Patient Summary Record Test Data – Set #3 

Patient 
Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone 
Jane Andrews|05/12/1955|Female|9639275266|Medical Record Number|355 1st Street 
09:30:15|Fargo, 
North Dakota|54102 
701-366-8364 

“Source” for all data for this patient: Robert James, MD 

Problem List 
Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed 
Diagnosis|486|Pneumonia|Resolved|01/22/2010 
Diagnosis|496.0|Chronic Obstructive Pulmonary Disease|Chronic|10/10/1999 

Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed 
Disorder|233604007|Pneumonia|Resolved|01/22/2010 
Disorder|13645005|Chronic Obstructive Lung Disease|Chronic|10/10/1999 

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|01/22/2010|No Longer 

 RxNorm 
|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status 
Code 
836370|Medication|ipratropium|Atrovent|18|2 Puffs|Inhaled|QID|10/10/1999|Active 
bromide|Inhaler|mcg/puff 
monhydrate 
630208|Medication|Albuterol|2.5|2 Puffs|Inhaled|Q 4 PRN|10/10/1999|Active 
albuterol sulfate 
Inhaler|mg/3ml 

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 
Hyperinflated lungs with 
42272-5|flattened diaphragm and 
Imaging|Chest X-ray, PA & Lateral|02/15/2010 
central pulmonary artery 
enlargement 
Hemoglobin (male: 14-18 g/dl 
Hematology|718-7|16 g/dl|12/22/2009 
female: 12-16 g/dl) 
Hematocrit (male: 40-54% 
Hematology|4544-3|45%|12/22/2009 
female: 36-48%) 
Cardiology|34534-8|Electrocardiogram|Normal Sinus Rhythm|12/22/2009