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 