Patient Summary Record Test Data – Set #2 Patient Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone Ruth Warholde|05/20/1954
23:59:45|Female|9836469798|Medical Record Number|225 Park Street
Morton,
Illinois 61550
309-354-9385 | “Source” for all data for this patient: Jackson Shoals, MD Problem List Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed Diagnosis|780.2|Syncope and collapse, vasovagal attack|Active|02/15/2010 Diagnosis|434.91|Cerebrovascular Accident (Stroke)|Resolved|07/09/2009 Diagnosis|599.0|Urinary tract infection|Recurrent|09/22/2008 Diagnosis|496.0|Chronic Obstructive Pulmonary Disease|Chronic|08/12/2007 Symptom|401.9|Hypertension, essential|Chronic|05/16/2006 Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed Disorder|398665005|Vasovagal syncope|Active|02/15/2010 Disorder|230690007|Cerebrovascular Accident (Stroke)|Resolved|07/09/2009 Disorder|197927001|Recurrent urinary tract infection|Recurrent|09/22/2008 Disorder|13645005|Chronic Obstructive Lung Disease|Chronic|08/12/2007 Disorder|59621000|Essential Hypertension|Chronic|05/16/2006 Medication List RxNorm Code|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status 209834|Medication|docusate|Colace|100 mg|1 Capsule|PO|BID|02/16/2010|Active 205326|Medication|lisinopril|Zestril|30 mg|1 Tablet|PO|QD|07/15/2009|Active 309362|Medication|clopidogrel|Plavix|75 mg|1 Tablet|PO|QD|07/15/2009|Active 197361|Medication|amlodipine|Norvasc|5 mg|1 Tablet|PO|QD|07/15/2009|Active 539712|Medication|nitrofurantoin|Macrobid|100 mg|1 Capsule|PO|QD|09/22/2008|No Longer Active 836370|Medication|ipratropium bromide monhydrate|Atrovent inhaler|18 mcg/puff|2 puffs|By oral inhalation|QID|08/14/2007|Active 884175|Medication|clonidine hydrochloride|Catapres|0.1 mg|1 Tablet|PO|BID|05/16/2006|Active Medication Allergy List Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded Drug Allergy|293620004|Indomethacin|Nausea, vomiting, rash, dizziness, headache|03/25/2003 Drug Allergy|91939003|Sulfonamides|Hives, photosensitivity|07/26/1999 Diagnostic Test Results Type|LOINC Code|Test (Normal Range)|Result|Date Performed Imaging|11539-4|CT, head|Small high right occipital lobe
contusion. No evidence of
extra-axial blood. Significant
sinus disease. |02/24/2010 Hematology|718-7|Hemoglobin (male: 14-18 g/dl female: 12-16 g/dl)|13 g/dl|02/17/2010 Hematology|4544-3|Hematocrit (male: 40-54% female: 36-48%)|38%|02/17/2010 Chemistry|2951-2|Sodium (135–146 mg/dl)|136 mg/dl|02/17/2010 Chemistry|2823-3|Potassium (3.5–5.3 mg/dl)|3.9 mg/dl|02/17/2010 Imaging|34534-8|Electrocardiogram|Normal Sinus Rhythm|02/15/2010 Microbiology|630-4|Urine culture, routine
(Negative: No growth Positive: >10,000 CFU/ml)|Negative: No growth|10/02/2008 Procedure List Type|ICD-9 Code|Procedure|Status|Date Performed Surgical|66.39|Bilateral tubal ligation|Completed|06/14/1990 Type|CPT Code*|Procedure|Status|Date Performed Surgical|58600|Bilateral tubal ligation|