Clinical Summaries Test Data  Set #4  Office Visit #1 for Susan Ellerby 

Patient 
      Name          Date/Time of Birth       Gender          Identification Number           Identification Number Type               Address/Phone 
Susan Ellerby       12/08/1963              Female        925377799                        Medical Record Number                 483 Powell Street, 
                    21:54:24                                                                                                     Shawville, Pennsylvania 
                                                                                                                                 16873 
                                                                                                                                 814-645-9475 

Source for all data for this patient: Dorcas Wayne, MD 

Problem List 
       Type                 ICD-9 Code                              Patient Problem                               Status              Date Diagnosed 
Condition              272.4                     Hyperlipidemia                                             Active               07/06/2010 

       Type               SNOMED Code*                              Patient Problem                               Status              Date Diagnosed 
Disorder               55822004                  Hyperlipidemia                                             Active               07/06/2010 

Medication List 
  RxNorm 
                   Product        Generic Name        Brand Name        Strength        Dose        Route      Frequency       Date Started       Status 
    Code 
                                 atorvastatin 
617314          Medication                           Lipitor            10 mg        1 Tablet      PO          Q Day           07/06/2010       Active 
                                 calcium 

Medication Allergy List 
          Type                     SNOMED Code                       Medication/Agent                       Reaction                   Date Recorded 
Drug Allergy               91936005                            Penicillin                         Rash and anaphylaxis             05/22/1998 
Drug Allergy               293597001                           Codeine                            Hives                            02/17/1992 

                                                                                      
Diagnostic Test Results 
        Type                  LOINC Code                      Test (Normal Range)                              Result                   Date Performed 
Chemistry                14647-2                   Total cholesterol (<200 mg/dl)                  279 mg/dl                         07/06/2010 
Chemistry                14646-4                   HDL cholesterol (?40 mg/dl)                     89 mg/dl                          07/06/2010 
Chemistry                2089-1                    LDL cholesterol (<100 mg/dl)                    190 mg/dl                         07/06/2010 
Chemistry                14927-8                   Triglycerides (<150 mg/dl)     187 mg/dl   07/06/2010 