Clinical Summaries Test Data – Set #3 Office Visit #1 for Barbara Simpson Patient Name Date/Time of Birth Gender Identification Number Identification Number Type Address/Phone Barbara Simpson 10/12/1956 Female 9688675266 Medical Record Number 996 Dalton Street, 19:47:01 Fargo, North Dakota 54102 701-366-5534 “Source” for all data for this patient: Robert James, MD Problem List Type ICD-9 Code Patient Problem Status Date Diagnosed Diagnosis 486 Pneumonia Active 07/02/2010 Type SNOMED Code* Patient Problem Status Date Diagnosed Disorder 233604007 Pneumonia Active 07/02/2010 Medication List RxNorm Product Generic Name Brand Name Strength Dose Route Frequency Date Started Status Code 308460 Medication azithromycin Azithromycin 250 mg 1 Tablet PO QD 07/02/2010 Active Medication Allergy List Type SNOMED Code Medication/Agent Reaction Date Recorded Drug Allergy 91936005 Penicillin Rash and anaphylaxis 06/10/2009 Drug Allergy 91939003 Sulfonamides Hives, photosensitivity 04/25/1988 Diagnostic Test Results Type LOINC Code Test (Normal Range) Result Date Performed 42272-5 Imaging Chest X-ray, PA & Lateral Bilateral Pneumonia 07/02/2010 Type LOINC Code Test (Normal Range) Result Date Performed Cardiology 34534-8 Electrocardiogram Sinus Tachycardia 07/02/2010