Clinical Summaries Test Data  Set #3  Office Visit #2 for Barbara Simpson 

Problem List 
        Type                 ICD-9 Code                              Patient Problem                                Status              Date Diagnosed 
Diagnosis              496.0                      Chronic Obstructive Pulmonary Disease                       Chronic               02/10/2010 

        Type              SNOMED Code*                               Patient Problem                                Status              Date Diagnosed 
Disorder                13645005                  Chronic Obstructive Lung Disease                            Chronic               02/10/2010 

Medication List 
  RxNorm 
                   Product        Generic Name         Brand Name         Strength        Dose        Route      Frequency       Date Started        Status 
    Code 
                                  ipratropium 
                                                      Atrovent           18                          Inhale 
836370          Medication        bromide                                             2 Puffs                  QID               02/10/2010       Active 
                                                      Inhaler            mcg/puff                    d 
                                  monhydrate 
                                                      Albuterol          2.5                         Inhale    Q 4 hours as 
630208          Medication        albuterol sulfate                                   2 Puffs                                    02/10/2010       Active 
                                                      Inhaler            mg/3ml                      d         needed 

Medication Allergy List 
          Type                      SNOMED Code                        Medication/Agent                       Reaction                   Date Recorded 
Drug Allergy                91936005                             Penicillin                         Rash and anaphylaxis             06/10/2009 
Drug Allergy                91939003                            Sulfonamides                        Hives, photosensitivity          04/25/1988 

Diagnostic Test Results 
        Type                  LOINC Code                      Test (Normal Range)                               Result                   Date Performed 
                                                                                                    Hyperinflated lungs with 
                         42272-5                                                                    flattened diaphragm and 
Imaging                                            Chest X-ray, PA & Lateral                                                         02/10/2010 
                                                                                                    central pulmonary artery 
                                                                                                    enlargement 
                                                   Hemoglobin (male: 14-18 g/dl 
Hematology               718-7                                                                      16 g/dl                          02/10/2010 
                                                   female: 12-16 g/dl) 
  Type                 LOINC Code                      Test (Normal Range)                             Result                   Date Performed 
                                                  Hematocrit (male: 40-54% 
Hematology              4544-3                                                                    45%                              02/10/2010 
                                                  female: 36-48%) 