1.2 KiB
1.2 KiB
| 1 | Clinical Summaries Test Data – Set #2|Office Visit #1 for Robert Flint |
|---|---|
| 2 | Patient |
| 3 | Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone |
| 4 | Robert Flint|04/18/1983|Male|9813624798|Medical Record Number|747 Market Street, |
| 5 | 20:18:04|Morton, Illinois|61550 |
| 6 | 309-365-8298 |
| 7 | “Source” for all data for this patient: Carl Roberts, MD |
| 8 | Problem List |
| 9 | Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed |
| 10 | Diagnosis|493.00|Asthma, unspecified|Active|07/19/2009 |
| 11 | Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed |
| 12 | Disorder|195967001|Asthma|Active|07/19/2009 |
| 13 | Medication List |
| 14 | RxNorm |
| 15 | |Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status |
| 16 | Code |
| 17 | Alupent |
| 18 | metaproterenol |
| 19 | 206833|Medication|Inhalation|15 mg/ml|2 Puffs|Inhaled|Q4h|07/19/2009|Active |
| 20 | sulfate |
| 21 | Aerosol |
| 22 | Medication Allergy List |
| 23 | Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded |
| 24 | Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|08/10/2008 |
| 25 | Nausea, vomiting, rash, |
| 26 | Drug Allergy|293620004|Indomethacin|03/25/2003 |
| 27 | dizziness, headache |
| 28 | Diagnostic Test Results |
| 29 | Type|LOINC Code|Test (Normal Range)|Result|Date Performed |
| 30 | Imaging|24648-8|Chest X-ray, PA|Increased bronchial wall markings, patchy infiltrates|07/19/2009 |