CCR_AMBv11_DS01
US English
en-US
V1.0
2010-03-25T13:15:00-05:00
PatientID_1
AuthorID_01
Personal Physician
RecipientID_01
Interested Party
Transfer of Care
ProbID_1
5/5/06
Finding
Coronary Artery Disease (CAD)
414.01
ICD9-CM
53741008
SNOMED CT
Chronic
AuthorID_01
ProbID_2
5/5/06
Symptom
Hypertension, Essential
401.9
ICD9-CM
59621000
SNOMED CT
Active
AuthorID_01
ProbID_3
12/22/02
Diagnosis
Asthma, unspecified
493.00
ICD9-CM
195967001
SNOMED CT
Active
AuthorID_01
AlertID_1
6/27/02
Drug Allergy
416098002
SNOMED CT
Codeine allergy
293597001
SNOMED CT
Active
AuthorID_01
Codeine
2670
RxNorm
Hives, nausea
AlertID_2
3/25/04
Drug Allergy
416098002
SNOMED CT
Indomethacin allergy
293620004
SNOMED CT
Active
AuthorID_01
Nausea, dizziness, headache
MedID_01
5/5/2006
Active
AuthorID_01
furosemide
200801
RxNorm
Lasix
20
mg
Tablet
1 tab BID PO
1 tablet by mouth 2 times per day
MedID_02
5/5/2006
Active
AuthorID_01
potassium chloride
628958
RxNorm
Klor-Con
10
mEq
Tablet
1 tab BID PO
1 tablet by mouth 2 times per day
MedID_03
12/22/2002
Active
AuthorID_01
metaproterenol sulfate
206833
RxNorm
Alupent Inhalation Aerosol
15
mg/ml
Puffs
2 puffs Q4h Inhaled
2 puffs inhaled every 4 hours
ImmunizID_01
03/25/2010
AuthorID_01
Hepatitis A, Adult
52
CVX
798367
RxNorm
ManufID_1
GLAXOSMITHKLINE
Intramuscular
IM
Left Arm
HA165V1
None
ImmunizID_02
10/25/2009
AuthorID_01
Pneumococcal Polysaccharide Vaccine
33
CVX
854977
RxNorm
ManufID_2
Merck
Intramuscular
IM
Right Arm
887765B
None
ResultID_01
07/17/2009
Chemistry
Potassium
2823-3
LOINC
AuthorID_01
Serum Potassium
2823-3
LOINC
final result
4.5
mEq/L
3.5-5.3
mEq/L
ResultID_02
09/16/2009
Chemistry
Total cholesterol
14647-2
LOINC
AuthorID_01
Total cholesterol
14647-2
LOINC
final result
180
mg/dl
< 200
mg/dl
ResultID_03
09/16/2009
Chemistry
HDL cholesterol
14646-4
LOINC
AuthorID_01
HDL cholesterol
14646-4
LOINC
final result
38
mg/dl
> 40
mg/dl
ResultID_04
09/16/2009
Chemistry
LDL cholesterol
2089-1
LOINC
AuthorID_01
LDL cholesterol
2089-1
LOINC
final result
120
mg/dl
< 100
mg/dl
ResultID_05
09/16/2009
Chemistry
Triglycerides
14927-8
LOINC
AuthorID_01
Triglycerides
14927-8
LOINC
final result
187
mg/dl
< 150
mg/dl
ProcID_1
7/26/06
Surgical
Excision of benign lesion on arm
11401
CPT-4
86.3
ICD-9
Completed
AuthorID_01
ClinicID_01
NA
NA
NA
Left Arm
ProcID_2
05/15/03
Surgical
Emergency Appendectomy
44950
CPT-4
47.09
ICD-9
Completed
AuthorID_01
ClinicID_01
NA
NA
NA
NA
PatientID_1
James
D.
Stuart
1953-02-15T11:20:00-05:00
Male
M
HL7 AdministrativeGender
9996799589
ClinicID_01
Medical Record Number Generator
5739 Hazel Street
Williamsport
PA
17701
+1-570-898-2189
AuthorID_01
Thomas
Henry
MD
5544 Sutter Street
Williamsport
PA
17701
+1-301-975-3260
RecipientID_01
Interested
AnyPerson
ManufID_1
GLAXOSMITHKLINE
ManufID_2
Merck
ClinicID_01
Colton Street Laboratories
5050 Colton Street
Shawville
PA
16873