NIST-EP-Patient-1-Visit-2

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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 #1|Office Visit #2 for Jonas Barnaby

Patient
Name Date/Time of Birth Gender Identification Number Identification Number Type Address/Phone
Jonas Barnaby 07/14/1961 12:30:24 Male 969988999 Medical Record Number 478 Charles Street,
Williamsport,
Pennsylvania 17701
570-857-8593

“Source” for all data for this patient: Marcus Welby, MD

Problem List
Type ICD-9 Code Patient Problem Status Date Diagnosed
Condition 272.4 Hyperlipidemia Active 02/20/2010
Type SNOMED Code* Patient Problem Status Date Diagnosed
Disorder 55822004 Hyperlipidemia Active 02/20/2010
Medication List
RxNorm Code Product Generic Name Brand Name Strength Dose Route Frequency Date Started Status
617314 Medication atorvastatin calcium Lipitor 10 mg 1 Tablet PO Q Day 02/20/2010 Active
Medication Allergy List
Type SNOMED Code Medication/Agent Reaction Date Recorded
Drug Allergy 293597001 Codeine Hives 06/27/1996
Drug Allergy 294506009 Ampicillin Diarrhea, nausea, vomiting 03/15/1994
Diagnostic Test Results
Type LOINC Code Test (Normal Range) Result Date Performed
Chemistry 14647-2 Total cholesterol (<200 mg/dl) 262 mg/dl 02/20/2010
Chemistry 14646-4 HDL cholesterol (?40 mg/dl) 78 mg/dl 02/20/2010
Chemistry 2089-1 LDL cholesterol (<100 mg/dl) 184 mg/dl 02/20/2010
Chemistry 14927-8 Triglycerides (<150 mg/dl) 177 mg/dl 02/20/2010

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