source: hData/trunk/test-patients/NIST-Ambulatory-test-patient-3-wiki.txt@ 1424

Last change on this file since 1424 was 1030, checked in by mishpers@gmail.com, 14 years ago

Add ambulatory test patients 2-5

File size: 2.8 KB
RevLine 
[1030]1Patient Summary Record Test Data – Set #3
2
3{| border="1"|
4!colspan="6"|Patient
5|----
6!scope="col"|Name
7!scope="col"|Date/Time of Birth
8!scope="col"|Gender
9!scope="col"|Identification Number
10!scope="col"|Identification Number Type
11!scope="col"|Address/Phone
12|----
13|Jane Andrews
14|05/12/1955 09:30:15
15|Female
16|9639275266
17|Medical Record Number
18|355 1st Street<br>Fargo,<br>North Dakota 54102<br>701-366-8364
19|----
20|}
21
22“Source” for all data for this patient: Robert James, MD
23
24{| border="1"|
25!colspan="6"|Problem List
26|----
27!scope="col"|Type
28!scope="col"|ICD-9 Code
29!scope="col"|Patient Problem
30!scope="col"|Status
31!scope="col"|Date Diagnosed
32|----
33|Diagnosis
34|486
35|Pneumonia
36|Resolved
37|01/22/2010
38|----
39|Diagnosis
40|496.0
41|Chronic Obstructive Pulmonary Disease
42|Chronic
43|10/10/1999
44|----
45|----
46!scope="col"|Type
47!scope="col"|SNOMED Code*
48!scope="col"|Patient Problem
49!scope="col"|Status
50!scope="col"|Date Diagnosed
51|----
52|Disorder
53|233604007
54|Pneumonia
55|Resolved
56|01/22/2010
57|----
58|Disorder
59|13645005
60|Chronic Obstructive Lung Disease
61|Chronic
62|10/10/1999
63|----
64|}
65
66{| border="1"|
67!colspan="10"|Medication List
68|----
69!scope="col"|RxNorm Code
70!scope="col"|Product
71!scope="col"|Generic Name
72!scope="col"|Brand Name
73!scope="col"|Strength
74!scope="col"|Dose
75!scope="col"|Route
76!scope="col"|Frequency
77!scope="col"|Date Started
78!scope="col"|Status
79|----
80|308460
81|Medication
82|azithromycin
83|Azithromycin
84|250 mg
85|1 Tablet
86|PO
87|QD
88|01/22/2010
89|No Longer Active
90|----
91|836370
92|Medication
93|ipratropium bromide monhydrate
94|Atrovent Inhaler
95|18 mcg/puff
96|2 Puffs
97|Inhaled
98|QID
99|10/10/1999
100|Active
101|----
102|630208
103|Medication
104|albuterol sulfate
105|Albuterol Inhaler
106|2.5 mg/3ml
107|2 Puffs
108|Inhaled
109|Q 4 PRN
110|10/10/1999
111|Active
112|----
113|}
114
115{| border="1"|
116!colspan="5"|Medication Allergy List
117|----
118!scope="col"|Type
119!scope="col"|SNOMED Code
120!scope="col"|Medication/Agent
121!scope="col"|Reaction
122!scope="col"|Date Recorded
123|----
124|Drug Allergy
125|91936005
126|Penicillin
127|Rash and anaphylaxis
128|06/10/2009
129|----
130|Drug Allergy
131|91939003
132|Sulfonamides
133|Hives, photosensitivity
134|04/25/1988
135|----
136|}
137
138{| border="1"|
139!colspan="5"|Diagnostic Test Results
140|----
141!scope="col"|Type
142!scope="col"|LOINC Code
143!scope="col"|Test (Normal Range)
144!scope="col"|Result
145!scope="col"|Date Performed
146|----
147|42272-5
148|Imaging
149|Chest X-ray, PA & Lateral
150|Hyperinflated lungs with<br>flattened diaphragm and<br>central pulmonary artery<br>enlargement
151|02/15/2010
152|----
153|Hematology
154|718-7
155|Hemoglobin (male: 14-18 g/dl<br>female: 12-16 g/dl)
156|16 g/dl
157|12/22/2009
158|----
159|Hematology
160|4544-3
161|Hematocrit (male: 40-54%<br>female: 36-48%)
162| 45%
163|12/22/2009
164|----
165|Cardiology
166|34534-8
167|Electrocardiogram
168|Normal Sinus Rhythm
169|12/22/2009
170|----
Note: See TracBrowser for help on using the repository browser.