NIST Ambulatory Test Patient 4

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 18:25:59	Female	998877799	Medical Record Number	754 Samuel Street, Shawville, Pennsylvania 16873 814-645-2981

“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 Code	Product	Generic Name	Brand Name	Strength	Dose	Route	Frequency	Date Started	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

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

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