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
Appendix D - Data Used in the Examples
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 his primary care provider, Dr. Anthony Allen, for a 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 chest pain, no physical signs of respiratory and cardiac problems, and a familial history of coronary artery disease. Based on the examination and certain test results, Dr. Allen decides to refer him to a cardiologist, requesting a consultation within a week.. The cardiologist, Dr. Beatrice Brown, accepts the referral, and her practice schedules an appointment with Mr. Packton on September 8th, 2016. After seeing the patient, Dr. Brown sends her report to Dr. Allen, sharing her findings, and letting him know that diagnostic cardiac catheterization is scheduled. The procedure is performed on September 14th, 2016, and the diagnosis of coronary artery disease is confirmed. Dr. Brown sends he summary consultation note, including a proposed plan of care, which closes the referral loop.
D.1 Administrative Information
Administrative information includes demographics, various identifiers, and other administrative data which are used in the examples above.
Patient:
First name | Peter |
---|---|
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"> |
Provider A
First Name | Anthony |
---|---|
Family Name | Allen |
Title | MD |
NPI | 5556667777 |
Organization name | Neighborhood Health Clinic |
Organization OID | 1.3.6.1.4.1.21367.2016.10.1.21 |
OID for patient ID assignment | 1.3.6.1.4.1.21367.2016.10.1.21.5 |
OID for provider ID assignment | 1.3.6.1.4.1.21367.2016.10.1.21.10 |
OID for referral orders assignment | 1.3.6.1.4.1.21367.2016.10.1.21.15 |
Provider ID within the organization | 34225PC |
Direct address | aallen@direct.nhc.example.org |
Provider B
First Name | Beatrice |
---|---|
Family Name | Brown |
Title | NPI |
NPI | 2223334444 |
Organization name | 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 |
D.2 Clinical Data