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Add ambulatory test patients 2-5

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Test Procedure for §170.304.i Exchange Clinical Information and Patient Summary Record 
APPROVED (Pending) Version 1.0  July 21, 2010  
Patient Summary Record Test Data – Set #2
{| 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
|----
|Ralph Johnson
|06/28/1984 13:20:10
|Male
|9813466798
|Medical Record Number
|355 Elm Street<br>Morton,<br>Illinois 61550<br>309-377-8365
|----
|}
“Source” for all data for this patient: Carl Roberts, 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
|----
|Diagnosis
|493.00
|Asthma, unspecified
|Active
|12/22/2009
|----
|Diagnosis
|250.02
|Diabetes Mellitus, Type 2
|Active
|08/10/2008
|----
|----
!scope="col"|Type
!scope="col"|SNOMED Code*
!scope="col"|Patient Problem
!scope="col"|Status
!scope="col"|Date Diagnosed
|----
|Disorder
|195967001
|Asthma
|Active
|12/22/2009
|----
|Disorder
|44054006
|Diabetes Mellitus, Type 2
|Active
|08/10/2008
|----
|}
{| 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
|----
|206833
|Medication
|metaproternol sulfate
|Alupent Inhalation Aerosol
|15 mg/ml
|2 Puffs
|Inhaled
|Q4h
|12/22/2009
|Active
|----
|205875
|Medication
|glyburide
|Diabeta
|2.5 mg
|1 Tablet
|PO
|Q AM
|08/10/2008
|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
|08/10/2008
|----
|Drug Allergy
|293620004
|Indomethacin
|Nausea, vomiting, rash,<br>dizziness, headache
|03/25/2003
|----
|}
{| 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
|----
|Imaging
|24648-8
|Chest X-ray, PA
|Increased bronchial wall<br>markings, patchy infiltrates
|02/16/2010
|----
|Chemistry
|14771-0
|Fasting Blood Glucose (70–100 mg/dl)
|70 mg/dl
|12/22/2009
|----
|Hematology
|26449-9
|Eosinophil Count (1 – 3 %)
|2%
|12/22/2009
|----
|Imaging
|24648-8
|Chest X-ray, PA
|Bronchial wall markings
|12/22/2009
|----

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Test Procedure for §170.304.i Exchange Clinical Information and Patient Summary Record 
APPROVED (Pending) Version 1.0  July 21, 2010  
Patient Summary Record Test Data – Set #2
Patient
Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
Ralph Johnson|06/28/1984 13:20:10|Male|9813466798|Medical Record Number|355 Elm Street<br>Morton,<br>Illinois 61550<br>309-377-8365
“Source” for all data for this patient: Carl Roberts, MD
Problem List
Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
Diagnosis|493.00|Asthma, unspecified|Active|12/22/2009
Diagnosis|250.02|Diabetes Mellitus, Type 2|Active|08/10/2008
Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
Disorder|195967001|Asthma|Active|12/22/2009
Disorder|44054006|Diabetes Mellitus, Type 2|Active|08/10/2008
Medication List
RxNorm Code|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
206833|Medication|metaproternol sulfate|Alupent Inhalation Aerosol|15 mg/ml|2 Puffs|Inhaled|Q4h|12/22/2009|Active
205875|Medication|glyburide|Diabeta|2.5 mg|1 Tablet|PO|Q AM|08/10/2008|Active
Medication Allergy List
Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|08/10/2008
Drug Allergy|293620004|Indomethacin|Nausea, vomiting, rash,<br>dizziness, headache|03/25/2003
Diagnostic Test Results
Type|LOINC Code|Test (Normal Range)|Result|Date Performed
Imaging|24648-8|Chest X-ray, PA|Increased bronchial wall<br>markings, patchy infiltrates|02/16/2010
Chemistry|14771-0|Fasting Blood Glucose (70–100 mg/dl)|70 mg/dl|12/22/2009
Hematology|26449-9|Eosinophil Count (1 – 3 %)|2%|12/22/2009
Imaging|24648-8|Chest X-ray, PA|Bronchial wall markings|12/22/2009
1 Test Procedure for §170.304.i Exchange Clinical Information and Patient Summary Record 
2 APPROVED (Pending) Version 1.0  July 21, 2010  
3 Patient Summary Record Test Data – Set #2
4 Patient
5 Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
6 Ralph Johnson|06/28/1984 13:20:10|Male|9813466798|Medical Record Number|355 Elm Street<br>Morton,<br>Illinois 61550<br>309-377-8365
7 “Source” for all data for this patient: Carl Roberts, MD
8 Problem List
9 Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
10 Diagnosis|493.00|Asthma, unspecified|Active|12/22/2009
11 Diagnosis|250.02|Diabetes Mellitus, Type 2|Active|08/10/2008
12 Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
13 Disorder|195967001|Asthma|Active|12/22/2009
14 Disorder|44054006|Diabetes Mellitus, Type 2|Active|08/10/2008
15 Medication List
16 RxNorm Code|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
17 206833|Medication|metaproternol sulfate|Alupent Inhalation Aerosol|15 mg/ml|2 Puffs|Inhaled|Q4h|12/22/2009|Active
18 205875|Medication|glyburide|Diabeta|2.5 mg|1 Tablet|PO|Q AM|08/10/2008|Active
19 Medication Allergy List
20 Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
21 Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|08/10/2008
22 Drug Allergy|293620004|Indomethacin|Nausea, vomiting, rash,<br>dizziness, headache|03/25/2003
23 Diagnostic Test Results
24 Type|LOINC Code|Test (Normal Range)|Result|Date Performed
25 Imaging|24648-8|Chest X-ray, PA|Increased bronchial wall<br>markings, patchy infiltrates|02/16/2010
26 Chemistry|14771-0|Fasting Blood Glucose (70–100 mg/dl)|70 mg/dl|12/22/2009
27 Hematology|26449-9|Eosinophil Count (1 – 3 %)|2%|12/22/2009
28 Imaging|24648-8|Chest X-ray, PA|Bronchial wall markings|12/22/2009

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Patient Summary Record Test Data – Set #3
{| 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
|----
|Jane Andrews
|05/12/1955 09:30:15
|Female
|9639275266
|Medical Record Number
|355 1st Street<br>Fargo,<br>North Dakota 54102<br>701-366-8364
|----
|}
“Source” for all data for this patient: Robert James, 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
|----
|Diagnosis
|486
|Pneumonia
|Resolved
|01/22/2010
|----
|Diagnosis
|496.0
|Chronic Obstructive Pulmonary Disease
|Chronic
|10/10/1999
|----
|----
!scope="col"|Type
!scope="col"|SNOMED Code*
!scope="col"|Patient Problem
!scope="col"|Status
!scope="col"|Date Diagnosed
|----
|Disorder
|233604007
|Pneumonia
|Resolved
|01/22/2010
|----
|Disorder
|13645005
|Chronic Obstructive Lung Disease
|Chronic
|10/10/1999
|----
|}
{| 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
|----
|308460
|Medication
|azithromycin
|Azithromycin
|250 mg
|1 Tablet
|PO
|QD
|01/22/2010
|No Longer Active
|----
|836370
|Medication
|ipratropium bromide monhydrate
|Atrovent Inhaler
|18 mcg/puff
|2 Puffs
|Inhaled
|QID
|10/10/1999
|Active
|----
|630208
|Medication
|albuterol sulfate
|Albuterol Inhaler
|2.5 mg/3ml
|2 Puffs
|Inhaled
|Q 4 PRN
|10/10/1999
|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
|06/10/2009
|----
|Drug Allergy
|91939003
|Sulfonamides
|Hives, photosensitivity
|04/25/1988
|----
|}
{| 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
|----
|42272-5
|Imaging
|Chest X-ray, PA & Lateral
|Hyperinflated lungs with<br>flattened diaphragm and<br>central pulmonary artery<br>enlargement
|02/15/2010
|----
|Hematology
|718-7
|Hemoglobin (male: 14-18 g/dl<br>female: 12-16 g/dl)
|16 g/dl
|12/22/2009
|----
|Hematology
|4544-3
|Hematocrit (male: 40-54%<br>female: 36-48%)
| 45%
|12/22/2009
|----
|Cardiology
|34534-8
|Electrocardiogram
|Normal Sinus Rhythm
|12/22/2009
|----

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Patient Summary Record Test Data – Set #3
Patient
Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
Jane Andrews|05/12/1955 09:30:15|Female|9639275266|Medical Record Number|355 1st Street<br>Fargo,<br>North Dakota 54102<br>701-366-8364
“Source” for all data for this patient: Robert James, MD
Problem List
Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
Diagnosis|486|Pneumonia|Resolved|01/22/2010
Diagnosis|496.0|Chronic Obstructive Pulmonary Disease|Chronic|10/10/1999
Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
Disorder|233604007|Pneumonia|Resolved|01/22/2010
Disorder|13645005|Chronic Obstructive Lung Disease|Chronic|10/10/1999
Medication List
RxNorm Code|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
308460|Medication|azithromycin|Azithromycin|250 mg|1 Tablet|PO|QD|01/22/2010|No Longer Active
836370|Medication|ipratropium bromide monhydrate|Atrovent Inhaler|18 mcg/puff|2 Puffs|Inhaled|QID|10/10/1999|Active
630208|Medication|albuterol sulfate|Albuterol Inhaler|2.5 mg/3ml|2 Puffs|Inhaled|Q 4 PRN|10/10/1999|Active
Medication Allergy List
Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|06/10/2009
Drug Allergy|91939003|Sulfonamides|Hives, photosensitivity|04/25/1988
Diagnostic Test Results
Type|LOINC Code|Test (Normal Range)|Result|Date Performed
42272-5|Imaging|Chest X-ray, PA & Lateral|Hyperinflated lungs with<br>flattened diaphragm and<br>central pulmonary artery<br>enlargement|02/15/2010
Hematology|718-7|Hemoglobin (male: 14-18 g/dl<br>female: 12-16 g/dl)|16 g/dl|12/22/2009
Hematology|4544-3|Hematocrit (male: 40-54%<br>female: 36-48%)| 45%|12/22/2009
Cardiology|34534-8|Electrocardiogram|Normal Sinus Rhythm|12/22/2009
1 Patient Summary Record Test Data – Set #3
2 Patient
3 Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
4 Jane Andrews|05/12/1955 09:30:15|Female|9639275266|Medical Record Number|355 1st Street<br>Fargo,<br>North Dakota 54102<br>701-366-8364
5 “Source” for all data for this patient: Robert James, MD
6 Problem List
7 Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
8 Diagnosis|486|Pneumonia|Resolved|01/22/2010
9 Diagnosis|496.0|Chronic Obstructive Pulmonary Disease|Chronic|10/10/1999
10 Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
11 Disorder|233604007|Pneumonia|Resolved|01/22/2010
12 Disorder|13645005|Chronic Obstructive Lung Disease|Chronic|10/10/1999
13 Medication List
14 RxNorm Code|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
15 308460|Medication|azithromycin|Azithromycin|250 mg|1 Tablet|PO|QD|01/22/2010|No Longer Active
16 836370|Medication|ipratropium bromide monhydrate|Atrovent Inhaler|18 mcg/puff|2 Puffs|Inhaled|QID|10/10/1999|Active
17 630208|Medication|albuterol sulfate|Albuterol Inhaler|2.5 mg/3ml|2 Puffs|Inhaled|Q 4 PRN|10/10/1999|Active
18 Medication Allergy List
19 Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
20 Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|06/10/2009
21 Drug Allergy|91939003|Sulfonamides|Hives, photosensitivity|04/25/1988
22 Diagnostic Test Results
23 Type|LOINC Code|Test (Normal Range)|Result|Date Performed
24 42272-5|Imaging|Chest X-ray, PA & Lateral|Hyperinflated lungs with<br>flattened diaphragm and<br>central pulmonary artery<br>enlargement|02/15/2010
25 Hematology|718-7|Hemoglobin (male: 14-18 g/dl<br>female: 12-16 g/dl)|16 g/dl|12/22/2009
26 Hematology|4544-3|Hematocrit (male: 40-54%<br>female: 36-48%)| 45%|12/22/2009
27 Cardiology|34534-8|Electrocardiogram|Normal Sinus Rhythm|12/22/2009

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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
|----
|}

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test-patients/NIST-Ambulatory-test-patient-4.csv Normal file
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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,<br>Shawville,<br>Pennsylvania 16873<br>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<br>and the hilar and<br>mediastinal vessels are of<br>normal appearance|07/15/2009
1 Patient Summary Record Test Data – Set #4
2 Patient
3 Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
4 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
5 “Source” for all data for this patient: Mark Payne, MD
6 Problem List
7 Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
8 Condition|272.4|Hyperlipidemia|Active|07/05/2006
9 Symptom|401.9|Hypertension, Essential|Active|07/05/2006
10 Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
11 Disorder|55822004|Hyperlipidemia|Active|07/05/2006
12 Disorder|59621000|Essential Hypertension|Active|07/05/2006
13 Medication List
14 RxNorm Code|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
15 617314|Medication|atorvastatin calcium|Lipitor|10 mg|1 Tablet|PO|Q Day|07/05/2006|Active
16 200801|Medication|furosemide|Lasix|20 mg|1 Tablet|PO|BID|07/05/2006|Active
17 628958|Medication|potassium chloride|Klor-Con|10 mEq|1 Tablet|PO|BID|07/05/2006|Active
18 Medication Allergy List
19 Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
20 Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|05/22/1998
21 Drug Allergy|293597001|Codeine|Hives|02/17/1992
22 Diagnostic Test Results
23 Type|LOINC Code|Test (Normal Range)|Result|Date Performed
24 Chemistry|2823-3|Potassium (3.5–5.3 mg/dl)|4.5 mg/dl|07/15/2009
25 Chemistry|14647-2|Total cholesterol (<200 mg/dl)|180 mg/dl|07/15/2009
26 Chemistry|14646-4|HDL cholesterol (?40 mg/dl)|38 mg/dl|07/15/2009
27 Chemistry|2089-1|LDL cholesterol (<100 mg/dl)|120 mg/dl|07/15/2009
28 Chemistry|14927-8|Triglycerides (<150 mg/dl)|187 mg/dl|07/15/2009
29 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

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Patient Summary Record Test Data – Set #5
{| 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
|----
|Matthew Brown
|09/22/1965 16:48:25
|Male
|988730987
|Medical Record Number
|754 Sharp Street<br>Aurora,<br>Colorado 80011<br>303-544-9988
|----
|}
“Source” for all data for this patient: Pamela Jones, 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
|----
|Diagnosis
|250.02
|Diabetes Mellitus, Type 2
|Active
|07/17/2009
|----
|Symptom
|401.9
|Hypertension, Essential
|Active
|06/05/2008
|----
|----
!scope="col"|Type
!scope="col"|SNOMED Code*
!scope="col"|Patient Problem
!scope="col"|Status
!scope="col"|Date Diagnosed
|----
|Disorder
|44054006
|Diabetes Mellitus, Type 2
|Active
|07/17/2009
|----
|Disorder
|59621000
|Essential Hypertension
|Active
|06/05/2008
|----
|}
{| border="1"|
!colspan="10"|Medication List
|----
!scope="col"|RxNorm Code
|----
|
|Product
|Generic Name
|Brand Name
|Strength
|Dose
|Route
|Frequency
|Date Started
|Status
|----
|205875
|Medication
|glyburide
|Diabeta
|2.5 mg
|1 Tablet
|PO
|Q AM
|07/17/2009
|Active
|----
|200801
|Medication
|furosemide
|Lasix
|20 mg
|1 Tablet
|PO
|BID
|06/05/2008
|Active
|----
|628958
|Medication
|potassium chloride
|Klor-Con
|10 mEq
|1 Tablet
|PO
|BID
|06/05/2008
|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
|294506009
|Ampicillin
|Diarrhea, nausea, vomiting
|03/25/1997
|----
|Drug Allergy
|91939003
|Sulfonamides
|Hives, photosensitivity
|04/25/1989
|----
|}
{| 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
|14771-0
|Fasting Blood Glucose (70–100 mg/dl)
|145 mg/dl
|07/17/2009
|----
|Hemistry
|2823-3
|Potassium (3.5–5.3 mg/dl)
|4.5 mg/dl
|07/17/2009
|----
|Chemistry
|14927-8
|Triglycerides (<150 mg/dl)
|187 mg/dl
|07/17/2009
|----
|42272-5
|Imaging
|Chest X-ray, PA & Lateral
|The heart outline is normal<br>and the hilar and<br>mediastinal vessels are of<br>normal appearance
|07/17/2009
|----

34
test-patients/NIST-Ambulatory-test-patient-5.csv Normal file
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Patient Summary Record Test Data – Set #5
Patient
Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
Matthew Brown|09/22/1965 16:48:25|Male|988730987|Medical Record Number|754 Sharp Street<br>Aurora,<br>Colorado 80011<br>303-544-9988
“Source” for all data for this patient: Pamela Jones, MD
Problem List
Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
Diagnosis|250.02|Diabetes Mellitus, Type 2|Active|07/17/2009
Symptom|401.9|Hypertension, Essential|Active|06/05/2008
Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
Disorder|44054006|Diabetes Mellitus, Type 2|Active|07/17/2009
Disorder|59621000|Essential Hypertension|Active|06/05/2008
Medication List
RxNorm Code
|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
205875|Medication|glyburide|Diabeta|2.5 mg|1 Tablet|PO|Q AM|07/17/2009|Active
200801|Medication|furosemide|Lasix|20 mg|1 Tablet|PO|BID|06/05/2008|Active
628958|Medication|potassium chloride|Klor-Con|10 mEq|1 Tablet|PO|BID|06/05/2008|Active
Medication Allergy List
Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
Drug Allergy|294506009|Ampicillin|Diarrhea, nausea, vomiting|03/25/1997
Drug Allergy|91939003|Sulfonamides|Hives, photosensitivity|04/25/1989
Diagnostic Test Results
Type|LOINC Code|Test (Normal Range)|Result|Date Performed
Chemistry|14771-0|Fasting Blood Glucose (70–100 mg/dl)|145 mg/dl|07/17/2009
Hemistry|2823-3|Potassium (3.5–5.3 mg/dl)|4.5 mg/dl|07/17/2009
Chemistry|14927-8|Triglycerides (<150 mg/dl)|187 mg/dl|07/17/2009
42272-5|Imaging|Chest X-ray, PA & Lateral|The heart outline is normal<br>and the hilar and<br>mediastinal vessels are of<br>normal appearance|07/17/2009
1 Patient Summary Record Test Data – Set #5
2 Patient
3 Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
4 Matthew Brown|09/22/1965 16:48:25|Male|988730987|Medical Record Number|754 Sharp Street<br>Aurora,<br>Colorado 80011<br>303-544-9988
5 “Source” for all data for this patient: Pamela Jones, MD
6 Problem List
7 Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
8 Diagnosis|250.02|Diabetes Mellitus, Type 2|Active|07/17/2009
9 Symptom|401.9|Hypertension, Essential|Active|06/05/2008
10 Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
11 Disorder|44054006|Diabetes Mellitus, Type 2|Active|07/17/2009
12 Disorder|59621000|Essential Hypertension|Active|06/05/2008
13 Medication List
14 RxNorm Code
15 |Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
16 205875|Medication|glyburide|Diabeta|2.5 mg|1 Tablet|PO|Q AM|07/17/2009|Active
17 200801|Medication|furosemide|Lasix|20 mg|1 Tablet|PO|BID|06/05/2008|Active
18 628958|Medication|potassium chloride|Klor-Con|10 mEq|1 Tablet|PO|BID|06/05/2008|Active
19 Medication Allergy List
20 Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
21 Drug Allergy|294506009|Ampicillin|Diarrhea, nausea, vomiting|03/25/1997
22 Drug Allergy|91939003|Sulfonamides|Hives, photosensitivity|04/25/1989
23 Diagnostic Test Results
24 Type|LOINC Code|Test (Normal Range)|Result|Date Performed
25 Chemistry|14771-0|Fasting Blood Glucose (70–100 mg/dl)|145 mg/dl|07/17/2009
26 Hemistry|2823-3|Potassium (3.5–5.3 mg/dl)|4.5 mg/dl|07/17/2009
27 Chemistry|14927-8|Triglycerides (<150 mg/dl)|187 mg/dl|07/17/2009
28 42272-5|Imaging|Chest X-ray, PA & Lateral|The heart outline is normal<br>and the hilar and<br>mediastinal vessels are of<br>normal appearance|07/17/2009