Sample Demographics Xml Output

<demographics>
  <id>demo.2010-01-14.6557744442</id>
  <title>Demographics</title>
  <subject>
  </subject>
  <description>
  </description>
  <contributors>
  </contributors>
  <creators>
  </creators>
  <effectivedate>
  </effectivedate>
  <expirationdate>
  </expirationdate>
  <language>
  </language>
  <rights>
  </rights>
  <creation_date>2010/01/14 16:50:56.006 US/Pacific</creation_date>
  <modification_date>2010/05/11 16:33:32.270 GMT-7</modification_date>
  <intake>2010/01/14</intake>
  <last>Test</last>
  <first>User</first>
  <middle>
  </middle>
  <nickname>
  </nickname>
  <address>
  </address>
  <city>
  </city>
  <county>
  </county>
  <state>
  </state>
  <zip>
  </zip>
  <lat_long>
  </lat_long>
  <mail_to>
  </mail_to>
  <mail_address>
  </mail_address>
  <mail_city>
  </mail_city>
  <mail_state>
  </mail_state>
  <mail_zip>
  </mail_zip>
  <phone_number>
  </phone_number>
  <alt_phone_number>
  </alt_phone_number>
  <ssn>
  </ssn>
  <dob>
  </dob>
  <sex>
  </sex>
  <alone>
  </alone>
  <cross_street>
  </cross_street>
  <facility_name>
  </facility_name>
  <caller>
  </caller>
  <caller_num>
  </caller_num>
  <caller_relation>
  </caller_relation>
  <loc_type>Home</loc_type>
  <janus_id>DEMO_1195</janus_id>
  <alternate_id>
  </alternate_id>
  <alerts>
  </alerts>
  <otheralert>
  </otheralert>
  <patient_status>Current</patient_status>
  <reason_for_discharge>
  </reason_for_discharge>
  <date_of_death>
  </date_of_death>
  <directives>
  </directives>
  <allergies>
  </allergies>
  <noknownallergies>
  </noknownallergies>
  <disposition>
  </disposition>
  <pharmacy>
  </pharmacy>
  <pharmacy_num>
  </pharmacy_num>
  <pharmacy_fax>
  </pharmacy_fax>
  <home_health>
  </home_health>
  <home_health_contact>
  </home_health_contact>
  <home_health_num>
  </home_health_num>
  <home_health_fax>
  </home_health_fax>
  <map_page>
  </map_page>
  <clinician_name>demo1</clinician_name>
  <last_checkup>
  </last_checkup>
  <last_hospitalization>
  </last_hospitalization>
  <known_diagnoses>
  </known_diagnoses>
  <other_known_diagnoses>
  </other_known_diagnoses>
  <midlevel_name>
  </midlevel_name>
  <chief_complaint>
  </chief_complaint>
  <treatment_days>
  </treatment_days>
  <treatment_type>
  </treatment_type>
  <dispatchers_notes>
  </dispatchers_notes>
  <primary_type>Commercial</primary_type>
  <primary_carrier_code>
  </primary_carrier_code>
  <primary_carrier>dsfdfsd</primary_carrier>
  <primary_policy_holder_relationship>1</primary_policy_holder_relationship>
  <primary_policy_holder_name>
  </primary_policy_holder_name>
  <primary_certificate_num>sfsdfsdf</primary_certificate_num>
  <primary_group_num>
  </primary_group_num>
  <primary_addr1>
  </primary_addr1>
  <primary_city>
  </primary_city>
  <primary_st>
  </primary_st>
  <primary_zip>
  </primary_zip>
  <primary_phone>
  </primary_phone>
  <p_part_b_verified>
  </p_part_b_verified>
  <p_effective_date>
  </p_effective_date>
  <p_end_date>
  </p_end_date>
  <primary_current_deduct_p>
  </primary_current_deduct_p>
  <primary_prior_deduct_p>
  </primary_prior_deduct_p>
  <primary_notes>
  </primary_notes>
  <primary_primary>
  </primary_primary>
  <primary_medicare_contact>
  </primary_medicare_contact>
  <secondary_type>
  </secondary_type>
  <secondary_carrier_code>
  </secondary_carrier_code>
  <secondary_carrier>
  </secondary_carrier>
  <secondary_policy_holder_relationship>1</secondary_policy_holder_relationship>
  <secondary_policy_holder_name>
  </secondary_policy_holder_name>
  <secondary_certificate_num>
  </secondary_certificate_num>
  <secondary_group_num>
  </secondary_group_num>
  <secondary_addr1>
  </secondary_addr1>
  <secondary_city>
  </secondary_city>
  <secondary_st>
  </secondary_st>
  <secondary_zip>
  </secondary_zip>
  <secondary_phone>
  </secondary_phone>
  <s_part_b_verified>
  </s_part_b_verified>
  <s_effective_date>
  </s_effective_date>
  <s_end_date>
  </s_end_date>
  <secondary_current_deduct_p>
  </secondary_current_deduct_p>
  <secondary_prior_deduct_p>
  </secondary_prior_deduct_p>
  <secondary_notes>
  </secondary_notes>
  <secondary_primary>
  </secondary_primary>
  <secondary_medicare_contact>
  </secondary_medicare_contact>
  <tertiary_type>
  </tertiary_type>
  <tertiary_carrier_code>
  </tertiary_carrier_code>
  <tertiary_carrier>
  </tertiary_carrier>
  <tertiary_policy_holder_relationship>1</tertiary_policy_holder_relationship>
  <tertiary_policy_holder_name>
  </tertiary_policy_holder_name>
  <tertiary_certificate_num>
  </tertiary_certificate_num>
  <tertiary_group_num>
  </tertiary_group_num>
  <tertiary_addr1>
  </tertiary_addr1>
  <tertiary_city>
  </tertiary_city>
  <tertiary_st>
  </tertiary_st>
  <tertiary_zip>
  </tertiary_zip>
  <tertiary_phone>
  </tertiary_phone>
  <t_part_b_verified>
  </t_part_b_verified>
  <t_effective_date>
  </t_effective_date>
  <t_end_date>
  </t_end_date>
  <tertiary_current_deduct_p>
  </tertiary_current_deduct_p>
  <tertiary_prior_deduct_p>
  </tertiary_prior_deduct_p>
  <tertiary_notes>
  </tertiary_notes>
  <tertiary_primary>
  </tertiary_primary>
  <tertiary_medicare_contact>
  </tertiary_medicare_contact>
  <caller_type>
  </caller_type>
  <caller_info>
  </caller_info>
  <how_hear>
  </how_hear>
  <how_hear_info>
  </how_hear_info>
  <guarantor_type>
  </guarantor_type>
  <guarantor_name>
  </guarantor_name>
  <guarantor_phone_home>
  </guarantor_phone_home>
  <guarantor_phone_cell>
  </guarantor_phone_cell>
  <guarantor_phone_work>
  </guarantor_phone_work>
  <guarantor_addr>
  </guarantor_addr>
  <guarantor_city>
  </guarantor_city>
  <guarantor_state>
  </guarantor_state>
  <guarantor_zip>
  </guarantor_zip>
  <ec_name>
  </ec_name>
  <ec_phone>
  </ec_phone>
  <ec_wphone>
  </ec_wphone>
  <ec_cphone>
  </ec_cphone>
  <ec_relation>
  </ec_relation>
  <ec_addr>
  </ec_addr>
  <ec_city>
  </ec_city>
  <ec_state>
  </ec_state>
  <ec_zip>
  </ec_zip>
  <ec_other>
  </ec_other>
  <ec2_name>
  </ec2_name>
  <ec2_phone>
  </ec2_phone>
  <ec2_wphone>
  </ec2_wphone>
  <ec2_cphone>
  </ec2_cphone>
  <ec2_relation>
  </ec2_relation>
  <ec2_addr>
  </ec2_addr>
  <ec2_city>
  </ec2_city>
  <ec2_state>
  </ec2_state>
  <ec2_zip>
  </ec2_zip>
  <ec2_other>
  </ec2_other>
  <pcp_name>
  </pcp_name>
  <pcp_phone>
  </pcp_phone>
  <pcp_upin>
  </pcp_upin>
  <pcp_npi>
  </pcp_npi>
  <pcp_request>
  </pcp_request>
  <cc_name>
  </cc_name>
  <cc_other_auth>
  </cc_other_auth>
  <cc_today>
  </cc_today>
  <cc_type>
  </cc_type>
  <cc_number>
  </cc_number>
  <cc_sec_code>
  </cc_sec_code>
  <cc_exp>
  </cc_exp>
  <legend>
    <id>Short Name</id>
    <title>Title</title>
    <subject>Keywords</subject>
    <description>Description</description>
    <contributors>Contributors</contributors>
    <creators>Creators</creators>
    <effectiveDate>Effective Date</effectiveDate>
    <expirationDate>Expiration Date</expirationDate>
    <language>Language</language>
    <rights>Copyrights</rights>
    <creation_date>Creation Date</creation_date>
    <modification_date>Modification Date</modification_date>
    <intake>Intake Date</intake>
    <last>Last Name</last>
    <first>First Name</first>
    <middle>Middle Name</middle>
    <nickname>Nick Name</nickname>
    <address>Street Address</address>
    <city>City</city>
    <county>County</county>
    <state>State</state>
    <zip>Zip</zip>
    <lat_long>Lat_long</lat_long>
    <mail_to>Address Mail to</mail_to>
    <mail_address>Mailing Street Address</mail_address>
    <mail_city>Mailing City</mail_city>
    <mail_state>Mailing State</mail_state>
    <mail_zip>Mailing Zip</mail_zip>
    <phone_number>Phone</phone_number>
    <alt_phone_number>Alternate Phone</alt_phone_number>
    <SSN>SSN</SSN>
    <DOB>Date of birth</DOB>
    <Sex>Sex</Sex>
    <alone>Patient lives alone?</alone>
    <cross_street>Cross Street</cross_street>
    <facility_name>Facility Name</facility_name>
    <caller>Caller - Referral Source</caller>
    <caller_num>Caller's Phone #</caller_num>
    <caller_relation>Relationship to Patient</caller_relation>
    <loc_type>Location Type</loc_type>
    <janus_id>Janus ID</janus_id>
    <alternate_id>Alternate Patient ID</alternate_id>
    <alerts>Alerts</alerts>
    <otherAlert>Other Alert</otherAlert>
    <patient_status>Patient Status</patient_status>
    <reason_for_discharge>Reason for Discharge</reason_for_discharge>
    <date_of_death>Date of Death</date_of_death>
    <directives>Consents and Advanced Directives</directives>
    <allergies>Please describe any allergies and adverse reactions</allergies>
    <noKnownAllergies>No known drug allergies</noKnownAllergies>
    <disposition>Disposition</disposition>
    <pharmacy>Pharmacy</pharmacy>
    <pharmacy_num>Pharmacy Phone</pharmacy_num>
    <pharmacy_fax>Pharmacy Fax</pharmacy_fax>
    <home_health>Home Health Agency</home_health>
    <home_health_contact>Home Health Contact</home_health_contact>
    <home_health_num>Home Health Phone</home_health_num>
    <home_health_fax>Home Health Fax</home_health_fax>
    <map_page>Map page</map_page>
    <clinician_name>Physician Name</clinician_name>
    <last_checkup>Last Physician Checkup</last_checkup>
    <last_hospitalization>Last Hospitalization</last_hospitalization>
    <known_diagnoses>Known Diagnoses</known_diagnoses>
    <other_known_diagnoses>Other Known Diagnoses</other_known_diagnoses>
    <midlevel_name>Non-Physician Practitioner Name</midlevel_name>
    <chief_complaint>Initial Complaint</chief_complaint>
    <treatment_days>Treatment Days</treatment_days>
    <treatment_type>Type of Treatment</treatment_type>
    <dispatchers_notes>Dispatcher Notes</dispatchers_notes>
    <primary_type>Primary Coverage Type</primary_type>
    <primary_carrier_code>Primary Insurance Carrier</primary_carrier_code>
    <primary_carrier>Carrier Name</primary_carrier>
    <primary_policy_holder_relationship>Policy Holder</primary_policy_holder_relationship>
    <primary_policy_holder_name>Policy Holder Name</primary_policy_holder_name>
    <primary_certificate_num>Certificate #</primary_certificate_num>
    <primary_group_num>Group #</primary_group_num>
    <primary_addr1>Mailing Address</primary_addr1>
    <primary_city>City</primary_city>
    <primary_st>State</primary_st>
    <primary_zip>Zip</primary_zip>
    <primary_phone>Phone Number</primary_phone>
    <p_part_b_verified>Verification</p_part_b_verified>
    <p_effective_date>Effective Date</p_effective_date>
    <p_end_date>End Date</p_end_date>
    <primary_current_deduct_p>Deductible Met (Current Year)</primary_current_deduct_p>
    <primary_prior_deduct_p>Deductible Met (Prior Year)</primary_prior_deduct_p>
    <primary_notes>Primary Insurance Notes</primary_notes>
    <primary_primary>Primary</primary_primary>
    <primary_medicare_contact>Medicare Contact</primary_medicare_contact>
    <secondary_type>Coverage Type</secondary_type>
    <secondary_carrier_code>Insurance Carrier</secondary_carrier_code>
    <secondary_carrier>Carrier Name</secondary_carrier>
    <secondary_policy_holder_relationship>Policy Holder</secondary_policy_holder_relationship>
    <secondary_policy_holder_name>Policy Holder Name</secondary_policy_holder_name>
    <secondary_certificate_num>Certificate #</secondary_certificate_num>
    <secondary_group_num>Group #</secondary_group_num>
    <secondary_addr1>Mailing Address</secondary_addr1>
    <secondary_city>City</secondary_city>
    <secondary_st>State</secondary_st>
    <secondary_zip>Zip</secondary_zip>
    <secondary_phone>Phone Number</secondary_phone>
    <s_part_b_verified>Verification</s_part_b_verified>
    <s_effective_date>Effective Date</s_effective_date>
    <s_end_date>End Date</s_end_date>
    <secondary_current_deduct_p>Deductible Met (Current Year)</secondary_current_deduct_p>
    <secondary_prior_deduct_p>Deductible Met (Prior Year)</secondary_prior_deduct_p>
    <secondary_notes>Secondary Insurance Notes</secondary_notes>
    <secondary_primary>Primary</secondary_primary>
    <secondary_medicare_contact>Medicare Contact</secondary_medicare_contact>
    <tertiary_type>Coverage Type</tertiary_type>
    <tertiary_carrier_code>Insurance Carrier</tertiary_carrier_code>
    <tertiary_carrier>Carrier Name</tertiary_carrier>
    <tertiary_policy_holder_relationship>Policy Holder</tertiary_policy_holder_relationship>
    <tertiary_policy_holder_name>Policy Holder Name</tertiary_policy_holder_name>
    <tertiary_certificate_num>Certificate #</tertiary_certificate_num>
    <tertiary_group_num>Group #</tertiary_group_num>
    <tertiary_addr1>Mailing Address</tertiary_addr1>
    <tertiary_city>City</tertiary_city>
    <tertiary_st>State</tertiary_st>
    <tertiary_zip>Zip</tertiary_zip>
    <tertiary_phone>Phone Number</tertiary_phone>
    <t_part_b_verified>Verification</t_part_b_verified>
    <t_effective_date>Effective Date</t_effective_date>
    <t_end_date>End Date</t_end_date>
    <tertiary_current_deduct_p>Deductible Met (Current Year)</tertiary_current_deduct_p>
    <tertiary_prior_deduct_p>Deductible Met (Prior Year)</tertiary_prior_deduct_p>
    <tertiary_notes>Tertiary Insurance Notes</tertiary_notes>
    <tertiary_primary>Primary</tertiary_primary>
    <tertiary_medicare_contact>Medicare Contact</tertiary_medicare_contact>
    <caller_type>Who is calling?</caller_type>
    <caller_info>Info</caller_info>
    <how_hear>How did you hear?</how_hear>
    <how_hear_info>Info</how_hear_info>
    <guarantor_type>Who pays the bills?</guarantor_type>
    <guarantor_name>Name</guarantor_name>
    <guarantor_phone_home>Home Phone</guarantor_phone_home>
    <guarantor_phone_cell>Cell Phone</guarantor_phone_cell>
    <guarantor_phone_work>Work Phone</guarantor_phone_work>
    <guarantor_addr>Address</guarantor_addr>
    <guarantor_city>City</guarantor_city>
    <guarantor_state>State</guarantor_state>
    <guarantor_zip>Zip</guarantor_zip>
    <ec_name>Primary Contact Name</ec_name>
    <ec_phone>Home Phone</ec_phone>
    <ec_wphone>Work Phone</ec_wphone>
    <ec_cphone>Cell Phone</ec_cphone>
    <ec_relation>Relationship</ec_relation>
    <ec_addr>Address</ec_addr>
    <ec_city>City</ec_city>
    <ec_state>State</ec_state>
    <ec_zip>Zip</ec_zip>
    <ec_other>Emergency Contact Notes</ec_other>
    <ec2_name>Secondary Contact Name</ec2_name>
    <ec2_phone>Home Phone</ec2_phone>
    <ec2_wphone>Work Phone</ec2_wphone>
    <ec2_cphone>Cell Phone</ec2_cphone>
    <ec2_relation>Relationship</ec2_relation>
    <ec2_addr>Address</ec2_addr>
    <ec2_city>City</ec2_city>
    <ec2_state>State</ec2_state>
    <ec2_zip>Zip</ec2_zip>
    <ec2_other>Emergency Contact Notes</ec2_other>
    <pcp_name>PCP Name</pcp_name>
    <pcp_phone>PCP Phone</pcp_phone>
    <pcp_upin>PCP Upin #</pcp_upin>
    <pcp_npi>PCP NPI #</pcp_npi>
    <pcp_request>Request</pcp_request>
    <cc_name>Cardholder's Name</cc_name>
    <cc_other_auth>Person other than cardholder authorizing use</cc_other_auth>
    <cc_today>Charge for today's services?</cc_today>
    <cc_type>Card</cc_type>
    <cc_number>Card # (16 digits)</cc_number>
    <cc_sec_code>Auth Code</cc_sec_code>
    <cc_exp>Expiration</cc_exp>
  </legend>
</demographics>