871bd605-e8f8-4b80-9918-4b03f781129e English V1.0 2008-10-07T15:41:23-0500 ACTORPATIENT_364 ACTORORGANIZATION_10000000020 ACTORSYSTEM_1 ACTORPATIENT_364 Patient CEND PHR MED_PENDING1 Issue Date 1999-04-12 Medication On Hold ACTORPROVIDER_1999 TRIMETHOPRIM 100MG TAB 4-0127-01 NDC none 100 MG
TAB
100 MG 100 BOTTLE
90 TAB 3
1 TAKE 100 MG ORAL (BY MOUTH) QD 1440 Minute 0 1
ACTORORGANIZATION_10000000020 ZZ ALBANY-PRRTP ACTORSYSTEM_1 ACTORPATIENT_364 PATIENT ZZZRETFOURFOURTEEN 1935-04-07 MALE MALE 2.16.840.1.113883.5.1 SSN 666336655 ACTORPATIENT_364
Home BRONX NEW YORK 99998
222-555-8235 Residential Telephone ACTORPATIENT_364
ACTORPROVIDER_1999 SEVENTYTHREE 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