975 | value="201 4071816005 5" | |
| 25976 | /> | |
| 25977 | <high | |
| 25978 | nullFlavor ="UNK" | |
| 25979 | /> | |
| 25980 | </effectiv eTime> | |
| 25981 | <informant > | |
| 25982 | <assignedE ntity> | |
| 25983 | <id | |
| 25984 | root="RIQI ORG" | |
| 25985 | extension= "442" | |
| 25986 | /> | |
| 25987 | <addr | |
| 25988 | nullFlavor ="UNK" | |
| 25989 | /> | |
| 25990 | <telecom | |
| 25991 | nullFlavor ="UNK" | |
| 25992 | /> | |
| 25993 | <assignedP erson> | |
| 25994 | <name | |
| 25995 | nullFlavor ="UNK" | |
| 25996 | /> | |
| 25997 | </assigned Person> | |
| 25998 | <represent edOrganiza tion> | |
| 25999 | <id | |
| 26000 | root="2.16 .840.1.113 883.3.915" | |
| 26001 | extension= "442" | |
| 26002 | displayabl e="true" | |
| 26003 | /> | |
| 26004 | <name> | |
| 26005 | CHEYENNE V AMC | |
| 26006 | </name> | |
| 26007 | <telecom | |
| 26008 | nullFlavor ="UNK" | |
| 26009 | /> | |
| 26010 | <addr | |
| 26011 | nullFlavor ="UNK" | |
| 26012 | /> | |
| 26013 | <asOrganiz ationPartO f> | |
| 26014 | <effective Time | |
| 26015 | nullFlavor ="UNK" | |
| 26016 | /> | |
| 26017 | <wholeOrga nization> | |
| 26018 | <id | |
| 26019 | root="2.16 .840.1.113 883.3.915" | |
| 26020 | /> | |
| 26021 | <id | |
| 26022 | root="2.16 .840.1.113 883.3.915" | |
| 26023 | extension= "HomeCommu nity" | |
| 26024 | displayabl e="true" | |
| 26025 | /> | |
| 26026 | <name> | |
| 26027 | CurrentCar e Test | |
| 26028 | </name> | |
| 26029 | <telecom | |
| 26030 | use="WP" | |
| 26031 | value="tel :401-276-9 141" | |
| 26032 | /> | |
| 26033 | <addr | |
| 26034 | use="WP" | |
| 26035 | > | |
| 26036 | <streetAdd ressLine> | |
| 26037 | 50 Holden St., Suite 300 | |
| 26038 | </streetAd dressLine> | |
| 26039 | <city> | |
| 26040 | Providence | |
| 26041 | </city> | |
| 26042 | <state> | |
| 26043 | RI | |
| 26044 | </state> | |
| 26045 | <postalCod e> | |
| 26046 | 02908 | |
| 26047 | </postalCo de> | |
| 26048 | <country> | |
| 26049 | US | |
| 26050 | </country> | |
| 26051 | </addr> | |
| 26052 | </wholeOrg anization> | |
| 26053 | </asOrgani zationPart Of> | |
| 26054 | </represen tedOrganiz ation> | |
| 26055 | </assigned Entity> | |
| 26056 | </informan t> | |
| 26057 | <participa nt | |
| 26058 | typeCode=" LOC" | |
| 26059 | > | |
| 26060 | <participa ntRole | |
| 26061 | classCode= "SDLOC" | |
| 26062 | > | |
| 26063 | <templateI d | |
| 26064 | root="2.16 .840.1.113 883. IP .32" | |
| 26065 | /> | |
| 26066 | <id | |
| 26067 | root="2.16 .840.1.113 883.3.1275 " | |
| 26068 | extension= "VA" | |
| 26069 | /> | |
| 26070 | <code | |
| 26071 | code="1160 -1" | |
| 26072 | codeSystem ="2.16.840 .1.113883. 6.259" | |
| 26073 | codeSystem Name="Heal thcareServ iceLocatio n" | |
| 26074 | displayNam e="Urgent Care Cente r" | |
| 26075 | /> | |
| 26076 | <playingEn tity | |
| 26077 | classCode= "PLC" | |
| 26078 | > | |
| 26079 | <name> | |
| 26080 | VA | |
| 26081 | </name> | |
| 26082 | </playingE ntity> | |
| 26083 | </particip antRole> | |
| 26084 | </particip ant> | |
| 26085 | </encounte r> | |
| 26086 | </entry> | |
| 26087 | <entry> | |
| 26088 | <encounter | |
| 26089 | classCode= "ENC" | |
| 26090 | moodCode=" EVN" | |
| 26091 | > | |
| 26092 | <templateI d | |
| 26093 | root="2.16 .840.1.113 883. IP .49" | |
| 26094 | /> | |
| 26095 | <id | |
| 26096 | nullFlavor ="UNK" | |
| 26097 | /> | |
| 26098 | <id | |
| 26099 | root="2.16 .840.1.113 883.3.1275 " | |
| 26100 | extension= "101263892 4V546709-2 0140124" | |
| 26101 | assigningA uthorityNa me="VA-Enc ounterId" | |
| 26102 | /> | |
| 26103 | <code | |
| 26104 | nullFlavor ="OTH" | |
| 26105 | > | |
| 26106 | <originalT ext> | |
| 26107 | <reference | |
| 26108 | value="#en counterDes cription-9 " | |
| 26109 | /> | |
| 26110 | </original Text> | |
| 26111 | <translati on | |
| 26112 | code="ALLE RGY_IMMUNO LOGY" | |
| 26113 | codeSystem ="2.16.840 .1.113883. 3.86.3.1" | |
| 26114 | codeSystem Name=" DN S NoCodeSyst em" | |
| 26115 | displayNam e="ALLERGY IMMUNOLOG Y" | |
| 26116 | /> | |
| 26117 | </code> | |
| 26118 | <text> | |
| 26119 | <reference | |
| 26120 | value="#en counterNar rative-9" | |
| 26121 | /> | |
| 26122 | </text> | |
| 26123 | <effective Time> | |
| 26124 | <low | |
| 26125 | value="201 4012404000 0" | |
| 26126 | /> | |
| 26127 | <high | |
| 26128 | nullFlavor ="UNK" | |
| 26129 | /> | |
| 26130 | </effectiv eTime> | |
| 26131 | <informant > | |
| 26132 | <assignedE ntity> | |
| 26133 | <id | |
| 26134 | root="RIQI ORG" | |
| 26135 | extension= "552" | |
| 26136 | /> | |
| 26137 | <addr | |
| 26138 | nullFlavor ="UNK" | |
| 26139 | /> | |
| 26140 | <telecom | |
| 26141 | nullFlavor ="UNK" | |
| 26142 | /> | |
| 26143 | <assignedP erson> | |
| 26144 | <name | |
| 26145 | nullFlavor ="UNK" | |
| 26146 | /> | |
| 26147 | </assigned Person> | |
| 26148 | <represent edOrganiza tion> | |
| 26149 | <id | |
| 26150 | root="2.16 .840.1.113 883.3.915" | |
| 26151 | extension= "552" | |
| 26152 | displayabl e="true" | |
| 26153 | /> | |
| 26154 | <name> | |
| 26155 | DAYTON | |
| 26156 | </name> | |
| 26157 | <telecom | |
| 26158 | nullFlavor ="UNK" | |
| 26159 | /> | |
| 26160 | <addr | |
| 26161 | nullFlavor ="UNK" | |
| 26162 | /> | |
| 26163 | <asOrganiz ationPartO f> | |
| 26164 | <effective Time | |
| 26165 | nullFlavor ="UNK" | |
| 26166 | /> | |
| 26167 | <wholeOrga nization> | |
| 26168 | <id | |
| 26169 | root="2.16 .840.1.113 883.3.915" | |
| 26170 | /> | |
| 26171 | <id | |
| 26172 | root="2.16 .840.1.113 883.3.915" | |
| 26173 | extension= "HomeCommu nity" | |
| 26174 | displayabl e="true" | |
| 26175 | /> | |
| 26176 | <name> | |
| 26177 | CurrentCar e Test | |
| 26178 | </name> | |
| 26179 | <telecom | |
| 26180 | use="WP" | |
| 26181 | value="tel :401-276-9 141" | |
| 26182 | /> | |
| 26183 | <addr | |
| 26184 | use="WP" | |
| 26185 | > | |
| 26186 | <streetAdd ressLine> | |
| 26187 | 50 Holden St., Suite 300 | |
| 26188 | </streetAd dressLine> | |
| 26189 | <city> | |
| 26190 | Providence | |
| 26191 | </city> | |
| 26192 | <state> | |
| 26193 | RI | |
| 26194 | </state> | |
| 26195 | <postalCod e> | |
| 26196 | 02908 | |
| 26197 | </postalCo de> | |
| 26198 | <country> | |
| 26199 | US | |
| 26200 | </country> | |
| 26201 | </addr> | |
| 26202 | </wholeOrg anization> | |
| 26203 | </asOrgani zationPart Of> | |
| 26204 | </represen tedOrganiz ation> | |
| 26205 | </assigned Entity> | |
| 26206 | </informan t> | |
| 26207 | <participa nt | |
| 26208 | typeCode=" LOC" | |
| 26209 | > | |
| 26210 | <participa ntRole | |
| 26211 | classCode= "SDLOC" | |
| 26212 | > | |
| 26213 | <templateI d | |
| 26214 | root="2.16 .840.1.113 883. IP .32" | |
| 26215 | /> | |
| 26216 | <id | |
| 26217 | root="2.16 .840.1.113 883.3.1275 " | |
| 26218 | extension= "VA" | |
| 26219 | /> | |
| 26220 | <code | |
| 26221 | code="1160 -1" | |
| 26222 | codeSystem ="2.16.840 .1.113883. 6.259" | |
| 26223 | codeSystem Name="Heal thcareServ iceLocatio n" | |
| 26224 | displayNam e="Urgent Care Cente r" | |
| 26225 | /> | |
| 26226 | <playingEn tity | |
| 26227 | classCode= "PLC" | |
| 26228 | > | |
| 26229 | <name> | |
| 26230 | VA | |
| 26231 | </name> | |
| 26232 | </playingE ntity> | |
| 26233 | </particip antRole> | |
| 26234 | </particip ant> | |
| 26235 | </encounte r> | |
| 26236 | </entry> | |
| 26237 | <entry> | |
| 26238 | <encounter | |
| 26239 | classCode= "ENC" | |
| 26240 | moodCode=" EVN" | |
| 26241 | > | |
| 26242 | <templateI d | |
| 26243 | root="2.16 .840.1.113 883. IP .49" | |
| 26244 | /> | |
| 26245 | <id | |
| 26246 | nullFlavor ="UNK" | |
| 26247 | /> | |
| 26248 | <id | |
| 26249 | root="2.16 .840.1.113 883.3.1275 " | |
| 26250 | extension= "101263892 4V546709-2 0130617" | |
| 26251 | assigningA uthorityNa me="VA-Enc ounterId" | |
| 26252 | /> | |
| 26253 | <code | |
| 26254 | nullFlavor ="OTH" | |
| 26255 | > | |
| 26256 | <originalT ext> | |
| 26257 | <reference | |
| 26258 | value="#en counterDes cription-1 0" | |
| 26259 | /> | |
| 26260 | </original Text> | |
| 26261 | <translati on | |
| 26262 | code="ADMI N_PAT_ACTI VTIES_(MAS NONCT)" | |
| 26263 | codeSystem ="2.16.840 .1.113883. 3.86.3.1" | |
| 26264 | codeSystem Name=" DN S NoCodeSyst em" | |
| 26265 | displayNam e="ADMIN P AT ACTIVTI ES (MASNON CT)" | |
| 26266 | /> | |
| 26267 | </code> | |
| 26268 | <text> | |
| 26269 | <reference | |
| 26270 | value="#en counterNar rative-10" | |
| 26271 | /> | |
| 26272 | </text> | |
| 26273 | <effective Time> | |
| 26274 | <low | |
| 26275 | value="201 3061710571 5" | |
| 26276 | /> | |
| 26277 | <high | |
| 26278 | nullFlavor ="UNK" | |
| 26279 | /> | |
| 26280 | </effectiv eTime> | |
| 26281 | <informant > | |
| 26282 | <assignedE ntity> | |
| 26283 | <id | |
| 26284 | root="RIQI ORG" | |
| 26285 | extension= "442" | |
| 26286 | /> | |
| 26287 | <addr | |
| 26288 | nullFlavor ="UNK" | |
| 26289 | /> | |
| 26290 | <telecom | |
| 26291 | nullFlavor ="UNK" | |
| 26292 | /> | |
| 26293 | <assignedP erson> | |
| 26294 | <name | |
| 26295 | nullFlavor ="UNK" | |
| 26296 | /> | |
| 26297 | </assigned Person> | |
| 26298 | <represent edOrganiza tion> | |
| 26299 | <id | |
| 26300 | root="2.16 .840.1.113 883.3.915" | |
| 26301 | extension= "442" | |
| 26302 | displayabl e="true" | |
| 26303 | /> | |
| 26304 | <name> | |
| 26305 | CHEYENNE V AMC | |
| 26306 | </name> | |
| 26307 | <telecom | |
| 26308 | nullFlavor ="UNK" | |
| 26309 | /> | |
| 26310 | <addr | |
| 26311 | nullFlavor ="UNK" | |
| 26312 | /> | |
| 26313 | <asOrganiz ationPartO f> | |
| 26314 | <effective Time | |
| 26315 | nullFlavor ="UNK" | |
| 26316 | /> | |
| 26317 | <wholeOrga nization> | |
| 26318 | <id | |
| 26319 | root="2.16 .840.1.113 883.3.915" | |
| 26320 | /> | |
| 26321 | <id | |
| 26322 | root="2.16 .840.1.113 883.3.915" | |
| 26323 | extension= "HomeCommu nity" | |
| 26324 | displayabl e="true" | |
| 26325 | /> | |
| 26326 | <name> | |
| 26327 | CurrentCar e Test | |
| 26328 | </name> | |
| 26329 | <telecom | |
| 26330 | use="WP" | |
| 26331 | value="tel :401-276-9 141" | |
| 26332 | /> | |
| 26333 | <addr | |
| 26334 | use="WP" | |
| 26335 | > | |
| 26336 | <streetAdd ressLine> | |
| 26337 | 50 Holden St., Suite 300 | |
| 26338 | </streetAd dressLine> | |
| 26339 | <city> | |
| 26340 | Providence | |
| 26341 | </city> | |
| 26342 | <state> | |
| 26343 | RI | |
| 26344 | </state> | |
| 26345 | <postalCod e> | |
| 26346 | 02908 | |
| 26347 | </postalCo de> | |
| 26348 | <country> | |
| 26349 | US | |
| 26350 | </country> | |
| 26351 | </addr> | |
| 26352 | </wholeOrg anization> | |
| 26353 | </asOrgani zationPart Of> | |
| 26354 | </represen tedOrganiz ation> | |
| 26355 | </assigned Entity> | |
| 26356 | </informan t> | |
| 26357 | <participa nt | |
| 26358 | typeCode=" LOC" | |
| 26359 | > | |
| 26360 | <participa ntRole | |
| 26361 | classCode= "SDLOC" | |
| 26362 | > | |
| 26363 | <templateI d | |
| 26364 | root="2.16 .840.1.113 883. IP .32" | |
| 26365 | /> | |
| 26366 | <id | |
| 26367 | root="2.16 .840.1.113 883.3.1275 " | |
| 26368 | extension= "VA" | |
| 26369 | /> | |
| 26370 | <code | |
| 26371 | code="1160 -1" | |
| 26372 | codeSystem ="2.16.840 .1.113883. 6.259" | |
| 26373 | codeSystem Name="Heal thcareServ iceLocatio n" | |
| 26374 | displayNam e="Urgent Care Cente r" | |
| 26375 | /> | |
| 26376 | <playingEn tity | |
| 26377 | classCode= "PLC" | |
| 26378 | > | |
| 26379 | <name> | |
| 26380 | VA | |
| 26381 | </name> | |
| 26382 | </playingE ntity> | |
| 26383 | </particip antRole> | |
| 26384 | </particip ant> | |
| 26385 | </encounte r> | |
| 26386 | </entry> | |
| 26387 | <entry> | |
| 26388 | <encounter | |
| 26389 | classCode= "ENC" | |
| 26390 | moodCode=" EVN" | |
| 26391 | > | |
| 26392 | <templateI d | |
| 26393 | root="2.16 .840.1.113 883. IP .49" | |
| 26394 | /> | |
| 26395 | <id | |
| 26396 | nullFlavor ="UNK" | |
| 26397 | /> | |
| 26398 | <id | |
| 26399 | root="2.16 .840.1.113 883.3.1275 " | |
| 26400 | extension= "101263892 4V546709-2 0121030" | |
| 26401 | assigningA uthorityNa me="VA-Enc ounterId" | |
| 26402 | /> | |
| 26403 | <code | |
| 26404 | nullFlavor ="OTH" | |
| 26405 | > | |
| 26406 | <originalT ext> | |
| 26407 | <reference | |
| 26408 | value="#en counterDes cription-1 1" | |
| 26409 | /> | |
| 26410 | </original Text> | |
| 26411 | <translati on | |
| 26412 | code="GENE RAL_INTERN AL_MEDICIN E" | |
| 26413 | codeSystem ="2.16.840 .1.113883. 3.86.3.1" | |
| 26414 | codeSystem Name=" DN S NoCodeSyst em" | |
| 26415 | displayNam e="GENERAL INTERNAL MEDICINE" | |
| 26416 | /> | |
| 26417 | </code> | |
| 26418 | <text> | |
| 26419 | <reference | |
| 26420 | value="#en counterNar rative-11" | |
| 26421 | /> | |
| 26422 | </text> | |
| 26423 | <effective Time> | |
| 26424 | <low | |
| 26425 | value="201 2103011080 0" | |
| 26426 | /> | |
| 26427 | <high | |
| 26428 | nullFlavor ="UNK" | |
| 26429 | /> | |
| 26430 | </effectiv eTime> | |
| 26431 | <informant > | |
| 26432 | <assignedE ntity> | |
| 26433 | <id | |
| 26434 | root="RIQI ORG" | |
| 26435 | extension= "552" | |
| 26436 | /> | |
| 26437 | <addr | |
| 26438 | nullFlavor ="UNK" | |
| 26439 | /> | |
| 26440 | <telecom | |
| 26441 | nullFlavor ="UNK" | |
| 26442 | /> | |
| 26443 | <assignedP erson> | |
| 26444 | <name | |
| 26445 | nullFlavor ="UNK" | |
| 26446 | /> | |
| 26447 | </assigned Person> | |
| 26448 | <represent edOrganiza tion> | |
| 26449 | <id | |
| 26450 | root="2.16 .840.1.113 883.3.915" | |
| 26451 | extension= "552" | |
| 26452 | displayabl e="true" | |
| 26453 | /> | |
| 26454 | <name> | |
| 26455 | DAYTON | |
| 26456 | </name> | |
| 26457 | <telecom | |
| 26458 | nullFlavor ="UNK" | |
| 26459 | /> | |
| 26460 | <addr | |
| 26461 | nullFlavor ="UNK" | |
| 26462 | /> | |
| 26463 | <asOrganiz ationPartO f> | |
| 26464 | <effective Time | |
| 26465 | nullFlavor ="UNK" | |
| 26466 | /> | |
| 26467 | <wholeOrga nization> | |
| 26468 | <id | |
| 26469 | root="2.16 .840.1.113 883.3.915" | |
| 26470 | /> | |
| 26471 | <id | |
| 26472 | root="2.16 .840.1.113 883.3.915" | |
| 26473 | extension= "HomeCommu nity" | |
| 26474 | displayabl e="true" | |
| 26475 | /> | |
| 26476 | <name> | |
| 26477 | CurrentCar e Test | |
| 26478 | </name> | |
| 26479 | <telecom | |
| 26480 | use="WP" | |
| 26481 | value="tel :401-276-9 141" | |
| 26482 | /> | |
| 26483 | <addr | |
| 26484 | use="WP" | |
| 26485 | > | |
| 26486 | <streetAdd ressLine> | |
| 26487 | 50 Holden St., Suite 300 | |
| 26488 | </streetAd dressLine> | |
| 26489 | <city> | |
| 26490 | Providence | |
| 26491 | </city> | |
| 26492 | <state> | |
| 26493 | RI | |
| 26494 | </state> | |
| 26495 | <postalCod e> | |
| 26496 | 02908 | |
| 26497 | </postalCo de> | |
| 26498 | <country> | |
| 26499 | US | |
| 26500 | </country> | |
| 26501 | </addr> | |
| 26502 | </wholeOrg anization> | |
| 26503 | </asOrgani zationPart Of> | |
| 26504 | </represen tedOrganiz ation> | |
| 26505 | </assigned Entity> | |
| 26506 | </informan t> | |
| 26507 | <participa nt | |
| 26508 | typeCode=" LOC" | |
| 26509 | > | |
| 26510 | <participa ntRole | |
| 26511 | classCode= "SDLOC" | |
| 26512 | > | |
| 26513 | <templateI d | |
| 26514 | root="2.16 .840.1.113 883. IP .32" | |
| 26515 | /> | |
| 26516 | <id | |
| 26517 | root="2.16 .840.1.113 883.3.1275 " | |
| 26518 | extension= "VA" | |
| 26519 | /> | |
| 26520 | <code | |
| 26521 | code="1160 -1" | |
| 26522 | codeSystem ="2.16.840 .1.113883. 6.259" | |
| 26523 | codeSystem Name="Heal thcareServ iceLocatio n" | |
| 26524 | displayNam e="Urgent Care Cente r" | |
| 26525 | /> | |
| 26526 | <playingEn tity | |
| 26527 | classCode= "PLC" | |
| 26528 | > | |
| 26529 | <name> | |
| 26530 | VA | |
| 26531 | </name> | |
| 26532 | </playingE ntity> | |
| 26533 | </particip antRole> | |
| 26534 | </particip ant> | |
| 26535 | </encounte r> | |
| 26536 | </entry> | |
| 26537 | </section> | |
| 26538 | </componen t> | |
| 26539 | <component > | |
| 26540 | <section | |
| 26541 | nullFlavor ="NI" | |
| 26542 | > | |
| 26543 | <templateI d | |
| 26544 | root="2.16 .840.1.113 883.10.20. 22.2.3.1" | |
| 26545 | /> | |
| 26546 | <code | |
| 26547 | code="3095 4-2" | |
| 26548 | displayNam e="Relevan t diagnost ic tests a nd/or labo ratory dat a" | |
| 26549 | codeSystem ="2.16.840 .1.113883. 6.1" | |
| 26550 | codeSystem Name="LOIN C" | |
| 26551 | /> | |
| 26552 | <title> | |
| 26553 | Results | |
| 26554 | </title> | |
| 26555 | <text> | |
| 26556 | This patie nt has no known resu lts. | |
| 26557 | </text> | |
| 26558 | </section> | |
| 26559 | </componen t> | |
| 26560 | </structur edBody> | |
| 26561 | </componen t> | |
| 26562 | </Clinical Document> |
Araxis Merge (but not the data content of this report) is Copyright © 1993-2016 Araxis Ltd (www.araxis.com). All rights reserved.