Community Health and Hospitals: Health Summary 408 Ingram Street Dayton OH 45408 US Jeffery Estrada 31 Marshall Street Cockeysville MD 21030 US Mr. Miguel Ballard New York NY 10007 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 05-31-2010 10:00:00 Active
ICD-9-CM V15.03 Allergy to eggs
Amikacin RxNorm 905148 Amikacin Sulfate 50 MG/ML Injectable Solution Mild to moderate Susceptible 05-31-2010 10:00:00 Active
Codeine NDF-RT N0000006691 Codeine Severe Moderately Susceptible 05-31-2010 10:00:00 Active
Allergy to Eggs + Eggs Allergy to Eggs + Eggs Amikacin + Amikacin Sulfate 50 MG/ML Injectable Solution Amikacin + Amikacin Sulfate 50 MG/ML Injectable Solution Codeine + Codeine Codeine + Codeine
Encounters
Group Description Code System Code Code Description Date and Time Status
Encounter Office & Outpatient Consult CPT 99241 Office consultation 05-31-2010 10:00:00 Performed
Encounter Outpatient Including Orthopedics an CPT 98940 Chiropractic manipulation 09-03-2010 10:00:00 Performed
Encounter Office Visit CPT 99212 Office/outpatient visit, est 09-17-2010 10:00:00 Performed
Encounter Office Visit CPT 99212 Office/outpatient visit, est 09-30-2010 10:00:00 Performed
Encounter Office & Outpatient Consult CPT 99241 Office consultation 12-12-2010 10:00:00 Performed
Encounter Office & Outpatient Consult + Encounter Office & Outpatient Consult Encounter Outpatient Including Orthopedics an + Encounter Outpatient Including Orthopedics an Encounter Office Visit + Encounter Office Visit Encounter Office Visit + Encounter Office Visit Encounter Office & Outpatient Consult + Encounter Office & Outpatient Consult
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
Long acting inhaled beta 2 agonist RxNorm 318142 salmeterol 0.05 MG/ACTUAT Inhalant Powder 05-31-2010 10:00:00 Active
SSRI antidepressants RxNorm 903884 Fluvoxamine Maleate 100 MG Oral Tablet 05-31-2010 10:00:00 Active
Short acting beta 2 agonist RxNorm 630208 Albuterol 0.83 MG/ML Inhalant Solution 05-31-2010 10:00:00 Active
Community Health and Hospitals 1001 Village Avenue Portland OR 99123 US Long acting inhaled beta 2 agonist + salmeterol 0.05 MG/ACTUAT Inhalant Powder Long acting inhaled beta 2 agonist SSRI antidepressants + Fluvoxamine Maleate 100 MG Oral Tablet SSRI antidepressants Short acting beta 2 agonist + Albuterol 0.83 MG/ML Inhalant Solution Short acting beta 2 agonist
Problems
Group Description Code System Code Code Description Date and Time Status
Arrhythmia SNOMED-CT 44808001 Conduction disorder of the heart 05-31-2010 10:00:00 Active
ICD-10-CM I45.9 Conduction disorder, unspecified
ICD-9-CM 426.9 Conduction disorder, unspecified
Asthma SNOMED-CT 195979001 Asthma unspecified 05-31-2010 10:00:00 Active
ICD-10-CM J45 Asthma
ICD-9-CM 493.92 Asthma, unspecified type, with (acute) exacerbation
Asthma Daytime Symptoms SNOMED-CT 373899003 Asthma daytime symptoms 05-31-2010 10:00:00 Active
Asthma Nighttime Symptoms SNOMED-CT 395022009 Asthma night-time symptoms 05-31-2010 10:00:00 Active
Depression SNOMED-CT 191615005 Recurrent major depressive episodes, in full remission 05-31-2010 10:00:00 Active
ICD-10-CM F33.3 Major depressive disorder, recurrent, severe with psychotic symptoms
ICD-9-CM 296.36 Major depressive affective disorder, recurrent episode, in full remission
low back pain SNOMED-CT 279039007 Low back pain 09-03-2010 10:00:00 Active
ICD-10-CM M54.9 Dorsalgia, unspecified
ICD-9-CM 724.2 Lumbago
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 05-31-2010 10:00:00 Performed
dietary consultation order SNOMED-CT 103699006 Patient referral to dietitian 05-31-2010 10:00:00 Performed
Imaging Study-Spinal CPT 72010 X-ray exam of spine 09-30-2010 10:00:00 Performed
SNOMED-CT 91583001 Diagnostic radiography of spine, survey study
Asthma Symptom Assessment Tool + Peak expiratory flow rate monitoring using diary dietary consultation order + Patient referral to dietitian Imaging Study-Spinal + X-ray exam of spine
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 31.9 kg/m2 05-31-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 80 mm[Hg] 05-31-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 130 mm[Hg] 05-31-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 88 mm[Hg] 09-03-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 138 mm[Hg] 09-03-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 94 mm[Hg] 09-17-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 142 mm[Hg] 09-17-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 96 mm[Hg] 09-30-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 150 mm[Hg] 09-30-2010 10:00:00 Finding
BMI LOINC 39156-5 BMI 28.9 kg/m2 12-12-2010 10:00:00 Finding
Diastolic Blood Pressure LOINC 8462-4 BP Diastolic 72 mm[Hg] 12-12-2010 10:00:00 Finding
Systolic Blood Pressure LOINC 8480-6 BP Systolic 135 mm[Hg] 12-12-2010 10:00:00 Finding