Continuity of Care Document from ZZ ALBANY-PRRTP


Continuity of Care Document from ZZ ALBANY-PRRTP















JODY
JEAN
JONES











123 MAIN
ALBANY
NY
12180




SYSTEM
MANAGER








ZZ ALBANY-PRRTP


123 MAIN
ALBANY
NEW YORK
12180


















Purpose
CEND PHR








Problems




Type
Date
Code
Description
Status
Source


Problem




Jul 3, 2010




250.00 (ICD9CM)
		
Diabetes Mellitus
Active/Chronic
SYSTEM  MANAGER   


Problem




Jul 4, 2010




428.0 (ICD9CM)
		
Congestive Heart Failure
Active/Chronic
SYSTEM  MANAGER   


Problem




Jul 4, 2010




412. (ICD9CM)
		
Old Myocardial Infarction
Inactive/Chronic
SYSTEM  MANAGER   













123 MAIN
ALBANY
NY
12180




SYSTEM
MANAGER
























Active/Chronic
















123 MAIN
ALBANY
NY
12180




SYSTEM
MANAGER
























Active/Chronic
















123 MAIN
ALBANY
NY
12180




SYSTEM
MANAGER
























Inactive/Chronic















Medications




Medication
Date
Status
Form
Strength
Quantity
SIG
Indications
Instruction
Refills
Source


ASPIRIN 81MG EC TAB

ACTIVE
TAB,EC
81 MG
90 TAB
81 MG ORAL (BY MOUTH) QD





3 
SYSTEM  MANAGER   


ATENOLOL 100MG TAB

ACTIVE
TAB
100 MG
90 TAB
100 MG ORAL (BY MOUTH) QD





3 
SYSTEM  MANAGER   


LISINOPRIL 20MG TAB

ACTIVE
TAB
20 MG
90 TAB
20 MG ORAL (BY MOUTH) QAM





3 
SYSTEM  MANAGER   






























































































Vital Signs




Vital Sign
Date
Result
Source


BLOOD PRESSURE

BLOOD PRESSURE 120/70  


WorldVistA EHR/VOE 1.0 


RESPIRATION

RESPIRATION 29  


WorldVistA EHR/VOE 1.0 


PULSE

PULSE 78  


WorldVistA EHR/VOE 1.0 


TEMPERATURE

TEMPERATURE 98.6 F 


WorldVistA EHR/VOE 1.0 












































































































































Encounters




Type
Date
Location
Status
Practitioner
Description
Indications
Source


C&P EXAMINATION REPORTS




C&P EXAMINATION REPORTS




C&P EXAMINATION REPORTS




C&P EXAMINATION REPORTS




C&P EXAMINATION REPORTS




C&P EXAMINATION REPORTS




ADDICTION SEVERITY INDEX




ADDICTION SEVERITY INDEX




C&P EXAMINATION REPORTS




C&P EXAMINATION REPORTS




C&P EXAMINATION REPORTS




C&P EXAMINATION REPORTS













C&P EXAMINATION REPORTS

















C&P EXAMINATION REPORTS

















C&P EXAMINATION REPORTS

















ADDICTION SEVERITY INDEX

















C&P EXAMINATION REPORTS

















C&P EXAMINATION REPORTS
















Results




Test
Date
Result
Source


Glucose Quant


GLUCOSE:MCNC:PT:FLU:QN 120 mg/dL H



SYSTEM  MANAGER   


Gen Chem Specimen


HEMOGLOBIN A1C 7 % H



EIGHT  PROVIDER  Scholar Extraordinaire 


Calculation


LDL CHOLESTEROL 90 MG/DL 



EIGHT  PROVIDER  Scholar Extraordinaire 
























60-110

























3.5-6
























0-130

Medication	Status	Form	Strength	Quantity	SIG	Refills	Source
ASPIRIN 81MG EC TAB	ACTIVE	TAB,EC	81 MG	90 TAB	81 MG ORAL (BY MOUTH) QD	3	SYSTEM MANAGER
ATENOLOL 100MG TAB	ACTIVE	TAB	100 MG	90 TAB	100 MG ORAL (BY MOUTH) QD	3	SYSTEM MANAGER
LISINOPRIL 20MG TAB	ACTIVE	TAB	20 MG	90 TAB	20 MG ORAL (BY MOUTH) QAM	3	SYSTEM MANAGER

Vital Sign	Result	Source
BLOOD PRESSURE	BLOOD PRESSURE 120/70	WorldVistA EHR/VOE 1.0
RESPIRATION	RESPIRATION 29	WorldVistA EHR/VOE 1.0
PULSE	PULSE 78	WorldVistA EHR/VOE 1.0
TEMPERATURE	TEMPERATURE 98.6 F	WorldVistA EHR/VOE 1.0

Type	Date	Location	Status	Practitioner	Description	Indications	Source
C&P EXAMINATION REPORTS					C&P EXAMINATION REPORTS
C&P EXAMINATION REPORTS					C&P EXAMINATION REPORTS
C&P EXAMINATION REPORTS					C&P EXAMINATION REPORTS
ADDICTION SEVERITY INDEX					ADDICTION SEVERITY INDEX
C&P EXAMINATION REPORTS					C&P EXAMINATION REPORTS
C&P EXAMINATION REPORTS					C&P EXAMINATION REPORTS

Test	Result	Source
Glucose Quant	GLUCOSE:MCNC:PT:FLU:QN 120 mg/dL H	SYSTEM MANAGER
Gen Chem Specimen	HEMOGLOBIN A1C 7 % H	EIGHT PROVIDER Scholar Extraordinaire
Calculation	LDL CHOLESTEROL 90 MG/DL	EIGHT PROVIDER Scholar Extraordinaire