34 lines
1.4 KiB
Plaintext
34 lines
1.4 KiB
Plaintext
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Test<EFBFBD>Procedure<EFBFBD>for<EFBFBD><EFBFBD>170.304.h<>Clinical<61>Summaries<65>
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APPROVED<EFBFBD>(Pending)<29>Version<6F>1.0<EFBFBD><EFBFBD>July<EFBFBD>21,<2C>2010<31><30>
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TD170.304.h.: Clinical summaries
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* indicates alternative standard code per certification criteria
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Clinical Summaries Test Data <20> Set #5|Office Visit #1 for Johnathan Stone
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Patient
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Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
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Johnathan Stone|11/12/1966 08:18:08|Male|988772587|Medical Record Number|937 Sutter Street<br>Aurora,<br>Colorado 80011<br>303-544-9988
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<EFBFBD>Source<EFBFBD> for all data for this patient: Samuel Johnston, MD
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Problem List
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Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
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Diagnosis|250.02|Diabetes Mellitus, Type 2|Active|07/17/2010
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Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
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Disorder|44054006|Diabetes Mellitus, Type 2|Active|07/17/2010
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Medication List
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RxNorm Code|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
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205875|Medication|glyburide|Diabeta|2.5 mg|1 Tablet|PO|Q AM|07/17/2010|Active
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Medication Allergy List
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Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
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Drug Allergy|294506009|Ampicillin|Diarrhea, nausea, vomiting|03/25/1997
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Drug Allergy|91939003|Sulfonamides|Hives, photosensitivity|04/25/1989
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Diagnostic Test Results
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Type|LOINC Code|Test (Normal Range)|Result|Date Performed
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Chemistry|14771-0|LOINC|Fasting Blood Glucose (70<37>100 mg/dl)|120 mg/dl|07/17/2010
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