4a8c9703-b1a5-42f7-8683-a07ae30dc3e7 English V1.0 2010-09-08T19:47:34-05:00 ACTORPATIENT_100616 ACTORPROVIDER_10000000020 ACTORSYSTEM_1 ACTORPATIENT_100616 Patient CEND PHR PROBLEM1 2010-09-05T00:00:00-05:00 Problem Diabetes Mellitus without mention of Complication, type II or unspecified type, 250.02 ICD9CM Active ACTORPROVIDER_10000000020 PROCEDURE_4057_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_10000000020 ENCOUNTER_4057 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_10000000020 ACTORPROVIDER_10000000020 NOTE_4057 ACTORORGANIZATION_1 CAMP MASTER

Office VA MEDICAL CENTER ALBANY NEW YORK 12180-0097

ACTORSYSTEM_1 ACTORPATIENT_100616 OUTPATIENT NINE 1945-03-09 MALE M HL7 AdministrativeGender SSN 666000609 ACTORPATIENT_100616

Home Any Street Any Town

ACTORPATIENT_100616 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 ACTORSYSTEM_1 WorldVistA EHR/VOE 1.0 ACTORSYSTEM_1 @@COMMENTOBJECTID@@ @@CMTDATETIME@@ @@ACTORSOURCEID@@ NOTE_4057 2010-09-05T00:00:00-05:00 PATIENT IS NOW DIABETIC ACTORPROVIDER_10000000020