|
Last change
on this file since 1482 was 1028, checked in by mishpers@gmail.com, 14 years ago |
|
Fix goof with medication list (pull code off separate line and append to RxNorm, making RxNorm Code header element)
|
|
File size:
1.4 KB
|
| Line | |
|---|
| 1 | Test Procedure for §170.304.h Clinical Summaries
|
|---|
| 2 | APPROVED (Pending) Version 1.0 July 21, 2010
|
|---|
| 3 |
|
|---|
| 4 | TD170.304.h.: Clinical summaries
|
|---|
| 5 |
|
|---|
| 6 | * indicates alternative standard code per certification criteria
|
|---|
| 7 |
|
|---|
| 8 | Clinical Summaries Test Data Set #1|Office Visit #1 for Jonas Barnaby
|
|---|
| 9 |
|
|---|
| 10 | Patient
|
|---|
| 11 | Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
|
|---|
| 12 | Jonas Barnaby|07/14/1961 12:30:24|Male|969988999|Medical Record Number|478 Charles Street,<br>Williamsport,<br>Pennsylvania 17701<br>570-857-8593
|
|---|
| 13 |
|
|---|
| 14 | Source for all data for this patient: Marcus Welby, MD
|
|---|
| 15 |
|
|---|
| 16 | Problem List
|
|---|
| 17 | Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
|
|---|
| 18 | Diagnosis|250.02|Diabetes Mellitus, Type 2|Active|07/20/2010
|
|---|
| 19 | Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
|
|---|
| 20 | Disorder|44054006|Diabetes Mellitus, Type 2|Active|07/20/2010
|
|---|
| 21 |
|
|---|
| 22 | Medication List
|
|---|
| 23 | RxNorm Code|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
|
|---|
| 24 | 205875|Medication|glyburide|Diabeta|2.5 mg|1 Tablet|PO|Q AM|07/20/2010|Active
|
|---|
| 25 |
|
|---|
| 26 | Medication Allergy List
|
|---|
| 27 | Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
|
|---|
| 28 | Drug Allergy|293597001|Codeine|Hives|06/27/1996
|
|---|
| 29 | Drug Allergy|294506009|Ampicillin|Diarrhea, nausea, vomiting|03/15/1994
|
|---|
| 30 |
|
|---|
| 31 | Diagnostic Test Results
|
|---|
| 32 | Type|LOINC Code|Test (Normal Range)|Result|Date Performed
|
|---|
| 33 | Chemistry|14771-0|Fasting Blood Glucose (70100 mg/dl)|178 mg/dl|07/20/2010
|
|---|
Note:
See
TracBrowser
for help on using the repository browser.
