Patient Summary Record Test Data – Set #4 

Patient 
     Name           Date/Time of Birth         Gender          Identification Number            Identification Number Type                Address/Phone 
Sally Eckerd        08/08/1962               Female          998877799                         Medical Record Number                  754 Samuel Street, 
                                                                                                                                     Shawville, 
                   18:25:59                           
“Source” for all data for this patient: Mark Payne, MD 

Problem List 
        Type                 ICD-9 Code                                Patient Problem                                Status               Date Diagnosed 
Condition                272.4                      Hyperlipidemia                                               Active                07/05/2006 
Symptom                  401.9                      Hypertension, Essential                                      Active                07/05/2006 

        Type               SNOMED Code*                                Patient Problem                                Status               Date Diagnosed 
Disorder                 55822004                   Hyperlipidemia                                               Active                07/05/2006 
Disorder                 59621000                   Essential Hypertension                                       Active                07/05/2006 

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            07/05/2006        Active 
                                  calcium 
200801           Medication        furosemide           Lasix               20 mg        1 Tablet       PO        BID               07/05/2006        Active 
                                  (potassium 
628958           Medication                            Klor-Con             10 mEq       1 Tablet       PO         BID              07/05/2006        Active 
                                  chloride 

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                   2823-3                                Potassium (3.5–5.3 mg/dl)          4.5 mg/dl                          07/15/2009 

Chemistry                    14647-2                              Total cholesterol (<200 mg/dl)      180 mg/dl                         07/15/2009 

Chemistry                    14646-4                              HDL cholesterol (?40 mg/dl)         38 mg/dl                          07/15/2009 

Chemistry                   2089-1                                LDL cholesterol (<100 mg/dl)        120 mg/dl                         07/15/2009 

Chemistry                    14927-8                              Triglycerides (<150 mg/dl)          187 mg/dl                         07/15/2009 

 Type                        LOINC Code                      Test (Normal Range)                        Result                    Date Performed 
Imaging                      42272-5                                                                 The heart outline is normal       07/15/2009 
                                                                 Chest X-ray, PA & Lateral           and the hilar and