Line | |
---|
1 | Clinical Summaries Test Data Set #3 Office Visit #1 for Barbara Simpson
|
---|
2 |
|
---|
3 | Patient
|
---|
4 | Name Date/Time of Birth Gender Identification Number Identification Number Type Address/Phone
|
---|
5 | Barbara Simpson 10/12/1956 Female 9688675266 Medical Record Number 996 Dalton Street,
|
---|
6 | 19:47:01 Fargo, North Dakota
|
---|
7 | 54102
|
---|
8 | 701-366-5534
|
---|
9 |
|
---|
10 | Source for all data for this patient: Robert James, MD
|
---|
11 |
|
---|
12 | Problem List
|
---|
13 | Type ICD-9 Code Patient Problem Status Date Diagnosed
|
---|
14 | Diagnosis 486 Pneumonia Active 07/02/2010
|
---|
15 |
|
---|
16 | Type SNOMED Code* Patient Problem Status Date Diagnosed
|
---|
17 | Disorder 233604007 Pneumonia Active 07/02/2010
|
---|
18 |
|
---|
19 | Medication List
|
---|
20 | RxNorm
|
---|
21 | Product Generic Name Brand Name Strength Dose Route Frequency Date Started Status
|
---|
22 | Code
|
---|
23 | 308460 Medication azithromycin Azithromycin 250 mg 1 Tablet PO QD 07/02/2010 Active
|
---|
24 |
|
---|
25 | Medication Allergy List
|
---|
26 | Type SNOMED Code Medication/Agent Reaction Date Recorded
|
---|
27 | Drug Allergy 91936005 Penicillin Rash and anaphylaxis 06/10/2009
|
---|
28 | Drug Allergy 91939003 Sulfonamides Hives, photosensitivity 04/25/1988
|
---|
29 |
|
---|
30 | Diagnostic Test Results
|
---|
31 | Type LOINC Code Test (Normal Range) Result Date Performed
|
---|
32 | 42272-5
|
---|
33 | Imaging Chest X-ray, PA & Lateral Bilateral Pneumonia 07/02/2010
|
---|
34 | Type LOINC Code Test (Normal Range) Result Date Performed
|
---|
35 | Cardiology 34534-8 Electrocardiogram Sinus Tachycardia 07/02/2010
|
---|
Note:
See
TracBrowser
for help on using the repository browser.