871bd605-e8f8-4b80-9918-4b03f781129e
English
V1.0
2008-10-07T23:02:05-0500
ACTORPATIENT_369
ACTORORGANIZATION_10000000020
ACTORSYSTEM_1
ACTORPATIENT_369
Patient
CEND PHR
PROBLEM1
Problem
Dementia associated with alcoholism
291.20
ICD9CM
ACTORPROVIDER_11712
PROBLEM2
Problem
Alcohol Drinking
799.9
ICD9CM
ACTORPROVIDER_11712
MED_PENDING1
Issue Date
1999-02-22
Medication
On Hold
ACTORPROVIDER_11712
AMPICILLIN NA 1GM/VI INJ
63323-0389-10
NDC
none
1
GM/VIAL
1
GM/VIAL
10 X 1 GM VIAL
100
VI
2
1
INJECT
50
GM/VIAL
IV PIGGYBACK
Q6HRS
Minute
0
1
ACTORORGANIZATION_10000000020
ZZ ALBANY-PRRTP
ACTORSYSTEM_1
ACTORPATIENT_369
PATIENT
ZZZRETIREDFOUR
1935-04-07
MALE
MALE
2.16.840.1.113883.5.1
SSN
666678123
ACTORPATIENT_369
Home
TROY
NEW YORK
99998
ACTORPATIENT_369
ACTORPROVIDER_11712
TWOHUNDREDNINETYSEVEN
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