871bd605-e8f8-4b80-9918-4b03f781129e English V1.0 2008-09-23T14:24:29-0500 ACTORPATIENT_100014 ACTORORGANIZATION_10000000020 ACTORSYSTEM_1 ACTORPATIENT_100014 Patient CEND PHR PROBLEM1 Problem Hypertension 401.9 ICD9CM ACTORPROVIDER_10000000031 PROBLEM2 Problem Hyperlipidemia 272.4 ICD9CM ACTORPROVIDER_10000000031 PROBLEM3 Problem Acute myocardial infarction, unspecified site, episode of care unspecified 410.90 ICD9CM ACTORPROVIDER_10000000032 PROBLEM4 Problem Chronic Systolic Heart failure 428.22 ICD9CM ACTORPROVIDER_11745 PROBLEM5 Problem Diabetes Mellitus Type II or unspecified (ICD-9-CM 250.00) 250.00 ICD9CM ACTORPROVIDER_10000000032 MED1 Medication ACTIVE ACTORSYSTEM_1 ASPIRIN 81MG EC TAB \ 81MG MOUTH EVERY MORNING VITAL1 OBSERVED 2007-04-24T08:00:00-0500 WEIGHT ACTORSYSTEM_1 VITALTEST1 OBSERVED WEIGHT 107647005 SNOMED ACTORPROVIDER_10000000053 175 lbs VITAL2 OBSERVED 2007-04-11T07:45:00-0500 WEIGHT ACTORSYSTEM_1 VITALTEST2 OBSERVED WEIGHT 107647005 SNOMED ACTORPROVIDER_10000000053 184 lbs VITAL3 OBSERVED 2007-03-15T08:00:00-0500 WEIGHT ACTORSYSTEM_1 VITALTEST3 OBSERVED WEIGHT 107647005 SNOMED ACTORPROVIDER_10000000053 196 lbs VITAL4 OBSERVED 2005-03-16T06:00:00-0500 PAIN ACTORSYSTEM_1 VITALTEST4 OBSERVED PAIN 22253000 SNOMED ACTORPROVIDER_20391 3 VITAL5 OBSERVED 2005-03-16T06:00:00-0500 TEMPERATURE ACTORSYSTEM_1 VITALTEST5 OBSERVED TEMPERATURE 309646008 SNOMED ACTORPROVIDER_20391 102.6 F VITAL6 OBSERVED 2005-03-16T06:00:00-0500 RESPIRATION ACTORSYSTEM_1 VITALTEST6 OBSERVED RESPIRATION 366147009 SNOMED ACTORPROVIDER_20391 21 VITAL7 OBSERVED 2005-03-16T01:00:00-0500 TEMPERATURE ACTORSYSTEM_1 VITALTEST7 OBSERVED TEMPERATURE 309646008 SNOMED ACTORPROVIDER_20391 99 F VITAL8 OBSERVED 2005-03-16T01:00:00-0500 RESPIRATION ACTORSYSTEM_1 VITALTEST8 OBSERVED RESPIRATION 366147009 SNOMED ACTORPROVIDER_20391 18 VITAL9 OBSERVED 2005-03-16T01:00:00-0500 PAIN ACTORSYSTEM_1 VITALTEST9 OBSERVED PAIN 22253000 SNOMED ACTORPROVIDER_20391 1 VITAL10 OBSERVED 2005-03-15T11:03:00-0500 WEIGHT ACTORSYSTEM_1 VITALTEST10 OBSERVED WEIGHT 107647005 SNOMED ACTORPROVIDER_20391 199 lbs VITAL11 OBSERVED 2005-03-15T11:03:00-0500 TEMPERATURE ACTORSYSTEM_1 VITALTEST11 OBSERVED TEMPERATURE 309646008 SNOMED ACTORPROVIDER_20391 98.2 F VITAL12 OBSERVED 2005-03-15T11:03:00-0500 RESPIRATION ACTORSYSTEM_1 VITALTEST12 OBSERVED RESPIRATION 366147009 SNOMED ACTORPROVIDER_20391 18 VITAL13 OBSERVED 2005-03-15T11:03:00-0500 PAIN ACTORSYSTEM_1 VITALTEST13 OBSERVED PAIN 22253000 SNOMED ACTORPROVIDER_20391 3 VITAL14 OBSERVED 2005-03-15T11:03:00-0500 HEIGHT ACTORSYSTEM_1 VITALTEST14 OBSERVED HEIGHT 248327008 SNOMED ACTORPROVIDER_20391 71 in VITAL15 OBSERVED 2004-03-30T21:36:00-0500 WEIGHT ACTORSYSTEM_1 VITALTEST15 OBSERVED WEIGHT 107647005 SNOMED ACTORPROVIDER_11745 125 lbs VITAL16 OBSERVED 2004-03-30T21:36:00-0500 TEMPERATURE ACTORSYSTEM_1 VITALTEST16 OBSERVED TEMPERATURE 309646008 SNOMED ACTORPROVIDER_11745 98.6 F VITAL17 OBSERVED 2004-03-30T21:36:00-0500 RESPIRATION ACTORSYSTEM_1 VITALTEST17 OBSERVED RESPIRATION 366147009 SNOMED ACTORPROVIDER_11745 18 VITAL18 OBSERVED 2004-03-30T21:31:00-0500 TEMPERATURE ACTORSYSTEM_1 VITALTEST18 OBSERVED TEMPERATURE 309646008 SNOMED ACTORPROVIDER_11745 98.6 F VITAL19 OBSERVED 2004-03-30T21:36:00-0500 PAIN ACTORSYSTEM_1 VITALTEST19 OBSERVED PAIN 22253000 SNOMED ACTORPROVIDER_11745 2 VITAL20 OBSERVED 2004-03-30T21:36:00-0500 HEIGHT ACTORSYSTEM_1 VITALTEST20 OBSERVED HEIGHT 248327008 SNOMED ACTORPROVIDER_11745 66 in VITAL21 OBSERVED 2003-04-15T16:05:00-0500 WEIGHT ACTORSYSTEM_1 VITALTEST21 OBSERVED WEIGHT 107647005 SNOMED ACTORPROVIDER_10000000002 174 lbs VITAL22 OBSERVED 2003-04-15T16:05:00-0500 TEMPERATURE ACTORSYSTEM_1 VITALTEST22 OBSERVED TEMPERATURE 309646008 SNOMED ACTORPROVIDER_10000000002 98.7 F VITAL23 OBSERVED 2003-04-15T16:05:00-0500 RESPIRATION ACTORSYSTEM_1 VITALTEST23 OBSERVED RESPIRATION 366147009 SNOMED ACTORPROVIDER_10000000002 10 VITAL24 OBSERVED 2003-04-15T16:05:00-0500 PAIN ACTORSYSTEM_1 VITALTEST24 OBSERVED PAIN 22253000 SNOMED ACTORPROVIDER_10000000002 5 VITAL25 OBSERVED 2003-04-05T15:15:00-0500 WEIGHT ACTORSYSTEM_1 VITALTEST25 OBSERVED WEIGHT 107647005 SNOMED ACTORPROVIDER_10000000002 172 lbs VITAL26 OBSERVED 2003-04-05T15:15:00-0500 TEMPERATURE ACTORSYSTEM_1 VITALTEST26 OBSERVED TEMPERATURE 309646008 SNOMED ACTORPROVIDER_10000000002 98.4 F VITAL27 OBSERVED 2003-04-05T15:15:00-0500 RESPIRATION ACTORSYSTEM_1 VITALTEST27 OBSERVED RESPIRATION 366147009 SNOMED ACTORPROVIDER_10000000002 12 VITAL28 OBSERVED 2003-04-05T15:15:00-0500 PAIN ACTORSYSTEM_1 VITALTEST28 OBSERVED PAIN 22253000 SNOMED ACTORPROVIDER_10000000002 4 VITAL29 OBSERVED 2003-04-05T15:15:00-0500 HEIGHT ACTORSYSTEM_1 VITALTEST29 OBSERVED HEIGHT 248327008 SNOMED ACTORPROVIDER_10000000002 70 in VITAL30 OBSERVED 2002-03-12T08:25:00-0500 HEIGHT ACTORSYSTEM_1 VITALTEST30 OBSERVED HEIGHT 248327008 SNOMED ACTORPROVIDER_10000000016 5 in VITAL31 OBSERVED 2002-03-12T08:25:00-0500 WEIGHT ACTORSYSTEM_1 VITALTEST31 OBSERVED WEIGHT 107647005 SNOMED ACTORPROVIDER_10000000016 180 lbs VITAL32 OBSERVED 2002-03-12T08:25:00-0500 TEMPERATURE ACTORSYSTEM_1 VITALTEST32 OBSERVED TEMPERATURE 309646008 SNOMED ACTORPROVIDER_10000000016 98.6 F VITAL33 OBSERVED 2002-03-12T08:25:00-0500 RESPIRATION ACTORSYSTEM_1 VITALTEST33 OBSERVED RESPIRATION 366147009 SNOMED ACTORPROVIDER_10000000016 20 VITAL34 OBSERVED 2002-03-12T08:25:00-0500 PAIN ACTORSYSTEM_1 VITALTEST34 OBSERVED PAIN 22253000 SNOMED ACTORPROVIDER_10000000016 0 VITAL35 OBSERVED 2002-02-26T20:49:00-0500 TEMPERATURE ACTORSYSTEM_1 VITALTEST35 OBSERVED TEMPERATURE 309646008 SNOMED ACTORPROVIDER_10000000032 98.6 F VITAL36 OBSERVED 2002-02-26T20:49:00-0500 RESPIRATION ACTORSYSTEM_1 VITALTEST36 OBSERVED RESPIRATION 366147009 SNOMED ACTORPROVIDER_10000000032 20 VITAL37 OBSERVED 2002-02-26T20:49:00-0500 PAIN ACTORSYSTEM_1 VITALTEST37 OBSERVED PAIN 22253000 SNOMED ACTORPROVIDER_10000000032 0 ACTORORGANIZATION_10000000020 ZZ ALBANY-PRRTP ACTORSYSTEM_1 ACTORPATIENT_100014 PATIENT ZERO 1935-04-07 M M 2.16.840.1.113883.5.1 SSN 666000000 ACTORPATIENT_100014

Home 1312 Ashton Place ROWLING WEST VIRGINIA 99998

222-555-9898 Residential Telephone ACTORPATIENT_100014 ACTORPROVIDER_10000000002 THIRTY LABTECH Physicians (M.D. and D.O.)-Physician/Osteopath

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ACTORSYSTEM_1 ACTORPROVIDER_10000000016 ONE TDNURSE Physicians (M.D. and D.O.)-Physician/Osteopath

Work 123 MAIN ALBANY NY 12180

ACTORSYSTEM_1 ACTORPROVIDER_10000000031 ONEHUNDRED VEHU

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ACTORSYSTEM_1 ACTORPROVIDER_10000000032 ZERO ZERO VEHU Physicians (M.D. and D.O.)-Physician/Osteopath

Work 123 MAIN ALBANY NY 12180

ACTORSYSTEM_1 ACTORPROVIDER_10000000053 TWO LABTECH

Work 123 MAIN ALBANY NY 12180

ACTORSYSTEM_1 ACTORPROVIDER_11745 SPECIAL LABTECH

Work 123 MAIN ALBANY NY 12180

ACTORSYSTEM_1 ACTORPROVIDER_20391 TWENTYFOUR LABTECH

Work 123 MAIN ALBANY NY 12180

ACTORSYSTEM_1 ACTORSYSTEM_1 WorldVistA EHR/VOE 1.0 ACTORSYSTEM_1