2.16.840.1.113883.3.43.0EnglishV1.0CCR Creation DateTime2006-05-05T20:28:12ZPERSON.268318.0PERSON.264485.0ProviderORG.85.0Providing OrganizationINFOSYSTEM.1.0EHR SystemPERSON.268252.0PERSON.268324.0Sample CCR for display in GalleryINSURANCE.202012Effective2003-01-01T12:00:00ZPolicyPolicyPolicy 12345INFOSYSTEM.1.0EHR SystemGroupGroupGroup 000INFOSYSTEM.1.0EHR SystemPlanPlanPlan 67890INFOSYSTEM.1.0EHR SystemInsurerINFOSYSTEM.1.0EHR SystemPAYER.0.202012PayerSUBSCRIBER.0.202012SubscriberGUARANTOR.112260GuarantorINFOSYSTEM.1.0EHR SystemGUARANTOR.0.112260GuarantorPROBLEM.1266Start2005-06-21T17:40:42ZProblemDIABETES MELLITUS, TYPE II250.00ICD9-CM2005ActiveINFOSYSTEM.1.0EHR SystemPERSON.268318.1Religious PreferenceADVENTISTCurrentX.CAREVISION.0.0ADT SystemPERSON.268318.2EthnicityHispanicCurrentX.CAREVISION.0.0ADT SystemPERSON.268318.3Marital StatusMARRIEDCurrentX.CAREVISION.0.0ADT SystemPERSON.268318.4LanguageENGLISHCurrentX.CAREVISION.0.0ADT SystemMEDICATION.28189Entered2005-04-01T08:00:00ZMedicationMirapex 0.125 mg tablet; 1 tab PO QPM x 30 days; #30; 0 refills; Take 2 hours before bedtime5988Multum00009000202NDCActiveX.MULTUM.0.0Drug DatabaseINFOSYSTEM.1.0EHR SystempramipexoleMirapex0.125milligram(s)
tablet
30tab(s)1tab(s)POQPM30DaysTake 2 hours before bedtime0MEDICATION.28188Entered2005-04-01T08:00:00ZMedicationBactrim DS 800 mg-160 mg tablet; 1 tab PO BID x 7 days; #14; 0 refills; 3242MultumActiveX.MULTUM.0.0Drug DatabaseINFOSYSTEM.1.0EHR Systemsulfamethoxazole-trimethoprimBactrim DS800milligram(s)
tablet
14tab(s)1tab(s)POBID7Days0MEDICATION.28187Entered2005-04-01T08:00:00ZMedicationTimoptic Ocudose 0.5% solution; 1 gtt OU BID ; #60; 0 refills; 3330MultumActiveX.MULTUM.0.0Drug DatabaseINFOSYSTEM.1.0EHR Systemtimolol ophthalmicTimoptic Ocudose0.5gram(s)
solution
601gttOUBID0MEDICATION.28186Entered2005-04-01T08:00:00ZMedicationhydrochlorothiazide 25 mg tablet; 1 tab PO DAILY x 30 days; #30; 0 refills; 2912Multum00074697802NDCActiveX.MULTUM.0.0Drug DatabaseINFOSYSTEM.1.0EHR Systemhydrochlorothiazidehydrochlorothiazide25milligram(s)
tablet
30tab(s)1tab(s)PODAILY30Days0MEDICATION.28185Entered2005-04-01T08:00:00ZMedicationGlucophage 850 mg tablet; 1 tab PO QAM x 30 days; #30; 0 refills; 2037MultumActiveX.MULTUM.0.0Drug DatabaseINFOSYSTEM.1.0EHR SystemmetforminGlucophage850milligram(s)
tablet
30tab(s)1tab(s)POQAM30Days0TEST.198367Ordered2005-02-26T13:07:00ZCollected2005-02-26T13:07:00ZReceived2005-06-07T21:44:10ZPerformed2005-02-26T13:07:00ZAccessionAccessioncc48761-L-1X.SQ.0.0HHCommentHV TEST; COUM HV TEST HHSQX.SQ.0.0Lab SystemRESULT.268080ResultHEMOGLOBINHGBSQFinalFSQX.SQ.0.0Lab System13.0GM/DL12.2-15.5GM/DLX.SQ.0.0Lab SystemRESULT.268081ResultHEMATOCRITHCTSQFinalFSQX.SQ.0.0Lab System41.0%35.0-47.0%X.SQ.0.0Lab SystemTEST.198346Ordered2005-06-01T11:00:00ZCollected2005-06-01T11:00:00ZReceived2005-06-02T19:27:56ZPerformed2005-06-02T19:27:56ZAccessionAccession100001X.CERNER.0.0COMPLETE BLOOD COUNT12100CERNERX.CERNER.0.0Lab SystemRESULT.268048ResultWBC1005CERNERCorrectedCCERNERX.CERNER.0.0Lab System10.5RESULT.268049ResultRBC1008CERNERCorrectedCCERNERX.CERNER.0.0Lab System4.53RESULT.268050ResultHGB1003CERNERCorrectedCCERNERX.CERNER.0.0Lab System13.8RESULT.268051ResultHCT1004CERNERCorrectedCCERNERX.CERNER.0.0Lab System41RESULT.268052ResultMCV1010CERNERCorrectedCCERNERX.CERNER.0.0Lab System91RESULT.268053ResultRDW12017CERNERCorrectedCCERNERX.CERNER.0.0Lab System13.9RESULT.268054ResultPLT1020CERNERCorrectedCCERNERX.CERNER.0.0Lab System450000RESULT.268055ResultMPV12014CERNERCorrectedCCERNERX.CERNER.0.0Lab System8.3REPORT.30744IDIDD01-81231X.CERNER.MILL.0.0X.CERNER.MILL.0.0Transcription SystemTRAN.30744ObservationXRLegally AuthenticatedLACERNER_MILLPERSON.263662.0DictatingPERSON.263662.0Signing<< https://irvqaweb16.healthvision.com/branding/DEMO75063002/images/cxr4m.jpg >> PROCEDURE: 0200 RAD CHEST 1 VIEW ACC#: D01-81231 DATE/TIME: 5/22/2003 12:10 CLINICAL INFO: DOE REPORT: Final Community Health System PT NAME: Riggins, Michael Location: R1034-1 ORDERING PHYSICIAN: Reddy, Patrick R. ATTENDING PHYSICIAN(s): Reddy, Patrick R. Exam(s): 0200 RAD CHEST 1 VIEW 12/16/2001 D01-81231 Reason for Exam/Comment: DOE PA CHEST, 0410 HRS: There are no prior studies available for comparison. The heart size is within normal limts. The lungs are slightly hyperinflated. There is no evidence of infiltrate. There are no interstitial markings suggestive of edema. The bony anatomy appears normal. IMPRESSION: Normal study. Dictating Radiologist: Harold L. Desai Jr., M.D. Harold L. Desai, Jr., M.D. P035021 ELECTRONICALLY SIGNED ON 05/22/2003 13:09 Transcribed by: sw /05/22/2003 15:01 << https://irvqaweb16.healthvision.com/branding/DEMO75063002/images/cxr4m.jpg >> REPORT.30743IDID77889902X.CERNER.MILL.0.0X.CERNER.MILL.0.0Transcription SystemTRAN.30743ObservationEKGAUAUCERNER_MILLPERSON.264485.0DictatingPERSON.264485.0SigningELECTROCARDIOGRAM REPORT - RHYTHM: NORMAL SINUS WITH OCCASIONAL VENTRICULAR PREMATURE BEATS (2/min.) RATE: 80 PR: .12 QRS: .07 QT: .36 AXIS: +75 NOTE: Suspect incorrect lead placement of V3. Interpretation ignores V3 tracing. INTERPRETATION: Normal sinus rhythm. Significant left ventricular hypertrophy. Steep T waves in V4 through V6 may be reflective of hypertrophy or hyperkalemia. Small Q waves in inferior and lateral leads: may represent old infarction. Clinical correlation and prior EKG are required for full interpretation. No other old or new abnormalities noted. << https://irvqaweb16.healthvision.com/branding/DEMO75063002/images/ekg2.gif >> (SIGNED) D.A. VOORHEES, MD VISIT.126948Start2005-03-01T05:00:00ZOutpatientThis is a complaint12345Account#INFOSYSTEM.1.0EHR SystemORG.85.0PERSON.264485.0AttendingPERSON.268252.0AdmittingPERSON.268252.0ReferringPERSON.268326.0Primary CarePERSON.268318.0SallyRSmithSally R Smith1963-04-02T12:00:00Z43YearsFemaleMRNMRN2001717ORG.85.0X.HIMS.0.0ADT SystemHVPIDHVPID268318ORG.85.0X.CAREVISION.0.0ADT SystemHVPIDHVPID268318ORG.85.0X.CAREVISION.0.0ADT System
Primary807 S. 22nd StreetIrvingTXUS75063
972-555-0382Home972-555-6666Wirelesssally@somewhere.comINFOSYSTEM.1.0EHR SystemPERSON.264485.0MichaelJSpillaneMichael J Spillane1966-10-19T00:00:00Z39YearsMaleSTAFFIDSTAFFID12345MJSORG.85.0X.HIMS.0.0ADT SystemHVSIDHVSID264485ORG.85.0X.CAREVISION.0.0ADT System
Primary1601 Trapelo RoadSuite 100WalthamMAUSA02451
mspillane@healthvision.comINFOSYSTEM.1.0EHR SystemORG.85.0HEALTHvision Community Health System 2HV_ORGHV_ORGHIMSINFOSYSTEM.1.0EHR System
Mail6330 Commerce DriveSuite 100IrvingTXUSA75063
INFOSYSTEM.1.0EHR SystemINFOSYSTEM.1.0HealthvisionClinician Desktop2005-2Healthvision Information SystemPERSON.268252.0KurtJBalasKurt J Balas1958-01-01T00:00:00Z48YearsMaleSTAFFIDSTAFFID2010ORG.85.0X.HIMS.0.0ADT SystemSTAFFIDSTAFFID9999-PMNORG.85.0X.HIMS.0.0ADT System
Primary6330 Commerce Ave.IrvingTXUSA75063
INFOSYSTEM.1.0EHR SystemPERSON.268324.0RobertSmithRobert Smith1970-02-02T00:00:00Z36YearsMaleINFOSYSTEM.1.0EHR SystemPAYER.0.202012AetnaHV_INSURERHV_INSURER202012INFOSYSTEM.1.0EHR System800-655-4545PrimaryINFOSYSTEM.1.0EHR SystemSUBSCRIBER.0.202012JohnSmithJohn Smith1933-01-12T12:00:00Z73YearsMaleSSNSSN123456789ORG.85.0INFOSYSTEM.1.0EHR System
Primary100 Westwood DriveRR 1WentwoodGAUS15624
INFOSYSTEM.1.0EHR SystemGUARANTOR.0.112260SallySmithSally SmithFemaleINFOSYSTEM.1.0EHR SystemX.CAREVISION.0.0CAREVISIONADT SystemHealthvision Information SystemX.MULTUM.0.0MULTUMDrug DatabaseHealthvision Information SystemX.SQ.0.0SQHealthvision Information SystemX.CERNER.0.0CERNERHealthvision Information SystemX.CERNER.MILL.0.0CERNER_MILLHealthvision Information SystemPERSON.263662.0DefaultPhysicianDefault PhysicianUnknownSTAFFIDSTAFFIDHV_999999ORG.85.0X.HIMS.0.0ADT SystemINFOSYSTEM.1.0EHR SystemPERSON.268326.0AlbertTCortezAlbert T CortezMaleINFOSYSTEM.1.0EHR SystemX.HIMS.0.0HIMSADT SystemHealthvision Information System