Difference between revisions of "NIST Ambulatory Test Patient 5"
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DaveMishler (talk | contribs) (Initial data entry) |
(Added glossary link to Record~) |
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| − | Patient Summary Record Test Data – Set #5 | + | Patient Summary [[Record~|Record]] Test Data – Set #5 |
{| border="1"| | {| border="1"| | ||
| Line 15: | Line 15: | ||
|Male | |Male | ||
|988730987 | |988730987 | ||
| − | |Medical Record Number | + | |Medical [[Record~|Record]] Number |
|754 Sharp Street<br>Aurora,<br>Colorado 80011<br>303-544-9988 | |754 Sharp Street<br>Aurora,<br>Colorado 80011<br>303-544-9988 | ||
|---- | |---- | ||
| Line 116: | Line 116: | ||
{| border="1"| | {| border="1"| | ||
| − | !colspan="5"|Medication Allergy List | + | !colspan="5"|Medication [[Allergy~|Allergy]] List |
|---- | |---- | ||
!scope="col"|Type | !scope="col"|Type | ||
| Line 122: | Line 122: | ||
!scope="col"|Medication/Agent | !scope="col"|Medication/Agent | ||
!scope="col"|Reaction | !scope="col"|Reaction | ||
| − | !scope="col"|Date | + | !scope="col"|Date [[Record~|Record]]ed |
|---- | |---- | ||
| − | |Drug Allergy | + | |Drug [[Allergy~|Allergy]] |
|294506009 | |294506009 | ||
|Ampicillin | |Ampicillin | ||
| Line 130: | Line 130: | ||
|03/25/1997 | |03/25/1997 | ||
|---- | |---- | ||
| − | |Drug Allergy | + | |Drug [[Allergy~|Allergy]] |
|91939003 | |91939003 | ||
|Sulfonamides | |Sulfonamides | ||
Latest revision as of 13:13, 7 April 2012
Patient Summary Record Test Data – Set #5
| Patient | |||||
|---|---|---|---|---|---|
| Name | Date/Time of Birth | Gender | Identification Number | Identification Number Type | Address/Phone |
| Matthew Brown | 09/22/1965 16:48:25 | Male | 988730987 | Medical Record Number | 754 Sharp Street Aurora, Colorado 80011 303-544-9988 |
“Source” for all data for this patient: Pamela Jones, MD
| Problem List | |||||
|---|---|---|---|---|---|
| Type | ICD-9 Code | Patient Problem | Status | Date Diagnosed | |
| Diagnosis | 250.02 | Diabetes Mellitus, Type 2 | Active | 07/17/2009 | |
| Symptom | 401.9 | Hypertension, Essential | Active | 06/05/2008 | |
| Type | SNOMED Code* | Patient Problem | Status | Date Diagnosed | |
| Disorder | 44054006 | Diabetes Mellitus, Type 2 | Active | 07/17/2009 | |
| Disorder | 59621000 | Essential Hypertension | Active | 06/05/2008 | |
| Medication List | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| RxNorm Code | |||||||||
| Product | Generic Name | Brand Name | Strength | Dose | Route | Frequency | Date Started | Status | |
| 205875 | Medication | glyburide | Diabeta | 2.5 mg | 1 Tablet | PO | Q AM | 07/17/2009 | Active |
| 200801 | Medication | furosemide | Lasix | 20 mg | 1 Tablet | PO | BID | 06/05/2008 | Active |
| 628958 | Medication | potassium chloride | Klor-Con | 10 mEq | 1 Tablet | PO | BID | 06/05/2008 | Active |
| Medication Allergy List | ||||
|---|---|---|---|---|
| Type | SNOMED Code | Medication/Agent | Reaction | Date Recorded |
| Drug Allergy | 294506009 | Ampicillin | Diarrhea, nausea, vomiting | 03/25/1997 |
| Drug Allergy | 91939003 | Sulfonamides | Hives, photosensitivity | 04/25/1989 |
| Diagnostic Test Results | ||||
|---|---|---|---|---|
| Type | LOINC Code | Test (Normal Range) | Result | Date Performed |
| Chemistry | 14771-0 | Fasting Blood Glucose (70–100 mg/dl) | 145 mg/dl | 07/17/2009 |
| Hemistry | 2823-3 | Potassium (3.5–5.3 mg/dl) | 4.5 mg/dl | 07/17/2009 |
| Chemistry | 14927-8 | Triglycerides (<150 mg/dl) | 187 mg/dl | 07/17/2009 |
| 42272-5 | Imaging | Chest X-ray, PA & Lateral | The heart outline is normal and the hilar and mediastinal vessels are of normal appearance |
07/17/2009 |
