source: hData/trunk/test-patients/NIST-Ambulatory-test-patient-4.csv@ 1801

Patient Summary Record Test Data – Set #4 

Patient 
Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone 
Sally Eckerd|08/08/1962 18:25:59|Female|998877799|Medical Record Number|754 Samuel Street,<br>Shawville,<br>Pennsylvania 16873<br>814-645-2981

“Source” for all data for this patient: Mark Payne, MD 

Problem List 
Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed 
Condition|272.4|Hyperlipidemia|Active|07/05/2006 
Symptom|401.9|Hypertension, Essential|Active|07/05/2006 
Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed 
Disorder|55822004|Hyperlipidemia|Active|07/05/2006 
Disorder|59621000|Essential Hypertension|Active|07/05/2006 

Medication List 
RxNorm Code|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status 
617314|Medication|atorvastatin calcium|Lipitor|10 mg|1 Tablet|PO|Q Day|07/05/2006|Active 
200801|Medication|furosemide|Lasix|20 mg|1 Tablet|PO|BID|07/05/2006|Active 
628958|Medication|potassium chloride|Klor-Con|10 mEq|1 Tablet|PO|BID|07/05/2006|Active 

Medication Allergy List 
Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded 
Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|05/22/1998 
Drug Allergy|293597001|Codeine|Hives|02/17/1992 

Diagnostic Test Results 
Type|LOINC Code|Test (Normal Range)|Result|Date Performed 
Chemistry|2823-3|Potassium (3.5–5.3 mg/dl)|4.5 mg/dl|07/15/2009 
Chemistry|14647-2|Total cholesterol (<200 mg/dl)|180 mg/dl|07/15/2009 
Chemistry|14646-4|HDL cholesterol (?40 mg/dl)|38 mg/dl|07/15/2009 
Chemistry|2089-1|LDL cholesterol (<100 mg/dl)|120 mg/dl|07/15/2009 
Chemistry|14927-8|Triglycerides (<150 mg/dl)|187 mg/dl|07/15/2009 
Imaging|42272-5|Chest X-ray, PA & Lateral|The heart outline is normal<br>and the hilar and<br>mediastinal vessels are of<br>normal appearance|07/15/2009