source: hData/trunk/test-patients/IP-test-patient-3.txt@ 1169

Last change on this file since 1169 was 1019, checked in by George Lilly, 14 years ago

text form of test patients from NIST MU test scripts

File size: 5.8 KB
Line 
1Patient Summary Record Test Data – Set #3
2
3Patient
4 Name Date/Time of Birth Gender Identification Number Identification Number Type Address/Phone
5Lorraine 04/16/1957 Female 967385998 Medical Record Number 1020 Stuart Street
6Blevins 20:15:35 Morton,
7
8“Source” for all data for this patient: Louis Randolph, MD
9
10Problem List
11 Type ICD-9 Code Patient Problem Status Date Diagnosed
12Diagnosis 715.35 Right hip osteoarthritis Resolved 02/12/2010
13Finding 414.01 Coronary Artery Disease (CAD) Chronic 05/05/2002
14
15 Type SNOMED Code* Patient Problem Status Date Diagnosed
16Disorder 239872002 Right hip osteoarthritis Resolved 02/12/2010
17Disorder 53741008 Coronary Arteriosclerosis Chronic 05/05/2002
18
19Medication List
20 RxNorm
21 Product Generic Name Brand Name Strength Dose Route Frequency Date Started Status
22 Code
23855320 Medication warfarin Coumadin 3 mg 1 Tablet PO QD 02/15/2010 Active
24209613 Medication bisacodyl Dulcolax 5 mg 1 Tablet PO QD 02/15/2010 Active
25309362 Medication clopidogrel Plavix 75 mg 1 Tablet PO QD 05/15/2002 Active
26197361 Medication amlodipine Norvasc 5 mg 1 Tablet PO QD 07/15/2009 Active
27
28Medication Allergy List
29 Type SNOMED Code Medication/Agent Reaction Date Recorded
30Drug Allergy 91939003 Sulfonamides Hives, photosensitivity 06/06/1998
31Drug Allergy 294506009 Ampicillin Diarrhea, nausea, vomiting 04/25/1994
32
33Diagnostic Test Results
34 Type LOINC Code Test (Normal Range) Result Date Performed
35 Subchondral sclerosis,
36 37721-8
37Imaging X-ray, 2 views, Right Hip increased density in 02/12/2010
38 subchondral bone
39 No disease is seen in the lung
40Imaging 24648-8 Chest X-ray, PA 06/05/2009
41 fields or pleura
42 Hemoglobin (male: 14-18 g/dl
43Hematology 718-7 11.2 g/dl 06/05/2009
44 female: 12-16 g/dl)
45 Hematocrit (male: 40-54%
46Hematology 4544-3 34% 06/05/2009
47 female: 36-48%)
48 Type LOINC Code Test (Normal Range) Result Date Performed
49 Prothrombin Time/ International Normalized Ratio (PT/INR)
50Coagulation 34714-6 3.1 06/05/2009
51 (2.5 – 3.5)
52
53Procedure List
54 Type ICD-9 Code Procedure Status Date Performed
55Surgical 81.51 Total Hip Replacement, Right Completed 02/14/2010
56Cardiac 37.21 Cardiac catheterization Completed 05/05/2002
57
58 Type CPT Code* Procedure Status Date Performed
59Surgical 27130 Total Hip Replacement, Right Completed 02/14/2010
60Cardiac 93501 Cardiac catheterization Completed 05/05/2002
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