871bd605-e8f8-4b80-9918-4b03f781129e English V1.0 2008-09-23T14:54:02-0500 ACTORPATIENT_711 ACTORORGANIZATION_10000000020 ACTORSYSTEM_1 ACTORPATIENT_711 Patient CEND PHR PROBLEM1 Problem MANIC DISORDER-MILD 296.01 ICD9CM ACTORPROVIDER_11531 PROBLEM2 Problem UPPER EXTREMITY 442.0 ICD9CM ACTORPROVIDER_11712 PROBLEM3 Problem Essential Hypertension 401.9 ICD9CM ACTORPROVIDER_10958 PROBLEM4 Problem Essential Hypertension 401.9 ICD9CM ACTORPROVIDER_11654 PROBLEM5 Problem ALCOH DEP NEC/NOS-REMISS 303.93 ICD9CM ACTORPROVIDER_11531 PROBLEM6 Problem ADJUST REACT-PHYS SYMPT 309.82 ICD9CM ACTORPROVIDER_11531 PROBLEM7 Problem Unspecified sinusitis (chronic) 473.9 ICD9CM ACTORPROVIDER_10958 MED500606 Issue Date 2008-09-03 Last Fill Date 2008-09-03 Prescription Number 500606 Medication ACTIVE ACTORPROVIDER_10000000177 IBUPROFEN 800MG TAB 53746-0137-05 NDC none 800 MG
TAB
800 MG 500 BOTTLE 30 TAB 1 TAKE 800 MG ORAL (BY MOUTH) DAILY Minute 30 0 5 MED500607 Issue Date 2008-09-22 Last Fill Date 2008-09-22 Prescription Number 500607 Medication ACTIVE ACTORPROVIDER_994 TRIAMCINOLONE ACETONIDE 0.1% CREAM 00414-0064-36 NDC none
CREAM,TOP
0.1 % 2270 GM JAR 80 GM 1 APPLY THIN FILM % TOPICAL BID 720 Minute 10D 0 AS DIRECTED 11 MED500608 Issue Date 2008-09-22 Last Fill Date 2008-09-22 Prescription Number 500608 Medication ACTIVE ACTORPROVIDER_983 SILDENAFIL CITRATE 50MG TAB 00069-4210-66 NDC none 50 MG
TAB
50 MG 100 BOTTLE 5 TAB 1 TAKE 50 MG ORAL (BY MOUTH) ONCE 40320 Minute 0 AS DIRECTED BEFORE BEFORE BEFORE... 11 MED477 2008-09-22T00:00:00-0500 Medication ACTIVE ACTORSYSTEM_1 SILDENAFIL CITRATE 50MG TAB 00069-4210-66 NDC TAKE ONE TABLET BY MOUTH ONCE AS DIRECTED BEFORE BEFORE BEFORE... MED478 2008-09-22T00:00:00-0500 Medication ACTIVE ACTORSYSTEM_1 TRIAMCINOLONE ACETONIDE 0.1% CREAM 00414-0064-36 NDC APPLY THIN FILM TO AFFECTED AREA TWICE A DAY FOR 10 DAYS AS DIRECTED MED479 2008-09-03T00:00:00-0500 Medication ACTIVE ACTORSYSTEM_1 IBUPROFEN 800MG TAB 53746-0137-05 NDC TAKE ONE TABLET BY MOUTH DAILY FOR 30 DAYS ACTORORGANIZATION_10000000020 ZZ ALBANY-PRRTP ACTORSYSTEM_1 ACTORPATIENT_711 PATIENT ZZZRETFOURFIFTYEIGHT 1935-04-07 F F 2.16.840.1.113883.5.1 SSN 666909955 ACTORPATIENT_711
Home ALBANY NEW YORK 99998
222-555-8235 Residential Telephone 222-555-7720 Work Telephone ACTORPATIENT_711 ACTORPROVIDER_10000000177 EYEDOCONE EYEDOC
Work 123 MAIN ALBANY NY 12180
555-555-5555 Office ACTORSYSTEM_1 ACTORPROVIDER_10958 FIFTYTHREE WARDCLERK COMPUTER SPECIALIST Physicians (M.D. and D.O.)-Physician/Osteopath-Critical Care Medicine: Anesthesiology
Work 123 MAIN ALBANY NY 12180
ACTORSYSTEM_1 ACTORPROVIDER_11531 ONEHUNDREDNINETYONE PROVIDER Scholar Extraordinaire Physicians (M.D. and D.O.)-Physician/Osteopath
Work 123 MAIN ALBANY NY 12180
ACTORSYSTEM_1 ACTORPROVIDER_11654 WARD CLERK
Work 123 MAIN ALBANY NY 12180
ACTORSYSTEM_1 ACTORPROVIDER_11712 TWOHUNDREDNINETYSEVEN PROVIDER Scholar Extraordinaire Physicians (M.D. and D.O.)-Physician/Osteopath
Work 123 MAIN ALBANY NY 12180
ACTORSYSTEM_1 ACTORPROVIDER_983 ONE PROVIDER Scholar Extraordinaire Physicians (M.D. and D.O.)-Physician/Osteopath
Work 123 MAIN ALBANY NY 12180
ACTORSYSTEM_1 ACTORPROVIDER_994 ELEVEN PROVIDER Scholar Extraordinaire Physicians (M.D. and D.O.)-Physician/Osteopath
Work 123 MAIN ALBANY NY 12180
ACTORSYSTEM_1 ACTORSYSTEM_1 WorldVistA EHR/VOE 1.0 ACTORSYSTEM_1