871bd605-e8f8-4b80-9918-4b03f781129e English V1.0 2008-10-07T15:41:28-0500 ACTORPATIENT_739 ACTORORGANIZATION_10000000020 ACTORSYSTEM_1 ACTORPATIENT_739 Patient CEND PHR MED_PENDING1 Issue Date 1999-07-08 Medication On Hold ACTORPROVIDER_11817 FLURAZEPAM 15MG CAP 00143-3367-05 NDC none 15 MG

CAP,ORAL

15 MG 500 BOTTLE 10 CAP 0 1 TAKE 15 MG ORAL (BY MOUTH) QHS PRN 1440 Minute 1 1 MED_PENDING2 Issue Date 1999-07-08 Medication On Hold ACTORPROVIDER_11817 SODIUM CHLORIDE 5% OPH OINT 17478-0622-35 NDC none

OINT,OPH

5 % 3.5 GM TUBE 1 TUBE 1 1 APPLY .01 % OPHTHALMIC PRN 240 Minute 1 1 ACTORORGANIZATION_10000000020 ZZ ALBANY-PRRTP ACTORSYSTEM_1 ACTORPATIENT_739 PATIENT ZZZRETIREDEIGHTYFOUR 1935-04-07 MALE MALE 2.16.840.1.113883.5.1 SSN 666999911 ACTORPATIENT_739

Home

ACTORPATIENT_739 ACTORPROVIDER_11817 FORTYONE RADTECH

Work 123 MAIN ALBANY NY 12180

ACTORSYSTEM_1 ACTORSYSTEM_1 WorldVistA EHR/VOE 1.0 ACTORSYSTEM_1