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 07/05/2006 Symptom Hyperlipidemia 272.4 ICD9-CM 55822004 SNOMED CT Active AuthorID_01 ProbID_2 07/05/2006 Diagnosis Hypertension, Essential 401.9 ICD9-CM 59621000 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 07/05/2006 Active AuthorID_01 atorvastatin calcium 617314 RxNorm Lipitor 10 mg Tablet 1 tab Q Day PO 1 tablet by mouth every day MedID_02 07/05/2006 Active AuthorID_01 furosemide 200801 RxNorm Lasix 20 mg Tablet 1 tab BID PO 1 tablet by mouth 2 times per day MedID_03 07/05/2006 Active AuthorID_01 potassium chloride 628958 RxNorm Klor-Con 10 mEq Tablet 1 tab BID PO 1 tablet by mouth 2 times per day 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 07/15/2009 Chemistry Potassium 2823-3 LOINC AuthorID_01 Potassium 2823-3 LOINC final result 4.5 mEq/L 3.5-5.3 mEq/L ResultID_02 07/15/2009 Chemistry Total cholesterol 14647-2 LOINC AuthorID_01 Total cholesterol 14647-2 LOINC final result 180 mg/dl < 200 mg/dl ResultID_03 07/15/2009 Chemistry HDL cholesterol 14646-4 LOINC AuthorID_01 HDL cholesterol 14646-4 LOINC final result 41 mg/dl > 40 mg/dl ResultID_04 07/15/2009 Chemistry LDL cholesterol 2089-1 LOINC AuthorID_01 LDL cholesterol 2089-1 LOINC final result 120 mg/dl < 100 mg/dl ResultID_05 07/15/2009 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 Sarah Ebbert 1962-10-08T11:20:00-05:00 Female F HL7 AdministrativeGender 998822799 ClinicID_01 Medical Record Number 856 Salt Street Shawville PA 16873 +1-814-645-6489 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