From 67b837ea5c3429822c36ddbf26196804efbcd7bd Mon Sep 17 00:00:00 2001 From: george Date: Wed, 24 Nov 2010 02:49:55 +0000 Subject: [PATCH] wiki for Dave's file --- .../NIST-EP-Patient-1-Visit-1-wiki.txt | 118 ++++++++++++++++++ 1 file changed, 118 insertions(+) create mode 100644 test-patients/NIST-EP-Patient-1-Visit-1-wiki.txt diff --git a/test-patients/NIST-EP-Patient-1-Visit-1-wiki.txt b/test-patients/NIST-EP-Patient-1-Visit-1-wiki.txt new file mode 100644 index 0000000..cd57181 --- /dev/null +++ b/test-patients/NIST-EP-Patient-1-Visit-1-wiki.txt @@ -0,0 +1,118 @@ +Test Procedure for §170.304.h Clinical Summaries  +APPROVED (Pending) Version 1.0  July 21, 2010   + +TD170.304.h.: Clinical summaries + +* indicates alternative standard code per certification criteria + +Clinical Summaries Test Data – Set #1|Office Visit #1 for Jonas Barnaby + +{| border="1"| +!colspan="6"|Patient +|---- +!scope="col"|Name +!scope="col"|Date/Time of Birth +!scope="col"|Gender +!scope="col"|Identification Number +!scope="col"|Identification Number Type +!scope="col"|Address/Phone +|---- +|Jonas Barnaby +|07/14/1961 12:30:24 +|Male +|969988999 +|Medical Record Number +|478 Charles Street,
Williamsport,
Pennsylvania 17701
570-857-8593 +|---- +|} + +“Source” for all data for this patient: Marcus Welby, MD + +{| border="1"| +!colspan="6"|Problem List +|---- +!scope="col"|Type +!scope="col"|ICD-9 Code +!scope="col"|Patient Problem +!scope="col"|Status +!scope="col"|Date Diagnosed +|---- +|Diagnosis +|250.02 +|Diabetes Mellitus, Type 2 +|Active +|07/20/2010 +|---- +|---- +!scope="col"|Type +!scope="col"|SNOMED Code* +!scope="col"|Patient Problem +!scope="col"|Status +!scope="col"|Date Diagnosed +|---- +|Disorder +|44054006 +|Diabetes Mellitus, Type 2 +|Active +|07/20/2010 +|---- +|} + +{| border="1"| +!colspan="10"|Medication List +|---- +!scope="col"|RxNorm +|---- +| +|Product +|Generic Name +|Brand Name +|Strength +|Dose +|Route +|Frequency +|Date Started +|Status +|---- +|} +Code +205875|Medication|glyburide|Diabeta|2.5 mg|1 Tablet|PO|Q AM|07/20/2010|Active + +{| border="1"| +!colspan="5"|Medication Allergy List +|---- +!scope="col"|Type +!scope="col"|SNOMED Code +!scope="col"|Medication/Agent +!scope="col"|Reaction +!scope="col"|Date Recorded +|---- +|Drug Allergy +|293597001 +|Codeine +|Hives +|06/27/1996 +|---- +|Drug Allergy +|294506009 +|Ampicillin +|Diarrhea, nausea, vomiting +|03/15/1994 +|---- +|} + +{| border="1"| +!colspan="5"|Diagnostic Test Results +|---- +!scope="col"|Type +!scope="col"|LOINC Code +!scope="col"|Test (Normal Range) +!scope="col"|Result +!scope="col"|Date Performed +|---- +|Chemistry +|14771-0 +|Fasting Blood Glucose (70–100 mg/dl) +|178 mg/dl +|07/20/2010 +|----