source: hData/trunk/test-patients/test-patient-1.txt@ 1731

Last change on this file since 1731 was 1019, checked in by George Lilly, 14 years ago

text form of test patients from NIST MU test scripts

File size: 6.1 KB
Line 
1* indicates alternative standard code per certification criteria
2
3Patient Summary Record Test Data – Set #1
4
5Patient
6 Name Date/Time of Birth Gender Identification Number Identification Number Type Address/Phone
7John D. Smith 07/04/1960 Male 999999999 Medical Record Number 355 Maple Street
8 10:15:02 Williamsport,
9 Pennsylvania 17701
10 570-837-8364
11
12“Source” for all data for this patient: John Fitzgerald, MD
13
14Problem List
15 Type ICD-9 Code Patient Problem Status Date Diagnosed
16Diagnosis 250.02 Diabetes Mellitus, Type 2 Active 09/16/2009
17Condition 272.4 Hyperlipidemia Active 05/05/2002
18Finding 414.01 Coronary Artery Disease (CAD) Chronic 05/05/2002
19Symptom 401.9 Hypertension, Essential Active 05/05/2002
20
21 Type SNOMED Code* Patient Problem Status Date Diagnosed
22Disorder 44054006 Diabetes Mellitus, Type 2 Active 09/16/2009
23Disorder 55822004 Hyperlipidemia Active 05/05/2002
24Disorder 53741008 Coronary Arteriosclerosis Chronic 05/05/2002
25Disorder 59621000 Essential Hypertension Active 05/05/2002
26
27Medication List
28 RxNorm
29 Product Generic Name Brand Name Strength Dose Route Frequency Date Started Status
30 Code
31205875 Medication glyburide Diabeta 2.5 mg 1 Tablet PO Q AM 09/16/2009 Active
32 atorvastatin
33617314 Medication Lipitor 10 mg 1 Tablet PO Q Day 05/05/2002 Active
34 calcium
35
36
37 RxNorm
38 Product Generic Name Brand Name Strength Dose Route Frequency Date Started Status
39 Code
40200801 Medication furosemide Lasix 20 mg 1 Tablet PO BID 05/05/2002 Active
41 potassium
42628958 Medication Klor-Con 10 mEq 1 Tablet PO BID 05/05/2002 Active
43 chloride
44
45Medication Allergy List
46 Type SNOMED Code Medication/Agent Reaction Date Recorded
47Drug Allergy 293597001 Codeine Hives 06/27/1996
48Drug Allergy 294506009 Ampicillin Diarrhea, nausea, vomiting 03/15/1994
49
50Diagnostic Test Results
51 Type LOINC Code Test (Normal Range) Result Date Performed
52Chemistry 14771-0 Fasting Blood Glucose (70–100 mg/dl) 178 mg/dl 09/16/2009
53Chemistry 14682-9 Creatinine (0.5–1.4 mg/dl) 1.0 mg/dl 09/16/2009
54Chemistry 14937-7 BUN (7–30 mg/dl) 18 mg/dl 09/16/2009
55Chemistry 2951-2 Sodium (135–146 mg/dl) 141 mg/dl 09/16/2009
56Chemistry 2823-3 Potassium (3.5–5.3 mg/dl) 4.3 mg/dl 09/16/2009
57Chemistry 14647-2 Total cholesterol (<200 mg/dl) 162 mg/dl 09/16/2009
58Chemistry 14646-4 HDL cholesterol (?40 mg/dl) 43 mg/dl 09/16/2009
59Chemistry 2089-1 LDL cholesterol (<100 mg/dl) 84 mg/dl 09/16/2009
60Chemistry 14927-8 Triglycerides (<150 mg/dl) 177 mg/dl 09/16/2009
61 No disease is seen in the
62Imaging 24648-8 Chest X-ray, PA 09/16/2009
63 lung fields or pleura
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