871bd605-e8f8-4b80-9918-4b03f781129e
English
V1.0
2008-10-07T23:00:59-0500
ACTORPATIENT_42
ACTORORGANIZATION_10000000020
ACTORSYSTEM_1
ACTORPATIENT_42
Patient
CEND PHR
PROBLEM1
Problem
Congestive Heart Failure
428.0
ICD9CM
PROBLEM2
Problem
Chronic Obstructive Pulmonary Disease
496.
ICD9CM
PROBLEM3
Problem
Hypertension
401.9
ICD9CM
PROBLEM4
Problem
Peptic Ulcer Disease
533.90
ICD9CM
PROBLEM5
Problem
Colonic Polyps
211.3
ICD9CM
MED_PENDING1
Issue Date
2002-04-16
Medication
On Hold
NITROGLYCERIN 2.5MG SA CAP
58177-0004-04
NDC
none
2.5
MG
2.5
MG
60 BOTTLE
270
CAP
0
1
TAKE
2.5
MG
ORAL (BY MOUTH)
Q8H
480
Minute
0
1
MED_PENDING2
Issue Date
2002-04-16
Medication
On Hold
PREDNISONE 5MG TAB
00603-5337-32
NDC
none
5
MG
5
MG
1000 BOTTLE
4
TAB
0
1
TAKE
20
MG
ORAL (BY MOUTH)
BID
720
Minute
0
1
MED_PENDING3
Issue Date
2002-04-16
Medication
On Hold
PREDNISONE 1MG TAB
00054-4741-31
NDC
none
1
MG
1
MG
1000 BOTTLE
10
TAB
0
1
TAKE
15
MG
ORAL (BY MOUTH)
3ID
4320
Minute
0
1
MED_PENDING4
Issue Date
2002-04-16
Medication
On Hold
PREDNISONE 5MG TAB
00603-5337-32
NDC
none
5
MG
5
MG
1000 BOTTLE
4
TAB
0
1
TAKE
20
MG
ORAL (BY MOUTH)
BID
720
Minute
0
1
MED_PENDING5
Issue Date
2002-04-16
Medication
On Hold
RANITIDINE 150MG TAB
49884-0544-10
NDC
none
150
MG
150
MG
60 BOTTLE
45
TAB
0
1
TAKE
150
MG
ORAL (BY MOUTH)
QD
1440
Minute
0
1
MED_PENDING6
Issue Date
2002-04-16
Medication
On Hold
FUROSEMIDE 20MG TAB
00172-2908-80
NDC
none
20
MG
20
MG
1000 BOTTLE
90
TAB
0
1
TAKE
20
MG
ORAL (BY MOUTH)
QD
1440
Minute
0
1
MED_PENDING7
Issue Date
2002-04-16
Medication
On Hold
DIGOXIN 0.125MG, 30'S
NDC
none
90
0
1
TAKE
0.125
ORAL (BY MOUTH)
QD
1440
Minute
0
1
MED_PENDING8
Issue Date
2002-04-16
Medication
On Hold
ACETAMINPHEN 325MG CT
839-5080-16
NDC
none
325
MG
325
MG
1000 BOTTLE
360
0
1
TAKE
325
MG
ORAL (BY MOUTH)
Q6H PRN
360
Minute
1
1
MED_PENDING9
Issue Date
2002-04-16
Medication
On Hold
ASPIRIN 325MG BUFFERED TAB
00182-1909-01
NDC
none
325
MG
325
MG
OTHER OTHER
90
TAB
0
1
TAKE
325
MG
ORAL (BY MOUTH)
QD
1440
Minute
0
1
MED_PENDING10
Issue Date
2002-04-16
Medication
On Hold
TETRACYCLINE HCL 250MG CAP
182-0112-10
NDC
none
250
MG
250
MG
1000 BOTTLE
112
CAP
0
1
TAKE
500
MG
ORAL (BY MOUTH)
QID
360
Minute
0
1
MED_PENDING11
Issue Date
2002-04-16
Medication
On Hold
METRONIDAZOLE 250MG TAB
00093-0851-05
NDC
none
250
MG
250
MG
500 BOTTLE
360
TAB
0
1
TAKE
250
MG
ORAL (BY MOUTH)
QID
360
Minute
0
1
MED12
Medication
PENDING
ACETAMINOPHEN TAB
PO Q14D
MED13
Medication
PENDING
DOXORUBICIN INJ
IM AT ONSET PRN
MED14
Medication
PENDING
FUROSEMIDE INJ,SOLN
IVP QD-DIG
MED15
Medication
PENDING
AMINO ACIDS INJ,SOLN
IV QAM PRN
MED16
Medication
PENDING
AMINO ACIDS INJ,SOLN
IV NOW
VITAL1
OBSERVED
2003-04-07T11:06:00-0500
TEMPERATURE
VITALTEST1
OBSERVED
TEMPERATURE
309646008
SNOMED
98.6
F
VITAL2
OBSERVED
2003-04-07T11:06:00-0500
RESPIRATION
VITALTEST2
OBSERVED
RESPIRATION
366147009
SNOMED
18
VITAL3
OBSERVED
2003-04-07T11:06:00-0500
PAIN
VITALTEST3
OBSERVED
PAIN
22253000
SNOMED
0
VITAL4
OBSERVED
2003-04-05T11:06:00-0500
TEMPERATURE
VITALTEST4
OBSERVED
TEMPERATURE
309646008
SNOMED
101.2
F
VITAL5
OBSERVED
2003-04-05T11:06:00-0500
RESPIRATION
VITALTEST5
OBSERVED
RESPIRATION
366147009
SNOMED
20
VITAL6
OBSERVED
2003-04-05T11:06:00-0500
PAIN
VITALTEST6
OBSERVED
PAIN
22253000
SNOMED
1
VITAL7
OBSERVED
2003-04-03T11:05:00-0500
TEMPERATURE
VITALTEST7
OBSERVED
TEMPERATURE
309646008
SNOMED
102.2
F
VITAL8
OBSERVED
2003-04-03T11:05:00-0500
RESPIRATION
VITALTEST8
OBSERVED
RESPIRATION
366147009
SNOMED
22
VITAL9
OBSERVED
2003-04-03T11:05:00-0500
PAIN
VITALTEST9
OBSERVED
PAIN
22253000
SNOMED
2
ACTORORGANIZATION_10000000020
ZZ ALBANY-PRRTP
ACTORPATIENT_42
PATIENT
ZZZRETFOURFIFTYFOUR
1935-04-07
MALE
MALE
2.16.840.1.113883.5.1
SSN
666040534
Home
FADS
NEW YORK
99998
ACTORPROVIDER_20217
SIXTYFOUR
RADTECH
Physicians (M.D. and D.O.)-Physician/Osteopath-Cardiology
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_20391
TWENTYFOUR
LABTECH
PHYSICIAN
Work
123 MAIN
ALBANY
NY
12180
ACTORSYSTEM_1
WorldVistA EHR/VOE
1.0