NIST-Inpatient-test-patient-3

Patient Summary Record Test Data – Set #3

Patient
Name	Date/Time of Birth	Gender	Identification Number	Identification Number Type	Address/Phone
Lorraine Blevins	04/16/1957 20:15:35	Female	967385998	Medical Record Number	1020 Stuart Street Morton, Illinois 61550 309-374-8938

“Source” for all data for this patient: Louis Randolph, MD

Problem List
Type	ICD-9 Code	Patient Problem	Status	Date Diagnosed
Diagnosis	715.35	Right hip osteoarthritis	Resolved	02/12/2010
Finding	414.01	Coronary Artery Disease (CAD)	Chronic	05/05/2002
Type	SNOMED Code*	Patient Problem	Status	Date Diagnosed
Disorder	239872002	Right hip osteoarthritis	Resolved	02/12/2010
Disorder	53741008	Coronary Arteriosclerosis	Chronic	05/05/2002

Medication List
RxNorm Code	Product	Generic Name	Brand Name	Strength	Dose	Route	Frequency	Date Started	Status
855320	Medication	warfarin	Coumadin	3 mg	1 Tablet	PO	QD	02/15/2010	Active
209613	Medication	bisacodyl	Dulcolax	5 mg	1 Tablet	PO	QD	02/15/2010	Active
309362	Medication	clopidogrel	Plavix	75 mg	1 Tablet	PO	QD	05/15/2002	Active
197361	Medication	amlodipine	Norvasc	5 mg	1 Tablet	PO	QD	07/15/2009	Active

Medication Allergy List
Type	SNOMED Code	Medication/Agent	Reaction	Date Recorded
Drug Allergy	91939003	Sulfonamides	Hives, photosensitivity	06/06/1998
Drug Allergy	294506009	Ampicillin	Diarrhea, nausea, vomiting	04/25/1994

Diagnostic Test Results
Type	LOINC Code	Test (Normal Range)	Result	Date Performed
Imaging	37721-8	X-ray, 2 views, Right Hip	Subchondral sclerosis, increased density in subchondral bone	02/12/2010
Imaging	24648-8	Chest X-ray, PA	No disease is seen in the lung fields or pleura	06/05/2009
Hematology	718-7	Hemoglobin (male: 14-18 g/dl female: 12-16 g/dl)	11.2 g/dl	06/05/2009
Hematology	4544-3	Hematocrit (male: 40-54% female: 36-48%)	34%	06/05/2009
Coagulation	34714-6	Prothrombin Time/ International Normalized Ratio (PT/INR) (2.5 – 3.5)	3.1	06/05/2009

--Glilly 11:35, 22 Nov 2010 (PST)

Procedure List
Type	ICD-9 Code	Procedure	Status	Date Performed
Surgical	81.51	Total Hip Replacement, Right	Completed	02/14/2010
Cardiac	37.21	Cardiac catheterization	Completed	05/05/2002
Type	CPT Code*	Procedure	Status	Date Performed
Surgical	27130	Total Hip Replacement, Right	Completed	02/14/2010
Cardiac	93501	Cardiac catheterization	Completed	05/05/2002