Reminder: Do not include any PHI or PII in Confluence. If you require 508 accessibility assistance or any other support for this system, then please send an email to onc-jira-questions@healthit.gov
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The examples in this specification are based on the following patient story:
Peter Packton has been having shortness of breath in the last few days and makes an appointment with comes in to see his primary care provider, Dr. Anthony Allen, for a an annual check-up. Dr. Allen sees Mr. Packton on September 2nd, 2016. The patient has a BMI of 30, no history of smoking, no complaints of occasional chest pain with exertion, no physical signs of respiratory and cardiac problems, and a familial family history of coronary artery disease . Based on the examination and certain test results, Dr. Allen where his dad died of a heart attack at age 53. Dr. Allen diagnoses Mr. Packton with hypertension and an elevated LDL and decides to refer him to a cardiologist, requesting a consultation within a week.. The a month. Dr. Allen sends a referral to a cardiologist, Dr. Charles Carlyle, but since Dr. Carlyle is unable to accept Mr. Packton's insurance, the referral is returned the next day to Dr. Allen's office with a reason of "Insurance out of network". Dr. Allen then sends the referral to another cardiologist, Dr. Beatrice Brown, who accepts the referral, and her practice schedules an appointment with Mr. Packton on for September 8th, 2016. After seeing the patient, Dr. Brown sends her consultation report to Dr. Allen, sharing her findings, and letting him know that diagnostic cardiac catheterization a CT Angiography is scheduled. The procedure is performed on September 14th21st, 2016, and the diagnosis of coronary artery disease is confirmed. Dr. Brown sends he summary consultation notehas a follow-up appointment with Mr. Packton on September 28th and sends the CTA report, including a summary of care with a proposed plan of care, which closes the referral loop.
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Administrative information includes demographics, various identifiers, and other administrative data which are used in the examples above.
Patient
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First name | Peter |
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Middle Name | Prince |
Family Name | Packton |
DOB | August 17, 1958 |
Address | 8823 Harmon Avenue, Apartment 3C |
CIty | Anytown |
State | New Jersey |
Zip | 66666 |
Patient ID with provider A | ID: T7190334 CX Data Type: T7190334^^^&1.3.6.1.4.1.21367.2016.10.1.21.5&ISO^MRN II Data Type: <id root="1.3.6.1.4.1.21367.2016.10.1.21.5" extension="T7190334"> |
Patient ID with provider B | ID: L53HG67 CX Data Type: L53HG67^^^&1.3.6.1.4.1.21367.2016.10.1.32.11&ISO^MRN II Data Type: <id root="1.3.6.1.4.1.21367.2016.10.1.32.11" extension="L53HG67"> |
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First Name | Beatrice |
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Family Name | Brown |
Title | NPIMD |
NPI | 2223334444 |
Organization name | Â Cardiology Cardiology Partners |
Organization OID | 1.3.6.1.4.1.21367.2016.10.1.32 |
OID for patient ID Assignment | 1.3.6.1.4.1.21367.2016.10.1.32.11 |
OID for provider ID assignment | 1.3.6.1.4.1.21367.2016.10.1.32.13 |
OID for appointment ID assignment | 1.3.6.1.4.1.21367.2016.10.1.32.17 |
Provider ID within the organization | 42334DG |
Direct address | bbrown@direct.cpart.example.org |
Provider C
First Name | Charles |
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Family Name | Carlyle |
Title | MD |
NPI | 8889990000 |
Organization name | Cardiology Associates |
Organization OID | 1.3.6.1.4.1.21367.2016.10.1.62 |
OID for patient ID Assignment | 1.3.6.1.4.1.21367.2016.10.1.62.12 |
OID for provider ID assignment | 1.3.6.1.4.1.21367.2016.10.1.62.14 |
OID for appointment ID assignment | 1.3.6.1.4.1.21367.2016.10.1.62.18 |
Provider ID within the organization | 94893CC |
Direct address | ccarlyle@direct.cpart.example.org |
D.2 Clinical Data
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Height | 5' 9" |
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Weight | 205 lbs |
BMI | 30.3 |
Blood Pressure | 195/122 |
LDL | 200 |
CT Angiograph Impression | 40% stenosis of left anterior descending artery |