Community Health and Hospitals: Health Summary 4586 Luke Lane Clinton OK 73601 US Mattie Joseph 3450 Heavner Court Long Island City NY 11101 US Mrs. Jenny Gonzalez Rockford IL 61101 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 Moderately Susceptible 05-01-2010 10:00:00 Active
ICD-9-CM V15.03 Allergy to eggs
Bakers Yeast RxNorm 892677 Baker's yeast allergenic extract 100 MG/ML Injectable Solution Severe Very susceptible 05-01-2010 10:00:00 Active
Codeine NDF-RT N0000006691 Codeine Severe Susceptible 05-01-2010 10:00:00 Active
Allergy to Eggs + Eggs Allergy to Eggs + Eggs Bakers Yeast + Baker's yeast allergenic extract 100 MG/ML Injectable Solution Bakers Yeast + Baker's yeast allergenic extract 100 MG/ML Injectable Solution Codeine + Codeine Codeine + Codeine
Encounters
Group Description Code System Code Code Description Date and Time Status
Encounter ED CPT 99281 Emergency dept visit 05-01-2010 10:00:00 Performed
Encounter Outpatient CPT 99213 Office/outpatient visit, est 06-04-2010 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 12-07-2010 10:00:00 Performed
ICD-9-CM V70.0 Routine general medical examination at a health care facility
Encounter ED + Encounter ED Encounter Outpatient + Encounter Outpatient Encounter Outpatient + Encounter Outpatient
Immunizations
Group Description Code System Code Code Description Date and Time Status
Influenza Vaccine CVX 135 Influenza, high dose seasonal 12-07-2010 10:00:00 Completed
Pneumococcal Vaccine all ages CVX 100 pneumococcal conjugate PCV 7 12-07-2010 10:00:00 Completed
CPT 90669 Pneumococcal vacc, ped<5
Influenza Vaccine + Influenza Vaccine 101 Maple Street Washington DC 20009 United States Jim Smith Good Hospital 101 Maple Street Washington DC 20009 United States Pneumococcal Vaccine all ages + Pneumococcal Vaccine all ages 101 Maple Street Washington DC 20009 United States Jim Smith Good Hospital 101 Maple Street Washington DC 20009 United States
Medications
Group Description Code System Code Code Description Date and Time Status
Antiasthmatic combinations RxNorm 388681 Dyphylline 100 MG / Guaifenesin 100 MG Oral Tablet 06-04-2010 10:00:00 Active
Short acting beta 2 agonist RxNorm 630208 Albuterol 0.83 MG/ML Inhalant Solution 10-07-2010 10:00:00 Active
Contraceptives RxNorm 314146 Ethinyl Estradiol 0.05 MG / Norgestrel 0.5 MG Oral Tablet 12-07-2010 10:00:00 Active
Community Health and Hospitals 1001 Village Avenue Portland OR 99123 US Antiasthmatic combinations + Dyphylline 100 MG / Guaifenesin 100 MG Oral Tablet Antiasthmatic combinations Short acting beta 2 agonist + Albuterol 0.83 MG/ML Inhalant Solution Short acting beta 2 agonist Contraceptives + Ethinyl Estradiol 0.05 MG / Norgestrel 0.5 MG Oral Tablet Contraceptives
Problems
Group Description Code System Code Code Description Date and Time Status
Cystic Fibrosis SNOMED-CT 190905008 Cystic fibrosis 02-18-1984 10:00:00 Active
ICD-10-CM E84 Cystic fibrosis
ICD-9-CM 277.00 Cystic fibrosis without mention of meconium ileus
Asthma SNOMED-CT 195979001 Asthma unspecified 06-04-2010 10:00:00 Active
ICD-10-CM J45 Asthma
ICD-9-CM 493.92 Asthma, unspecified type, with (acute) exacerbation
Asthma Daytime Symptoms Quantified SNOMED-CT 370202007 Asthma causes daytime symptoms 1 to 2 times per month 06-04-2010 10:00:00 Active
Asthma Nighttime Symptoms Quantified SNOMED-CT 370205009 Asthma causes night symptoms 1 to 2 times per month 06-04-2010 10:00:00 Active
Asthma Daytime Symptoms Quantified SNOMED-CT 370202007 Asthma causes daytime symptoms 1 to 2 times per month 12-07-2010 10:00:00 Active
Asthma Nighttime Symptoms Quantified SNOMED-CT 370205009 Asthma causes night symptoms 1 to 2 times per month 12-07-2010 10:00:00 Active
Procedures
Group Description Code System Code Code Description Date and Time Status
Asthma Symptom Assessment Tool SNOMED-CT 401011001 Peak expiratory flow rate monitoring using diary 06-04-2010 10:00:00 Performed
Asthma Symptom Assessment Tool SNOMED-CT 401011001 Peak expiratory flow rate monitoring using diary 10-07-2010 10:00:00 Performed
contraceptive use education SNOMED-CT 44651004 Contraceptive use education 12-07-2010 10:00:00 Performed
Asthma Symptom Assessment Tool + Peak expiratory flow rate monitoring using diary Asthma Symptom Assessment Tool + Peak expiratory flow rate monitoring using diary contraceptive use education + Contraceptive use education
Results
Group Description Code System Code Code Description Value Unit Reference Range Date and Time Status
Chlamydia Screening LOINC 31777-6 C trach Ag XXX Ql negative NA 12-07-2010 10:00:00 Completed
CPT 87270 Chlamydia trachomatis ag if
SNOMED-CT 121953005 Measurement of Chlamydia pneumoniae antibody
Pap Test LOINC 10524-7 Cyto Cervix normal NA 12-07-2010 10:00:00 Completed
CPT 88174 Cytopath, c/v auto, in fluid
HCPCS G0147 Scr c/v cyto, automated sys
ICD-10-CM Z12.4 Encounter for screening for malignant neoplasm of cervix
ICD-9-CM V72.32 Encounter for Papanicolaou cervical smear to confirm findings of recent normal smear following initial abnormal smear
SNOMED-CT 440623000 Microscopic examination of cervical Papanicolaou smear
NA NA
Social History
Group Description Code System Code Code Description Date and Time Status
Tobacco Use SNOMED-CT 266919005 Never smoker (Never Smoked) 05-01-2010 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 22.9 kg/m2 06-04-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 70 mm[Hg] 06-04-2010 10:00:00 Finding
Heart Rate LOINC 8867-4 Heart Rate 70 /min 06-04-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 122 mm[Hg] 06-04-2010 10:00:00 Finding
BMI LOINC 39156-5 BMI 22.7 kg/m2 12-07-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 74 mm[Hg] 12-07-2010 10:00:00 Finding
Heart Rate LOINC 8867-4 Heart Rate 72 /min 12-07-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 125 mm[Hg] 12-07-2010 10:00:00 Finding