source: hData/trunk/test-patients/NIST-Ambulatory-test-patient-5-wiki.txt@ 1731

Last change on this file since 1731 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 #5
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|Matthew Brown
14|09/22/1965 16:48:25
15|Male
16|988730987
17|Medical Record Number
18|754 Sharp Street<br>Aurora,<br>Colorado 80011<br>303-544-9988
19|----
20|}
21
22“Source” for all data for this patient: Pamela Jones, 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|250.02
35|Diabetes Mellitus, Type 2
36|Active
37|07/17/2009
38|----
39|Symptom
40|401.9
41|Hypertension, Essential
42|Active
43|06/05/2008
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|44054006
54|Diabetes Mellitus, Type 2
55|Active
56|07/17/2009
57|----
58|Disorder
59|59621000
60|Essential Hypertension
61|Active
62|06/05/2008
63|----
64|}
65
66{| border="1"|
67!colspan="10"|Medication List
68|----
69!scope="col"|RxNorm Code
70|----
71|
72|Product
73|Generic Name
74|Brand Name
75|Strength
76|Dose
77|Route
78|Frequency
79|Date Started
80|Status
81|----
82|205875
83|Medication
84|glyburide
85|Diabeta
86|2.5 mg
87|1 Tablet
88|PO
89|Q AM
90|07/17/2009
91|Active
92|----
93|200801
94|Medication
95|furosemide
96|Lasix
97|20 mg
98|1 Tablet
99|PO
100|BID
101|06/05/2008
102|Active
103|----
104|628958
105|Medication
106|potassium chloride
107|Klor-Con
108|10 mEq
109|1 Tablet
110|PO
111|BID
112|06/05/2008
113|Active
114|----
115|}
116
117{| border="1"|
118!colspan="5"|Medication Allergy List
119|----
120!scope="col"|Type
121!scope="col"|SNOMED Code
122!scope="col"|Medication/Agent
123!scope="col"|Reaction
124!scope="col"|Date Recorded
125|----
126|Drug Allergy
127|294506009
128|Ampicillin
129|Diarrhea, nausea, vomiting
130|03/25/1997
131|----
132|Drug Allergy
133|91939003
134|Sulfonamides
135|Hives, photosensitivity
136|04/25/1989
137|----
138|}
139
140{| border="1"|
141!colspan="5"|Diagnostic Test Results
142|----
143!scope="col"|Type
144!scope="col"|LOINC Code
145!scope="col"|Test (Normal Range)
146!scope="col"|Result
147!scope="col"|Date Performed
148|----
149|Chemistry
150|14771-0
151|Fasting Blood Glucose (70–100 mg/dl)
152|145 mg/dl
153|07/17/2009
154|----
155|Hemistry
156|2823-3
157|Potassium (3.5–5.3 mg/dl)
158|4.5 mg/dl
159|07/17/2009
160|----
161|Chemistry
162|14927-8
163|Triglycerides (<150 mg/dl)
164|187 mg/dl
165|07/17/2009
166|----
167|42272-5
168|Imaging
169|Chest X-ray, PA & Lateral
170|The heart outline is normal<br>and the hilar and<br>mediastinal vessels are of<br>normal appearance
171|07/17/2009
172|----
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