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TEST CASE INFO for TEST CASE CREATOR.xml
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TEST CASE INFO for TEST CASE CREATOR.xml
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<?xml version="1.0" encoding="UTF-8"?>
<data>
<patient>
<given value="PatientFN"/>
<family value="PatientLN"/>
<DOB value="20000505"/>
<adminGenderCode code="F" displayName="Female"/>
<!-- boolean: "true" and "false" -->
<deceasedInd value="false"/>
<!-- deceasedTime will not display if deceasedInd="false"-->
<deceasedTime value="20240409"/>
<raceCode code="2106-3" displayName="WHITE"/>
<!--Leave code attribute below blank (code="") if not necessary-->
<sdtcRaceCode code="" displayName=""/>
<ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino"/>
<!--Leave code attribute below blank (code="") if not necessary-->
<sdtcEthnicGroupCode code="" displayName=""/>
<!--PATIENT ADDRESS-->
<streetAddressLine value="5 Patient Street"/>
<city value="Hartford"/>
<state value="CT"/>
<postalCode value="06666"/>
<county value="Hartford"/>
<country value="US"/>
<telecomHP value="tel:555-555-2003"/>
<telecomMail value="mailto:[email protected]"/>
</patient>
<pregnancy>
<!--Starting date of pregnancy (yyyymmdd). Leave blank if pregnancy section is not needed-->
<effectiveTime value=""/>
<!--Estimated Date of Delivery (yyyymmdd)-->
<EDD value=""/>
</pregnancy>
<effectiveTime>
<!--eCR Document Time, Medication Administration Time-->
<effectiveTimeWithTime value="YYYYMMDD121212-0400"/>
<!-- Encounter section, Encounter Activity, Problem Concern Act, Problem Observation, Plan of Treatment-->
<effectiveTimes value="YYYYMMDD"/>
<!--Result Organizer and Result Observation-->
<effectiveTimeResult value="YYYYMMDD121212-0400"/>
</effectiveTime>
<author>
<name value="Author Name"/>
<streetAddressLine value="5 Author Way"/>
<city value="Hartford"/>
<state value="CT"/>
<postalCode value="06666"/>
<county value="Hartford"/>
<country value="US"/>
<telecomHP value="tel:TBDFacilityPhone"/>
<telecomFax value="fax:TBDFacilityFax"/>
</author>
<custodian>
<name value="Custodian Name"/>
<streetAddressLine value="5 Custodian Way"/>
<city value="Hartford"/>
<state value="CT"/>
<postalCode value="06666"/>
<country value="US"/>
<telecomHP value="tel:TBDFacilityPhone"/>
<telecomFax value="fax:TBDFacilityFax"/>
</custodian>
<encounter>
<!--HL7 ActEncounterCode: AMB, EMER, IMP, etc-->
<code value="AMB" displayName="Ambulatory" codeSystem="2.16.840.1.113883.5.4"/>
<!--Visit Start/Admission Date-->
<effectiveTimeLow value="YYYYMMDD"/>
<!--Visit End/Discharge Date (does not need to be completed): Leave value blank (value="") if not necessary-->
<effectiveTimeHigh value="YYYYMMDD"/>
<!--RESPONSIBLE PARTY and REPRESENTED ORGANIZATION-->
<name value="Party Name"/>
<streetAddressLine value="5 RepParty Way"/>
<city value="Hartford"/>
<state value="CT"/>
<postalCode value="06666"/>
<country value="US"/>
<telecomHP value="tel:TBDFacilityPhone"/>
<telecomFax value="fax:TBDFacilityFax"/>
<!--HEALTHCAREFACILITY and SERVICE PROVIDER ORGANIZATION-->
<!--NHSN Code System-->
<codeHCF value="1112-1" displayName="Fake Ward" codeSystem="2.16.840.1.113883.6.259"/>
<nameHCF value="HCF Name"/>
<streetAddressLineHCF value="5 HCF Way"/>
<cityHCF value="Hartford"/>
<stateHCF value="CT"/>
<postalCodeHCF value="06666"/>
<countryHCF value="US"/>
<telecomHPHCF value="tel:TBDFacilityPhone"/>
<telecomFaxHCF value="fax:TBDFacilityFax"/>
</encounter>
<encounterSection>
<code value="99213" displayName="Office outpatient visit 15 minutes" codeSystem="2.16.840.1.113883.6.12"/>
</encounterSection>
<Medication>
<!--Duplicate AdministeredMeds block to add more medications-->
<AdministeredMeds>
<medtext value=""/>
<!--*** Leave code attribute (below) blank (code="") to not show medications ***-->
<!--Typically use RXNORM codes-->
<code code="" codeSystem="2.16.840.1.113883.6.88"/>
<!--codeSystemName="NCI Thesaurus"-->
<routeCode code="" displayName="" codeSystem="2.16.840.1.113883.3.26.1.1" />
<doseQuantity unit="" value=""/>
</AdministeredMeds>
</Medication>
<Results>
<!--Duplicate ResultOrganizer block to add more results-->
<ResultOrganizer>
<!--*** Leave code attribute (below) blank (code="") to not show specimen procedure***-->
<specimen code="" displayName="" codeSystem="2.16.840.1.113883.6.96"/>
<!--*** Leave code attribute (below) blank (code="") to not show results***-->
<code code="" displayName="" codeSystem="2.16.840.1.113883.6.1"/>
<!--*** If code attribute (below) is left blank (code=""), then value attribute will be displayed***-->
<value code="" displayName="" codeSystem="2.16.840.1.113883.6.96" value="" unit=""/>
<interpretationCode code="" displayName="" codeSystem="2.16.840.1.113883.5.83"/>
</ResultOrganizer>
</Results>
<PlanOfTreatment>
<!--Duplicate PlannedObservation block to add more planned observations-->
<PlannedObservation>
<!--*** Leave code attribute (below) blank (code="") to not show planned observations ***-->
<code code="" displayName="" codeSystem="2.16.840.1.113883.6.1"/>
</PlannedObservation>
<!--Duplicate PlannedObservation block to add more planned observations-->
<PlannedProcedure>
<!--*** Leave code attribute (below) blank (code="") to not show planned procedure ***-->
<code code="" displayName="" codeSystem="2.16.840.1.113883.6.1"/>
</PlannedProcedure>
<PlannedMedication>
<!--*** Leave code attribute (below) blank (code="") to not show planned medication activity ***-->
<code code="" displayName="" codeSystem="2.16.840.1.113883.6.88"/>
<!--The time the planned medication activity should occur (yyyymmdd).-->
<effectiveTime value=""/>
</PlannedMedication>
</PlanOfTreatment>
<ProblemConcernAct>
<!--Duplicate ProblemObservation block to add more active problems-->
<ProblemObservation>
<!--*** Leave code attribute (below) blank (code="") to not show problems ***-->
<!--Typically uses SNOMEDs-->
<value code="" displayName="" codeSystem="2.16.840.1.113883.6.96"/>
<!--Typically uses ICD10-->
<translation code="" displayName="" codeSystem="2.16.840.1.113883.6.90"/>
</ProblemObservation>
</ProblemConcernAct>
<EncounterActivity>
<!--Duplicate EncounterDiagnosis block to add more encounter diagnoses-->
<EncounterDiagnosis>
<!--*** Leave code attribute (below) blank (code="") to not show encounter diagnosis ***-->
<!--Typically uses SNOMEDs-->
<value code="" displayName="" codeSystem="2.16.840.1.113883.6.96" />
<!--Typically uses ICD10-->
<translation code="" displayName="" codeSystem="2.16.840.1.113883.6.90"/>
</EncounterDiagnosis>
</EncounterActivity>
</data>