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,
Shawville,
Pennsylvania 16873
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
and the hilar and
mediastinal vessels are of
normal appearance|07/15/2009