Difference between revisions of "NIST Ambulatory Test Patient 4"
From VistApedia
DaveMishler (talk | contribs) (Initial data entry) |
(Added glossary link to Record~) |
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| − | Patient Summary Record Test Data – Set #4 | + | Patient Summary [[Record~|Record]] Test Data – Set #4 |
{| border="1"| | {| border="1"| | ||
| Line 15: | Line 15: | ||
|Female | |Female | ||
|998877799 | |998877799 | ||
| − | |Medical Record Number | + | |Medical [[Record~|Record]] Number |
|754 Samuel Street,<br>Shawville,<br>Pennsylvania 16873<br>814-645-2981 | |754 Samuel Street,<br>Shawville,<br>Pennsylvania 16873<br>814-645-2981 | ||
|---- | |---- | ||
| Line 114: | Line 114: | ||
{| border="1"| | {| border="1"| | ||
| − | !colspan="5"|Medication Allergy List | + | !colspan="5"|Medication [[Allergy~|Allergy]] List |
|---- | |---- | ||
!scope="col"|Type | !scope="col"|Type | ||
| Line 120: | Line 120: | ||
!scope="col"|Medication/Agent | !scope="col"|Medication/Agent | ||
!scope="col"|Reaction | !scope="col"|Reaction | ||
| − | !scope="col"|Date | + | !scope="col"|Date [[Record~|Record]]ed |
|---- | |---- | ||
| − | |Drug Allergy | + | |Drug [[Allergy~|Allergy]] |
|91936005 | |91936005 | ||
|Penicillin | |Penicillin | ||
| Line 128: | Line 128: | ||
|05/22/1998 | |05/22/1998 | ||
|---- | |---- | ||
| − | |Drug Allergy | + | |Drug [[Allergy~|Allergy]] |
|293597001 | |293597001 | ||
|Codeine | |Codeine | ||
Latest revision as of 13:11, 7 April 2012
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 |
