VistA-hData/test-patients/IP-test-patient-4.csv

2.1 KiB
Raw Blame History

1Patient Summary Record Test Data Set #4
2Patient
3Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
4Paul Jackson|03/08/1962|Male|998777349|Medical Record Number|754 Samuel Street,
514:25:50|Blanchard,
6Oklahoma 73010
7405-228-9292
8“Source” for all data for this patient: Mary Pfiffer, MD
9Problem List
10Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
11Diagnosis|410.90|Acute Myocardial Infarction|Resolved|07/12/2010
12Finding|414.01|Coronary Artery Disease (CAD)|Chronic|07/05/2000
13Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
14Disorder|57054005|Acute Myocardial Infarction|Resolved|07/12/2010
15Disorder|53741008|Coronary Arteriosclerosis|Chronic|07/05/2000
16Medication List
17RxNorm
18|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
19Code
20198039|Medication|nitroglycerin|Nitroglycerin|400 mcg|1 Tablet|SL|As needed|07/15/2010|Active
21309362|Medication|clopidogrel|Plavix|75 mg|1 Tablet|PO|QD|07/05/2000|Active
22197361|Medication|amlodipine|Norvasc|5 mg|1 Tablet|PO|QD|07/05/2000|Active
23Medication Allergy List
24Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
25Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|07/12/2010
26Drug Allergy|294506009|Ampicillin|Diarrhea, nausea, vomiting|03/28/2000
27Diagnostic Test Results
28Type|LOINC Code|Test (Normal Range)|Result|Date Performed
29Chemistry|14647-2|Total cholesterol (<200 mg/dl)|220 mg/dl|07/15/2010
30Chemistry|14927-8|Triglycerides (<150 mg/dl)|165 mg/dl|07/15/2010
31The heart outline is slightly
32enlarged, the hilar and
33Imaging|42272-5|Chest X-ray, PA & Lateral|07/15/2010
34mediastinal vessels are of
35normal appearance
36Hematology|718-7|Hemoglobin (male: 14-18 g/dl|female: 12-16 g/dl)|12.8 g/dl|2/18/2010
37Hematology|4544-3|Hematocrit (male: 40-54%|female: 36-48%)|44%|2/18/2010
38Procedure List
39Type|ICD-9 Code|Procedure|Status|Date Performed
40Cardiac|00.66|Percutaneous transluminal coronary|Completed|07/15/2010
41angioplasty
42Type|CPT Code*|Procedure|Status|Date Performed
43Cardiac|92982|Percutaneous transluminal coronary|Completed|07/15/2010
44angioplasty