NIST-EP-Patient-2-Visit-1

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Test Procedure for §170.304.h Clinical Summaries  APPROVED (Pending) Version 1.0  July 21, 2010  

TD170.304.h.: Clinical summaries

  • indicates alternative standard code per certification criteria

Clinical Summaries Test Data – Set #2|Office Visit #1 for Robert Flint

Patient
Name Date/Time of Birth Gender Identification Number Identification Number Type Address/Phone
Robert Flint 04/18/1983 20:18:04 Male 9813624798 Medical Record Number 747 Market Street,
Morton,
Illinois 61550
309-365-8298

“Source” for all data for this patient: Carl Roberts, MD

Problem List
Type ICD-9 Code Patient Problem Status Date Diagnosed
Diagnosis 493.00 Asthma, unspecified Active 07/19/2009
Type SNOMED Code* Patient Problem Status Date Diagnosed
Disorder 195967001 Asthma Active 07/19/2009
Medication List
RxNorm Code Product Generic Name Brand Name Strength Dose Route Frequency Date Started Status
206833 Medication metaproterenol sulfate Alupent Inhalation Aerosol 15 mg/ml 2 Puffs Inhaled Q4h 07/19/2009 Active
Medication Allergy List
Type SNOMED Code Medication/Agent Reaction Date Recorded
Drug Allergy 91936005 Penicillin Rash and anaphylaxis 08/10/2008
Drug Allergy 293620004 Indomethacin Nausea, vomiting, rash, dizziness, headache 03/25/2003
Diagnostic Test Results
Type LOINC Code Test (Normal Range) Result Date Performed
Imaging 24648-8 Chest X-ray, PA Increased bronchial wall markings, patchy infiltrates 07/19/2009

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