This invention relates to a novel two part, computer generated, bar coded, printed Rx, containing an illustrated patient checklist. The eye opening of interest has already been, or is subsequently, normalized into figure of merit units related to the operational voltage and timing requirements of the data receiver for that signal. The system also includes a phrase suggestion engine that matches the phrase with the at least one suggestion. Moreover, the housing has a second shelf having opposing first and second edges directly contacting the shell to thermally couple the second shelf to the shell. A user interface allows a user to adjust at least one value from the set of global influence values and the set of fitness parameters associated with each optimized course of action. The payment organization forwards the authorization response message to the merchant, either directly or via the acquirer.