Patient Summary Record Test Data – Set #3 Patient Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone Lorraine Blevins|04/16/1957
20:15:35|Female|967385998|Medical Record Number|1020 Stuart Street
Morton,
Illinois 61550
309-374-8938 “Source” for all data for this patient: Louis Randolph, MD Problem List Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed Diagnosis|715.35|Right hip osteoarthritis|Resolved|02/12/2010 Finding|414.01|Coronary Artery Disease (CAD)|Chronic|05/05/2002 Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed Disorder|239872002|Right hip osteoarthritis|Resolved|02/12/2010 Disorder|53741008|Coronary Arteriosclerosis|Chronic|05/05/2002 Medication List RxNorm Code|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status 855320|Medication|warfarin|Coumadin|3 mg|1 Tablet|PO|QD|02/15/2010|Active 209613|Medication|bisacodyl|Dulcolax|5 mg|1 Tablet|PO|QD|02/15/2010|Active 309362|Medication|clopidogrel|Plavix|75 mg|1 Tablet|PO|QD|05/15/2002|Active 197361|Medication|amlodipine|Norvasc|5 mg|1 Tablet|PO|QD|07/15/2009|Active Medication Allergy List Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded Drug Allergy|91939003|Sulfonamides|Hives, photosensitivity|06/06/1998 Drug Allergy|294506009|Ampicillin|Diarrhea, nausea, vomiting|04/25/1994 Diagnostic Test Results Type|LOINC Code|Test (Normal Range)|Result|Date Performed Imaging|37721-8|X-ray, 2 views, Right Hip|Subchondral sclerosis,
increased density in
subchondral bone|02/12/2010 Imaging|24648-8|Chest X-ray, PA|No disease is seen in
the lung fields or pleura|06/05/2009 Hematology|718-7|Hemoglobin (male: 14-18 g/dl
female: 12-16 g/dl)|11.2 g/dl|06/05/2009 Hematology|4544-3|Hematocrit (male: 40-54%
female: 36-48%)|34%|06/05/2009 Coagulation|34714-6|Prothrombin Time/ International Normalized Ratio (PT/INR)
(2.5 – 3.5) |3.1|06/05/2009 Procedure List Type|ICD-9 Code|Procedure|Status|Date Performed Surgical|81.51|Total Hip Replacement, Right|Completed|02/14/2010 Cardiac|37.21|Cardiac catheterization|Completed|05/05/2002 Type|CPT Code*|Procedure|Status|Date Performed Surgical|27130|Total Hip Replacement, Right|Completed|02/14/2010 Cardiac|93501|Cardiac catheterization|Completed|05/05/2002