source: hData/trunk/test-patients/test-patient-2.txt@ 1644

Last change on this file since 1644 was 1019, checked in by George Lilly, 14 years ago

text form of test patients from NIST MU test scripts

File size: 4.3 KB
Line 
1Test Procedure for §170.304.i Exchange Clinical Information and Patient Summary Record 
2APPROVED (Pending) Version 1.0  July 21, 2010  
3
4Patient Summary Record Test Data – Set #2
5
6Patient
7 Name Date/Time of Birth Gender Identification Number Identification Number Type Address/Phone
8Ralph Johnson 06/28/1984 Male 9813466798 Medical Record Number 355 Elm Street
9 13:20:10 Morton,
10 Illinois 61550
11 309-377-8365
12
13“Source” for all data for this patient: Carl Roberts, MD
14
15Problem List
16 Type ICD-9 Code Patient Problem Status Date Diagnosed
17Diagnosis 493.00 Asthma, unspecified Active 12/22/2009
18Diagnosis 250.02 Diabetes Mellitus, Type 2 Active 08/10/2008
19
20 Type SNOMED Code* Patient Problem Status Date Diagnosed
21Disorder 195967001 Asthma Active 12/22/2009
22Disorder 44054006 Diabetes Mellitus, Type 2 Active 08/10/2008
23
24Medication List
25 RxNorm
26 Product Generic Name Brand Name Strength Dose Route Frequency Date Started Status
27 Code
28 Alupent
29 metaproterenol
30206833 Medication Inhalation 15 mg/ml 2 Puffs Inhaled Q4h 12/22/2009 Active
31 sulfate
32 Aerosol
33205875 Medication glyburide Diabeta 2.5 mg 1 Tablet PO Q AM 08/10/2008 Active
34
35Medication Allergy List
36 Type SNOMED Code Medication/Agent Reaction Date Recorded
37Drug Allergy 91936005 Penicillin Rash and anaphylaxis 08/10/2008
38 Nausea, vomiting, rash,
39Drug Allergy 293620004 Indomethacin 03/25/2003
40 dizziness, headache
41Diagnostic Test Results
42 Type LOINC Code Test (Normal Range) Result Date Performed
43 Increased bronchial wall
44Imaging 24648-8 Chest X-ray, PA 02/16/2010
45 markings, patchy infiltrates
46Chemistry 14771-0 Fasting Blood Glucose (70–100 mg/dl) 70 mg/dl 12/22/2009
47Hematology 26449-9 Eosinophil Count (1 – 3 %) 2% 12/22/2009
48Imaging 24648-8 Chest X-ray, PA Bronchial wall markings 12/22/2009
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