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%)