Rev | Line | |
---|
[1021] | 1 | Clinical Summaries Test Data Set #2|Office Visit #1 for Robert Flint
|
---|
| 2 |
|
---|
| 3 | Patient
|
---|
| 4 | Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
|
---|
| 5 | Robert Flint|04/18/1983|Male|9813624798|Medical Record Number|747 Market Street,
|
---|
| 6 | 20:18:04|Morton, Illinois|61550
|
---|
| 7 | 309-365-8298
|
---|
| 8 |
|
---|
| 9 | Source for all data for this patient: Carl Roberts, MD
|
---|
| 10 |
|
---|
| 11 | Problem List
|
---|
| 12 | Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
|
---|
| 13 | Diagnosis|493.00|Asthma, unspecified|Active|07/19/2009
|
---|
| 14 |
|
---|
| 15 | Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
|
---|
| 16 | Disorder|195967001|Asthma|Active|07/19/2009
|
---|
| 17 |
|
---|
| 18 | Medication List
|
---|
| 19 | RxNorm
|
---|
| 20 | |Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
|
---|
| 21 | Code
|
---|
| 22 | Alupent
|
---|
| 23 | metaproterenol
|
---|
| 24 | 206833|Medication|Inhalation|15 mg/ml|2 Puffs|Inhaled|Q4h|07/19/2009|Active
|
---|
| 25 | sulfate
|
---|
| 26 | Aerosol
|
---|
| 27 |
|
---|
| 28 | Medication Allergy List
|
---|
| 29 | Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
|
---|
| 30 | Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|08/10/2008
|
---|
| 31 | Nausea, vomiting, rash,
|
---|
| 32 | Drug Allergy|293620004|Indomethacin|03/25/2003
|
---|
| 33 | dizziness, headache
|
---|
| 34 |
|
---|
| 35 | Diagnostic Test Results
|
---|
| 36 | Type|LOINC Code|Test (Normal Range)|Result|Date Performed
|
---|
| 37 | Imaging|24648-8|Chest X-ray, PA|Increased bronchial wall markings, patchy infiltrates|07/19/2009
|
---|
Note:
See
TracBrowser
for help on using the repository browser.