871bd605-e8f8-4b80-9918-4b03f781129e English V1.0 2008-10-07T15:40:19-0500 ACTORPATIENT_1 ACTORORGANIZATION_10000000020 ACTORSYSTEM_1 ACTORPATIENT_1 Patient CEND PHR PROBLEM1 Problem DIABETES MELLI W/0 COMP TYP I 250.01 ICD9CM ACTORPROVIDER_11531 PROBLEM2 Problem Major depression with melancholia 296.20 ICD9CM ACTORPROVIDER_11531 PROBLEM3 Problem Dementia associated with alcoholism 291.2 ICD9CM ACTORPROVIDER_983 PROBLEM4 Problem Drug Abuse, Sports 799.9 ICD9CM ACTORPROVIDER_983 MED_PENDING1 Issue Date 1999-11-12 Medication On Hold ACTORPROVIDER_11817 CETACAINE TOP AEROSOL 10223-0201-01 NDC none
AEROSOL,TOP
56 GM BOTTLE
30 GM 5
MED_PENDING2 Issue Date 1999-11-12 Medication On Hold ACTORPROVIDER_11817 PSYLLIUM ORAL PWD 00224-1822-03 NDC none 4.75 GM/5GM
POWDER,ORAL
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 ACTORPROVIDER_11817 SULFACETAMIDE NA 10% OPH SOLN 349-8220-35 NDC none
SOLN,OPH
10 % 15 ML BOTTLE
15 ML 5
VITAL1 OBSERVED 2003-04-04T15:18:00-0500 TEMPERATURE ACTORSYSTEM_1 VITALTEST1 OBSERVED TEMPERATURE 309646008 SNOMED ACTORPROVIDER_20391 98.6 F VITAL2 OBSERVED 2003-04-04T15:18:00-0500 RESPIRATION ACTORSYSTEM_1 VITALTEST2 OBSERVED RESPIRATION 366147009 SNOMED ACTORPROVIDER_20391 19 VITAL3 OBSERVED 2003-04-04T15:17:00-0500 TEMPERATURE ACTORSYSTEM_1 VITALTEST3 OBSERVED TEMPERATURE 309646008 SNOMED ACTORPROVIDER_20391 98.2 F VITAL4 OBSERVED 2003-04-04T15:17:00-0500 RESPIRATION ACTORSYSTEM_1 VITALTEST4 OBSERVED RESPIRATION 366147009 SNOMED ACTORPROVIDER_20391 19 VITAL5 OBSERVED 2003-04-04T15:16:00-0500 TEMPERATURE ACTORSYSTEM_1 VITALTEST5 OBSERVED TEMPERATURE 309646008 SNOMED ACTORPROVIDER_20391 98 F VITAL6 OBSERVED 2003-04-04T15:16:00-0500 RESPIRATION ACTORSYSTEM_1 VITALTEST6 OBSERVED RESPIRATION 366147009 SNOMED ACTORPROVIDER_20391 18 VITAL7 OBSERVED 2003-04-04T15:16:00-0500 PAIN ACTORSYSTEM_1 VITALTEST7 OBSERVED PAIN 22253000 SNOMED ACTORPROVIDER_20391 0 ACTORORGANIZATION_10000000020 ZZ ALBANY-PRRTP ACTORSYSTEM_1 ACTORPATIENT_1 PATIENT ZZZRETFIVEFIFTYONE 1935-04-07 FEMALE FEMALE 2.16.840.1.113883.5.1 SSN 666223456 ACTORPATIENT_1
Home TROY NEW YORK 99998
222-555-8235 Residential Telephone ACTORPATIENT_1
ACTORPROVIDER_11531 ONEHUNDREDNINETYONE PROVIDER Scholar Extraordinaire Physicians (M.D. and D.O.)-Physician/Osteopath
Work 123 MAIN ALBANY NY 12180
ACTORSYSTEM_1
ACTORPROVIDER_11817 FORTYONE RADTECH
Work 123 MAIN ALBANY NY 12180
ACTORSYSTEM_1
ACTORPROVIDER_20391 TWENTYFOUR LABTECH PHYSICIAN
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
ACTORSYSTEM_1 WorldVistA EHR/VOE 1.0 ACTORSYSTEM_1