source: hData/trunk/test-patients/NIST-EP-Patient-2-Visit-2-wiki.txt@ 1064

Last change on this file since 1064 was 1029, checked in by mishpers@gmail.com, 14 years ago

Correct all of the office visit csv files and rename per the new naming scheme.

Generate wiki text file output for all office visit files

File size: 2.4 KB
Line 
1Test Procedure for §170.304.h Clinical Summaries 
2APPROVED (Pending) Version 1.0  July 21, 2010  
3
4TD170.304.h.: Clinical summaries
5
6* indicates alternative standard code per certification criteria
7
8Clinical Summaries Test Data – Set #2|Office Visit #2 for Robert Flint
9
10{| border="1"|
11!colspan="6"|Patient
12|----
13!scope="col"|Name
14!scope="col"|Date/Time of Birth
15!scope="col"|Gender
16!scope="col"|Identification Number
17!scope="col"|Identification Number Type
18!scope="col"|Address/Phone
19|----
20|Robert Flint
21|04/18/1983 20:18:04
22|Male
23|9813624798
24|Medical Record Number
25|747 Market Street,<br>Morton,<br>Illinois 61550<br>309-365-8298
26|----
27|}
28
29“Source” for all data for this patient: Carl Roberts, MD
30
31{| border="1"|
32!colspan="6"|Problem List
33|----
34!scope="col"|Type
35!scope="col"|ICD-9 Code
36!scope="col"|Patient Problem
37!scope="col"|Status
38!scope="col"|Date Diagnosed
39|----
40|Diagnosis
41|250.02
42|Diabetes Mellitus, Type 2
43|Active
44|03/10/2010
45|----
46|----
47!scope="col"|Type
48!scope="col"|SNOMED Code*
49!scope="col"|Patient Problem
50!scope="col"|Status
51!scope="col"|Date Diagnosed
52|----
53|Disorder
54|44054006
55|Diabetes Mellitus, Type 2
56|Active
57|03/10/2010
58|----
59|}
60
61{| border="1"|
62!colspan="10"|Medication List
63|----
64!scope="col"|RxNorm Code
65!scope="col"|Product
66!scope="col"|Generic Name
67!scope="col"|Brand Name
68!scope="col"|Strength
69!scope="col"|Dose
70!scope="col"|Route
71!scope="col"|Frequency
72!scope="col"|Date Started
73!scope="col"|Status
74|----
75|205875
76|Medication
77|glyburide
78|Diabeta
79|2.5 mg
80|1 Tablet
81|PO
82|Q AM
83|03/10/2010
84|Active
85|----
86|}
87
88{| border="1"|
89!colspan="5"|Medication Allergy List
90|----
91!scope="col"|Type
92!scope="col"|SNOMED Code
93!scope="col"|Medication/Agent
94!scope="col"|Reaction
95!scope="col"|Date Recorded
96|----
97|Drug Allergy
98|91936005
99|Penicillin
100|Rash and anaphylaxis
101|08/10/2008
102|----
103|Drug Allergy
104|293620004
105|Indomethacin
106|Nausea, vomiting, rash, dizziness, headache
107|03/25/2003
108|----
109|}
110
111{| border="1"|
112!colspan="5"|Diagnostic Test Results
113|----
114!scope="col"|Type
115!scope="col"|LOINC Code
116!scope="col"|Test (Normal Range)
117!scope="col"|Result
118!scope="col"|Date Performed
119|----
120|Chemistry
121|14771-0
122|Fasting Blood Glucose (70–100 mg/dl)
123|150 mg/dl
124|03/10/2010
125|----
126|Imaging
127|24648-8
128|Chest X-ray, PA
129|The heart outline is normal and the hilar and mediastinal vessels are of normal appearance
130|03/10/2010
131|----
132|}
133
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