871bd605-e8f8-4b80-9918-4b03f781129e
English
V1.0
2008-09-23T13:59:56-0500
ACTORPATIENT_260
ACTORORGANIZATION_10000000020
ACTORSYSTEM_1
ACTORPATIENT_260
Patient
CEND PHR
PROBLEM1
Problem
Hypertension
401.9
ICD9CM
PROBLEM2
Problem
Hyperlipidemia
272.4
ICD9CM
PROBLEM3
Problem
Acute myocardial infarction, unspecified site, episode of care unspecified
410.90
ICD9CM
PROBLEM4
Problem
Chronic Systolic Heart failure
428.22
ICD9CM
PROBLEM5
Problem
Diabetes Mellitus
250.00
ICD9CM
MED1
Medication
ACTIVE
ASPIRIN 81MG EC TAB
\ 81MG MOUTH EVERY MORNING
VITAL1
OBSERVED
2007-04-24T08:00:00-0500
WEIGHT
VITALTEST1
OBSERVED
WEIGHT
107647005
SNOMED
175
lbs
VITAL2
OBSERVED
2007-04-11T07:45:00-0500
WEIGHT
VITALTEST2
OBSERVED
WEIGHT
107647005
SNOMED
184
lbs
VITAL3
OBSERVED
2007-03-15T08:00:00-0500
WEIGHT
VITALTEST3
OBSERVED
WEIGHT
107647005
SNOMED
196
lbs
VITAL4
OBSERVED
2005-03-16T06:00:00-0500
PAIN
VITALTEST4
OBSERVED
PAIN
22253000
SNOMED
3
VITAL5
OBSERVED
2005-03-16T06:00:00-0500
TEMPERATURE
VITALTEST5
OBSERVED
TEMPERATURE
309646008
SNOMED
102.6
F
VITAL6
OBSERVED
2005-03-16T06:00:00-0500
RESPIRATION
VITALTEST6
OBSERVED
RESPIRATION
366147009
SNOMED
21
VITAL7
OBSERVED
2005-03-16T01:00:00-0500
TEMPERATURE
VITALTEST7
OBSERVED
TEMPERATURE
309646008
SNOMED
99
F
VITAL8
OBSERVED
2005-03-16T01:00:00-0500
RESPIRATION
VITALTEST8
OBSERVED
RESPIRATION
366147009
SNOMED
18
VITAL9
OBSERVED
2005-03-16T01:00:00-0500
PAIN
VITALTEST9
OBSERVED
PAIN
22253000
SNOMED
1
VITAL10
OBSERVED
2005-03-15T11:03:00-0500
WEIGHT
VITALTEST10
OBSERVED
WEIGHT
107647005
SNOMED
199
lbs
VITAL11
OBSERVED
2005-03-15T11:03:00-0500
TEMPERATURE
VITALTEST11
OBSERVED
TEMPERATURE
309646008
SNOMED
98.2
F
VITAL12
OBSERVED
2005-03-15T11:03:00-0500
RESPIRATION
VITALTEST12
OBSERVED
RESPIRATION
366147009
SNOMED
18
VITAL13
OBSERVED
2005-03-15T11:03:00-0500
PAIN
VITALTEST13
OBSERVED
PAIN
22253000
SNOMED
3
VITAL14
OBSERVED
2005-03-15T11:03:00-0500
HEIGHT
VITALTEST14
OBSERVED
HEIGHT
248327008
SNOMED
71
in
VITAL15
OBSERVED
2004-03-30T21:31:00-0500
WEIGHT
VITALTEST15
OBSERVED
WEIGHT
107647005
SNOMED
185
lbs
VITAL16
OBSERVED
2004-03-30T21:31:00-0500
TEMPERATURE
VITALTEST16
OBSERVED
TEMPERATURE
309646008
SNOMED
98.6
F
VITAL17
OBSERVED
2004-03-30T21:31:00-0500
RESPIRATION
VITALTEST17
OBSERVED
RESPIRATION
366147009
SNOMED
18
VITAL18
OBSERVED
2004-03-30T21:31:00-0500
PAIN
VITALTEST18
OBSERVED
PAIN
22253000
SNOMED
2
VITAL19
OBSERVED
2004-03-30T21:31:00-0500
HEIGHT
VITALTEST19
OBSERVED
HEIGHT
248327008
SNOMED
70
in
VITAL20
OBSERVED
2003-04-15T16:05:00-0500
WEIGHT
VITALTEST20
OBSERVED
WEIGHT
107647005
SNOMED
174
lbs
VITAL21
OBSERVED
2003-04-15T16:05:00-0500
TEMPERATURE
VITALTEST21
OBSERVED
TEMPERATURE
309646008
SNOMED
98.7
F
VITAL22
OBSERVED
2003-04-15T16:05:00-0500
RESPIRATION
VITALTEST22
OBSERVED
RESPIRATION
366147009
SNOMED
10
VITAL23
OBSERVED
2003-04-15T16:05:00-0500
PAIN
VITALTEST23
OBSERVED
PAIN
22253000
SNOMED
5
VITAL24
OBSERVED
2003-04-05T15:15:00-0500
WEIGHT
VITALTEST24
OBSERVED
WEIGHT
107647005
SNOMED
172
lbs
VITAL25
OBSERVED
2003-04-05T15:15:00-0500
TEMPERATURE
VITALTEST25
OBSERVED
TEMPERATURE
309646008
SNOMED
98.4
F
VITAL26
OBSERVED
2003-04-05T15:15:00-0500
RESPIRATION
VITALTEST26
OBSERVED
RESPIRATION
366147009
SNOMED
12
VITAL27
OBSERVED
2003-04-05T15:15:00-0500
PAIN
VITALTEST27
OBSERVED
PAIN
22253000
SNOMED
4
VITAL28
OBSERVED
2003-04-05T15:15:00-0500
HEIGHT
VITALTEST28
OBSERVED
HEIGHT
248327008
SNOMED
70
in
VITAL29
OBSERVED
2001-04-09T10:43:00-0500
WEIGHT
VITALTEST29
OBSERVED
WEIGHT
107647005
SNOMED
156
lbs
VITAL30
OBSERVED
2001-04-09T10:43:00-0500
TEMPERATURE
VITALTEST30
OBSERVED
TEMPERATURE
309646008
SNOMED
98.6
F
VITAL31
OBSERVED
2001-04-09T10:43:00-0500
PAIN
VITALTEST31
OBSERVED
PAIN
22253000
SNOMED
0
VITAL32
OBSERVED
2000-05-21T10:36:00-0500
WEIGHT
VITALTEST32
OBSERVED
WEIGHT
107647005
SNOMED
150
lbs
VITAL33
OBSERVED
2000-05-21T10:36:00-0500
TEMPERATURE
VITALTEST33
OBSERVED
TEMPERATURE
309646008
SNOMED
100
F
VITAL34
OBSERVED
2000-05-21T10:36:00-0500
RESPIRATION
VITALTEST34
OBSERVED
RESPIRATION
366147009
SNOMED
25
VITAL35
OBSERVED
2000-05-21T10:36:00-0500
PAIN
VITALTEST35
OBSERVED
PAIN
22253000
SNOMED
1
VITAL36
OBSERVED
2000-05-21T10:36:00-0500
HEIGHT
VITALTEST36
OBSERVED
HEIGHT
248327008
SNOMED
66
in
VITAL37
OBSERVED
2000-05-09T10:36:00-0500
WEIGHT
VITALTEST37
OBSERVED
WEIGHT
107647005
SNOMED
140
lbs
VITAL38
OBSERVED
2000-05-09T10:36:00-0500
TEMPERATURE
VITALTEST38
OBSERVED
TEMPERATURE
309646008
SNOMED
99.9
F
VITAL39
OBSERVED
2000-05-09T10:36:00-0500
RESPIRATION
VITALTEST39
OBSERVED
RESPIRATION
366147009
SNOMED
24
VITAL40
OBSERVED
2000-05-09T10:36:00-0500
PAIN
VITALTEST40
OBSERVED
PAIN
22253000
SNOMED
1
VITAL41
OBSERVED
2000-05-09T10:36:00-0500
HEIGHT
VITALTEST41
OBSERVED
HEIGHT
248327008
SNOMED
66
in
VITAL42
OBSERVED
2000-05-01T10:36:00-0500
WEIGHT
VITALTEST42
OBSERVED
WEIGHT
107647005
SNOMED
130
lbs
VITAL43
OBSERVED
2000-05-01T10:36:00-0500
TEMPERATURE
VITALTEST43
OBSERVED
TEMPERATURE
309646008
SNOMED
100
F
VITAL44
OBSERVED
2000-05-01T10:36:00-0500
RESPIRATION
VITALTEST44
OBSERVED
RESPIRATION
366147009
SNOMED
24
VITAL45
OBSERVED
2000-05-01T10:36:00-0500
PAIN
VITALTEST45
OBSERVED
PAIN
22253000
SNOMED
1
VITAL46
OBSERVED
2000-05-01T10:36:00-0500
HEIGHT
VITALTEST46
OBSERVED
HEIGHT
248327008
SNOMED
65
in
VITAL47
OBSERVED
1997-04-10T08:00:00-0500
HEIGHT
VITALTEST47
OBSERVED
HEIGHT
248327008
SNOMED
65
in
VITAL48
OBSERVED
1997-04-10T08:00:00-0500
WEIGHT
VITALTEST48
OBSERVED
WEIGHT
107647005
SNOMED
125
lbs
VITAL49
OBSERVED
1997-04-10T08:00:00-0500
TEMPERATURE
VITALTEST49
OBSERVED
TEMPERATURE
309646008
SNOMED
101
F
VITAL50
OBSERVED
1997-04-10T08:00:00-0500
RESPIRATION
VITALTEST50
OBSERVED
RESPIRATION
366147009
SNOMED
21
ACTORORGANIZATION_10000000020
ZZ ALBANY-PRRTP
ACTORPATIENT_260
PATIENT
THIRTYSIX
1935-04-07
M
M
2.16.840.1.113883.5.1
SSN
666000036
Home
1312 Ashton Place
Rowling
WEST VIRGINIA
99998
222-555-8235
Residential Telephone
222-555-7720
Work Telephone
ACTORPROVIDER_10000000002
THIRTY
LABTECH
Physicians (M.D. and D.O.)-Physician/Osteopath
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_10000000031
ONEHUNDRED
VEHU
Scholar Extraordinaire
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_10000000053
TWO
LABTECH
COMPUTER SPECIALIST
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_11597
PRF
PROVIDER
COMPUTER SPECIALIST
Dietary and Nutritional Service Providers-Dietitian, Registered
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_11740
TWENTYFOUR
RADTECH
COMPUTER SPECIALIST
Physicians (M.D. and D.O.)-Physician/Osteopath
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_11745
SPECIAL
LABTECH
COMPUTER SPECIALIST
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_20031
THIRTYSIX
VEHU
Scholar Extraordinaire
Physicians (M.D. and D.O.)-Physician/Osteopath
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_20079
SEVENTYNINE
VEHU
Scholar Extraordinaire
Physicians (M.D. and D.O.)-Physician/Osteopath
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_20391
TWENTYFOUR
LABTECH
PHYSICIAN
Work
123 MAIN
ALBANY
NY
12180
ACTORSYSTEM_1
WorldVistA EHR/VOE
1.0