d998b4a0-d1cc-427d-a1fd-35209e48d626 English V1.0 2010-09-20T18:15:09-05:00 ACTORPATIENT_100676 ACTORPROVIDER_10000000020 ACTORSYSTEM_1 ACTORPATIENT_100676 Patient CEND PHR PROBLEM1 2010-09-16T00:00:00-05:00 Problem Diabetes Mellitus without mention of Complication, type II or unspecified type, 250.00 ICD9CM Active ACTORPROVIDER_10000000183 RESULT_1 Assessment Time 2010-09-16T10:45:00-05:00 Gen Chem Specimen 81323.0000 99VA64 ACTORPROVIDER_10000000183 RESULTTEST_1_1 Assessment Time 2010-09-16T10:45:00-05:00 HEMOGLOBIN A1C CH462 99VA63 F ACTORORGANIZATION_500 9.6 % 3.5-6 ACTORORGANIZATION_500 H RESULT_2 Assessment Time 2010-09-16T10:45:00-05:00 Gen Chem Specimen 81323.0000 99VA64 ACTORPROVIDER_10000000183 RESULTTEST_2_1 Assessment Time 2010-09-16T10:45:00-05:00 HEMOGLOBIN A1C CH462 99VA63 F ACTORORGANIZATION_500 9.6 % 3.5-6 ACTORORGANIZATION_500 H PROCEDURE_4067_7 Procedure Date 2010-09-17T00:00:00-05:00 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 PROCEDURE_4066_4 Procedure Date 2010-09-16T00:00:00-05:00 Office/Outpatient Visit of an Established Patient requiring (2 of 3) a Detailed History, an Exam and Medical Decision Making of Moderate Complexity (CPT-4 99214) 99214 CPT-4 Completed ACTORPROVIDER_10000000183 ENCOUNTER_4067 2010-09-17T00:00:00-05:00 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_4067 ENCOUNTER_4066 2010-09-16T00:00:00-05:00 Office/Outpatient Visit of an Established Patient requiring (2 of 3) a Detailed History, an Exam and Medical Decision Making of Moderate Complexity (CPT-4 99214) 99214 CPT-4 Office/Outpatient Visit of an Established Patient requiring (2 of 3) a Detailed History, an Exam and Medical Decision Making of Moderate Complexity (CPT-4 99214) 99214 CPT-4 ACTORORGANIZATION_1 ACTORPROVIDER_10000000183 ACTORPROVIDER_10000000183 NOTE_4066 ACTORORGANIZATION_1 CAMP MASTER

Office VA MEDICAL CENTER ALBANY NEW YORK 12180-0097

ACTORSYSTEM_1 ACTORORGANIZATION_500 CAMP MASTER

Office VA MEDICAL CENTER ALBANY NEW YORK 12180-0097

ACTORSYSTEM_1 ACTORPATIENT_100676 OUTPATIENT SIXTYNINE 1945-03-09 MALE M HL7 AdministrativeGender SSN 666000669 ACTORPATIENT_100676

Home Any Street Any Town

ACTORPATIENT_100676 ACTORPROVIDER_10000000020 SYSTEM MANAGER Physicians (M.D. and D.O.)-Physician/Osteopath

Work VA MEDICAL CENTER ALBANY NY 12180-0097

ACTORSYSTEM_1 ACTORORGANIZATION_1 representedOrganization ACTORPROVIDER_10000000183 MATTHEW M KING Physicians (M.D. and D.O.)-Physician/Osteopath

Work VA MEDICAL CENTER ALBANY NY 12180-0097

ACTORSYSTEM_1 ACTORORGANIZATION_1 representedOrganization ACTORSYSTEM_1 WorldVistA EHR/VOE 1.0 ACTORSYSTEM_1 @@COMMENTOBJECTID@@ @@CMTDATETIME@@ @@ACTORSOURCEID@@ NOTE_4066 2010-09-16T00:00:00-05:00 TEST FOR NUMERATOR DM HB>9 ACTORPROVIDER_10000000183 NOTE_4067 2010-09-17T00:00:00-05:00 DM HBA1C MANAGEMENT: PATIENT HBA1C RESULTS DOCUMENTED HBA1C IS LESS THAN OR EQUAL TO 9% HBA1C VALUE: 9.1 PATIENT HAS AN LDL <100. LDL VALUE: 95 ACTORPROVIDER_10000000183