Patient Summary Record Test Data – Set #5

{| border="1"|
!colspan="6"|Patient
|----
!scope="col"|Name
!scope="col"|Date/Time of Birth
!scope="col"|Gender
!scope="col"|Identification Number
!scope="col"|Identification Number Type
!scope="col"|Address/Phone
|----
|Matthew Brown
|09/22/1965 16:48:25
|Male
|988730987
|Medical Record Number
|754 Sharp Street<br>Aurora,<br>Colorado 80011<br>303-544-9988
|----
|}

“Source” for all data for this patient: Pamela Jones, MD

{| border="1"|
!colspan="6"|Problem List
|----
!scope="col"|Type
!scope="col"|ICD-9 Code
!scope="col"|Patient Problem
!scope="col"|Status
!scope="col"|Date Diagnosed
|----
|Diagnosis
|250.02
|Diabetes Mellitus, Type 2
|Active
|07/17/2009
|----
|Symptom
|401.9
|Hypertension, Essential
|Active
|06/05/2008
|----
|----
!scope="col"|Type
!scope="col"|SNOMED Code*
!scope="col"|Patient Problem
!scope="col"|Status
!scope="col"|Date Diagnosed
|----
|Disorder
|44054006
|Diabetes Mellitus, Type 2
|Active
|07/17/2009
|----
|Disorder
|59621000
|Essential Hypertension
|Active
|06/05/2008
|----
|}

{| border="1"|
!colspan="10"|Medication List
|----
!scope="col"|RxNorm Code
|----
|
|Product
|Generic Name
|Brand Name
|Strength
|Dose
|Route
|Frequency
|Date Started
|Status
|----
|205875
|Medication
|glyburide
|Diabeta
|2.5 mg
|1 Tablet
|PO
|Q AM
|07/17/2009
|Active
|----
|200801
|Medication
|furosemide
|Lasix
|20 mg
|1 Tablet
|PO
|BID
|06/05/2008
|Active
|----
|628958
|Medication
|potassium chloride
|Klor-Con
|10 mEq
|1 Tablet
|PO
|BID
|06/05/2008
|Active
|----
|}

{| border="1"|
!colspan="5"|Medication Allergy List
|----
!scope="col"|Type
!scope="col"|SNOMED Code
!scope="col"|Medication/Agent
!scope="col"|Reaction
!scope="col"|Date Recorded
|----
|Drug Allergy
|294506009
|Ampicillin
|Diarrhea, nausea, vomiting
|03/25/1997
|----
|Drug Allergy
|91939003
|Sulfonamides
|Hives, photosensitivity
|04/25/1989
|----
|}

{| border="1"|
!colspan="5"|Diagnostic Test Results
|----
!scope="col"|Type
!scope="col"|LOINC Code
!scope="col"|Test (Normal Range)
!scope="col"|Result
!scope="col"|Date Performed
|----
|Chemistry
|14771-0
|Fasting Blood Glucose (70–100 mg/dl)
|145 mg/dl
|07/17/2009
|----
|Hemistry
|2823-3
|Potassium (3.5–5.3 mg/dl)
|4.5 mg/dl
|07/17/2009
|----
|Chemistry
|14927-8
|Triglycerides (<150 mg/dl)
|187 mg/dl
|07/17/2009
|----
|42272-5
|Imaging
|Chest X-ray, PA & Lateral
|The heart outline is normal<br>and the hilar and<br>mediastinal vessels are of<br>normal appearance
|07/17/2009
|----