Patient Summary Record Test Data – Set #4

{| 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
|----
|Sally Eckerd
|08/08/1962 18:25:59
|Female
|998877799
|Medical Record Number
|754 Samuel Street,<br>Shawville,<br>Pennsylvania 16873<br>814-645-2981
|----
|}

“Source” for all data for this patient: Mark Payne, 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
|----
|Condition
|272.4
|Hyperlipidemia
|Active
|07/05/2006
|----
|Symptom
|401.9
|Hypertension, Essential
|Active
|07/05/2006
|----
|----
!scope="col"|Type
!scope="col"|SNOMED Code*
!scope="col"|Patient Problem
!scope="col"|Status
!scope="col"|Date Diagnosed
|----
|Disorder
|55822004
|Hyperlipidemia
|Active
|07/05/2006
|----
|Disorder
|59621000
|Essential Hypertension
|Active
|07/05/2006
|----
|}

{| border="1"|
!colspan="10"|Medication List
|----
!scope="col"|RxNorm Code
!scope="col"|Product
!scope="col"|Generic Name
!scope="col"|Brand Name
!scope="col"|Strength
!scope="col"|Dose
!scope="col"|Route
!scope="col"|Frequency
!scope="col"|Date Started
!scope="col"|Status
|----
|617314
|Medication
|atorvastatin calcium
|Lipitor
|10 mg
|1 Tablet
|PO
|Q Day
|07/05/2006
|Active
|----
|200801
|Medication
|furosemide
|Lasix
|20 mg
|1 Tablet
|PO
|BID
|07/05/2006
|Active
|----
|628958
|Medication
|potassium chloride
|Klor-Con
|10 mEq
|1 Tablet
|PO
|BID
|07/05/2006
|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
|91936005
|Penicillin
|Rash and anaphylaxis
|05/22/1998
|----
|Drug Allergy
|293597001
|Codeine
|Hives
|02/17/1992
|----
|}

{| 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
|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
|----
|Imaging
|42272-5
|Chest X-ray, PA & Lateral
|The heart outline is normal<br>and the hilar and<br>mediastinal vessels are of<br>normal appearance
|07/15/2009
|----
|}