Patient Summary Record Test Data  Set #5 

Patient 
      Name           Date/Time of Birth        Gender          Identification Number            Identification Number Type                Address/Phone 
Matthew Brown         09/22/1965             Male            988730987                         Medical Record Number                  754 Sharp Street 
                     16:48:25                                                                                                        Aurora, 
                                                                                                                                     Colorado  80011 
                                                                                                                                     303-544-9988 

Source for all data for this patient: Pamela Jones, MD 

Problem List 
        Type                 ICD-9 Code                               Patient Problem                                Status               Date Diagnosed 
Diagnosis                250.02                     Diabetes Mellitus, Type 2                                  Active                  07/17/2009 
Symptom                  401.9                     Hypertension, Essential                                      Active                 06/05/2008 

        Type              SNOMED Code*                                Patient Problem                                Status               Date Diagnosed 
Disorder                 44054006                   Diabetes Mellitus, Type 2                                   Active                 07/17/2009 
Disorder                 59621000                   Essential Hypertension                                      Active                 06/05/2008 

Medication List 
  RxNorm 
                   Product         Generic Name         Brand Name        Strength         Dose        Route      Frequency        Date Started        Status 
    Code 
205875           Medication        glyburide            Diabeta            2.5 mg      1 Tablet        PO         Q AM             07/17/2009        Active 
200801           Medication        furosemide           Lasix              20 mg         1 Tablet      PO         BID               06/05/2008       Active 
                                  potassium 
628958           Medication                            Klor-Con            10 mEq        1 Tablet      PO         BID               06/05/2008       Active 
                                  chloride 
Medication Allergy List 
          Type                        SNOMED Code                         Medication/Agent                         Reaction                    Date Recorded 
Drug Allergy                  294506009                             Ampicillin                           Diarrhea, nausea, vomiting         03/25/1997 
Drug Allergy                  91939003                              Sulfonamides                         Hives, photosensitivity            04/25/1989 

Diagnostic Test Results 
          Type                    LOINC Code                      Test (Normal Range)                               Result                     Date Performed 
Chemistry                     14771-0                    Fasting Blood Glucose (70100 mg/dl)           145 mg/dl                          07/17/2009 

Hemistry                      2823-3                     Potassium (3.55.3 mg/dl)                      4.5 mg/dl                          07/17/2009 
Chemistry                     14927-8                   Triglycerides (<150 mg/dl)                      187 mg/dl                          07/17/2009 

                                                                                                        The heart outline is normal 
                             42272-5                                                                    and the hilar and 
Imaging                                                  Chest X-ray, PA & Lateral                      mediastinal vessels are of         07/17/2009 

                                                                                                        normal appearance 