VistA-hData/test-patients/NIST-Inpatient-test-patient...

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1Patient Summary Record Test Data Set #3
2Patient
3Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
4Lorraine Blevins|04/16/1957<br>20:15:35|Female|967385998|Medical Record Number|1020 Stuart Street<br>Morton, <br>Illinois 61550<br> 309-374-8938
5“Source” for all data for this patient: Louis Randolph, MD
6Problem List
7Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
8Diagnosis|715.35|Right hip osteoarthritis|Resolved|02/12/2010
9Finding|414.01|Coronary Artery Disease (CAD)|Chronic|05/05/2002
10Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
11Disorder|239872002|Right hip osteoarthritis|Resolved|02/12/2010
12Disorder|53741008|Coronary Arteriosclerosis|Chronic|05/05/2002
13Medication List
14RxNorm Code|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
15855320|Medication|warfarin|Coumadin|3 mg|1 Tablet|PO|QD|02/15/2010|Active
16209613|Medication|bisacodyl|Dulcolax|5 mg|1 Tablet|PO|QD|02/15/2010|Active
17309362|Medication|clopidogrel|Plavix|75 mg|1 Tablet|PO|QD|05/15/2002|Active
18197361|Medication|amlodipine|Norvasc|5 mg|1 Tablet|PO|QD|07/15/2009|Active
19Medication Allergy List
20Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
21Drug Allergy|91939003|Sulfonamides|Hives, photosensitivity|06/06/1998
22Drug Allergy|294506009|Ampicillin|Diarrhea, nausea, vomiting|04/25/1994
23Diagnostic Test Results
24Type|LOINC Code|Test (Normal Range)|Result|Date Performed
25Imaging|37721-8|X-ray, 2 views, Right Hip|Subchondral sclerosis,<br> increased density in<br>subchondral bone|02/12/2010
26Imaging|24648-8|Chest X-ray, PA|No disease is seen in<br> the lung fields or pleura|06/05/2009
27Hematology|718-7|Hemoglobin (male: 14-18 g/dl<br>female: 12-16 g/dl)|11.2 g/dl|06/05/2009
28Hematology|4544-3|Hematocrit (male: 40-54% <br>female: 36-48%)|34%|06/05/2009
29Coagulation|34714-6|Prothrombin Time/ International Normalized Ratio (PT/INR)<br>(2.5 3.5) |3.1|06/05/2009
30Procedure List
31Type|ICD-9 Code|Procedure|Status|Date Performed
32Surgical|81.51|Total Hip Replacement, Right|Completed|02/14/2010
33Cardiac|37.21|Cardiac catheterization|Completed|05/05/2002
34Type|CPT Code*|Procedure|Status|Date Performed
35Surgical|27130|Total Hip Replacement, Right|Completed|02/14/2010
36Cardiac|93501|Cardiac catheterization|Completed|05/05/2002