diff --git a/generated/org.openhealthtools.mdht.uml.cda.cdt/META-INF/MANIFEST.MF b/generated/org.openhealthtools.mdht.uml.cda.cdt/META-INF/MANIFEST.MF index 7e69749208..6426e6709b 100644 --- a/generated/org.openhealthtools.mdht.uml.cda.cdt/META-INF/MANIFEST.MF +++ b/generated/org.openhealthtools.mdht.uml.cda.cdt/META-INF/MANIFEST.MF @@ -7,7 +7,6 @@ Bundle-ClassPath: . Bundle-Activator: org.openhealthtools.mdht.uml.cda.cdt.CDTPlugin$Implementation Bundle-Vendor: %providerName Bundle-Localization: plugin -Bundle-RequiredExecutionEnvironment: JavaSE-1.7 Require-Bundle: org.eclipse.core.runtime, org.eclipse.emf.ecore;visibility:=reexport, org.eclipse.emf.ecore.xmi;visibility:=reexport, diff --git a/generated/org.openhealthtools.mdht.uml.cda.consol2/META-INF/MANIFEST.MF b/generated/org.openhealthtools.mdht.uml.cda.consol2/META-INF/MANIFEST.MF index 4a7b399f61..877050fad1 100644 --- a/generated/org.openhealthtools.mdht.uml.cda.consol2/META-INF/MANIFEST.MF +++ b/generated/org.openhealthtools.mdht.uml.cda.consol2/META-INF/MANIFEST.MF @@ -6,7 +6,6 @@ Bundle-Version: 3.0.0.qualifier Bundle-ClassPath: . Bundle-Vendor: %providerName Bundle-Localization: plugin -Bundle-RequiredExecutionEnvironment: JavaSE-1.7 Require-Bundle: org.eclipse.core.runtime, org.eclipse.emf.ecore;visibility:=reexport, org.eclipse.emf.ecore.xmi;visibility:=reexport, diff --git a/generated/org.openhealthtools.mdht.uml.cda.hitsp/META-INF/MANIFEST.MF b/generated/org.openhealthtools.mdht.uml.cda.hitsp/META-INF/MANIFEST.MF index 32a2dcca28..8d358a6987 100644 --- a/generated/org.openhealthtools.mdht.uml.cda.hitsp/META-INF/MANIFEST.MF +++ b/generated/org.openhealthtools.mdht.uml.cda.hitsp/META-INF/MANIFEST.MF @@ -6,7 +6,6 @@ Bundle-Version: 3.0.0.qualifier Bundle-ClassPath: . Bundle-Vendor: %providerName Bundle-Localization: plugin -Bundle-RequiredExecutionEnvironment: JavaSE-1.7 Export-Package: org.openhealthtools.mdht.uml.cda.hitsp, org.openhealthtools.mdht.uml.cda.hitsp.impl, org.openhealthtools.mdht.uml.cda.hitsp.operations, diff --git a/generated/org.openhealthtools.mdht.uml.cda.ihe/META-INF/MANIFEST.MF b/generated/org.openhealthtools.mdht.uml.cda.ihe/META-INF/MANIFEST.MF index d0a1f1f9ad..d7b0b37d28 100644 --- a/generated/org.openhealthtools.mdht.uml.cda.ihe/META-INF/MANIFEST.MF +++ b/generated/org.openhealthtools.mdht.uml.cda.ihe/META-INF/MANIFEST.MF @@ -6,7 +6,6 @@ Bundle-Version: 3.0.0.qualifier Bundle-ClassPath: . Bundle-Vendor: %providerName Bundle-Localization: plugin -Bundle-RequiredExecutionEnvironment: JavaSE-1.7 Export-Package: org.openhealthtools.mdht.uml.cda.ihe, org.openhealthtools.mdht.uml.cda.ihe.impl, org.openhealthtools.mdht.uml.cda.ihe.operations, diff --git a/generated/org.openhealthtools.mdht.uml.cda.mu2consol/META-INF/MANIFEST.MF b/generated/org.openhealthtools.mdht.uml.cda.mu2consol/META-INF/MANIFEST.MF index 24fea54f64..d8dff79f1d 100644 --- a/generated/org.openhealthtools.mdht.uml.cda.mu2consol/META-INF/MANIFEST.MF +++ b/generated/org.openhealthtools.mdht.uml.cda.mu2consol/META-INF/MANIFEST.MF @@ -1,7 +1,6 @@ Manifest-Version: 1.0 Bundle-ManifestVersion: 2 Bundle-Version: 3.0.0.qualifier -Bundle-RequiredExecutionEnvironment: JavaSE-1.7 Bundle-Name: %pluginName Bundle-SymbolicName: org.openhealthtools.mdht.uml.cda.mu2consol;singleton:=true Bundle-ActivationPolicy: lazy diff --git a/pom.xml b/pom.xml index acdbfd02ae..7ebf97b5af 100644 --- a/pom.xml +++ b/pom.xml @@ -9,8 +9,8 @@ - 1.0.0 - 1.0.0 + 1.7.0 + 1.7.0 scm:git:git://git.eclipse.org/gitroot/mdht/org.eclipse.mdht 1.1.2 3.0.1 diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/NEWcdaPrivacySegmentedDocument.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/NEWcdaPrivacySegmentedDocument.xml index a67f19d884..4ff7115102 100644 --- a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/NEWcdaPrivacySegmentedDocument.xml +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/NEWcdaPrivacySegmentedDocument.xml @@ -406,7 +406,7 @@ codeSystem="2.16.840.1.113883.5.1063" codeSystemName="SecurityObservationValueCodeSystem" displayName="Encrypt information"> - Information must be encrypted + @@ -721,7 +721,7 @@ - Information must be encrypted + diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/170.315_b1_toc_amb_ccd_r21_sample1_v8.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/170.315_b1_toc_amb_ccd_r21_sample1_v8.xml new file mode 100644 index 0000000000..d2994a58d3 --- /dev/null +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/170.315_b1_toc_amb_ccd_r21_sample1_v8.xml @@ -0,0 +1,2610 @@ + + + + + + + + + + + + + + + + + 170.315_b1_toc_amb_ccd_r21_sample1 test data + + + + + + + + + + + + + 1001 Amber Dr + Beaverton + OR + 97006 + US + + + + + + + + Katherine + Jones + Madison + + + Kathy + Jones + Madison + + + + + + + + + + + + + + + + + + + + Neighborhood Physicians Practice + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + + + + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + Tracy + Davis + + + + + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + Albert + Davis + + + + + + + + + + + James + Madison + + + + + + + + + + Neighborhood Physicians Practice + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + + + + + + Dr + Albert + Davis + + + + Neighborhood Physicians Practice + + + + + + + + + + + + + + + + + 1001 Amber Dr + Beaverton + OR + 97006 + US + + + + + + Mr + William + Jones + + + + + + + + + + + + 1001 Amber Dr + Beaverton + OR + 97006 + US + + + + + + Mr + James + Madison + + + + + + + + + + + + + + + + + + + Primary Care Provider + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + Dr + Albert + Davis + + + + + Neighborhood Physicians Practice + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + + + + + + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + Tracy + Davis + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + ALLERGIES AND ADVERSE REACTIONS + + + + + + + + + + + + + + + + + + + + + + + + +
SubstanceReactionSeverityStatus
+ Penicillin G + + Hives + + Moderate + Active
+ Ampicillin + + Hives + + Moderate + Active
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + MEDICATIONS + + + + + + + + + + + + + + + + + + + + + + + + + + +
MedicationDirectionsStart Date
Ceftriaxone 100MG/MLTwo Times DailyJune 22, 2015
Tylenol 500mgAs needed for 10 daysJune 22, 2015
Darbepoetin Alfa 0.5 MG/MLOnce a weekJune 22, 2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + PROBLEMS + + Active Concerns + + Problem #1 + + Essential hypertension (Disorder) + + + Problem #2 + + Severe Hypothyroidism (Disorder) + + + Problem #3 + + Chronic rejection of renal transplant (disorder) + + + Problem #4 + + Fever (finding) + + + + Resolved Concerns + + Problem #5 + + Overweight (finding) + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + + + ENCOUNTERS + + + + + + + + + + + + + + + + +
Encounter DiagnosisLocationDate
Fever Neighborhood Physicians PracticeJune 22, 2015 at 10am EST
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + Neighborhood Physicians Practice + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + IMMUNIZATIONS + + + + + + + + + + + + + + + + + + + + + + + + + + + +
VaccineDateStatus
Influenza Virus VaccineMay 10, 2014Completed
Tetanus and diphtheria toxoidsJanuary 4, 2012Completed
influenza, intradermal, quadrivalent, preservative freeJune 22, 2015Refused by Patient
+ + + + + + + + + + + + + + + + + + + + + + 1 + + + Immuno Inc. + + + + + + + + + + + + + + + + + + + + + + + + + + + + 2 + + + Immuno Inc. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 1 + + + + Immuno Inc. + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + VITAL SIGNS + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Date / Time: June 22, 2015
Height177 cm
Weight88 kg
Blood Pressure145/88 mm[Hg]
Heart Rate80 beats per minute
O2 Percentage BldC Oximetry95 percent
Body Temperature38 degree celsius
Respiratory Rate18 breaths per minute
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + SOCIAL HISTORY + + + + + + + + + + + + + + + + + + + + + + + + + + +
Social History ObservationDescriptionDates Observed
Smoking StatusHeavy tobacco smokerMay 1, 2005 - February 27, 2011
Current Smoking StatusCurrent every dayJune 22, 2015
Birth SexFemaleJune 22, 2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + PROCEDURES + + + + + + + + + + + + + + + + + + +
ProcedureDate
Nebulizer TherapyJune 22, 2015
Introduction of cardiac pacemaker system via veinOctober 5, 2011
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + +
+ + + + Implants + + + + + + + + + + + + + + + + +
ImplantedAreaUDI
Cardiac PacemakerSubclavian Vein(01)00643169007222(17)160128(21)BLC200461H
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + + + RESULTS + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Result TypeResult ValueRelevant Reference RangeInterpretationDate
Color of UrineYELLOWYELLOWNormal06/22/2015
Appearance of UrineCLEARCLEARNormal06/22/2015
Specific gravity of Urine by Test strip1.0151.005 – 1.030Normal06/22/2015
pH of Urine by Test strip5.0 [pH]5.0-8.0Normal06/22/2015
Glucose [Mass/volume] in urine by test strip50 mg/dLNeg06/22/2015
Ketones [Mass/Volume] in urine by test stripNegativeNegative06/22/2015
Protein[Mass/Volume] in urine by test strip100 mg/dLnegative06/22/2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + YELLOW + + + + YELLOW + + + + + + + + + + + + + + + + + CLEAR + + + + CLEAR + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + + + + +
+ + + + + + FUNCTIONAL STATUS + + + + + + + + + + + + + + +
Functional CategoryEffective Dates
Dependence on CaneMay 01, 2005
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + + + + + +
+ + + + + ASSESSMENTS + The patient was found to have fever and Dr Davis is suspecting Anemia based on the patient history. So Dr Davis asked the patient to closely monitor the temperature and blood pressure and get admitted to Community Health Hospitals if the fever does not subside within a day. +
+ + + + + +
+ + + + + TREATMENT PLAN + + Hand-off Communication: +
+
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Planned CareStart Date
Urinanalysis macro (dipstick) panelJune 29, 2015
Get an EKG done on 6/23/2015.June 23, 2015
Get a Chest X-ray done on 6/23/2015 showing the Lower Respiratory Tract Structure.June 23, 2015
Take Clindamycin 300mg three times a day as needed if pain does not subside.June 23, 2015 three times a day as needed
Schedule follow on visit with Neighborhood Physicians Practice on 7/1/2015.July 1, 2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Take Clindamycin 300mg three times a day as needed if pain does not subside. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + Neighborhood Physicians Practice + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + + + + + + + + Schedule follow on visit with Neighborhood Physicians Practice on 7/1/2015. + + + + + + + + + +
+ + + + + + +
+ + + + + Goals Section + + + + + + + + + + + + + + + + + + + + + + +
GoalValueDate
Get rid of intermittent fever that is occurring every few weeks (Visual Inspection)N/AJune 22, 2015
Need to gain more energy to do regular activities (Visual Inspection)N/AJune 22, 2015
+ + + + + + + + + + + + + Get rid of intermittent fever that is occurring every few weeks. (Visual Inspection) + + + + + + + + + + + + + + + + + + + + + + + + + + Need to gain more energy to do regular activities. (Visual Inspection) + + + + + + + + + + +
+ + + + + + + +
+ + + + Health Concerns Section + + + + + + + + + + + + + + + + +
ObservationsStatusDate
Chronic Sickness exhibited by patientActiveJune 22, 2015
+
+ + + + + + + + + + + + + + + + + + + + + + + + + + +
ConcernStatusDate
Documented HyperTension problemActiveJune 22, 2015
Documented HypoThyroidism problemActiveJune 22, 2015
Watch Weight of patientActiveJune 22, 2015
+
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + + + REASON FOR REFERRAL + Ms Kathy Madison is being referred to Community Health Hospitals Inpatient facility because of the high fever noticed and suspected Anemia. +
+ + + + + +
+ + + + + + MENTAL STATUS + + + + + + + + + + + + + + +
StatusDate
AmnesiaMay 05, 2005
+ + + + + + + + + + + + + + + + + + + + + +
+ + + + + diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/170.315_b8_ds4p_amb_sample1_v5.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/170.315_b8_ds4p_amb_sample1_v5.xml new file mode 100644 index 0000000000..9702d19ce2 --- /dev/null +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/170.315_b8_ds4p_amb_sample1_v5.xml @@ -0,0 +1,2710 @@ + + + + + + + + + + + + + + + + + + + + + 170.315_b1_toc_amb_ccd_r21_sample1 test data + + + + + + + + + + + + + + + + 1357 Amber Dr + Beaverton + OR + 97006 + US + + + + + + + + Alice + Jones + Newman + + + Alicia + Jones + Newman + + + + + + + + + + + + + + + + + + + + Neighborhood Physicians Practice + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + + + + + + + + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + Tracy + Davis + + + + + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + Albert + Davis + + + + + + + + + + + Matthew + Newman + + + + + + + + + + Neighborhood Physicians Practice + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + + + + + + Dr + Albert + Davis + + + + Neighborhood Physicians Practice + + + + + + + + + + + + + + + + + 1357 Amber Dr + Beaverton + OR + 97006 + US + + + + + + Mr + Rick + Holler + + + + + + + + + + + + 1357 Amber Dr + Beaverton + OR + 97006 + US + + + + + + Mr + Matthew + Newman + + + + + + + + + + + + + + + + + + + Primary Care Provider + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + Dr + Albert + Davis + + + + + Neighborhood Physicians Practice + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + + + + + + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + Tracy + Davis + + + + + + + + + + + + + + + + + + + + + + +
+ + + + Security and Privacy Prohibitions + + Section Author: Dr. Davis Albert, Neighborhood Physicians Practice
+ PROHIBITION ON REDISCLOSURE OF CONFIDENTIAL INFORMATION:
This notice + accompanies a disclosure of information concerning a client in alcohol/drug + treatment, made to you with the consent of such client. This information has + been disclosed to you from records protected by federal confidentiality + rules (42 C.F.R. Part 2). The federal rules prohibit you from making any + further disclosure of this information unless further disclosure is + expressly permitted by the written consent of the person to whom it pertains + or as otherwise permitted by 42 C.F.R. Part 2. A general authorization for + the release of medical or other information is NOT sufficient for this + purpose. The federal rules restrict any use of the information to criminally + investigate or prosecute any alcohol or drug abuse patient. + + + + + + + + + + + + + + + + + + + + + + + + + + + + Restricted Confidentiality + + + + + + + + + + + + + + + + Prohibition on redisclosure without patient + consent directive + + + + + + + + + + + + Information intended for + treatment + + + + + +
+ + + + + + + +
+ + + + + + ALLERGIES AND ADVERSE REACTIONS + + + + + + + + + + + + + + + + + + + + + + + + +
SubstanceReactionSeverityStatus
+ Penicillin G benzathine + + Hives + + Moderate + Active
+ Ampicillin Sodium + + Hives + + Moderate + Active
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + MEDICATIONS + + + + + + + + + + + + + + + + + + + + + + + + + + +
MedicationDirectionsStart Date
Ceftriaxone 100MG/MLBIDJune 22, 2015
Tylenol 500mgFor 10 days As neededJune 22, 2015
Darbepoetin Alfa 0.5 MG/MLOnce a weekJune 22, 2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + PROBLEMS + + Active Concerns + + Problem #1 + + Essential hypertension (Disorder) + + + Problem #2 + + Severe Hypothyroidism (Disorder) + + + Problem #3 + + Chronic rejection of renal transplant (disorder) + + + Problem #4 + + Fever (finding) + + + + Resolved Concerns + + Problem #5 + + Overweight (finding) + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + + + ENCOUNTERS + + + + + + + + + + + + + + + + +
Encounter DiagnosisLocationDate
Fever Neighborhood Physicians PracticeJune 22, 2015 at 10am EST
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + Neighborhood Physicians Practice + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + IMMUNIZATIONS + + + + + + + + + + + + + + + + + + + + + + + + + + + +
VaccineDateStatus
Influenza Virus VaccineMay 10, 2014Completed
Tetanus and diphtheria toxoidsJanuary 4, 2012Completed
influenza, intradermal, quadrivalent, preservative freeJune 22, 2015Refused by Patient
+ + + + + + + + + + + + + + + + + + + + + + 1 + + + Immuno Inc. + + + + + + + + + + + + + + + + + + + + + + + + + + + + 2 + + + Immuno Inc. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 1 + + + + Immuno Inc. + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + VITAL SIGNS + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Date / Time: June 22, 2015
Height177 cm
Weight88 kg
Blood Pressure145/88
Heart Rate80 beats per minute
O2 Percentage BldC Oximetry95 percent
Body Temperature38 degree celsius
Respiratory Rate18 breaths per minute
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + SOCIAL HISTORY + + + + + + + + + + + + + + + + + + + + + +
Social History ObservationDescriptionDates Observed
Smoking StatusHeavy tobacco smokerMay 1, 2005 - February 27, 2011
Current Smoking StatusCurrent every dayJune 22, 2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + PROCEDURES + + + + + + + + + + + + + + + + + + +
ProcedureDate
Nebulizer TherapyJune 22, 2015
Introduction of cardiac pacemaker system via veinOctober 5, 2011
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + RESULTS + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Result TypeResult ValueRelevant Reference RangeInterpretationDate
Color of UrineYELLOWYELLOWNormal06/22/2015
Appearance of UrineCLEARCLEARNormal06/22/2015
Specific gravity of Urine by Test strip1.0151.005 - 1.030Normal06/22/2015
pH of Urine by Test strip5.0 pH5.0 - 8.0Normal06/22/2015
Glucose [Mass/volume] in urine by test strip50mg/dlNeg06/22/2015
Ketones [Mass/Volume] in urine by test stripNegativeNegative06/22/2015
Protein[Mass/Volume] in urine by test strip100mg/dlnegative06/22/2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + YELLOW + + + + YELLOW + + + + + + + + + + + + + + + + + CLEAR + + + + CLEAR + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + + + + +
+ + + + + + FUNCTIONAL STATUS + + + + + + + + + + + + + + +
Functional CategoryEffective Dates
Dependence on CaneMay 01, 2005
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + + + + + +
+ + + + + ASSESSMENTS + The patient was found to have fever and Dr Davis is suspecting Anemia based on the patient history. So Dr Davis asked the patient to closely monitor the temperature and blood pressure and get admitted to Community Health Hospitals if the fever does not subside within a day. +
+ + + + + +
+ + + + + TREATMENT PLAN + + Hand-off Communication: +
+
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Planned CareStart Date
Urinanalysis macro (dipstick) panelJune 22, 2015
Get an EKG done on 6/23/2015.June 23, 2015
Get a Chest X-ray done on 6/23/2015 showing the Lower Respiratory Tract Structure.June 23, 2015
Take Clindamycin 300mg three times a day as needed if pain does not subside.June 23, 2015 three times a day as needed
Schedule follow on visit with Neighborhood Physicians Practice on 7/1/2015.July 7, 2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Take Clindamycin 300mg three times a day as needed if pain does not subside. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + Neighborhood Physicians Practice + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + + + + + + + + Schedule follow on visit with Neighborhood Physicians Practice on 7/1/2015. + + + + + + + + + +
+ + + + + + +
+ + + + + Goals Section + + + + + + + + + + + + + + + + + + + + + + + + +
GoalValueDate
Get rid of intermittent fever that is occurring every few weeks (Visual Inspection)N/AJune 23, 2015
Need to gain more energy to do regular activities (Visual Inspection)N/AJune 23, 2015
+ + + + + + + + + + + + + Get rid of intermittent fever that is occurring every few weeks. (Visual Inspection) + + + + + + + + + + + + + + + + + + + + + + + + + + Need to gain more energy to do regular activities. (Visual Inspection) + + + + + + + + + + +
+ + + + + + + +
+ + + + Health Concerns Section + + + + + + + + + + + + + + + + +
ObservationStatusDate
Chronic Sickness exhibited by patientActiveJune 22, 2015
+
+ + + + + + + + + + + + + + + + + + + + + + + + + + +
ConcernStatusDate
Documented HyperTension problemActiveJune 22, 2015
Documented HypoThyroidism problemActiveJune 22, 2015
Watch Weight of patientActiveJune 22, 2015
+
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + + + REASON FOR REFERRAL + Ms Alice Newman is being referred to Community Health Hospitals Inpatient facility because of the high fever noticed and suspected Anemia. +
+ + + + + +
+ + + + + + MENTAL STATUS + + + + + + + + + + + + + + +
StatusDate
AmnesiaMay 05, 2005
+ + + + + + + + + + + + + + + + + + + + + +
+ + + + + diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/170.315_b8_ds4p_amb_sample2_v2.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/170.315_b8_ds4p_amb_sample2_v2.xml new file mode 100644 index 0000000000..e9fcf68b93 --- /dev/null +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/170.315_b8_ds4p_amb_sample2_v2.xml @@ -0,0 +1,2347 @@ + + + + + + + + + + + + + + + + + + 170.315_b1_toc_amb_ccd_r21_sample1 test data + + + + + + + + + + + + + + + 1357 Amber Dr + Beaverton + OR + 97006 + US + + + + + + + + Alice + Jones + Newman + + + Alicia + Jones + Newman + + + + + + + + + + + + + + + + + + + + Neighborhood Physicians Practice + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + + + + + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + Tracy + Davis + + + + + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + Albert + Davis + + + + + + + + + + + Matthew + Newman + + + + + + + + + + Neighborhood Physicians Practice + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + + + + + + Dr + Albert + Davis + + + + Neighborhood Physicians Practice + + + + + + + + + + + + + + + + + 1357 Amber Dr + Beaverton + OR + 97006 + US + + + + + + Mr + Rick + Holler + + + + + + + + + + + + 1357 Amber Dr + Beaverton + OR + 97006 + US + + + + + + Mr + Matthew + Newman + + + + + + + + + + + + + + + + + + + Primary Care Provider + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + Dr + Albert + Davis + + + + + Neighborhood Physicians Practice + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + + + + + + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + Tracy + Davis + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + ALLERGIES AND ADVERSE REACTIONS + + + + + + + + + + + + + + + + + + +
SubstanceReactionSeverityStatus
+ Penicillin G benzathine + + Hives + + Moderate + Active
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + MEDICATIONS + + + + + + + + + + + + + + + + + + + + + +
MedicationDirectionsStart Date
Ceftriaxone 100MG/MLTwo Times dailyJune 22, 2015
Tylenol 500mgFor 10 days As neededJune 22, 2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + PROBLEMS + + Active Concerns + + Problem #1 + + Essential hypertension (Disorder) + + + Problem #2 + + Severe Hypothyroidism (Disorder) + + + Problem #4 + + Fever (finding) + + + + Resolved Concerns + + Problem #5 + + Overweight (finding) + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + + + ENCOUNTERS + + + + + + + + + + + + + + + + +
Encounter DiagnosisLocationDate
Fever Neighborhood Physicians PracticeJune 22, 2015 at 10am EST
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+ + + + + +
+ + + + + IMMUNIZATIONS + + + + + + + + + + + + + + + + + + + + + + + + + + + +
VaccineDateStatus
Influenza Virus VaccineMay 10, 2014Completed
Tetanus and diphtheria toxoidsJanuary 4, 2012Completed
influenza, intradermal, quadrivalent, preservative freeJune 22, 2015Refused by Patient
+ + + + + + + + + + + + + + + + + + + + + + 1 + + + Immuno Inc. + + + + + + + + + + + + + + + + + + + + + + + + + + + + 2 + + + Immuno Inc. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 1 + + + + Immuno Inc. + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + VITAL SIGNS + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Date / Time: June 22, 2015
Height177 cm
Weight88 kg
Blood Pressure145/88
Heart Rate80 beats per minute
O2 Percentage BldC Oximetry95 percent
Body Temperature38 degree celsius
Respiratory Rate18 breaths per minute
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + SOCIAL HISTORY + + + + + + + + + + + + + + + + + + + + + +
Social History ObservationDescriptionDates Observed
Smoking StatusHeavy tobacco smokerMay 1, 2005 - February 27, 2011
Current Smoking StatusCurrent every dayJune 22, 2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + PROCEDURES + + + + + + + + + + + + + + + + + + +
ProcedureDate
Nebulizer TherapyJune 22, 2015
Introduction of cardiac pacemaker system via veinOctober 5, 2011
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + RESULTS + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Result TypeResult ValueRelevant Reference RangeInterpretationDate
Color of UrineYELLOWYELLOWNormal06/22/2015
Appearance of UrineCLEARCLEARNormal06/22/2015
Specific gravity of Urine by Test strip1.0151.005 – 1.030Normal06/22/2015
pH of Urine by Test strip5.0 pH5.0-8.0Normal06/22/2015
Glucose [Mass/volume] in urine by test strip50mg/dlNeg06/22/2015
Ketones [Mass/Volume] in urine by test stripNegativeNegative06/22/2015
Protein[Mass/Volume] in urine by test strip100mg/dlnegative06/22/2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + YELLOW + + + + YELLOW + + + + + + + + + + + + + + + + + CLEAR + + + + CLEAR + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + + + + +
+ + + + + + FUNCTIONAL STATUS + + + + + + + + + + + + + + +
Functional CategoryEffective Dates
Dependence on CaneMay 01, 2005
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + + + + + +
+ + + + + ASSESSMENTS + The patient was found to have fever and Dr Davis is suspecting Anemia based on the patient history. So Dr Davis asked the patient to closely monitor the temperature and blood pressure and get admitted to Community Health Hospitals if the fever does not subside within a day. +
+ + + + + +
+ + + + + TREATMENT PLAN + + Hand-off Communication: +
+
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Planned CareStart Date
Urinanalysis macro (dipstick) panelJune 22, 2015
Get an EKG done on 6/23/2015.June 23, 2015
Get a Chest X-ray done on 6/23/2015 showing the Lower Respiratory Tract Structure.June 23, 2015
Take Clindamycin 300mg three times a day as needed if pain does not subside.June 23, 2015 three times a day as needed
Schedule follow on visit with Neighborhood Physicians Practice on 7/1/2015.July 7, 2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Take Clindamycin 300mg three times a day as needed if pain does not subside. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + Neighborhood Physicians Practice + + + 2472 Rocky place + Beaverton + OR + 97006 + US + + + + + + + + + + + + Schedule follow on visit with Neighborhood Physicians Practice on 7/1/2015. + + + + + + + + + +
+ + + + + + +
+ + + + + Goals Section + + + + + + + + + + + + + + + + + + + + + + + + +
GoalValueDate
Get rid of intermittent fever that is occurring every few weeks (Visual Inspection)N/AJune 23, 2015
Need to gain more energy to do regular activities (Visual Inspection)N/AJune 23, 2015
+ + + + + + + + + + + + + Get rid of intermittent fever that is occurring every few weeks. (Visual Inspection) + + + + + + + + + + + + + + + + + + + + + + + + + + Need to gain more energy to do regular activities. (Visual Inspection) + + + + + + + + + + +
+ + + + + + + +
+ + + + Health Concerns Section + + + + + + + + + + + + + + + + +
ObservationStatusDate
Chronic Sickness exhibited by patientActiveJune 22, 2015
+
+ + + + + + + + + + + + + + + + + + + + + + + + + + +
ConcernStatusDate
Documented HyperTension problemActiveJune 22, 2015
Documented HypoThyroidism problemActiveJune 22, 2015
Watch Weight of patientActiveJune 22, 2015
+
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + + + REASON FOR REFERRAL + Ms Alice Newman is being referred to Community Health Hospitals Inpatient facility because of the high fever noticed and suspected Anemia. +
+ + + + + +
+ + + + + + MENTAL STATUS + + + + + + + + + + + + + + +
StatusDate
AmnesiaMay 05, 2005
+ + + + + + + + + + + + + + + + + + + + + +
+ + + + + diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/170.315_b8_ds4p_inp_sample1_v5.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/170.315_b8_ds4p_inp_sample1_v5.xml new file mode 100644 index 0000000000..61507416b9 --- /dev/null +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/170.315_b8_ds4p_inp_sample1_v5.xml @@ -0,0 +1,3453 @@ + + + + + + + + + + + + + + + + + + + + + 170.315_b1_toc_inp_ccd_r21_sample1 test data + + + + + + + + + + + + + + + + 1006 Amber Dr + Beaverton + OR + 97266 + US + + + + + + + + Lindsey + Turner + Pitt + + + Lin + Turner + Pitt + + + + + + + + + + + + + + + + + + + + Community Health and Hospitals + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + + + Mary + McDonald + + + + + + + + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + + + Henry + Seven + + + + + + + + + + + Franklin + Pitt + + + + + + + + + + Community Health and Hospitals + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + + + + + + + + Dr + Henry + Seven + + + + Community Health and Hospitals + + + + + + + + + + + + + + + + + 1006 Amber Dr + Beaverton + OR + 97266 + US + + + + + + Mr + Ralph + Issac + + + + + + + + + + + + 1006 Amber Dr + Beaverton + OR + 97266 + US + + + + + + Mr + Franklin + Pitt + + + + + + + + + + + + + + + + + + + Primary Care Provider + + + + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + + + Dr + Henry + Seven + + + + + Community Health and Hospitals + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + + + + + + + + + + + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + + + Mary + McDonald + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + Security and Privacy Prohibitions + Section Author: Dr. Davis Albert, Neighborhood Physicians Practice
+ PROHIBITION ON REDISCLOSURE OF CONFIDENTIAL INFORMATION:
This notice + accompanies a disclosure of information concerning a client in alcohol/drug + treatment, made to you with the consent of such client. This information has + been disclosed to you from records protected by federal confidentiality + rules (42 C.F.R. Part 2). The federal rules prohibit you from making any + further disclosure of this information unless further disclosure is + expressly permitted by the written consent of the person to whom it pertains + or as otherwise permitted by 42 C.F.R. Part 2. A general authorization for + the release of medical or other information is NOT sufficient for this + purpose. The federal rules restrict any use of the information to criminally + investigate or prosecute any alcohol or drug abuse patient. + + + + + + + + + + + + + + + + + + + + + + + + + + + + Restricted Confidentiality + + + + + + + + + + + + + + + + Prohibition on redisclosure without patient + consent directive + + + + + + + + + + + + Information intended for + treatment + + + + + +
+ + + + + + +
+ + + + + + ALLERGIES AND ADVERSE REACTIONS + + + + + + + + + + + + + + + + + + + + + + + + +
SubstanceReactionSeverityStatus
+ Penicillin G + + Hives + + Moderate + Active
+ Ampicillin + + Hives + + Moderate + Active
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + MEDICATIONS + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
MedicationDirectionsStart Date
Ceftriaxone 100MG/MLTwo Times DailyJune 22, 2015
Vantin 200mgTwo Times DailyJune 22, 2015
Tylenol 500mgAs neededJune 22, 2015
Darbepoetin Alfa 0.5 MG/MLOnce a weekJune 22, 2015
Clindamycin 300mgThree Times DailyJune 23, 2015
Torsemide 20mgDailyJune 23, 2015
Levothyroxine Sodium 1mgDailyJune 23, 2015
Prednisolone 50mgDailyJune 23, 2015
FenoFibric Acid 35mgAt the hour of sleepJune 24, 2015
Mycophenolic Acid 360mgTwo times dailyJune 24, 2015
Everolimus 0.5mgTwo times dailyJune 24, 2015
Ciprofloxacin 250mgThree times dailyJune 25, 2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + + + Discharge Medications + No Information +
+ + + + + +
+ + + + + PROBLEMS + + Active Concerns + + Problem #1 + + Essential hypertension (Disorder) + + + Problem #2 + + Severe Hypothyroidism (Disorder) + + + Problem #3 + + Chronic rejection of renal transplant (disorder) + + + + Problem #4 + + Iron deficiency anemia (disorder)) + + + + Problem #5 + + Interstitial pneumonia (disorder) + + + + Resolved Concerns + + Problem #6 + + Overweight (finding) + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + + + ENCOUNTERS + + + + + + + + + + + + + + + + +
Encounter DiagnosisLocationDate
Anemia in Chronic Kidney DiseaseCommunity Health and HospitalsJune 22, 2015 at 10:00am EST
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + + Community Health and Hospitals + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + + + + + ADMISSION DIAGNOSIS + Anemia + + + + + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + Community Health and Hospitals + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + PROCEDURES + + + + + + + + + + + + + + + + + + + + + + +
ProcedureDate
BronchoscopyJune 22, 2015
Chest X-Ray, PA and Lateral ViewsJune 22, 2015
Introduction of cardiac pacemaker system via veinOctober 5, 2011
+ + + + + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + Community Health and Hospitals + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + + + + + + + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + Community Health and Hospitals + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + + + + + + + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + Community Health and Hospitals + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + +
+ + + + Implants + + + + + + + + + + + + + + + + +
ImplantedAreaUDI
Cardiac PacemakerSubclavian Vein(01)00643169007222(17)160128(21)BLC200461H
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + + + IMMUNIZATIONS + + + + + + + + + + + + + + + + + + + + + + + + + + + +
VaccineDateStatus
Influenza Virus VaccineMay 10, 2014Completed
Tetanus and diphtheria toxoidsJanuary 4, 2012Completed
influenza, intradermal, quadrivalent, preservative freeJune 22, 2015Refused
+ + + + + + + + + + + + + + + + + + + + + + 1 + + + Immuno Inc. + + + + + + + + + + + + + + + + + + + + + + + + + + + + 2 + + + Immuno Inc. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Immuno Inc. + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + VITAL SIGNS + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Date / Time: June 22, 2015
Height177 cm
Weight88 kg
Blood Pressure145/88 mm[Hg]
Heart Rate80 beats per minute
O2 Percentage BldC Oximetry95 percent
Body Temperature38 degree celsius
Respiratory Rate18 breaths per minute
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + SOCIAL HISTORY + + + + + + + + + + + + + + + + + + + + + + + + + + +
Social History ObservationDescriptionDates Observed
Smoking StatusHeavy tobacco smokerMay 1, 2005 - February 27, 2011
Current Smoking StatusCurrent every dayJune 22, 2015
Birth SexFemaleJune 22, 2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + RESULTS + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Result TypeResult ValueRelevant Reference RangeInterpretationDate
HGB10.2 g/dL06/22/2015
WBC12.3 (10*3/uL)N/A - 500,00006/22/2015
PLT123 (10*3/uL)06/22/2015
Everolimus Blood10 ng/mL3.0 - 8.0 ng/ml06/22/2015
Color of UrineYELLOWYELLOWNormal06/22/2015
Appearance of UrineCLEARCLEARNormal06/22/2015
Specific gravity of Urine by Test strip1.0151.005 - 1.030Normal06/22/2015
pH of Urine by Test strip5.0 [pH]5.0 - 8.0Normal06/22/2015
Glucose [Mass/volume] in urine by test strip50 mg/dLNeg06/22/2015
Ketones [Mass/Volume] in urine by test stripNegativeNegativeNormal06/22/2015
Protein[Mass/Volume] in urine by test strip100 mg/dLnegative06/22/2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + N/A - 500,000 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + YELLOW + + + + YELLOW + + + + + + + + + + + + + + + + + CLEAR + + + + CLEAR + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + + FUNCTIONAL STATUS + + + + + + + + + + + + + + +
Functional CategoryEffective Dates
Dependence on CaneMay 01, 2005
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + + MENTAL STATUS + + + + + + + + + + + + + + +
StatusDate
AmnesiaMay 05, 2005
+ + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + + + ASSESSMENTS + The patient was found to have Anemia and Dr Seven and his staff diagnosed the condition and treated Ms Alice for Anemia during the 2 day stay at Community Health Hospitals. Ms Alice recovered from Anemia during the stay and is being discharged in a stable condition. If there is fever greater than 101.5 F or onset of chest pain/breathlessness the patient is advised to contact emergency. +
+ + + + + +
+ + + + + TREATMENT PLAN + + Hand-off Communication: +
+
+ + + + + + + + + + + + + + + + + + + + + + + + +
Planned CareStart Date
Urinanalysis macro (dipstick) panelJune 29, 2015
Immunosuppressive therapyJuly 1, 2015
Schedule an appointment with Dr Seven after 1 week for Follow up with Outpatient facility for Immunosuppressive therapy.July 1, 2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Schedule an appointment with Dr Seven after 1 week for Follow up with Outpatient facility for Immunosuppressive therapy. + + + + + + + + +
+ + + + + + +
+ + + + + Goals Section + + + + + + + + + + + + + + + + + + + + + + + +
GoalValueDate
Need to gain more energy to do regular activities (Visual Inspection)N/AJune 23, 2015
Negotiated Goal for Body Temperature98-99 degrees FahrenheitJune 23, 2015
+ + + + + + + + + + + + + Need to gain more energy to do regular activities. (Visual Inspection) + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + + +
+ + + + Health Concerns Section + + + + + + + + + + + + + + + + +
ObservationStatusDate
Chronically illActiveJune 22, 2015
+
+ + + + + + + + + + + + + + + + + + + + + + + + + + +
ConcernStatusDate
HyperTension problem concernActiveJune 22, 2015
HypoThyroidism problem concernActiveJune 22, 2015
Anemia problem concernActiveJune 22, 2015
+
+ + + + + + + + + + + + + +
Related observationDate
Vital Sign Weight ObservationJune 22, 2015
+
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + +
+ + + + HOSPITAL DISCHARGE INSTRUCTIONS + + + + Diet: Diabetic low salt diet + Medications: Take prescribed medications as advised. + Appointments: Schedule an appointment with Dr Seven after 1 week. Follow up with Outpatient facility for Immunosuppression treatment. + For Fever of > 101.5 F, or onset of chest pain/breathlessness contact Emergency. + + +
+ + + + + + + diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/170.315_b8_ds4p_inp_sample2_v2.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/170.315_b8_ds4p_inp_sample2_v2.xml new file mode 100644 index 0000000000..32313f2765 --- /dev/null +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/170.315_b8_ds4p_inp_sample2_v2.xml @@ -0,0 +1,2772 @@ + + + + + + + + + + + + + + + + + + 170.315_b1_toc_inp_ccd_r21_sample1 test data + + + + + + + + + + + + + + + 1006 Amber Dr + Beaverton + OR + 97266 + US + + + + + + + + Lindsey + Turner + Pitt + + + Lin + Turner + Pitt + + + + + + + + + + + + + + + + + + + + Community Health and Hospitals + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + + + + + + + + + + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + + + Mary + McDonald + + + + + + + + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + + + Henry + Seven + + + + + + + + + + + Franklin + Pitt + + + + + + + + + + Community Health and Hospitals + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + + + + + + + + Dr + Henry + Seven + + + + Community Health and Hospitals + + + + + + + + + + + + + + + + + 1006 Amber Dr + Beaverton + OR + 97266 + US + + + + + + Mr + Ralph + Issac + + + + + + + + + + + + 1006 Amber Dr + Beaverton + OR + 97266 + US + + + + + + Mr + Franklin + Pitt + + + + + + + + + + + + + + + + + + + Primary Care Provider + + + + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + + + Dr + Henry + Seven + + + + + Community Health and Hospitals + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + + + + + + + + + + + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + + + Mary + McDonald + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + ALLERGIES AND ADVERSE REACTIONS + + + + + + + + + + + + + + + + + + +
SubstanceReactionSeverityStatus
+ Penicillin G + + Hives + + Moderate + Active
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + MEDICATIONS + + + + + + + + + + + + + + + + + + + + + +
MedicationDirectionsStart Date
Ceftriaxone 100MG/MLTwo Times DailyJune 22, 2015
Vantin 200mgTwo Times DailyJune 22, 2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + + + Discharge Medications + No Information +
+ + + + + +
+ + + + + PROBLEMS + + Active Concerns + + Problem #1 + + Essential hypertension (Disorder) + + + Problem #2 + + Severe Hypothyroidism (Disorder) + + + + Problem #4 + + Iron deficiency anemia (disorder)) + + + + Problem #5 + + Interstitial pneumonia (disorder) + + + + Resolved Concerns + + Problem #6 + + Overweight (finding) + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + + + ENCOUNTERS + + + + + + + + + + + + + + + + +
Encounter DiagnosisLocationDate
Anemia in Chronic Kidney DiseaseCommunity Health and HospitalsJune 22, 2015 at 10:00am EST
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + + Community Health and Hospitals + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + + + + + ADMISSION DIAGNOSIS + Anemia + + + + + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Beaverton + OR + 97266 + US + + + Community Health and Hospitals + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + PROCEDURES + + + + + + + + + + + + + + + + + + + + + + +
ProcedureDate
BronchoscopyJune 22, 2015
Chest X-Ray, PA and Lateral ViewsJune 22, 2015
Introduction of cardiac pacemaker system via veinOctober 5, 2011
+ + + + + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + Community Health and Hospitals + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + + + + + + + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + Community Health and Hospitals + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + + + + + + + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + Community Health and Hospitals + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + +
+ + + + Implants + + + + + + + + + + + + + + + + +
ImplantedAreaUDI
Cardiac PacemakerSubclavian Vein(01)00643169007222(17)160128(21)BLC200461H
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + + + IMMUNIZATIONS + + + + + + + + + + + + + + + + + + + + + + + + + + + +
VaccineDateStatus
Influenza Virus VaccineMay 10, 2014Completed
Tetanus and diphtheria toxoidsJanuary 4, 2012Completed
influenza, intradermal, quadrivalent, preservative freeJune 22, 2015Refused
+ + + + + + + + + + + + + + + + + + + + + + 1 + + + Immuno Inc. + + + + + + + + + + + + + + + + + + + + + + + + + + + + 2 + + + Immuno Inc. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Immuno Inc. + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + VITAL SIGNS + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Date / Time: June 22, 2015
Height177 cm
Weight88 kg
Blood Pressure145/88 mm[Hg]
Heart Rate80 beats per minute
O2 Percentage BldC Oximetry95 percent
Body Temperature38 degree celsius
Respiratory Rate18 breaths per minute
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + SOCIAL HISTORY + + + + + + + + + + + + + + + + + + + + + + + + + + +
Social History ObservationDescriptionDates Observed
Smoking StatusHeavy tobacco smokerMay 1, 2005 - February 27, 2011
Current Smoking StatusCurrent every dayJune 22, 2015
Birth SexFemaleJune 22, 2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + RESULTS + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Result TypeResult ValueRelevant Reference RangeInterpretationDate
HGB10.2 g/dL06/22/2015
WBC12.3 (10*3/uL)N/A - 500,00006/22/2015
PLT123 (10*3/uL)06/22/2015
Everolimus Blood10 ng/mL3.0-8.0 ng/ml06/22/2015
Color of UrineYELLOWYELLOWNormal06/22/2015
Appearance of UrineCLEARCLEARNormal06/22/2015
Specific gravity of Urine by Test strip1.0151.005 – 1.030Normal06/22/2015
pH of Urine by Test strip5.0 [pH]5.0-8.0Normal06/22/2015
Glucose [Mass/volume] in urine by test strip50 mg/dLNeg06/22/2015
Ketones [Mass/Volume] in urine by test stripNegativeNegativeNormal06/22/2015
Protein[Mass/Volume] in urine by test strip100 mg/dLnegative06/22/2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + N/A - 500,000 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + YELLOW + + + + YELLOW + + + + + + + + + + + + + + + + + CLEAR + + + + CLEAR + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + + FUNCTIONAL STATUS + + + + + + + + + + + + + + +
Functional CategoryEffective Dates
Dependence on CaneMay 01, 2005
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + + + MENTAL STATUS + + + + + + + + + + + + + + +
StatusDate
AmnesiaMay 05, 2005
+ + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + + + ASSESSMENTS + The patient was found to have Anemia and Dr Seven and his staff diagnosed the condition and treated Ms Alice for Anemia during the 2 day stay at Community Health Hospitals. Ms Alice recovered from Anemia during the stay and is being discharged in a stable condition. If there is fever greater than 101.5 F or onset of chest pain/breathlessness the patient is advised to contact emergency. +
+ + + + + +
+ + + + + TREATMENT PLAN + + Hand-off Communication: +
+
+ + + + + + + + + + + + + + + + + + + + + + + + +
Planned CareStart Date
Urinanalysis macro (dipstick) panelJune 29, 2015
Immunosuppressive therapyJuly 1, 2015
Schedule an appointment with Dr Seven after 1 week for Follow up with Outpatient facility for Immunosuppressive therapy.July 1, 2015
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Schedule an appointment with Dr Seven after 1 week for Follow up with Outpatient facility for Immunosuppressive therapy. + + + + + + + + +
+ + + + + + +
+ + + + + Goals Section + + + + + + + + + + + + + + + + + + + + + + + +
GoalValueDate
Need to gain more energy to do regular activities (Visual Inspection)N/AJune 23, 2015
Negotiated Goal for Body Temperature98-99 degrees FahrenheitJune 23, 2015
+ + + + + + + + + + + + + Need to gain more energy to do regular activities. (Visual Inspection) + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + + +
+ + + + Health Concerns Section + + + + + + + + + + + + + + + + +
ObservationStatusDate
Chronically illActiveJune 22, 2015
+
+ + + + + + + + + + + + + + + + + + + + + + + + + + +
ConcernStatusDate
HyperTension problem concernActiveJune 22, 2015
HypoThyroidism problem concernActiveJune 22, 2015
Anemia problem concernActiveJune 22, 2015
+
+ + + + + + + + + + + + + +
Related observationDate
Vital Sign Weight ObservationJune 22, 2015
+
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + +
+ + + + HOSPITAL DISCHARGE INSTRUCTIONS + + + + Diet: Diabetic low salt diet + Medications: Take prescribed medications as advised. + Appointments: Schedule an appointment with Dr Seven after 1 week. Follow up with Outpatient facility for Immunosuppression treatment. + For Fever of > 101.5 F, or onset of chest pain/breathlessness contact Emergency. + + +
+ + + + + + + diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample.xml new file mode 100644 index 0000000000..d46cd576ec --- /dev/null +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample.xml @@ -0,0 +1,2150 @@ + + + + + + + + + + + + + + + + + + + + + Get Well Clinic: Health Summary + + + + + + + + + + + + + + + + + + + 1357 Amber Drive + Beaverton + OR + 97006 + US + + + + + + + + + + + Isabella + Isa + + Jones + + + + + + + + + + + + + 1357 Amber Drive + Beaverton + OR + 97006 + US + + + + + + Ralph + Jones + + + + + + + Beaverton + OR + 97006 + US + + + + + + + + + + + + + Get Well Clinic + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + + + + + + + 1002 Healthcare Drive + Portland + OR + 97266 + US + + + + + Mary + McDonald + + + + + + + + + 1002 Healthcare Drive + Portland + OR + 97266 + US + + + + + Henry + Seven + + + + + + + + + + + Frank + Jones + + + + + + + + + Get Well Clinic + + + 1002 Healthcare Drive + Portland + OR + 97266 + US + + + + + + + + + Henry + Seven + + + + Get Well Clinic + + + + + + + + + + + + + 1357 Amber Drive + Beaverton + OR + 97006 + US + + + + + + Mr. + Ralph + Jones + + + + + + + + + + 1357 Amber Drive + Beaverton + OR + 97006 + US + + + + + + Mr. + Frank + Jones + + + + + + + + + + + + + + Primary Care Provider + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + Dr. + Henry + Seven + + + + + Get Well Clinic + + + 1002 Healthcare Drive + Portland + OR + 97266 + US + + + + + + + + + + + + + + + + + + + + Dr + Henry + Seven + + + + + + + + + + Dr + Henry + Seven + + + + + + + + + + + + + + + + + +
+ + + + ALLERGIES, ADVERSE REACTIONS, ALERTS + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
SubstanceReactionSeverityStatus
Penicillin G benzathine + Hives + + Moderate to severe + Inactive
Codeine + Shortness of Breath + + Moderate + Active
Aspirin + Hives + + Mild to moderate + Active
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + + ENCOUNTERS + + + + + + + + + + + + + + + + + + +
EncounterPerformerLocationDate
+ PnuemoniaDr Henry SevenGet Well Clinic20120806
+ + + + + + + + + Outpatient Visit + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + Get Well Clinic + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + + + IMMUNIZATIONS + + + + + + + + + + + + + + + + + + + + + + +
VaccineDateStatus
+ Influenza virus vaccine, IMMay 2012Completed
+ tetanus toxoid, NOSApr 2012Completed
+ + + + + + + + + + + + + + + + + + + + Influenza virus vaccine + + + + + Health LS - Immuno Inc. + + + + + + + + + + Possible flu-like symptoms + for three days. + + + + + + + + + + + + + + + + + + + + + + + + + tetanus toxoid, NOS + + + + + Health LS - Immuno Inc. + + + + + + + + + + Possible flu-like symptoms + for three days. + + + + + +
+ + + +
+ + + Medications + + + + + + + + + + + + + + + + + + + + + + +
MedicationDirectionsStart DateStatusIndicationsFill Instructions
+ Albuterol 0.09 MG/ACTUAT + [Proventil] + 0.09 MG/ACTUAT inhalant solution, 2 puffs once20120806ActiveAsthma (195967001 SNOMED CT) + Generic Substitition Allowed +
+ + + + + + + + 0.09 MG/ACTUAT inhalant solution, 2 puffs + + + + + + + + + + + + + + + + + + + + + + + + + + Medication Factory Inc. + + + + + + + + + + + Get Well Clinic + + + + + + + + + + + + Aerosol + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Medication Factory Inc. + + + + + + + + 1002 Healthcare + Dr + Portland + OR + 97266 + US + + + + + + + + + + + + label in spanish + + + + + + + + + + + + + + + + + + + + + + + + + + + Medication Factory Inc. + + + + + + + + + + + + + + + + +
+ + + +
+ + + + CARE PLAN + + + + + + + + + + + + + + +
Planned ActivityPlanned Date
Goal: Appropriate management of + Pneumonia.

Instructions: Present to Community + Health Hospitals admitting department for planned inpatient + admission for further management of Pneumonia.		20120806
+ + + + + + + Goal: Appropriate management of Pneumonia. Instructions: Present + to Community Health Hospitals admitting department for planned + inpatient admission for further management of pneumonia + + + +
+ + + +
+ + + + REASON FOR REFERRAL + + Recommended inpatient admission for pneumonia + +
+ + + +
+ + + PROBLEMS + + + + + Pneumonia : Status - Active + + + Asthma : Status - Active + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + + PROCEDURES + + + + + + + + + + + + + + +
ProcedureDate
+ Chest X-Ray + 2012
+ + + + + + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + Get Well Radiology + + + + + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + Get Well Clinic + + + + + +
+ + + +
+ + + + FUNCTIONAL STATUS + + + + + + + + + + + + + + + + + + + + + +
Functional ConditionEffective DatesCondition Status
+ Dependence on cane + 2008Active
+ Memory impairment + 2008Active
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + + RESULTS + + + + + + + + + + + + + + + + + + + + + + + + +
LABORATORY INFORMATION
Chemistries and drug levels
+ HGB (M 13-18 g/dl; F 12-16 + g/dl) + 13.2
+ WBC (4.3-10.8 10+3/ul) + 16.7
+ PLT (150-450 x 10^9/L) + 123/L
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + M 13-18 g/dl; F 12-16 g/dl + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + +
+ + + + SOCIAL HISTORY + + + + + + + + + + + + + + + + +
Social History ElementDescriptionEffective Dates
+ smokingFormer Smoker - Smoked 1 pack per day from 2005 to 201120050501 to 20110227
+ + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + VITAL SIGNS + + + + + + + + + + + + + + + + + + + + + + + + + + +
Date / Time: Nov 1, 2011August 6, 2012
Height + 69 inches + + 69 inches +
Weight + 189 lbs + + 194 lbs +
Blood Pressure + 132/86 mmHg + + 145/88 mmHg +
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_CCDA_CCD_b1_Ambulatory_v2.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_CCDA_CCD_b1_Ambulatory_v2.xml new file mode 100644 index 0000000000..1b6402a0d1 --- /dev/null +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_CCDA_CCD_b1_Ambulatory_v2.xml @@ -0,0 +1,3761 @@ + + + + + + + + + + + + + + + + + + + + + + + + + + + Community Health and Hospitals: Health Summary + + + + + + + + + + + + + + + + + + + + + + + + + + + 1357 Amber Drive + Beaverton + OR + 97006 + US + + + + + + + + + + + + + + Myra + + Jones + + + + + + + + + + + + + + + + 1357 Amber Drive + Beaverton + OR + 97006 + US + + + + + + Ralph + Jones + + + + + + + Beaverton + OR + 97006 + US + + + + + + + + + + + + + + Community Health and Hospitals + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + + + + + + + + 1002 Healthcare Drive + Portland + OR + 97266 + US + + + + + Mary + McDonald + + + + + + + + + 1002 Healthcare Drive + Portland + OR + 97266 + US + + + + + Henry + Seven + + + + + + + + + + + Frank + Jones + + + + + + + + + Community Health and Hospitals + + + 1002 Healthcare Drive + Portland + OR + 97266 + US + + + + + + + + + Henry + Seven + + + + Community Health and Hospitals + + + + + + + + + + + + + 1357 Amber Drive + Beaverton + OR + 97006 + US + + + + + + Mr. + Ralph + Jones + + + + + + + + + + 1357 Amber Drive + Beaverton + OR + 97006 + US + + + + + + Mr. + Frank + Jones + + + + + + + + + + + + + + + Primary Care Provider + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + Dr. + Henry + Seven + + + + + Community Health and Hospitals + + + 1002 Healthcare Drive + Portland + OR + 97266 + US + + + + + + + Primary Care Provider + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + Dr. + Henry + Seven + + + + + Community Health and Hospitals + + + 1002 Healthcare Drive + Portland + OR + 97266 + US + + + + + + + + + + + + + + + + + + + + + Dr + Henry + Seven + + + + + + + + + + Dr + Henry + Seven + + + + + + + + + + + + + + + + + + +
+ + + + ALLERGIES, ADVERSE REACTIONS, ALERTS + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
SubstanceReactionSeverityStatus
Penicillin G benzathineHivesModerate to severeInactive
CodeineShortness of BreathModerateActive
AspirinHivesMild to moderateActive
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + +
+ + + + ENCOUNTERS + + + + + + + + + + + + + + + + + + +
EncounterPerformerLocationDate
+ PnuemoniaDr Henry SevenCommunity Health and Hospitals20120806
+ + + + + + + + + Mild Fever + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + Community Health and Hospitals + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + +
+ + + + + IMMUNIZATIONS + + + + + + + + + + + + + + + + + + + + + +
VaccineDateStatus
Influenza virus vaccine, IMMay 2012Completed
Tetanus and diphtheria toxoids, IMAor 2012Completed
+ + + + + + + + + + + + + + + + + + + + + Influenza virus vaccine + + + + + Health LS - Immuno Inc. + + + + + + + + + Possible flu-like symptoms for three days. + + + + + + + + + + + + + + + + + + + + + + + + Tetanus and diphtheria toxoids - preservative free + + + + + Health LS - Immuno Inc. + + + + + + + + + Possible flu-like symptoms for three days. + + + + + +
+ + + + + +
+ + + Medications + + + + + + + + + + + + + + + + + + + + + + +
MedicationDirectionsStart DateStatusIndicationsFill Instructions
Albuterol 0.09 MG/ACTUAT inhalant solution0.09 MG/ACTUAT inhalant solution, 2 puffs once20120806ActivePneumonia (233604007 SNOMED CT)Generic Substitition Allowed
+ + + + + + + + 0.09 MG/ACTUAT inhalant solution, 2 puffs + + + + + + + + + + + + + + + + + + + + + + + + Medication Factory Inc. + + + + + + + + + + + Community Health and Hospitals + + + + + + + + + + + + Aerosol + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Medication Factory Inc. + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + + + + + + + label in spanish + + + + + + + + + + + + + + + + + + + + + + + + + Medication Factory Inc. + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + + CARE PLAN + + + + + + + + + + + + + + + + + + + + + + +
Planned ActivityPlanned Date
Consultation with Dr George Potomac for Asthma20120820
Chest X-ray20120826
Sputum Culture20120820
+ + + + + + + + +
+ + + + + + + Follow up with Dr George Potomac for Asthma + + + + + + + + + + + + + +
+ + + + + + + + + + + +
+ + + +
+ + + + +
+ + + + + HOSPITAL DISCHARGE MEDICATIONS + + + + + + + + + + + + + + + + + + + + + + +
MedicationDirectionsStart DateStatusIndicationsFill Instructions
120 ACTUAT Fluticasone propionate 0.11 MG/ACTUAT Metered Dose Inhaler0.11 MG/ACTUAT Metered Dose Once Daily20120813ActiveBronchitis (32398004 SNOMED CT)Generic Substitition Allowed
+ + + + + + + + + + + + + + + + + + + 0.11 MG/ACTUAT Metered Dose Once Daily + + + + + + + + + + + + + + + + + + + + + + + + + + + + Medication Factory Inc. + + + + + + + + + + + Community Health and Hospitals + + + + + + + + + + + + Aerosol + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Medication Factory Inc. + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + + + + + + + Generic Substitution Allowed + + + + + + + + + + + + + + + + + + + + + + + + + + Medication Factory Inc. + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + REASON FOR REFERRAL + + Follow up with Dr George Potomac for Asthma + +
+ + + +
+ + + PROBLEMS + + + Pneumonia : Status - Resolved + Asthma : Status - Active + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + + PROCEDURES + + + + + + + + + + + + + + +
ProcedureDate
+ Chest X-Ray + 8/7/2012
+ + + + + + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + Community Health and Hospitals + + + + + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + Community Health and Hospitals + + + + + +
+ + + + +
+ + + + FUNCTIONAL STATUS + + + + + + + + + + + + + + + + + + + + + +
Functional ConditionEffective DatesCondition Status
+ Dependence on cane2008Active
+ Memory impairment + 2008Active
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + +
+ + + + RESULTS + + + + + + + + + + + + + + + + + + + + + + +
LABORATORY INFORMATION
Chemistries and drug levels
HGB (M 13-18 g/dl; F 12-16 g/dl)13.2
WBC (4.3-10.8 10+3/ul)6.7
PLT (135-145 meq/l)123 (L)
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + M 13-18 g/dl; F 12-16 g/dl + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + +
+ + + + SOCIAL HISTORY + + + + + + + + + + + + + + + + + + + + + +
Social History ElementDescriptionEffective Dates
+ smokingFormer Smoker (1 pack per day20050501 to 20110227
+ smokingCurrent Everyday Smoker 2 packs per day20110227 - today
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 1 pack per day + + + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + VITAL SIGNS + + + + + + + + + + + + + + + + + + + + + + + + + + +
Date / Time: Nov 1, 2011August 6, 2012
Height + 69 inches + 69 inches
Weight + 189 lbs + 194 lbs
Blood Pressure132/86 mmHg145/88 mmHg
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + +
+ + + HOSPITAL DISCHARGE INSTRUCTIONS + + + Ms. Jones, you have been seen by Dr. Henry Seven at Local Community Hospital from August 8th until August 13th 2012. You are currently being discharged from Local Community Hospital. Dr. Seven has provided the following instructions to you at this time; should you have any questions please contact a member of your healthcare team prior to discharge. If you have left the hospital and have questions, please contact Dr. Seven at 555-555-1002. + Instructions: + + + Take all medications as prescribed. + Please monitor your peak flows. If your peak flows drop to 50% of normal, call my office immediately or return to the Emergency Room. + If you experience any of the following symptoms, call my office immediately or return to the Emergency Room: + + Shortness of Breath + Dizziness or Light-headedness + Fever, chills, or diffuse body aches + Pain or redness at the site of any previous intravenous catheter + Any other unusual problem + + + + +
+ + + + + diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_DS4P_MDHTGen.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_DS4P_MDHTGen.xml new file mode 100644 index 0000000000..597da9b75b --- /dev/null +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_DS4P_MDHTGen.xml @@ -0,0 +1,2283 @@ + + + + + + + + + Example Continuity of Care Document + + + + + + + + + + + + + 1 Main St + Anytown + NH + 99999 + + + + + + + + + + + Mary + A + Everyperson + + + + + + + + + + + + + + + + + + + + + + + + + + + + Example Organization + + + + + Example Address Line + ExampleCity + NH + 99999 + + + + + + + + + + + + + + + + + + + + + + + 1 Main St + Anytowm + NH + 99999 + + + + + + Everyperson + Harold + M + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + Security and Privacy Prohibitions + PROHIBITION ON REDISCLOSURE OF CONFIDENTIAL INFORMATION
This notice + accompanies a disclosure of information concerning a client in alcohol/drug + treatment, made to you with the consent of such client. This information has + been disclosed to you from records protected by federal confidentiality + rules (42 C.F.R. Part 2). The federal rules prohibit you from making any + further disclosure of this information unless further disclosure is + expressly permitted by the written consent of the person to whom it pertains + or as otherwise permitted by 42 C.F.R. Part 2. A general authorization for + the release of medical or other information is NOT sufficient for this + purpose. The federal rules restrict any use of the information to criminally + investigate or prosecute any alcohol or drug abuse patient. + + + + + + + + + + + + + + + + + + + + + + + Restricted Confidentiality + + + + + + + + + + + + + Information must be encrypted + + + + + + + + + + + + + Prohibition on redisclosure without patient + consent directive + + + + + + + + + + + + + Information intended for + treatment + + + + + +
+ + + +
+ + + + + + + + Allergies and Alert Problems + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
SubstanceReactionsSeverityDate of onsetComments
IVP dyeanaphylaxisHigh2010Allergy is is very severe...
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Allergy is very + severe... + + + + + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + + + + + Conditions or Problems + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
ConditionCode SystemCodeDate of onsetAuthor
Cannabis dependence, unspecifiedICD-9304.30January 2009Dr. Harold Hippocrates,
Example Organization
Oct. + 21, 2010
HeadacheICD-9784.0 Dr. Harold Hippocrates,
Example Organization
Oct. + 21, 2010
+   + + + + + + + + + + + + + + + +
Accident TypeAccident DescriptionDate of onset
Car AccidentTrauma...October 10, 2010
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Restricted + Confidentiality + + + + + + + + + + + + + Information must be + encrypted + + + + + + + + + + + + + Prohibition on redisclosure + without patient consent + directive + + + + + + + + + + + + + Information intended for + treatment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Trauma... + + + + + +
+ + + +
+ + + + + + + + Results + + + Note: Only the the most recent three laboratory result values of + each type are listed below: + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Chem-Glucose POC Results
Result1/27/2010 9:101/26/2010 22:001/26/2010 15:29
+ Chem-Glucose POC + (90-120)140 mg/dL H120 mg/dL H90 mg/dL
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Coagulation
Result1/26/2010 7:30                                                      
+ Prothrombin Time + (9.0-12.1)15.9 sec H  
+ INR +  1.5 sec  
+ PTT + (25.0-38.0)25.4 sec  
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Chem-General Results
Result1/27/2010 15:201/27/2010 7:301/26/2010 21:45
+ Sodium + (136-145)137 mmol/L138 mmol/L137 mmol/L
+ Potassium + (3.5-5.1)4.7 mmol/L4.4 mmol/L4.3 mmol/L
+ Chloride + (98-107)103 mmol/L104 mmol/L104 mmol/L
+ + Note: Only the the most recent radiology reports of each type + are listed below: + + + + + + + + + + + + + + + + + + + + + +
Radiology Reports
1/26/2010 13:09
+ Example
PROCEDURE: ADX6544 - WRIST + ROUTINE MIN 3 VIEW LT
DATE OF EXAM: 26-Jan-2010 + 1:09PM RIS ORDER NO: 90001 CPT:
HISTORY: + Pain/trauma.
nondisplaced fracture of the distal + left radius. The remaining bones
appear intact. + The carpal bones are intact.
IMPRESSION: + Nondisplaced fracture of the distal left radius.
+
Transcriptionist:
CR2
+
Dictated Date:
26-Jan-2010
+
Transcribe Date/Time:
26-Jan-2010 2:51P +
Read By: Dr. Avicenna M.D.
+
Signed By:
Dr. Avicenna M.D.
+ Professional Codes: \
 +
1/26/2010 20:09
+
PROCEDURE: CDX2050 - SPINE CERVICAL + COMP MIN 4 VIEW
ORDERING DOCTOR: Hippocrates, + Doctor M.D.
DATE OF EXAM: 26-Jan-2010 8:09PM RIS + ORDER NO: 90001 CPT: 72050
HISTORY: Trauma.
+ FINDINGS: Five views of the cervical spine demonstrate + normal alignment
and stature of the cervical + vertebral bodies. The disc spaces are
preserved. + The neural foramina are largely patent. Carotid vascular +
calcification is seen in the left neck.
+
IMPRESSION: No acute fracture.
+ Transcriptionist:
KP1
+
Dictated Date:
26-Jan-2010
+
Transcribe Date/Time:
26-Jan-2010 11:47A
+
Read By: Doctor Avicenna M.D.
+
Signed By:
Doctor Avicenna M.D.
+ Professional Codes: 959.09-1403

 + +
+ Note: Only the the most recent cardiology reports of each type + are listed below: + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 140 mg/dL + + + + + + + + + + + (90-120) + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 120 mg/dL + + + + + + (90-120) + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 90 mg/dL + + + + (90-120) + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 15.9 sec + + + + + + (9.0-12.1) + + + + + + + + + + + + + + + + 11.5 + + + + + + + + + + + + + + 25.4 sec + + + + (25.0-38.0) + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 137 mmol/L + + + + + + (136-145) + + + + + + + + + + + + + + + + 4.7 mmol/L + + + + + + (3.5-5.1) + + + + + + + + + + + + + + + + 103 mmol/L + + + + + + (98-107) + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 138 mmol/L + + + + (136-145) + + + + + + + + + + + + + + + + 4.4 mmol/L + + + + (3.5-5.1) + + + + + + + + + + + + + + + + 104 mmol/L + + + + (98-107) + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 137 mmol/L + + + + (136-145) + + + + + + + + + + + + + + + + 4.3 mmol/L + + + + (3.5-5.1) + + + + + + + + + + + + + + + + 104 mmol/L + + + + (98-107) + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + + + Procedures + + + + + + + + + + + + + + + +
ProcedureDate
Knee Replacement10/06/2008
+ + + + + + + + + + + + + + + + + +
+ + + + +
+ + + + + + + + Encounters + + + + + + + + + + + + + + + + + + + +
Encounter TypeLocationDateAccount Number
EmergencyExample Clinic1/25/2010 - 1/28/20109898-8988
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Example Clinic + + + + + +
+ + + + +
+ + + + + + + + Insurance Payers + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Payer Name/ContactPriorityGroup IdCovered Party IdCovered Party Name/RelationshipCovered Party Date of Birth
Good Health
99 Main St.
Anytown, + NH
978-555-1234		Primary1111G-0980Everyperson, Harold M./Spouse11/12/1944
Metropolitan Health
1 Elm St.
Anytown, + NH
603-555-1212		Secondary2222M-987987Everyperson, Mary A./Self7/04/1943
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 99 Main St. + + Anytown + + NH + + 99999 + + + + + + + Everyperson + M + Harold + + + + + + + Good Health + + + + + 99 Main St. + + Anytown + + NH + + 99999 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 1 Elm St. + + Anytown + + NH + + 99999 + + + + + + + Everyperson + + A + + Mary + + + + + + + Metropolitan Health + + + + + + 1 Elm St. + + Anytown + + NH + + 99999 + + + + + + + + + + + + + + + + +
+ + + + diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_addSchemaErrors.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_addSchemaErrors.xml new file mode 100644 index 0000000000..4e2ad934d7 --- /dev/null +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_addSchemaErrors.xml @@ -0,0 +1,2119 @@ + + + + + + + + + + + + + + + + + + + + + Get Well Clinic: Health Summary + + + + + + + + + + + + + + + + + + + 1357 Amber Drive + Beaverton + OR + 97006 + US + + + + + + + + + + + Isabella + Isa + + Jones + + + + + + + + + + + + + + 1357 Amber Drive + Beaverton + OR + 97006 + US + + + + + Ralph + Jones + + + + + + + Beaverton + OR + 97006 + US + + + + + + + + + + + + + + + + + + + 1002 Healthcare Drive + Portland + OR + 97266 + US + + + + + Mary + McDonald + + + + + + + + + 1002 Healthcare Drive + Portland + OR + 97266 + US + + + + + Henry + Seven + + + + + + + + + + + Frank + Jones + + + + + + + + + Get Well Clinic + + + 1002 Healthcare Drive + Portland + OR + 97266 + US + + + + + + + + + Henry + Seven + + + + Get Well Clinic + + + + + + + + + + + + + 1357 Amber Drive + Beaverton + OR + 97006 + US + + + + + + Mr. + Ralph + Jones + + + + + + + + + + 1357 Amber Drive + Beaverton + OR + 97006 + US + + + + + + Mr. + Frank + Jones + + + + + + + + + + + + + + Primary Care Provider + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + Dr. + Henry + Seven + + + + + Get Well Clinic + + + 1002 Healthcare Drive + Portland + OR + 97266 + US + + + + + + + + + + + + + + + + + + + + Dr + Henry + Seven + + + + + + + + + + Dr + Henry + Seven + + + + + + + + + + + + + + + + + +
+ + + + ALLERGIES, ADVERSE REACTIONS, ALERTS + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
SubstanceReactionSeverityStatus
Penicillin G benzathine + Hives + + Moderate to severe + Inactive
Codeine + Shortness of Breath + + Moderate + Active
Aspirin + Hives + + Mild to moderate + Active
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + + ENCOUNTERS + + + + + + + + + + + + + + + + + + +
EncounterPerformerLocationDate
+ PnuemoniaDr Henry SevenGet Well Clinic20120806
+ + + + + + + + + Outpatient Visit + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + Get Well Clinic + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + + + IMMUNIZATIONS + + + + + + + + + + + + + + + + + + + + + + +
VaccineDateStatus
+ Influenza virus vaccine, IMMay 2012Completed
+ tetanus toxoid, NOSApr 2012Completed
+ + + + + + + + + + + + + + + + + + + + Influenza virus vaccine + + + + + Health LS - Immuno Inc. + + + + + + + + + + Possible flu-like symptoms + for three days. + + + + + + + + + + + + + + + + + + + + + + + + + tetanus toxoid, NOS + + + + + Health LS - Immuno Inc. + + + + + + + + + + Possible flu-like symptoms + for three days. + + + + + +
+ + + +
+ + + Medications + + + + + + + + + + + + + + + + + + + + + + +
MedicationDirectionsStart DateStatusIndicationsFill Instructions
+ Albuterol 0.09 MG/ACTUAT + [Proventil] + 0.09 MG/ACTUAT inhalant solution, 2 puffs once20120806ActiveAsthma (195967001 SNOMED CT) + Generic Substitition Allowed +
+ + + + + + + + 0.09 MG/ACTUAT inhalant solution, 2 puffs + + + + + + + + + + + + + + + + + + + + + + + + + + Medication Factory Inc. + + + + + + + + + + + Get Well Clinic + + + + + + + + + + + + Aerosol + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Medication Factory Inc. + + + + + + + + 1002 Healthcare + Dr + Portland + OR + 97266 + US + + + + + + + + + + + + label in spanish + + + + + + + + + + + + + + + + + + + + + + + + + + + Medication Factory Inc. + + + + + + + + + + + + + + + + +
+ + + +
+ + + + CARE PLAN + + + + + + + + + + + + + + +
Planned ActivityPlanned Date
Goal: Appropriate management of + Pneumonia.

Instructions: Present to Community + Health Hospitals admitting department for planned inpatient + admission for further management of Pneumonia.		20120806
+ + + + + + + Goal: Appropriate management of Pneumonia. Instructions: Present + to Community Health Hospitals admitting department for planned + inpatient admission for further management of pneumonia + + + +
+ + + +
+ + + + REASON FOR REFERRAL + + Recommended inpatient admission for pneumonia + +
+ + + +
+ + + PROBLEMS + + + + + Pneumonia : Status - Active + + + Asthma : Status - Active + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + + PROCEDURES + + + + + + + + + + + + + + +
ProcedureDate
+ Chest X-Ray + 2012
+ + + + + + + + + + + + + + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + + Get Well Radiology + + + + + + + + + + + + 1002 Healthcare Dr + Portland + OR + 97266 + US + + + + Get Well Clinic + + + + + +
+ + + +
+ + + + FUNCTIONAL STATUS + + + + + + + + + + + + + + + + + + + + + +
Functional ConditionEffective DatesCondition Status
+ Dependence on cane + 2008Active
+ Memory impairment + 2008Active
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + + RESULTS + + + + + + + + + + + + + + + + + + + + + + + + +
LABORATORY INFORMATION
Chemistries and drug levels
+ HGB (M 13-18 g/dl; F 12-16 + g/dl) + 13.2
+ WBC (4.3-10.8 10+3/ul) + 16.7
+ PLT (150-450 x 10^9/L) + 123/L
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + M 13-18 g/dl; F 12-16 g/dl + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + +
+ + + + SOCIAL HISTORY + + + + + + + + + + + + + + + + +
Social History ElementDescriptionEffective Dates
+ smokingFormer Smoker - Smoked 1 pack per day from 2005 to 201120050501 to 20110227
+ + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + VITAL SIGNS + + + + + + + + + + + + + + + + + + + + + + + + + + +
Date / Time: Nov 1, 2011August 6, 2012
Height + 69 inches + + 69 inches +
Weight + 189 lbs + + 194 lbs +
Blood Pressure + 132/86 mmHg + + 145/88 mmHg +
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_basicHTML.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_basicHTML.xml new file mode 100644 index 0000000000..a95c2e728c --- /dev/null +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_basicHTML.xml @@ -0,0 +1,8 @@ + + + + +

Not a C-CDA

+

Nothin here...

+ + diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_blank_Empty_Document.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_blank_Empty_Document.xml new file mode 100644 index 0000000000..e69de29bb2 diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_invalid-SnippetOnly.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_invalid-SnippetOnly.xml new file mode 100644 index 0000000000..d8558145a9 --- /dev/null +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/Sample_invalid-SnippetOnly.xml @@ -0,0 +1,82 @@ + +
+ + + + + Results CO2 Example + + + + + + + + + + + + + + + + + + + + + + +
ResultValueUnitsRangeDateInterpretation
CO227mmol/L23-29 mmol/L8/15/2012Normal
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 23-29 mmol/L + + + + + + + + + + + + +
+ + diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/ccdaReferenceValidatorConfigTest.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/ccdaReferenceValidatorConfigTest.xml new file mode 100644 index 0000000000..73e0b23103 --- /dev/null +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/ccdaReferenceValidatorConfigTest.xml @@ -0,0 +1,167 @@ + + + + + + ClassCodeValidator + + SHALL + + 2.16.840.1.113883.11.20.9.33 + + + + + + + CodeSystemCodeValidator + + SHALL + + SNOMED-CT + + + + + + + + + + + + + NodeCodeSystemMatchesConfiguredCodeSystemValidator + + SHALL + + codeSystem + 2.16.840.1.113883.5.111 + + + + + + + RequiredNodeValidator + + SHALL + + + @unit + + If Observation/value is a physical quantity (xsi:type="PQ"), the unit of measure SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive 2.16.840.1.113883.1.11.12839 DYNAMIC (CONF:1198-31484). + + + + + + + TextNodeValidator + + SHALL + + 2.16.840.1.113883.3.88.12.80.63 + + + + + + + + + + + + + + + + NodeCodeSystemMatchesConfiguredCodeSystemValidator + codeSystem + 2.16.840.1.113883.6.1 + + + + + + + NodeCodeSystemMatchesConfiguredCodeSystemValidator + codeSystem + 2.16.840.1.113883.6.1 + + + + + + RequiredNodeValidator + + SHOULD + + v3:prefix + informant/relatedEntity/relatedPerson/name SHOULD contain a prefix element (not a real rule - just a test) + + + + + + RequiredNodeValidator + + MAY + + v3:prefix + informant/relatedEntity/relatedPerson/name MAY contain a prefix element (not a real rule - just a test) + + + + \ No newline at end of file diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/severityLevelLimitTestConfig.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/severityLevelLimitTestConfig.xml new file mode 100644 index 0000000000..4ddec14d3f --- /dev/null +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/severityLevelLimitTestConfig.xml @@ -0,0 +1,84 @@ + + + + + RequiredNodeValidator + + MAY + + v3:prefix + informant/relatedEntity/relatedPerson/name MAY contain a prefix element (not a real rule - just a test) + + + RequiredNodeValidator + + MAY + + v3:prefix + informant/relatedEntity/relatedPerson/name MAY contain a prefix element (not a real rule - just a test) + + + RequiredNodeValidator + + MAY + + v3:prefix + informant/relatedEntity/relatedPerson/name MAY contain a prefix element (not a real rule - just a test) + + + + + + RequiredNodeValidator + + SHOULD + + v3:prefix + informant/relatedEntity/relatedPerson/name SHOULD contain a prefix element (not a real rule - just a test) + + + RequiredNodeValidator + + SHOULD + + v3:prefix + informant/relatedEntity/relatedPerson/name SHOULD contain a prefix element (not a real rule - just a test) + + + RequiredNodeValidator + + SHOULD + + v3:prefix + informant/relatedEntity/relatedPerson/name SHOULD contain a prefix element (not a real rule - just a test) + + + + + + RequiredNodeValidator + + SHALL + + v3:prefix + informant/relatedEntity/relatedPerson/name SHALL contain a prefix element (not a real rule - just a test) + + + RequiredNodeValidator + + SHALL + + v3:prefix + informant/relatedEntity/relatedPerson/name SHALL contain a prefix element (not a real rule - just a test) + + + RequiredNodeValidator + + SHALL + + v3:prefix + informant/relatedEntity/relatedPerson/name SHALL contain a prefix element (not a real rule - just a test) + + + + diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/tempResults_ValidatorBrokeETTGG.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/tempResults_ValidatorBrokeETTGG.xml new file mode 100644 index 0000000000..db2bd685ba --- /dev/null +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/tempResults_ValidatorBrokeETTGG.xml @@ -0,0 +1,39299 @@ + + + + + + + + + + + + + + My Custom Title + + + + + + + + + + 1 Patient Road + Some City + MA + 02458 + US + + + + + + + + + + + + + + + + + + Patient + Sally + The + Really + Great + Ms + MD + + + Student + SallyAnn + + + Sparrow + Yellow + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 9 Guardian Home + Anywhere + MA + 27816 + + + + + Guardian + TooOld + ForA + + + + + + + 67 Birthing Way + Cesarian + MD + 90210 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Transform Tester - Sample Document + + + + 42 Organization Way + Organization + OR + 52167 + + + + + + + + + + + + + + + + + Transform Tester - Sample Document + + + 42 Organization Way + Organization + OR + 52167 + + + + + + + + + + 69 Music Therapist Way + Nashville + TN + 86753-0900 + + + + + + Therapist + Music + + + + + Radio City Music Hall + + + + 69 Music Therapist Way + Nashville + TN + 86753-0900 + + + + + + + + + + + + + 1 Guarantor Way + Anywhere + NC + 27816 + + + + + Contact + Guarantor + + + + + + + + + Emergency Lane + Code Blue + Disarray + 54321 + SN + + + + + + + Contact + Emergency + A + Mr + + + + + + + + + 8 Sat Tuffet + Whey + MH + 90234 + + + + Sally + Dear + Aunt + + + + + + + + + 8 Sat Tuffet + Whey + MH + 90234 + + + + Relationship + No + Family + + + + + + + + + 1 Favorite Child + Will + LA + 90234-1234 + + + + Giver + My + Care + + + + + + + + + 1 Bitter Child + Left Out + WY + 90234-1234 + + + + Giver + Other + Care + + + + + + + + + + DeLot + Pop + + + + + + + + + 222 Merchandise Mart Plaza + Suite 2024 + Windy City + IL + 60664 + + + + + Slice and Dice Healthcare + + + + + + + + + + + + + + + + + + + + + + + + + + 1 Médico Blvd + Paraiso + Tabasco + postalCode + MX + + + + + Bones + James + Dem + Sir + MD + + + + + + + + + + + 1 Médico Blvd + Paraiso + Tabasco + postalCode + MX + + + + + Bones + James + Dem + Sir + MD + + + + + + + + + + + + 1 Médico Blvd + Paraiso + Tabasco + postalCode + MX + + + + + + Bones + James + Dem + Sir + MD + + + + + + + + + + + 18 HCP St + Sheboygan + IL + 23458 + US + + + + + Medici + James + Middle + Dr + MD + + + + + + + + + + + + 18 HCP St + Sheboygan + IL + 23458 + + + + + Syd + Vlad + MD + + + + + + + + + + + + 69 Music Therapist Way + Nashville + TN + 86753-0900 + + + + + + Therapist + Music + + + + + + + + + + + + + From + Referred + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + From + Referred + + + + + + + + + +
+ + + + + Care Plan Summary + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ Primary Health Concern Text (Active) + Start: + 5-Nov-2018 + End: + 5-Jun-2019 +
+  • + + Goal: + Gooooooooal! Free Text + +
+   ◦ + + Milestone: + Free Text Milestone Goooooal! + +
+   ◦ + + Intervention: + + Advance Directives: + DNR + ; + No intubation - OIT + ; + No intubation +
+ Communications: + Medici, MD James Middle Dr-Medici, MD James Middle Dr +
+ Encounters: + Free Text Encounter Type +
+ Immunizations: + Immunization Product Name 1 + ; + Immunization Product Name 2 + ; + Anti-goofball injectable +
+ Medications: + Med Product Name + ; + Med Product Name 2 + ; + No Medication #3 + ; + No Dates Medication #4 +
+ Supplies: + NMS Supply Name +
+ Nutrition: + Oral nutritional support (regime/therapy) +
+ Procedures: + Procedure Text #1 + ; + No Procedure with Method (without display Name) + Instruction + ; + Procedure Cancelled + ; + Procedure Denied, Complete Date only + ; + Procedure Complete +
+ Observations: + Procedure Result Text in Resulted Procedure -- Item Contains Interpretation and Range. + ; + 7 mg + ; + Resulted Procedure 3 Result Text -- Contains Range (no Interpretation) + ; + The liver is of generally low density, consistent with fatty infiltration. The liver, spleen, pancreas, and left adrenal gland remain unremarkable. + The left lobe is unremarkable. No focal liver or splenic lesions identified. The gallbladder appears with evidence of biliary or pancreatic duct dilatation. + There is some stable scarring towards the lower pole of right kidney. No hydronephrosis. No abnormally enlarged retrocrural, anterior disphragmatic, retroperitoneal, metastatic nodes are identified. + Rectal contrast was not administered. Degenerative changes are noted. Please see associated CT chest report. +
+ Instructions: + Multiple Lines, no id values +Line 2 +Line 3 + ; + Awareness, Reference, comment, start Date, end Date, encounter, last modified, internal ID(2) and imported ID(2), link + ; + internal ID(2), indication(1) + ; + link, OIT, this is OIT, no displayName on instruction type + ; + Did not supply formatted dates + ; + instructionType intentionally left null + +
+    ▪ + + Outcome: + Outcome Free Text - I don't think he is really trying to get better. A little bit of yoga every minute or so and this would clear up right away. Fourty-Two + +
+    ▪ + + Outcome: + Outcome out Code numeric value 42 {UOM} + +
+   ◦ + + Intervention: + + Supplies: + Intervention NMS Supplied Item +
+ +
+   ◦ + + Planned Intervention: + + Advance Directives: + DNR + ; + No intubation - OIT + ; + No intubation +
+ Communications: + Medici, MD James Middle Dr-Medici, MD James Middle Dr +
+ Encounters: + Planned Int/encounter/free text + ; + Planned Int/encounter/free text +
+ Immunizations: + Immunization Product Name 1 + ; + Immunization Product Name 2 + ; + Anti-goofball injectable +
+ Medications: + HDM Product Name 1 + ; + HDM Product Name +
+ Supplies: + Medical Equipment/nms/supply name +
+ Nutrition: + total parenteral nutrition (regime/therapy) + ; + total parenteral nutrition (regime/therapy) +
+ Procedures: + Procedure Text #1 + ; + No Procedure with Method (without display Name) + Instruction + ; + Procedure Cancelled + ; + Procedure Denied, Complete Date only + ; + Procedure Complete +
+ Observations: + Procedure Result Text in Resulted Procedure -- Item Contains Interpretation and Range. + ; + 7 mg + ; + Resulted Procedure 3 Result Text -- Contains Range (no Interpretation) + ; + The liver is of generally low density, consistent with fatty infiltration. The liver, spleen, pancreas, and left adrenal gland remain unremarkable. + The left lobe is unremarkable. No focal liver or splenic lesions identified. The gallbladder appears with evidence of biliary or pancreatic duct dilatation. + There is some stable scarring towards the lower pole of right kidney. No hydronephrosis. No abnormally enlarged retrocrural, anterior disphragmatic, retroperitoneal, metastatic nodes are identified. + Rectal contrast was not administered. Degenerative changes are noted. Please see associated CT chest report. +
+ Instructions: + POC Instruction 1, Internal ID(2), Imported ID(1), indication(1) + ; + Ins 2 OIT +
+ Planned Acts: + No go to Connectathon + ; + Do not do that thing you do + ; + Bark in the Park +
+ Planned Encounters: + Clinical Follow Up + ; + Clinical Follow Up +
+ Planned Immunizations: + Plan Immu/Immu/Product + ; + Plan Immu 2/Immu/Product +
+ Planned Medications: + BOTULINUM TOXIN TYPE A PER UNIT +
+ Planned Observations: + No ELECTROLYTE PANEL + ; + GENERAL BLOOD DRAW +
+ Planned Procedures: + INSERT TISSUE EXPANDERS + ; + Removal of Kidney Stone +
+ Planned Supplies: + OIT POC Supply + ; + No CPAP +
+ Procedure Other Acts: + Other Act + ; + Other Act 2 + +
+   ◦ + + Outcome: + Outcome Free Text - I don't think he is really trying to get better. A little bit of yoga every minute or so and this would clear up right away. Fourty-Two + +
+  • + + Risks: + Risk Concern Text + +
+ Secondary Health Concern Text (Related) (Active) +
+  • + + Goal: + OIT Goal Text + +
+   ◦ + + Intervention: + + Advance Directives: + DNR + ; + No intubation - OIT + ; + No intubation +
+ Communications: + Medici, MD James Middle Dr-Medici, MD James Middle Dr +
+ Encounters: + Free Text Encounter Type +
+ Immunizations: + Immunization Product Name 1 + ; + Immunization Product Name 2 + ; + Anti-goofball injectable +
+ Medications: + Med Product Name + ; + Med Product Name 2 + ; + No Medication #3 + ; + No Dates Medication #4 +
+ Supplies: + NMS Supply Name +
+ Nutrition: + Oral nutritional support (regime/therapy) +
+ Procedures: + Procedure Text #1 + ; + No Procedure with Method (without display Name) + Instruction + ; + Procedure Cancelled + ; + Procedure Denied, Complete Date only + ; + Procedure Complete +
+ Observations: + Procedure Result Text in Resulted Procedure -- Item Contains Interpretation and Range. + ; + 7 mg + ; + Resulted Procedure 3 Result Text -- Contains Range (no Interpretation) + ; + The liver is of generally low density, consistent with fatty infiltration. The liver, spleen, pancreas, and left adrenal gland remain unremarkable. + The left lobe is unremarkable. No focal liver or splenic lesions identified. The gallbladder appears with evidence of biliary or pancreatic duct dilatation. + There is some stable scarring towards the lower pole of right kidney. No hydronephrosis. No abnormally enlarged retrocrural, anterior disphragmatic, retroperitoneal, metastatic nodes are identified. + Rectal contrast was not administered. Degenerative changes are noted. Please see associated CT chest report. +
+ Instructions: + Multiple Lines, no id values +Line 2 +Line 3 + ; + Awareness, Reference, comment, start Date, end Date, encounter, last modified, internal ID(2) and imported ID(2), link + ; + internal ID(2), indication(1) + ; + link, OIT, this is OIT, no displayName on instruction type + ; + Did not supply formatted dates + ; + instructionType intentionally left null + +
+    ▪ + + Outcome: + Outcome Free Text - I don't think he is really trying to get better. A little bit of yoga every minute or so and this would clear up right away. Fourty-Two + +
+    ▪ + + Outcome: + Outcome out Code numeric value 42 {UOM} + +
+   ◦ + + Intervention: + + Supplies: + Intervention NMS Supplied Item +
+ +
+   ◦ + + Planned Intervention: + + Advance Directives: + DNR + ; + No intubation - OIT + ; + No intubation +
+ Communications: + Medici, MD James Middle Dr-Medici, MD James Middle Dr +
+ Encounters: + Planned Int/encounter/free text + ; + Planned Int/encounter/free text +
+ Immunizations: + Immunization Product Name 1 + ; + Immunization Product Name 2 + ; + Anti-goofball injectable +
+ Medications: + HDM Product Name 1 + ; + HDM Product Name +
+ Supplies: + Medical Equipment/nms/supply name +
+ Nutrition: + total parenteral nutrition (regime/therapy) + ; + total parenteral nutrition (regime/therapy) +
+ Procedures: + Procedure Text #1 + ; + No Procedure with Method (without display Name) + Instruction + ; + Procedure Cancelled + ; + Procedure Denied, Complete Date only + ; + Procedure Complete +
+ Observations: + Procedure Result Text in Resulted Procedure -- Item Contains Interpretation and Range. + ; + 7 mg + ; + Resulted Procedure 3 Result Text -- Contains Range (no Interpretation) + ; + The liver is of generally low density, consistent with fatty infiltration. The liver, spleen, pancreas, and left adrenal gland remain unremarkable. + The left lobe is unremarkable. No focal liver or splenic lesions identified. The gallbladder appears with evidence of biliary or pancreatic duct dilatation. + There is some stable scarring towards the lower pole of right kidney. No hydronephrosis. No abnormally enlarged retrocrural, anterior disphragmatic, retroperitoneal, metastatic nodes are identified. + Rectal contrast was not administered. Degenerative changes are noted. Please see associated CT chest report. +
+ Instructions: + POC Instruction 1, Internal ID(2), Imported ID(1), indication(1) + ; + Ins 2 OIT +
+ Planned Acts: + No go to Connectathon + ; + Do not do that thing you do + ; + Bark in the Park +
+ Planned Encounters: + Clinical Follow Up + ; + Clinical Follow Up +
+ Planned Immunizations: + Plan Immu/Immu/Product + ; + Plan Immu 2/Immu/Product +
+ Planned Medications: + BOTULINUM TOXIN TYPE A PER UNIT +
+ Planned Observations: + No ELECTROLYTE PANEL + ; + GENERAL BLOOD DRAW +
+ Planned Procedures: + INSERT TISSUE EXPANDERS + ; + Removal of Kidney Stone +
+ Planned Supplies: + OIT POC Supply + ; + No CPAP +
+ Procedure Other Acts: + Other Act + ; + Other Act 2 + +
+  • + + Risks: + Risk Concern Text + ; + OIT Risk Concern Text + +
+ Secondary Health Concern Text (Reference) (Active) +
+ Secondary Health Concern Text (Component) (Active) +
+  • + + Risks: + OIT Risk Concern Text + +
+ + + + +
+ + +
+ + + + + Reason for Referral + + + + 0 > referral & reason < 99 + + + One more reason + + + + + + + + + + + + + + + +
NOTE
+ Medici, MD James Middle Dr + - + 8-Aug-2018 +
+  • + + Reason for Referral Note Activity. +
+ Comments: + Comment about a note activity in the Reason for Referral section. + +
+ + Section Comments + RFR Section Comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Reason For Referral/Patient Referral/Reason For Referral Prognosis Text + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + +
+ + + + Reason for Visit + + I was lonely so I thought I'd visit the Doctor + + Section Comments + RFV Section Comment + + + + + + + + + + + + + + + +
+ + +
+ + + + Chief Complaint + + The Universe hates me. + + Section Comments + Chief Complaint Section Comment + + + + + + + + + + + + + + + +
+ + +
+ + + + History of Present Illness + + HPI one + HPI two + HPI three + + Section Comments + HPI Section Comment + + + + + + + + + + + + + + + +
+ + +
+ + + + Review of Systems + + + FT Review Of Systems Category 1 + + item 1 + + + item 2 + + + item 3 + + + + FT Review Of Systems Category 2 + + item one + + + item two + + + item three + + + + Section Comments + Review Of Systems Section Comment + + + + + + + + + + + + + + + +
+ + +
+ + + + Foreign Travel + + + FT FT Category 1 + + item 1 + + + item 2 + + + item 3 + + + + FT FT Category 2 + + item one + + + item two + + + item three + + + + Section Comments + Foreign Travels Section Comment + + + + + + + + + + + + + + + +
+ + +
+ + + + Assessments + + + Assessment Category 1 + + item 1 + + + item 2 + + + item 3 + + + + Assessment Category 2 + + item one + + + item two + + + item three + + + + Section Comments + Free Text Assessment Section Comment + + + + + + + + + + + + + + + +
+ + +
+ + + + + + + Problems + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ Text of the Problem + (273.4) (R46.1) +
+ Prognosis: + Active Problem Prognsis Free Text + as of + 5-Jun-2019 + 		+ Onset: + 1967/05/21 +
+ 		+ Status: + Resolved + as of + 1967/05/21 +
+ Comments: + Problem 1 Comment +
+ The patient says, 'No, Diabetes.' +
+ 		+ Onset: + 31-Dec-2017 +
+ 		+ Status: + Chronic + as of + 2-Nov-2018 +
+ Comments: + Item Negation, OIT +
+ No code problem +
+
+ IMO Code Problem +
+ 		+ Status: + Denied +
+
+ No Known Problems +
+
+ No Known Problems +
+
+ OIT +
+
+ No Known Problems +
+
+ + + + + + + + + + + + + + +
Health Status
+ Problem Section Health Status Free Text + + 5-Jun-2019 10:48 +
+ +
+ + Section Comments + Active Problems Section Comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Active Problem Prognsis Free Text + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Active + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + +
+ + + + + Mental Status + + + + + + + + + + + + + + + + + + + +
+ + Off their meds + + + (Mental Status Ref Range, Another Ref Range) +
+  • + + A.Scale Derivation Text + forty-two + + + 5-Jun-2019 +
+ A.Scale Reference Range + 		+ + Interpretation: + A.Scale.interpretation +
+ Comments: + A.Scale Comment Text +
+ + + + + + + + + + + + + + + + + + + + + + + + + +
+ + Off their meds + + + 5-Jun-2019 + + (Mental Status Ref Range, Another Ref Range) +
+  • + + A.Scale Derivation Text + forty-two + + + 5-Jun-2019 +
+ A.Scale Reference Range + 		+ + Interpretation: + A.Scale.interpretation +
+ Comments: + A.Scale Comment Text +
+ + OIT over a freetext mental status + + + 5-Jun-2019 +
+ + + + + + + + + + + + + + +
Assessments Scale
+ + A.Scale Derivation Text + forty-two + + + 5-Jun-2019 +
+ A.Scale Reference Range + 		+ + Interpretation: + A.Scale.interpretation +
+ Comments: + A.Scale Comment Text +
+ + Section Comments + Mental Status Section Comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + A.Scale Derivation Text + + + + + + forty-two + + + + + + + + + + + + + forty-one + 1 + + + + + + + + + + + + + + + + + A.Scale Reference Range + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Mental Status Ref Range + + + + + Another Ref Range + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + A.Scale Derivation Text + + + + + + forty-two + + + + + + + + + + + + + forty-one + 1 + + + + + + + + + + + + + + + + + A.Scale Reference Range + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Mental Status Ref Range + + + + + Another Ref Range + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + A.Scale Derivation Text + + + + + + forty-two + + + + + + + + + + + + + forty-one + 1 + + + + + + + + + + + + + + + + + A.Scale Reference Range + + + + + + + + + + + + + +
+ + +
+ + + + + Functional Status + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + Functional Status Observation Text + + + 5-Jun-2018 + + Evaluation Results: + fsObs reference range +
+  • + + A.Scale Derivation + A.Scale Value + + + 1-May-2019 +
+ A.Scale Reference Range + 		+ + Interpretation: + A.Scale.Interpretation +
+ Comments: + A.Scale Comment +
+  • + NMS Supply Name + + 5-Jan-2018 + To + 5-Jun-2019 +
+ Status: + normal + 		+ Quantity: + 9 +
+ Supplied: + No +
+  • + + SuperCareGiver Ability + + + 5-Jun-2014 + To + 5-Jun-2019 +
+ + ADL/IADL: + Dressing + + + 5-Jun-2019 + + (independent) +
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + Functional Status Observation Text + + + 5-Jun-2018 + + Evaluation Results: + fsObs reference range +
+  • + + A.Scale Derivation + A.Scale Value + + + 1-May-2019 +
+ A.Scale Reference Range + 		+ + Interpretation: + A.Scale.Interpretation +
+ Comments: + A.Scale Comment +
+  • + NMS Supply Name + + 5-Jan-2018 + To + 5-Jun-2019 +
+ Status: + normal + 		+ Quantity: + 9 +
+ Supplied: + No +
+  • + + SuperCareGiver Ability + + + 5-Jun-2014 + To + 5-Jun-2019 +
+ + + + + + + + + + + + + +
+ + A.Scale Derivation + A.Scale Value + + + 1-May-2019 +
+ A.Scale Reference Range + 		+ + Interpretation: + A.Scale.Interpretation +
+ Comments: + A.Scale Comment +
+ + + + + + + + + + + + + +
+ + SuperCareGiver Ability + + + 5-Jun-2014 + To + 5-Jun-2019 +
+ + + + + + + + + + + + + + + + + + +
+ NMS Supply Name + + 5-Apr-2018 + To + 5-Jun-2019 +
+ Status: + new + 		+ Quantity: + 2.20 +
+ Supplied: + Yes +
+  • + + Multiple Lines, no id values +Line 2 +Line 3 +
+ + 		+ Instruction Type: + Age-specific patient education (procedure) +
+
+ + + + + + + + + + + + + +
+ + ADL/IADL: + Dressing + + + 5-Jun-2019 + + (independent) +
+ + + + + + + + + + + + + + + + + + +
+ Sensory Status Free Text + + 5-Aug-2017 + To + 5-Jun-2019 +
+  • + + A.Scale Derivation + A.Scale Value + + + 1-May-2019 +
+ A.Scale Reference Range + 		+ + Interpretation: + A.Scale.Interpretation +
+ Comments: + A.Scale Comment +
+ + Section Comments + Functional Status V2 Section Comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + A.Scale Derivation + + + + + + A.Scale Value + + + + + + + + + + + + + + + + + A.Scale.Support Value + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + A.Scale Reference Range + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + fsObs reference range + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + A.Scale Derivation + + + + + + A.Scale Value + + + + + + + + + + + + + + + + + A.Scale.Support Value + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + A.Scale Reference Range + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + fsObs reference range + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + A.Scale Derivation + + + + + + A.Scale Value + + + + + + + + + + + + + + + + + A.Scale.Support Value + + + + + + + + + + + + + + + + + A.Scale Reference Range + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + A.Scale Derivation + + + + + + A.Scale Value + + + + + + + + + + + + + + + + + A.Scale.Support Value + + + + + + + + + + + + + + + + + A.Scale Reference Range + + + + + + + + + + + + + + + +
+ + +
+ + + + + + + Hospital Admission Diagnosis + + + + + + + + + + + + + + + + + + + +
+ + Hangnail + (ANICD9Code) +
+ + 		+ Onset: + 1967/05/21 +
+ 		+ Status: + Resolved + as of + 1967/05/21 +
+ Comments: + Potentially fatal Hangnail +
+ + Spare Tire + (ANICD9Code) +
+ + 		+ Onset: + 5-Jun-2019 +
+ 		+ Status: + Inactive + as of + 5-Jan-2019 +
+
+ + Section Comments + HAD Section level comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Resolved + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Inactive + + + + + + + + + + + + + + + + +
+ + +
+ + + + + + + Hospital Discharge Diagnosis + + + + + + + + + + + + + + + + + + + +
+ + Conjunctivitis + (ANICD9Code) +
+ + 		+ Onset: + 5-Jun-2019 +
+ 		+ Status: + Resolved + as of + 5-Jul-2017 +
+ Comments: + Welcome to the hospital, here's your disease. +
+ + Spare Tire + (ANICD9Code) +
+ + 		+ Onset: + 5-Jun-2019 +
+ 		+ Status: + Inactive + as of + 5-Jan-2019 +
+
+ + Section Comments + HDD Section level comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Resolved + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Inactive + + + + + + + + + + + + + + + + +
+ + +
+ + + + + + + Allergies and Adverse Reactions + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ the item patient is Allergic too + ( + Allergy + ) +
+ Criticality: + High criticality + 		+ Onset: 1967/05/21 + + + Reaction: + + Hives + + ( + Moderate + ) + + + , + + Speaking in Tongues + + , + + Turning Blue + + ( + Mild + ) + + + +
+ Comments: + Allergy Comment +
+ Intolerance item goes here + ( + Intolerance + ) +
+ 		+ Onset: 2010 + + Comments: + Allergy 2 Comment +
+ Adverse reaction Item goes here (COCOA) + ( + Adverse Event + ) +
+ 		+ Onset: Mar-2010 + + + Reaction: + + Hives + + ( + Severe + ) + + + +
+ Status: + Acute + +
+ Comments: + Allergy 3 Comment +
+ OIT - You might think I'm Intolerance +
+ 		+ Status: + Acute + +
+ Comments: + Allergy that doesn't show the (Allergy), due to OIT usage +
+ Dander Allergy Product Text + ( + Allergy + ) +
+ Criticality: + Low criticality + 		+ Status: + Acute + +
+ Comments: + Dander Allergy Comment +
+ + Section Comments + first allergy section comment + second allergy section comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Active + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Active + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + +
+ + + + + Hospital Admission Medications + + + + + + + + + + + + + + +
+ + HAM Product Name + ; + free text SIG HAM +
+ + 		+ Ordered: + 20-Oct-2009 +
+ 		+ Start: + 1967/05/21 + End: + 5-Jul-2019 +
+ + Reaction: + + Chills + + ( + Moderate to severe + ) + + + +
+ Comments: + HAM Comment +
+ + Section Comments + HAM Section Comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + HAM Brand Name + + + + + + + + + + + + + + + + + + + + + + HAM Brand Name + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + +
+ + + + + + + + + Hospital Discharge Medications + + + + + + + + + + + + + + + + + + + +
+ + HDM Product Name 1 + ; + free text SIG HDM 1 +
+ + 		+ Comments: + HDM 1 Comment +
+ + HDM Product Name + ; + free text SIG HDM +
+ + 		+ Ordered: + 20-Oct-2009 +
+ 		+ Start: + 1967/05/21 + End: + 5-Jul-2019 +
+ + Reaction: + + Hives + + ( + Severe + ) + + + +
+ + Indication: + HDM/medication/indication text + +
+ Comments: + HDM 2 Comment +
+ + Section Comments + HDM Section Comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + HDM Brand Name 1 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + HDM Brand Name + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + HDM Brand Name + + + + + + + + + + + + + + + + + + + + + + + + + HDM Brand Name + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + +
+ + + + + + + Procedures + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ Procedure Text #1 + + Date: + 1967/05/21 +
+ Site: + Abdominal and pelvic vascular structure + , + Abdominal aorta structure +
+ Location: + Procedure SDL Name Procedure Service Delivery AK 99999 tel:+1-(111)222-3333 +
+ Location: + Out Back Montgomery AL tel:+1-(111)555-0199 +
+ 		+ Method: + Procedure Method +
+ + Indication: + Procedure Indication + ; + Procedure Indication 2 + +
+ + Reaction: + + Procedure Reaction Text + + , + + Procedure Reaction Text w/Severity + + ( + Severe + ) + + + +
+ Comments: + Ordered, Date and CDate specified and equal +
+  • + + Procedure Medication Product Name + ; + Procedure/Medication/FreeTextSig + + + Start: + 5-Jun-2019 +
+ End: + 5-Jun-2019 +
+  • + + Procedure Instruction Text + + + Start: + 12-May-2019 +
+ End: + 29-Jun-2019 +
+  • + + 10-Oct-2013 +
+ Large blob of text on a procedure, no a really large blob of text. No a really really large blob of text on a procedure, I need to see the indention w/ wrap functionality. +
+ Comments: + Note on a Procedure comment + +
+ Procedure with Method (without display Name) + Instruction + + Date: + 31-May-2019 +
+ 		+ Status: + Aborted + 10-Jun-2019 +
+ Comments: + No Code, Negated, Method, Aborted, Both dates specified different +
+  • + + Procedure Instruction Text + + + End: + 29-Jun-2019 +
+ Procedure Cancelled + + Date: + 31-May-2019 +
+ 		+ Status: + Cancelled +
+ Comments: + No Code, Cancelled, only date +
+ Procedure Denied, Complete Date only + + Status: + Cancelled + 5-Jun-2019 +
+ Comments: + No Code +
+ Procedure Complete + + Status: + Completed + 31-May-2019 +
+ Comments: + No Code +
+ Other Act + + Date: + 1967/05/21 +
+ Site: + Abomasum +
+ 		+ Method: + Procedure OA Method +
+ + Indication: + OA Procedure Indication + ; + OA Procedure Indication 2 + +
+ Comments: + OA Comment, Active both dates specified different +
+  • + + Medici, MD James Middle Dr + - + 10-Oct-2010 +
+ Large blob of text on a procedure Other Act, no a really large blob of text. No a really really large blob of text on a procedure, I need to see the indention w/ wrap functionality. +
+ Comments: + Note on a Procedure comment + +
+ Other Act 2 + + Date: + 18-May-2019 +
+ 		+ Status: + Cancelled + 19-May-2019 +
+ Comments: + OA Comment +
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ Value of Procedure Text in a Resulted Procedure + Result: + Procedure Result Text in Resulted Procedure -- Item Contains Interpretation and Range. + + Date: + 1967/05/21 +
+ Site: + Adipose tissue +
+ Range: + funny - not funny +
+ Interpretation: + Worse +
+ Method: + Witch Doctor +
+ + Indication: + RP Procedure Indication + +
+ Location: + Out Back Montgomery AL tel:+1-(111)555-0199 +
+ Location: + Over Yonder Birmingham AL tel:+1-(111)555-0198 +
+ Comments: + RP Comment - Full Pop +
+  • + + Typical Procedure Medication + ; + Take 1 gallon per hour as needed + +
+  • + + Typical Procedure Instruction + + + Start: + 3-Mar-2009 +
+
+  • + + Medici, MD James Middle Dr + - + 10-Oct-2009 +
+ Large blob of text on a resulted procedure, no a really large blob of text. No a really really large blob of text on a procedure, I need to see the indention w/ wrap functionality. +
+ Comments: + Note on a Resulted Procedure comment + +
+ Resulted Procedure 2 Text + Result: + 7 mg + + Date: + 16-May-2019 +
+ Interpretation: + Significant change down +
+ Comments: + RP 2 Comment - light pop + instruction + Interpretation (no Range) +
+  • + + A-Typical Procedure Instruction + +
+ Resulted Procedure 3 Text + Result: + Resulted Procedure 3 Result Text -- Contains Range (no Interpretation) + + Date: + 17-May-2019 +
+ Range: + thin - thick +
+ Comments: + RP 3 Comment +
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+ Health Status Free Text + + 5-Jun-2019 +
+ sutatS htlaeH + + 1967/05/21 +
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Concerns
+ + Primary Health Concern Text + + Start: + 5-Nov-2018 +
+ End: + 5-Jun-2019 + 		+ Status: + Active +
+
+ Related Health Concern: + Secondary Health Concern Text (Reference) +
+ Associated Health Concern: + Secondary Health Concern Text (Component) +
+ Related To: +
+  • + Text of the Problem + + Onset: + 1967/05/21 +
+ Resolved: + 1967/05/21 + 		+ Status: + Resolved +
+  • + The patient says, 'No, Diabetes.' + + Onset: + 31-Dec-2017 +
+ Resolved: + 2-Nov-2018 + 		+ Status: + Chronic +
+  • + No code problem + + Status: + Active +
+  • + IMO Code Problem + + Status: + Denied +
+  • + No Known Problems +
+  • + No Known Problems +
+  • + OIT +
+  • + No Known Problems +
+  • + + Allergy: + the item patient is Allergic too +
+ Criticality: + High criticality + + 		+ Status: + Active +
+ Onset: + 1967/05/21 +
+ Resolved: + 5-Jun-2019 + 		+ Allergy +
+ + Reaction: + + Hives + + ( + Moderate + ) + + + , + + Speaking in Tongues + + , + + Turning Blue + + ( + Mild + ) + + + +
+  • + + Allergy: + Intolerance item goes here + + + Status: + Active +
+ Onset: + 2010 +
+ 		+ Intolerance +
+
+  • + + Allergy: + Adverse reaction Item goes here (COCOA) + + + Status: + Acute +
+ Onset: + Mar-2010 +
+ 		+ Adverse Event +
+ + Reaction: + + Hives + + ( + Severe + ) + + + +
+  • + + Allergy: + OIT - You might think I'm Intolerance + + + Status: + Acute +
+
+  • + + Allergy: + Dander Allergy Product Text +
+ Criticality: + Low criticality + + 		+ Status: + Acute +
+ 		+ Allergy +
+
+  • + Off their meds + + 5-Jun-2019 +
+  • + OIT over a freetext mental status + + 5-Jun-2019 +
+  • + + A.Scale Derivation + A.Scale Value + + + 1-May-2019 + + + + Interpretation: A.Scale.Interpretation +
+  • + + Smoking Status: + Current every day smoker + + + Recorded: + 1967/05/21 +
+  • + + Smoking Status: + Heavy tobacco smoker + + + Recorded: + 1-Jan-2004 +
+  • + + Smoking Status: + Smoker. current status unknown + + + Recorded: + 1-Jan-2007 +
+  • + + Pregnancy Status: + Pregnant + + + Start: + 1967/05/21 +
+ 		+ EDD: + 1967/05/21 +
+  • + + Pregnancy Status: + Babies, Babies, Babies! + + + Start: + 5-Jul-2017 +
+ End: + 5-Nov-2017 + 		+ EDD: + 5-Dec-2017 +
+  • + + Pregnancy Status: + Unknown Pregnancy + + + Start: + 5-Sep-2015 +
+ End: + 5-Oct-2015 +
+  • + + Pregnancy Status: + Not Pregnant + + + Start: + 5-Aug-2016 +
+
+  • + + Tobbacco Use: + Aggressive non-smoker + + + Start: + 1967/05/21 +
+ End: + 1967/05/21 +
+  • + + Tobbacco Use: + Failed attempt to stop smoking + + + Start: + Jan-2002 +
+ End: + Oct-2005 +
+  • + + Tobbacco Use: + Hookah pipe smoker (finding) + + + Start: + 2000 +
+
+  • + + Tobbacco Use: + Admitted tobacco consumption possibly untrue + + + End: + Jun-2018 +
+  • + SuperCareGiver Ability + + Start: + 5-Jun-2014 +
+ End: + 5-Jun-2019 +
+  • + + Home Environment: + cluttered living space (finding) + + + 5-Jun-2019 +
+  • + I Believe you + + 5-Jun-2019 +
+  • + + Encounter Diagnosis: + Risk|Health Concern/Encounter Diagnosis/Problem Text + + + Status: + Suspect +
+ Onset: + 5-Jun-2019 +
+
+  • + + Family History: + This Family History NOT linked + + + Status: + Resolved +
+ Onset: + 1967/05/21 +
+ Resolved: + 1967/05/21 + 		+ Relative: + Unknown Family Member (deceased) +
+  • + + Family History: + This Family History linked to a family member (FM1) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Father +
+  • + + Family History: + This Family History linked to a family member (FM2) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Mother +
+  • + + Family History: + This Family History linked to a family member (A1) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + adopted child +
+  • + + Family History: + This Family History linked to a family member (STEP) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + step child +
+  • + + Family History: + This Family History linked to a family member (FAM) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Family Member +
+  • + + Family History: + This Family History linked to a family member (MA) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Maternal Aunt +
+  • + + Family History: + This Family History linked to a family member (MC) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Maternal Cousin +
+  • + + Family History: + This Family History linked to a family member (MG) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Maternal Grandparent +
+  • + + Family History: + This Family History linked to a family member (MGG) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Maternal Great Grandparent +
+  • + + Family History: + This Family History linked to a family member (MU) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Maternal Uncle +
+  • + + Family History: + This Family History linked to a family member (PA) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Paternal Aunt +
+  • + + Family History: + This Family History linked to a family member (PC) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Paternal Cousin +
+  • + + Family History: + This Family History linked to a family member (PG) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Paternal Grandparent +
+  • + + Family History: + This Family History linked to a family member (PGG) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Paternal Great Grandparent +
+  • + + Family History: + This Family History linked to a family member (PU) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Paternal Uncle +
+  • + + Family History: + This Family History linked to a family member (PGGF) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Paternal Great-Grandfather +
+  • + + Functional Status Observation Text + + + 5-Jun-2018 + + Evaluation Results: + fsObs reference range +
+  • + + Hospital Admission Diagnosis: + Hangnail + + + Status: + Resolved +
+ Onset: + 1967/05/21 +
+ Resolved: + 1967/05/21 +
+  • + + Hospital Admission Diagnosis: + Spare Tire + + + Status: + Inactive +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jan-2019 +
+  • + A Wound + + Wound Type: + Diabetic skin ulcer +
+  • + Another Wound + + Wound Type: + Open wound +
+  • + + Nutrition Status: + Nuts + + + 5-Jun-2019 +
+  • + + Nutrition: + Eat to Live + + + 5-Jun-2019 +
+  • + + Nutrition: + OIT, Nutri assessment, negated + +
+  • + + Reaction: + Doesn't like it + + ( + Severe + ) + + + + Onset: + 5-May-2019 +
+ Resolved: + 5-Jun-2019 +
+  • + + Reaction: + Doesn't want it + + + Onset: + 5-May-2019 +
+
+  • + + Post-procedure Diagnosis: + Post Procedure Diagnosis Text + + + Status: + Acute +
+ Onset: + 5-Jan-2019 +
+ Resolved: + 5-Jun-2019 +
+  • + + Pre-operative Diagnosis: + Pre-Operative Diagnosis Text + + + Status: + Acute +
+ Onset: + 5-Jan-2019 +
+ Resolved: + 5-Jun-2019 +
+  • + Organizer Order Name + + Ordered On: + 1967/05/21 + + Comments: + Result Organizer Comment +
+   ◦ + + 10-Oct-2013 +
+ Large blob of text on a result organizer + +
+   ◦ + + Result with Interpretation, Range and discrete UOM + 42 + mg/dL + (Weakly reactive) + +
+    ▪ + + Medici, MD James Middle Dr + - + 10-Oct-2013 +
+ Large blob of text on a result observation. Now even more data to show span across the page and wrapping of the data. This sentence is worthless. This is a worthless followup to a worthless sentence. +
+ Comments: + Note Comment on a result observation + +
+   ◦ + + Result with interpretation (no range) and no UOM + 7.2 + (Indeterminate) + + + 5-Jun-2019 10:46 +
+   ◦ + + Result with interpretation (no range), string value (containing UOM) and no UOM discrete + 7.2 mb + (Positive) + + + 5-Jun-2019 10:45 +
+   ◦ + + Result with range (no interpretation), string value (containing UOM) and no UOM discrete + 7.2 mb + + + 5-Jun-2019 10:44 +
+  • + 1 Result, same name + + Ordered On: + 2-Nov-2018 + + Comments: + Result Organizer 2 Comment +
+   ◦ + + 1 Result, same name + 23 + [lb_av] + (Negative) + + + 1967/05/21 +
+  • + More Results + (Pending) +
+   ◦ + + Result with no UOM + 7.3 + + + 5-Jun-2019 10:41 +
+   ◦ + + Result with no UOM + 7.4 + + + 1967/05/21 +
+   ◦ + + Result with no UOM + 7.5 + + + 5-Jun-2019 10:39 +
+  • + Lab Result + + Comments: + Lab Result Organizer Comment +
+   ◦ + + Lab Result + Lab Result: Lab One, Two, Three +Test: Fake Cardiomyopathy endurance +Course: Patient Arrived +Items included: Interpretation, Range, 1 result same name +ops +ipso +more Latin phrases +------------------ +Findings: Inconceivable + + ml/min + (High) + + + 24-May-2019 10:48 +
+  • + Trigger It + + Ordered On: + 5-Jun-2019 + + Comments: + Trigger Result Organizer +
+   ◦ + + Trigger Result Test + 7.3 + + + 5-Jun-2019 10:41 +
+   ◦ + + Trigger Result Value + 7.3 + +
+  • + + Running + Like a Horse + + + 1967/05/21 +
+  • + + Flying + Like a Brick + + + 5-Jun-2019 10:48 +
+  • + + ADL/IADL: + Dressing + + + 5-Jun-2019 + + (independent) +
+  • + Sensory Status Free Text + + Onset: + 5-Aug-2017 +
+ Resolved: + 5-Jun-2019 +
+  • + + Social History: + Smoker + + + Status: + Resolved +
+ Start: + 1967/05/21 +
+ End: + 1967/05/21 + 		+ 2 Packs per day +
+  • + + Social History: + Smoker + + + Status: + Resolved +
+ Start: + 5-Jun-2019 +
+ End: + 5-Jun-2019 + 		+ Golf Cart from Bed to Kitchen and Back +
+  • + + Social History: + Occupation: + + + Status: + Resolved +
+ Start: + 1-May-1967 +
+ End: + 5-Jun-2019 + 		+ Actors (Management, Business, Science, and Arts Occupations) +
+  • + + Head Circumference + 10 + cm + + + 5-Jun-2018 10:48 +
+  • + + LMP + 20150521 + + + 5-Jun-2019 10:48 +
+  • + + Troponin I.cardiac [Mass/​volume] in Serum or Plasma + 90 + ng/mL + + + 5-Jun-2019 10:48 +
+ Supported By: +
+  • + Past Problem Text + + Status: + Resolved +
+ Onset: + 1967/05/21 +
+ Resolved: + 1967/05/21 +
+  • + Past Problem 2 Text + + Status: + Deleted +
+ Onset: + 21-May-2001 +
+ Resolved: + 5-Jun-2019 +
+ Related Documents: +
+  • + + http://www.yahoo.com + +
+ + Secondary Health Concern Text (Related) + + Status: + Active +
+
+ + Secondary Health Concern Text (Reference) + + Status: + Active +
+
+ + Secondary Health Concern Text (Component) + + Status: + Active +
+
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Risks
+ + Risk Concern Text + + Start: + 5-Sep-2018 +
+ End: + 5-May-2019 + 		+ Status: + Completed +
+
+ Related Health Concern: + Secondary Health Concern Text (Related) +
+ Associated Health Concern: + Primary Health Concern Text +
+ Related To: +
+  • + Text of the Problem + + Onset: + 1967/05/21 +
+ Resolved: + 1967/05/21 + 		+ Status: + Resolved +
+  • + The patient says, 'No, Diabetes.' + + Onset: + 31-Dec-2017 +
+ Resolved: + 2-Nov-2018 + 		+ Status: + Chronic +
+  • + No code problem + + Status: + Active +
+  • + IMO Code Problem + + Status: + Denied +
+  • + No Known Problems +
+  • + No Known Problems +
+  • + OIT +
+  • + No Known Problems +
+  • + + Allergy: + the item patient is Allergic too +
+ Criticality: + High criticality + + 		+ Status: + Active +
+ Onset: + 1967/05/21 +
+ Resolved: + 5-Jun-2019 + 		+ Allergy +
+ + Reaction: + + Hives + + ( + Moderate + ) + + + , + + Speaking in Tongues + + , + + Turning Blue + + ( + Mild + ) + + + +
+  • + + Allergy: + Intolerance item goes here + + + Status: + Active +
+ Onset: + 2010 +
+ 		+ Intolerance +
+
+  • + + Allergy: + Adverse reaction Item goes here (COCOA) + + + Status: + Acute +
+ Onset: + Mar-2010 +
+ 		+ Adverse Event +
+ + Reaction: + + Hives + + ( + Severe + ) + + + +
+  • + + Allergy: + OIT - You might think I'm Intolerance + + + Status: + Acute +
+
+  • + + Allergy: + Dander Allergy Product Text +
+ Criticality: + Low criticality + + 		+ Status: + Acute +
+ 		+ Allergy +
+
+  • + Off their meds + + 5-Jun-2019 +
+  • + OIT over a freetext mental status + + 5-Jun-2019 +
+  • + + A.Scale Derivation + A.Scale Value + + + 1-May-2019 + + + + Interpretation: A.Scale.Interpretation +
+  • + + Smoking Status: + Current every day smoker + + + Recorded: + 1967/05/21 +
+  • + + Smoking Status: + Heavy tobacco smoker + + + Recorded: + 1-Jan-2004 +
+  • + + Smoking Status: + Smoker. current status unknown + + + Recorded: + 1-Jan-2007 +
+  • + + Pregnancy Status: + Pregnant + + + Start: + 1967/05/21 +
+ 		+ EDD: + 1967/05/21 +
+  • + + Pregnancy Status: + Babies, Babies, Babies! + + + Start: + 5-Jul-2017 +
+ End: + 5-Nov-2017 + 		+ EDD: + 5-Dec-2017 +
+  • + + Pregnancy Status: + Unknown Pregnancy + + + Start: + 5-Sep-2015 +
+ End: + 5-Oct-2015 +
+  • + + Pregnancy Status: + Not Pregnant + + + Start: + 5-Aug-2016 +
+
+  • + + Tobbacco Use: + Aggressive non-smoker + + + Start: + 1967/05/21 +
+ End: + 1967/05/21 +
+  • + + Tobbacco Use: + Failed attempt to stop smoking + + + Start: + Jan-2002 +
+ End: + Oct-2005 +
+  • + + Tobbacco Use: + Hookah pipe smoker (finding) + + + Start: + 2000 +
+
+  • + + Tobbacco Use: + Admitted tobacco consumption possibly untrue + + + End: + Jun-2018 +
+  • + SuperCareGiver Ability + + Start: + 5-Jun-2014 +
+ End: + 5-Jun-2019 +
+  • + + Home Environment: + cluttered living space (finding) + + + 5-Jun-2019 +
+  • + I Believe you + + 5-Jun-2019 +
+  • + + Encounter Diagnosis: + Risk|Health Concern/Encounter Diagnosis/Problem Text + + + Status: + Suspect +
+ Onset: + 5-Jun-2019 +
+
+  • + + Family History: + This Family History NOT linked + + + Status: + Resolved +
+ Onset: + 1967/05/21 +
+ Resolved: + 1967/05/21 + 		+ Relative: + Unknown Family Member (deceased) +
+  • + + Family History: + This Family History linked to a family member (FM1) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Father +
+  • + + Family History: + This Family History linked to a family member (FM2) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Mother +
+  • + + Family History: + This Family History linked to a family member (A1) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + adopted child +
+  • + + Family History: + This Family History linked to a family member (STEP) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + step child +
+  • + + Family History: + This Family History linked to a family member (FAM) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Family Member +
+  • + + Family History: + This Family History linked to a family member (MA) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Maternal Aunt +
+  • + + Family History: + This Family History linked to a family member (MC) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Maternal Cousin +
+  • + + Family History: + This Family History linked to a family member (MG) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Maternal Grandparent +
+  • + + Family History: + This Family History linked to a family member (MGG) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Maternal Great Grandparent +
+  • + + Family History: + This Family History linked to a family member (MU) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Maternal Uncle +
+  • + + Family History: + This Family History linked to a family member (PA) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Paternal Aunt +
+  • + + Family History: + This Family History linked to a family member (PC) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Paternal Cousin +
+  • + + Family History: + This Family History linked to a family member (PG) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Paternal Grandparent +
+  • + + Family History: + This Family History linked to a family member (PGG) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Paternal Great Grandparent +
+  • + + Family History: + This Family History linked to a family member (PU) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Paternal Uncle +
+  • + + Family History: + This Family History linked to a family member (PGGF) + + + Status: + Active +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jun-2019 + 		+ Relative: + Paternal Great-Grandfather +
+  • + + Functional Status Observation Text + + + 5-Jun-2018 + + Evaluation Results: + fsObs reference range +
+  • + + Hospital Admission Diagnosis: + Hangnail + + + Status: + Resolved +
+ Onset: + 1967/05/21 +
+ Resolved: + 1967/05/21 +
+  • + + Hospital Admission Diagnosis: + Spare Tire + + + Status: + Inactive +
+ Onset: + 5-Jun-2019 +
+ Resolved: + 5-Jan-2019 +
+  • + + Nutrition Status: + Nuts + + + 5-Jun-2019 +
+  • + + Nutrition: + Eat to Live + + + 5-Jun-2019 +
+  • + + Nutrition: + OIT, Nutri assessment, negated + +
+  • + + Reaction: + Doesn't like it + + ( + Mild + ) + + + + Onset: + 5-May-2019 +
+ Resolved: + 5-Jun-2019 +
+  • + + Post-procedure Diagnosis: + Post Procedure Diagnosis Text + + + Status: + Acute +
+ Onset: + 5-Jan-2019 +
+ Resolved: + 5-Jun-2019 +
+  • + + Pre-operative Diagnosis: + Pre-Operative Diagnosis Text + + + Status: + Acute +
+ Onset: + 5-Jan-2019 +
+ Resolved: + 5-Jun-2019 +
+  • + Organizer Order Name + + Ordered On: + 1967/05/21 + + Comments: + Result Organizer Comment +
+   ◦ + + 10-Oct-2013 +
+ Large blob of text on a result organizer + +
+   ◦ + + Result with Interpretation, Range and discrete UOM + 42 + mg/dL + (Weakly reactive) + +
+    ▪ + + Medici, MD James Middle Dr + - + 10-Oct-2013 +
+ Large blob of text on a result observation. Now even more data to show span across the page and wrapping of the data. This sentence is worthless. This is a worthless followup to a worthless sentence. +
+ Comments: + Note Comment on a result observation + +
+   ◦ + + Result with interpretation (no range) and no UOM + 7.2 + (Indeterminate) + + + 5-Jun-2019 10:46 +
+   ◦ + + Result with interpretation (no range), string value (containing UOM) and no UOM discrete + 7.2 mb + (Positive) + + + 5-Jun-2019 10:45 +
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+ + + + + + + + + + + + + + + + + + + + + + + + + + + Acute + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Acute + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Like a Brick + + + + + + + + + + Dull - Genius + + + + + + + + + + + + + + + + + + + + + Like a Butterfly + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + A.Scale Derivation + + + A.Scale Value + + +A.Scale.Interpretation + + + + + + + + + + + + + A.Scale.Support Value + + + + + A.Scale Reference Range + A.Scale Reference Range + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 2 Packs per day + + + + + + + + + Fatal + + + Fatal + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Golf Cart from Bed to Kitchen and Back + + + + + + + + + + + + + + + + + + + + + + + Actors (Management, Business, Science, and Arts Occupations) + + + + + + + + + + + + + + + + + + + + + + Aggressive non-smoker + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Failed attempt to stop smoking + + + + + + + + + + + + + + + + + + + Hookah pipe smoker (finding) + + + + + + + + + + + + + + + + + + + Admitted tobacco consumption possibly untrue + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + VS reference Range + + + + + + + + + + + + + + + + + + + + + + + + + + + + Blush Test + + + + + + Kiss - Tell + + + + + + + + + + + + + + + + + + + + + + + + Low - High + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Resolved + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Deleted + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Nutrition Assessment Free Text + + + + + + + + + + + + + + + + + + + + + + + + + + + 18 HCP St + Sheboygan + IL + 23458 + US + + + + + Medici + James + Middle + Dr + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 30 - 40 mg/dL + + + + + + + + + + + + + + + + + + + + + 7.2 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 7.2 mb + + + + + + + + + + + + + + + + + + + + + + + + 7.2 mb + + + 30 - 40 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 7.3 + + + + + + + + + + + + + + + + + + + 7.4 + + + + + + + + + + + + + + + + + + + 7.5 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Lab Result: Lab One, Two, Three +Test: Fake Cardiomyopathy endurance +Course: Patient Arrived +Items included: Interpretation, Range, 1 result same name +ops +ipso +more Latin phrases +------------------ +Findings: Inconceivable + + + + + + + + + 5 - 21 ml/min + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 7.3 + + + + + + + + + + + + + + + + + + + 7.3 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + +
+ + + + Hospital Consultations + + + FT HC Category 1 + + item 1 + + + item 2 + + + item 3 + + + + FT HC Category 2 + + item one + + + item two + + + item three + + + + Section Comments + Hospital Consultations Section Comment + + + + + + + + + + + + + + +
+ + +
+ + + + Goals + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ Gooooooooal! Free Text + + Goal Set: + 5-May-2019 +
+ Goal Date: + 5-Jun-2019 +
+ Related To: +
+  • + + Primary Health Concern Text + +
+ Interventions +
+  • + + Med Product Name + +
+  • + + Med Product Name 2 + +
+  • + + Medication #3 + +
+  • + + No Dates Medication #4 + +
+  • + + Immunization Product Name 1 + +
+  • + + Immunization Product Name 2 + +
+  • + + Not Administered Anti-goofball injectable PhilosophicalObjection + +
+  • + + Procedure Text #1 + +
+  • + + Procedure with Method (without display Name) + Instruction + +
+  • + + Procedure Cancelled + +
+  • + + Procedure Denied, Complete Date only + +
+  • + + Procedure Complete + +
+  • + + Value of Procedure Text in a Resulted Procedure + +
+  • + + Resulted Procedure 2 Text + +
+  • + + Resulted Procedure 3 Text + +
+  • + + Abdominal CT Scan Series #3 - The patient was instructed to swallow ordered barium. +CT images were obtained at different angles through the chest and abdomen. +CT produces images by sending X-ray radiation through the tissues +of the body to a film on the opposite side of the patient's body. As the radiation penetrates the body, it is +absorbed in varying amounts by different body tissues. + +
+  • + + Free Text Encounter Type + +
+  • + + Multiple Lines, no id values +Line 2 +Line 3 + +
+  • + + Awareness, Reference, comment, start Date, end Date, encounter, last modified, internal ID(2) and imported ID(2), link + +
+  • + + internal ID(2), indication(1) + +
+  • + + link, OIT, this is OIT, no displayName on instruction type + +
+  • + + Did not supply formatted dates + +
+  • + + instructionType intentionally left null + +
+  • + + NMS Supply Name + +
+  • + + oral nutritional support + +
+ Planned Interventions +
+  • + BOTULINUM TOXIN TYPE A PER UNIT +
+  • + HDM Product Name 1 +
+  • + HDM Product Name +
+  • + Plan Immu/Immu/Product +
+  • + Plan Immu 2/Immu/Product +
+  • + Immunization Product Name 1 +
+  • + Immunization Product Name 2 +
+  • + Anti-goofball injectable +
+  • + ELECTROLYTE PANEL +
+  • + GENERAL BLOOD DRAW +
+  • + INSERT TISSUE EXPANDERS +
+  • + Removal of Kidney Stone +
+  • + Procedure Text #1 +
+  • + Procedure with Method (without display Name) + Instruction +
+  • + Procedure Cancelled +
+  • + Procedure Denied, Complete Date only +
+  • + Procedure Complete +
+  • + Value of Procedure Text in a Resulted Procedure +
+  • + Resulted Procedure 2 Text +
+  • + Resulted Procedure 3 Text +
+  • + Abdominal CT Scan Series #3 - The patient was instructed to swallow ordered barium. +CT images were obtained at different angles through the chest and abdomen. +CT produces images by sending X-ray radiation through the tissues +of the body to a film on the opposite side of the patient's body. As the radiation penetrates the body, it is +absorbed in varying amounts by different body tissues. +
+  • + Other Act +
+  • + Other Act 2 +
+  • + go to Connectathon +
+  • + Do not do that thing you do +
+  • + Bark in the Park +
+  • + Clinical Follow Up +
+  • + Clinical Follow Up +
+  • + Planned Int/encounter/free text +
+  • + Planned Int/encounter/free text +
+  • + POC Instruction 1, Internal ID(2), Imported ID(1), indication(1) +
+  • + Ins 2 OIT +
+  • + OIT POC Supply +
+  • + CPAP +
+  • + Medical Equipment/nms/supply name +
+  • + total parenteral nutrition (regime/therapy) +
+  • + total parenteral nutrition (regime/therapy) +
+  • + DNR +
+  • + No intubation - OIT +
+  • + No intubation +
+ Milestones +
+  • + Free Text Milestone Goooooal! 10 mm[Hg] +
+ Supported Documents +
+  • + + http://www.google.com + +
+ Free Text Milestone Goooooal! + 10 + mm[Hg] +
+ OIT Goal Text + + Patient Goal +
+ Related To: +
+  • + + Secondary Health Concern Text (Related) + +
+ + Section Comments + Goal Section Comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Free Text Milestone Goooooal! + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + http://www.google.com + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + +
+ + + + Hospital Discharge Physical + + + FT HDPF Category 1 + + item 1 + + + item 2 + + + item 3 + + + + FT HDPF Category 2 + + item one + + + item two + + + item three + + + + Section Comments + Hospital Discharge Physical Findings Section Comment + + + + + + + + + + + + + + + +
+ + +
+ + + + Nutrition + + + + + + + + + + + + + + + + + + + +
+ Nutrition Status: + Nuts + + 5-Jun-2019 +
+ + Nutrition Assessment Free Text + + + 5-Jun-2019 +
+ + Section Comments + Nutrition Section Comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + +
+ + + + Hospital Discharge Instructions + + + Home Care + + Get plenty of rest +Line 2 +Line 3 +Line 4 + + + Drink plenty of fluids + + + + Follow Up + + Call in one week to make a follow up appointment + + + In case of emergency, call 911 + + + + Section Comments + HDI Section Comment + + + + + + + + + + + + + + +
+ + +
+ + + + + Medical Equipment + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ Medical Equipment Procedure Text + + Status: + Completed +
+
+  • + + 6-Sep-2003 +
+ Note in an procedure in a Medical Equipment Organizer. + +
+ Medical Equipment/nms/supply name + + 1-Jun-2019 + To + 5-Jun-2019 +
+ Status: + normal + 		+ Quantity: + 42 +
+ Supplied: + Yes +
+  • + + Medical Equipment/Non Medical Supply/Instruction Text +
+ + 		+ Start: + 3-Jun-2019 +
+ End: + 5-Jun-2019 + 		+ Instruction Type: + Staff education (procedure) +
+ Comments: + Medical Equipment/Non Medical Supply/Instruction Comment +
+ + + + + + + + + + + + + + + + + + +
+ Medical Equipment/nms/supply name + + 1-Jun-2019 + To + 5-Jun-2019 +
+ Status: + normal + 		+ Quantity: + 42 +
+ Supplied: + Yes +
+  • + + Medical Equipment/Non Medical Supply/Instruction Text +
+ + 		+ Start: + 3-Jun-2019 +
+ End: + 5-Jun-2019 + 		+ Instruction Type: + Staff education (procedure) +
+ Comments: + Medical Equipment/Non Medical Supply/Instruction Comment +
+ + + + + + + + + + + + + + + + + + + + + + + +
+ Medical Equipment Procedure Text + + Status: + Completed +
+
+  • + + 6-Sep-2003 +
+ Note in an procedure in a Medical Equipment Organizer. + +
+ Patient has an X implant of unknown UDI +
+ + Section Comments + Medical Equipment Section Comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + +
+ + + + + Interventions + + + Interventions Category 1 + + item 1 + + + item 2 + + + item 3 + + + + Interventions Category Two + + item one + + + item two + + + item three + + + + Interventions Category Tree + + tulip poplar + + + copper birch + + + + + + + + + + + + + + + +
+ + Hand-off Communications: +
+ Medici, MD James Middle Dr + To + Medici, MD James Middle Dr + + 		+ 5-Jun-2019 +
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + Intervention For: + Gooooooooal! Free Text; Gooooooooal! Free Text; Free Text Milestone Goooooal! 10 mm[Hg]; Free Text Milestone Goooooal! 10 mm[Hg]; OIT Goal Text; OIT Goal Text + +
+ + Related Documents: + http://www.microsoft.com + +
+  • + + Med Product Name + ; + free text sig of the med + + + Start: + 1967/05/21 +
+ End: + 1967/05/21 + 		+ + Reaction: + + This is a med reaction + + , + + This is another reaction + + ( + Moderate to severe + ) + + + +
+  • + + Med Product Name 2 + ; + free text SIG 2 + + + Start: + 31-May-2019 +
+ End: + 5-Jul-2019 + 		+ Status: + Completed +
+ + Reaction: + + nausea + + ( + Fatal + ) + + + +
+  • + + Medication #3 + ; + Free Text SIG Med 3 + + + Start: + 5-Jun-2019 +
+ End: + 5-Jun-2019 +
+  • + + No Dates Medication #4 + ; + Free Text SIG Med 5 + +
+  • + Immunization Product Name 1 + + Administered + + + Reaction: + + This is a med reaction + + , + + This is another reaction + + ( + Mild to moderate + ) + + + +
+  • + Immunization Product Name 2 + + 1967/05/21 + + + Reaction: + + Immunization Reaction Text + + ( + Mild + ) + + + +
+  • + Anti-goofball injectable + + Not Administered On: + 5-Jun-2019 + + Philosophical Objection +
+
+  • + Procedure Text #1 + + Date: + 1967/05/21 +
+
+   ◦ + + 10-Oct-2013 +
+ Large blob of text on a procedure, no a really large blob of text. No a really really large blob of text on a procedure, I need to see the indention w/ wrap functionality. +
+ Comments: + Note on a Procedure comment + +
+   ◦ + + Procedure Medication Product Name + ; + Procedure/Medication/FreeTextSig + + + Start: + 5-Jun-2019 +
+ End: + 5-Jun-2019 +
+   ◦ + + Procedure Instruction Text + + + Start: + 12-May-2019 +
+ End: + 29-Jun-2019 + 		+ Instruction Type: + Procedure education (procedure) +
+  • + Procedure with Method (without display Name) + Instruction + + Date: + 31-May-2019 +
+ Status: + Aborted + 10-Jun-2019 +
+
+   ◦ + + Procedure Instruction Text + + + End: + 29-Jun-2019 + + Instruction Type: + Procedure education (procedure) +
+  • + Procedure Cancelled + + Date: + 31-May-2019 +
+ Status: + Cancelled +
+
+  • + Procedure Denied, Complete Date only + + Status: + Cancelled + 5-Jun-2019 +
+
+  • + Procedure Complete + + Date: + 31-May-2019 +
+ Status: + Completed + 31-May-2019 +
+
+  • + + Value of Procedure Text in a Resulted Procedure +
+ Result: + Procedure Result Text in Resulted Procedure -- Item Contains Interpretation and Range. + + 		+ Date: + 1967/05/21 +
+
+   ◦ + + Medici, MD James Middle Dr + - + 10-Oct-2009 +
+ Large blob of text on a resulted procedure, no a really large blob of text. No a really really large blob of text on a procedure, I need to see the indention w/ wrap functionality. +
+ Comments: + Note on a Resulted Procedure comment + +
+   ◦ + + Typical Procedure Medication + ; + Take 1 gallon per hour as needed + +
+   ◦ + + Typical Procedure Instruction + + + Start: + 3-Mar-2009 +
+
+  • + + Resulted Procedure 2 Text +
+ Result: + 7 mg + + 		+ Date: + 16-May-2019 +
+
+   ◦ + + A-Typical Procedure Instruction + +
+  • + + Resulted Procedure 3 Text +
+ Result: + Resulted Procedure 3 Result Text -- Contains Range (no Interpretation) + + 		+ Date: + 17-May-2019 +
+
+  • + + Abdominal CT Scan Series #3 - The patient was instructed to swallow ordered barium. +CT images were obtained at different angles through the chest and abdomen. +CT produces images by sending X-ray radiation through the tissues +of the body to a film on the opposite side of the patient's body. As the radiation penetrates the body, it is +absorbed in varying amounts by different body tissues. +
+ Result: + The liver is of generally low density, consistent with fatty infiltration. The liver, spleen, pancreas, and left adrenal gland remain unremarkable. + The left lobe is unremarkable. No focal liver or splenic lesions identified. The gallbladder appears with evidence of biliary or pancreatic duct dilatation. + There is some stable scarring towards the lower pole of right kidney. No hydronephrosis. No abnormally enlarged retrocrural, anterior disphragmatic, retroperitoneal, metastatic nodes are identified. + Rectal contrast was not administered. Degenerative changes are noted. Please see associated CT chest report. + + 		+ Date: + 18-May-2019 +
+
+  • + Other Act + + Date: + 1967/05/21 +
+
+   ◦ + + Medici, MD James Middle Dr + - + 10-Oct-2010 +
+ Large blob of text on a procedure Other Act, no a really large blob of text. No a really really large blob of text on a procedure, I need to see the indention w/ wrap functionality. +
+ Comments: + Note on a Procedure comment + +
+  • + Other Act 2 + + Date: + 18-May-2019 +
+ Status: + Cancelled + 19-May-2019 +
+
+  • + Free Text Encounter Type + + Start: + 2-Feb-2019 10:48 +
+   ◦ + + 6-Sep-2003 +
+ Note in an encounter in an intervention. + +
+  • + + Multiple Lines, no id values +Line 2 +Line 3 + + + Instruction Type: + Progesterone supplement education (procedure) +
+  • + + Awareness, Reference, comment, start Date, end Date, encounter, last modified, internal ID(2) and imported ID(2), link + + + Start: + 1967/05/21 +
+ End: + 1967/05/21 + 		+ Instruction Type: + Emotional and psychosocial support and education (regime/therapy) +
+  • + + internal ID(2), indication(1) + + + Instruction Type: + Disease process or condition education (procedure) +
+  • + + link, OIT, this is OIT, no displayName on instruction type + +
+  • + + Did not supply formatted dates + + + Start: + 5-Jun-2019 +
+ End: + 5-Jun-2019 + 		+ Instruction Type: + Education about familial urinary cystine stones (procedure) +
+  • + + instructionType intentionally left null + +
+  • + NMS Supply Name + + Status: + suspended + + Quantity: + 42 +
+ Supplied: + Yes +
+  • + Oral nutritional support (regime/therapy) + + 5-Jun-2019 + + Intent +
+   ◦ + Clinical Follow Up + + Start: + 1967/05/21 + + Appointment Request +
+ Discharge Disposition: + Discharged/transferred to home under care of Home IV provider +
+   ◦ + Clinical Follow Up + + End: + 18-Jul-2019 + + Appointment +
+ Discharge Disposition: + Discharged/transferred to home under care of Home IV provider +
+   ◦ + INSERT TISSUE EXPANDERS + + End: + 1967/05/21 + + Request +
+   ◦ + Removal of Kidney Stone + + Start: + 16-Jan-2013 + + Intent +
+   ◦ + ELECTROLYTE PANEL + + 1967/05/21 + To + 1967/05/21 + + Proposal +
+   ◦ + GENERAL BLOOD DRAW + + 25-Jan-2014 10:00 + To + 25-Jan-2014 + + Request +
+   ◦ + + BOTULINUM TOXIN TYPE A PER UNIT + ; + Planned Medication - Free Text Sig + + + Start: + 1967/05/21 +
+ End: + 5-Sep-2019 + 		+ Intent +
+ + Reaction: + + POC Substance Reaction Text + + +
+   ◦ + + go to Connectathon + + + 1967/05/21 + To + 1967/05/21 + + Promise +
+ Comments: + POC Act Comment, Item Negation +
+   ◦ + + Do not do that thing you do + + + 28-Jan-2013 11:21 + To + 2-Feb-2013 12:21 + + Request +
+ Comments: + item Negation, OIT +
+   ◦ + + Bark in the Park + + + Promise +
+ Comments: + Find a Dog Comment +
+   ◦ + OIT POC Supply + + 1967/05/21 + To + 1967/05/21 +
+ Status: + Ordered + 		+ Request +
+ Quantity: + 2 {ea} +
+    ▪ + + Plan of Care Supply Instruction + + + Instruction Type: + Body alignment education (procedure) +
+   ◦ + CPAP + + 6-Jun-2019 10:48 + To + 15-Jun-2019 10:48 +
+ Status: + Ordered + 		+ Request +
+ Quantity: + 2 +
+  • + DNR + + Effective: + 1967/05/21 +
+  • + No intubation +
+  • + No intubation + + Effective: + 5-Jun-2019 +
+  • + + Hand-off Communications: +
+ Medici, MD James Middle Dr + To + Medici, MD James Middle Dr + + 		+ 5-Jun-2019 +
+ + Intervention For: + Gooooooooal! Free Text; Gooooooooal! Free Text; Free Text Milestone Goooooal! 10 mm[Hg]; Free Text Milestone Goooooal! 10 mm[Hg]; OIT Goal Text; OIT Goal Text + +
+  • + Intervention NMS Supplied Item + + Status: + normal + + Quantity: + 21 +
+ Supplied: + Yes +
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Planned
+ Intervention For: +
+ Gooooooooal! Free Text; Gooooooooal! Free Text; Free Text Milestone Goooooal! 10 mm[Hg]; Free Text Milestone Goooooal! 10 mm[Hg]; OIT Goal Text; OIT Goal Text +
+ + Related Documents: + http://www.apple.com + +
+  • + + BOTULINUM TOXIN TYPE A PER UNIT + ; + Planned Medication - Free Text Sig + + + Start: + 1967/05/21 +
+ End: + 5-Sep-2019 + 		+ Intent +
+ + Reaction: + + POC Substance Reaction Text + + +
+  • + + HDM Product Name 1 + ; + free text SIG HDM 1 + +
+  • + + HDM Product Name + ; + free text SIG HDM + + + Start: + 1967/05/21 +
+ End: + 5-Jul-2019 + 		+ + Reaction: + + Hives + + ( + Severe + ) + + + +
+  • + + Plan Immu/Immu/Product + + + On: + 6-Oct-2019 + + Intent +
+  • + + Plan Immu 2/Immu/Product + + + On: + 17-Jun-2019 + + Promise +
+  • + Immunization Product Name 1 + + Administered + + + Reaction: + + This is a med reaction + + , + + This is another reaction + + ( + Mild to moderate + ) + + + +
+  • + Immunization Product Name 2 + + 1967/05/21 + + + Reaction: + + Immunization Reaction Text + + ( + Mild + ) + + + +
+  • + Anti-goofball injectable + + Not Administered On: + 5-Jun-2019 + + Philosophical Objection +
+
+  • + ELECTROLYTE PANEL + + 1967/05/21 + To + 1967/05/21 + + Proposal +
+  • + GENERAL BLOOD DRAW + + 25-Jan-2014 10:00 + To + 25-Jan-2014 + + Request +
+  • + INSERT TISSUE EXPANDERS + + End: + 1967/05/21 + + Request +
+   ◦ + + Proc Medication #1 + ; + Free Text SIG Procedure Med 1 + +
+  • + Removal of Kidney Stone + + Start: + 16-Jan-2013 + + Intent +
+  • + Procedure Text #1 + + Date: + 1967/05/21 +
+
+   ◦ + + 10-Oct-2013 +
+ Large blob of text on a procedure, no a really large blob of text. No a really really large blob of text on a procedure, I need to see the indention w/ wrap functionality. +
+ Comments: + Note on a Procedure comment + +
+   ◦ + + Procedure Medication Product Name + ; + Procedure/Medication/FreeTextSig + + + Start: + 5-Jun-2019 +
+ End: + 5-Jun-2019 +
+   ◦ + + Procedure Instruction Text + + + Start: + 12-May-2019 +
+ End: + 29-Jun-2019 + 		+ Instruction Type: + Procedure education (procedure) +
+  • + Procedure with Method (without display Name) + Instruction + + Date: + 31-May-2019 +
+ Status: + Aborted + 10-Jun-2019 +
+
+   ◦ + + Procedure Instruction Text + + + End: + 29-Jun-2019 + + Instruction Type: + Procedure education (procedure) +
+  • + Procedure Cancelled + + Date: + 31-May-2019 +
+ Status: + Cancelled +
+
+  • + Procedure Denied, Complete Date only + + Status: + Cancelled + 5-Jun-2019 +
+
+  • + Procedure Complete + + Date: + 31-May-2019 +
+ Status: + Completed + 31-May-2019 +
+
+  • + + Value of Procedure Text in a Resulted Procedure +
+ Result: + Procedure Result Text in Resulted Procedure -- Item Contains Interpretation and Range. + + 		+ Date: + 1967/05/21 +
+
+   ◦ + + Medici, MD James Middle Dr + - + 10-Oct-2009 +
+ Large blob of text on a resulted procedure, no a really large blob of text. No a really really large blob of text on a procedure, I need to see the indention w/ wrap functionality. +
+ Comments: + Note on a Resulted Procedure comment + +
+   ◦ + + Typical Procedure Medication + ; + Take 1 gallon per hour as needed + +
+   ◦ + + Typical Procedure Instruction + + + Start: + 3-Mar-2009 +
+
+  • + + Resulted Procedure 2 Text +
+ Result: + 7 mg + + 		+ Date: + 16-May-2019 +
+
+   ◦ + + A-Typical Procedure Instruction + +
+  • + + Resulted Procedure 3 Text +
+ Result: + Resulted Procedure 3 Result Text -- Contains Range (no Interpretation) + + 		+ Date: + 17-May-2019 +
+
+  • + + Abdominal CT Scan Series #3 - The patient was instructed to swallow ordered barium. +CT images were obtained at different angles through the chest and abdomen. +CT produces images by sending X-ray radiation through the tissues +of the body to a film on the opposite side of the patient's body. As the radiation penetrates the body, it is +absorbed in varying amounts by different body tissues. +
+ Result: + The liver is of generally low density, consistent with fatty infiltration. The liver, spleen, pancreas, and left adrenal gland remain unremarkable. + The left lobe is unremarkable. No focal liver or splenic lesions identified. The gallbladder appears with evidence of biliary or pancreatic duct dilatation. + There is some stable scarring towards the lower pole of right kidney. No hydronephrosis. No abnormally enlarged retrocrural, anterior disphragmatic, retroperitoneal, metastatic nodes are identified. + Rectal contrast was not administered. Degenerative changes are noted. Please see associated CT chest report. + + 		+ Date: + 18-May-2019 +
+
+  • + Other Act + + Date: + 1967/05/21 +
+
+   ◦ + + Medici, MD James Middle Dr + - + 10-Oct-2010 +
+ Large blob of text on a procedure Other Act, no a really large blob of text. No a really really large blob of text on a procedure, I need to see the indention w/ wrap functionality. +
+ Comments: + Note on a Procedure comment + +
+  • + Other Act 2 + + Date: + 18-May-2019 +
+ Status: + Cancelled + 19-May-2019 +
+
+  • + + go to Connectathon + + + 1967/05/21 + To + 1967/05/21 + + Promise +
+ Comments: + POC Act Comment, Item Negation +
+  • + + Do not do that thing you do + + + 28-Jan-2013 11:21 + To + 2-Feb-2013 12:21 + + Request +
+ Comments: + item Negation, OIT +
+  • + + Bark in the Park + + + Promise +
+ Comments: + Find a Dog Comment +
+  • + Clinical Follow Up + + Start: + 1967/05/21 + + Appointment Request +
+ Discharge Disposition: + Discharged/transferred to home under care of Home IV provider +
+  • + Clinical Follow Up + + End: + 18-Jul-2019 + + Appointment +
+ Discharge Disposition: + Discharged/transferred to home under care of Home IV provider +
+  • + Planned Int/encounter/free text + + 3-Jun-2019 10:48 + To + 5-Jun-2019 10:48 +
+   ◦ + + 6-Sep-2003 +
+ Note in an encounter in a PLANNED intervention. + +
+  • + Planned Int/encounter/free text + + 3-Jun-2019 10:48 + To + 5-Jun-2019 10:48 +
+  • + + POC Instruction 1, Internal ID(2), Imported ID(1), indication(1) + + + Instruction Type: + Family medication education (procedure) +
+  • + + Ins 2 OIT + + + Start: + 1967/05/21 +
+ End: + 25-Jun-2019 + 		+ Instruction Type: + Lifestyle education (procedure) +
+  • + OIT POC Supply + + 1967/05/21 + To + 1967/05/21 +
+ Status: + Ordered + 		+ Request +
+ Quantity: + 2 {ea} +
+   ◦ + + Plan of Care Supply Instruction + + + Instruction Type: + Body alignment education (procedure) +
+  • + CPAP + + 6-Jun-2019 10:48 + To + 15-Jun-2019 10:48 +
+ Status: + Ordered + 		+ Request +
+ Quantity: + 2 +
+  • + Medical Equipment/nms/supply name + + 1-Jun-2019 + To + 5-Jun-2019 +
+ Status: + normal + 		+ Quantity: + 42 +
+ Supplied: + Yes +
+   ◦ + + Medical Equipment/Non Medical Supply/Instruction Text +
+ + 		+ Start: + 3-Jun-2019 +
+ End: + 5-Jun-2019 + 		+ Instruction Type: + Staff education (procedure) +
+ Comments: + Medical Equipment/Non Medical Supply/Instruction Comment +
+  • + total parenteral nutrition (regime/therapy) + + 5-Jun-2019 + + Proposal +
+   ◦ + Clinical Follow Up + + Start: + 1967/05/21 + + Appointment Request +
+ Discharge Disposition: + Discharged/transferred to home under care of Home IV provider +
+   ◦ + Clinical Follow Up + + End: + 18-Jul-2019 + + Appointment +
+ Discharge Disposition: + Discharged/transferred to home under care of Home IV provider +
+   ◦ + INSERT TISSUE EXPANDERS + + End: + 1967/05/21 + + Request +
+   ◦ + Removal of Kidney Stone + + Start: + 16-Jan-2013 + + Intent +
+   ◦ + ELECTROLYTE PANEL + + 1967/05/21 + To + 1967/05/21 + + Proposal +
+   ◦ + GENERAL BLOOD DRAW + + 25-Jan-2014 10:00 + To + 25-Jan-2014 + + Request +
+   ◦ + + BOTULINUM TOXIN TYPE A PER UNIT + ; + Planned Medication - Free Text Sig + + + Start: + 1967/05/21 +
+ End: + 5-Sep-2019 + 		+ Intent +
+ + Reaction: + + POC Substance Reaction Text + + +
+   ◦ + + go to Connectathon + + + 1967/05/21 + To + 1967/05/21 + + Promise +
+ Comments: + POC Act Comment, Item Negation +
+   ◦ + + Do not do that thing you do + + + 28-Jan-2013 11:21 + To + 2-Feb-2013 12:21 + + Request +
+ Comments: + item Negation, OIT +
+   ◦ + + Bark in the Park + + + Promise +
+ Comments: + Find a Dog Comment +
+   ◦ + OIT POC Supply + + 1967/05/21 + To + 1967/05/21 +
+ Status: + Ordered + 		+ Request +
+ Quantity: + 2 {ea} +
+    ▪ + + Plan of Care Supply Instruction + + + Instruction Type: + Body alignment education (procedure) +
+   ◦ + CPAP + + 6-Jun-2019 10:48 + To + 15-Jun-2019 10:48 +
+ Status: + Ordered + 		+ Request +
+ Quantity: + 2 +
+  • + total parenteral nutrition (regime/therapy) + + 5-Jun-2019 + + Proposal +
+  • + DNR + + Effective: + 1967/05/21 +
+  • + No intubation +
+  • + No intubation + + Effective: + 5-Jun-2019 +
+  • + + Hand-off Communications: +
+ Medici, MD James Middle Dr + To + Medici, MD James Middle Dr + + 		+ 5-Jun-2019 +
+ + Section Comments + Interventions (Entries) Section Comment + Interventions Section Comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 42 Document Holder Lane + Heaven + MI + 48703 + + + + + + Holder + Document + The + DH + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Patient + Sally + The + Really + Great + Ms + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Patient + Sally + The + Really + Great + Ms + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 20 to 29 percent of body surface + + + + + + + + + + + + + + LOT42 + + + mfgname + + + + + + + + + + Immunization Drug Vehicle Text + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Immunization Precondition Text + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Med Brand Name + + + PillsRUs + + + + + + + + + + + + + + + Medication Drug Vehicle + + + + + + + + + + + + + + + + + + + Past Problem 2 Text + + + + + + + Past Problem 2 Text + + + + + + + + + + Medication Patient Instructions + + + + + + + + + + + + + + + + + + + + + + + + + + + Med Brand Name + + + PillsRUs + + + + + + + + + + + + + + Medication Fulfillment Instructions + + + + + + + + + + + + + + + + + + + + + + + + + Med Brand Name + + + PillsRUs + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Medici + James + Middle + Dr + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Medication Precondition Free Text + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Med Brand Name 2 + + + + + + + + + + + + + + + + + + + + + + + + + + + + Med Brand Name 2 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Med Brand Name 2 + + + + + + + + + + + + + + + + + + + + + + + + + + Med Brand Name 2 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Brand #3 + + + + + + + + + + + + + + + + + + + + + + + Brand #3 + + + + + + + + + + + + + + + + + + + + + + + + + Brand #3 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Brand #4 + + + + + + + + + + + + + + + + + + + + + + + Brand #4 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + OA Procedure Indication + + + + + + + + + + + + + + + + + + + + + OA Procedure Indication 2 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Procedure Result Text in Resulted Procedure -- Item Contains Interpretation and Range. + + + + + + + + + + Montgomery + AL + + + + Out Back + + + + + + + + + + Birmingham + AL + + + + Over Yonder + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + RP Procedure Indication + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + funny - not funny + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Resulted Procedure 3 Result Text -- Contains Range (no Interpretation) + + + + thin - thick + + + + + + + + + + + + + + + + + + + + + + + + + The liver is of generally low density, consistent with fatty infiltration. The liver, spleen, pancreas, and left adrenal gland remain unremarkable. + The left lobe is unremarkable. No focal liver or splenic lesions identified. The gallbladder appears with evidence of biliary or pancreatic duct dilatation. + There is some stable scarring towards the lower pole of right kidney. No hydronephrosis. No abnormally enlarged retrocrural, anterior disphragmatic, retroperitoneal, metastatic nodes are identified. + Rectal contrast was not administered. Degenerative changes are noted. Please see associated CT chest report. + + + + + + + + + + + + + + + + + + + + + + + + + Procedure Method + + + Abdominal and pelvic vascular structure + + + Abdominal aorta structure + + + + + + + + 18 HCP St + Sheboygan + IL + 23458 + US + + + + + Medici + James + Middle + Dr + MD + + + + + + + + + + Organization Provider + Organization City + PR + 00867-5309 + + + + Organization Provider Name + + + Organization Provider + Organization City + PR + 00867-5309 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Procedure + Service Delivery + AK + 99999 + + + + Procedure SDL Name + + + + + + + + + + Montgomery + AL + + + + Out Back + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Procedure Indication + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Procedure Indication 2 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Laughing Gasex + + + Happy Clown, Inc. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Laughing Gasex + + + Happy Clown, Inc. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Procedure Reaction Text + + + + + + + + + + + + Procedure Reaction Text w/Severity + + + + + + + Severe + + + Severe + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Instruction Indication + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 1 Médico Blvd + Paraiso + Tabasco + postalCode + MX + + + + + Bones + James + Dem + Sir + MD + + + + + + + + + + POC Encounter + Activity + MA + 90120 + + + + Tomorrowland + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Aberrant main renal artery + + + + + + + + + + + + + BOTULINUM + + + Pills R Us + + + + + + + + + + + + + + + + + + + + + + + + + POC Medication Indication problem text + + + + + + + + + + Lay back and this won't hurt a bit + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + BOTULINUM + + + Pills R Us + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 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The liver, spleen, pancreas, and left adrenal gland remain unremarkable. + The left lobe is unremarkable. No focal liver or splenic lesions identified. The gallbladder appears with evidence of biliary or pancreatic duct dilatation. + There is some stable scarring towards the lower pole of right kidney. No hydronephrosis. No abnormally enlarged retrocrural, anterior disphragmatic, retroperitoneal, metastatic nodes are identified. + Rectal contrast was not administered. Degenerative changes are noted. Please see associated CT chest report. + + + + + + + + + + + + + + + + + + + + + + + + + Procedure Method + + + Abdominal and pelvic vascular structure + + + Abdominal aorta structure + + + + + + + + 18 HCP St + Sheboygan + IL + 23458 + US + + + + + Medici + James + Middle + Dr + MD + + + + + + + + + + Organization Provider + Organization City + PR + 00867-5309 + + + + Organization Provider Name + + + Organization Provider + Organization City + PR + 00867-5309 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Procedure + Service Delivery + AK + 99999 + + + + Procedure SDL Name + + + + + + + + + + Montgomery + AL + + + + Out Back + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Procedure Indication + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Procedure Indication 2 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Laughing Gasex + + + Happy Clown, Inc. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Laughing Gasex + + + Happy Clown, Inc. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Procedure Reaction Text + + + + + + + + + + + + Procedure Reaction Text w/Severity + + + + + + + Severe + + + Severe + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Intervention/Planned Intervention/Encounter Location Name + + + + + + + + + + + + + + + + + + Planned Int/encounter/diagnosis text + + + + + + Planned Int/encounter/diagnosis text + + + + + + + + + + + + + Planned Intervention/Encounter/Problem + + + + 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+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + +
+ + + + + Plan of Treatment + + + + + + + + + + + + + + +
HandOff Communications
+ + Medici, MD James Middle Dr + To + Medici, MD James Middle Dr + + + 5-Jun-2019 +
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Goals
+ POC/Planned Goal Free Text + 42 + {ohm} + + Goal Set: + 10-May-2017 10:48 +
+ Goal Date: + 5-Jun-2019 10:48 +
+ POC/Planned Goal w/o a code + 42 + km + + Goal Set: + 10-May-2017 10:48 +
+ Goal Date: + 5-Jun-2019 10:48 +
+ POC/Planned OIT LOINC + 42 + mm + + Goal Set: + 10-May-2017 10:48 +
+ Goal Date: + 5-Jun-2019 10:48 +
+ + + + + + + + + + + + + + + + + + + + + +
Planned Immunizations
+ + Plan Immu/Immu/Product +
+ + 		+ Scheduled for Administration +
+ On: + 6-Oct-2019 + 		+ Intent +
+ + Indication: + Planned Immunization/indication/Problem Text + +
+ Comments: + Planned Immunization/Immunization/Comment Text +
+ + Plan Immu 2/Immu/Product +
+ + 		+ Scheduled for Administration +
+ On: + 17-Jun-2019 + 		+ Promise +
+
+ Comments: + Planned Immunization 2/Immunization/Comment Text +
+ + + + + + + + + + + + + + + + + + + + + + + + + + +
Planned Supplies
+ + OIT POC Supply +
+ Quantity: + 2 {ea} +
+ + 		+ 1967/05/21 + To + 1967/05/21 + + Type: + Request +
+ + Indication: + No code problem + +
+ Comments: + POC Supply Comment +
+  • + + Plan of Care Supply Instruction +
+ + 		+ Instruction Type: + Body alignment education (procedure) +
+
+ + CPAP +
+ Quantity: + 2 +
+ + 		+ 6-Jun-2019 10:48 + To + 15-Jun-2019 10:48 + + Type: + Request +
+ Comments: + POC Supply 2 Comment +
+ + + + + + + + + + + + + + +
Planned Medications
+ + BOTULINUM TOXIN TYPE A PER UNIT + ; + Planned Medication - Free Text Sig +
+ Site: + Aberrant main renal artery +
+ Lay back and this won't hurt a bit + + 		+ Start: + 1967/05/21 +
+ End: + 5-Sep-2019 + 		+ Intent +
+ + Reaction: + + POC Substance Reaction Text + + +
+ + Indication: + POC Medication Indication problem text + +
+ Comments: + POC Medications 1 comment +
+ + + + + + + + + + + + + + + + + + + + + + + + + + +
Planned Procedures
+ INSERT TISSUE EXPANDERS + + End: + 1967/05/21 + + Request +
+ Comments: + POC Procedure 1 Comment +
+  • + + Proc Medication #1 + ; + Free Text SIG Procedure Med 1 + +
+ Removal of Kidney Stone + + Start: + 16-Jan-2013 + + Intent +
+ + Indication: + POC Procedure Indication + +
+ Comments: + POC Procedure Comment +
+ + + + + + + + + + + + + + + + + + + + + +
Planned Encounters
+ + Clinical Follow Up +
+ Discharge Disposition: + Discharged/transferred to home under care of Home IV provider +
+ Tomorrowland +
+ POC Encounter Activity MA 90120 +
+ tel:+230-192 123 1234 + + 		+ Start: + 1967/05/21 +
+ Bones, MD James Dem Sir + 		+ Appointment Request +
+
+ + Clinical Follow Up +
+ Discharge Disposition: + Discharged/transferred to home under care of Home IV provider +
+ tel:+230-192 123 1234 + + 		+ End: + 18-Jul-2019 +
+ 		+ Appointment +
+
+ + + + + + + + + + + + + + + + + + + + + +
Planned Observations
+ ELECTROLYTE PANEL +
+ 		+ 1967/05/21 To 1967/05/21 +
+ 		+ Proposal +
+ Comments: + POC Observation comment, ordered but may be canceled +
+ GENERAL BLOOD DRAW +
+ 		+ 25-Jan-2014 10:00 To 25-Jan-2014 +
+ 		+ Request +
+ Comments: + POC Observation 2 comment, use of leeches is requested +
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Planned Acts
+ + go to Connectathon + + + 1967/05/21 + To + 1967/05/21 + + Promise +
+ Comments: + POC Act Comment, Item Negation +
+ + Do not do that thing you do + + + 28-Jan-2013 11:21 + To + 2-Feb-2013 12:21 + + Request +
+ Comments: + item Negation, OIT +
+ + Bark in the Park + + + Promise +
+ Comments: + Find a Dog Comment +
+ + + + + + + + + + + + + + + + + + + + + +
Instructions
+ + POC Instruction 1, Internal ID(2), Imported ID(1), indication(1) +
+ + Indication: + POC Instruction Indication + + + 		+ Instruction Type: + Family medication education (procedure) +
+
+ + Ins 2 OIT +
+ + 		+ Start: + 1967/05/21 +
+ End: + 25-Jun-2019 + 		+ Instruction Type: + Lifestyle education (procedure) +
+ Comments: + Instruction 2 Comment +
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Nutrition Recommendations
+ total parenteral nutrition (regime/therapy) + + 5-Jun-2019 + + Proposal +
+  • + + go to Connectathon + + + 1967/05/21 + To + 1967/05/21 + + Promise +
+ Comments: + POC Act Comment, Item Negation +
+  • + + Do not do that thing you do + + + 28-Jan-2013 11:21 + To + 2-Feb-2013 12:21 + + Request +
+ Comments: + item Negation, OIT +
+  • + + Bark in the Park + + + Promise +
+ Comments: + Find a Dog Comment +
+  • + Clinical Follow Up + + Start: + 1967/05/21 + + Appointment Request +
+ Discharge Disposition: + Discharged/transferred to home under care of Home IV provider +
+  • + Clinical Follow Up + + End: + 18-Jul-2019 + + Appointment +
+ Discharge Disposition: + Discharged/transferred to home under care of Home IV provider +
+  • + + BOTULINUM TOXIN TYPE A PER UNIT + ; + Planned Medication - Free Text Sig + + + Start: + 1967/05/21 +
+ End: + 5-Sep-2019 + 		+ Intent +
+ + Reaction: + + POC Substance Reaction Text + + +
+  • + ELECTROLYTE PANEL + + 1967/05/21 + To + 1967/05/21 + + Proposal +
+  • + GENERAL BLOOD DRAW + + 25-Jan-2014 10:00 + To + 25-Jan-2014 + + Request +
+  • + INSERT TISSUE EXPANDERS + + End: + 1967/05/21 + + Request +
+   ◦ + + Proc Medication #1 + ; + Free Text SIG Procedure Med 1 + +
+  • + Removal of Kidney Stone + + Start: + 16-Jan-2013 + + Intent +
+  • + OIT POC Supply + + 1967/05/21 + To + 1967/05/21 +
+ Status: + Ordered + 		+ Request +
+ Quantity: + 2 {ea} +
+   ◦ + + Plan of Care Supply Instruction + + + Instruction Type: + Body alignment education (procedure) +
+  • + CPAP + + 6-Jun-2019 10:48 + To + 15-Jun-2019 10:48 +
+ Status: + Ordered + 		+ Request +
+ Quantity: + 2 +
+ total parenteral nutrition (regime/therapy) + + 5-Jun-2019 + + Proposal +
+ + Section Comments + POC Section Comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 18 HCP St + Sheboygan + IL + 23458 + US + + + + + Medici + James + Middle + Dr + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 1 Médico Blvd + Paraiso + Tabasco + postalCode + MX + + + + + Bones + James + Dem + Sir + MD + + + + + + + + + + POC Encounter + Activity + MA + 90120 + + + + Tomorrowland + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Proc Brand #1 + + + + + + + + + + + + + + + + + + + + + + + Proc Brand #1 + + + + + + + + + + + + + + + + + + + + + + + + + Proc Brand #1 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + BOTULINUM + + + Pills R Us + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + BOTULINUM + + + Pills R Us + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 18 HCP St + Sheboygan + IL + 23458 + US + + + + + Medici + James + Middle + Dr + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 18 HCP St + Sheboygan + IL + 23458 + US + + + + Medici + James + Middle + Dr + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 1 Médico Blvd + Paraiso + Tabasco + postalCode + MX + + + + + Bones + James + Dem + Sir + MD + + + + + + + + + + POC Encounter + Activity + MA + 90120 + + + + Tomorrowland + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Aberrant main renal artery + + + + + + + + + + + + + BOTULINUM + + + Pills R Us + + + + + + + + + + + + + + + + + + + + + + + + + POC Medication Indication problem text + + + + + + + + + + Lay back and this won't hurt a bit + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + BOTULINUM + + + Pills R Us + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 18 HCP St + Sheboygan + IL + 23458 + US + + + + + Medici + James + Middle + Dr + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Proc Brand #1 + + + + + + + + + + + + + + + + + + + + + + + Proc Brand #1 + + + + + + + + + + + + + + + + + + + + + + + + + Proc Brand #1 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + POC Procedure Indication + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 18 HCP St + Sheboygan + IL + 23458 + US + + + + + Medici + James + Middle + Dr + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + No code problem + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Planned Immunization/indication/Prognosis Free Text + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + +
+ + + + Hospital Discharge Studies Summary + + + FT HDSS Category 1 + + item 1 + + + item 2 + + + item 3 + + + + FT HDSS Category 2 + + item one + + + item two + + + item three + + + + Section Comments + Hospital Discharge Studies Summaries Section Comment + + + + + + + + + + + + + + + +
+ + +
+ + + + + + + Results + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ Organizer Order Name + + Ordered On: + 1967/05/21 + + Comments: + Result Organizer Comment +
+  • + + 10-Oct-2013 +
+ Large blob of text on a result organizer + +
+ Result with Interpretation, Range and discrete UOM + 42 + mg/dL + (Weakly reactive) + + + Range: + 30 - 40 mg/dL +
+ + Method: + A result method +
+ Site: + Periosteum +
+ Comments: + Result Comment +
+  • + + Medici, MD James Middle Dr + - + 10-Oct-2013 +
+ Large blob of text on a result observation. Now even more data to show span across the page and wrapping of the data. This sentence is worthless. This is a worthless followup to a worthless sentence. +
+ Comments: + Note Comment on a result observation + +
+ 5-Jun-2019 10:46 + + Result with interpretation (no range) and no UOM + 7.2 + (Indeterminate) + + + Range: + 7 + - + 8 +
+ +
+ 5-Jun-2019 10:45 + + Result with interpretation (no range), string value (containing UOM) and no UOM discrete + 7.2 mb + (Positive) +
+ 5-Jun-2019 10:44 + + Result with range (no interpretation), string value (containing UOM) and no UOM discrete + 7.2 mb + + + Range: + 30 - 40 +
+ +
+ 1 Result, same name + + Ordered On: + 2-Nov-2018 + + Comments: + Result Organizer 2 Comment +
+ 1967/05/21 + + 1 Result, same name + 23 + [lb_av] + (Negative) + + Method: + Earwig extraction +
+ Site: + Pelvic arch +
+ Comments: + Result 2-1 Comment +
+ More Results + (Pending) +
+ 5-Jun-2019 10:41 + + Result with no UOM + 7.3 +
+ 1967/05/21 + + Result with no UOM + 7.4 +
+ 5-Jun-2019 10:39 + + Result with no UOM + 7.5 +
+ Lab Result + + Comments: + Lab Result Organizer Comment +
+ 24-May-2019 10:48 + + Lab Result + Lab Result: Lab One, Two, Three +Test: Fake Cardiomyopathy endurance +Course: Patient Arrived +Items included: Interpretation, Range, 1 result same name +ops +ipso +more Latin phrases +------------------ +Findings: Inconceivable + + ml/min + (High) + + + Range: + 5 - 21 ml/min +
+ + Comments: + A lab result observation comment +
+ Trigger It + + Ordered On: + 5-Jun-2019 + + Comments: + Trigger Result Organizer +
+ 5-Jun-2019 10:41 + + Trigger Result Test + 7.3 +
+ Trigger Result Value + 7.3 +
+ + Section Comments + Results Section Comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + 18 HCP St + Sheboygan + IL + 23458 + US + + + + + Medici + James + Middle + Dr + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 30 - 40 mg/dL + + + + + + + + + + + + + + + + + + + + + 7.2 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 7.2 mb + + + + + + + + + + + + + + + + + + + + + + + + 7.2 mb + + + + + + 30 - 40 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 7.3 + + + + + + + + + + + + + + + + + + + 7.4 + + + + + + + + + + + + + + + + + + + 7.5 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Lab Result: Lab One, Two, Three +Test: Fake Cardiomyopathy endurance +Course: Patient Arrived +Items included: Interpretation, Range, 1 result same name +ops +ipso +more Latin phrases +------------------ +Findings: Inconceivable + + + + + + + + + + + + + + + + + + + + + 5 - 21 ml/min + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 7.3 + + + + + + + + + + + + + + + + + + + 7.3 + + + + + + + + + + + + + + + + + + + + + + +
+ + +
+ + + + Vital Sign Summary + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Vital\Date5-Jun-20195-Jun-2018
BSA Abbr10 m2
Head Circum10 cm
+ + + + +
+ + +
+ + + + + + + Vital Signs + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Last Charted
BPFiO2BSA AbbrHead Circum
123/98 mm[Hg]10 L/min10 m210 cm
5-Jun-20195-Jun-20195-Jun-20195-Jun-2018
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
As Charted
+ 1967/05/21 + + + Comments: + Vital Organizer Comment + +
+ + BP Diastolic + 98 + mm[Hg] + ( + Abnormal + ) + + + Range: + VS reference Range +
+ Comments: + Body Site (no display Name), Method (no display Name) and interpretation (no range) +
+ + BP Systolic + 123 + mm[Hg] + ( + Significant change down + ) + + + Range: + Kiss - Tell +
+ Method: + Blush Test +
+ Site: + Heart tissue +
+ Comments: + Interpretation, Range, body site and method +
+ + OIT BSA + 10 + m2 + + + Range: + Low - High +
+ Comments: + Range (no interpretation) +
+ 5-Jun-2019 10:48 + + + Comments: + Vital Organizer Comment + +
+ + OIT Fios + 10 + L/min + +
+ 5-Jun-2019 10:48 +
+ + Head Circumference + 10 + cm + +
+ + LMP + 20150521 + +
+ + Troponin I.cardiac [Mass/​volume] in Serum or Plasma + 90 + ng/mL + +
+ + Section Comments + Vitals Section Comment + + + + + + + + + + + + + + + + + + + + + + 18 HCP St + Sheboygan + IL + 23458 + US + + + + + Medici + James + Middle + Dr + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 18 HCP St + Sheboygan + IL + 23458 + US + + + + + Medici + James + Middle + Dr + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 18 HCP St + Sheboygan + IL + 23458 + US + + + + + Medici + James + Middle + Dr + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + +
+ + + + + + + Advance Directives + + + + + + + + + + + + + + + + + + + + + + + + +
+ DNR + + Effective: + 1967/05/21 +
+ End: + 1967/05/21 +
+ 		+ Comments: + AD Comment about AD things AD related +
+ No intubation - OIT +
+ No intubation + + Effective: + 5-Jun-2019 +
+ End: + 5-Jun-2020 +
+
+ + Section Comments + Advance Directives Section Comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 42 Document Holder Lane + Heaven + MI + 48703 + + + + + + Holder + Document + The + DH + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Patient + Sally + The + Really + Great + Ms + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Patient + Sally + The + Really + Great + Ms + MD + + + + + + + + + + + + + + + +
+ + +
+ + + + Encounters + + + + + + + + + + + + + + + + + + + + + + + + +
+ Encounter 1 +
+ + Encounter Reason: + angina complaint + +
+ 		+ 1967/05/21 + To + 1967/05/21 +
+ Medici, MD James Middle Dr (Primary Care Provider) +
+ Office +
+ 1 Médico Blvd MX12 23V Paraiso Tabasco MX +
+ tel:+1-(222)555-0121 + 		+ Discharge Disposition: + Admitted as an inpatient to this hospital +
+
+  • + + 1-Jan-2011 +
+ Encounter Note Text + +
+ E&M Coded Encounter +
+ + Encounter Diagnosis: + Growth under arm + + 		+ 10-Nov-2009 +
+ Bones, MD James Dem Sir (Referring Provider) +
+ Golf Course +
+ 1 Insurance Provider St Claims Department Boston KS 60654 +
+ tel:+36-12345.1232.11;ext=789 + 		+ Discharge Disposition: + Expired (i.e., dead) +
+ + Comments: + Encounter Diagnosis Comment + +
+ + Section Comments + Encounter Section Comment + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 18 HCP St + Sheboygan + IL + 23458 + US + + + + + Medici + James + Middle + Dr + MD + + + + + + + + + + 1 Médico Blvd + Paraiso + Tabasco + MX12 23V + MX + + + + Office + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 1 Médico Blvd + Paraiso + Tabasco + postalCode + MX + + + + + Bones + James + Dem + Sir + MD + + + + + + + + + + 1 Insurance Provider St + Claims Department + Boston + KS + 60654 + + + + Golf Course + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 1 Médico Blvd + Paraiso + Tabasco + postalCode + MX + + + + + Bones + James + Dem + Sir + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Acute + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + +
+ + + + Hospital Course + + + Admission + + Arrived via ED + + + Told to go home and stop wasting our time. + + + Departed via loading dock. + + + + Section Comments + HC Section Comment + + + + + + + + + + + + + + + +
+ + +
+ + + + Payers + + + + + + + + + + + + + + + + + + + + +
Insurance Providers
+ Blue Insurance Provider +
+ 1 Insurance Provider St Claims Department Boston KS 60654 +
+ tel:+1-(222)555-0121 + 		+ 1967/05/21 + To + 1967/05/21 + + Member ID: + 123456789 +
+ Group Number: + GP878787 +
+ Green Insurance Group +
+ 1 Insurance Provider St Claims Department Boston KS 60654 +
+ tel:+1-(222)555-0121 + 		+ 5-Jun-2018 10:48 + To + 5-Jun-2020 10:48 + +
+ Group Number: + G1212121 +
+ + + + + + + + + + + + +
Guarantors
+ Guarantor Contact +
+ 1 Guarantor Way Anywhere NC 27816 +
+ tel:+1-(123)456-0789;ext=1212 +
+ + + + + + + + + + + + + + + + + + + + + + + 1 Insurance Provider St + Claims Department + Boston + KS + 60654 + + + + Blue Coverage Central + + + 1 Insurance Provider St + Claims Department + Boston + KS + 60654 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 1 Insurance Provider St + Claims Department + Boston + KS + 60654 + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + \ No newline at end of file diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/vocabAndMdhtSeverityLevelErrorFileBasedConfig.xml b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/vocabAndMdhtSeverityLevelErrorFileBasedConfig.xml new file mode 100644 index 0000000000..bd99a98da9 --- /dev/null +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/samples/reference/vocabAndMdhtSeverityLevelErrorFileBasedConfig.xml @@ -0,0 +1,102 @@ + + + + + RequiredNodeValidator + + MAY + + v3:prefix + informant/relatedEntity/relatedPerson/name MAY contain a prefix element (not a real rule - just a test) + + + + + + RequiredNodeValidator + + SHOULD + + v3:prefix + informant/relatedEntity/relatedPerson/name SHOULD contain a prefix element (not a real rule - just a test) + + + + + + RequiredNodeValidator + + SHALL + + v3:prefix + informant/relatedEntity/relatedPerson/name SHALL contain a prefix element (not a real rule - just a test) + + + + + + RequiredNodeValidator + + MAY + + v3:prefix + informant/relatedEntity/relatedPerson/name MAY contain a prefix element (not a real rule - just a test) + + + + + + RequiredNodeValidator + + SHOULD + + v3:prefix + informant/relatedEntity/relatedPerson/name SHOULD contain a prefix element (not a real rule - just a test) + + + + + + RequiredNodeValidator + + SHALL + + v3:prefix + informant/relatedEntity/relatedPerson/name SHALL contain a prefix element (not a real rule - just a test) + + + + + + RequiredNodeValidator + + MAY + + v3:prefix + informant/relatedEntity/relatedPerson/name MAY contain a prefix element (not a real rule - just a test) + + + + + + RequiredNodeValidator + + SHOULD + + v3:prefix + informant/relatedEntity/relatedPerson/name SHOULD contain a prefix element (not a real rule - just a test) + + + + + + RequiredNodeValidator + + SHALL + + v3:prefix + informant/relatedEntity/relatedPerson/name SHALL contain a prefix element (not a real rule - just a test) + + + + diff --git a/tests/org.hl7.security.ds4p.contentprofile.tests/src/test/java/org/hl7/security/ds4p/contentprofile/tests/TestDS4P.java b/tests/org.hl7.security.ds4p.contentprofile.tests/src/test/java/org/hl7/security/ds4p/contentprofile/tests/DS4PTest.java similarity index 85% rename from tests/org.hl7.security.ds4p.contentprofile.tests/src/test/java/org/hl7/security/ds4p/contentprofile/tests/TestDS4P.java rename to tests/org.hl7.security.ds4p.contentprofile.tests/src/test/java/org/hl7/security/ds4p/contentprofile/tests/DS4PTest.java index d5d8972071..a57c9bb613 100644 --- a/tests/org.hl7.security.ds4p.contentprofile.tests/src/test/java/org/hl7/security/ds4p/contentprofile/tests/TestDS4P.java +++ b/tests/org.hl7.security.ds4p.contentprofile.tests/src/test/java/org/hl7/security/ds4p/contentprofile/tests/DS4PTest.java @@ -18,10 +18,13 @@ import org.eclipse.mdht.uml.cda.util.ValidationResult; import org.hl7.security.ds4p.contentprofile.CONTENTPROFILEFactory; import org.hl7.security.ds4p.contentprofile.CONTENTPROFILEPackage; +import org.junit.Test; import org.openhealthtools.mdht.uml.cda.consol.ConsolFactory; -public class TestDS4P { - public static void main(String[] args) throws Exception { +public class DS4PTest { + + @Test + public void TestTheBuild() throws Exception { // must load Consol package to validate those templates CONTENTPROFILEFactory.eINSTANCE.eClass(); @@ -32,13 +35,13 @@ public static void main(String[] args) throws Exception { // create a validation result object to collect diagnostics produced during validation ValidationResult result = new ValidationResult(); - ClinicalDocument clinicalDocument2 = CDAUtil.loadAs( - new FileInputStream("samples/NEWcdaPrivacySegmentedDocument.xml"), - CONTENTPROFILEPackage.eINSTANCE.getPrivacySegmentedDocument()); + // ClinicalDocument clinicalDocument2 = CDAUtil.loadAs( + // new FileInputStream("samples/NEWcdaPrivacySegmentedDocument.xml"), + // CONTENTPROFILEPackage.eINSTANCE.getPrivacySegmentedDocument()); // CDAUtil.loadAs(in, docTypeEClass); ClinicalDocument clinicalDocument = CDAUtil.loadAs( - new FileInputStream("samples/NEWcdaPrivacySegmentedDocument.xml"), + new FileInputStream("samples/reference/170.315_b8_ds4p_amb_sample2_v2.xml"), CONTENTPROFILEPackage.eINSTANCE.getPrivacySegmentedDocument()); ; diff --git a/tests/org.openhealthtools.mdht.uml.cda.mu2consol.tests/META-INF/MANIFEST.MF b/tests/org.openhealthtools.mdht.uml.cda.mu2consol.tests/META-INF/MANIFEST.MF index e879469ab6..d96f8db1a4 100644 --- a/tests/org.openhealthtools.mdht.uml.cda.mu2consol.tests/META-INF/MANIFEST.MF +++ b/tests/org.openhealthtools.mdht.uml.cda.mu2consol.tests/META-INF/MANIFEST.MF @@ -6,7 +6,6 @@ Bundle-Version: 3.0.0.qualifier Bundle-ClassPath: . Bundle-Vendor: %providerName Bundle-Localization: plugin -Bundle-RequiredExecutionEnvironment: JavaSE-1.7 Export-Package: org.openhealthtools.mdht.uml.cda.mu2consol.tests Require-Bundle: org.eclipse.core.runtime, org.openhealthtools.mdht.uml.cda.mu2consol;visibility:=reexport, diff --git a/tests/pom.xml b/tests/pom.xml index 5b7e8ca063..c9ea03ba0d 100644 --- a/tests/pom.xml +++ b/tests/pom.xml @@ -29,6 +29,7 @@ +org.hl7.security.ds4p.contentprofile.tests org.openhealthtools.mdht.uml.cda.consol2.tests org.openhealthtools.mdht.uml.cda.mu2consol.tests