871bd605-e8f8-4b80-9918-4b03f781129e
English
V1.0
2008-10-07T23:00:56-0500
ACTORPATIENT_1
ACTORORGANIZATION_10000000020
ACTORSYSTEM_1
ACTORPATIENT_1
Patient
CEND PHR
PROBLEM1
Problem
DIABETES MELLI W/0 COMP TYP I
250.01
ICD9CM
PROBLEM2
Problem
Major depression with melancholia
296.20
ICD9CM
PROBLEM3
Problem
Dementia associated with alcoholism
291.2
ICD9CM
PROBLEM4
Problem
Drug Abuse, Sports
799.9
ICD9CM
MED_PENDING1
Issue Date
1999-11-12
Medication
On Hold
CETACAINE TOP AEROSOL
10223-0201-01
NDC
none
56 GM BOTTLE
30
GM
5
MED_PENDING2
Issue Date
1999-11-12
Medication
On Hold
PSYLLIUM ORAL PWD
00224-1822-03
NDC
none
4.75
GM/5GM
4.75
GM/5GM
250 GM JAR
14
GM
2
1
TAKE
AS DIRECTED
GM/5GM
ORAL (BY MOUTH)
BID
720
Minute
0
1
MED_PENDING3
Issue Date
1999-11-12
Medication
On Hold
SULFACETAMIDE NA 10% OPH SOLN
349-8220-35
NDC
none
10
%
15 ML BOTTLE
15
ML
5
VITAL1
OBSERVED
2003-04-04T15:18:00-0500
TEMPERATURE
VITALTEST1
OBSERVED
TEMPERATURE
309646008
SNOMED
98.6
F
VITAL2
OBSERVED
2003-04-04T15:18:00-0500
RESPIRATION
VITALTEST2
OBSERVED
RESPIRATION
366147009
SNOMED
19
VITAL3
OBSERVED
2003-04-04T15:17:00-0500
TEMPERATURE
VITALTEST3
OBSERVED
TEMPERATURE
309646008
SNOMED
98.2
F
VITAL4
OBSERVED
2003-04-04T15:17:00-0500
RESPIRATION
VITALTEST4
OBSERVED
RESPIRATION
366147009
SNOMED
19
VITAL5
OBSERVED
2003-04-04T15:16:00-0500
TEMPERATURE
VITALTEST5
OBSERVED
TEMPERATURE
309646008
SNOMED
98
F
VITAL6
OBSERVED
2003-04-04T15:16:00-0500
RESPIRATION
VITALTEST6
OBSERVED
RESPIRATION
366147009
SNOMED
18
VITAL7
OBSERVED
2003-04-04T15:16:00-0500
PAIN
VITALTEST7
OBSERVED
PAIN
22253000
SNOMED
0
ACTORORGANIZATION_10000000020
ZZ ALBANY-PRRTP
ACTORPATIENT_1
PATIENT
ZZZRETFIVEFIFTYONE
1935-04-07
FEMALE
FEMALE
2.16.840.1.113883.5.1
SSN
666223456
Home
TROY
NEW YORK
99998
222-555-8235
Residential Telephone
ACTORPROVIDER_11531
ONEHUNDREDNINETYONE
PROVIDER
Scholar Extraordinaire
Physicians (M.D. and D.O.)-Physician/Osteopath
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_11817
FORTYONE
RADTECH
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_20391
TWENTYFOUR
LABTECH
PHYSICIAN
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_983
ONE
PROVIDER
Scholar Extraordinaire
Physicians (M.D. and D.O.)-Physician/Osteopath
Work
123 MAIN
ALBANY
NY
12180
ACTORSYSTEM_1
WorldVistA EHR/VOE
1.0