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| # | Location | File | Last Modified |
|---|---|---|---|
| 1 | C:\working_scrub\Unredacted\VAP Code Base\VAP_Bld2_Source_Code_CIF_2017-02-14\nvap-web\src\main\resources\gov\va\nvap\mock\report\sampleExportSQA\20170112\WALGREENS | 373950_C32_20161201.xml | Thu Jan 12 19:48:08 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\WALGREENS | 373950_C32_20161201.xml | Mon Apr 3 14:15:45 2017 UTC |
| Description | Between Files 1 and 2 |
|
|---|---|---|
| Text Blocks | Lines | |
| Unchanged | 4 | 2260 |
| Changed | 3 | 6 |
| 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 | <ClinicalD ocument | |
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| 483 | <telecom | |
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| 587 | ||
| 588 | <title | |
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| 592 | Immunizati ons | |
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| 597 | > | |
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| 600 | ID="IMMUN_ SECT" | |
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| 606 | > | |
| 607 | ||
| 608 | <thead> | |
| 609 | ||
| 610 | <tr> | |
| 611 | ||
| 612 | <th> | |
| 613 | VACCINE NA ME | |
| 614 | </th> | |
| 615 | ||
| 616 | <th> | |
| 617 | VACCINE MA NUFACTURER | |
| 618 | </th> | |
| 619 | ||
| 620 | <th> | |
| 621 | LOT NUMBER | |
| 622 | </th> | |
| 623 | ||
| 624 | <th> | |
| 625 | EXPIRATION DATE | |
| 626 | </th> | |
| 627 | ||
| 628 | <th> | |
| 629 | ADMINSTRAT ION DATE | |
| 630 | </th> | |
| 631 | ||
| 632 | <th> | |
| 633 | ADMINISTER ED AMOUNT | |
| 634 | </th> | |
| 635 | ||
| 636 | <th> | |
| 637 | ROUTE CODE | |
| 638 | </th> | |
| 639 | ||
| 640 | <th> | |
| 641 | BODY SITE | |
| 642 | </th> | |
| 643 | ||
| 644 | <th> | |
| 645 | ADMINSTERI NG PROVIDE R NAME | |
| 646 | </th> | |
| 647 | ||
| 648 | <th> | |
| 649 | FACILITY | |
| 650 | </th> | |
| 651 | ||
| 652 | <th> | |
| 653 | STATUS | |
| 654 | </th> | |
| 655 | ||
| 656 | <th> | |
| 657 | IF REFUSED , REASON FOR REFUSA L | |
| 658 | </th> | |
| 659 | ||
| 660 | </tr> | |
| 661 | ||
| 662 | </thead> | |
| 663 | ||
| 664 | <tbody> | |
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| 666 | <tr> | |
| 667 | ||
| 668 | <td> | |
| 669 | ||
| 670 | <content | |
| 671 | ID="IMMUN_ NAME" | |
| 672 | > | |
| 673 | ZOSTAVAX I NJ SINGLE DOSE VIAL 10PK (CVX code=121) | |
| 674 | </content> | |
| 675 | ||
| 676 | </td> | |
| 677 | ||
| 678 | <td> | |
| 679 | ||
| 680 | <content | |
| 681 | ID="IMMUN_ MANU" | |
| 682 | > | |
| 683 | GlaxoSmith Kline | |
| 684 | </content> | |
| 685 | ||
| 686 | </td> | |
| 687 | ||
| 688 | <td> | |
| 689 | ||
| 690 | <content | |
| 691 | ID="IMMUN_ LOT" | |
| 692 | > | |
| 693 | 4JL44 | |
| 694 | </content> | |
| 695 | ||
| 696 | </td> | |
| 697 | ||
| 698 | <td> | |
| 699 | ||
| 700 | <content | |
| 701 | ID="IMMUN_ EXP_DT" | |
| 702 | > | |
| 703 | 20160909 | |
| 704 | </content> | |
| 705 | ||
| 706 | </td> | |
| 707 | ||
| 708 | <td> | |
| 709 | ||
| 710 | <content | |
| 711 | ID="IMMUN_ ADMIN_DT" | |
| 712 | > | |
| 713 | 20140711 | |
| 714 | </content> | |
| 715 | ||
| 716 | </td> | |
| 717 | ||
| 718 | <td> | |
| 719 | ||
| 720 | <content | |
| 721 | ID="IMMUN_ ADMIN_AMT" | |
| 722 | > | |
| 723 | .65 ml | |
| 724 | </content> | |
| 725 | ||
| 726 | </td> | |
| 727 | ||
| 728 | <td> | |
| 729 | ||
| 730 | <content | |
| 731 | ID="IMMUN_ ROUTE" | |
| 732 | > | |
| 733 | Intramuscu lar | |
| 734 | </content> | |
| 735 | ||
| 736 | </td> | |
| 737 | ||
| 738 | <td> | |
| 739 | ||
| 740 | <content | |
| 741 | ID="IMMUN_ SITE" | |
| 742 | > | |
| 743 | Right Uppe r Arm | |
| 744 | </content> | |
| 745 | ||
| 746 | </td> | |
| 747 | ||
| 748 | <td> | |
| 749 | ||
| 750 | <content | |
| 751 | ID="IMMUN_ ADMIN_PROV _NM" | |
| 752 | > | |
| 753 | Walgreens Clinician | |
| 754 | </content> | |
| 755 | ||
| 756 | </td> | |
| 757 | ||
| 758 | <td> | |
| 759 | ||
| 760 | <content | |
| 761 | ID="IMMUN_ FACILITY" | |
| 762 | > | |
| 763 | Walgreens | |
| 764 | </content> | |
| 765 | ||
| 766 | </td> | |
| 767 | ||
| 768 | <td> | |
| 769 | ||
| 770 | <content | |
| 771 | ID="IMMUN_ STAT" | |
| 772 | > | |
| 773 | Complete | |
| 774 | </content> | |
| 775 | ||
| 776 | </td> | |
| 777 | ||
| 778 | <td> | |
| 779 | ||
| 780 | <content/> | |
| 781 | ||
| 782 | </td> | |
| 783 | ||
| 784 | </tr> | |
| 785 | ||
| 786 | </tbody> | |
| 787 | ||
| 788 | </table> | |
| 789 | ||
| 790 | </text> | |
| 791 | ||
| 792 | <entry | |
| 793 | typeCode=" DRIV" | |
| 794 | > | |
| 795 | ||
| 796 | <substance Administra tion | |
| 797 | classCode= "SBADM" | |
| 798 | moodCode=" EVN" | |
| 799 | negationIn d="false" | |
| 800 | > | |
| 801 | ||
| 802 | <templateI d | |
| 803 | root="2.16 .840.1.113 883. IP " | |
| 804 | /> | |
| 805 | ||
| 806 | <templateI d | |
| 807 | root="2.16 .840.1.113 883.3.88.1 1.83.13" | |
| 808 | /> | |
| 809 | ||
| 810 | <templateI d | |
| 811 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.12" | |
| 812 | /> | |
| 813 | ||
| 814 | <id | |
| 815 | root="2.16 .840.1.113 883.3.2018 .1.5.1" | |
| 816 | extension= "201407101 024" | |
| 817 | /> | |
| 818 | ||
| 819 | <code | |
| 820 | code="IMMU NIZ" | |
| 821 | codeSystem ="2.16.840 .1.113883. 5.4" | |
| 822 | codeSystem Name="ActC ode" | |
| 823 | /> | |
| 824 | ||
| 825 | <text> | |
| 826 | ||
| 827 | <reference | |
| 828 | value="#IM MUN_NAME" | |
| 829 | /> | |
| 830 | ||
| 831 | </text> | |
| 832 | ||
| 833 | <statusCod e | |
| 834 | code="comp leted" | |
| 835 | /> | |
| 836 | ||
| 837 | <effective Time | |
| 838 | xsi:type=" urn:IVL_TS " | |
| 839 | value="201 4071100000 0-0400" | |
| 840 | xmlns:urn= "urn:hl7-o rg:v3" | |
| 841 | > | |
| 842 | ||
| 843 | <low | |
| 844 | value="201 4071100000 0-0400" | |
| 845 | /> | |
| 846 | ||
| 847 | <high | |
| 848 | value="201 4071100000 0-0400" | |
| 849 | /> | |
| 850 | ||
| 851 | </effectiv eTime> | |
| 852 | ||
| 853 | <routeCode | |
| 854 | nullFlavor ="UNK" | |
| 855 | > | |
| 856 | ||
| 857 | <originalT ext> | |
| 858 | ||
| 859 | <reference | |
| 860 | value="#IM MUN_ROUTE" | |
| 861 | /> | |
| 862 | ||
| 863 | </original Text> | |
| 864 | ||
| 865 | </routeCod e> | |
| 866 | ||
| 867 | <approachS iteCode | |
| 868 | nullFlavor ="UNK" | |
| 869 | > | |
| 870 | ||
| 871 | <originalT ext> | |
| 872 | ||
| 873 | <reference | |
| 874 | value="#IM MUN_SITE" | |
| 875 | /> | |
| 876 | ||
| 877 | </original Text> | |
| 878 | ||
| 879 | </approach SiteCode> | |
| 880 | ||
| 881 | <doseQuant ity | |
| 882 | value=".65 " | |
| 883 | unit="ml" | |
| 884 | /> | |
| 885 | ||
| 886 | <consumabl e> | |
| 887 | ||
| 888 | <manufactu redProduct | |
| 889 | classCode= "MANU" | |
| 890 | > | |
| 891 | ||
| 892 | <templateI d | |
| 893 | root="2.16 .840.1.113 883. IP " | |
| 894 | /> | |
| 895 | ||
| 896 | <templateI d | |
| 897 | root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2" | |
| 898 | /> | |
| 899 | ||
| 900 | <id | |
| 901 | nullFlavor ="UNK" | |
| 902 | /> | |
| 903 | ||
| 904 | <manufactu redMateria l> | |
| 905 | ||
| 906 | <code | |
| 907 | code="121" | |
| 908 | codeSystem ="2.16.840 .1.113883. 6.59" | |
| 909 | codeSystem Name="CVX" | |
| 910 | > | |
| 911 | ||
| 912 | <originalT ext> | |
| 913 | ||
| 914 | <reference | |
| 915 | value="#IM MUN_NAME" | |
| 916 | /> | |
| 917 | ||
| 918 | </original Text> | |
| 919 | ||
| 920 | <translati on | |
| 921 | code="9073 6" | |
| 922 | codeSystem ="2.16.840 .1.113883. 6.12" | |
| 923 | codeSystem Name="CPT- 4" | |
| 924 | displayNam e="ZOSTAVA X INJ SING LE DOSE VI AL 10PK" | |
| 925 | /> | |
| 926 | ||
| 927 | </code> | |
| 928 | ||
| 929 | <name> | |
| 930 | ZOSTAVAX I NJ SINGLE DOSE VIAL 10PK | |
| 931 | </name> | |
| 932 | ||
| 933 | <lotNumber Text> | |
| 934 | 4JL44 | |
| 935 | </lotNumbe rText> | |
| 936 | ||
| 937 | </manufact uredMateri al> | |
| 938 | ||
| 939 | <manufactu rerOrganiz ation> | |
| 940 | ||
| 941 | <id | |
| 942 | root="2.16 .840.1.113 883.12.227 " | |
| 943 | extension= "SKB" | |
| 944 | /> | |
| 945 | ||
| 946 | <name> | |
| 947 | GlaxoSmith Kline | |
| 948 | </name> | |
| 949 | ||
| 950 | <telecom | |
| 951 | nullFlavor ="UNK" | |
| 952 | /> | |
| 953 | ||
| 954 | <addr | |
| 955 | nullFlavor ="UNK" | |
| 956 | /> | |
| 957 | ||
| 958 | </manufact urerOrgani zation> | |
| 959 | ||
| 960 | </manufact uredProduc t> | |
| 961 | ||
| 962 | </consumab le> | |
| 963 | ||
| 964 | <performer | |
| 965 | typeCode=" PRF" | |
| 966 | > | |
| 967 | ||
| 968 | <templateI d | |
| 969 | root="2.16 .840.1.113 883.3.88.1 1.32.4" | |
| 970 | /> | |
| 971 | ||
| 972 | <time> | |
| 973 | ||
| 974 | <low | |
| 975 | value="201 4071100000 0-0400" | |
| 976 | /> | |
| 977 | ||
| 978 | <high | |
| 979 | value="201 4071100000 0-0400" | |
| 980 | /> | |
| 981 | ||
| 982 | </time> | |
| 983 | ||
| 984 | <assignedE ntity | |
| 985 | classCode= "ASSIGNED" | |
| 986 | > | |
| 987 | ||
| 988 | <id | |
| 989 | nullFlavor ="UNK" | |
| 990 | /> | |
| 991 | ||
| 992 | <id | |
| 993 | root="2.16 .840.1.113 883.3.2018 .1.5.1" | |
| 994 | extension= "41" | |
| 995 | /> | |
| 996 | ||
| 997 | <addr | |
| 998 | use="WP" | |
| 999 | > | |
| 1000 | ||
| 1001 | <streetAdd ressLine | |
| 1002 | partType=" SAL" | |
| 1003 | > | |
| 1004 | 1435 HIGH ST | |
| 1005 | </streetAd dressLine> | |
| 1006 | ||
| 1007 | <city | |
| 1008 | partType=" CTY" | |
| 1009 | > | |
| 1010 | PITTSBURGH | |
| 1011 | </city> | |
| 1012 | ||
| 1013 | <state | |
| 1014 | partType=" STA" | |
| 1015 | > | |
| 1016 | PA | |
| 1017 | </state> | |
| 1018 | ||
| 1019 | <postalCod e | |
| 1020 | partType=" ZIP" | |
| 1021 | > | |
| 1022 | 93215 | |
| 1023 | </postalCo de> | |
| 1024 | ||
| 1025 | <county | |
| 1026 | partType=" CPA" | |
| 1027 | > | |
| 1028 | KERN | |
| 1029 | </county> | |
| 1030 | ||
| 1031 | </addr> | |
| 1032 | ||
| 1033 | <telecom | |
| 1034 | nullFlavor ="UNK" | |
| 1035 | /> | |
| 1036 | ||
| 1037 | <assignedP erson | |
| 1038 | classCode= "PSN" | |
| 1039 | determiner Code="INST ANCE" | |
| 1040 | > | |
| 1041 | ||
| 1042 | <name | |
| 1043 | use="L" | |
| 1044 | > | |
| 1045 | ||
| 1046 | <given | |
| 1047 | partType=" GIV" | |
| 1048 | > | |
| 1049 | Walgreens | |
| 1050 | </given> | |
| 1051 | ||
| 1052 | <family | |
| 1053 | partType=" FAM" | |
| 1054 | > | |
| 1055 | Clinician | |
| 1056 | </family> | |
| 1057 | ||
| 1058 | </name> | |
| 1059 | ||
| 1060 | </assigned Person> | |
| 1061 | ||
| 1062 | <represent edOrganiza tion | |
| 1063 | classCode= "ORG" | |
| 1064 | determiner Code="INST ANCE" | |
| 1065 | > | |
| 1066 | ||
| 1067 | <id | |
| 1068 | root="2.16 .840.1.113 883.3.2018 .1.5.1" | |
| 1069 | extension= "112430838 2" | |
| 1070 | /> | |
| 1071 | ||
| 1072 | <name> | |
| 1073 | Walgreens | |
| 1074 | </name> | |
| 1075 | ||
| 1076 | <telecom | |
| 1077 | nullFlavor ="UNK" | |
| 1078 | /> | |
| 1079 | ||
| 1080 | <addr | |
| 1081 | use="WP" | |
| 1082 | > | |
| 1083 | ||
| 1084 | <streetAdd ressLine | |
| 1085 | partType=" SAL" | |
| 1086 | > | |
| 1087 | 1435 HIGH ST | |
| 1088 | </streetAd dressLine> | |
| 1089 | ||
| 1090 | <city | |
| 1091 | partType=" CTY" | |
| 1092 | > | |
| 1093 | PITTSBURGH | |
| 1094 | </city> | |
| 1095 | ||
| 1096 | <state | |
| 1097 | partType=" STA" | |
| 1098 | > | |
| 1099 | PA | |
| 1100 | </state> | |
| 1101 | ||
| 1102 | <postalCod e | |
| 1103 | partType=" ZIP" | |
| 1104 | > | |
| 1105 | 93215 | |
| 1106 | </postalCo de> | |
| 1107 | ||
| 1108 | <county | |
| 1109 | partType=" CPA" | |
| 1110 | > | |
| 1111 | KERN | |
| 1112 | </county> | |
| 1113 | ||
| 1114 | </addr> | |
| 1115 | ||
| 1116 | </represen tedOrganiz ation> | |
| 1117 | ||
| 1118 | </assigned Entity> | |
| 1119 | ||
| 1120 | </performe r> | |
| 1121 | ||
| 1122 | </substanc eAdministr ation> | |
| 1123 | ||
| 1124 | </entry> | |
| 1125 | ||
| 1126 | </section> | |
| 1127 | ||
| 1128 | </componen t> | |
| 1129 | ||
| 1130 | </structur edBody> | |
| 1131 | ||
| 1132 | </componen t> | |
| 1133 | </Clinical Document> |
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