source: hData/trunk/test-patients/NIST-Ambulatory-test-patient-4-wiki.txt@ 1061

Last change on this file since 1061 was 1030, checked in by mishpers@gmail.com, 14 years ago

Add ambulatory test patients 2-5

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[1030]1Patient Summary Record Test Data – Set #4
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|Sally Eckerd
14|08/08/1962 18:25:59
15|Female
16|998877799
17|Medical Record Number
18|754 Samuel Street,<br>Shawville,<br>Pennsylvania 16873<br>814-645-2981
19|----
20|}
21
22“Source” for all data for this patient: Mark Payne, 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|Condition
34|272.4
35|Hyperlipidemia
36|Active
37|07/05/2006
38|----
39|Symptom
40|401.9
41|Hypertension, Essential
42|Active
43|07/05/2006
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|55822004
54|Hyperlipidemia
55|Active
56|07/05/2006
57|----
58|Disorder
59|59621000
60|Essential Hypertension
61|Active
62|07/05/2006
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|617314
81|Medication
82|atorvastatin calcium
83|Lipitor
84|10 mg
85|1 Tablet
86|PO
87|Q Day
88|07/05/2006
89|Active
90|----
91|200801
92|Medication
93|furosemide
94|Lasix
95|20 mg
96|1 Tablet
97|PO
98|BID
99|07/05/2006
100|Active
101|----
102|628958
103|Medication
104|potassium chloride
105|Klor-Con
106|10 mEq
107|1 Tablet
108|PO
109|BID
110|07/05/2006
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|05/22/1998
129|----
130|Drug Allergy
131|293597001
132|Codeine
133|Hives
134|02/17/1992
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|Chemistry
148|2823-3
149|Potassium (3.5–5.3 mg/dl)
150|4.5 mg/dl
151|07/15/2009
152|----
153|Chemistry
154|14647-2
155|Total cholesterol (<200 mg/dl)
156|180 mg/dl
157|07/15/2009
158|----
159|Chemistry
160|14646-4
161|HDL cholesterol (?40 mg/dl)
162|38 mg/dl
163|07/15/2009
164|----
165|Chemistry
166|2089-1
167|LDL cholesterol (<100 mg/dl)
168|120 mg/dl
169|07/15/2009
170|----
171|Chemistry
172|14927-8
173|Triglycerides (<150 mg/dl)
174|187 mg/dl
175|07/15/2009
176|----
177|Imaging
178|42272-5
179|Chest X-ray, PA & Lateral
180|The heart outline is normal<br>and the hilar and<br>mediastinal vessels are of<br>normal appearance
181|07/15/2009
182|----
183|}
184
185
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