Community Health and Hospitals: Health Summary 3503 Colony Street Hartford CT 6103 US Jesse Day 1713 Penn Street Stlouis MO 63101 US Mr. Jeffrey Henry Garner NC 27529 US Community Health and Hospitals 1001 Village Avenue Portland OR 99123 US 1001 Village Avenue Portland OR 99123 US Henry Seven 1001 Village Avenue Portland OR 99123 US Henry Seven Frank Jones Community Health and Hospitals 1002 Healthcare Drive Portland OR 99123 US Henry Seven Community Health and Hospitals 17 Daws Rd. Beaverton OR 97867 US Mrs. Martha Jones Primary Care Provider 1001 Village Avenue Portland OR 99123 US Henry Seven MD Community Health and Hospitals 1001 Village Avenue Portland OR 99123 US
Allergies, Adverse Reactions & Alerts
Group Description Code System Code Code Description Severity Susceptibility Date and Time Status
Allergy to Eggs UNII 291P45F896 Eggs Moderate Very susceptible 03-31-2010 10:00:00 Active
ICD-9-CM V15.03 Allergy to eggs
Amikacin RxNorm 905148 Amikacin Sulfate 50 MG/ML Injectable Solution Moderate Very susceptible 03-31-2010 10:00:00 Active
Tetracyclines RxNorm 406524 Doxycycline 75 MG Enteric Coated Tablet Moderate to severe Moderately Susceptible 03-31-2010 10:00:00 Active
NDF-RT N0000006275 Tetracycline
Allergy to Eggs + Eggs Allergy to Eggs + Eggs Amikacin + Amikacin Sulfate 50 MG/ML Injectable Solution Amikacin + Amikacin Sulfate 50 MG/ML Injectable Solution Tetracyclines + Doxycycline 75 MG Enteric Coated Tablet Tetracyclines + Doxycycline 75 MG Enteric Coated Tablet
Encounters
Group Description Code System Code Code Description Date and Time Status
Encounter Outpatient CPT 99213 Office/outpatient visit, est 03-31-2010 10:00:00 Performed
ICD-9-CM V70.0 Routine general medical examination at a health care facility
Encounter Outpatient CPT 99213 Office/outpatient visit, est 05-16-2010 10:00:00 Performed
ICD-9-CM V70.0 Routine general medical examination at a health care facility
Encounter Outpatient CPT 99213 Office/outpatient visit, est 06-10-2010 10:00:00 Performed
ICD-9-CM V70.0 Routine general medical examination at a health care facility
Encounter Outpatient + Encounter Outpatient Encounter Outpatient + Encounter Outpatient Encounter Outpatient + Encounter Outpatient
Immunizations
Group Description Code System Code Code Description Date and Time Status
No data
Medications
Group Description Code System Code Code Description Date and Time Status
Beta Blocker Therapy RxNorm 866924 Metoprolol Tartrate 25 MG Oral Tablet 03-31-2010 10:00:00 Active
Statins RxNorm 617314 atorvastatin 10 MG Oral Tablet [Lipitor] 03-31-2010 10:00:00 Active
ACE inhibitor or ARB RxNorm 314076 Lisinopril 10 MG Oral Tablet 04-05-2010 10:00:00 Active
Antiplatelets RxNorm 243670 Aspirin 81 MG Oral Tablet 04-05-2010 10:00:00 Active
Community Health and Hospitals 1001 Village Avenue Portland OR 99123 US Beta Blocker Therapy + Metoprolol Tartrate 25 MG Oral Tablet Beta Blocker Therapy Statins + atorvastatin 10 MG Oral Tablet [Lipitor] Statins ACE inhibitor or ARB + Lisinopril 10 MG Oral Tablet ACE inhibitor or ARB Antiplatelets + Aspirin 81 MG Oral Tablet Antiplatelets
Problems
Group Description Code System Code Code Description Date and Time Status
Coronary Artery Disease includes MI SNOMED-CT 57054005 Acute myocardial infarction 03-31-2010 10:00:00 Active
ICD-10-CM I21.3 ST elevation (STEMI) myocardial infarction of unspecified site
ICD-9-CM 410.90 Acute myocardial infarction of unspecified site, episode of care unspecified
Hypertension SNOMED-CT 59621000 Essential hypertension 03-31-2010 10:00:00 Active
ICD-10-CM I10 Essential (primary) hypertension
ICD-9-CM 401.9 Unspecified essential hypertension
Heart Failure SNOMED-CT 84114007 Heart failure 04-05-2010 10:00:00 Active
ICD-10-CM I50.9 Heart failure, unspecified
ICD-9-CM 428.9 Heart failure, unspecified
Procedures
Group Description Code System Code Code Description Date and Time Status
Ejection Fraction SNOMED-CT 70822001 Cardiac ejection fraction, function 04-05-2010 10:00:00 Performed
Ejection Fraction + Cardiac ejection fraction, function
Results
Group Description Code System Code Code Description Value Unit Reference Range Date and Time Status
High Density Lipoprotein (HDL) LOINC 14646-4 HDLc SerPl-sCnc 61 mg/dL >=40 mg/dL 06-10-2009 10:00:00 Completed
CPT 83701 Lipoprotein bld, hr fraction
SNOMED-CT 28036006 High density lipoprotein cholesterol measurement
Low Density Lipoprotein (LDL) LOINC 2089-1 LDLc SerPl-mCnc 175.6 mg/dL <130 mg/dL (calc) 06-10-2009 10:00:00 Completed
CPT 83721 Assay of blood lipoprotein
SNOMED-CT 113079009 Low density lipoprotein cholesterol measurement
Triglycerides LOINC 12951-0 Trigl SerPl Calc-mCnc 247 mg/dL 10-39 years: 55-110 mg/dL | 40-59 years: 70-150 mg/dL | >60 years: 80-150 mg/dL | Therapeutic Target: <100 mg/dL 06-10-2009 10:00:00 Completed
CPT 84478 Assay of triglycerides
SNOMED-CT 14740000 Triglycerides measurement
High Density Lipoprotein (HDL) LOINC 14646-4 HDLc SerPl-sCnc 62 mg/dL >=40 mg/dL 03-31-2010 10:00:00 Completed
CPT 83701 Lipoprotein bld, hr fraction
SNOMED-CT 28036006 High density lipoprotein cholesterol measurement
Low Density Lipoprotein (LDL) LOINC 2089-1 LDLc SerPl-mCnc 79.2 mg/dL <130 mg/dL (calc) 03-31-2010 10:00:00 Completed
CPT 83721 Assay of blood lipoprotein
SNOMED-CT 113079009 Low density lipoprotein cholesterol measurement
Total Cholesterol LOINC 2093-3 Cholest SerPl-mCnc 286 mg/dL 125-200 mg/dL 03-31-2010 10:00:00 Completed
CPT 82465 Assay, bld/serum cholesterol
SNOMED-CT 121868005 Total cholesterol measurement
Triglycerides LOINC 12951-0 Trigl SerPl Calc-mCnc 184 mg/dL 10-39 years: 55-110 mg/dL | 40-59 years: 70-150 mg/dL | >60 years: 80-150 mg/dL | Therapeutic Target: <100 mg/dL 03-31-2010 10:00:00 Completed
CPT 84478 Assay of triglycerides
SNOMED-CT 14740000 Triglycerides measurement
Total Cholesterol LOINC 2093-3 Cholest SerPl-mCnc 178 mg/dL 125-200 mg/dL 06-10-2010 10:00:00 Completed
CPT 82465 Assay, bld/serum cholesterol
SNOMED-CT 121868005 Total cholesterol measurement
>=40 mg/dL <130 mg/dL (calc) 10-39 years: 55-110 mg/dL | 40-59 years: 70-150 mg/dL | >60 years: 80-150 mg/dL | Therapeutic Target: <100 mg/dL >=40 mg/dL <130 mg/dL (calc) 125-200 mg/dL 10-39 years: 55-110 mg/dL | 40-59 years: 70-150 mg/dL | >60 years: 80-150 mg/dL | Therapeutic Target: <100 mg/dL 125-200 mg/dL
Social History
Group Description Code System Code Code Description Date and Time Status
Tobacco Use SNOMED-CT 266919005 Never smoker (Never Smoked) 03-31-2010 10:00:00 Active
SNOMED-CT 449868002 Current every day smoker
Tobacco Use + Never smoker (Never Smoked)
Vital Signs
Group Description Code System Code Code Description Value Unit Date and Time Status
BMI LOINC 39156-5 BMI 24.4 kg/m2 03-31-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 72 mm[Hg] 03-31-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 130 mm[Hg] 03-31-2010 10:00:00 Finding
BMI LOINC 39156-5 BMI 23.6 kg/m2 05-16-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 74 mm[Hg] 05-16-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 132 mm[Hg] 05-16-2010 10:00:00 Finding
BMI LOINC 39156-5 BMI 24.4 kg/m2 06-10-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 90 mm[Hg] 06-10-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 150 mm[Hg] 06-10-2010 10:00:00 Finding