Clinical Summaries Test Data  Set #5  Office Visit #1 for Johnathan Stone 

Patient 
      Name           Date/Time of Birth       Gender          Identification Number           Identification Number Type                Address/Phone 
Johnathan            11/12/1966             Male           988772587                        Medical Record Number                  937 Sutter Street, Aurora, 
Stone               08:18:08                                                                                                       Colorado  80011 
                                                                                                                                   303-544-9988 

Source for all data for this patient: Samuel Johnston, MD 

Problem List 
       Type                  ICD-9 Code                              Patient Problem                               Status               Date Diagnosed 
Diagnosis              250.02                     Diabetes Mellitus, Type 2                                  Active                07/17/2010 

       Type               SNOMED Code*                               Patient Problem                               Status               Date Diagnosed 
Disorder               44054006                   Diabetes Mellitus, Type 2                                  Active                07/17/2010 

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            07/17/2010        Active 

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  LOINC            Fasting Blood Glucose (70100 mg/dl)   120 mg/dl                         07/17/2010 