NIST-Inpatient-test-patient-5: Difference between revisions
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m Added glossary link to Allergy~ |
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| Line 11: | Line 11: | ||
|---- | |---- | ||
|Christine Taylor | |Christine Taylor | ||
|09/22/1965 16:48:25 | |09/22/1965 <br>16:48:25 | ||
|Female | |Female | ||
|9787478034 | |9787478034 | ||
|Medical Record Number | |Medical Record Number | ||
|754 Angel Street Marshalltown Iowa 50158 641-544-9988 | |754 Angel Street <br>Marshalltown<br>Iowa 50158<br> 641-544-9988 | ||
|---- | |||
|} | |} | ||
“Source” for all data for this patient: Kathryn Thomson, MD | “Source” for all data for this patient: Kathryn Thomson, MD | ||
| Line 164: | Line 165: | ||
|} | |} | ||
{| border="1" | | {| border="1" | | ||
!colspan="5"|Medication Allergy List | !colspan="5"|Medication [[Allergy~|Allergy]] List | ||
|---- | |---- | ||
!scope="col"|Type | !scope="col"|Type | ||
| Line 172: | Line 173: | ||
!scope="col"|Date Recorded | !scope="col"|Date Recorded | ||
|---- | |---- | ||
|Drug Allergy | |Drug [[Allergy~|Allergy]] | ||
|293620004 | |293620004 | ||
|Indomethacin | |Indomethacin | ||
| Line 178: | Line 179: | ||
|06/05/2008 | |06/05/2008 | ||
|---- | |---- | ||
|Drug Allergy | |Drug [[Allergy~|Allergy]] | ||
|294506009 | |294506009 | ||
|Ampicillin | |Ampicillin | ||
| Line 184: | Line 185: | ||
|05/25/1997 | |05/25/1997 | ||
|---- | |---- | ||
|Drug Allergy | |Drug [[Allergy~|Allergy]] | ||
|91939003 | |91939003 | ||
|Sulfonamides | |Sulfonamides | ||
| Line 221: | Line 222: | ||
|42272-5 | |42272-5 | ||
|Chest X-ray, PA & Lateral | |Chest X-ray, PA & Lateral | ||
|The heart outline is normal and the hilar and mediastinal vessels are of normal appearance | |The heart outline is normal<br> and the hilar and <br>mediastinal vessels are<br> of normal appearance | ||
|02/25/2008 | |02/25/2008 | ||
|---- | |---- | ||
| Line 253: | Line 254: | ||
|---- | |---- | ||
|} | |} | ||
[https://trac.opensourcevista.net/browser/hData/trunk/test-patients/ | [https://trac.opensourcevista.net/browser/hData/trunk/test-patients/NIST-Inpatient-test-patient-5.csv CSV format of this data] | ||
--[[User:Glilly|Glilly]] 10:11, 21 Nov 2010 (PST) | --[[User:Glilly|Glilly]] 10:11, 21 Nov 2010 (PST) | ||
Latest revision as of 01:28, 22 February 2012
Patient Summary Record Test Data – Set #5
| Patient | |||||
|---|---|---|---|---|---|
| Name | Date/Time of Birth | Gender | Identification Number | Identification Number Type | Address/Phone |
| Christine Taylor | 09/22/1965 16:48:25 |
Female | 9787478034 | Medical Record Number | 754 Angel Street Marshalltown Iowa 50158 641-544-9988 |
“Source” for all data for this patient: Kathryn Thomson, MD
| Problem List | ||||
|---|---|---|---|---|
| Type | ICD-9 Code | Patient Problem | Status | Date Diagnosed |
| Diagnosis | 540.0 | Acute Appendicitis | Resolved | 01/09/2010 |
| Diagnosis | 434.91 | Cerebrovascular Accident (Stroke) | Resolved | 07/09/2009 |
| Diagnosis | 250.02 | Diabetes Mellitus, Type 2 | Active | 03/30/2009 |
| Symptom | 401.9 | Hypertension, Essential | Chronic | 02/25/2008 |
| Type | SNOMED Code* | Patient Problem | Status | Date Diagnosed |
| Disorder | 74400008 | Appendicitis | Resolved | 01/09/2010 |
| Disorder | 230690007 | Cerebrovascular Accident (Stroke) | Resolved | 07/09/2009 |
| Disorder | 44054006 | Diabetes Mellitus, Type 2 | Active | 03/30/2009 |
| Disorder | 59621000 | Essential Hypertension | Chronic | 02/25/2008 |
| Medication List | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| RxNorm Code | Product | Generic Name | Brand Name | Strength | Dose | Route | Frequency | Date Started | Status |
| 309362 | Medication | clopidogrel | Plavix | 75 mg | 1 Tablet | PO | QD | 07/15/2009 | Active |
| 205875 | Medication | glyburide | Diabeta | 2.5 mg | 1 Tablet | PO | Q AM | 03/30/2009 | Active |
| 209834 | Medication | docusate | Colace | 100 mg | 1 Capsule | PO | BID | 03/30/2009 | Active |
| 200801 | Medication | furosemide | Lasix | 20 mg | 1 Tablet | PO | BID | 02/25/2008 | Active |
| 628958 | Medication | potassium chloride | Klor-Con | 10 mEq | 1 Tablet | PO | BID | 02/25/2008 | Active |
| 884175 | Medication | clonidine hydrochloride | Catapres | 0.1 mg | 1 Tablet | PO | BID | 02/25/2008 | Active |
| Medication Allergy List | ||||
|---|---|---|---|---|
| Type | SNOMED Code | Medication/Agent | Reaction | Date Recorded |
| Drug Allergy | 293620004 | Indomethacin | Rash, dizziness, headache | 06/05/2008 |
| Drug Allergy | 294506009 | Ampicillin | Diarrhea, nausea, vomiting | 05/25/1997 |
| Drug Allergy | 91939003 | Sulfonamides | Hives, photosensitivity | 08/25/1989 |
| Diagnostic Test Results | ||||
|---|---|---|---|---|
| Type | LOINC Code | Test (Normal Range) | Result | Date Performed |
| Chemistry | 14771-0 | Fasting Blood Glucose (70–100 mg/dl) | 126 mg/dl | 07/15/2010 |
| Chemistry | 2823-3 | Potassium (3.5–5.3 mg/dl) | 4.3 mg/dl | 07/15/2010 |
| Chemistry | 14927-8 | Triglycerides (<150 mg/dl) | 178 mg/dl | 07/15/2010 |
| Imaging | 42272-5 | Chest X-ray, PA & Lateral | The heart outline is normal and the hilar and mediastinal vessels are of normal appearance |
02/25/2008 |
| Procedure List | ||||
|---|---|---|---|---|
| Type | ICD-9 Code | Procedure | Status | Date Performed |
| Surgical | 47.09 | Emergency Appendectomy | Completed | 01/09/2010 |
| Type | CPT Code* | Procedure | Status | Date Performed |
| Surgical | 44950 | Emergency Appendectomy | Completed | 01/09/2010 |
--Glilly 10:11, 21 Nov 2010 (PST)
