VistA-hData/test-patients/NIST-EP-Patient-5-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 #5|Office Visit #1 for Johnathan Stone
6Patient
7Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
8Johnathan Stone|11/12/1966 08:18:08|Male|988772587|Medical Record Number|937 Sutter Street<br>Aurora,<br>Colorado 80011<br>303-544-9988
9“Source” for all data for this patient: Samuel Johnston, MD
10Problem List
11Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
12Diagnosis|250.02|Diabetes Mellitus, Type 2|Active|07/17/2010
13Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
14Disorder|44054006|Diabetes Mellitus, Type 2|Active|07/17/2010
15Medication List
16RxNorm Code|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
17205875|Medication|glyburide|Diabeta|2.5 mg|1 Tablet|PO|Q AM|07/17/2010|Active
18Medication Allergy List
19Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
20Drug Allergy|294506009|Ampicillin|Diarrhea, nausea, vomiting|03/25/1997
21Drug Allergy|91939003|Sulfonamides|Hives, photosensitivity|04/25/1989
22Diagnostic Test Results
23Type|LOINC Code|Test (Normal Range)|Result|Date Performed
24Chemistry|14771-0|LOINC|Fasting Blood Glucose (70100 mg/dl)|120 mg/dl|07/17/2010