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.