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
12/22/2009
Diagnosis
Asthma, unspecified
493.00
ICD9-CM
195967001
SNOMED CT
Active
AuthorID_01
ProbID_2
08/10/2008
Finding
Diabetes Mellitus, Type 2
250.02
ICD9-CM
44054006
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_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
MedID_01
09/16/2009
Active
AuthorID_01
glyburide
205875
RxNorm
Diabeta
2.5
mg
Tablet
1 tab Q AM PO
1 tablet by mouth every morning
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
12/2/2009
Chemistry
Fasting Blood Glucose
14771-0
LOINC
AuthorID_01
Fasting Blood Glucose
14771-0
LOINC
final result
70
mg/dl
70-100
mg/dl
ResultID_02
9/16/09
Chemistry
Eosinophil Count
26449-9
LOINC
AuthorID_01
Eosinophil Count
26449-9
LOINC
final result
2%
mg/dl
1-3%
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
Joseph
Rollo
1984-12-28T11:20:00-05:00
Male
M
HL7 AdministrativeGender
9813450798
ClinicID_01
Medical Record Number
867 Juniper Street
Morton
IL
61550
+1-309-377-8488
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
Metropolitan Clinic
5544 Sutter Street
Williamsport
PA
17701