source: hData/trunk/test-patients/IP-test-patient-4.txt@ 1297

Last change on this file since 1297 was 1019, checked in by George Lilly, 14 years ago

text form of test patients from NIST MU test scripts

File size: 5.2 KB
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[1019]1Patient Summary Record Test Data – Set #4
2
3Patient
4 Name Date/Time of Birth Gender Identification Number Identification Number Type Address/Phone
5Paul Jackson 03/08/1962 Male 998777349 Medical Record Number 754 Samuel Street,
6 14:25:50 Blanchard,
7 Oklahoma 73010
8 405-228-9292
9
10“Source” for all data for this patient: Mary Pfiffer, MD
11
12Problem List
13 Type ICD-9 Code Patient Problem Status Date Diagnosed
14Diagnosis 410.90 Acute Myocardial Infarction Resolved 07/12/2010
15Finding 414.01 Coronary Artery Disease (CAD) Chronic 07/05/2000
16
17 Type SNOMED Code* Patient Problem Status Date Diagnosed
18Disorder 57054005 Acute Myocardial Infarction Resolved 07/12/2010
19Disorder 53741008 Coronary Arteriosclerosis Chronic 07/05/2000
20
21Medication List
22RxNorm
23 Product Generic Name Brand Name Strength Dose Route Frequency Date Started Status
24 Code
25198039 Medication nitroglycerin Nitroglycerin 400 mcg 1 Tablet SL As needed 07/15/2010 Active
26309362 Medication clopidogrel Plavix 75 mg 1 Tablet PO QD 07/05/2000 Active
27197361 Medication amlodipine Norvasc 5 mg 1 Tablet PO QD 07/05/2000 Active
28
29Medication Allergy List
30 Type SNOMED Code Medication/Agent Reaction Date Recorded
31Drug Allergy 91936005 Penicillin Rash and anaphylaxis 07/12/2010
32Drug Allergy 294506009 Ampicillin Diarrhea, nausea, vomiting 03/28/2000
33
34Diagnostic Test Results
35 Type LOINC Code Test (Normal Range) Result Date Performed
36Chemistry 14647-2 Total cholesterol (<200 mg/dl) 220 mg/dl 07/15/2010
37Chemistry 14927-8 Triglycerides (<150 mg/dl) 165 mg/dl 07/15/2010
38 The heart outline is slightly
39 enlarged, the hilar and
40Imaging 42272-5 Chest X-ray, PA & Lateral 07/15/2010
41 mediastinal vessels are of
42 normal appearance
43Hematology 718-7 Hemoglobin (male: 14-18 g/dl female: 12-16 g/dl) 12.8 g/dl 2/18/2010
44Hematology 4544-3 Hematocrit (male: 40-54% female: 36-48%) 44% 2/18/2010
45
46Procedure List
47 Type ICD-9 Code Procedure Status Date Performed
48Cardiac 00.66 Percutaneous transluminal coronary Completed 07/15/2010
49 angioplasty
50
51 Type CPT Code* Procedure Status Date Performed
52Cardiac 92982 Percutaneous transluminal coronary Completed 07/15/2010
53 angioplasty
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