NIST Ambulatory Test Patient 5

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

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