61. EPMO Open Source Coordination Office Redaction File Detail Report

Produced by Araxis Merge on 3/1/2018 12:13:16 PM Central Standard 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.

61.1 Files compared

#	Location	File	Last Modified
1	ehealth_xchange_cif.zip\NHIN_adapter\AdapterEJB\src\test\resources\vista-docs	VistA.notesDocuments.xml	Thu Feb 22 14:25:50 2018 UTC
2	ehealth_xchange_cif.zip\NHIN_adapter\AdapterEJB\src\test\resources\vista-docs	VistA.notesDocuments.xml	Wed Feb 28 17:59:34 2018 UTC

61.2 Comparison summary

Description	Between Files 1 and 2
Description	Text Blocks	Lines
Unchanged	58	3536
Changed	57	114
Inserted	0	0
Removed	0	0

61.3 Comparison options

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

61.4 Active regular expressions

No regular expressions were active.

61.5 Comparison detail

	1	<?xml
	2	version="1 .0"
	3	?>
	4	<results
	5	version="1 .05"
	6	timeZone=" -0500"
	7	>
	8
	9	<documents
	10	total="12"
	11	>
	12
	13	<document>
	14
	15	<category
	16	value="PN"
	17	/>
	18
	19	<clinician s>
	20
	21	<clinician
	22	code="5206 47004"
	23	name="Firs t Last"
	24	role="A"
	25	service="O IFO BAYPIN ES TEST LA B "
	26	/>
	27
	28	<clinician
	29	code="5206 47004"
	30	name="Firs t Last"
	31	role="S"
	32	dateTime=" 3150708.14 5203"
	33	signature= " First Last "
	34	service="O IFO BAYPIN ES TEST LA B "
	35	/>
	36
	37	</clinicia ns>
	38
	39	<content
	40	xml:space= "preserve"
	41	>
	42	LOCAL TIT LE: NURSIN G ONCOLOGY NOTE
	43	STANDARD T ITLE: RN I NTAKE AND OUTPUT NOT E
	44	DATE OF NO TE: JUL 08 , 2015@13: 46 ENT RY DATE: J UL 08, 201 5@13:46:41
	45	AUTHOR: First Last EXP COSIGN ER:
	46	URGEN CY: STATUS: C OMPLETED
	47
	48	Diagnosis:
	49	Ordering P hysician:
	50
	51	Note Dated : JUL 08, 2015 13:46
	52	Visit: 06 /18/15 15: 17
	53	Vitals Sig ns:
	54	Temperatur e: 55 F [ 12.8 C] (0 1/16/2015 11:51)
	55	B/P: 55/ (01/16/201 5 11:51)
	56	Pulse: 55 (01/16/20 15 11:51)
	57	Weight: 1 23 lb [55. 9 kg] (01/ 16/2015 11 :51)
	58	Height: 6 6 in [167. 6 cm] (01/ 16/2015 11 :51)
	59
	60	Pulse/Oxim etry:
	61
	62	Subjective :
	63	Patient's descriptio n of being :
	64
	65	Pain (Scal e 0-10) __ ______. ( 1=least - 10=worst)
	66	___Well co ntrolled w ith medica tion
	67	___Uncontr olled - Co mments:
	68
	69	Fatigue: None____ Mild____ Moderate__ __ Severe ____
	70
	71	Appetite:
	72	___Normal
	73	___Eating approximat ely 3/4 no rmal amoun t
	74	___Eating approximat ely 1/2 no rmal amoun t
	75	___Eating approximat ely 1/4 no rmal amoun t
	76	___Eating more than normal
	77
	78	Side effec ts noted a fter last Rx (Mark o nly noted side effec ts and mak e comment)
	79	___Nausea:
	80	___Vomitin g:
	81	___Constip ation:
	82	___Diarrhe a:
	83	___Stomati tis:
	84	___Fever/I nfections:
	85	___Periphe ral Neurop athy:
	86	___General Malaise:
	87	___Phlebit is:
	88	___Edema:
	89	___SOB:
	90	___Other:
	91
	92	Objective:
	93	Lab Values :
	94	___WBC che cked and w ithin acce ptable lim its.
	95	Hematocrit :
	96	Creatinine :
	97	Magnesium:
	98	Potassium:
	99	Other:
	100	___adequat e ___c c Pre Cisp latin Rx __ _cc Post C isplatin R x
	101
	102	Comments:
	103
	104	Antiemetic s and Prem eds:
	105
	106	Current Me dications:
	107
	108	Method: ( all bolus drugs slow , IV push through si de arm of fast flowi ng
	109	IV unless noted othe rwise)
	110
	111	Cycle___ Day_ __
	112
	113	Drugs Dosa ge
	114
	115
	116	Reactions, Problems:
	117
	118	Additional Comments:
	119
	120	Any Change in Suppor t System
	121
	122	Education:
	123
	124	___Given o r has rece ived print ed materia ls relevan t to cance r diagnosi s
	125	and treatm ent.
	126	Comments:
	127
	128	___Viewed or has vie wed video relevant t o cancer d iagnosis a nd treatme nt.
	129	Comments:
	130
	131	___Rationa le, schedu le, treatm ent side e ffects and managemen t discusse d.
	132	Comments:
	133
	134	___Able to verbalize d side eff ects and m anagement of treatme nt side ef fects.
	135	Comments:
	136
	137	Plan:
	138
	139	Performanc e Status:
	140	Grade 0 _ ____ Full y active: able to c arry on al l pre-dise ase activi ties
	141	with out restri ction.
	142
	143	Grade 1 _ ____ Rest ricted in physically strenuous activity but ambula tory
	144	and able to ca rry out wo rk of a li ght or sed entary nat ure,
	145	e.g. , light ho usework, o ffice work .
	146
	147	Grade 2 _ ____ Ambu latory and capable o f all self -care but unable to
	148	carr y any work activitie s. *Up an d about mo re than 50 % of
	149	work ing hours.
	150
	151	Grade 3 _ ____ Capa ble of onl y limited self-care: confined to bed or
	152	chai r more tha n 50% of w aking hour s.
	153
	154	Grade 4 _ ____ Comp letely dis abled. Ca nnot carry on any se lf-care.
	155	Tota lly confin ed to bed or chair.
	156
	157	Comments:
	158
	159	Venous Ass ess
	160	Peripheral
	161	1. IV sit e: Hand L____ R ____ Fore arm L____ R____
	162	Other:
	163	2. Cathet er type: Angio: #1 8___ #20 ___ #22_ __ #24__ _
	164	Other:
	165	3. Blood return: b efore___ during__ _ af ter___
	166	Commen t:
	167	4. ___The re is 0 re dness, swe lling or c /o discomf ort at sit e.
	168	Commen ts:
	169
	170	CVA:
	171	1. Grosho ng ___ Co ok ___ PI CC ___ Po rt ___
	172	___Able to withdraw blood:
	173	___Flushes without d ifficulty:
	174	___Exit si te normal:
	175	___Line ca re given:
	176	Comments:
	177
	178	Hydration:
	179	1. Prehyd ration
	180	2. Post h ydration
	181	3. Flush with Norma l Saline _ __mls
	182	4. Commen ts
	183
	184	/es/ First Last
	185
	186	Signed: 07 /08/2015 1 4:52
	187	</content>
	188
	189	<documentC lass
	190	value="PRO GRESS NOTE S"
	191	/>
	192
	193	<encounter
	194	value="220 5644"
	195	/>
	196
	197	<facility
	198	code="442"
	199	name="CHEY ENNE VAMC"
	200	/>
	201
	202	<id
	203	value="180 4649"
	204	/>
	205
	206	<localTitl e
	207	value="NUR SING ONCOL OGY NOTE"
	208	/>
	209
	210	<nationalT itle
	211	name="RN I NTAKE AND OUTPUT NOT E"
	212	/>
	213
	214	<nationalT itleRole
	215	name="REGI STERED NUR SE"
	216	/>
	217
	218	<nationalT itleServic e
	219	name="INTA KE AND OUT PUT"
	220	/>
	221
	222	<nationalT itleType
	223	name="NOTE "
	224	/>
	225
	226	<reference DateTime
	227	value="315 0708.1346"
	228	/>
	229
	230	<status
	231	value="com pleted"
	232	/>
	233
	234	<type
	235	value="PN"
	236	/>
	237
	238	</document >
	239
	240	<document>
	241
	242	<category
	243	value="D"
	244	/>
	245
	246	<clinician s>
	247
	248	<clinician
	249	code="5206 46951"
	250	name="Firs t Last"
	251	role="A"
	252	taxonomyCo de="203BS0 130Y"
	253	providerTy pe="Physic ians (M.D. and D.O.) "
	254	classifica tion="Phys ician/Oste opath"
	255	specializa tion="Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery"
	256	service="O IFO BAYPIN ES TEST LA B "
	257	/>
	258
	259	<clinician
	260	code="5206 46951"
	261	name="Firs t Last"
	262	role="S"
	263	dateTime=" 3150115.11 251"
	264	signature= " F irst Last physician tester"
	265	taxonomyCo de="203BS0 130Y"
	266	providerTy pe="Physic ians (M.D. and D.O.) "
	267	classifica tion="Phys ician/Oste opath"
	268	specializa tion="Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery"
	269	service="O IFO BAYPIN ES TEST LA B "
	270	/>
	271
	272	</clinicia ns>
	273
	274	<content
	275	xml:space= "preserve"
	276	>
	277	LOCAL TIT LE: ADVANC E DIRECTIV E
	278	STANDARD T ITLE: ADVA NCE DIRECT IVE
	279	DATE OF NO TE: JAN 15 , 2015@11: 11 ENT RY DATE: J AN 15, 201 5@11:11:29
	280	AUTHOR: last , first H EXP COSIGN ER:
	281	URGEN CY: STATUS: C OMPLETED
	282
	283	Testing C- CDA
	284
	285	/es/ First Last
	286	physician tester
	287	Signed: 01 /15/2015 1 1:12
	288	</content>
	289
	290	<documentC lass
	291	value="PRO GRESS NOTE S"
	292	/>
	293
	294	<encounter
	295	value="220 5186"
	296	/>
	297
	298	<facility
	299	code="442"
	300	name="CHEY ENNE VAMC"
	301	/>
	302
	303	<id
	304	value="180 4110"
	305	/>
	306
	307	<localTitl e
	308	value="ADV ANCE DIREC TIVE"
	309	/>
	310
	311	<nationalT itle
	312	name="ADVA NCE DIRECT IVE"
	313	/>
	314
	315	<nationalT itleType
	316	name="ADVA NCE DIRECT IVE"
	317	/>
	318
	319	<reference DateTime
	320	value="315 0115.1111"
	321	/>
	322
	323	<status
	324	value="com pleted"
	325	/>
	326
	327	<type
	328	value="D"
	329	/>
	330
	331	</document >
	332
	333	<document>
	334
	335	<category
	336	value="PN"
	337	/>
	338
	339	<clinician s>
	340
	341	<clinician
	342	code="5206 46951"
	343	name="last , first"
	344	role="A"
	345	taxonomyCo de="203BS0 130Y"
	346	providerTy pe="Physic ians (M.D. and D.O.) "
	347	classifica tion="Phys ician/Oste opath"
	348	specializa tion="Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery"
	349	service="O IFO BAYPIN ES TEST LA B "
	350	/>
	351
	352	<clinician
	353	code="5206 46951"
	354	name="last , first"
	355	role="S"
	356	dateTime=" 3150617.14 55"
	357	signature= " F irst Last physician tester"
	358	taxonomyCo de="203BS0 130Y"
	359	providerTy pe="Physic ians (M.D. and D.O.) "
	360	classifica tion="Phys ician/Oste opath"
	361	specializa tion="Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery"
	362	service="O IFO BAYPIN ES TEST LA B "
	363	/>
	364
	365	</clinicia ns>
	366
	367	<content
	368	xml:space= "preserve"
	369	>
	370	LOCAL TIT LE: PM&amp ;R FIM NOT E
	371	STANDARD T ITLE: PHYS ICAL MEDIC INE REHAB DIAGNOSTIC STUDY REP ORT
	372	DATE OF NO TE: JUN 17 , 2015@14: 54 ENT RY DATE: J UN 17, 201 5@14:54:57
	373	AUTHOR: last , first EXP COSIGN ER:
	374	URGEN CY: STATUS: C OMPLETED
	375
	376	Rehab Bed Unit Admis sion: 6/17 /2015
	377	Admission Class: 1-I nitial Reh abilitatio n
	378	Discharge Date: 6/1 7/2015
	379
	380	DIAGNOSIS
	381	Impa irment Gro up: 2.1 Br ain Dysfun ction, Non -Traumatic
	382
	383	D ate of Ons et: 6/17/2 015
	384
	385	FUNCTIONAL INDEPENDE NCE MEASUR E (FIM)
	386	GOALS
	387	Self-Care
	388	Eating 7
	389	Grooming 7
	390	Bathing 7
	391	Dressing -Upper Bod y 7
	392	Dressing -Lower Bod y 7
	393	Toiletin g 7
	394	Sphincter Control
	395	Bladder Management 7
	396	Bowel Ma nagement 7
	397	Mobility
	398	Bed, Cha ir, Wheelc hair 7
	399	Toilet 7
	400	Tub, Sho wer 7
	401	Locomotio n
	402	Walk/Whe elchair both 7
	403	Stairs 7
	404	Motor Subt otal Score : 91
	405	Communica tion
	406	Comprehe nsion both 7
	407	Expressi on both 7
	408	Social Co gnition
	409	Social I nteraction 7
	410	Problem Solving 7
	411	Memory 7
	412	Cognitive Subtotal Score: 35
	413	Total Moto r and
	414	Cogn itive Scor e: 126
	415
	416	* FIM MEAS UREMENT DE FINITIONS
	417	NO HE LPER
	418	7. Complete Independen ce (Timely , Safely)
	419	6. Modified Independen ce (Device )
	420	HELPE R (Modifie d Dependen ce)
	421	5. Supervisi on
	422	4. Minimal A ssistance (Subject = 75% +)
	423	3. Moderate Assistance (Subject = 50% +)
	424	HELPE R (Complet e Dependen ce)
	425	2. Maximal A ssistance (Subject = 25% +)
	426	1. Total Ass istance (S ubject = 0 % +)
	427
	428	ADDITIONAL INFORMATI ON:
	429	Testing CCDA
	430
	431	/es/ First Last
	432	physician tester
	433	Signed: 06 /17/2015 1 4:55
	434	</content>
	435
	436	<documentC lass
	437	value="PRO GRESS NOTE S"
	438	/>
	439
	440	<encounter
	441	value="220 5639"
	442	/>
	443
	444	<facility
	445	code="442"
	446	name="CHEY ENNE VAMC"
	447	/>
	448
	449	<id
	450	value="180 4644"
	451	/>
	452
	453	<localTitl e
	454	value="PM& amp;R FIM NOTE"
	455	/>
	456
	457	<nationalT itle
	458	name="PHYS ICAL MEDIC INE REHAB DIAGNOSTIC STUDY REP ORT"
	459	/>
	460
	461	<nationalT itleServic e
	462	name="DIAG NOSTIC STU DY"
	463	/>
	464
	465	<nationalT itleSubjec t
	466	name="PHYS ICAL MEDIC INE & REHABILITA TION"
	467	/>
	468
	469	<nationalT itleType
	470	name="REPO RT"
	471	/>
	472
	473	<reference DateTime
	474	value="315 0617.1454"
	475	/>
	476
	477	<status
	478	value="com pleted"
	479	/>
	480
	481	<type
	482	value="PN"
	483	/>
	484
	485	</document >
	486
	487	<document>
	488
	489	<category
	490	value="CP"
	491	/>
	492
	493	<clinician s>
	494
	495	<clinician
	496	code="5206 46984"
	497	name="Firs t Last"
	498	role="A"
	499	taxonomyCo de="203BS0 130Y"
	500	providerTy pe="Physic ians (M.D. and D.O.) "
	501	classifica tion="Phys ician/Oste opath"
	502	specializa tion="Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery"
	503	service="O IFO BAYPIN ES TEST LA B "
	504	/>
	505
	506	<clinician
	507	code="5206 46984"
	508	name="Firs t Last"
	509	role="S"
	510	dateTime=" 3150918.12 0559"
	511	signature= " First Last "
	512	taxonomyCo de="203BS0 130Y"
	513	providerTy pe="Physic ians (M.D. and D.O.) "
	514	classifica tion="Phys ician/Oste opath"
	515	specializa tion="Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery"
	516	service="O IFO BAYPIN ES TEST LA B "
	517	/>
	518
	519	</clinicia ns>
	520
	521	<content
	522	xml:space= "preserve"
	523	>
	524	LOCAL TI TLE: CP CA RDIOPULMON ARY
	525	STANDARD TITLE: PU LMONARY DI AGNOSTIC I NTERVENTIO N PROCEDUR E NOTE
	526	DATE OF NOTE: SEP 18, 2015@1 2:05:36 E NTRY DATE: SEP 18, 2 015@12:05: 37
	527	AUTHOR: First L ast EXP COSIGN ER:
	528	URGENCY: ST ATUS: COMP LETED
	529
	530	PROCEDUR E SUMMARY CODE: Norm al
	531	DATE/TIM E PERFORME D: SEP 18, 2015@12:0 5
	532
	533	testing 09182015 5 a
	534
	535	/es/ Fir st Last
	536
	537	Signed: 09/18/2015 12:05
	538
	539	</content>
	540
	541	<documentC lass
	542	value="CLI NICAL PROC EDURES"
	543	/>
	544
	545	<encounter
	546	value="220 5736"
	547	/>
	548
	549	<facility
	550	code="442"
	551	name="CHEY ENNE VAMC"
	552	/>
	553
	554	<id
	555	value="180 4729"
	556	/>
	557
	558	<localTitl e
	559	value="CP CARDIOPULM ONARY "
	560	/>
	561
	562	<loinc
	563	value="285 70-0"
	564	/>
	565
	566	<nationalT itle
	567	name="PULM ONARY DIAG NOSTIC INT ERVENTION PROCEDURE NOTE"
	568	/>
	569
	570	<nationalT itleServic e
	571	name="DIAG NOSTIC INT ERVENTIONA L PROCEDUR E"
	572	/>
	573
	574	<nationalT itleSubjec t
	575	name="PULM ONARY DISE ASE"
	576	/>
	577
	578	<nationalT itleType
	579	name="NOTE "
	580	/>
	581
	582	<reference DateTime
	583	value="315 0918.12053 6"
	584	/>
	585
	586	<status
	587	value="com pleted"
	588	/>
	589
	590	<type
	591	value="CP"
	592	/>
	593
	594	</document >
	595
	596
	597	<document>
	598
	599	<category
	600	value='PN'
	601	/>
	602
	603	<clinician s>
	604
	605	<clinician
	606	code='5206 46951'
	607	name='last , first H'
	608	role='A'
	609	taxonomyCo de='203BS0 130Y'
	610	providerTy pe='Physic ians (M.D. and D.O.) '
	611	classifica tion='Phys ician/Oste opath'
	612	specializa tion='Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery '
	613	service='O IFO BAYPIN ES TEST LA B '
	614	/>
	615
	616	<clinician
	617	code='5206 46951'
	618	name='last , first H'
	619	role='S'
	620	dateTime=' 3150914.12 1349'
	621	signature= ' F irst Last physician tester'
	622	taxonomyCo de='203BS0 130Y'
	623	providerTy pe='Physic ians (M.D. and D.O.) '
	624	classifica tion='Phys ician/Oste opath'
	625	specializa tion='Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery'
	626	service='O IFO BAYPIN ES TEST LA B '
	627	/>
	628
	629	</clinicia ns>
	630
	631	<content
	632	xml:space= 'preserve'
	633	>
	634	LOCAL TI TLE: HISTO RY & P HYSICAL
	635	STANDARD TITLE: PH YSICIAN H & P NO TE
	636	DATE OF NOTE: SEP 14, 2015@1 2:12 E NTRY DATE: SEP 14, 2 015@12:12: 22
	637	AUTHOR: last , first H EXP COSIGN ER:
	638	URGENCY: ST ATUS: COMP LETED
	639
	640	Operatio n/ Procedu re Schedul ed: 9/14/2 015
	641
	642	History of Present Illness: Testing
	643
	644
	645	Diagnosi s: Testing
	646
	647	Current Medication s: Active Outpatient Medicatio ns (exclud ing Suppli es):
	648
	649	Active N on-VA Medi cations Sta tus
	650	======== ========== ========== ========== ========== ========== ========== =====
	651	1) Non -VA ABSCES S ROOT CAP ,ORAL MOU TH EVERY D AY ACTIVE
	652	2) Non -VA WORMWO OD OIL AF FECTED ARE A EVERY DA Y ACTIVE
	653
	654	Habits:
	655	Alcohol, Tobacco, Drugs
	656
	657	Allergie s:No Aller gy Assessm ent
	658
	659	Relevant Past Medi cal Histor y:
	660	Review o f Systems (explain p ositive fi ndings)
	661	Head and Neck No
	662
	663	Breasts (Female - Mammogram) No
	664
	665	Heart an d Lungs Ye s
	666
	667	Gastroin testinal N o
	668
	669	Gentiour inary (Fem ale - Preg nant) No
	670
	671	Musculos keletal Ye s
	672
	673	Peripher al Vascula r Yes
	674
	675	Diabetes Yes
	676
	677	Psychiat ric (Anxie ty, depres sion) Yes
	678
	679	Other
	680
	681
	682	Explanat ion of Pos itive Find ings:
	683	testing
	684
	685
	686	Physical Examinati on:
	687	Age: 30
	688	Sex: FEM ALE
	689	Race: BL ACK OR AFR ICAN AMERI CAN
	690	Temperat ure: 111 F [43.9 C] (06/02/201 5 11:25)
	691	Pulse:45 (06/02/20 15 11:25)
	692	Respirat ion: 100 ( 01/15/2015 09:27)
	693	B/P: 100 /87 (06/02 /2015 11:2 5)
	694	Skin:tes t
	695	Head and Neck: tes t
	696
	697	Adenopat hy:test
	698	Breasts: test
	699	Cardiopu lmonary:te st
	700	Abdomen: test
	701	Rectal ( Guaiac):te st
	702	Peripher al Vascula r:test
	703	Musculos keletal: t est
	704	Neurolog ical: test
	705	Mental S tatus: tes t
	706	Other Co mments: te st
	707
	708	Impressi on/Plan: t est
	709
	710
	711	Patient understand s risks an d benefits and wishe s to proce ed.
	712
	713	Appropri ate Operat ive Site v erified an d marked i n holding area:
	714	Yes, No
	715
	716	There ha ve been no significa nt changes in the hi story and physical d one
	717	preopera tively. T his patien t is an ap propriate candidate for the sc heduled
	718	surgery.
	719
	720	The pati ent has gi ven approv al to disc uss his/he r surgical care/find ings
	721	with fam ily member (s) and/or accompany ing party present.
	722	Yes
	723
	724	/es/ Fir st Last
	725	physicia n tester
	726	Signed: 09/14/2015 12:13
	727
	728	</content>
	729
	730	<documentC lass
	731	value='PRO GRESS NOTE S'
	732	/>
	733
	734	<encounter
	735	value='220 5727'
	736	/>
	737
	738	<facility
	739	code='442'
	740	name='CHEY ENNE VAMC'
	741	/>
	742
	743	<id
	744	value='180 4722'
	745	/>
	746
	747	<localTitl e
	748	value='HIS TORY & PHYSICAL'
	749	/>
	750
	751	<loinc
	752	value='341 17-2'
	753	/>
	754
	755	<nationalT itle
	756	name='PHYS ICIAN H &a mp; P NOTE '
	757	/>
	758
	759	<nationalT itleRole
	760	name='PHYS ICIAN'
	761	/>
	762
	763	<nationalT itleServic e
	764	name='HIST ORY & PHYSICAL'
	765	/>
	766
	767	<nationalT itleType
	768	name='NOTE '
	769	/>
	770
	771	<reference DateTime
	772	value='315 0914.1212'
	773	/>
	774
	775	<status
	776	value='com pleted'
	777	/>
	778
	779	<type
	780	value='PN'
	781	/>
	782
	783	</document >
	784
	785	<document>
	786
	787	<category
	788	value='PN'
	789	/>
	790
	791	<clinician s>
	792
	793	<clinician
	794	code='5206 47004'
	795	name='Firs t Last'
	796	role='A'
	797	taxonomyCo de='203BS 0130Y'
	798	providerTy pe='Physic ians (M.D. and D.O.) '
	799	classifica tion='Phys ician/Oste o path'
	800	specializa tion='Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery'
	801	service='O IFO BAYPIN ES TEST LA B '
	802	/>
	803
	804	<clinician
	805	code='5206 47004'
	806	name='Firs t Last'
	807	role='S'
	808	dateTime=' 3150817.15 1524'
	809	signature= ' First Last '
	810	taxonomyCo de='203BS0 130Y'
	811	providerTy pe='Phy si cians (M.D . and D.O. )'
	812	classifica tion='Phys ician/Oste opath'
	813	specializa tion='Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery'
	814	service='O IFO BAYPIN ES TEST LA B '
	815	/>
	816
	817	</clinicia ns>
	818
	819	<content
	820	xml:space= 'preserve'
	821	>
	822	LOCAL TI TLE: HISTO RY & P HYSICAL
	823	STANDARD TITLE: PH YSICIAN H & P NO TE
	824	DATE OF NOTE: AUG 17, 2015@1 5:14 E NTRY DATE: AUG 17, 2 015@15:14: 48
	825	AUTHOR: First Last EXP COSIGN ER:
	826	URGENCY: ST ATUS: COMP LETED
	827
	828	Operatio n/ Procedu re Schedul ed:
	829
	830	History of Present Illness:
	831
	832	Diagnosi s:
	833
	834	Current Medication s: Active Outpatient Medicatio ns (exclud ing Suppli es):
	835
	836	Active N on-VA Medi cations Sta tus
	837	======== ========== ========== ========== ========== ========== ========== =====
	838	1) Non -VA ABSCES S ROOT CAP ,ORAL MOU TH EVERY D AY ACTIVE
	839	2) Non -VA WORMWO OD OIL AF FECTED ARE A EVERY DA Y ACTIVE
	840
	841	Habits:
	842
	843
	844	Allergie s:No Aller gy Assessm ent
	845
	846	Relevant Past Medi cal Histor y:
	847	Review o f Systems (explain p ositive fi ndings)
	848	Head and Neck
	849
	850	Breasts (Female - Mammogram)
	851
	852	Heart an d Lungs
	853
	854	Gastroin testinal
	855
	856	Gentiour inary (Fem ale - Preg nant)
	857
	858	Musculos keletal
	859
	860	Peripher al Vascula r
	861
	862	Diabetes
	863
	864	Psychiat ric (Anxie ty, depres sion)
	865
	866	Other
	867
	868
	869	Explanat ion of Pos itive Find ings:
	870
	871
	872	Physical Examinati on:
	873	Age: 30
	874	Sex: FEM ALE
	875	Race: BL ACK OR AFR ICAN AMERI CAN
	876	Temperat ure: 111 F [43.9 C] (06/02/201 5 11:25)
	877	Pulse:45 (06/02/20 15 11:25)
	878	Respirat ion: 100 ( 01/15/2015 09:27)
	879	B/P: 100 /87 (06/02 /2015 11:2 5)
	880	Skin:
	881	Head and Neck:
	882	Adenopat hy:
	883	Breasts:
	884	Cardiopu lmonary:
	885	Abdomen:
	886	Rectal ( Guaiac):
	887	Peripher al Vascula r:
	888	Musculos keletal:
	889	Neurolog ical:
	890	Mental S tatus:
	891	Other Co mments:
	892
	893	Impressi on/Plan:
	894
	895	Patient understand s risks an d benefits and wishe s to proce ed.
	896
	897	Appropri ate Operat ive Site v erified an d marked i n holding area:
	898
	899
	900	There ha ve been no significa nt changes in the hi story and physical d one
	901	preopera tively. T his patien t is an ap propriate candidate for the sc heduled
	902	surgery.
	903
	904	The pati ent has gi ven approv al to disc uss his/he r surgical care/find ings
	905	with fam ily member (s) and/or accompany ing party present.
	906
	907
	908	/es/ Fir st Last
	909
	910	Signed: 08/17/2015 15:15
	911
	912	</content>
	913
	914	<documentC lass
	915	value='PRO GRESS NOTE S'
	916	/>
	917
	918	<encounter
	919	value='220 5671'
	920	/>
	921
	922	<facility
	923	code='442'
	924	name='CHEY ENNE VAMC'
	925	/>
	926
	927	<id
	928	value='180 4686'
	929	/>
	930
	931	<localTitl e
	932	value='HIS TORY & PHYSICAL'
	933	/>
	934
	935	<loinc
	936	value='341 17-2'
	937	/>
	938
	939	<nationalT itle
	940	name='PHYS ICIAN H &a mp; P NOTE '
	941	/>
	942
	943	<nationalT itleRole
	944	name='PHYS ICIAN'
	945	/>
	946
	947	<nationalT itleServic e
	948	name='HIST ORY & PHYSICAL'
	949	/>
	950
	951	<nationalT itleType
	952	name='NOTE '
	953	/>
	954
	955	<reference DateTime
	956	value='315 0817.1514'
	957	/>
	958
	959	<status
	960	value='com pleted'
	961	/>
	962
	963	<type
	964	value='PN'
	965	/>
	966
	967	</document >
	968
	969	<document>
	970
	971	<category
	972	value='PN'
	973	/>
	974
	975	<clinician s>
	976
	977	<clinician
	978	code='5206 46951'
	979	name='last , first H'
	980	role='A'
	981	taxonomyCo de='203B S 0130Y'
	982	providerTy pe='Physic ians (M.D. and D.O.) '
	983	classifica tion='Phys ician/Oste opath'
	984	specializa tion='Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery '
	985	service='O IFO BAYPIN ES TEST LA B '
	986	/>
	987
	988	<clinician
	989	code='5206 46951'
	990	name='last , first H'
	991	role='S'
	992	dateTime=' 3150306.10 2423'
	993	signature= ' F irst Last physician tester'
	994	taxonomyCo de='203BS0 130Y'
	995	providerTy pe='Physic ians (M.D. and D.O.) '
	996	classifica tion='Phys ician/Oste opath'
	997	specializa tion='Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery'
	998	service='O IFO BAYPIN ES TEST LA B '
	999	/>
	1000
	1001	</clinicia ns>
	1002
	1003	<content
	1004	xml:space= 'preserve'
	1005	>
	1006	LOCAL TI TLE: HISTO RY & P HYSICAL
	1007	STANDARD TITLE: PH YSICIAN H & P NO TE
	1008	DATE OF NOTE: MAR 06, 2015@1 0:22 E NTRY DATE: MAR 06, 2 015@10:22: 24
	1009	AUTHOR: last , first H EXP COSIGN ER:
	1010	URGENCY: ST ATUS: COMP LETED
	1011
	1012	CC:
	1013
	1014	HISTORY OF PRESENT ILLNESS:
	1015
	1016	PAST MED ICAL HISTO RY:
	1017
	1018	N
	1019	MEDS: Ac tive Outpa tient Medi cations (e xcluding S upplies):
	1020
	1021	Active N on-VA Medi cations Sta tus
	1022	======== ========== ========== ========== ========== ========== ========== =====
	1023	1) Non -VA ABSCES S ROOT CAP ,ORAL MOU TH EVERY D AY ACTIVE
	1024	2) Non -VA WORMWO OD OIL AF FECTED ARE A EVERY DA Y ACTIVE
	1025
	1026	ALL: No Allergy A ssessment
	1027
	1028	FAMILY H ISTORY:
	1029
	1030	)
	1031	SOCIAL H ISTORY:
	1032
	1033	ROS: (- )for wt lo ss, SOB, C P, N, V, D , melena, hematochez ia, cough,
	1034	fever, c hills, dys phagia, dy suria
	1035
	1036	.
	1037	PHYSICAL EXAMINATI ON:
	1038
	1039	VS: PUL SE 160 (02/02/201 5 12:41)
	1040	BLOOD PR ESSURE 120/ (01/ 15/2015 09 :27)
	1041	RESPIRAT ION 100 (01/1 5/2015 09: 27)
	1042	TEMPERAT IRE 98 F [36. 7 C] (02/0 2/2015 12: 41)
	1043	SATS
	1044
	1045	N
	1046	GENERAL: Patient alert and oriented, appears in NAD, is p leasant an d
	1047	cooperat ive.
	1048
	1049	HEENT: NCAT, PERR LA, EOMI, Posterior Oropharynx Clear, Ne ck Supple, no
	1050	lymphade nopathy, n o thyromeg aly
	1051
	1052	)
	1053	CHEST: CTA Bilate rally, no wheezes, r ales, or r honchi, di stant brea th
	1054	sounds, barrel che sted
	1055
	1056	CV: RRR without m urmur or g allop, dis tant heart sounds, n l S1 S2, n o
	1057	carotid bruits
	1058
	1059	ABD: NA BS, soft, NDNT, no H SM, no mas s
	1060
	1061	EXT: No clubbing, no edema, good puls es
	1062
	1063	SKIN: No obvious l esions, no rash, dry skin
	1064
	1065	NEURO: CN II-XII intact, mo tor streng th 5/5 sen sory intac t. Romber g neg,
	1066	gait ste ady, DTR&a pos;s norm al
	1067
	1068	GU/RECTA L: Normal male anat omy, good rectal ton e, prostat e not enla rged,
	1069	heme neg ative stoo ls
	1070
	1071	LABS:
	1072
	1073	CXR: No infiltrate , no effus ion, no pn eumothorax , normal h eart size
	1074
	1075	EKG: No ST changes , normal s inus rhyth m, no evid ence acute MI
	1076
	1077	DIAGNOSI S TREATED, OR THAT R EQUIRE FUR THER TREAT MENT:
	1078
	1079	REASON F OR ORDERIN G TESTS, C ONSULTS OR CHANGES I N MEDICATI ONS:
	1080
	1081	ASSESSME NT/PLAN: ( including follow-up treatment and patien t instruct ions)
	1082
	1083	/es/ Fir st Last
	1084	physicia n tester
	1085	Signed: 03/06/2015 10:24
	1086
	1087	</content>
	1088
	1089	<documentC lass
	1090	value='PRO GRESS NOTE S'
	1091	/>
	1092
	1093	<encounter
	1094	value='220 5245'
	1095	/>
	1096
	1097	<facility
	1098	code='442'
	1099	name='CHEY ENNE VAMC'
	1100	/>
	1101
	1102	<id
	1103	value='180 4190'
	1104	/>
	1105
	1106	<localTitl e
	1107	value='HIS TORY & PHYSICAL'
	1108	/>
	1109
	1110	<loinc
	1111	value='341 17-2'
	1112	/>
	1113
	1114	<nationalT itle
	1115	name='PHYS ICIAN H &a mp; P NOTE '
	1116	/>
	1117
	1118	<nationalT itleRole
	1119	name='PHYS ICIAN'
	1120	/>
	1121
	1122	<nationalT itleServic e
	1123	name='HIST ORY & PHYSICAL'
	1124	/>
	1125
	1126	<nationalT itleType
	1127	name='NOTE '
	1128	/>
	1129
	1130	<reference DateTime
	1131	value='315 0306.1022'
	1132	/>
	1133
	1134	<status
	1135	value='com pleted'
	1136	/>
	1137
	1138	<type
	1139	value='PN'
	1140	/>
	1141
	1142	</document >
	1143
	1144	<document>
	1145
	1146	<category
	1147	value='PN'
	1148	/>
	1149
	1150	<clinician s>
	1151
	1152	<clinician
	1153	code='5206 46951'
	1154	name='last , first H'
	1155	role='A'
	1156	taxonomyCo de='203B S 0130Y'
	1157	providerTy pe='Physic ians (M.D. and D.O.) '
	1158	classifica tion='Phys ician/Oste opath'
	1159	specializa tion='Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery '
	1160	service='O IFO BAYPIN ES TEST LA B '
	1161	/>
	1162
	1163	<clinician
	1164	code='5206 46951'
	1165	name='last , first H'
	1166	role='S'
	1167	dateTime=' 3150306.10 204'
	1168	signature= ' F irst Last physician tester'
	1169	taxonomyCo de='203BS0 130Y'
	1170	providerTy pe='Physic ians (M.D. and D.O.) '
	1171	classifica tion='Phys ician/Oste opath'
	1172	specializa tion='Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery'
	1173	service='O IFO BAYPIN ES TEST LA B '
	1174	/>
	1175
	1176	</clinicia ns>
	1177
	1178	<content
	1179	xml:space= 'preserve'
	1180	>
	1181	LOCAL TI TLE: HISTO RY & P HYSICAL
	1182	STANDARD TITLE: PH YSICIAN H & P NO TE
	1183	DATE OF NOTE: MAR 06, 2015@1 0:16 E NTRY DATE: MAR 06, 2 015@10:17: 03
	1184	AUTHOR: last , first H EXP COSIGN ER:
	1185	URGENCY: ST ATUS: COMP LETED
	1186
	1187	CC:
	1188
	1189	HISTORY OF PRESENT ILLNESS:
	1190
	1191	PAST MED ICAL HISTO RY:
	1192
	1193	N
	1194	MEDS: Ac tive Outpa tient Medi cations (e xcluding S upplies):
	1195
	1196	Active N on-VA Medi cations Sta tus
	1197	======== ========== ========== ========== ========== ========== ========== =====
	1198	1) Non -VA ABSCES S ROOT CAP ,ORAL MOU TH EVERY D AY ACTIVE
	1199	2) Non -VA WORMWO OD OIL AF FECTED ARE A EVERY DA Y ACTIVE
	1200
	1201	ALL: No Allergy A ssessment
	1202
	1203	FAMILY H ISTORY:
	1204
	1205	)
	1206	SOCIAL H ISTORY:
	1207
	1208	ROS: (- )for wt lo ss, SOB, C P, N, V, D , melena, hematochez ia, cough,
	1209	fever, c hills, dys phagia, dy suria
	1210
	1211	.
	1212	PHYSICAL EXAMINATI ON:
	1213
	1214	VS: PUL SE 160 (02/02/201 5 12:41)
	1215	BLOOD PR ESSURE 120/ (01/ 15/2015 09 :27)
	1216	RESPIRAT ION 100 (01/1 5/2015 09: 27)
	1217	TEMPERAT IRE 98 F [36. 7 C] (02/0 2/2015 12: 41)
	1218	SATS
	1219
	1220	N
	1221	GENERAL: Patient alert and oriented, appears in NAD, is p leasant an d
	1222	cooperat ive.
	1223
	1224	HEENT: NCAT, PERR LA, EOMI, Posterior Oropharynx Clear, Ne ck Supple, no
	1225	lymphade nopathy, n o thyromeg aly
	1226
	1227	)
	1228	CHEST: CTA Bilate rally, no wheezes, r ales, or r honchi, di stant brea th
	1229	sounds, barrel che sted
	1230
	1231	CV: RRR without m urmur or g allop, dis tant heart sounds, n l S1 S2, n o
	1232	carotid bruits
	1233
	1234	ABD: NA BS, soft, NDNT, no H SM, no mas s
	1235
	1236	EXT: No clubbing, no edema, good puls es
	1237
	1238	SKIN: No obvious l esions, no rash, dry skin
	1239
	1240	NEURO: CN II-XII intact, mo tor streng th 5/5 sen sory intac t. Romber g neg,
	1241	gait ste ady, DTR&a pos;s norm al
	1242
	1243	GU/RECTA L: Normal male anat omy, good rectal ton e, prostat e not enla rged,
	1244	heme neg ative stoo ls
	1245
	1246	LABS:
	1247
	1248	CXR: No infiltrate , no effus ion, no pn eumothorax , normal h eart size
	1249
	1250	EKG: No ST changes , normal s inus rhyth m, no evid ence acute MI
	1251
	1252	DIAGNOSI S TREATED, OR THAT R EQUIRE FUR THER TREAT MENT:
	1253
	1254	REASON F OR ORDERIN G TESTS, C ONSULTS OR CHANGES I N MEDICATI ONS:
	1255
	1256	ASSESSME NT/PLAN: ( including follow-up treatment and patien t instruct ions)
	1257
	1258	/es/ Fir st Last
	1259	physicia n tester
	1260	Signed: 03/06/2015 10:20
	1261
	1262	</content>
	1263
	1264	<documentC lass
	1265	value='PRO GRESS NOTE S'
	1266	/>
	1267
	1268	<encounter
	1269	value='220 5244'
	1270	/>
	1271
	1272	<facility
	1273	code='442'
	1274	name='CHEY ENNE VAMC'
	1275	/>
	1276
	1277	<id
	1278	value='180 4189'
	1279	/>
	1280
	1281	<localTitl e
	1282	value='HIS TORY & PHYSICAL'
	1283	/>
	1284
	1285	<loinc
	1286	value='341 17-2'
	1287	/>
	1288
	1289	<nationalT itle
	1290	name='PHYS ICIAN H &a mp; P NOTE '
	1291	/>
	1292
	1293	<nationalT itleRole
	1294	name='PHYS ICIAN'
	1295	/>
	1296
	1297	<nationalT itleServic e
	1298	name='HIST ORY & PHYSICAL'
	1299	/>
	1300
	1301	<nationalT itleType
	1302	name='NOTE '
	1303	/>
	1304
	1305	<reference DateTime
	1306	value='315 0306.1016'
	1307	/>
	1308
	1309	<status
	1310	value='com pleted'
	1311	/>
	1312
	1313	<type
	1314	value='PN'
	1315	/>
	1316
	1317	</document >
	1318
	1319	<document>
	1320
	1321	<category
	1322	value='PN'
	1323	/>
	1324
	1325	<clinician s>
	1326
	1327	<clinician
	1328	code='5206 46951'
	1329	name='last , first H'
	1330	role='A'
	1331	taxonomyCo de='203B S 0130Y'
	1332	providerTy pe='Physic ians (M.D. and D.O.) '
	1333	classifica tion='Phys ician/Oste opath'
	1334	specializa tion='Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery '
	1335	service='O IFO BAYPIN ES TEST LA B '
	1336	/>
	1337
	1338	<clinician
	1339	code='5206 46951'
	1340	name='last , first H'
	1341	role='S'
	1342	dateTime=' 3110804.11 '
	1343	signature= ' F irst Last physician tester'
	1344	taxonomyCo de='203BS0 130Y'
	1345	providerTy pe='Physic ians (M.D. and D.O.) '
	1346	classifica tion='Phys ician/Oste opath'
	1347	specializa tion='Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery'
	1348	service='O IFO BAYPIN ES TEST LA B '
	1349	/>
	1350
	1351	</clinicia ns>
	1352
	1353	<content
	1354	xml:space= 'preserve'
	1355	>
	1356	LOCAL TI TLE: HISTO RY & P HYSICAL
	1357	STANDARD TITLE: PH YSICIAN H & P NO TE
	1358	DICT DAT E: AUG 04, 2010@11:0 0 ENTR Y DATE: MA R 06, 2015 @10:16:07
	1359	DICTATED B Y: last , first H EXP COSIGN ER:
	1360	URGENCY: ST ATUS: COMP LETED
	1361
	1362	CC:
	1363
	1364	HISTORY OF PRESENT ILLNESS:
	1365
	1366	PAST MED ICAL HISTO RY:
	1367
	1368	N
	1369	MEDS: Ac tive Outpa tient Medi cations (e xcluding S upplies):
	1370
	1371	Active N on-VA Medi cations Sta tus
	1372	======== ========== ========== ========== ========== ========== ========== =====
	1373	1) Non -VA ABSCES S ROOT CAP ,ORAL MOU TH EVERY D AY ACTIVE
	1374	2) Non -VA WORMWO OD OIL AF FECTED ARE A EVERY DA Y ACTIVE
	1375
	1376	ALL: No Allergy A ssessment
	1377
	1378	FAMILY H ISTORY:
	1379
	1380	)
	1381	SOCIAL H ISTORY:
	1382
	1383	ROS: (- )for wt lo ss, SOB, C P, N, V, D , melena, hematochez ia, cough,
	1384	fever, c hills, dys phagia, dy suria
	1385
	1386	.
	1387	PHYSICAL EXAMINATI ON:
	1388
	1389	VS: PUL SE 160 (02/02/201 5 12:41)
	1390	BLOOD PR ESSURE 120/ (01/ 15/2015 09 :27)
	1391	RESPIRAT ION 100 (01/1 5/2015 09: 27)
	1392	TEMPERAT IRE 98 F [36. 7 C] (02/0 2/2015 12: 41)
	1393	SATS
	1394
	1395	N
	1396	GENERAL: Patient alert and oriented, appears in NAD, is p leasant an d
	1397	cooperat ive.
	1398
	1399	HEENT: NCAT, PERR LA, EOMI, Posterior Oropharynx Clear, Ne ck Supple, no
	1400	lymphade nopathy, n o thyromeg aly
	1401
	1402	)
	1403	CHEST: CTA Bilate rally, no wheezes, r ales, or r honchi, di stant brea th
	1404	sounds, barrel che sted
	1405
	1406	CV: RRR without m urmur or g allop, dis tant heart sounds, n l S1 S2, n o
	1407	carotid bruits
	1408
	1409	ABD: NA BS, soft, NDNT, no H SM, no mas s
	1410
	1411	EXT: No clubbing, no edema, good puls es
	1412
	1413	SKIN: No obvious l esions, no rash, dry skin
	1414
	1415	NEURO: CN II-XII intact, mo tor streng th 5/5 sen sory intac t. Romber g neg,
	1416	gait ste ady, DTR&a pos;s norm al
	1417
	1418	GU/RECTA L: Normal male anat omy, good rectal ton e, prostat e not enla rged,
	1419	heme neg ative stoo ls
	1420
	1421	LABS:
	1422
	1423	CXR: No infiltrate , no effus ion, no pn eumothorax , normal h eart size
	1424
	1425	EKG: No ST changes , normal s inus rhyth m, no evid ence acute MI
	1426
	1427	DIAGNOSI S TREATED, OR THAT R EQUIRE FUR THER TREAT MENT:
	1428
	1429	REASON F OR ORDERIN G TESTS, C ONSULTS OR CHANGES I N MEDICATI ONS:
	1430
	1431	ASSESSME NT/PLAN: ( including follow-up treatment and patien t instruct ions)
	1432
	1433	/es/ Fir st Last
	1434	physicia n tester
	1435	Signed: 08/04/2011 11:00
	1436
	1437	</content>
	1438
	1439	<documentC lass
	1440	value='PRO GRESS NOTE S'
	1441	/>
	1442
	1443	<encounter
	1444	value='220 5244'
	1445	/>
	1446
	1447	<facility
	1448	code='442'
	1449	name='CHEY ENNE VAMC'
	1450	/>
	1451
	1452	<id
	1453	value='180 4188'
	1454	/>
	1455
	1456	<localTitl e
	1457	value='HIS TORY & PHYSICAL'
	1458	/>
	1459
	1460	<loinc
	1461	value='341 17-2'
	1462	/>
	1463
	1464	<nationalT itle
	1465	name='PHYS ICIAN H &a mp; P NOTE '
	1466	/>
	1467
	1468	<nationalT itleRole
	1469	name='PHYS ICIAN'
	1470	/>
	1471
	1472	<nationalT itleServic e
	1473	name='HIST ORY & PHYSICAL'
	1474	/>
	1475
	1476	<nationalT itleType
	1477	name='NOTE '
	1478	/>
	1479
	1480	<reference DateTime
	1481	value='315 0306.1015'
	1482	/>
	1483
	1484	<status
	1485	value='com pleted'
	1486	/>
	1487
	1488	<type
	1489	value='PN'
	1490	/>
	1491
	1492	</document >
	1493
	1494	<document>
	1495
	1496	<category
	1497	value='PN'
	1498	/>
	1499
	1500	<clinician s>
	1501
	1502	<clinician
	1503	code='5206 46951'
	1504	name='last , first H'
	1505	role='A'
	1506	taxonomyCo de='203BS0 130Y'
	1507	providerTy pe='Physic ians (M.D. and D.O.) '
	1508	classifica tion='Phys ician/Oste opath'
	1509	specializa tion='Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery'
	1510	service='O IFO BAYPIN ES TEST LA B '
	1511	/>
	1512
	1513	<clinician
	1514	code='5206 46951'
	1515	name='last , first H'
	1516	role='S'
	1517	dateTime=' 3141223.12 2744'
	1518	signature= ' F irst Last physician tester'
	1519	taxonomyCo de='203BS0 130Y'
	1520	providerTy pe='Physic ians (M.D. and D.O.) '
	1521	classifica tion='Phys ician/Oste opath'
	1522	specializa tion='Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery'
	1523	service='O IFO BAYPIN ES TEST LA B '
	1524	/>
	1525
	1526	</clinicia ns>
	1527
	1528	<content
	1529	xml:space= 'preserve'
	1530	>
	1531	LOCAL TI TLE: AMB C ARE PAST,F AMILY &amp ; SOCIAL H ISTORY FOR M (TEMPLAT
	1532	STANDARD TITLE: H & P NO TE
	1533	DATE OF NOTE: DEC 23, 2014@1 2:26 E NTRY DATE: DEC 23, 2 014@12:27: 06
	1534	AUTHOR: last , first H EXP COSIGN ER:
	1535	URGENCY: ST ATUS: COMP LETED
	1536
	1537	Patient: NWHINZZZ TESTPATIEN T,NWHINFIV E
	1538	Social S ecurity Nu mber: 666 -10-0005
	1539	Date of Birth: JA N 5,1985
	1540	Date: DE C 23, 2014 12:27
	1541
	1542	Past Med ical Histo ry
	1543
	1544	A. Have you exper ienced or been treat ed for any of the fo llowing
	1545	conditio ns?
	1546
	1547	1. Head aches or a nervous d isorder _x __YES _ __NO
	1548	2. Thyr oid disord er _x __YES _ __NO
	1549	3. Hear t conditio n __ _YES __ x_NO
	1550	4. High blood pre ssure _x __YES _ __NO
	1551	5. Lung disorder __ _YES __ x_NO
	1552	6. Brea st problem s __ x_YES _ __NO
	1553	7. Jaun dice, hepa titis or o ther liver disorder __ x_YES _ __NO
	1554	8. Stom ach, bowel , or gallb ladder pro blems __ _YES _x __NO
	1555	9. Fema le or sexu al problem s _x __YES _ __NO
	1556	10. Anem ia or drug loss __ _YES __ _NO
	1557	12. Have you ever received a blood tra nsfusion _x __YES _ __NO
	1558	13. Diab etes _x __YES _ __NO
	1559	14. Canc er __ _YES _x __NO
	1560	15. Othe r medical problems _x __YES _ __NO
	1561
	1562	B. Are you taking any medic ations at present? __ _YES _x __NO
	1563	If yes, please lis t below.
	1564
	1565	NAME OF DRUG PRESCRIB ING DOCTOR
	1566
	1567
	1568
	1569	C. Are you Allerg ic to any medication s? __ _xYES _ __NO
	1570	If yes, please lis t below.
	1571
	1572	IBUPROFE N, SUNLIGH T
	1573
	1574	D. Hosp italizatio ns
	1575
	1576	MONTH/YE AR REASON
	1577
	1578	/es/ Fir st Last
	1579	physicia n tester
	1580	Signed: 12/23/2014 12:27
	1581
	1582	</content>
	1583
	1584	<documentC lass
	1585	value='PRO GRESS NOTE S'
	1586	/>
	1587
	1588	<encounter
	1589	value='220 5180'
	1590	/>
	1591
	1592	<facility
	1593	code='442'
	1594	name='CHEY ENNE VAMC'
	1595	/>
	1596
	1597	<id
	1598	value='180 4101'
	1599	/>
	1600
	1601	<localTitl e
	1602	value='AMB CARE PAST ,FAMILY &a mp; SOCIAL HISTORY F ORM (TEMPL ATE)'
	1603	/>
	1604
	1605	<loinc
	1606	value='341 17-2'
	1607	/>
	1608
	1609	<nationalT itle
	1610	name='H &a mp; P NOTE '
	1611	/>
	1612
	1613	<nationalT itleServic e
	1614	name='HIST ORY & PHYSICAL'
	1615	/>
	1616
	1617	<nationalT itleType
	1618	name='NOTE '
	1619	/>
	1620
	1621	<reference DateTime
	1622	value='314 1223.1226'
	1623	/>
	1624
	1625	<status
	1626	value='com pleted'
	1627	/>
	1628
	1629	<type
	1630	value='PN'
	1631	/>
	1632
	1633	</document >
	1634
	1635	<document>
	1636
	1637	<category
	1638	value='CR'
	1639	/>
	1640
	1641	<clinician s>
	1642
	1643	<clinician
	1644	code='5206 46984'
	1645	name='last , first'
	1646	role='A'
	1647	taxonomyCo de='203BS0 130Y'
	1648	providerTy pe='Physic ians (M.D. and D.O.) '
	1649
	1650	classifica tion='Phys ician/Oste opath'
	1651	specializa tion='Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery'
	1652	service='O IFO BAYPIN ES TEST LA B'
	1653	/>
	1654
	1655	<clinician
	1656	code='5206 46984'
	1657	name='last , first'
	1658	role='S'
	1659	dateTime=' 3150918.11 5032'
	1660
	1661	signature= ' First Last '
	1662	taxonomyCo de='203BS0 130Y'
	1663	providerTy pe='Physic ians (M.D. and D.O.) '
	1664	classifica tion='Phys ician/Oste opath'
	1665
	1666	specializa tion='Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery'
	1667	service='O IFO BAYPIN ES TEST LA B '
	1668	/>
	1669
	1670	</clinicia ns>
	1671
	1672	<content
	1673	xml:space= 'preserve'
	1674	>
	1675	LOCAL TI TLE: CPL - EKG CONSU LT REPORT
	1676	STANDARD TITLE: CP L - EKG CO NSULT REPO RT
	1677	DATE OF NOTE: MAR 06, 2015@1 0:16 E NTRY DATE: MAR 06, 2 015@10:17: 03
	1678	AUTHOR: last , first H EXP COSIGN ER:
	1679	URGENCY: ST ATUS: COMP LETED
	1680
	1681	CC:
	1682
	1683	This is some text of a Consu ltation Re port...
	1684
	1685	</content>
	1686
	1687
	1688	<documentC lass
	1689	value='PRO GRESS NOTE S'
	1690	/>
	1691
	1692	<encounter
	1693	value='220 5735'
	1694	/>
	1695
	1696	<facility
	1697	code='442'
	1698	name='CHEY ENNE VAMC'
	1699	/>
	1700
	1701	<id
	1702	value='180 4728'
	1703	/>
	1704
	1705	<localTitl e
	1706	value='CPL - EKG CON SULT REPOR T'
	1707	/>
	1708
	1709	<nationalT itle
	1710	name='CARD IOLOGY DIA GNOSTIC ST UDY CONSUL T'
	1711	/>
	1712
	1713	<nationalT itleServic e
	1714	name='DIAG NOSTIC STU DY'
	1715	/>
	1716
	1717	<nationalT itleSubjec t
	1718	name='CARD IOVASCULAR DISEASE'
	1719	/>
	1720
	1721	<nationalT itleType
	1722	name='CONS ULT'
	1723	/>
	1724
	1725	<reference DateTime
	1726	value='315 0918.11494 '
	1727	/>
	1728
	1729	<status
	1730	value='com pleted'
	1731	/>
	1732
	1733	<type
	1734	value='CR'
	1735	/>
	1736
	1737	</document >
	1738
	1739	<document>
	1740
	1741	<category
	1742	value='CR'
	1743	/>
	1744
	1745	<clinician s>
	1746
	1747	<clinician
	1748	code='5206 46984'
	1749	name='Firs t Last'
	1750	role='A'
	1751
	1752	taxonomyCo de='203BS0 130Y'
	1753	providerTy pe='Physic ians (M.D. and D.O.) '
	1754
	1755	classifica tion='Phys ician/Oste opath'
	1756
	1757	specializa tion='Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery'
	1758
	1759	service='O IFO BAYPIN ES TEST LA B '
	1760	/>
	1761
	1762	<clinician
	1763	code='5206 46984'
	1764	name='Firs t Last'
	1765	role='S'
	1766	dateTime=' 3130405.13 04'
	1767
	1768	signature= ' First Last S'
	1769	taxonomyCo de='203BS0 130Y'
	1770
	1771	providerTy pe='Physic ians (M.D. and D.O.) '
	1772	classifica tion='Phys ician/Oste opath'
	1773
	1774	specializa tion='Surg ery, Otorh inolaryngo logy & Facial Pl astic Surg ery'
	1775
	1776	service='O IFO BAYPIN ES TEST LA B'
	1777	/>
	1778
	1779	</clinicia ns>
	1780
	1781	<documentC lass
	1782	value='PRO GRESS NOTE S'
	1783	/>
	1784
	1785	<encounter
	1786	value='220 5359'
	1787	/>
	1788
	1789	<facility
	1790	code='442'
	1791	name='CHEY ENNE VAMC'
	1792	/>
	1793
	1794	<id
	1795	value='180 4345'
	1796	/>
	1797
	1798	<localTitl e
	1799	value='CPL - CPAP EV ALUATION C ONSULT REP ORT'
	1800	/>
	1801
	1802	<nationalT itle
	1803	name='ADMI NISTRATIVE NOTE'
	1804	/>
	1805
	1806	<nationalT itleType
	1807	name='ADMI NISTRATIVE NOTE'
	1808	/>
	1809
	1810	<reference DateTime
	1811	value='313 0420.133'
	1812	/>
	1813
	1814	<status
	1815	value='com pleted'
	1816	/>
	1817
	1818	<type
	1819	value='CR'
	1820	/>
	1821
	1822	</document >
	1823
	1824	</document s>
	1825	</results>