source: hData/trunk/test-patients/NIST-Inpatient-test-patient-5-wiki.txt@ 1471

Last change on this file since 1471 was 1024, checked in by George Lilly, 14 years ago

wiki conversion of NIST Inpatient test cases completed

File size: 3.9 KB
Line 
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|Christine Taylor
14|09/22/1965 16:48:25
15|Female
16|9787478034
17|Medical Record Number
18|754 Angel Street Marshalltown Iowa 50158 641-544-9988
19|----
20|}
21
22“Source” for all data for this patient: Kathryn Thomson, 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|540.0
35|Acute Appendicitis
36|Resolved
37|01/09/2010
38|----
39|Diagnosis
40|434.91
41|Cerebrovascular Accident (Stroke)
42|Resolved
43|07/09/2009
44|----
45|Diagnosis
46|250.02
47|Diabetes Mellitus, Type 2
48|Active
49|03/30/2009
50|----
51|Symptom
52|401.9
53|Hypertension, Essential
54|Chronic
55|02/25/2008
56|----
57|----
58!scope="col"|Type
59!scope="col"|SNOMED Code*
60!scope="col"|Patient Problem
61!scope="col"|Status
62!scope="col"|Date Diagnosed
63|----
64|Disorder
65|74400008
66|Appendicitis
67|Resolved
68|01/09/2010
69|----
70|Disorder
71|230690007
72|Cerebrovascular Accident (Stroke)
73|Resolved
74|07/09/2009
75|----
76|Disorder
77|44054006
78|Diabetes Mellitus, Type 2
79|Active
80|03/30/2009
81|----
82|Disorder
83|59621000
84|Essential Hypertension
85|Chronic
86|02/25/2008
87|----
88|}
89
90{| border="1"|
91!colspan="10"|Medication List
92|----
93!scope="col"|RxNorm Code
94!scope="col"|Product
95!scope="col"|Generic Name
96!scope="col"|Brand Name
97!scope="col"|Strength
98!scope="col"|Dose
99!scope="col"|Route
100!scope="col"|Frequency
101!scope="col"|Date Started
102!scope="col"|Status
103|----
104|309362
105|Medication
106|clopidogrel
107|Plavix
108|75 mg
109|1 Tablet
110|PO
111|QD
112|07/15/2009
113|Active
114|----
115|205875
116|Medication
117|glyburide
118|Diabeta
119|2.5 mg
120|1 Tablet
121|PO
122|Q AM
123|03/30/2009
124|Active
125|----
126|209834
127|Medication
128|docusate
129|Colace
130|100 mg
131|1 Capsule
132|PO
133|BID
134|03/30/2009
135|Active
136|----
137|200801
138|Medication
139|furosemide
140|Lasix
141|20 mg
142|1 Tablet
143|PO
144|BID
145|02/25/2008
146|Active
147|----
148|628958
149|Medication
150|potassium chloride
151|Klor-Con
152|10 mEq
153|1 Tablet
154|PO
155|BID
156|02/25/2008
157|Active
158|----
159|884175
160|Medication
161|clonidine hydrochloride
162|Catapres
163|0.1 mg
164|1 Tablet
165|PO
166|BID
167|02/25/2008
168|Active
169|----
170|}
171
172{| border="1"|
173!colspan="5"|Medication Allergy List
174|----
175!scope="col"|Type
176!scope="col"|SNOMED Code
177!scope="col"|Medication/Agent
178!scope="col"|Reaction
179!scope="col"|Date Recorded
180|----
181|Drug Allergy
182|293620004
183|Indomethacin
184|Rash, dizziness, headache
185|06/05/2008
186|----
187|Drug Allergy
188|294506009
189|Ampicillin
190|Diarrhea, nausea, vomiting
191|05/25/1997
192|----
193|Drug Allergy
194|91939003
195|Sulfonamides
196|Hives, photosensitivity
197|08/25/1989
198|----
199|}
200
201{| border="1"|
202!colspan="5"|Diagnostic Test Results
203|----
204!scope="col"|Type
205!scope="col"|LOINC Code
206!scope="col"|Test (Normal Range)
207!scope="col"|Result
208!scope="col"|Date Performed
209|----
210|Chemistry
211|14771-0
212|Fasting Blood Glucose (70–100 mg/dl)
213|126 mg/dl
214|07/15/2010
215|----
216|Chemistry
217|2823-3
218|Potassium (3.5–5.3 mg/dl)
219|4.3 mg/dl
220|07/15/2010
221|----
222|Chemistry
223|14927-8
224|Triglycerides (<150 mg/dl)
225|178 mg/dl
226|07/15/2010
227|----
228|Imaging
229|42272-5
230|Chest X-ray, PA & Lateral
231|The heart outline is normal<br> and the hilar and mediastinal<br> vessels are of normal appearance
232|02/25/2008
233|----
234|}
235
236{| border="1"|
237!colspan="5"|Procedure List
238|----
239!scope="col"|Type
240!scope="col"|ICD-9 Code
241!scope="col"|Procedure
242!scope="col"|Status
243!scope="col"|Date Performed
244|----
245|Surgical
246|47.09
247|Emergency Appendectomy
248|Completed
249|01/09/2010
250|----
251|----
252!scope="col"|Type
253!scope="col"|CPT Code*
254!scope="col"|Procedure
255!scope="col"|Status
256!scope="col"|Date Performed
257|----
258|Surgical
259|44950
260|Emergency Appendectomy
261|Completed
262|01/09/2010
263|----
264|}
265
266
Note: See TracBrowser for help on using the repository browser.