uuid:5a69015e-7491-4280-a033-1a6890d9c288
http://schemas.xmlsoap.org/ws/2004/03/addressing/role/anonymous
http://localhost:8080/axis/services/CXP
2006-08-16T22:27:25Z
2006-08-16T22:32:25Z
guest
EtOYb27dw+neSHqS6/F/iZ69rJA=
RvFOaPeY0uRtaSkcSQZ9ug==
2006-08-16T22:27:25Z
632826949866917503
English
V1.0
2006-03-01T11:45:06Z
AA0001
AA0002
Other
AA0003
AA0004
AA0005
Primary Care Provider
2006-03-01
Lab Results
BB0001
Effective Date
1988-01-01T05:00:00Z
Termination Date
2006-12-31T05:00:00Z
Plan Code
925
AA0002
Policy Number
2888251
AA0002
Group Number
HD028
AA0002
Group Name
NCMC
AA0002
Patient ID
HCID123456789
AA0002
Primary Health Insurance
AA0002
AA0006
Payer
AA0007
BB0002
Onset
Jan 1995
Problem
Diabetes mellitus, type I [insulin dependent type] [IDDM] [juvenile type], not stated as uncontrolled
250.31
ICD-9 CM
2005
C0375127
UMLS Concept
2005
Chronic
AA0005
BB0009
Prescription Date
2006-03-01T09:50:00Z
Medication
Active
AA0005
insulin isophane-insulin regular
Humulin 70/30 Pen
00002877059
NDC
2005
human
recombinant 70 units
30
units/mL
30
ml
subcut As directed
subcut
AA0005
BB0002
0
BB0010
Assessment Time
2006-03-01T09:50:00Z
Glucose; quantitative, blood (except reagent strip)
82947
CPT
2005
C0523658
UMLS Concept
2005
AA0002
BB0011
Result
Glucose; quantitative, blood (except reagent strip)
82947
CPT
2005
AA0002
169
mg/dL
High
BB0012
Assessment Time
2006-03-01T09:50:00Z
Hemoglobin; glycated
83036
CPT
2005
C0373638
UMLS Concept
2005
AA0002
BB0013
Result
Hemoglobin; glycated
83036
CPT
2005
AA0002
7.0
%
High
AA0001
Robert
Terence
Labonte
1968-11-05T05:00:00Z
Male
MRN
00-12-23
AA0002
SSN
987-65-4321
AA0002
HICN
HCID123456789
AA0002
Home
325 Tanglewood Terrace
Knoxville
TN
65135
555-777-8899
Home
505-135-4689
Alternate
rtlab@home.net
AA0002
AA0002
Doctor's Medical Lab
Doctor's Medical Lab
Home
7458 W Middlesex Rd
Knoxville
TN
64135
515-777-1212
Home
support@doctorsmedlab.com
AA0002
AA0003
Doctor's Medical Lab
Main
7458 W Middlesex Rd
Knoxville
TN
64135
515-777-1212
Main
support@doctorsmedlab.com
AA0002
AA0004
Solventus CCR ViewPort
V1.0
AA0002
AA0005
Robert
Allen
Frost
Dr. Robert Frost
Internal Medicine
Work
11398 Marker Rd
Knoxville
TN
64135
515-777-9865
Office
515-777-5000
Emergency
rafrost@office.com
AA0004
AA0006
Mutual Medical Plans, Inc.
AA0002
AA0008
Home Depot
Main
987 Kentucky Blvd
Knoxville
TN
64135
505-135-4689
Main
AA0002
S0001
2006-01-15T14:23:06Z
AA0002
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RSA Key
wzJS0XGQNp32Vxu4eUeNHIIwlbShcVR8HagN0g/wQlq3bFoFLmASPAgZLuqqmJ2IPHorgsYRPK0wmm1xmSRcsa2/tW+d7Q+QctKQ6tyDJHmGxPqehtovp8jiI/nuN4gd8mLsSdTXmXfn1Veh87MK/Pvn2BdrASq+ESC3eidmuKs=
AQAB
Collaborative Care Network ID
CCNID
eb5a93b4-a9fd-4e42-9b11-a26a51134eab
Symbiont