VistA-hData/test-patients/office-visit-2-pat-3.txt

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2010-11-20 21:06:47 -05:00
Clinical Summaries Test Data <20> 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%)