source: hData/trunk/test-patients/NIST-EP-Patient-5-Visit-1.csv@ 1174

Last change on this file since 1174 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
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 #5|Office Visit #1 for Johnathan Stone
9
10Patient
11Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
12Johnathan Stone|11/12/1966 08:18:08|Male|988772587|Medical Record Number|937 Sutter Street<br>Aurora,<br>Colorado 80011<br>303-544-9988
13
14“Source” for all data for this patient: Samuel Johnston, MD
15
16Problem List
17Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
18Diagnosis|250.02|Diabetes Mellitus, Type 2|Active|07/17/2010
19Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
20Disorder|44054006|Diabetes Mellitus, Type 2|Active|07/17/2010
21
22Medication List
23RxNorm Code|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
24205875|Medication|glyburide|Diabeta|2.5 mg|1 Tablet|PO|Q AM|07/17/2010|Active
25
26Medication Allergy List
27Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
28Drug Allergy|294506009|Ampicillin|Diarrhea, nausea, vomiting|03/25/1997
29Drug Allergy|91939003|Sulfonamides|Hives, photosensitivity|04/25/1989
30
31Diagnostic Test Results
32Type|LOINC Code|Test (Normal Range)|Result|Date Performed
33Chemistry|14771-0|LOINC|Fasting Blood Glucose (70–100 mg/dl)|120 mg/dl|07/17/2010
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