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
07/17/2009
Finding
Diabetes Mellitus, Type 2
250.02
ICD9-CM
44054006
SNOMED CT
Active
AuthorID_01
ProbID_2
06/05/2008
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
07/17/2009
Active
AuthorID_01
glyburide
205875
RxNorm
Diabeta
2.5
mg
Tablet
1 tab Q AM PO
1 tablet by mouth every morning
MedID_02
06/05/2008
Active
AuthorID_01
furosemide
200801
RxNorm
Lasix
20
mg
Tablet
1 tab BID PO
1 tablet by mouth 2 times per day
MedID_03
06/05/2008
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
07/17/2009
Chemistry
Fasting Blood Glucose
14771-0
LOINC
AuthorID_01
Fasting Blood Glucose
14771-0
LOINC
final result
145
mg/dl
70-100
mg/dl
ResultID_02
07/17/2009
Chemistry
Potassium
2823-3
LOINC
AuthorID_01
Potassium
2823-3
LOINC
final result
4.5
mEq/L
3.5-5.3
mEq/L
ResultID_03
07/17/2009
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
Michael
Charles
1965-02-21T11:20:00-05:00
Male
M
HL7 AdministrativeGender
987730987
ClinicID_01
Medical Record Number
689 Dun Street
Aurora
CO
80011
+1-303-544-9988
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