31 lines
2.5 KiB
Plaintext
31 lines
2.5 KiB
Plaintext
Clinical Summaries Test Data – Set #5 Office Visit #1 for Johnathan Stone
|
||
|
||
Patient
|
||
Name Date/Time of Birth Gender Identification Number Identification Number Type Address/Phone
|
||
Johnathan 11/12/1966 Male 988772587 Medical Record Number 937 Sutter Street, Aurora,
|
||
Stone 08:18:08 Colorado 80011
|
||
303-544-9988
|
||
|
||
“Source” for all data for this patient: Samuel Johnston, MD
|
||
|
||
Problem List
|
||
Type ICD-9 Code Patient Problem Status Date Diagnosed
|
||
Diagnosis 250.02 Diabetes Mellitus, Type 2 Active 07/17/2010
|
||
|
||
Type SNOMED Code* Patient Problem Status Date Diagnosed
|
||
Disorder 44054006 Diabetes Mellitus, Type 2 Active 07/17/2010
|
||
|
||
Medication List
|
||
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 07/17/2010 Active
|
||
|
||
Medication Allergy List
|
||
Type SNOMED Code Medication/Agent Reaction Date Recorded
|
||
Drug Allergy 294506009 Ampicillin Diarrhea, nausea, vomiting 03/25/1997
|
||
Drug Allergy 91939003 Sulfonamides Hives, photosensitivity 04/25/1989
|
||
|
||
Diagnostic Test Results
|
||
Type LOINC Code Test (Normal Range) Result Date Performed
|
||
Chemistry 14771-0 LOINC Fasting Blood Glucose (70–100 mg/dl) 120 mg/dl 07/17/2010 |