ac08ff2c-2d09-4a78-9a06-5f08155916c2EnglishV1.02010-06-22T19:59:57-05:00ACTORPATIENT_140ACTORPROVIDER_10000000020ACTORSYSTEM_1ACTORPATIENT_140PatientCEND PHRPROBLEM12007-04-10T00:00:00-05:00ProblemHypertension401.9ICD9CMActive/ChronicPROBLEM22007-04-10T00:00:00-05:00ProblemHyperlipidemia272.4ICD9CMActive/ChronicPROBLEM32005-03-19T00:00:00-05:00ProblemAcute myocardial infarction, unspecified site, episode of care unspecified410.90ICD9CMActivePROBLEM42004-03-09T00:00:00-05:00ProblemChronic Systolic Heart failure428.22ICD9CMActive/ChronicPROBLEM52004-03-31T00:00:00-05:00ProblemDiabetes Mellitus Type II or unspecified250.00ICD9CMActive/ChronicALERT12005-03-19T10:15:00-05:00Adverse ReactionPatient has an ADVERSE reaction to PENICILLIN.282100009SNOMED CTPRODUCT_125PENICILLINITCHING,WATERING EYESALERT22007-12-17T15:33:00-05:00AllergyPatient has an ALLERGIC reaction to CHOCOLATE.418634005SNOMED CTPRODUCT_3CHOCOLATE4636681VUIDDIARRHEA4637011VUIDVITAL1OBSERVED2007-04-24T08:00:00-05:00WEIGHTVITALTEST1OBSERVEDWEIGHT107647005SNOMED175lbsVITAL2OBSERVED2007-04-11T07:45:00-05:00WEIGHTVITALTEST2OBSERVEDWEIGHT107647005SNOMED184lbsVITAL3OBSERVED2007-03-15T08:00:00-05:00WEIGHTVITALTEST3OBSERVEDWEIGHT107647005SNOMED196lbsVITAL4OBSERVED2005-03-16T06:00:00-05:00TEMPERATUREVITALTEST4OBSERVEDTEMPERATURE309646008SNOMED102.6FVITAL5OBSERVED2005-03-16T06:00:00-05:00RESPIRATIONVITALTEST5OBSERVEDRESPIRATION366147009SNOMED21VITAL6OBSERVED2005-03-16T06:00:00-05:00PAINVITALTEST6OBSERVEDPAIN22253000SNOMED3VITAL7OBSERVED2005-03-16T01:00:00-05:00TEMPERATUREVITALTEST7OBSERVEDTEMPERATURE309646008SNOMED99FVITAL8OBSERVED2005-03-16T01:00:00-05:00RESPIRATIONVITALTEST8OBSERVEDRESPIRATION366147009SNOMED18VITAL9OBSERVED2005-03-16T01:00:00-05:00PAINVITALTEST9OBSERVEDPAIN22253000SNOMED1VITAL10OBSERVED2005-03-15T11:03:00-05:00WEIGHTVITALTEST10OBSERVEDWEIGHT107647005SNOMED199lbsVITAL11OBSERVED2005-03-15T11:03:00-05:00TEMPERATUREVITALTEST11OBSERVEDTEMPERATURE309646008SNOMED98.2FVITAL12OBSERVED2005-03-15T11:03:00-05:00RESPIRATIONVITALTEST12OBSERVEDRESPIRATION366147009SNOMED18VITAL13OBSERVED2005-03-15T11:03:00-05:00PAINVITALTEST13OBSERVEDPAIN22253000SNOMED3VITAL14OBSERVED2005-03-15T11:03:00-05:00HEIGHTVITALTEST14OBSERVEDHEIGHT248327008SNOMED71inVITAL15OBSERVED2004-03-30T21:31:00-05:00WEIGHTVITALTEST15OBSERVEDWEIGHT107647005SNOMED185lbsVITAL16OBSERVED2004-03-30T21:31:00-05:00TEMPERATUREVITALTEST16OBSERVEDTEMPERATURE309646008SNOMED98.6FVITAL17OBSERVED2004-03-30T21:31:00-05:00RESPIRATIONVITALTEST17OBSERVEDRESPIRATION366147009SNOMED18VITAL18OBSERVED2004-03-30T21:31:00-05:00PAINVITALTEST18OBSERVEDPAIN22253000SNOMED2VITAL19OBSERVED2004-03-30T21:31:00-05:00HEIGHTVITALTEST19OBSERVEDHEIGHT248327008SNOMED70inVITAL20OBSERVED2003-04-15T16:05:00-05:00WEIGHTVITALTEST20OBSERVEDWEIGHT107647005SNOMED174lbsVITAL21OBSERVED2003-04-15T16:05:00-05:00TEMPERATUREVITALTEST21OBSERVEDTEMPERATURE309646008SNOMED98.7FVITAL22OBSERVED2003-04-15T16:05:00-05:00RESPIRATIONVITALTEST22OBSERVEDRESPIRATION366147009SNOMED10VITAL23OBSERVED2003-04-15T16:05:00-05:00PAINVITALTEST23OBSERVEDPAIN22253000SNOMED5VITAL24OBSERVED2003-04-09T10:15:00-05:00TEMPERATUREVITALTEST24OBSERVEDTEMPERATURE309646008SNOMED98.6FVITAL25OBSERVED2003-04-09T10:15:00-05:00RESPIRATIONVITALTEST25OBSERVEDRESPIRATION366147009SNOMED18VITAL26OBSERVED2003-04-09T10:15:00-05:00PAINVITALTEST26OBSERVEDPAIN22253000SNOMED0VITAL27OBSERVED2003-04-05T15:15:00-05:00WEIGHTVITALTEST27OBSERVEDWEIGHT107647005SNOMED172lbsVITAL28OBSERVED2003-04-05T15:15:00-05:00TEMPERATUREVITALTEST28OBSERVEDTEMPERATURE309646008SNOMED98.4FVITAL29OBSERVED2003-04-05T15:15:00-05:00RESPIRATIONVITALTEST29OBSERVEDRESPIRATION366147009SNOMED12VITAL30OBSERVED2003-04-05T15:15:00-05:00PAINVITALTEST30OBSERVEDPAIN22253000SNOMED4VITAL31OBSERVED2003-04-05T15:15:00-05:00HEIGHTVITALTEST31OBSERVEDHEIGHT248327008SNOMED70inVITAL32OBSERVED2003-04-04T10:15:00-05:00TEMPERATUREVITALTEST32OBSERVEDTEMPERATURE309646008SNOMED100.4FVITAL33OBSERVED2003-04-04T10:15:00-05:00RESPIRATIONVITALTEST33OBSERVEDRESPIRATION366147009SNOMED20VITAL34OBSERVED2003-04-04T10:15:00-05:00PAINVITALTEST34OBSERVEDPAIN22253000SNOMED1VITAL35OBSERVED2003-04-03T10:14:00-05:00TEMPERATUREVITALTEST35OBSERVEDTEMPERATURE309646008SNOMED102.6FVITAL36OBSERVED2003-04-03T10:14:00-05:00RESPIRATIONVITALTEST36OBSERVEDRESPIRATION366147009SNOMED22VITAL37OBSERVED2003-04-03T10:14:00-05:00PAINVITALTEST37OBSERVEDPAIN22253000SNOMED2VITAL38OBSERVED2001-04-09T10:59:00-05:00WEIGHTVITALTEST38OBSERVEDWEIGHT107647005SNOMED237lbsVITAL39OBSERVED2001-04-09T10:59:00-05:00TEMPERATUREVITALTEST39OBSERVEDTEMPERATURE309646008SNOMED99.5FVITAL40OBSERVED2001-04-09T10:59:00-05:00PAINVITALTEST40OBSERVEDPAIN22253000SNOMED1VITAL41OBSERVED2000-05-21T10:39:00-05:00WEIGHTVITALTEST41OBSERVEDWEIGHT107647005SNOMED240lbsVITAL42OBSERVED2000-05-21T10:39:00-05:00TEMPERATUREVITALTEST42OBSERVEDTEMPERATURE309646008SNOMED102FVITAL43OBSERVED2000-05-21T10:39:00-05:00RESPIRATIONVITALTEST43OBSERVEDRESPIRATION366147009SNOMED40VITAL44OBSERVED2000-05-21T10:39:00-05:00PAINVITALTEST44OBSERVEDPAIN22253000SNOMED0VITAL45OBSERVED2000-05-21T10:39:00-05:00HEIGHTVITALTEST45OBSERVEDHEIGHT248327008SNOMED70inVITAL46OBSERVED2000-05-10T10:39:00-05:00WEIGHTVITALTEST46OBSERVEDWEIGHT107647005SNOMED250lbsVITAL47OBSERVED2000-05-10T10:39:00-05:00TEMPERATUREVITALTEST47OBSERVEDTEMPERATURE309646008SNOMED101FVITAL48OBSERVED2000-05-10T10:39:00-05:00RESPIRATIONVITALTEST48OBSERVEDRESPIRATION366147009SNOMED43VITAL49OBSERVED2000-05-10T10:39:00-05:00PAINVITALTEST49OBSERVEDPAIN22253000SNOMED0VITAL50OBSERVED2000-05-10T10:39:00-05:00HEIGHTVITALTEST50OBSERVEDHEIGHT248327008SNOMED70inVITAL51OBSERVED2000-05-03T10:39:00-05:00WEIGHTVITALTEST51OBSERVEDWEIGHT107647005SNOMED240lbsVITAL52OBSERVED2000-05-03T10:39:00-05:00TEMPERATUREVITALTEST52OBSERVEDTEMPERATURE309646008SNOMED102FVITAL53OBSERVED2000-05-03T10:39:00-05:00RESPIRATIONVITALTEST53OBSERVEDRESPIRATION366147009SNOMED30VITAL54OBSERVED2000-05-03T10:39:00-05:00PAINVITALTEST54OBSERVEDPAIN22253000SNOMED0VITAL55OBSERVED2000-05-03T10:39:00-05:00HEIGHTVITALTEST55OBSERVEDHEIGHT248327008SNOMED70inRESULT_1Assessment Time2007-04-24T07:30:09-05:00Calculation82350.000099VA64RESULTTEST_1_1Assessment Time2007-04-24T07:30:09-05:00LDL CHOLESTEROLCH29199VA63F129MG/DL0-130RESULT_2Assessment Time2007-04-24T07:30:08-05:00Gen Chem Specimen81323.000099VA64RESULTTEST_2_1Assessment Time2007-04-24T07:30:08-05:00TRIGLYCERIDECH4799VA63F185mg/dL0-249RESULT_3Assessment Time2007-04-24T07:30:07-05:00Cholesterol HDL83013.000099VA64RESULTTEST_3_1Assessment Time2007-04-24T07:30:07-05:00HDLCH8099VA63F44MG/DL40-60RESULT_4Assessment Time2007-04-24T07:30:06-05:00Cholesterol Total82466.000099VA64RESULTTEST_4_1Assessment Time2007-04-24T07:30:06-05:00CHOLESTEROLCH1299VA63F188mg/dL0-199RESULT_5Assessment Time2007-04-24T07:30:05-05:00Glucose Quant84330.000099VA64RESULTTEST_5_1Assessment Time2007-04-24T07:30:05-05:00GLUCOSE:MCNC:PT:FLU:QN2344-0LOINCF95mg/dL60-110RESULT_6Assessment Time2007-04-24T07:30:04-05:00Carbon Dioxide Content82830.000099VA64RESULTTEST_6_1Assessment Time2007-04-24T07:30:04-05:00CARBON DIOXIDE:SCNC:PT:SER/PLAS:QN2028-9LOINCF26meq/L23-31RESULT_7Assessment Time2007-04-24T07:30:03-05:00Chloride82435.000099VA64RESULTTEST_7_1Assessment Time2007-04-24T07:30:03-05:00CHLORIDE:SCNC:PT:SER/PLAS:QN2075-0LOINCF100meq/L95-108RESULT_8Assessment Time2007-04-24T07:30:02-05:00Potassium84140.000099VA64RESULTTEST_8_1Assessment Time2007-04-24T07:30:02-05:00POTASSIUM:SCNC:PT:SER/PLAS:QN2823-3LOINCF3.8meq/L3.8-5.3RESULT_9Assessment Time2007-04-24T07:30:01-05:00Sodium84295.000099VA64RESULTTEST_9_1Assessment Time2007-04-24T07:30:01-05:00SODIUM:SCNC:PT:BLD:QN2947-0LOINCF135meq/L135-145RESULT_10Assessment Time2007-04-24T07:03:00-05:00Creatinine82565.000099VA64RESULTTEST_10_1Assessment Time2007-04-24T07:03:00-05:00CREATININE:MCNC:PT:SER/PLAS:QN2160-0LOINCF1.1mg/dL.9-1.4RESULT_11Assessment Time2007-04-11T08:00:09-05:00Calculation82350.000099VA64RESULTTEST_11_1Assessment Time2007-04-11T08:00:09-05:00LDL CHOLESTEROLCH29199VA63F175MG/DL0-130HRESULT_12Assessment Time2007-04-11T08:00:08-05:00Gen Chem Specimen81323.000099VA64RESULTTEST_12_1Assessment Time2007-04-11T08:00:08-05:00TRIGLYCERIDECH4799VA63F261mg/dL0-249HRESULT_13Assessment Time2007-04-11T08:00:07-05:00Cholesterol HDL83013.000099VA64RESULTTEST_13_1Assessment Time2007-04-11T08:00:07-05:00HDLCH8099VA63F36MG/DL40-60LRESULT_14Assessment Time2007-04-11T08:00:06-05:00Cholesterol Total82466.000099VA64RESULTTEST_14_1Assessment Time2007-04-11T08:00:06-05:00CHOLESTEROLCH1299VA63F215mg/dL0-199HRESULT_15Assessment Time2007-04-11T08:00:05-05:00Glucose Quant84330.000099VA64RESULTTEST_15_1Assessment Time2007-04-11T08:00:05-05:00GLUCOSE:MCNC:PT:FLU:QN2344-0LOINCF155mg/dL60-110HRESULT_16Assessment Time2007-04-11T08:00:04-05:00Carbon Dioxide Content82830.000099VA64RESULTTEST_16_1Assessment Time2007-04-11T08:00:04-05:00CARBON DIOXIDE:SCNC:PT:SER/PLAS:QN2028-9LOINCF27meq/L23-31RESULT_17Assessment Time2007-04-11T08:00:03-05:00Chloride82435.000099VA64RESULTTEST_17_1Assessment Time2007-04-11T08:00:03-05:00CHLORIDE:SCNC:PT:SER/PLAS:QN2075-0LOINCF103meq/L95-108RESULT_18Assessment Time2007-04-11T08:00:02-05:00Potassium84140.000099VA64RESULTTEST_18_1Assessment Time2007-04-11T08:00:02-05:00POTASSIUM:SCNC:PT:SER/PLAS:QN2823-3LOINCF5.2meq/L3.8-5.3RESULT_19Assessment Time2007-04-11T08:00:01-05:00Sodium84295.000099VA64RESULTTEST_19_1Assessment Time2007-04-11T08:00:01-05:00SODIUM:SCNC:PT:BLD:QN2947-0LOINCF140meq/L135-145RESULT_20Assessment Time2007-04-11T08:00:00-05:00Creatinine82565.000099VA64RESULTTEST_20_1Assessment Time2007-04-11T08:00:00-05:00CREATININE:MCNC:PT:SER/PLAS:QN2160-0LOINCF1.3mg/dL.9-1.4RESULT_21Assessment Time2007-03-15T07:45:09-05:00Calculation82350.000099VA64RESULTTEST_21_1Assessment Time2007-03-15T07:45:09-05:00LDL CHOLESTEROLCH29199VA63F168MG/DL0-130HRESULT_22Assessment Time2007-03-15T07:45:08-05:00Gen Chem Specimen81323.000099VA64RESULTTEST_22_1Assessment Time2007-03-15T07:45:08-05:00TRIGLYCERIDECH4799VA63F250mg/dL0-249HRESULT_23Assessment Time2007-03-15T07:45:07-05:00Cholesterol HDL83013.000099VA64RESULTTEST_23_1Assessment Time2007-03-15T07:45:07-05:00HDLCH8099VA63F38MG/DL40-60LRESULT_24Assessment Time2007-03-15T07:45:06-05:00Cholesterol Total82466.000099VA64RESULTTEST_24_1Assessment Time2007-03-15T07:45:06-05:00CHOLESTEROLCH1299VA63F205mg/dL0-199HRESULT_25Assessment Time2007-03-15T07:45:05-05:00Glucose Quant84330.000099VA64RESULTTEST_25_1Assessment Time2007-03-15T07:45:05-05:00GLUCOSE:MCNC:PT:FLU:QN2344-0LOINCF135mg/dL60-110HRESULT_26Assessment Time2007-03-15T07:45:04-05:00Carbon Dioxide Content82830.000099VA64RESULTTEST_26_1Assessment Time2007-03-15T07:45:04-05:00CARBON DIOXIDE:SCNC:PT:SER/PLAS:QN2028-9LOINCF24meq/L23-31RESULT_27Assessment Time2007-03-15T07:45:03-05:00Chloride82435.000099VA64RESULTTEST_27_1Assessment Time2007-03-15T07:45:03-05:00CHLORIDE:SCNC:PT:SER/PLAS:QN2075-0LOINCF99meq/L95-108RESULT_28Assessment Time2007-03-15T07:45:02-05:00Potassium84140.000099VA64RESULTTEST_28_1Assessment Time2007-03-15T07:45:02-05:00POTASSIUM:SCNC:PT:SER/PLAS:QN2823-3LOINCF5.1meq/L3.8-5.3RESULT_29Assessment Time2007-03-15T07:45:01-05:00Sodium84295.000099VA64RESULTTEST_29_1Assessment Time2007-03-15T07:45:01-05:00SODIUM:SCNC:PT:BLD:QN2947-0LOINCF137meq/L135-145RESULT_30Assessment Time2007-03-15T07:45:00-05:00Creatinine82565.000099VA64RESULTTEST_30_1Assessment Time2007-03-15T07:45:00-05:00CREATININE:MCNC:PT:SER/PLAS:QN2160-0LOINCF1.2mg/dL.9-1.4RESULT_31Assessment Time2006-06-02T00:09:00-05:00Prothrombin Time+PTT85613.000099VA64RESULTTEST_31_1Assessment Time2006-06-02T00:09:00-05:00PROTHROMBIN TIMECH43099VA63F14SEC.10-13HRESULTTEST_31_2Assessment Time2006-06-02T00:09:00-05:00PARTIAL THROMBOPLASTIN TIMECH43199VA63F26SEC.18-25HRESULT_32Assessment Time2006-06-01T02:13:00-05:00Gen Chem Specimen81323.000099VA64RESULTTEST_32_1Assessment Time2006-06-01T02:13:00-05:00HEMOGLOBIN A1CCH46299VA63F6.1%3.5-6HRESULT_33Assessment Time2005-07-07T10:04:00-05:00Glucose Quant84330.000099VA64RESULTTEST_33_1Assessment Time2005-07-07T10:04:00-05:00GLUCOSE:MCNC:PT:FLU:QN2344-0LOINCF350mg/dL60-110HHRESULT_34Assessment Time2005-03-17T02:56:53-05:00Gen Chem Specimen81323.000099VA64RESULTTEST_34_1Assessment Time2005-03-17T02:56:53-05:00HEMOGLOBIN A1CCH46299VA63F8.2RESULT_35Assessment Time2005-03-17T02:56:52-05:00Gen Chem Specimen81323.000099VA64RESULTTEST_35_1Assessment Time2005-03-17T02:56:52-05:00INRCH50004699VA63F1.61.0-1.4HRESULT_36Assessment Time2005-03-17T02:56:52-05:00Prothrombin Time85610.000099VA64RESULTTEST_36_1Assessment Time2005-03-17T02:56:52-05:00PROTHROMBIN TIMECH43099VA63F17.5SEC.10-13HRESULT_37Assessment Time2005-03-17T02:56:51-05:00Gen Chem Specimen81323.000099VA64RESULTTEST_37_1Assessment Time2005-03-17T02:56:51-05:00CPKWNYCH50003899VA63F250U/L21-235HRESULTTEST_37_2Assessment Time2005-03-17T02:56:51-05:00CPK-MBCH13299VA63F17.5U/L0-8.9HHRESULTTEST_37_3Assessment Time2005-03-17T02:56:51-05:00CPK-MB/CPKCH13399VA63F7%0-6HRESULT_38Assessment Time2005-03-17T02:56:51-05:00Chloride82435.000099VA64RESULTTEST_38_1Assessment Time2005-03-17T02:56:51-05:00CHLORIDE:SCNC:PT:SER/PLAS:QN2075-0LOINCF100meq/L95-108RESULT_39Assessment Time2005-03-17T02:56:51-05:00Cholesterol Total82466.000099VA64RESULTTEST_39_1Assessment Time2005-03-17T02:56:51-05:00CHOLESTEROLCH1299VA63F245mg/dL0-199HRESULT_40Assessment Time2005-03-17T02:56:51-05:00Creatinine82565.000099VA64RESULTTEST_40_1Assessment Time2005-03-17T02:56:51-05:00CREATININE:MCNC:PT:SER/PLAS:QN2160-0LOINCF1.1mg/dL.9-1.4RESULT_41Assessment Time2005-03-17T02:56:51-05:00Carbon Dioxide Content82830.000099VA64RESULTTEST_41_1Assessment Time2005-03-17T02:56:51-05:00CARBON DIOXIDE:SCNC:PT:SER/PLAS:QN2028-9LOINCF30meq/L23-31RESULT_42Assessment Time2005-03-17T02:56:51-05:00Cholesterol HDL83013.000099VA64RESULTTEST_42_1Assessment Time2005-03-17T02:56:51-05:00HDLCH8099VA63F41MG/DL40-60RESULT_43Assessment Time2005-03-17T02:56:51-05:00Troponin I83191.000099VA64RESULTTEST_43_1Assessment Time2005-03-17T02:56:51-05:00TROPONIN I.CARDIAC:MCNC:PT:SER/PLAS:QN10839-9LOINCF1.8ug/mL0-0.5HRESULT_44Assessment Time2005-03-17T02:56:51-05:00Lactate Dehydrogenase Isoenz83625.000099VA64RESULTTEST_44_1Assessment Time2005-03-17T02:56:51-05:00LDHCH1899VA63F190U/L128-227RESULT_45Assessment Time2005-03-17T02:56:51-05:00Potassium84140.000099VA64RESULTTEST_45_1Assessment Time2005-03-17T02:56:51-05:00POTASSIUM:SCNC:PT:SER/PLAS:QN2823-3LOINCF5.2meq/L3.8-5.3RESULT_46Assessment Time2005-03-17T02:56:51-05:00Sodium84295.000099VA64RESULTTEST_46_1Assessment Time2005-03-17T02:56:51-05:00SODIUM:SCNC:PT:BLD:QN2947-0LOINCF144meq/L135-145RESULT_47Assessment Time2005-03-17T02:56:51-05:00Glucose Quant84330.000099VA64RESULTTEST_47_1Assessment Time2005-03-17T02:56:51-05:00GLUCOSE:MCNC:PT:FLU:QN2344-0LOINCF310mg/dL60-110HHRESULT_48Assessment Time2005-03-17T02:56:51-05:00Urea Nitrogen84520.000099VA64RESULTTEST_48_1Assessment Time2005-03-17T02:56:51-05:00UREA NITROGEN/CREATININE:MCRTO:PT:SER/PLAS:QN3097-3LOINCF15mg/dL5-24RESULT_49Assessment Time2004-03-28T23:12:04-05:00Chloride82435.000099VA64RESULTTEST_49_1Assessment Time2004-03-28T23:12:04-05:00CHLORIDE:SCNC:PT:SER/PLAS:QN2075-0LOINCF101meq/L100-108RESULT_50Assessment Time2004-03-28T23:12:04-05:00Creatinine82565.000099VA64RESULTTEST_50_1Assessment Time2004-03-28T23:12:04-05:00CREATININE:MCNC:PT:SER/PLAS:QN2160-0LOINCF1.2mg/dL.9-1.4RESULT_51Assessment Time2004-03-28T23:12:04-05:00Carbon Dioxide Content82830.000099VA64RESULTTEST_51_1Assessment Time2004-03-28T23:12:04-05:00CARBON DIOXIDE:SCNC:PT:SER/PLAS:QN2028-9LOINCF29meq/L23-31RESULT_52Assessment Time2004-03-28T23:12:04-05:00Potassium84140.000099VA64RESULTTEST_52_1Assessment Time2004-03-28T23:12:04-05:00POTASSIUM:SCNC:PT:SER/PLAS:QN2823-3LOINCF4meq/L3.8-5.3RESULT_53Assessment Time2004-03-28T23:12:04-05:00Sodium84295.000099VA64RESULTTEST_53_1Assessment Time2004-03-28T23:12:04-05:00SODIUM:SCNC:PT:BLD:QN2947-0LOINCF135meq/L135-145RESULT_54Assessment Time2004-03-28T23:12:04-05:00Glucose Quant84330.000099VA64RESULTTEST_54_1Assessment Time2004-03-28T23:12:04-05:00GLUCOSE:MCNC:PT:FLU:QN2344-0LOINCF85mg/dL60-123RESULT_55Assessment Time2004-03-28T23:12:04-05:00Urea Nitrogen84520.000099VA64RESULTTEST_55_1Assessment Time2004-03-28T23:12:04-05:00UREA NITROGEN/CREATININE:MCRTO:PT:SER/PLAS:QN3097-3LOINCF19mg/dL11-24RESULT_56Assessment Time2004-03-25T22:34:32-05:00Glucose Quant84330.000099VA64RESULTTEST_56_1Assessment Time2004-03-25T22:34:32-05:00GLUCOSE:MCNC:PT:FLU:QN2344-0LOINCF225mg/dL60-123HRESULT_57Assessment Time2003-04-28T11:15:06-05:00Prothrombin Time85610.000099VA64RESULTTEST_57_1Assessment Time2003-04-28T11:15:06-05:00PROTHROMBIN TIMECH43099VA63F11.9SEC.10-15RESULT_58Assessment Time2003-04-28T11:15:05-05:00Potassium84140.000099VA64RESULTTEST_58_1Assessment Time2003-04-28T11:15:05-05:00POTASSIUM:SCNC:PT:SER/PLAS:QN2823-3LOINCF5.1meq/L3.8-5.3RESULT_59Assessment Time2000-05-21T08:00:00-05:00Glucose Quant84330.000099VA64RESULTTEST_59_1Assessment Time2000-05-21T08:00:00-05:00GLUCOSE:MCNC:PT:FLU:QN2344-0LOINCF200mg/dL60-123HRESULT_60Assessment Time2000-05-20T08:00:01-05:00Glucose Quant84330.000099VA64RESULTTEST_60_1Assessment Time2000-05-20T08:00:01-05:00GLUCOSE:MCNC:PT:FLU:QN2344-0LOINCF45mg/dL60-123LLRESULT_61Assessment Time2000-05-20T08:00:00-05:00Glucose Quant84330.000099VA64RESULTTEST_61_1Assessment Time2000-05-20T08:00:00-05:00GLUCOSE:MCNC:PT:FLU:QN2344-0LOINCF123mg/dL60-123RESULT_62Assessment Time1999-02-10T09:05:01-05:00Micro Bacteriology Culture87993.000099VA64RESULTTEST_62_1Assessment Time1999-02-10T09:05:01-05:00MICROSCOPIC OBSERVATION:PRID:PT:XXX:NOM:GRAM STAIN664-3LOINCFNEGATIVERESULTTEST_62_2Assessment Time1999-02-10T09:05:01-05:00MICROSCOPIC OBSERVATION:PRID:PT:XXX:NOM:GRAM STAIN664-3LOINCF***GRAM STAINRESULT_63Assessment Time1999-02-09T14:48:58-05:00Calcium82310.000099VA64RESULTTEST_63_1Assessment Time1999-02-09T14:48:58-05:00CALCIUM:SCNC:PT:SER/PLAS:QN2000-8LOINCF8.9mg/dL9-11LRESULT_64Assessment Time1999-02-09T11:08:44-05:00Chemistry Analysis Profile82400.000099VA64RESULTTEST_64_1Assessment Time1999-02-09T11:08:44-05:00GLUCOSECH299VA63F223mg/dL60-123HRESULTTEST_64_2Assessment Time1999-02-09T11:08:44-05:00UREA NITROGENCH399VA63F11mg/dL11-24RESULTTEST_64_3Assessment Time1999-02-09T11:08:44-05:00CREATININECH499VA63F1.2mg/dL.9-1.4RESULTTEST_64_4Assessment Time1999-02-09T11:08:44-05:00SODIUMCH599VA63F144meq/L135-145RESULTTEST_64_5Assessment Time1999-02-09T11:08:44-05:00POTASSIUMCH699VA63F4.5meq/L3.8-5.3RESULTTEST_64_6Assessment Time1999-02-09T11:08:44-05:00CHLORIDECH799VA63F102meq/L100-108RESULTTEST_64_7Assessment Time1999-02-09T11:08:44-05:00CO2CH899VA63F33meq/L23-31HRESULT_65Assessment Time1999-01-22T00:00:00-05:00Surgical Pathology Procedures NOS88515.000099VA64RESULTTEST_65_1Assessment Time1700--T00:00:00-05:00PATH REPORT.SITE OF ORIGIN:ANAT:PT:SPECIMEN:NAR22633-2LOINCCLYMPH NODE\RESULTTEST_65_2Assessment Time1700--T00:00:00-05:00PATH REPORT.GROSS OBSERVATION:FIND:PT:SPECIMEN:NAR22634-0LOINCCThis is the Gross description. RESULTTEST_65_3Assessment Time1700--T00:00:00-05:00PATH REPORT.MICROSCOPIC OBSERVATION:PRID:PT:SPECIMEN:NAR:XXX STAIN22635-7LOINCC oRIGINAL LINE DELETED AND THIS LINE ADDED... RESULTTEST_65_4Assessment Time1700--T00:00:00-05:00PATH REPORT.FINAL DIAGNOSIS:IMP:PT:SPECIMEN:NAR22637-3LOINCCSurgical path diagnosis RESULTTEST_65_5Assessment Time1700--T00:00:00-05:00PATH REPORT.SUPPLEMENTAL REPORTS:FIND:PT:SPECIMEN:NAR22639-9LOINCCI am testing for nois. Not sure if this is correct. RESULT_66Assessment Time1999-01-19T09:55:31-05:00Glucose Quant84330.000099VA64RESULTTEST_66_1Assessment Time1999-01-19T09:55:31-05:00GLUCOSE:MCNC:PT:FLU:QN2344-0LOINCF122mg/dL60-123RESULT_67Assessment Time1998-04-14T11:03:00-05:00Glucose Quant84330.000099VA64RESULTTEST_67_1Assessment Time1998-04-14T11:03:00-05:00GLUCOSE:MCNC:PT:FLU:QN2344-0LOINCF222mg/dL60-110HRESULT_68Assessment Time1997-12-18T09:37:00-05:00Glucose Quant84330.000099VA64RESULTTEST_68_1Assessment Time1997-12-18T09:37:00-05:00GLUCOSE:MCNC:PT:FLU:QN2344-0LOINCF211MG50-100HHPROCEDURE_1968_10Procedure Date2001-04-09T00:00:00-05:00Office/Outpatient Visit an Established Patient requiring (2 of 3) a History, an Exam and Medical Decision Making (CPT-4 99212)99212CPT-4CompletedENCOUNTER_38772007-05-16T00:00:00-05:00ADVANCE DIRECTIVEADVANCE DIRECTIVEACTORORGANIZATION_1ENCOUNTER_31362004-04-02T00:00:00-05:00 Office/Outpatient Visit for New Patient requiring a History, Exam and Medical Decision Making Office/Outpatient Visit for New Patient requiring a History, Exam and Medical Decision MakingACTORORGANIZATION_1ACTORPROVIDER_11748NOTE_3136ENCOUNTER_29202004-03-31T00:00:00-05:00PATIENT EDUCATIONPATIENT EDUCATIONACTORORGANIZATION_1ENCOUNTER_27912004-03-31T00:00:00-05:00MEDICINEMEDICINEACTORORGANIZATION_1ENCOUNTER_19682001-04-09T00:00:00-05:00 Office/Outpatient Visit an Established Patient requiring (2 of 3) a History, an Exam and Medical Decision Making (CPT-4 99212)99212CPT-4 Office/Outpatient Visit an Established Patient requiring (2 of 3) a History, an Exam and Medical Decision Making (CPT-4 99212)99212CPT-4ACTORORGANIZATION_1ACTORPROVIDER_11740NOTE_1968ENCOUNTER_18052000-10-18T00:00:00-05:00 Medical Conference to coordinate Patient Care (brief) Medical Conference to coordinate Patient Care (brief)ACTORORGANIZATION_1ACTORPROVIDER_11278NOTE_1805ENCOUNTER_16201999-01-26T00:00:00-05:00 Visit for drug monitoring Visit for drug monitoring ACTORORGANIZATION_1ACTORPROVIDER_11531NOTE_1620ENCOUNTER_5341998-01-21T00:00:00-05:00TIU TRAININGTIU TRAININGACTORORGANIZATION_1ENCOUNTER_1661995-08-22T00:00:00-05:00CRISIS NOTECRISIS NOTEACTORORGANIZATION_1ACTORORGANIZATION_1ZZ ALBANY-PRRTPOffice123 MAINALBANYNEW YORK12180ACTORORGANIZATION_500ZZ ALBANY-PRRTPOffice123 MAINALBANYNEW YORK12180ACTORPATIENT_140PATIENTTHIRTYTWO1935-04-07MALEMHL7 AdministrativeGenderSSN666000032Home1312 Ashton PlaceRowlingWEST VIRGINIA99998222-555-8235Residential Telephone222-555-7720Work TelephoneACTORPROVIDER_10000000002THIRTYLABTECHPhysicians (M.D. and D.O.)-Physician/OsteopathWork123 MAINALBANYNY12180ACTORORGANIZATION_1representedOrganizationACTORPROVIDER_10000000020SYSTEMMANAGERPhysicians (M.D. and D.O.)-Physician/OsteopathWork123 MAINALBANYNY12180509.989.3732OfficeACTORORGANIZATION_1representedOrganizationACTORPROVIDER_10000000031ONEHUNDREDVEHUScholar ExtraordinaireWork123 MAINALBANYNY12180ACTORORGANIZATION_1representedOrganizationACTORPROVIDER_10000000053TWOLABTECHCOMPUTER SPECIALISTWork123 MAINALBANYNY12180ACTORORGANIZATION_1representedOrganizationACTORPROVIDER_10958FIFTYTHREEWARDCLERKCOMPUTER SPECIALISTPhysicians (M.D. and D.O.)-Physician/Osteopath-Critical Care Medicine: AnesthesiologyWork123 MAINALBANYNY12180ACTORORGANIZATION_1representedOrganizationACTORPROVIDER_11278SIXTYEIGHTWARDCLERKCOMPUTER SPECIALISTPhysicians (M.D. and D.O.)-Physician/Osteopath-Internal MedicineWork123 MAINALBANYNY12180ACTORORGANIZATION_1representedOrganizationACTORPROVIDER_11531ONEHUNDREDNINETYONEPROVIDERScholar ExtraordinairePhysicians (M.D. and D.O.)-Physician/OsteopathWork123 MAINALBANYNY12180ACTORORGANIZATION_1representedOrganizationACTORPROVIDER_11740TWENTYFOURRADTECHCOMPUTER SPECIALISTPhysicians (M.D. and D.O.)-Physician/OsteopathWork123 MAINALBANYNY12180ACTORORGANIZATION_1representedOrganizationACTORPROVIDER_11745SPECIALLABTECHCOMPUTER SPECIALISTWork123 MAINALBANYNY12180ACTORORGANIZATION_1representedOrganizationACTORPROVIDER_11748THRITYTWORADTECHCOMPUTER SPECIALISTPhysicians (M.D. and D.O.)-Physician/OsteopathWork123 MAINALBANYNY12180ACTORORGANIZATION_1representedOrganizationACTORPROVIDER_20008SEVENVEHUScholar ExtraordinairePhysicians (M.D. and D.O.)-Physician/OsteopathWork123 MAINALBANYNY12180ACTORORGANIZATION_1representedOrganizationACTORPROVIDER_20029THIRTYTWOVEHUScholar ExtraordinairePhysicians (M.D. and D.O.)-Physician/OsteopathWork123 MAINALBANYNY12180ACTORORGANIZATION_1representedOrganizationACTORPROVIDER_20079SEVENTYNINEVEHUScholar ExtraordinairePhysicians (M.D. and D.O.)-Physician/OsteopathWork123 MAINALBANYNY12180ACTORORGANIZATION_1representedOrganizationACTORPROVIDER_20364SEVENTEENLABTECHWork123 MAINALBANYNY12180ACTORORGANIZATION_1representedOrganizationACTORPROVIDER_20391TWENTYFOURLABTECHPHYSICIANWork123 MAINALBANYNY12180ACTORORGANIZATION_1representedOrganizationACTORPROVIDER_983ONEPROVIDERScholar ExtraordinairePhysicians (M.D. and D.O.)-Physician/OsteopathWork123 MAINALBANYNY12180ACTORORGANIZATION_1representedOrganizationACTORSYSTEM_1WorldVistA EHR/VOE1.0@@COMMENTOBJECTID@@@@CMTDATETIME@@NOTE_16201999-01-26T00:00:00-05:00
This is an example of a crisis note that displays within CWAD.
NOTE_18052000-10-18T00:00:00-05:00
This is a new advance directive for this patient. THIRTYTWO,PATIENT has
requested that he not be resuscitated in the event that he goes into
respiratory distress. See attached scanned document for patient's
signature.
NOTE_19682001-04-09T00:00:00-05:00
GASTROINTESTINAL: Denies.
GENITOURINARY: Denies nocturia.
HEMOPOIETIC: Denies anemia, or easy bruisability.
LYMPHATIC: Denies.
MUSCULOSKELETAL: chronic low back pain.
NEUROLOGIC: Denies history of coma, paralysis, epilepsy, or convulsions.
PSYCHIATRIC: Denies.
PHYSICAL EXAMINATION:
GENERAL: This is a well-nourished, well-developed male in no apparent
Distress. He is alert and oriented to person, place, time and purpose.
NOTE_31362004-04-02T00:00:00-05:00
HX: Patient was seen for hearing aid fitting and orientation.
The batteries supplied for this hearing aid were: za312.
IMP: The veteran was seen for hearing aid fitting and orientation. A
complete orientation was performed, and the patient can insert the
aids(s), change the batteries, and adjust the volume. Response curves
were obtained using a real- ear probe microphone in-situ Measurement
System and indicated appropriate gain for the demonstrated hearing loss.
Care of the aid(s), warranty information and dangers of battery ingestion
were discussed with the veteran.
REC: Continued use of present amplification is recommended