f8fb14e4-6437-4944-85dc-4010da72032b English V1.0 2010-09-14T16:27:58-05:00 ACTORPATIENT_100622 ACTORPROVIDER_10000000020 ACTORSYSTEM_1 ACTORPATIENT_100622 Patient CEND PHR PROBLEM1 2010-09-13T00:00:00-05:00 Problem Sprains (ICD-9-CM 848.9)


848.9
ICD9CM

Active ACTORPROVIDER_10000000183 MED1 Issue Date 2010-09-06 Last Fill Date 2010-09-06 Prescription Number 500605 Medication ACTIVE ACTORPROVIDER_10000000183 GLIPIZIDE 5MG TAB


310490
RXNORM
09AA_091005F

5 MG 5 MG 90 TAB 0 1 TAKE 5 MG ORAL (BY MOUTH) QD 1440 Minute 0 1 PROCEDURE_4062_4 Procedure Date 2010-09-05T00:00:00-05:00 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_4062 2010-09-05T00:00:00-05:00 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_4062 ACTORORGANIZATION_1 CAMP MASTER

Office VA MEDICAL CENTER ALBANY NEW YORK 12180-0097

ACTORSYSTEM_1 ACTORPATIENT_100622 OUTPATIENT FIFTEEN 1945-03-09 MALE


M
HL7 AdministrativeGender

SSN 666000615 ACTORPATIENT_100622

Home Any Street Any Town

ACTORPATIENT_100622 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_4062 2010-09-05T00:00:00-05:00 JUST GIVING MEDICATIONS ACTORPROVIDER_10000000183