1.8 KiB
1.8 KiB
1 | Patient Summary Record Test Data – Set #4 |
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2 | Patient |
3 | Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone |
4 | Sally Eckerd|08/08/1962|Female|998877799|Medical Record Number|754 Samuel Street, |
5 | Shawville, |
6 | 18:25:59| |
7 | “Source” for all data for this patient: Mark Payne, MD |
8 | Problem List |
9 | Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed |
10 | Condition|272.4|Hyperlipidemia|Active|07/05/2006 |
11 | Symptom|401.9|Hypertension, Essential|Active|07/05/2006 |
12 | Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed |
13 | Disorder|55822004|Hyperlipidemia|Active|07/05/2006 |
14 | Disorder|59621000|Essential Hypertension|Active|07/05/2006 |
15 | Medication List |
16 | RxNorm |
17 | |Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status |
18 | Code |
19 | atorvastatin |
20 | 617314|Medication|Lipitor|10 mg|1 Tablet|PO|Q Day|07/05/2006|Active |
21 | calcium |
22 | 200801|Medication|furosemide|Lasix|20 mg|1 Tablet|PO|BID|07/05/2006|Active |
23 | (potassium |
24 | 628958|Medication|Klor-Con|10 mEq|1 Tablet|PO|BID|07/05/2006|Active |
25 | chloride |
26 | Medication Allergy List |
27 | Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded |
28 | Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|05/22/1998 |
29 | Drug Allergy|293597001|Codeine|Hives|02/17/1992 |
30 | Diagnostic Test Results |
31 | Type|LOINC Code|Test (Normal Range)|Result|Date Performed |
32 | Chemistry|2823-3|Potassium (3.5–5.3 mg/dl)|4.5 mg/dl|07/15/2009 |
33 | Chemistry|14647-2|Total cholesterol (<200 mg/dl)|180 mg/dl|07/15/2009 |
34 | Chemistry|14646-4|HDL cholesterol (?40 mg/dl)|38 mg/dl|07/15/2009 |
35 | Chemistry|2089-1|LDL cholesterol (<100 mg/dl)|120 mg/dl|07/15/2009 |
36 | Chemistry|14927-8|Triglycerides (<150 mg/dl)|187 mg/dl|07/15/2009 |
37 | Type|LOINC Code|Test (Normal Range)|Result|Date Performed |
38 | Imaging|42272-5|The heart outline is normal|07/15/2009 |
39 | Chest X-ray, PA & Lateral|and the hilar and |