|
Last change
on this file since 1129 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:
1.4 KB
|
| Rev | Line | |
|---|
| [1029] | 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 #3|Office Visit #1 for Barbara Simpson
|
|---|
| 9 |
|
|---|
| 10 | Patient
|
|---|
| 11 | Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
|
|---|
| 12 | Barbara Simpson|10/12/1956 19:47:01|Female|9688675266|Medical Record Number|996 Dalton Street,<br>Fargo,<br>North Dakota 54102<br>701-366-5534
|
|---|
| 13 |
|
|---|
| 14 | Source for all data for this patient: Robert James, MD
|
|---|
| 15 |
|
|---|
| 16 | Problem List
|
|---|
| 17 | Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
|
|---|
| 18 | Diagnosis|486|Pneumonia|Active|07/02/2010
|
|---|
| 19 | Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
|
|---|
| 20 | Disorder|233604007|Pneumonia|Active|07/02/2010
|
|---|
| 21 |
|
|---|
| 22 | Medication List
|
|---|
| 23 | RxNorm Code|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
|
|---|
| 24 | 308460|Medication|azithromycin|Azithromycin|250 mg|1 Tablet|PO|QD|07/02/2010|Active
|
|---|
| 25 |
|
|---|
| 26 | Medication Allergy List
|
|---|
| 27 | Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
|
|---|
| 28 | Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|06/10/2009
|
|---|
| 29 | Drug Allergy|91939003|Sulfonamides|Hives, photosensitivity|04/25/1988
|
|---|
| 30 |
|
|---|
| 31 | Diagnostic Test Results
|
|---|
| 32 | Type|LOINC Code|Test (Normal Range)|Result|Date Performed
|
|---|
| 33 | Imaging|42272-5|Chest X-ray, PA & Lateral|Bilateral Pneumonia|07/02/2010
|
|---|
| 34 | Cardiology|34534-8|Electrocardiogram|Sinus Tachycardia|07/02/2010
|
|---|
Note:
See
TracBrowser
for help on using the repository browser.
