Title: <Demographics>
Author: sstephens1
Company: Johnson & Johnson

Fake AD Patient 3 - Diagnosed based on reported symptoms, ADAS COG score.
<Practice>
    <practiceName>Family Health<practiceName>
    <practiceAddress>
    <streetAddress>20 Water St.</streetAddress>
        <postalCode>53326</postalCode>
        <locality>New Hope</locality>
        <region>Massachusetts</region>
        <country>US</country>
        <timeZone>-5GMT</timeZone>
        <phoneNumber>17891011782</phoneNumber>
    </practiceAddress>
    <primaryCarePhysician>        
        <fullName>Henry No</fullName>
        <givenName>Henry</givenName>
        <familyName>No</familyName>
        <license>111110</license> 
        <gender>male</gender>
     </primaryCarePhysician>
</Practice>

<Demographics>
    <dateOfBirth>1946-12-07</dateOfBirth>
    <dateOfDeath>XXXX-XX-XX</dateOfDeath>
    <gender>Male</gender>
    <ethnicity>Caucasian</ethnicity>
    <language>EN</language>
    <maritalStatus>Married</maritalStatus>
    <employmentStatus>Fulltime</employmentStatus>
    <employmentIndustry>Pharmaceutical</employmentIndustry>
    <occupation>Scientist</occupation>
    <religion>Protestant</religion>
    <income>130,000 USD</income>
    <highestEducation>PhD</highestEducation>
    <organDonor>true</organDonor>
</Demographics>

<Contact>
    <name>
        <fullName>Benny Smith</fullName>
        <givenName>Benny</givenName>
        <familyName>Smith</familyName>
    </name>
    <email type="work">
        benny.smith@pharma.com
    </email>
    <address type="home">
        <streetAddress>5 Jogging St.</streetAddress>
        <postalCode>24652</postalCode>
        <locality>Eels Village</locality>
        <region>Massachusetts</region>
        <country>US</country>
        <timeZone>-5GMT</timeZone>
    </address>
    <location type="home">
        <latitude>40N</latitude>
        <longitude>68W</longitude>
    </location>
    <phoneNumber type="home">123123</phoneNumber>
    <phoneNumber type="work">1789772413</phoneNumber>
    <instantMessengerName protocol="aim">BennyS</instantMessengerName>
</Contact>

   <prescriptions>
     <drug>
       <ontology>National Drug Code Directory</ontology>
       <NDC> 0000</NDC>
       <tradeName>ARICEPT TABLETS</tradeName>
       <strength>10</strength>
       <unit>MG</unit>
       <packSize>32</packSize>
       <packType>BOT</packType>
       <routeName>ORAL</routeName>
       <dosageName>TABLET</dosageName>
       <frequency>q.d.</frequency>
       <refill>3</refill>
       <daysToTake>ongoing</daysToTake>
       <prescribedBy>Henry No</prescribedBy>
       <datePrescribed>2007-11-09</datePrescribed>
      </drug>
     <drug>
       <ontology>National Drug Code Directory</ontology>
       <NDC> 0000</NDC>
       <tradeName>Codeine</tradeName>
       <strength>30-60</strength>
       <unit>MG</unit>
       <packSize>32</packSize>
       <packType>QID</packType>
       <routeName>ORAL</routeName>
       <dosageName>TABLET</dosageName>
       <frequency>q.d.</frequency>
       <refill>3</refill>
       <daysToTake>ongoing</daysToTake>
       <prescribedBy>Henry No</prescribedBy>
       <datePrescribed>2005-07-09</datePrescribed>
      </drug>
     <drug>
       <ontology>National Drug Code Directory</ontology>
       <NDC> 0000</NDC>
       <tradeName>Celecoxib</tradeName>
       <strength>200</strength>
       <unit>MG</unit>
       <packSize>32</packSize>
       <packType>BID</packType>
       <routeName>ORAL</routeName>
       <dosageName>TABLET</dosageName>
       <frequency>q.d.</frequency>
       <refill>3</refill>
       <daysToTake>ongoing</daysToTake>
       <prescribedBy>Henry No</prescribedBy>
       <datePrescribed>2005-07-09</datePrescribed>
      </drug>
     <drug>
       <ontology>National Drug Code Directory</ontology>
       <NDC> 0000</NDC>
       <tradeName>Docusate Sodium</tradeName>
       <strength>200</strength>
       <unit>MG</unit>
       <packSize>32</packSize>
       <packType>BID</packType>
       <routeName>ORAL</routeName>
       <dosageName>TABLET</dosageName>
       <frequency>q.d.</frequency>
       <refill>3</refill>
       <daysToTake>ongoing</daysToTake>
       <prescribedBy>Henry No</prescribedBy>
       <datePrescribed>2006-11-11</datePrescribed>
      </drug>
     <drug>
       <ontology>National Drug Code Directory</ontology>
       <NDC> 0000</NDC>
       <tradeName>Lactulose</tradeName>
       <strength>15</strength>
       <unit>mls</unit>
       <packSize>150</packSize>
       <packType>BID</packType>
       <routeName>ORAL</routeName>
       <dosageName>TABLET</dosageName>
       <frequency>q.d.</frequency>
       <refill>3</refill>
       <daysToTake>ongoing</daysToTake>
       <prescribedBy>Henry No</prescribedBy>
       <datePrescribed>2007-11-09</datePrescribed>
      </drug>
     <drug>
       <ontology>National Drug Code Directory</ontology>
       <NDC> 0000</NDC>
       <tradeName>Omeprazol</tradeName>
       <strength>40</strength>
       <unit>MG</unit>
       <packSize>32</packSize>
       <packType>od</packType>
       <routeName>ORAL</routeName>
       <dosageName>TABLET</dosageName>
       <frequency>q.d.</frequency>
       <refill>3</refill>
       <daysToTake>ongoing</daysToTake>
       <prescribedBy>Henry No</prescribedBy>
       <datePrescribed>2007-11-09</datePrescribed>
      </drug>
     <drug>
       <ontology>National Drug Code Directory</ontology>
       <NDC> 0000</NDC>
       <tradeName>Donepezil</tradeName>
       <strength>10</strength>
       <unit>MG</unit>
       <packSize>32</packSize>
       <packType>od</packType>
       <routeName>ORAL</routeName>
       <dosageName>TABLET</dosageName>
       <frequency>q.d.</frequency>
       <refill>3</refill>
       <daysToTake>ongoing</daysToTake>
       <prescribedBy>Henry No</prescribedBy>
       <datePrescribed>2009-11-09</datePrescribed>
      </drug>
  </prescriptions>

  <conditions>
       <condition>
           <diagnosedWith>Alzheimer's Disease</diagnosedWith>
           <dateDiagnosed>2005-11-03</dateDiagnosed>
           <diagnosedBy>Henry No</diagnosedBy>
       </condition>
  </conditions>

  <procedures>
      <procedure>
	   <procedureName>appendectomy via incision</procedureName>
           <procedureDate>1998-07-15</procedureDate>
           <referredBy>Henry No</referredBy>
           <referredInstitution>Redding Hospital</referredInstitution> 
      </procedure>
   </procedures>         

  <allergies>
       <drugs>none<drugs/>
       <food>none</food>
       <environment>none</environment>
  </allergies>

  <immunizations>
      <measles>
         <date>1952</date>
         <method>oral</method>
         <compound>single</compound>
         <stage>1</stage>
         <administeredBy>Henry No</administeredBy>
      </measles>
      <mumps>
         <date>1952</date>   
         <method>oral</method>
         <compound>single</compound>
         <stage>1</stage>
      <administeredBy>Henry No</administeredBy>
      </mumps>
      <rubella>
         <date>1961</date>
         <method>intramuscular</method>
         <compound>single</compound>
         <stage>1</stage>
         <administeredBy>Henry No</administeredBy>
      </rubella>
      <tetanus>
         <date>2005</date>
         <method>intramuscular</method>
         <compound>single</compound>
         <stage>1</stage>
         <administeredBy>Henry No</administeredBy>
      </tetanus> 
  </immunization> 

<lifestyle>  
       <alcoholConsumption>
           <frequency>5</frequency>
           <units>week</units>
           <quantity>3</quantity>
           <date>1998-07-15</date>
       </alcoholConsumption>
       <exercise>
           <frequency>2</frequency>
           <units>week</units>
           <averageDuration>25</averageDuration>
           <date>1998-07-15</date>
       </exercise>
       <smoking>
           <frequency>7</frequency>
           <units>week</units>
           <quantity>20</quantity>
           <history>1962</history>
           <date>1998-07-15</date>
       </smoking>
       <diet>
            <fruitVegetablesRating>1</fruitVegetablesRating>
            <wholeGrainsRating>0</wholeGrainsRating>
            <dairyRating>7</dairyRating>
            <proteinRating>8</proteinRating>
            <fatsRating>5</fatsRating>
            <junkFoodRating>1</junkFoodRating>
            <date>1998-07-15</date>
       </diet>
  </lifestyle>

  <familyHistory>
      <subject_id=”1”>
         <relation>maternalGrandmother</relation>
         <fname>Elsa</fname>
         <sex>Female</sex>
         <alive>no</alive>
         <ageAtDeath>60</ageAtDeath>
         <cancer>no</cancer>
         <causeOfDeath>drowning</causeOfDeath>
      </subject_id>
      <subject_id=”2”>
         <relation>maternalGrandfather</relation>
         <fname>Curt</fname>
         <sex>Male</sex>
         <alive>no</alive>
         <ageAtDeath>83</ageAtDeath>
         <cancer>no</cancer>
         <causeOfDeath>Old Age</causeOfDeath>
      </subject_id>
      <subject_id=”3”>
         <relation>paternalGrandmother</relation>
         <fname>Greta</fname>
         <sex>Female</sex>
         <alive>no</alive>
         <ageAtDeath>69</ageAtDeath>
         <cancer>yes</cancer>
         <cancerType>Lung</CancerType>
         <cancerTypeLunglAge>62</cancerTypeLungAge>
         <causeOfDeath>Cancer</causeOfDeath>
      </subject_id>
      <subject_id=”4”>
         <relation>paternalGrandfather</relation>
         <fname>Lean</fname>
         <sex>Male</sex>
         <alive>no</alive>
         <ageAtDeath>65</ageAtDeath>
         <cancer>yes</cancer>
         <cancerType>Lung</CancerType>
         <cancerTypeLunglAge>62</cancerTypeLungAge>
        <causeOfDeath>COPD</causeOfDeath>
      </subject_id>
      <subject_id=”5”>
         <relation>mother</relation>
         <fname>Ida</fname>
         <sex>Female</sex>
         <alive>yes</alive>
         <cancer>no</cancer>
         <medicalConditions=”Asthma”>yes</medicalConditions>
      </subject_id>
      <subject_id=”6”>
         <relation>father</relation>
         <fname>Dieter</fname>
         <sex>Male</sex>
         <alive>yes</alive>
         <cancer>yes</cancer>
         <cancerType>Lung</CancerType>
         <cancerTypeLunglAge>62</cancerTypeLungAge>
      </subject_id>
</familyHistory>

<Encounter>
    <dateOfEncounter>2005-07-15</dateOfEncounter>
    <physician>Henry No</physician>
    <medicalBaseline>true</medicalBaseline>
    <medicalTest>Annual Medical</medicalTest>
    <reportedSymptoms>false</reportedSymptoms>
    <workingDiagnosis>false</workingDiagnosis>
    <referral>false<referral/> 
    <reportedSymtoms>none</reportedSymptoms>
    <physicalObervations>
      <bodyFat%>
         <%bodyFat units=”percent”>24</%bodyFat>
         <weight units=”pounds”>160</weight>
         <height units=”inches”>70</height>
         <BMI units=”kg/m^2”>23</BMI>
      </bodyFat%>
      <waistToHips/>
         <waist units=”inches”>38</waist>
         <hips units=”inches”>42</hips>
         <waistToHip>0.9</waistToHips>
      </waistToHips/>
      <bloodPressure>
         <systolic units=”mmHg”>151</systolic>
         <diastolic units=”mmHg”>92</diastolic>
      </bloodPressure>
      <restingHeartRate>
         <restingHeartRate units=”BPM”>77</restingHeartRate>
      </restingHeartRate>
      <stamina>
         <finalHeartRate units=”BPM”>135</finalHeartRate>
         <predictedVO2Max units=”ml/kg/min”>49.2</predictedVO2Max>
      </stamina>
      <lungFunction>
         <PEFR units=”L/min”>560</PEFR>
      </lungFunction>
    </physicalObservations>

    <test = “Laboratory”>
       <CPT>85025</CPT>
       <testName>Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count</testName>
       <referredName>Janet Day</referredName>
       <referredClinic>Family Health Laboratories</referredClinic>
       <referredBy>Henry No</referredBy>
       <CompleteBloodCount CPT=”85025”>
          <testCode = “HGB”>
             <CPT>85018</CPT>
             <LOINC></LOINC>
             <description>Hemogloblin</description>
             <value>12.8</value>
             <units>g/dl</units>
          </testCode>
          <testCode = “RBC”>
             <CPT>85041</CPT>
             <LOINC></LOINC>
             <description>Red Blood Cell Count</description>
             <value>3.89</value>
             <units>mil/mcl</units>
          </testCode>
          <testCode = “HCT”>
             <CPT>85014</CPT>
             <LOINC></LOINC>
             <description>Hematocrit</description>
             <value>38.0</value>
             <units>percent</units>
          </testCode>
          <testCode = “MCV”>
             <CPT></CPT>
             <LOINC></LOINC>
             <description>Mean Cell Volume</description>
             <value>97.4</value>
             <units>fl</units>
          </testCode>
          <testCode = “MCH”>
             <CPT></CPT>
             <LOINC></LOINC>
             <description>Mean Corpuscular Hemoglobin</description>
             <value>32.9</value>
             <units>pg/cell</units>
          </testCode>
          <testCode = “MCHC”>
             <CPT></CPT>
             <LOINC></LOINC>
             <description>Mean Corpuscular Hemoglobin Concentration</description>
             <value>33.8</value>
             <units>g/dl</units>
          </testCode>
          <testCode = “PLTC”>
             <CPT>85049</CPT>
             <LOINC></LOINC>
             <description>Platelet Count</description>
             <value>291</value>
             <units>K/mcL</units>
          </testCode>
          <testCode = “WBC”>
             <CPT>85048</CPT>
             <LOINC></LOINC>
             <description>White Blood Cell Count</description>
             <value>4.62</value>
             <units>K/mcL</units>
          </testCode>
          <testCode = “ANEUT”>
             <CPT></CPT>
             <LOINC></LOINC>
             <description>Absolute Neutrophil Count</description>
             <value>1.70</value>
             <units>K/mcL</units>
          </testCode>
          <testCode = “ALYMS”>
             <CPT></CPT>
             <LOINC></LOINC>
             <description>Absolute Lymphocyte Count</description>
             <value>2.21</value>
             <units>K/mcL</units>
          </testCode>
          <testCode = “AMON”>
             <CPT></CPT>
             <LOINC></LOINC>
             <description>Absolute Monocyte Count</description>
             <value>0.32</value>
             <units>K/mcL</units>
          </testCode>
          <testCode = “AEOS”>
             <CPT></CPT>
             <LOINC></LOINC>
             <description>Absolute Eosinophil Count</description>
             <value>0.36</value>
             <units>K/mcL</units>
          </testCode>
       </CompleteBloodCount>
    </test>

    <test = “Laboratory”>
       <CPT>80061</CPT>
       <testName>Lipid panel</testName>
       <referredName>Janet Day</referredName>
       <referredClinic>Family Health Laboratories</referredClinic>
       <referredBy>Henry No</referredBy>
       <LipidPanel CPT=”80061”>
          <testCode = “LDL”>
             <CPT>83721</CPT>
             <LOINC></<LOINC>
             <description> Low-density lipoprotein</description>
             <value>101</value>
             <units>mg/dl</units>
          </testCode>
          <testCode = “TRIG”>
             <CPT>84478</CPT>
             <LOINC></LOINC>
             <description> Triglycerides</description>
             <value>75</value>
             <units>mg/dl</units>
          </testCode>
       </LipidPanel>
    </test>

    <test = “Laboratory”>
       <CPT>80076</CPT>
       <testName>Hepatic function panel</testName>
       <referredName>Janet Day</referredName>
       <referredClinic>Family Health Laboratories</referredClinic>
       <referredBy>Henry No</referredBy>
       <HepaticFunctionPanel CPT=”80076”>
          <testCode = “TP”>
             <CPT>84155</CPT>
             <LOINC></LOINC>
             <description>Serum Total Protein</description>
             <value>6.8</value>
             <units>g/dl</units>
          </testCode>
          <testCode = “AST”>
             <CPT>84450</CPT>
             <LOINC></LOINC>
             <description>Serum glutamic-oxaloacetic transaminase/description>
             <value>17</value>
             <units>IU/l</units>
          </testCode>
          <testCode = “TBIL”>
             <CPT>82247</CPT>
             <LOINC></LOINC>
             <description>Serum Bilirubin, Total</description>
             <value>0.8</value>
             <units>mg/dl</units>
          </testCode>
          <testCode = “ALP”>
             <CPT>84075</CPT>
             <LOINC></LOINC>
             <description>Serum Alkaline Phosphatase</description>
             <value>43</value>
             <units>IU/l</units>
          </testCode>
          <testCode = “GGT”>
             <CPT>82977</CPT>
             <LOINC></LOINC>
             <description>Serum Gamma Glutamyl Transferase</description>
             <value>19</value>
             <units>IU/l</units>
          </testCode>
          <testCode = “CRP”>
             <CPT>86140</CPT>
             <LOINC></LOINC>
             <description>Serum C-Reactive Protein</description>
             <value>0.7</value>
             <units>mg/dl</units>
          </testCode>
       </HepaticFunctionPanel>
    </test>

    <test = “Laboratory”>
       <CPT>80069</CPT>
       <testName>Renal function panel</testName>
       <referredName>Janet Day</referredName>
       <referredClinic>Family Health Laboratories</referredClinic>
       <referredBy>Henry No</referredBy>
       <RenalFunctionPanel CPT=”80069”>
          <testCode = “NA”>
             <CPT>84295</CPT>
             <LOINC></LOINC>
             <description>Serum Sodium</description>
             <value>139</value>
             <units>mmol/l</units>
          </testCode>
          <testCode = “K”>
             <CPT>84132</CPT>
             <LOINC></LOINC>
             <description>Serum Potassium</description>
             <value>5.3</value>
             <units>mmol/l</units>
          </testCode>
          <testCode = “CREA”>
             <CPT>82565</CPT>
             <LOINC></LOINC>
             <description>Serum Creatinine</description>
             <value>0.66</value>
             <units>mg/dl</units>
          </testCode>
          <testCode = “ALB”>
             <CPT>82040</CPT>
             <LOINC></LOINC>
             <description>Serum Albumin</description>
             <value>3.6</value>
             <units>g/dl</units>
          </testCode>
          <testCode = “GLU”>
          <CPT>82945</CPT>
             <LOINC></LOINC>
             <description>Glucose Urine Test</description>
             <value>5.1</value>
             <units>mg/dl</units>
          </testCode>
          <testCode = “CA”>
             <CPT>82310</CPT>
             <LOINC></LOINC>
             <description>Serum Calcium</description>
             <value>5.1</value>
             <units>mg/dl</units>
          </testCode>
          <testCode = “CNA”>
             <CPT></CPT>
             <LOINC></LOINC>
             <description>Corrected Calcium Level</description>
             <value>5.42</value>
             <units>mg/dl</units>
          </testCode>
          <testCode = “BUN”>
             <CPT>84520</CPT>
             <LOINC></LOINC>
             <description>Blood Urea Nitrogen</description>
             <value>15</value>
             <units>mg/dl</units>
          </testCode>
          <testCode = “URIC”>
             <CPT>84550</CPT>
             <LOINC></LOINC>
             <description>Serum Uric Acid</description>
             <value>3.6</value>
             <units>mg/dl</units>
          </testCode>
       </RenalFunctionPanel>
    </test>

    <test = “Laboratory”>
       <CPT>84443</CPT>
       <testName>Thyroid stimulating hormone (TSH)</testName>
       <referredName>Janet Day</referredName>
       <referredClinic>Family Health Laboratories</referredClinic>
       <referredBy>Henry No</referredBy>
       <ThyroidFunction CPT=”84443”>
          <testCode = “TSH”>
             <CPT>84443</CPT>
             <LOINC></LOINC>
             <description>Thyroid Stimulating Hormone</description>
             <value>1.34</value>
             <units>mcU/ml</units>
          </testCode>
       </ThyroidFunction>
    </test>
</encounter>

<Encounter>
    <dateOfEncounter>2009-07-15</dateOfEncounter>
    <physician>Henry No</physician>
    <medicalBaseline>false</medicalBaseline>
    <medicalTest>false</medicalTest>
    <reportedSymptoms>Confusion, Declining memory</reportedSymptoms>
    <workingDiagnosis>
       <preliminaryDiagnosis>
          <diagnosisDescription>Dementia</diagnosisDescription>
          <ICD9>331</ICD9>
          <ICD9Description> Other cerebral degenerations</ICD9Description>
       </preliminaryDiagnosis>
       <differentialDiagnosis>
       </differentialDiagnosis>
    </workingDiagnosis>
    <test = “ICD9 Procedure”>
       <ICD9 Procedure>94.02</ICD9 Procedure>
       <testName>Administration of psychologic test</testName>
       <referredName>Mark Tourney</referredName>
       <referredClinic>Happy Days</referredClinic>
       <referredBy>Henry No</referredBy>
       <result = “Wechsler Memory Scale”>
          <description></description>
          <value></value>
          <units></units>
       </result>
    </test>
    <test = “ICD9 Procedure”>
       <ICD9 Procedure>88.91</ICD9 Procedure>
       <testName>Magnetic resonance imaging of brain and brain stem</testName>
       <referredName>David Tork</referredName>
       <referredClinic>Warrington Hospital</referredClinic>
       <referredBy>Henry No</referredBy>
       <result = “DICOM 3.0 Image Data”
          ...
       </result>
    </test>
    <test = “Laboratory”>
       <CPT>85025</CPT>
       <testName>Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count</testName>
       <referredName>Janet Day</referredName>
       <referredClinic>Family Health Laboratories</referredClinic>
       <referredBy>Henry No</referredBy>
       <CompleteBloodCount CPT=”85025”>
          ...
       </CompleteBloodCount>
    </test>
</Encounter>
<Encounter>
    <dateOfEncounter>2009-07-20</dateOfEncounter>
    <physician>Mark Tourney</physician>
    <medicalBaseline>false</medicalBaseline>
    <reportedSymptoms>false</reportedSymptoms>
    <workingDiagnosis>
       <preliminaryDiagnosis>
          <diagnosisDescription>Dementia</diagnosisDescription>
          <ICD9>331</ICD9>
          <ICD9Description> Other cerebral degenerations</ICD9Description>
       </preliminaryDiagnosis>
       <differentialDiagnosis>
          <ICD9>331.0</ICD9>
          <ICD9Description>Alzheimer's disease</ICD9Description>
       </differentialDiagnosis>
       <clinicalDiagnosis>
       </clinicalDiagnosis>
    </workingDiagnosis>
    <test = “Cognative”>
       <CPT>97532</CPT>
       <testName>Alzheimer's Disease Assessment Scale-cognitive subscale</testName>
       <referredName>Neurologist Vince</referredName>
       <referredClinic>Neuro Clinic</referredClinic>
       <referredBy>Henry No</referredBy>
       <result>
          <testScore>???</testScore>
          <testNormalRange>????</testNormalRange>
          <testResult>abnormal</testResult>
       </result>
    </test>
    <test = “Genotyping SNPs”>
       <CPT> 83520(3), 83891(1), 83892(4), 83896(10), 83908(4), 83912(1)</CPT>
       <testName>ADmark Alzheimer's Evaluation</testName>
       <referredName>Neurologist Vince</referredName>
       <referredClinic>Neuro Clinic</referredClinic>
       <referredBy>Henry No</referredBy>
       <result>
          <value>abnormal</value>
          <rs_Number> rs429358</rs_Number>
          <variant_Synonyms>APOE4, NG_007084.2:g.7903T>C</variant_Synonyms>
          <gene_Symbol>APOE</gene_Symbol>
          <gene_Name> apolipoprotein E</gene_Name>
          <ENTREZ_Gene_ID>348</ENTREZ_Gene_ID>
          <Accession_ID> NG_007084.2</Accession_ID>
          <Gene_Region>coding_region</Gene_Region>
          <DNA_Change>g.7903T>C</DNA_Change>
          <DNA_Change_Type>Substitution</DNA_Change_Type>
          <Amino_Acid_Change>C112R</Amino_Acid_Change>
          <Amino_Acid_Change_Type>Missense</Amino_Acid_Change_Type>
       </result>
    </test>
</Encounter>

<Encounter>
    <dateOfEncounter>2009-07-30</dateOfEncounter>
    <physician>David How</physician>
    <medicalBaseline>false</medicalBaseline>
    <medicalTest>
        <test>
          <testName>MRI Brain Image</testName>
          <hippocampalVolume>???</hippocampalVolume>
          <hippocampalVolumeNormalRange>????</hippocampalVolumeNormalRange>
          <hippocampalVolumeTestResult>abnormal</hippocampalVolumeTestResult>
          <amyloidDeposit>???</amyloidDeposit>
          <amyloidDepositNormalRange>???</amyloidDepositNormalRange>
          <amyloidDepositResult>abnormal</amyloidDepositResult>
        </test> 
      </medicalTest>
    <reportedSymptoms>false</reportedSymptoms>
    <workingDiagnosis>Alzheimers Disease</workingDiagnosis>
</Encounter>