871bd605-e8f8-4b80-9918-4b03f781129e English V1.0 2008-10-07T23:01:05-0500 ACTORPATIENT_365 ACTORORGANIZATION_10000000020 ACTORSYSTEM_1 ACTORPATIENT_365 Patient CEND PHR MED_PENDING1 Issue Date 2000-01-26 Medication On Hold ACTORPROVIDER_11733 CIPROFLOXACIN HCL 500MG TAB 51672-4086-01 NDC none 500 MG
TAB
500 MG 100 BOTTLE
30 TAB 1 1 TAKE 500 MG ORAL (BY MOUTH) QD 1440 Minute 0 1
MED_PENDING2 Issue Date 2000-01-26 Medication On Hold ACTORPROVIDER_11733 CHLORPROMAZINE 100MG TAB 00832-0303-10 NDC none 100 MG
TAB
100 MG 1000 BOTTLE
30 TAB 2 1 TAKE 200 MG ORAL (BY MOUTH) QD 1440 Minute 0 1
MED_PENDING3 Issue Date 2000-02-22 Medication On Hold ACTORPROVIDER_11531 DIAZEPAM 10MG S.T. 555-0164-04 NDC none 10 MG
TAB
10 MG 500 BOTTLE
120 0 1 TAKE 10 MG ORAL (BY MOUTH) QID 360 Minute 0 1
ACTORORGANIZATION_10000000020 ZZ ALBANY-PRRTP ACTORSYSTEM_1 ACTORPATIENT_365 PATIENT ZZZRETIREDSEVENTYONE 1935-04-07 MALE MALE 2.16.840.1.113883.5.1 SSN 666095678 ACTORPATIENT_365
Home ALEXANDRIA VIRGINIA 99998
ACTORPATIENT_365
ACTORPROVIDER_11531 ONEHUNDREDNINETYONE PROVIDER Scholar Extraordinaire Physicians (M.D. and D.O.)-Physician/Osteopath
Work 123 MAIN ALBANY NY 12180
ACTORSYSTEM_1
ACTORPROVIDER_11733 SEVENTEEN RADTECH 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