41 lines
3.7 KiB
Plaintext
41 lines
3.7 KiB
Plaintext
Clinical Summaries Test Data – Set #3 Office Visit #2 for Barbara Simpson
|
||
|
||
Problem List
|
||
Type ICD-9 Code Patient Problem Status Date Diagnosed
|
||
Diagnosis 496.0 Chronic Obstructive Pulmonary Disease Chronic 02/10/2010
|
||
|
||
Type SNOMED Code* Patient Problem Status Date Diagnosed
|
||
Disorder 13645005 Chronic Obstructive Lung Disease Chronic 02/10/2010
|
||
|
||
Medication List
|
||
RxNorm
|
||
Product Generic Name Brand Name Strength Dose Route Frequency Date Started Status
|
||
Code
|
||
ipratropium
|
||
Atrovent 18 Inhale
|
||
836370 Medication bromide 2 Puffs QID 02/10/2010 Active
|
||
Inhaler mcg/puff d
|
||
monhydrate
|
||
Albuterol 2.5 Inhale Q 4 hours as
|
||
630208 Medication albuterol sulfate 2 Puffs 02/10/2010 Active
|
||
Inhaler mg/3ml d needed
|
||
|
||
Medication Allergy List
|
||
Type SNOMED Code Medication/Agent Reaction Date Recorded
|
||
Drug Allergy 91936005 Penicillin Rash and anaphylaxis 06/10/2009
|
||
Drug Allergy 91939003 Sulfonamides Hives, photosensitivity 04/25/1988
|
||
|
||
Diagnostic Test Results
|
||
Type LOINC Code Test (Normal Range) Result Date Performed
|
||
Hyperinflated lungs with
|
||
42272-5 flattened diaphragm and
|
||
Imaging Chest X-ray, PA & Lateral 02/10/2010
|
||
central pulmonary artery
|
||
enlargement
|
||
Hemoglobin (male: 14-18 g/dl
|
||
Hematology 718-7 16 g/dl 02/10/2010
|
||
female: 12-16 g/dl)
|
||
Type LOINC Code Test (Normal Range) Result Date Performed
|
||
Hematocrit (male: 40-54%
|
||
Hematology 4544-3 45% 02/10/2010
|
||
female: 36-48%) |