1.3 KiB
1.3 KiB
1 | Clinical Summaries Test Data – Set #4|Office Visit #1 for Susan Ellerby |
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2 | Patient |
3 | Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone |
4 | Susan Ellerby|12/08/1963|Female|925377799|Medical Record Number|483 Powell Street, |
5 | 21:54:24|Shawville, Pennsylvania |
6 | 16873 |
7 | 814-645-9475 |
8 | “Source” for all data for this patient: Dorcas Wayne, MD |
9 | Problem List |
10 | Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed |
11 | Condition|272.4|Hyperlipidemia|Active|07/06/2010 |
12 | Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed |
13 | Disorder|55822004|Hyperlipidemia|Active|07/06/2010 |
14 | Medication List |
15 | RxNorm |
16 | |Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status |
17 | Code |
18 | atorvastatin |
19 | 617314|Medication|Lipitor|10 mg|1 Tablet|PO|Q Day|07/06/2010|Active |
20 | calcium |
21 | Medication Allergy List |
22 | Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded |
23 | Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|05/22/1998 |
24 | Drug Allergy|293597001|Codeine|Hives|02/17/1992 |
25 | Diagnostic Test Results |
26 | Type|LOINC Code|Test (Normal Range)|Result|Date Performed |
27 | Chemistry|14647-2|Total cholesterol (<200 mg/dl)|279 mg/dl|07/06/2010 |
28 | Chemistry|14646-4|HDL cholesterol (?40 mg/dl)|89 mg/dl|07/06/2010 |
29 | Chemistry|2089-1|LDL cholesterol (<100 mg/dl)|190 mg/dl|07/06/2010 |
30 | Chemistry|14927-8|Triglycerides (<150 mg/dl)|187 mg/dl|07/06/2010 |