VistA-hData/test-patients/test-patient-2.csv

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|Male|9813466798|Medical Record Number|355 Elm Street
7	13:20:10|Morton,
8	Illinois|61550
9	309-377-8365
10	“Source” for all data for this patient: Carl Roberts, MD
11	Problem List
12	Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
13	Diagnosis|493.00|Asthma, unspecified|Active|12/22/2009
14	Diagnosis|250.02|Diabetes Mellitus, Type 2|Active|08/10/2008
15	Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
16	Disorder|195967001|Asthma|Active|12/22/2009
17	Disorder|44054006|Diabetes Mellitus, Type 2|Active|08/10/2008
18	Medication List
19	RxNorm
20	|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
21	Code
22	Alupent
23	metaproterenol
24	206833|Medication|Inhalation|15 mg/ml|2 Puffs|Inhaled|Q4h|12/22/2009|Active
25	sulfate
26	Aerosol
27	205875|Medication|glyburide|Diabeta|2.5 mg|1 Tablet|PO|Q AM|08/10/2008|Active
28	Medication Allergy List
29	Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
30	Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|08/10/2008
31	Nausea, vomiting, rash,
32	Drug Allergy|293620004|Indomethacin|03/25/2003
33	dizziness, headache
34	Diagnostic Test Results
35	Type|LOINC Code|Test (Normal Range)|Result|Date Performed
36	Increased bronchial wall
37	Imaging|24648-8|Chest X-ray, PA|02/16/2010
38	markings, patchy infiltrates
39	Chemistry|14771-0|Fasting Blood Glucose (70–100 mg/dl)|70 mg/dl|12/22/2009
40	Hematology|26449-9|Eosinophil Count (1 – 3 %)|2%|12/22/2009
41	Imaging|24648-8|Chest X-ray, PA|Bronchial wall markings|12/22/2009