| Patient | Kelly Bronson | ||
| Date of birth | March 31, 1996, 05:00:00 | Sex | Female |
| Race | Other Race | Ethnicity | Hispanic or Latino |
| Contact info | Pirmary Home: 202 Burlington Rd. Bedford, MA 01730 Tel: +1-781-271-3000 |
Patient IDs | 4fe1ecb9a9ffcc03cd00042b Cypress |
| Document Id | HITSP_C32v2.5_Rev6_16Sections_Entries_MinimalErrors 2.16.840.1.113883.3.72 |
| Document Created: | June 20, 2012, 15:31:05 |
| Author | Auto Generated |
| Contact info |
Tel: +1-781-271-3000 |
| Document maintained by | Cypress |
| Contact info | 202 Burlington Rd. Bedford, MA 01730 Tel: +1-781-271-3000 |
| Description | Codes | Time |
|---|---|---|
| Allergy to Eggs | ICD-9-CM: V15.03 SNOMED-CT: 91930004 C0559469:Allergy to eggs; |
May 5th, 2010 04:00 |
| Description | Codes | Time |
|---|---|---|
| Corticosteroid, Inhaled or Alternative Asthma Medication | RxNorm: 351136 C1168688:Albuterol 0.417 MG/ML Inhalant Solution; |
May 5th, 2010 04:00 |
| Third generation cephalosporins | RxNorm: 309078 C0975386:cefpodoxime 200 MG Oral Tablet; |
May 5th, 2010 04:00 |
| Short acting beta 2 agonist | RxNorm: 630208 C1696556:Albuterol 0.83 MG/ML Inhalant Solution; |
May 5th, 2010 04:00 |
| Anti-D Immune Globulin | RxNorm: 731378 C1965591:1 ML Rho(D) Immune Globulin 0.05 MG/ML Prefilled Syringe; |
August 30th, 2010 04:00 |
| Anti-D Immune Globulin | RxNorm: 731378 C1965591:1 ML Rho(D) Immune Globulin 0.05 MG/ML Prefilled Syringe; |
September 20th, 2010 04:00 |
| Description | Codes | Time |
|---|---|---|
| encounter acute inpt | CPT: 99251 C0374574:Inpatient consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 20 minutes at the bedside and on the patient's hospital floor or unit.; |
November 2nd, 2010 04:00 |
| Prenatal Visit | ICD-10-CM: Z34.9 SNOMED-CT: 424619006 ICD-9-CM: V22.2 C0451636:Pregnant state, incidental; |
October 25th, 2010 04:00 |
| Prenatal Visit | ICD-10-CM: Z34.9 SNOMED-CT: 424619006 ICD-9-CM: V22.2 C0451636:Pregnant state, incidental; |
October 10th, 2010 04:00 |
| Prenatal Visit | ICD-10-CM: Z34.9 SNOMED-CT: 424619006 ICD-9-CM: V22.2 C0451636:Pregnant state, incidental; |
September 10th, 2010 04:00 |
| Prenatal Visit | ICD-10-CM: Z34.9 SNOMED-CT: 424619006 ICD-9-CM: V22.2 C0451636:Pregnant state, incidental; |
August 10th, 2010 04:00 |
| Encounter Office & Outpatient Consult | CPT: 99241 C0199299:Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 15 minutes face-to-face with the patient and/or family.; |
August 2nd, 2010 04:00 |
| Encounter Office & Outpatient Consult | CPT: 99241 C0199299:Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 15 minutes face-to-face with the patient and/or family.; |
July 8th, 2010 04:00 |
| Prenatal Visit | ICD-10-CM: Z34.9 SNOMED-CT: 424619006 ICD-9-CM: V22.2 C0451636:Pregnant state, incidental; |
June 10th, 2010 04:00 |
| encounter outpatient BH | CPT: 99241 C0199299:Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 15 minutes face-to-face with the patient and/or family.; |
May 6th, 2010 04:00 |
| encounter ED | CPT: 99281 C0374582:Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor.; |
May 5th, 2010 04:00 |
| Description | Codes | Time | Status |
|---|---|---|---|
| pharyngitis | ICD-10-CM: J02 SNOMED-CT: 363746003 ICD-9-CM: 462 C0001344:Acute pharyngitis; |
May 5th, 2010 04:00 | active |
| Delivery Live Births-Diagnosis | SNOMED-CT: 169961004 ICD-9-CM: 65.621 ICD-10-CM: O30 C0032989:Multiple Pregnancy; |
November 2nd, 2010 04:00 | active |
| D(Rh) Negative | SNOMED-CT: 165746003 ICD-10-CM: O36.0120 ICD-9-CM: 656.1 C0157105:Rhesus isoimmunisation, unspecified as to episode of care in pregnancy; |
August 10th, 2010 04:00 | active |
| Asthma | ICD-9-CM: 493.92 ICD-10-CM: J45 SNOMED-CT: 195979001 C0340062:Hyperreactive airway disease; C0004096:Asthma; |
May 5th, 2010 04:00 | active |
| alcohol or drug dependence | ICD-10-CM: F10 ICD-9-CM: 305 SNOMED-CT: 66590003 C0001973:Alcoholic Intoxication, Chronic; |
May 5th, 2010 04:00 | active |
| Estimated date of conception | SNOMED-CT: 248986005 C0425966:Estimated date of conception; |
January 29th, 2010 05:00 | |
| Asthma Daytime Symptoms | SNOMED-CT: 373899003 C1276804:Asthma daytime symptoms; |
July 8th, 2010 04:00 | |
| Asthma Nighttime Symptoms | SNOMED-CT: 395022009 C1273489:Asthma night-time symptoms; |
July 8th, 2010 04:00 |
| Description | Codes | Time | Value |
|---|---|---|---|
| Systolic Blood Pressure | SNOMED-CT: 271649006 C0871470:Systolic Pressure; |
October 25th, 2010 04:00 | |
| Diastolic Blood Pressure | SNOMED-CT: 271650006 C0428883:Diastolic blood pressure; |
October 25th, 2010 04:00 | |
| Systolic Blood Pressure | SNOMED-CT: 271649006 C0871470:Systolic Pressure; |
October 10th, 2010 04:00 | |
| Diastolic Blood Pressure | SNOMED-CT: 271650006 C0428883:Diastolic blood pressure; |
October 10th, 2010 04:00 | |
| Systolic Blood Pressure | SNOMED-CT: 271649006 C0871470:Systolic Pressure; |
September 10th, 2010 04:00 | |
| Diastolic Blood Pressure | SNOMED-CT: 271650006 C0428883:Diastolic blood pressure; |
September 10th, 2010 04:00 | |
| Systolic Blood Pressure | SNOMED-CT: 271649006 C0871470:Systolic Pressure; |
August 10th, 2010 04:00 | |
| Diastolic Blood Pressure | SNOMED-CT: 271650006 C0428883:Diastolic blood pressure; |
August 10th, 2010 04:00 | |
| Systolic Blood Pressure | SNOMED-CT: 271649006 C0871470:Systolic Pressure; |
August 2nd, 2010 04:00 | |
| Diastolic Blood Pressure | SNOMED-CT: 271650006 C0428883:Diastolic blood pressure; |
August 2nd, 2010 04:00 | |
| Systolic Blood Pressure | SNOMED-CT: 271649006 C0871470:Systolic Pressure; |
July 8th, 2010 04:00 | |
| Diastolic Blood Pressure | SNOMED-CT: 271650006 C0428883:Diastolic blood pressure; |
July 8th, 2010 04:00 | |
| Systolic Blood Pressure | SNOMED-CT: 271649006 C0871470:Systolic Pressure; |
June 10th, 2010 04:00 | |
| Diastolic Blood Pressure | SNOMED-CT: 271650006 C0428883:Diastolic blood pressure; |
June 10th, 2010 04:00 | |
| Systolic Blood Pressure | SNOMED-CT: 271649006 C0871470:Systolic Pressure; |
May 5th, 2010 04:00 | |
| Diastolic Blood Pressure | SNOMED-CT: 271650006 C0428883:Diastolic blood pressure; |
May 5th, 2010 04:00 |
| Description | Codes | Time |
|---|---|---|
| Asthma Symptom Assessment Tool | SNOMED-CT: 401011001 C1276011:Peak expiratory flow rate monitoring using diary; |
July 8th, 2010 04:00 |
| Delivery Live Births-Procedure | CPT: 59410 SNOMED-CT: 169961004 C1384485:Normal delivery; There are two SNOMED codes for "normal delivery;" 48782003 is the other one |
November 2nd, 2010 04:00 |
| Alcohol, drug rehab and detox interventions | ICD-9-CM: 94.61 SNOMED-CT: 35637008 C0204598:Alcohol rehabilitation; |
May 5th, 2010 04:00 |
| Description | Codes | Time | Value |
|---|---|---|---|
| Group A Streptococcus Test | CPT: 87430 LOINC: 31971-5 SNOMED-CT: 122245007 C1294564:Measurement of Streptococcus pyogenes enzyme antibody; |
May 5th, 2010 04:00 | |
| HIV Screening | CPT: 87536 LOINC: 9665-1 SNOMED-CT: 104332002 C0523323:HIV p24 antigen test; |
June 10th, 2010 04:00 | |
| Pregnancy Test | CPT: 84702 LOINC: 2119-6 C0364239:Choriogonadotropin:Substance Concentration:Point in time:Serum/Plasma:Quantitative; |
May 5th, 2010 04:00 |
| Description | Codes | Time |
|---|---|---|
| Tobacco Non-User | SNOMED-CT: 160618006 C0425311:Current non-smoker; |
May 5th, 2010 04:00 |