source: hData/trunk/test-patients/NIST-Inpatient-test-patient-3-wiki.txt@ 1545

Last change on this file since 1545 was 1024, checked in by George Lilly, 14 years ago

wiki conversion of NIST Inpatient test cases completed

File size: 3.6 KB
Line 
1Patient Summary Record Test Data – Set #3
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|Lorraine Blevins
14|04/16/1957<br>20:15:35
15|Female
16|967385998
17|Medical Record Number
18|1020 Stuart Street<br>Morton, <br>Illinois 61550<br> 309-374-8938
19|----
20|}
21
22“Source” for all data for this patient: Louis Randolph, 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|715.35
35|Right hip osteoarthritis
36|Resolved
37|02/12/2010
38|----
39|Finding
40|414.01
41|Coronary Artery Disease (CAD)
42|Chronic
43|05/05/2002
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|239872002
54|Right hip osteoarthritis
55|Resolved
56|02/12/2010
57|----
58|Disorder
59|53741008
60|Coronary Arteriosclerosis
61|Chronic
62|05/05/2002
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|855320
81|Medication
82|warfarin
83|Coumadin
84|3 mg
85|1 Tablet
86|PO
87|QD
88|02/15/2010
89|Active
90|----
91|209613
92|Medication
93|bisacodyl
94|Dulcolax
95|5 mg
96|1 Tablet
97|PO
98|QD
99|02/15/2010
100|Active
101|----
102|309362
103|Medication
104|clopidogrel
105|Plavix
106|75 mg
107|1 Tablet
108|PO
109|QD
110|05/15/2002
111|Active
112|----
113|197361
114|Medication
115|amlodipine
116|Norvasc
117|5 mg
118|1 Tablet
119|PO
120|QD
121|07/15/2009
122|Active
123|----
124|}
125
126{| border="1"|
127!colspan="5"|Medication Allergy List
128|----
129!scope="col"|Type
130!scope="col"|SNOMED Code
131!scope="col"|Medication/Agent
132!scope="col"|Reaction
133!scope="col"|Date Recorded
134|----
135|Drug Allergy
136|91939003
137|Sulfonamides
138|Hives, photosensitivity
139|06/06/1998
140|----
141|Drug Allergy
142|294506009
143|Ampicillin
144|Diarrhea, nausea, vomiting
145|04/25/1994
146|----
147|}
148
149{| border="1"|
150!colspan="5"|Diagnostic Test Results
151|----
152!scope="col"|Type
153!scope="col"|LOINC Code
154!scope="col"|Test (Normal Range)
155!scope="col"|Result
156!scope="col"|Date Performed
157|----
158|Imaging
159|37721-8
160|X-ray, 2 views, Right Hip
161|Subchondral sclerosis,<br> increased density in<br>subchondral bone
162|02/12/2010
163|----
164|Imaging
165|24648-8
166|Chest X-ray, PA
167|No disease is seen in<br> the lung fields or pleura
168|06/05/2009
169|----
170|Hematology
171|718-7
172|Hemoglobin (male: 14-18 g/dl<br>female: 12-16 g/dl)
173|11.2 g/dl
174|06/05/2009
175|----
176|Hematology
177|4544-3
178|Hematocrit (male: 40-54% <br>female: 36-48%)
179|34%
180|06/05/2009
181|----
182|Coagulation
183|34714-6
184|Prothrombin Time/ International Normalized Ratio (PT/INR)<br>(2.5 – 3.5)
185|3.1
186|06/05/2009
187|----
188|}
189
190{| border="1"|
191!colspan="5"|Procedure List
192|----
193!scope="col"|Type
194!scope="col"|ICD-9 Code
195!scope="col"|Procedure
196!scope="col"|Status
197!scope="col"|Date Performed
198|----
199|Surgical
200|81.51
201|Total Hip Replacement, Right
202|Completed
203|02/14/2010
204|----
205|Cardiac
206|37.21
207|Cardiac catheterization
208|Completed
209|05/05/2002
210|----
211|----
212!scope="col"|Type
213!scope="col"|CPT Code*
214!scope="col"|Procedure
215!scope="col"|Status
216!scope="col"|Date Performed
217|----
218|Surgical
219|27130
220|Total Hip Replacement, Right
221|Completed
222|02/14/2010
223|----
224|Cardiac
225|93501
226|Cardiac catheterization
227|Completed
228|05/05/2002
229|----
Note: See TracBrowser for help on using the repository browser.