source: hData/trunk/test-patients/NIST-Inpatient-test-patient-4-wiki.txt@ 1708

Last change on this file since 1708 was 1024, checked in by George Lilly, 14 years ago

wiki conversion of NIST Inpatient test cases completed

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1Patient Summary Record Test Data – Set #4
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|Paul Jackson
14|03/08/1962<br>14:25:50
15|Male
16|998777349
17|Medical Record Number
18|754 Samuel Street,<br>Blanchard, <br> Oklahoma 73010 <br>405-228-9292
19|----
20|}
21
22“Source” for all data for this patient: Mary Pfiffer, 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|410.90
35|Acute Myocardial Infarction
36|Resolved
37|07/12/2010
38|----
39|Finding
40|414.01
41|Coronary Artery Disease (CAD)
42|Chronic
43|07/05/2000
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|57054005
54|Acute Myocardial Infarction
55|Resolved
56|07/12/2010
57|----
58|Disorder
59|53741008
60|Coronary Arteriosclerosis
61|Chronic
62|07/05/2000
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|198039
81|Medication
82|nitroglycerin
83|Nitroglycerin
84|400 mcg
85|1 Tablet
86|SL
87|As needed
88|07/15/2010
89|Active
90|----
91|309362
92|Medication
93|clopidogrel
94|Plavix
95|75 mg
96|1 Tablet
97|PO
98|QD
99|07/05/2000
100|Active
101|----
102|197361
103|Medication
104|amlodipine
105|Norvasc
106|5 mg
107|1 Tablet
108|PO
109|QD
110|07/05/2000
111|Active
112|----
113|}
114
115{| border="1"|
116!colspan="5"|Medication Allergy List
117|----
118!scope="col"|Type
119!scope="col"|SNOMED Code
120!scope="col"|Medication/Agent
121!scope="col"|Reaction
122!scope="col"|Date Recorded
123|----
124|Drug Allergy
125|91936005
126|Penicillin
127|Rash and anaphylaxis
128|07/12/2010
129|----
130|Drug Allergy
131|294506009
132|Ampicillin
133|Diarrhea, nausea, vomiting
134|03/28/2000
135|----
136|}
137
138{| border="1"|
139!colspan="5"|Diagnostic Test Results
140|----
141!scope="col"|Type
142!scope="col"|LOINC Code
143!scope="col"|Test (Normal Range)
144!scope="col"|Result
145!scope="col"|Date Performed
146|----
147|Chemistry
148|14647-2
149|Total cholesterol (<200 mg/dl)
150|220 mg/dl
151|07/15/2010
152|----
153|Chemistry
154|14927-8
155|Triglycerides (<150 mg/dl)
156|165 mg/dl
157|07/15/2010
158|----
159|Imaging
160|42272-5
161|Chest X-ray, PA & Lateral
162|The heart outline is slightly <br>enlarged, the hilar and <br>mediastinal vessels are of <br>normal appearance
163|07/15/2010
164|----
165|Hematology
166|718-7
167|Hemoglobin (male: 14-18 g/dl female: 12-16 g/dl)
168|12.8 g/dl
169|2/18/2010
170|----
171|Hematology
172|4544-3
173|Hematocrit (male: 40-54% female: 36-48%)
174|44%
175|2/18/2010
176|----
177|}
178
179{| border="1"|
180!colspan="5"|Procedure List
181|----
182!scope="col"|Type
183!scope="col"|ICD-9 Code
184!scope="col"|Procedure
185!scope="col"|Status
186!scope="col"|Date Performed
187|----
188|Cardiac
189|00.66
190|Percutaneous transluminal coronary angioplasty
191|Completed
192|07/15/2010
193|----
194|----
195!scope="col"|Type
196!scope="col"|CPT Code*
197!scope="col"|Procedure
198!scope="col"|Status
199!scope="col"|Date Performed
200|----
201|Cardiac
202|92982
203|Percutaneous transluminal coronary angioplasty
204|Completed
205|07/15/2010
206|----
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