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February 12, 2019 18:57
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| <?xml version="1.0" encoding="UTF-8"?> | |
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| <given>DOCTOR</given> | |
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| <given>DOCTOR</given> | |
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| <templateId root="2.16.840.1.113883.10.20.22.2.6.1"/> | |
| <templateId root="2.16.840.1.113883.10.20.22.2.6.1" extension="2015-08-01"/> | |
| <code code="48765-2" displayName="Allergies, Adverse Reactions, Alerts" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LN"/> | |
| <title>Allergies, Adverse Reactions, Alerts</title> | |
| <text>This patient has no known allergies or adverse reactions.</text> | |
| <entry typeCode="DRIV"> | |
| <act classCode="ACT" moodCode="EVN"> | |
| <templateId root="2.16.840.1.113883.10.20.22.4.30"/> | |
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| <templateId root="2.16.840.1.113883.10.20.22.4.7" extension="2014-06-09"/> | |
| <id nullFlavor="NI"/> | |
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| <statusCode code="completed"/> | |
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| <value xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:type="CD" code="419199007" displayName="Allergy to substance (disorder)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/> | |
| <participant typeCode="CSM"> | |
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| <code code="10160-0" displayName="History of Medication Use" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LN"/> | |
| <title>Medications</title> | |
| <text>This patient has no known medications.</text> | |
| </section> | |
| </component> | |
| <component> | |
| <section> | |
| <templateId root="2.16.840.1.113883.10.20.22.2.5.1"/> | |
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| <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LN" displayName="Problem list"/> | |
| <title>Problems</title> | |
| <text>This patient has no known problems.</text> | |
| <entry typeCode="DRIV"> | |
| <act classCode="ACT" moodCode="EVN"> | |
| <templateId root="2.16.840.1.113883.10.20.22.4.3"/> | |
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| <observation classCode="OBS" moodCode="EVN" negationInd="true"> | |
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| <code code="55607006" displayName="Problem" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96"> | |
| <translation code="75326-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem"/> | |
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| <statusCode code="completed"/> | |
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| <originalText/> | |
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| <templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09"/> | |
| <code code="47519-4" displayName="History of Procedures" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LN"/> | |
| <title>Procedures</title> | |
| <text>This patient has no known procedures.</text> | |
| </section> | |
| </component> | |
| <component> | |
| <section> | |
| <templateId root="2.16.840.1.113883.10.20.22.2.3.1"/> | |
| <templateId root="2.16.840.1.113883.10.20.22.2.3.1" extension="2015-08-01"/> | |
| <code code="30954-2" displayName="Relevant diagnostic tests and/or laboratory data" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LN"/> | |
| <title>Results</title> | |
| <text> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Description</th> | |
| <th>Test Time</th> | |
| <th>Test Comments</th> | |
| <th>Text Results</th> | |
| <th>Atomic Results</th> | |
| <th>Result Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr ID="resultNarrativeLink-1"> | |
| <td ID="resultTestDescriptionLink-1">POTASSIUM</td> | |
| <td>2016-11-14 17:34:00</td> | |
| <td/> | |
| <td ID="resultTextLink-1"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Potassium [Moles/volume] in Serum or Plasma (test code = 2823-3)</td> | |
| <td ID="resultValueLink-1-1">4.5 mmol/L</td> | |
| <td>3.5-5.1</td> | |
| <td ID="resultValueCommentsLink-1-1">Please note that as of November 14, 2016 patient reference | |
| ranges have changed.</td> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-1">CopyToProvider: DOCTOR OTHER | |
| ClinicianCode: | |
| AssigningAuthority: NPI | |
| CopyToProvider: Angela Condy MD | |
| ClinicianCode: 1366557720 | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory-Wilton, 3040 Route 50 North, Saratoga Springs, NY 12866; Medical Director: Kelly Ann Kim, M.D</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-2"> | |
| <td ID="resultTestDescriptionLink-2">HDL CHOLESTEROL</td> | |
| <td>2016-11-14 17:34:00</td> | |
| <td/> | |
| <td ID="resultTextLink-2"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma (test code = 2085-9)</td> | |
| <td ID="resultValueLink-2-1">55 mg/dL</td> | |
| <td>40-60</td> | |
| <td ID="resultValueCommentsLink-2-1">The National Cholesterol Education Program Adult Treatment | |
| Panel III (NCEP-ATP III) provides the following | |
| classifications of HDL concentrations: | |
| Reference Range: | |
| Low HDL <40 | |
| High HDL >=60 | |
| Please note that as of November 14, 2016 patient reference | |
| ranges have changed.</td> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-2">CopyToProvider: DOCTOR OTHER | |
| ClinicianCode: | |
| AssigningAuthority: NPI | |
| CopyToProvider: Angela Condy MD | |
| ClinicianCode: 1366557720 | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory-Wilton, 3040 Route 50 North, Saratoga Springs, NY 12866; Medical Director: Kelly Ann Kim, M.D</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-3"> | |
| <td ID="resultTestDescriptionLink-3">HEPATITIS C ANTIBODY</td> | |
| <td>2016-08-10 14:48:00</td> | |
| <td/> | |
| <td ID="resultTextLink-3"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>"Hepatitis C virus Ab [Presence] in Serum, Plasma or Blood by Rapid immunoassay" (test code = 72376-7)</td> | |
| <td ID="resultValueLink-3-1">* POSITIVE</td> | |
| <td>NEGATIVE</td> | |
| <td ID="resultValueCommentsLink-3-1">*Presumptive Positive | |
| Sent to Reference Laboratory for Confirmation</td> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-3">POS | |
| CopyToProvider: George Silver MD | |
| ClinicianCode: | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory, 211 Church St. Saratoga Springs, NY 12866; Director - Nicole Durie, M.D.</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-4"> | |
| <td ID="resultTestDescriptionLink-4">PROSTATE SPECIFIC AG SCREENING</td> | |
| <td>2016-08-03 15:23:00</td> | |
| <td/> | |
| <td ID="resultTextLink-4"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Prostate specific Ag [Mass/volume] in Serum or Plasma by Immunoassay (test code = 83112-3)</td> | |
| <td ID="resultValueLink-4-1">0.68 ug/L</td> | |
| <td>0.00-4.00</td> | |
| <td ID="resultValueCommentsLink-4-1">The Advia Centaur PSA assay is a two site sandwich | |
| immunoassay using direct chemiluminometric technology. | |
| Values obtained with different assay methods are not | |
| interchangeable. Do not interpret levels of PSA as absolute | |
| evidence of the presence or the absence of malignant | |
| disease. | |
| Measurement of serum PSA levels alone is not recommended as | |
| a screening procedure for the diagnosis of cancer. | |
| Do not predict disease recurrence solely on serial PSA | |
| values.</td> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-4">CopyToProvider: George Silver MD | |
| ClinicianCode: | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory, 211 Church St. Saratoga Springs, NY 12866; Director - Nicole Durie, M.D.</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-5"> | |
| <td ID="resultTestDescriptionLink-5">PROSTATE SPECIFIC AG SCREENING</td> | |
| <td>2016-08-03 14:35:00</td> | |
| <td/> | |
| <td ID="resultTextLink-5"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Prostate specific Ag [Mass/volume] in Serum or Plasma by Immunoassay (test code = 83112-3)</td> | |
| <td ID="resultValueLink-5-1">0.70 ug/L</td> | |
| <td>0.00-4.00</td> | |
| <td ID="resultValueCommentsLink-5-1">The Advia Centaur PSA assay is a two site sandwich | |
| immunoassay using direct chemiluminometric technology. | |
| Values obtained with different assay methods are not | |
| interchangeable. Do not interpret levels of PSA as absolute | |
| evidence of the presence or the absence of malignant | |
| disease. | |
| Measurement of serum PSA levels alone is not recommended as | |
| a screening procedure for the diagnosis of cancer. | |
| Do not predict disease recurrence solely on serial PSA | |
| values.</td> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-5">CopyToProvider: George Silver MD | |
| ClinicianCode: | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory, 211 Church St. Saratoga Springs, NY 12866; Director - Nicole Durie, M.D.</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-6"> | |
| <td ID="resultTestDescriptionLink-6">PROSTATE SPECIFIC AG SCREENING</td> | |
| <td>2016-08-02 16:20:00</td> | |
| <td/> | |
| <td ID="resultTextLink-6"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Prostate specific Ag [Mass/volume] in Serum or Plasma by Immunoassay (test code = 83112-3)</td> | |
| <td ID="resultValueLink-6-1">< 0.08 ug/L</td> | |
| <td>0.00-4.00</td> | |
| <td ID="resultValueCommentsLink-6-1">Delta: 67.04 on 07/22/16-1831 | |
| The Advia Centaur PSA assay is a two site sandwich | |
| immunoassay using direct chemiluminometric technology. | |
| Values obtained with different assay methods are not | |
| interchangeable. Do not interpret levels of PSA as absolute | |
| evidence of the presence or the absence of malignant | |
| disease. | |
| Measurement of serum PSA levels alone is not recommended as | |
| a screening procedure for the diagnosis of cancer. | |
| Do not predict disease recurrence solely on serial PSA | |
| values.</td> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-6">NORMAL | |
| CopyToProvider: George Silver MD | |
| ClinicianCode: | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory, 211 Church St. Saratoga Springs, NY 12866; Director - Nicole Durie, M.D.</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-7"> | |
| <td ID="resultTestDescriptionLink-7">B-NP</td> | |
| <td>2016-08-01 15:17:00</td> | |
| <td/> | |
| <td ID="resultTextLink-7"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Natriuretic peptide B [Mass/volume] in Serum or Plasma (test code = 30934-4)</td> | |
| <td ID="resultValueLink-7-1">1908.6 pg/ml</td> | |
| <td/> | |
| <td ID="resultValueCommentsLink-7-1">COMMENT: | |
| Elevated BNP levels correlate with CHF. | |
| Interpretation depends on age, sex, other tests, etc. | |
| A cutoff of 100 pg/ml is a recommended balance of | |
| specificity and sensitivity. | |
| Higher cutoff levels have higher specificity and lower | |
| sensitivity. | |
| Results above 100 pg/ml do not necessarily indicate CHF. | |
| Approximately 20% of people with CHF have BNP less than 100 | |
| pg/ml. Levels above 250 pg/ml are rare without CHF. | |
| Results below 100 pg/ml do not necessarily indicate absence | |
| of CHF. | |
| Contact the Chemistry department for more information at | |
| 583-8747.</td> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-7">BNP 2083.35 | |
| CopyToProvider: George Silver MD | |
| ClinicianCode: | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory, 211 Church St. Saratoga Springs, NY 12866; Director - Nicole Durie, M.D.</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-8"> | |
| <td ID="resultTestDescriptionLink-8">B-NP</td> | |
| <td>2016-08-01 15:17:00</td> | |
| <td/> | |
| <td ID="resultTextLink-8"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Natriuretic peptide B [Mass/volume] in Serum or Plasma (test code = 30934-4)</td> | |
| <td ID="resultValueLink-8-1">35.6 pg/ml</td> | |
| <td/> | |
| <td ID="resultValueCommentsLink-8-1">COMMENT: | |
| Elevated BNP levels correlate with CHF. | |
| Interpretation depends on age, sex, other tests, etc. | |
| A cutoff of 100 pg/ml is a recommended balance of | |
| specificity and sensitivity. | |
| Higher cutoff levels have higher specificity and lower | |
| sensitivity. | |
| Results above 100 pg/ml do not necessarily indicate CHF. | |
| Approximately 20% of people with CHF have BNP less than 100 | |
| pg/ml. Levels above 250 pg/ml are rare without CHF. | |
| Results below 100 pg/ml do not necessarily indicate absence | |
| of CHF. | |
| Contact the Chemistry department for more information at | |
| 583-8747.</td> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-8">LOW B-NP | |
| CopyToProvider: George Silver MD | |
| ClinicianCode: | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory, 211 Church St. Saratoga Springs, NY 12866; Director - Nicole Durie, M.D.</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-9"> | |
| <td ID="resultTestDescriptionLink-9">PROSTATE SPECIFIC AG SCREENING</td> | |
| <td>2016-07-22 19:24:00</td> | |
| <td/> | |
| <td ID="resultTextLink-9"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Prostate specific Ag [Mass/volume] in Serum or Plasma by Immunoassay (test code = 83112-3)</td> | |
| <td ID="resultValueLink-9-1">67.04 ug/L</td> | |
| <td>0.00-4.00</td> | |
| <td ID="resultValueCommentsLink-9-1">The Advia Centaur PSA assay is a two site sandwich | |
| immunoassay using direct chemiluminometric technology. | |
| Values obtained with different assay methods are not | |
| interchangeable. Do not interpret levels of PSA as absolute | |
| evidence of the presence or the absence of malignant | |
| disease. | |
| Measurement of serum PSA levels alone is not recommended as | |
| a screening procedure for the diagnosis of cancer. | |
| Do not predict disease recurrence solely on serial PSA | |
| values.</td> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-9">PSA 65.61 | |
| CopyToProvider: George Silver MD | |
| ClinicianCode: | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory, 211 Church St. Saratoga Springs, NY 12866; Director - Nicole Durie, M.D.</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-10"> | |
| <td ID="resultTestDescriptionLink-10">PROSTATE SPECIFIC AG SCREENING</td> | |
| <td>2016-07-22 19:14:00</td> | |
| <td/> | |
| <td ID="resultTextLink-10"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Prostate specific Ag [Mass/volume] in Serum or Plasma by Immunoassay (test code = 83112-3)</td> | |
| <td ID="resultValueLink-10-1">0.30 ug/L</td> | |
| <td>0.00-4.00</td> | |
| <td ID="resultValueCommentsLink-10-1">The Advia Centaur PSA assay is a two site sandwich | |
| immunoassay using direct chemiluminometric technology. | |
| Values obtained with different assay methods are not | |
| interchangeable. Do not interpret levels of PSA as absolute | |
| evidence of the presence or the absence of malignant | |
| disease. | |
| Measurement of serum PSA levels alone is not recommended as | |
| a screening procedure for the diagnosis of cancer. | |
| Do not predict disease recurrence solely on serial PSA | |
| values.</td> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-10">LEVEL 1 | |
| CopyToProvider: George Silver MD | |
| ClinicianCode: | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory, 211 Church St. Saratoga Springs, NY 12866; Director - Nicole Durie, M.D.</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-11"> | |
| <td ID="resultTestDescriptionLink-11">T4</td> | |
| <td>2016-07-14 17:20:00</td> | |
| <td/> | |
| <td ID="resultTextLink-11"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Thyroxine (T4) [Mass/volume] in Serum or Plasma (test code = 3026-2)</td> | |
| <td ID="resultValueLink-11-1">11.6 ug/dl</td> | |
| <td>4.50-10.90</td> | |
| <td/> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-11">>T4 | |
| CopyToProvider: George Silver MD | |
| ClinicianCode: | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory, 211 Church St. Saratoga Springs, NY 12866; Director - Nicole Durie, M.D.</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-12"> | |
| <td ID="resultTestDescriptionLink-12">TSH</td> | |
| <td>2016-06-24 14:35:00</td> | |
| <td/> | |
| <td ID="resultTextLink-12"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Thyrotropin [Units/volume] in Cord blood (test code = 69561-9)</td> | |
| <td ID="resultValueLink-12-1">6.61 uIU/ml</td> | |
| <td>0.35-5.50</td> | |
| <td ID="resultValueCommentsLink-12-1">Delta: 122.63 on 06/24/16-1328</td> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-12">DELTA TSH | |
| CopyToProvider: George Silver MD | |
| ClinicianCode: | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory, 211 Church St. Saratoga Springs, NY 12866; Director - Nicole Durie, M.D.</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-13"> | |
| <td ID="resultTestDescriptionLink-13">TSH</td> | |
| <td>2016-06-24 14:35:00</td> | |
| <td/> | |
| <td ID="resultTextLink-13"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Thyrotropin [Units/volume] in Cord blood (test code = 69561-9)</td> | |
| <td ID="resultValueLink-13-1">122.63 uIU/ml</td> | |
| <td>0.35-5.50</td> | |
| <td/> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-13">ELEVATED TSH | |
| CopyToProvider: George Silver MD | |
| ClinicianCode: | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory, 211 Church St. Saratoga Springs, NY 12866; Director - Nicole Durie, M.D.</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-14"> | |
| <td ID="resultTestDescriptionLink-14">T4</td> | |
| <td>2016-05-09 12:36:00</td> | |
| <td/> | |
| <td ID="resultTextLink-14"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Thyroxine (T4) [Mass/volume] in Serum or Plasma (test code = 3026-2)</td> | |
| <td ID="resultValueLink-14-1">11.8 ug/dl</td> | |
| <td>4.50-10.90</td> | |
| <td/> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-14">RECEIVED | |
| CopyToProvider: George Silver MD | |
| ClinicianCode: 1730129123 | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory, 211 Church St. Saratoga Springs, NY 12866; Director - Nicole Durie, M.D.</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-15"> | |
| <td ID="resultTestDescriptionLink-15">HEMOGLOBIN A1C</td> | |
| <td>2016-04-19 14:52:00</td> | |
| <td/> | |
| <td ID="resultTextLink-15"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Hemoglobin A1c/Hemoglobin.total in Blood (test code = 4548-4)</td> | |
| <td ID="resultValueLink-15-1">7.9 %</td> | |
| <td/> | |
| <td ID="resultValueCommentsLink-15-1"> | |
| Hemoglobin (Hgb) A1C Reference Ranges: | |
| 4.8% to 5.6% - Normal | |
| 5.7% to 6.4% - Increased risk for Diabetes mellitus | |
| > 6.4% - Diabetes mellitus | |
| < 7.0% - Glycemic control goal for Diabetes | |
| Reference range is reported in accordance with ADA | |
| recommendations.</td> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-15">CopyToProvider: George Silver MD | |
| ClinicianCode: 1730129123 | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory, 211 Church St. Saratoga Springs, NY 12866; Director - Nicole Durie, M.D.</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-16"> | |
| <td ID="resultTestDescriptionLink-16">POTASSIUM</td> | |
| <td>2016-03-31 19:28:00</td> | |
| <td/> | |
| <td ID="resultTextLink-16"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Potassium [Moles/volume] in Serum or Plasma (test code = 2823-3)</td> | |
| <td ID="resultValueLink-16-1">6.9 mmol/L</td> | |
| <td>3.5-5.1</td> | |
| <td ID="resultValueCommentsLink-16-1">Delta: 4.1 on 03/31/16-1841 | |
| Critical results called to: | |
| TEST, at 1928,03/31/16 by LAB.JAB</td> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-16">DELTA CHECK | |
| CopyToProvider: George Silver MD | |
| ClinicianCode: 1730129123 | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory, 211 Church St. Saratoga Springs, NY 12866; Director - Nicole Durie, M.D.</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-17"> | |
| <td ID="resultTestDescriptionLink-17">POTASSIUM</td> | |
| <td>2016-03-31 19:21:00</td> | |
| <td/> | |
| <td ID="resultTextLink-17"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Potassium [Moles/volume] in Serum or Plasma (test code = 2823-3)</td> | |
| <td ID="resultValueLink-17-1">4.1 mmol/L</td> | |
| <td>3.5-5.1</td> | |
| <td/> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-17">DELTA CHECK | |
| CopyToProvider: George Silver MD | |
| ClinicianCode: 1730129123 | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory, 211 Church St. Saratoga Springs, NY 12866; Director - Nicole Durie, M.D.</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-18"> | |
| <td ID="resultTestDescriptionLink-18">CHAIN OF CUSTODY DRUG SCREEN</td> | |
| <td>2015-10-06 09:00:00</td> | |
| <td/> | |
| <td ID="resultTextLink-18"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>CCCOL (test code = L920.6005)</td> | |
| <td ID="resultValueLink-18-1">SENT TO REF. LAB</td> | |
| <td/> | |
| <td/> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-18">CopyToProvider: DOCTOR OTHER | |
| ClinicianCode: | |
| AssigningAuthority: NPI | |
| CopyToProvider: Angela Condy MD | |
| ClinicianCode: 1366557720 | |
| AssigningAuthority: | |
| Performed at: Saratoga Hospital Laboratory-Wilton, 3040 Route 50 North, Saratoga Springs, NY 12866; Director - Josenia Tan, M.D.</td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-19"> | |
| <td ID="resultTestDescriptionLink-19">B-NP</td> | |
| <td>2014-10-23 14:39:00</td> | |
| <td/> | |
| <td ID="resultTextLink-19"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Natriuretic peptide B [Mass/volume] in Serum or Plasma (test code = 30934-4)</td> | |
| <td ID="resultValueLink-19-1">600.0 pg/ml</td> | |
| <td/> | |
| <td ID="resultValueCommentsLink-19-1"> | |
| Please Note: Elevated BNP levels correlate with CHF. | |
| Interpretation depends on age, sex, other | |
| tests, etc. | |
| A cutoff of 100 pg/ml is a recommended | |
| balance of specificity and sensitivity. | |
| Higher cutoff levels have higher | |
| specificity and lower sensitivity. | |
| Results above 100 pg/ml do not necessarily | |
| indicate CHF. Approximately 20% of people | |
| with CHF have BNP less than 100 pg/ml. | |
| Levels above 250 pg/ml are rare without CHF. | |
| Results below 100 pg/ml do not necessarily | |
| indicate absence of CHF.</td> | |
| </tr> | |
| <tr> | |
| <td>NT-proBNP (test code = L510.011223)</td> | |
| <td ID="resultValueLink-19-2">Saratoga Hospital Laboratory-Wilton, 3040 Route 50 North, Saratoga Springs, NY 12866;Director - William E. Field II, MD FCAP</td> | |
| <td/> | |
| <td/> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-19">CopyToProvider: DOCTOR OTHER | |
| ClinicianCode: | |
| AssigningAuthority: NPI | |
| CopyToProvider: Randall Burchell MD | |
| ClinicianCode: 1407827462 | |
| AssigningAuthority: | |
| </td> | |
| </tr> | |
| <tr ID="resultNarrativeLink-20"> | |
| <td ID="resultTestDescriptionLink-20">D-DIMER TRIAGE METER</td> | |
| <td>2014-04-09 07:37:00</td> | |
| <td/> | |
| <td ID="resultTextLink-20"/> | |
| <td> | |
| <list> | |
| <item> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Test Item</th> | |
| <th>Value</th> | |
| <th>Reference Range</th> | |
| <th>Comments</th> | |
| </tr> | |
| </thead> | |
| <tbody> | |
| <tr> | |
| <td>Fibrin D-dimer FEU [Mass/volume] in Platelet poor plasma (test code = 48065-7)</td> | |
| <td ID="resultValueLink-20-1">< 400 NG/ML</td> | |
| <td><400</td> | |
| <td ID="resultValueCommentsLink-20-1"> *** Suggestive Cut off: 400 ng/mL D-DU *** | |
| "D-DU = D-DIMER UNITS" | |
| Please Note: Results of D-Dimer assays should always be | |
| interpreted in conjunction with the patient's medical | |
| history, clinical presentation and other findings. | |
| The Biosite Triage Meter performs this assay by the | |
| flourescence immunoassay method. Subsequent assays may not | |
| use this method and may not have the same reference range. | |
| All clinical decisions should be made based on the specified | |
| assay range and other clinical information.</td> | |
| </tr> | |
| </tbody> | |
| </table> | |
| </item> | |
| </list> | |
| </td> | |
| <td ID="resultCommentsLink-20">ResultCCToClinicianName Code AA | |
| DOCTOR OTHER NPI | |
| Warren Litts MD 1144292608 NPI | |
| </td> | |
| </tr> | |
| </tbody> | |
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| <state>NY</state> | |
| <postalCode>12110</postalCode> | |
| <country>US</country> | |
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| </assignedEntity> | |
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| <originalText>final</originalText> | |
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| <observationRange classCode="OBS" moodCode="EVN.CRT"> | |
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| <high value="4.00" unit="ug/L"/> | |
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| <name use="L"> | |
| <family>Silver MD</family> | |
| <given>George</given> | |
| <given>E</given> | |
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| <name>Hixny</name> | |
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| <addr use="WP"> | |
| <streetAddressLine>15 Cornell Road</streetAddressLine> | |
| <city>Latham</city> | |
| <state>NY</state> | |
| <postalCode>12110</postalCode> | |
| <country>US</country> | |
| </addr> | |
| </wholeOrganization> | |
| </asOrganizationPartOf> | |
| </representedOrganization> | |
| </assignedEntity> | |
| </informant> | |
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| <originalText>Natriuretic peptide B [Mass/volume] in Serum or Plasma</originalText> | |
| <translation code="L510.0112" codeSystem="2.16.840.1.113883.4.516" codeSystemName="SHFGW" displayName="B-NP"/> | |
| </code> | |
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| <statusCode code="completed"/> | |
| <effectiveTime value="20160801151700"/> | |
| <value xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:type="PQ" value="1908.6" unit="pg/ml"/> | |
| <performer typeCode="PRF"> | |
| <time nullFlavor="UNK"/> | |
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| <addr nullFlavor="UNK"/> | |
| <telecom nullFlavor="UNK"/> | |
| <assignedPerson> | |
| <name use="L"> | |
| <family>Medical Emergent Care</family> | |
| <given>Malta</given> | |
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| <addr use="WP"> | |
| <streetAddressLine>15 Cornell Road</streetAddressLine> | |
| <city>Latham</city> | |
| <state>NY</state> | |
| <postalCode>12110</postalCode> | |
| <country>US</country> | |
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| <originalText>final</originalText> | |
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| <entryRelationship typeCode="SUBJ" inversionInd="true"> | |
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| <telecom use="WP" value="tel:(518) 783-0518"/> | |
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| <streetAddressLine>15 Cornell Road</streetAddressLine> | |
| <city>Latham</city> | |
| <state>NY</state> | |
| <postalCode>12110</postalCode> | |
| <country>US</country> | |
| </addr> | |
| </wholeOrganization> | |
| </asOrganizationPartOf> | |
| </representedOrganization> | |
| </assignedEntity> | |
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| <high value="10.90" unit="ug/dl"/> | |
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| <state>NY</state> | |
| <postalCode>12110</postalCode> | |
| <country>US</country> | |
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| <assignedPerson> | |
| <name use="L"> | |
| <family>Medical Emergent Care</family> | |
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| <name>Hixny</name> | |
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| <addr use="WP"> | |
| <streetAddressLine>15 Cornell Road</streetAddressLine> | |
| <city>Latham</city> | |
| <state>NY</state> | |
| <postalCode>12110</postalCode> | |
| <country>US</country> | |
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| <originalText>final</originalText> | |
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| <entryRelationship typeCode="SUBJ" inversionInd="true"> | |
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| <low value="0.35" unit="uIU/ml"/> | |
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| <originalText>Thyrotropin [Units/volume] in Cord blood</originalText> | |
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| <text> | |
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| <assignedPerson> | |
| <name use="L"> | |
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| <streetAddressLine>15 Cornell Road</streetAddressLine> | |
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| <code code="3026-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LN" displayName="Thyroxine (T4) [Mass/volume] in Serum or Plasma"> | |
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| <assignedPerson> | |
| <name use="L"> | |
| <family>Medical Emergent Care</family> | |
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| <effectiveTime value="20160331192100"/> | |
| <value xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:type="PQ" value="4.1" unit="mmol/L"/> | |
| <performer typeCode="PRF"> | |
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| <assignedPerson> | |
| <name use="L"> | |
| <family>Medical Emergent Care</family> | |
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| <streetAddressLine>15 Cornell Road</streetAddressLine> | |
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| <originalText>final</originalText> | |
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| </observation> | |
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| <observationRange classCode="OBS" moodCode="EVN.CRT"> | |
| <value xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:type="IVL_PQ"> | |
| <low value="3.5" unit="mmol/L"/> | |
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| </observationRange> | |
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| <code code="CCCOL" codeSystem="2.16.840.1.113883.4.516" codeSystemName="SHFGW" displayName="CHAIN OF CUSTODY DRUG SCREEN"> | |
| <originalText> | |
| <reference value="#resultTestDescriptionLink-18"/> | |
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| </code> | |
| <statusCode code="completed"/> | |
| <effectiveTime> | |
| <low value="20151006090000"/> | |
| <high value="20151006090000"/> | |
| </effectiveTime> | |
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| <originalText> | |
| <reference value="#resultTestDescriptionLink-18"/> | |
| </originalText> | |
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| <text> | |
| <reference value="#resultNarrativeLink-18"/> | |
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| <statusCode code="completed"/> | |
| <effectiveTime value="20151006000100"/> | |
| <informant> | |
| <assignedEntity> | |
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| <name>Saratoga Hospital </name> | |
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| <asOrganizationPartOf> | |
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| <country>US</country> | |
| </addr> | |
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| </representedOrganization> | |
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| </informant> | |
| </procedure> | |
| </component> | |
| <component typeCode="COMP"> | |
| <observation classCode="OBS" moodCode="EVN"> | |
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| <id nullFlavor="UNK"/> | |
| <code nullFlavor="OTH"> | |
| <originalText>CCCOL</originalText> | |
| <translation code="L920.6005" codeSystem="2.16.840.1.113883.4.516" codeSystemName="SHFGW" displayName="CCCOL"/> | |
| </code> | |
| <text> | |
| <reference value="#resultValueLink-18-1"/> | |
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| <statusCode code="completed"/> | |
| <effectiveTime value="20151006090000"/> | |
| <value xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:type="ST">SENT TO REF. LAB</value> | |
| <performer typeCode="PRF"> | |
| <time nullFlavor="UNK"/> | |
| <assignedEntity> | |
| <id root="FACILITY" extension="WMA"/> | |
| <addr nullFlavor="UNK"/> | |
| <telecom nullFlavor="UNK"/> | |
| <assignedPerson> | |
| <name use="L"> | |
| <family>WMA</family> | |
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| <id root="2.16.840.1.113883.4.319" extension="WMA" displayable="true"/> | |
| <name>WILTON MEDICAL ARTS</name> | |
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| <addr nullFlavor="UNK"/> | |
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| <name>Hixny</name> | |
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| <streetAddressLine>15 Cornell Road</streetAddressLine> | |
| <city>Latham</city> | |
| <state>NY</state> | |
| <postalCode>12110</postalCode> | |
| <country>US</country> | |
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| <originalText>final</originalText> | |
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| <entry> | |
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| <originalText> | |
| <reference value="#resultTestDescriptionLink-19"/> | |
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| <statusCode code="completed"/> | |
| <effectiveTime> | |
| <low value="20141023143900"/> | |
| <high value="20141023143900"/> | |
| </effectiveTime> | |
| <component> | |
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| <text> | |
| <reference value="#resultNarrativeLink-19"/> | |
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| <effectiveTime value="20141023000100"/> | |
| <informant> | |
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| <id root="FACILITY" extension="SHFGW"/> | |
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| <asOrganizationPartOf> | |
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| <name>Hixny</name> | |
| <telecom use="WP" value="tel:(518) 783-0518"/> | |
| <addr use="WP"> | |
| <streetAddressLine>15 Cornell Road</streetAddressLine> | |
| <city>Latham</city> | |
| <state>NY</state> | |
| <postalCode>12110</postalCode> | |
| <country>US</country> | |
| </addr> | |
| </wholeOrganization> | |
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| </representedOrganization> | |
| </assignedEntity> | |
| </informant> | |
| </procedure> | |
| </component> | |
| <component typeCode="COMP"> | |
| <observation classCode="OBS" moodCode="EVN"> | |
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| <code code="30934-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LN" displayName="Natriuretic peptide B [Mass/volume] in Serum or Plasma"> | |
| <originalText>Natriuretic peptide B [Mass/volume] in Serum or Plasma</originalText> | |
| <translation code="L510.0112" codeSystem="2.16.840.1.113883.4.516" codeSystemName="SHFGW" displayName="NT-proBNP"/> | |
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| <text> | |
| <reference value="#resultValueLink-19-1"/> | |
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| <statusCode code="completed"/> | |
| <effectiveTime value="20141023143900"/> | |
| <value xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:type="PQ" value="600.0" unit="pg/ml"/> | |
| <performer typeCode="PRF"> | |
| <time nullFlavor="UNK"/> | |
| <assignedEntity> | |
| <id root="FACILITY" extension="WMA"/> | |
| <addr nullFlavor="UNK"/> | |
| <telecom nullFlavor="UNK"/> | |
| <assignedPerson> | |
| <name use="L"> | |
| <family>WMA</family> | |
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| <id root="2.16.840.1.113883.4.319" extension="WMA" displayable="true"/> | |
| <name>WILTON MEDICAL ARTS</name> | |
| <telecom nullFlavor="UNK"/> | |
| <addr nullFlavor="UNK"/> | |
| <asOrganizationPartOf> | |
| <effectiveTime nullFlavor="UNK"/> | |
| <wholeOrganization> | |
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| <name>Hixny</name> | |
| <telecom use="WP" value="tel:(518) 783-0518"/> | |
| <addr use="WP"> | |
| <streetAddressLine>15 Cornell Road</streetAddressLine> | |
| <city>Latham</city> | |
| <state>NY</state> | |
| <postalCode>12110</postalCode> | |
| <country>US</country> | |
| </addr> | |
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| </asOrganizationPartOf> | |
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| <originalText>final</originalText> | |
| </value> | |
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| </entryRelationship> | |
| <entryRelationship typeCode="SUBJ" inversionInd="true"> | |
| <act classCode="ACT" moodCode="EVN"> | |
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| <code code="48767-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LN" displayName="Annotation Comment"/> | |
| <text> | |
| <reference value="#resultValueCommentsLink-19-1"/> | |
| </text> | |
| </act> | |
| </entryRelationship> | |
| </observation> | |
| </component> | |
| <component typeCode="COMP"> | |
| <observation classCode="OBS" moodCode="EVN"> | |
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| <id nullFlavor="UNK"/> | |
| <code nullFlavor="OTH"> | |
| <originalText>NT-proBNP</originalText> | |
| <translation code="L510.011223" codeSystem="2.16.840.1.113883.4.516" codeSystemName="SHFGW" displayName="NT-proBNP"/> | |
| </code> | |
| <text> | |
| <reference value="#resultValueLink-19-2"/> | |
| </text> | |
| <statusCode code="completed"/> | |
| <effectiveTime value="20141023143900"/> | |
| <value xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:type="ST">Saratoga Hospital Laboratory-Wilton, 3040 Route 50 North, Saratoga Springs, NY 12866;Director - William E. Field II, MD FCAP</value> | |
| </observation> | |
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| <component> | |
| <encounter classCode="ENC" moodCode="EVN"> | |
| <id root="2.16.840.1.113883.4.516" extension="X000018846"/> | |
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| <entry> | |
| <organizer classCode="BATTERY" moodCode="EVN"> | |
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| <templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/> | |
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| <id root="2.16.840.1.113883.4.516" extension="H0005612:00004565:DDIMUC" assigningAuthorityName="SHFGW-PlacerId"/> | |
| <code code="DDIMUC" codeSystem="2.16.840.1.113883.4.516" codeSystemName="SHFGW" displayName="D-DIMER TRIAGE METER"> | |
| <originalText> | |
| <reference value="#resultTestDescriptionLink-20"/> | |
| </originalText> | |
| </code> | |
| <statusCode code="completed"/> | |
| <effectiveTime> | |
| <low value="20140409073700"/> | |
| <high value="20140409073700"/> | |
| </effectiveTime> | |
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| <procedure classCode="PROC" moodCode="EVN"> | |
| <id root="2.16.840.1.113883.4.516" extension="H0005612:00004565:DDIMUC" assigningAuthorityName="SHFGW-PlacerId"/> | |
| <code code="DDIMUC" codeSystem="2.16.840.1.113883.4.516" codeSystemName="SHFGW" displayName="D-DIMER TRIAGE METER"> | |
| <originalText> | |
| <reference value="#resultTestDescriptionLink-20"/> | |
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| <text> | |
| <reference value="#resultNarrativeLink-20"/> | |
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| <asOrganizationPartOf> | |
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| <name>Hixny</name> | |
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| <streetAddressLine>15 Cornell Road</streetAddressLine> | |
| <city>Latham</city> | |
| <state>NY</state> | |
| <postalCode>12110</postalCode> | |
| <country>US</country> | |
| </addr> | |
| </wholeOrganization> | |
| </asOrganizationPartOf> | |
| </representedOrganization> | |
| </assignedEntity> | |
| </informant> | |
| </procedure> | |
| </component> | |
| <component typeCode="COMP"> | |
| <observation classCode="OBS" moodCode="EVN"> | |
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| <id nullFlavor="UNK"/> | |
| <code code="48065-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LN" displayName="Fibrin D-dimer FEU [Mass/volume] in Platelet poor plasma"> | |
| <originalText>Fibrin D-dimer FEU [Mass/volume] in Platelet poor plasma</originalText> | |
| <translation code="L150.1000" codeSystem="2.16.840.1.113883.4.516" codeSystemName="SHFGW" displayName="D-DIMER UR.CARE"/> | |
| </code> | |
| <text> | |
| <reference value="#resultValueLink-20-1"/> | |
| </text> | |
| <statusCode code="completed"/> | |
| <effectiveTime value="20140409073600"/> | |
| <value xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:type="ST">< 400 NG/ML</value> | |
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| <performer typeCode="PRF"> | |
| <time nullFlavor="UNK"/> | |
| <assignedEntity> | |
| <id root="FACILITY" extension="WMA"/> | |
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| <tr> | |
| <th>Start Date/Time</th> | |
| <th>End Date/Time</th> | |
| <th>Encounter Type</th> | |
| <th>Admission Type</th> | |
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| <td>2015-07-06 10:00:00</td> | |
| <td>2015-07-31 00:01:00</td> | |
| <td ID="encounterDescriptionLink-1">Outpatient</td> | |
| <td ID="encounterAdmissionLink-1">ELO</td> | |
| <td>Silver MD, George</td> | |
| <td>Saratoga Hospital</td> | |
| <td>Saratoga Hospital</td> | |
| <td>X000035220</td> | |
| </tr> | |
| <tr ID="encounterNarrativeLink-2"> | |
| <td>2015-02-26 14:53:00</td> | |
| <td>2015-02-26 14:53:00</td> | |
| <td ID="encounterDescriptionLink-2">Emergency</td> | |
| <td ID="encounterAdmissionLink-2">OUTREF</td> | |
| <td>OTHER, DOCTOR</td> | |
| <td>Saratoga Hospital</td> | |
| <td>Saratoga Hospital</td> | |
| <td>X000029645</td> | |
| </tr> | |
| <tr ID="encounterNarrativeLink-3"> | |
| <td>2014-05-08 11:44:00</td> | |
| <td>2014-10-13 12:36:00</td> | |
| <td ID="encounterDescriptionLink-3">Emergency</td> | |
| <td ID="encounterAdmissionLink-3">URG</td> | |
| <td>OTHER, DOCTOR</td> | |
| <td>Saratoga Hospital</td> | |
| <td>Saratoga Hospital</td> | |
| <td>X000011106</td> | |
| </tr> | |
| <tr ID="encounterNarrativeLink-4"> | |
| <td>2014-09-15 10:19:00</td> | |
| <td>2014-09-15 10:19:00</td> | |
| <td ID="encounterDescriptionLink-4">Emergency</td> | |
| <td ID="encounterAdmissionLink-4">URG</td> | |
| <td>OTHER, DOCTOR</td> | |
| <td>Saratoga Hospital</td> | |
| <td>Saratoga Hospital</td> | |
| <td>X000018846</td> | |
| </tr> | |
| <tr ID="encounterNarrativeLink-5"> | |
| <td>2014-08-13 13:10:00</td> | |
| <td>2014-08-13 13:10:00</td> | |
| <td ID="encounterDescriptionLink-5">Emergency</td> | |
| <td ID="encounterAdmissionLink-5">URG</td> | |
| <td>OTHER, DOCTOR</td> | |
| <td>Saratoga Hospital</td> | |
| <td>Saratoga Hospital</td> | |
| <td>X000015149</td> | |
| </tr> | |
| <tr ID="encounterNarrativeLink-6"> | |
| <td>2014-03-18 13:51:00</td> | |
| <td>2014-03-18 13:51:00</td> | |
| <td ID="encounterDescriptionLink-6">Emergency</td> | |
| <td ID="encounterAdmissionLink-6">URG</td> | |
| <td>OTHER, DOCTOR</td> | |
| <td>Saratoga Hospital</td> | |
| <td>Saratoga Hospital</td> | |
| <td>X000009076</td> | |
| </tr> | |
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| <name>Hixny</name> | |
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| <city>Latham</city> | |
| <state>NY</state> | |
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| <country>US</country> | |
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| <name>Saratoga Hospital</name> | |
| </playingEntity> | |
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| </participant> | |
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| <code code="EMER" codeSystem="2.16.840.1.113883.6.12" codeSystemName="C4" displayName="Emergency"> | |
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| <given>DOCTOR</given> | |
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| <assignedPerson> | |
| <name use="L"> | |
| <family>ASCHMUTAT</family> | |
| <given>JENNIFER</given> | |
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| <streetAddressLine>15 Cornell Road</streetAddressLine> | |
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| <state>NY</state> | |
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| <state>NY</state> | |
| <postalCode>12110</postalCode> | |
| <country>US</country> | |
| </addr> | |
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| <playingEntity classCode="PLC"> | |
| <name>Saratoga Hospital</name> | |
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| </participant> | |
| <participant typeCode="ENT"> | |
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| <code code="1184-1" codeSystem="2.16.840.1.113883.6.259" codeSystemName="HealthcareServiceLocation" displayName="Administrative Area"/> | |
| <playingEntity classCode="PLC"> | |
| <name>ASCHMUTAT, JENNIFER</name> | |
| </playingEntity> | |
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| </entry> | |
| </section> | |
| </component> | |
| <component> | |
| <section> | |
| <templateId root="2.16.840.1.113883.10.20.22.2.18"/> | |
| <templateId root="2.16.840.1.113883.10.20.22.2.18" extension="2015-08-01"/> | |
| <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LN" displayName="Payers"/> | |
| <title>Payers</title> | |
| <text> | |
| <table border="1" width="100%"> | |
| <thead> | |
| <tr> | |
| <th>Payer Name</th> | |
| <th>Policy Type</th> | |
| <th>Policy Number</th> | |
| <th>Effective Date</th> | |
| <th>Expiration Date</th> | |
| </tr> | |
| </thead> | |
| <tbody/> | |
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| <component> | |
| <section nullFlavor="NI"> | |
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| <code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LN"/> | |
| <title>Social History</title> | |
| <text>This patient has no known social history.</text> | |
| </section> | |
| </component> | |
| <component> | |
| <section nullFlavor="NI"> | |
| <templateId root="2.16.840.1.113883.10.20.22.2.4.1"/> | |
| <templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01"/> | |
| <code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LN" displayName="Vital Signs"/> | |
| <title>Vital Signs</title> | |
| <text>This patient has no known vital signs.</text> | |
| </section> | |
| </component> | |
| </structuredBody> | |
| </component> | |
| </ClinicalDocument> |
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