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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 namePeter
Middle NamePrince
Family NamePackton
DOBAugust 17, 1958
Address8823 Harmon Avenue, Apartment 3C
CItyAnytown
StateNew Jersey
Zip66666
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 NameAnthony
Family NameAllen
TitleMD
NPI5556667777
Organization nameNeighborhood Health Clinic
Organization OID1.3.6.1.4.1.21367.2016.10.1.21
OID for patient ID assignment1.3.6.1.4.1.21367.2016.10.1.21.5
OID for provider ID assignment1.3.6.1.4.1.21367.2016.10.1.21.10
OID for referral orders assignment1.3.6.1.4.1.21367.2016.10.1.21.15
Provider ID within
the organization
34225PC
Direct addressaallen@direct.nhc.example.org

Provider B

First NameBeatrice
Family NameBrown
TitleNPI
NPI2223334444
Organization name Cardiology Partners
Organization OID1.3.6.1.4.1.21367.2016.10.1.32
OID for patient ID Assignment1.3.6.1.4.1.21367.2016.10.1.32.11
OID for provider ID assignment1.3.6.1.4.1.21367.2016.10.1.32.13
OID for appointment ID assignment1.3.6.1.4.1.21367.2016.10.1.32.17
Provider ID within
the organization
42334DG
Direct addressbbrown@direct.cpart.example.org

D.2 Clinical Data

 

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