1.3 KiB
1.3 KiB
1 | Clinical Summaries Test Data – Set #3|Office Visit #1 for Barbara Simpson |
---|---|
2 | Patient |
3 | Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone |
4 | Barbara Simpson|10/12/1956|Female|9688675266|Medical Record Number|996 Dalton Street, |
5 | 19:47:01|Fargo, North Dakota |
6 | 54102 |
7 | 701-366-5534 |
8 | “Source” for all data for this patient: Robert James, MD |
9 | Problem List |
10 | Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed |
11 | Diagnosis|486|Pneumonia|Active|07/02/2010 |
12 | Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed |
13 | Disorder|233604007|Pneumonia|Active|07/02/2010 |
14 | Medication List |
15 | RxNorm |
16 | |Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status |
17 | Code |
18 | 308460|Medication|azithromycin|Azithromycin|250 mg|1 Tablet|PO|QD|07/02/2010|Active |
19 | Medication Allergy List |
20 | Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded |
21 | Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|06/10/2009 |
22 | Drug Allergy|91939003|Sulfonamides|Hives, photosensitivity|04/25/1988 |
23 | Diagnostic Test Results |
24 | Type|LOINC Code|Test (Normal Range)|Result|Date Performed |
25 | 42272-5 |
26 | Imaging|Chest X-ray, PA & Lateral|Bilateral Pneumonia|07/02/2010 |
27 | Type|LOINC Code|Test (Normal Range)|Result|Date Performed |
28 | Cardiology|34534-8|Electrocardiogram|Sinus Tachycardia|07/02/2010 |