Rev | Line | |
---|
[1021] | 1 | Clinical Summaries Test Data Set #2|Office Visit #2 for Robert Flint
|
---|
| 2 |
|
---|
| 3 | Problem List
|
---|
| 4 | Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
|
---|
| 5 | Diagnosis|250.02|Diabetes Mellitus, Type 2|Active|03/10/2010
|
---|
| 6 |
|
---|
| 7 | Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
|
---|
| 8 | Disorder|44054006|Diabetes Mellitus, Type 2|Active|03/10/2010
|
---|
| 9 |
|
---|
| 10 | Medication List
|
---|
| 11 | RxNorm
|
---|
| 12 | |Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
|
---|
| 13 | Code
|
---|
| 14 | 205875|Medication|glyburide|Diabeta|2.5 mg|1 Tablet|PO|Q AM|03/10/2010|Active
|
---|
| 15 |
|
---|
| 16 | Medication Allergy List
|
---|
| 17 | Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
|
---|
| 18 | Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|08/10/2008
|
---|
| 19 | Nausea, vomiting, rash,
|
---|
| 20 | Drug Allergy|293620004|Indomethacin|03/25/2003
|
---|
| 21 | dizziness, headache
|
---|
| 22 |
|
---|
| 23 | Diagnostic Test Results
|
---|
| 24 | Type|LOINC Code|Test (Normal Range)|Result|Date Performed
|
---|
| 25 | Chemistry|14771-0|Fasting Blood Glucose (70100 mg/dl)|150 mg/dl|03/10/2010
|
---|
| 26 | The heart outline is normal
|
---|
| 27 | and the hilar and
|
---|
| 28 | Imaging|24648-8|Chest X-ray, PA|03/10/2010
|
---|
| 29 | mediastinal vessels are of
|
---|
| 30 | normal appearance
|
---|
Note:
See
TracBrowser
for help on using the repository browser.