Difference between revisions of "NIST Ambulatory Test Patient 4"

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Patient Summary Record Test Data – Set #4
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Patient Summary [[Record~|Record]] Test Data – Set #4
  
 
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|754 Samuel Street,<br>Shawville,<br>Pennsylvania 16873<br>814-645-2981
 
|754 Samuel Street,<br>Shawville,<br>Pennsylvania 16873<br>814-645-2981
 
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|Drug [[Allergy~|Allergy]]
 
|Drug [[Allergy~|Allergy]]

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

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