Community Health and Hospitals: Health Summary 4176 Coventry Court Baton Rouge LA 70806 US Joan Mcdaniel 1579 Paradise Lane Walnut CA 91789 US Mr. Thomas Mullins Inglewood CA 90301 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 05-30-2010 10:00:00 Active
ICD-9-CM V15.03 Allergy to eggs
Neomycin RxNorm 866041 Neomycin Sulfate 500 MG Severe Moderately Susceptible 05-30-2010 10:00:00 Active
Tetracyclines RxNorm 406524 Doxycycline 75 MG Enteric Coated Tablet Fatal Moderately Susceptible 05-30-2010 10:00:00 Active
NDF-RT N0000006275 Tetracycline
Allergy to Eggs + Eggs Allergy to Eggs + Eggs Neomycin + Neomycin Sulfate 500 MG Neomycin + Neomycin Sulfate 500 MG 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 Office Visit CPT 99212 Office/outpatient visit, est 05-30-2010 10:00:00 Performed
Encounter Ophthalmological Services CPT 92012 Eye exam established pat 06-27-2010 10:00:00 Performed
Encounter Acute Inpt CPT 99251 Initial inpatient consult 07-25-2010 10:00:00 Performed
Encounter Inpatient Discharge CPT 99238 Hospital discharge day 07-29-2010 10:00:00 Performed
Encounter Acute Inpt CPT 99251 Initial inpatient consult 08-22-2010 10:00:00 Performed
Encounter Inpatient Discharge CPT 99238 Hospital discharge day 08-26-2010 10:00:00 Performed
Encounter Outpatient CPT 99213 Office/outpatient visit, est 09-19-2010 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 10-17-2010 10:00:00 Performed
ICD-9-CM V70.0 Routine general medical examination at a health care facility
Encounter Ophthalmological Services CPT 92012 Eye exam established pat 10-30-2010 10:00:00 Performed
Encounter Office Visit CPT 99212 Office/outpatient visit, est 11-14-2010 10:00:00 Performed
Encounter Office Visit + Encounter Office Visit Encounter Ophthalmological Services + Encounter Ophthalmological Services Encounter Acute Inpt + Encounter Acute Inpt Encounter Inpatient Discharge + Encounter Inpatient Discharge Encounter Acute Inpt + Encounter Acute Inpt Encounter Inpatient Discharge + Encounter Inpatient Discharge Encounter Outpatient + Encounter Outpatient Encounter Outpatient + Encounter Outpatient Encounter Ophthalmological Services + Encounter Ophthalmological Services Encounter Office Visit + Encounter Office Visit
Immunizations
Group Description Code System Code Code Description Date and Time Status
Influenza Vaccine CVX 135 Influenza, high dose seasonal 11-14-2010 10:00:00 Completed
Pneumococcal Vaccine all ages CVX 100 pneumococcal conjugate PCV 7 11-14-2010 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
ACE inhibitor or ARB RxNorm 314076 Lisinopril 10 MG Oral Tablet 05-30-2010 10:00:00 Active
Beta Blocker Therapy RxNorm 866924 Metoprolol Tartrate 25 MG Oral Tablet 05-30-2010 10:00:00 Active
Community Health and Hospitals 1001 Village Avenue Portland OR 99123 US ACE inhibitor or ARB + Lisinopril 10 MG Oral Tablet ACE inhibitor or ARB Beta Blocker Therapy + Metoprolol Tartrate 25 MG Oral Tablet Beta Blocker Therapy
Problems
Group Description Code System Code Code Description Date and Time Status
Heart Failure SNOMED-CT 84114007 Heart failure 05-30-2010 10:00:00 Active
ICD-10-CM I50.9 Heart failure, unspecified
ICD-9-CM 428.9 Heart failure, unspecified
Hypertension SNOMED-CT 59621000 Essential hypertension 05-30-2010 10:00:00 Active
ICD-10-CM I10 Essential (primary) hypertension
ICD-9-CM 401.9 Unspecified essential hypertension
Primary Open Angle Glaucoma (POAG) SNOMED-CT 84494001 Open-angle glaucoma 07-25-2010 10:00:00 Active
ICD-10-CM H40.11X0 Primary open-angle glaucoma, stage unspecified
ICD-9-CM 365.10 Open-angle glaucoma, unspecified
Procedures
Group Description Code System Code Code Description Date and Time Status
dietary consultation order SNOMED-CT 103699006 Patient referral to dietitian 05-30-2010 10:00:00 Performed
Optic Nerve Head Evaluation SNOMED-CT 36228007 Ophthalmic examination and evaluation 06-27-2010 10:00:00 Performed
Ejection Fraction SNOMED-CT 70822001 Cardiac ejection fraction, function 07-25-2010 10:00:00 Performed
LVF Assessment CPT 93543 Injection for heart x-rays 08-22-2010 10:00:00 Performed
dietary consultation order SNOMED-CT 103699006 Patient referral to dietitian 11-14-2010 10:00:00 Performed
dietary consultation order + Patient referral to dietitian Optic Nerve Head Evaluation + Ophthalmic examination and evaluation Ejection Fraction + Cardiac ejection fraction, function LVF Assessment + Injection for heart x-rays dietary consultation order + Patient referral to dietitian
Results
Group Description Code System Code Code Description Value Unit Date and Time Status
No data
No data
Social History
Group Description Code System Code Code Description Date and Time Status
No data
Vital Signs
Group Description Code System Code Code Description Value Unit Date and Time Status
BMI LOINC 39156-5 BMI 33.3 kg/m2 05-30-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 84 mm[Hg] 05-30-2010 10:00:00 Finding
Heart Rate LOINC 8867-4 Heart Rate 86 /min 05-30-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 136 mm[Hg] 05-30-2010 10:00:00 Finding
BMI LOINC 39156-5 BMI 32.6 kg/m2 06-27-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 86 mm[Hg] 06-27-2010 10:00:00 Finding
Heart Rate LOINC 8867-4 Heart Rate 86 /min 06-27-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 136 mm[Hg] 06-27-2010 10:00:00 Finding
BMI LOINC 39156-5 BMI 32.3 kg/m2 09-19-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 90 mm[Hg] 09-19-2010 10:00:00 Finding
Heart Rate LOINC 8867-4 Heart Rate 92 /min 09-19-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 140 mm[Hg] 09-19-2010 10:00:00 Finding
BMI LOINC 39156-5 BMI 31.9 kg/m2 10-17-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 86 mm[Hg] 10-17-2010 10:00:00 Finding
Heart Rate LOINC 8867-4 Heart Rate 86 /min 10-17-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 136 mm[Hg] 10-17-2010 10:00:00 Finding
BMI LOINC 39156-5 BMI 32.9 kg/m2 11-14-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 86 mm[Hg] 11-14-2010 10:00:00 Finding
Heart Rate LOINC 8867-4 Heart Rate 90 /min 11-14-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 136 mm[Hg] 11-14-2010 10:00:00 Finding