VistA-hData/test-patients/NIST-EP-Patient-2-Visit-1.csv

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1Test Procedure for §170.304.h Clinical Summaries 
2APPROVED (Pending) Version 1.0  July 21, 2010  
3TD170.304.h.: Clinical summaries
4* indicates alternative standard code per certification criteria
5Clinical Summaries Test Data Set #2|Office Visit #1 for Robert Flint
6Patient
7Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
8Robert Flint|04/18/1983 20:18:04|Male|9813624798|Medical Record Number|747 Market Street,<br>Morton,<br>Illinois 61550<br>309-365-8298
9“Source” for all data for this patient: Carl Roberts, MD
10Problem List
11Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
12Diagnosis|493.00|Asthma, unspecified|Active|07/19/2009
13Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
14Disorder|195967001|Asthma|Active|07/19/2009
15Medication List
16RxNorm Code|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
17206833|Medication|metaproterenol sulfate|Alupent Inhalation Aerosol|15 mg/ml|2 Puffs|Inhaled|Q4h|07/19/2009|Active
18Medication Allergy List
19Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
20Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|08/10/2008
21Drug Allergy|293620004|Indomethacin|Nausea, vomiting, rash, dizziness, headache|03/25/2003
22Diagnostic Test Results
23Type|LOINC Code|Test (Normal Range)|Result|Date Performed
24Imaging|24648-8|Chest X-ray, PA|Increased bronchial wall markings, patchy infiltrates|07/19/2009