Community Health and Hospitals: Health Summary 2138 Lowes Alley Columbus OH 43215 US Katrina Wheeler 3690 Gordon Street Los Angeles CA 90017 US Mrs. Tania Brown Las Vegas NV 89110 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 Mild to moderate Susceptible 03-31-2010 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 Moderate to severe Very susceptible 03-31-2010 10:00:00 Active
Penicillin V NDF-RT N0000011298 Penicillin V Severe Very susceptible 03-31-2010 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 Penicillin V + Penicillin V Penicillin V + Penicillin V
Encounters
Group Description Code System Code Code Description Date and Time Status
Encounter Acute Inpt CPT 99251 Initial inpatient consult 03-31-2010 10:00:00 Performed
Encounter Inpatient Discharge CPT 99238 Hospital discharge day 04-03-2010 10:00:00 Performed
Encounter Outpatient CPT 99213 Office/outpatient visit, est 06-15-2010 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 09-10-2010 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 12-05-2010 10:00:00 Performed
ICD-9-CM V70.0 Routine general medical examination at a health care facility
Encounter Acute Inpt + Encounter Acute Inpt Encounter Inpatient Discharge + Encounter Inpatient Discharge Encounter Outpatient + Encounter Outpatient 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 09-10-2010 10:00:00 Completed
Pneumococcal Vaccine ages 2 and older CVX 33 pneumococcal polysaccharide PPV23 09-10-2010 10:00:00 Completed
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 ages 2 and older + Pneumococcal Vaccine ages 2 and older 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
Antihypertensive combinations RxNorm 858828 Enalapril Maleate 10 MG / Hydrochlorothiazide 25 MG Oral Tablet 03-31-2010 10:00:00 Active
Oral anti-platelet therapy RxNorm 243670 Aspirin 81 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
Antihypertensive combinations RxNorm 858828 Enalapril Maleate 10 MG / Hydrochlorothiazide 25 MG Oral Tablet 06-15-2010 10:00:00 Active
Oral anti-platelet therapy RxNorm 243670 Aspirin 81 MG Oral Tablet 06-15-2010 10:00:00 Active
Statins RxNorm 617314 atorvastatin 10 MG Oral Tablet [Lipitor] 06-15-2010 10:00:00 Active
Community Health and Hospitals 1001 Village Avenue Portland OR 99123 US Antihypertensive combinations + Enalapril Maleate 10 MG / Hydrochlorothiazide 25 MG Oral Tablet Antihypertensive combinations Oral anti-platelet therapy + Aspirin 81 MG Oral Tablet Oral anti-platelet therapy Statins + atorvastatin 10 MG Oral Tablet [Lipitor] Statins Antihypertensive combinations + Enalapril Maleate 10 MG / Hydrochlorothiazide 25 MG Oral Tablet Antihypertensive combinations Oral anti-platelet therapy + Aspirin 81 MG Oral Tablet Oral anti-platelet therapy Statins + atorvastatin 10 MG Oral Tablet [Lipitor] Statins
Problems
Group Description Code System Code Code Description Date and Time Status
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
ischemic vascular disease SNOMED-CT 52674009 Ischemia 03-31-2010 10:00:00 Active
ICD-10-CM I24 Other acute ischemic heart diseases
ICD-9-CM 411.89 Other acute and subacute forms of ischemic heart disease, other
Procedures
Group Description Code System Code Code Description Date and Time Status
PTCA CPT 92982 Coronary artery dilation 04-01-2010 10:00:00 Performed
ICD-9-CM 00.66 Excision of lingual thyroid
SNOMED-CT 11101003 Percutaneous transluminal coronary angioplasty
Colonoscopy CPT 45378 Diagnostic colonoscopy 10-05-2010 10:00:00 Performed
HCPCS G0121 Colon ca scrn not hi rsk ind
ICD-10-CM Z12.11 Encounter for screening for malignant neoplasm of colon
ICD-9-CM 45.23 Colonoscopy
SNOMED-CT 174184006 Diagnostic endoscopic examination on colon
Breast Cancer Screening CPT 77057 Mammogram, screening 10-15-2010 10:00:00 Performed
HCPCS G0202 Screeningmammographydigital
ICD-10-CM Z12.31 Encounter for screening mammogram for malignant neoplasm of breast
ICD-9-CM V76.12 Other screening mammogram
SNOMED-CT 24623002 Screening mammography
PTCA + Coronary artery dilation Colonoscopy + Diagnostic colonoscopy Breast Cancer Screening + Mammogram, screening
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 57 mg/dL >=40 mg/dL 04-15-2010 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 162.2 mg/dL <130 mg/dL (calc) 04-15-2010 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 243 mg/dL 125-200 mg/dL 04-15-2010 10:00:00 Completed
CPT 82465 Assay, bld/serum cholesterol
SNOMED-CT 121868005 Total cholesterol measurement
Triglycerides LOINC 12951-0 Trigl SerPl Calc-mCnc 119 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 04-15-2010 10:00:00 Completed
CPT 84478 Assay of triglycerides
SNOMED-CT 14740000 Triglycerides measurement
High Density Lipoprotein (HDL) LOINC 14646-4 HDLc SerPl-sCnc 55 mg/dL >=40 mg/dL 09-10-2010 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 105.2 mg/dL <130 mg/dL (calc) 09-10-2010 10:00:00 Completed
CPT 83721 Assay of blood lipoprotein
SNOMED-CT 113079009 Low density lipoprotein cholesterol measurement
Pap Test LOINC 10524-7 Cyto Cervix normal NA 09-10-2010 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
Total Cholesterol LOINC 2093-3 Cholest SerPl-mCnc 178 mg/dL 125-200 mg/dL 09-10-2010 10:00:00 Completed
CPT 82465 Assay, bld/serum cholesterol
SNOMED-CT 121868005 Total cholesterol measurement
Triglycerides LOINC 12951-0 Trigl SerPl Calc-mCnc 89 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 09-10-2010 10:00:00 Completed
CPT 84478 Assay of triglycerides
SNOMED-CT 14740000 Triglycerides measurement
>=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 >=40 mg/dL <130 mg/dL (calc) NA 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
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 22.9 kg/m2 04-15-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 85 mm[Hg] 04-15-2010 10:00:00 Finding
Heart Rate LOINC 8867-4 Heart Rate 80 /min 04-15-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 136 mm[Hg] 04-15-2010 10:00:00 Finding
BMI LOINC 39156-5 BMI 22.5 kg/m2 09-10-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 88 mm[Hg] 09-10-2010 10:00:00 Finding
Heart Rate LOINC 8867-4 Heart Rate 84 /min 09-10-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 138 mm[Hg] 09-10-2010 10:00:00 Finding
BMI LOINC 39156-5 BMI 22.9 kg/m2 12-05-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 84 mm[Hg] 12-05-2010 10:00:00 Finding
Heart Rate LOINC 8867-4 Heart Rate 82 /min 12-05-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 132 mm[Hg] 12-05-2010 10:00:00 Finding