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
01/22/2010
Symptom
Pneumonia
486.0
ICD9-CM
233604007
SNOMED CT
Resolved
AuthorID_01
ProbID_2
10/10/1999
Finding
Chronic Obstructive Pulmonary Disease
496.0
ICD9-CM
13645005
SNOMED CT
Chronic
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
01/22/2010
Active
AuthorID_01
azithromycin
308460
RxNorm
Azithromycin
250
mg
Tablet
1 tab Q Day PO
1 tablet by mouth every day
MedID_02
10/10/1999
Active
AuthorID_01
ipratropium bromide monhydrate
836370
RxNorm
Atrovent Inhaler
18
mcg/puff
Puffs
2 puffs QID Inhaled
2 puffs inhaled four times a day
MedID_03
10/10/1999
Active
AuthorID_01
albuterol sulfate
630208
RxNorm
Albuterol Inhaler
2.5
mg/3ml
Puffs
2 puffs Q4h PRN shortness of breath Inhaled
2 puffs inhaled every 4 hours as needed for shortness of breath
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
12/22/2009
Chemistry
Hemoglobin
718-7
LOINC
AuthorID_01
Hemoglobin
718-7
LOINC
final result
16
g/dl
14-25
g/dl
ResultID_02
12-22-2009
Chemistry
Hematocrit
4544-3
LOINC
AuthorID_01
Hematocrit
4544-3
LOINC
final result
45%
41-52%
ResultID_03
12/22/2009
Chemistry
Elecrocardiogram
34534-8
LOINC
AuthorID_01
Electrocardiogram
34534-8
LOINC
final result
Normal Sinus Rhythm
Normal Sinus Rhythm
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
Joyce
Tyler
1955-11-12T11:20:00-05:00
Female
F
HL7 AdministrativeGender
9639263266
ClinicID_01
Medical Record Number
563 3rd Street
Fargo
ND
58102
+1-701-366-4958
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