871bd605-e8f8-4b80-9918-4b03f781129e English V1.0 2008-10-07T15:40:21-0500 ACTORPATIENT_42 ACTORORGANIZATION_10000000020 ACTORSYSTEM_1 ACTORPATIENT_42 Patient CEND PHR PROBLEM1 Problem Congestive Heart Failure 428.0 ICD9CM ACTORPROVIDER_20217 PROBLEM2 Problem Chronic Obstructive Pulmonary Disease 496. ICD9CM ACTORPROVIDER_20217 PROBLEM3 Problem Hypertension 401.9 ICD9CM ACTORPROVIDER_20217 PROBLEM4 Problem Peptic Ulcer Disease 533.90 ICD9CM ACTORPROVIDER_20217 PROBLEM5 Problem Colonic Polyps 211.3 ICD9CM ACTORPROVIDER_20217 MED_PENDING1 Issue Date 2002-04-16 Medication On Hold ACTORPROVIDER_20217 NITROGLYCERIN 2.5MG SA CAP 58177-0004-04 NDC none 2.5 MG
CAP,SA
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 ACTORPROVIDER_20217 PREDNISONE 5MG TAB 00603-5337-32 NDC none 5 MG
TAB
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 ACTORPROVIDER_20217 PREDNISONE 1MG TAB 00054-4741-31 NDC none 1 MG
TAB
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 ACTORPROVIDER_20217 PREDNISONE 5MG TAB 00603-5337-32 NDC none 5 MG
TAB
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 ACTORPROVIDER_20217 RANITIDINE 150MG TAB 49884-0544-10 NDC none 150 MG
TAB
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 ACTORPROVIDER_20217 FUROSEMIDE 20MG TAB 00172-2908-80 NDC none 20 MG
TAB
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 ACTORPROVIDER_20217 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 ACTORPROVIDER_20217 ACETAMINPHEN 325MG CT 839-5080-16 NDC none 325 MG
TAB
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 ACTORPROVIDER_20217 ASPIRIN 325MG BUFFERED TAB 00182-1909-01 NDC none 325 MG
TAB
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 ACTORPROVIDER_20217 TETRACYCLINE HCL 250MG CAP 182-0112-10 NDC none 250 MG
CAP,ORAL
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 ACTORPROVIDER_20217 METRONIDAZOLE 250MG TAB 00093-0851-05 NDC none 250 MG
TAB
250 MG 500 BOTTLE
360 TAB 0
1 TAKE 250 MG ORAL (BY MOUTH) QID 360 Minute 0 1 MED12 Medication PENDING ACTORSYSTEM_1 ACETAMINOPHEN TAB PO Q14D MED13 Medication PENDING ACTORSYSTEM_1 DOXORUBICIN INJ IM AT ONSET PRN MED14 Medication PENDING ACTORSYSTEM_1 FUROSEMIDE INJ,SOLN IVP QD-DIG MED15 Medication PENDING ACTORSYSTEM_1 AMINO ACIDS INJ,SOLN IV QAM PRN MED16 Medication PENDING ACTORSYSTEM_1 AMINO ACIDS INJ,SOLN IV NOW
VITAL1 OBSERVED 2003-04-07T11:06:00-0500 TEMPERATURE ACTORSYSTEM_1 VITALTEST1 OBSERVED TEMPERATURE 309646008 SNOMED ACTORPROVIDER_20391 98.6 F VITAL2 OBSERVED 2003-04-07T11:06:00-0500 RESPIRATION ACTORSYSTEM_1 VITALTEST2 OBSERVED RESPIRATION 366147009 SNOMED ACTORPROVIDER_20391 18 VITAL3 OBSERVED 2003-04-07T11:06:00-0500 PAIN ACTORSYSTEM_1 VITALTEST3 OBSERVED PAIN 22253000 SNOMED ACTORPROVIDER_20391 0 VITAL4 OBSERVED 2003-04-05T11:06:00-0500 TEMPERATURE ACTORSYSTEM_1 VITALTEST4 OBSERVED TEMPERATURE 309646008 SNOMED ACTORPROVIDER_20391 101.2 F VITAL5 OBSERVED 2003-04-05T11:06:00-0500 RESPIRATION ACTORSYSTEM_1 VITALTEST5 OBSERVED RESPIRATION 366147009 SNOMED ACTORPROVIDER_20391 20 VITAL6 OBSERVED 2003-04-05T11:06:00-0500 PAIN ACTORSYSTEM_1 VITALTEST6 OBSERVED PAIN 22253000 SNOMED ACTORPROVIDER_20391 1 VITAL7 OBSERVED 2003-04-03T11:05:00-0500 TEMPERATURE ACTORSYSTEM_1 VITALTEST7 OBSERVED TEMPERATURE 309646008 SNOMED ACTORPROVIDER_20391 102.2 F VITAL8 OBSERVED 2003-04-03T11:05:00-0500 RESPIRATION ACTORSYSTEM_1 VITALTEST8 OBSERVED RESPIRATION 366147009 SNOMED ACTORPROVIDER_20391 22 VITAL9 OBSERVED 2003-04-03T11:05:00-0500 PAIN ACTORSYSTEM_1 VITALTEST9 OBSERVED PAIN 22253000 SNOMED ACTORPROVIDER_20391 2 ACTORORGANIZATION_10000000020 ZZ ALBANY-PRRTP ACTORSYSTEM_1 ACTORPATIENT_42 PATIENT ZZZRETFOURFIFTYFOUR 1935-04-07 MALE MALE 2.16.840.1.113883.5.1 SSN 666040534 ACTORPATIENT_42
Home FADS NEW YORK 99998
ACTORPATIENT_42
ACTORPROVIDER_20217 SIXTYFOUR RADTECH Physicians (M.D. and D.O.)-Physician/Osteopath-Cardiology
Work 123 MAIN ALBANY NY 12180
ACTORSYSTEM_1
ACTORPROVIDER_20391 TWENTYFOUR LABTECH PHYSICIAN
Work 123 MAIN ALBANY NY 12180
ACTORSYSTEM_1
ACTORSYSTEM_1 WorldVistA EHR/VOE 1.0 ACTORSYSTEM_1