871bd605-e8f8-4b80-9918-4b03f781129e
English
V1.0
2008-10-07T23:02:06-0500
ACTORPATIENT_711
ACTORORGANIZATION_10000000020
ACTORSYSTEM_1
ACTORPATIENT_711
Patient
CEND PHR
PROBLEM1
Problem
MANIC DISORDER-MILD
296.01
ICD9CM
PROBLEM2
Problem
UPPER EXTREMITY
442.0
ICD9CM
PROBLEM3
Problem
Essential Hypertension
401.9
ICD9CM
PROBLEM4
Problem
Essential Hypertension
401.9
ICD9CM
PROBLEM5
Problem
ALCOH DEP NEC/NOS-REMISS
303.93
ICD9CM
PROBLEM6
Problem
ADJUST REACT-PHYS SYMPT
309.82
ICD9CM
PROBLEM7
Problem
Unspecified sinusitis (chronic)
473.9
ICD9CM
MED1
Issue Date
2008-09-03
Last Fill Date
2008-09-03
Prescription Number
500606
Medication
ACTIVE
IBUPROFEN 800MG TAB
53746-0137-05
NDC
none
800
MG
800
MG
500 BOTTLE
30
TAB
5
1
TAKE
800
MG
ORAL (BY MOUTH)
DAILY
Minute
30
0
1
MED2
Issue Date
2008-09-22
Last Fill Date
2008-09-22
Prescription Number
500607
Medication
ACTIVE
TRIAMCINOLONE ACETONIDE 0.1% CREAM
00414-0064-36
NDC
none
0.1
%
2270 GM JAR
80
GM
AS DIRECTED
11
1
APPLY
THIN FILM
%
TOPICAL
BID
720
Minute
10D
0
1
MED3
Issue Date
2008-09-22
Last Fill Date
2008-09-22
Prescription Number
500608
Medication
ACTIVE
SILDENAFIL CITRATE 50MG TAB
00069-4210-66
NDC
none
50
MG
50
MG
100 BOTTLE
5
TAB
AS DIRECTED BEFORE BEFORE BEFORE...
11
1
TAKE
50
MG
ORAL (BY MOUTH)
ONCE
40320
Minute
0
1
MED4
Issue Date
2008-09-28
Last Fill Date
2008-09-28
Prescription Number
500609
Medication
ACTIVE
PREDNISONE 20MG TAB
00054-0018-29
NDC
none
20
MG
20
MG
500 BOTTLE
33
TAB
THEN STOP
0
1
TAKE
40
MG
ORAL (BY MOUTH)
BID
720
Minute
4D
0
1
THEN
1
TAKE
30
MG
ORAL (BY MOUTH)
BID
720
Minute
4D
0
2
THEN
1
TAKE
20
MG
ORAL (BY MOUTH)
BID
720
Minute
2D
0
3
THEN
1
TAKE
10
MG
ORAL (BY MOUTH)
BID
720
Minute
1D
0
4
ACTORORGANIZATION_10000000020
ZZ ALBANY-PRRTP
ACTORPATIENT_711
PATIENT
ZZZRETFOURFIFTYEIGHT
1935-04-07
FEMALE
FEMALE
2.16.840.1.113883.5.1
SSN
666909955
Home
ALBANY
NEW YORK
99998
222-555-8235
Residential Telephone
222-555-7720
Work Telephone
ACTORPROVIDER_10000000020
SYSTEM
MANAGER
Physicians (M.D. and D.O.)-Physician/Osteopath
Work
123 MAIN
ALBANY
NY
12180
509.989.3732
Office
ACTORPROVIDER_10000000177
EYEDOCONE
EYEDOC
Work
123 MAIN
ALBANY
NY
12180
555-555-5555
Office
ACTORPROVIDER_10958
FIFTYTHREE
WARDCLERK
COMPUTER SPECIALIST
Physicians (M.D. and D.O.)-Physician/Osteopath-Critical Care Medicine: Anesthesiology
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_11531
ONEHUNDREDNINETYONE
PROVIDER
Scholar Extraordinaire
Physicians (M.D. and D.O.)-Physician/Osteopath
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_11654
WARD
CLERK
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_11712
TWOHUNDREDNINETYSEVEN
PROVIDER
Scholar Extraordinaire
Physicians (M.D. and D.O.)-Physician/Osteopath
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_983
ONE
PROVIDER
Scholar Extraordinaire
Physicians (M.D. and D.O.)-Physician/Osteopath
Work
123 MAIN
ALBANY
NY
12180
ACTORPROVIDER_994
ELEVEN
PROVIDER
Scholar Extraordinaire
Physicians (M.D. and D.O.)-Physician/Osteopath
Work
123 MAIN
ALBANY
NY
12180
ACTORSYSTEM_1
WorldVistA EHR/VOE
1.0