VistA-hData/test-patients/NIST-Ambulatory-test-patien...

1.7 KiB
Raw Blame History

1Patient Summary Record Test Data Set #5
2Patient
3Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
4Matthew Brown|09/22/1965 16:48:25|Male|988730987|Medical Record Number|754 Sharp Street<br>Aurora,<br>Colorado 80011<br>303-544-9988
5“Source” for all data for this patient: Pamela Jones, MD
6Problem List
7Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
8Diagnosis|250.02|Diabetes Mellitus, Type 2|Active|07/17/2009
9Symptom|401.9|Hypertension, Essential|Active|06/05/2008
10Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
11Disorder|44054006|Diabetes Mellitus, Type 2|Active|07/17/2009
12Disorder|59621000|Essential Hypertension|Active|06/05/2008
13Medication List
14RxNorm Code
15|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
16205875|Medication|glyburide|Diabeta|2.5 mg|1 Tablet|PO|Q AM|07/17/2009|Active
17200801|Medication|furosemide|Lasix|20 mg|1 Tablet|PO|BID|06/05/2008|Active
18628958|Medication|potassium chloride|Klor-Con|10 mEq|1 Tablet|PO|BID|06/05/2008|Active
19Medication Allergy List
20Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
21Drug Allergy|294506009|Ampicillin|Diarrhea, nausea, vomiting|03/25/1997
22Drug Allergy|91939003|Sulfonamides|Hives, photosensitivity|04/25/1989
23Diagnostic Test Results
24Type|LOINC Code|Test (Normal Range)|Result|Date Performed
25Chemistry|14771-0|Fasting Blood Glucose (70100 mg/dl)|145 mg/dl|07/17/2009
26Hemistry|2823-3|Potassium (3.55.3 mg/dl)|4.5 mg/dl|07/17/2009
27Chemistry|14927-8|Triglycerides (<150 mg/dl)|187 mg/dl|07/17/2009
2842272-5|Imaging|Chest X-ray, PA & Lateral|The heart outline is normal<br>and the hilar and<br>mediastinal vessels are of<br>normal appearance|07/17/2009