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