d010c8bd-eda0-4e36-8a53-c7c677666b29 English V1.0 2010-10-18T15:33:12-05:00 ACTORPATIENT_100146 ACTORPROVIDER_1 ACTORSYSTEM_1 ACTORPATIENT_100146 Patient CEND PHR PROBLEM1 2010-10-13T00:00:00-05:00 Problem Diabetes Mellitus without mention of Complication, type II or unspecified type, 250.02 ICD9CM Active ACTORPROVIDER_10000000020 PROBLEM2 2010-10-04T00:00:00-05:00 Problem Diabetes Mellitus 250.00 ICD9CM Active ACTORPROVIDER_10000000183 PROCEDURE_4141_10 Procedure Date 2010-10-14T00:00:00-05:00 INTERMEDIATE (30min) 99242 CPT-4 Completed ACTORPROVIDER_10000000020 PROCEDURE_4092_7 Procedure Date 2010-10-04T00:00:00-05:00 Office/Outpatient Visit of an Established Patient requiring (2 of 3) an Expanded History, an Exam and Medical Decision Making of Low Complexity (CPT-4 99213) 99213 CPT-4 Completed ACTORPROVIDER_10000000183 ENCOUNTER_4141 2010-10-14T00:00:00-05:00 ***NEW PATIENT*** INTERMEDIATE (30min) 99242 CPT-4 ***NEW PATIENT*** INTERMEDIATE (30min) 99242 CPT-4 ACTORORGANIZATION_1 ACTORPROVIDER_10000000020 ACTORPROVIDER_10000000020 ENCOUNTER_4092 2010-10-04T00:00:00-05:00 Office/Outpatient Visit of an Established Patient requiring (2 of 3) an Expanded History, an Exam and Medical Decision Making of Low Complexity (CPT-4 99213) 99213 CPT-4 Office/Outpatient Visit of an Established Patient requiring (2 of 3) an Expanded History, an Exam and Medical Decision Making of Low Complexity (CPT-4 99213) 99213 CPT-4 ACTORORGANIZATION_1 ACTORPROVIDER_10000000183 ACTORPROVIDER_10000000183 NOTE_4092 ENCOUNTER_4091 2010-10-04T00:00:00-05:00 Office/Outpatient Visit of an Established Patient requiring (2 of 3) an Expanded History, an Exam and Medical Decision Making of Low Complexity (CPT-4 99213) 99213 CPT-4 Office/Outpatient Visit of an Established Patient requiring (2 of 3) an Expanded History, an Exam and Medical Decision Making of Low Complexity (CPT-4 99213) 99213 CPT-4 ACTORORGANIZATION_1 ACTORPROVIDER_10000000183 ACTORPROVIDER_10000000183 NOTE_4091 ACTORORGANIZATION_1 CAMP MASTER
Office VA MEDICAL CENTER ALBANY NEW YORK 12180
ACTORSYSTEM_1 ACTORPATIENT_100146 MALE-D MEASURE-TWO 1960-01-01 MALE M HL7 AdministrativeGender SSN 666000200 ACTORPATIENT_100146
Home Any Street Any Town WEST VIRGINIA
222-555-8235 Residential Telephone 222-555-7720 Work Telephone ACTORPATIENT_100146 ACTORPROVIDER_1 ONE PROGRAMMER COMPUTER SPECIALIST Physicians (M.D. and D.O.)-Physician/Osteopath
Work VA MEDICAL CENTER ALBANY NY 12180
6655544 Office ACTORSYSTEM_1 ACTORORGANIZATION_1 representedOrganization ACTORPROVIDER_10000000020 NANCY ANTHRACITE Physicians (M.D. and D.O.)-Physician/Osteopath
Work VA MEDICAL CENTER ALBANY NY 12180
ACTORSYSTEM_1 ACTORORGANIZATION_1 representedOrganization ACTORPROVIDER_10000000183 MATTHEW M KING Physicians (M.D. and D.O.)-Physician/Osteopath
Work VA MEDICAL CENTER ALBANY NY 12180
ACTORSYSTEM_1 ACTORORGANIZATION_1 representedOrganization ACTORSYSTEM_1 WorldVistA EHR/VOE 1.0 ACTORSYSTEM_1 @@COMMENTOBJECTID@@ @@CMTDATETIME@@ @@ACTORSOURCEID@@ NOTE_4091 2010-10-04T00:00:00-05:00 PLACE DIABETIC ORDERS HERE. PATIENT HBA1C RESULTS PATIENTS HBA1C IS GREATER THAN 9% HBA1C VALUE: 9.1 *** No Outpatient measurements *** ACTORPROVIDER_10000000183 NOTE_4092 2010-10-04T00:00:00-05:00 PATIENT MAMMOGRAM INFORMATION: PATIENT HAD A SCREENING MAMMOGRAM. RESULT NEM (No Evidence of Malignancy) DATE OF PROCEDURE: September 6, 2010 ACTORPROVIDER_10000000183