Practice
practice name: Family Health
addr: Address
  street: 20 Water St.
  pcode: 53326
  locality: New Hope
  region: Massachusetts
  country: US
  time zone: -5GMT
primary care physician: Henry No
  type: Person
  given name: Henry
  family name: No
  license: AK 9934273
  gender: male

George Andrew Tour
demographics: demog
type: Person
given name: George
family name: Tour
address: Address
  street: 15 Water St.
  pcode: 53326
  locality: New Hope
  region: Massachusetts
  country: US
  time zone: -5GMT
location:
  lat: 41N
  long: 69W
account name: scotour
has condition: Condition
  diagnosed with: hypertension
  ICD9: 410
  date diagnosed: 2009-05-15
  diagnosed by: Henry No
  physician notes: ...
has condition: Condition
  diagnosed with: hypercholesterolaemia
  ICD9: 272
  date diagnosed: 2009-05-20
  diagnosed by: Henry No
  physician notes: ...
has condition: Condition
  diagnosed with: atrial fibrillation
  ICD9: 427
  date diagnosed: 2009-05-20
  diagnosed by: Henry No
  physician notes: ...
has condition: Condition
  diagnosed with: alzheimer’s disease
  ICD9: 331
  date diagnosed: 2009-08-10
  diagnosed by: Henry No
  physician notes: ...
has allergy: Allergy
  allergy type: drugs
  allergy list: none
has allergy: Allergy
  allergy type: food
  allergy list: fish
has allergy: Allergy
  allergy type: environment
  allergy list: dust
immunization: Immunization
  disease name: measles
  date administered: 1940
  method: oral
  compound: single
  stage: 1
  administered by: Henry No
immunization: Immunization
  disease name: mumps
  date administered: 1940
  method: oral
  compound: single
  stage: 1
  administered by: Henry No
immunization: Immunization
  disease name: rubella
  date administered: 1949
  method: intramuscular
  compound: single
  stage: 1
  administered by: Henry No
immunization: Immunization
  disease name: tetanus
  date administered: 2005
  method: intramuscular
  compound: single
  stage: 1
  administered by: Henry No
behavoir: Behavoir
  behavoir name: alcoholConsumption
  frequency: 2
  units: week
  quantity: 4
  date: 2004-08-15
behavoir: Behavoir
  behavoir name: exercise
  frequency: 5
  units: week
  average duration: 25
  date: 2004-08-15
behavoir: Behavoir
  behavoir name: smoking
  pack years: 0
  history: never
  date: 2004-08-15
behavoir: Behavoir
  behavoir name: diet
  fruit vegetables rating: 10
  whole grains rating: 7
  dairy rating: 4
  protein rating: 8
  fats rating: 4
  junk food rating: 2
  date: 2004-08-15
relation: Relation
  relation: maternalGrandmother
  fname: Susie
  sex: Female
  alive: no
  age at death: 24
  cancer: no
  cause of death: TB
relation: Relation
  relation: maternalGrandfather
  fname: Paul
  sex: Male
  alive: no
  age at death: 81
  cancer: no
  cause of death: Old Age
relation: Relation
  relation: paternalGrandmother
  fname: Betty
  sex: Female
  alive: no
  age at death: 62
  cancer: no
  cause of death: myocardialInfarction
relation: Relation
  relation: paternalGrandfather
  fname: Gary
  sex: Male
  alive: no
  age at death: 45
  cancer: no
  cause of death: MedicalError
relation: Relation
  relation: mother
  fname: Elizabeth
  sex: Female
  alive: yes
  cancer: no
  medical conditions: yes
relation: Relation
  relation: father
  fname: Frank
  sex: Male
  alive: yes
  cancer: yes
  cancer type: Colorectal
  cancer type colorectal age: 62
relation: Relation
  relation: brother
  fname: Jake
  sex: Male
  alive: yes
  cancer: no

demog
type: Demographics
date of birth: 1934-05-15
date of death: XXXX-XX-XX
gender: Male
ethnicity: Basque
language: EN
marital status: Single
employment status: Retired
employment industry: Technology
occupation: Developer
religion: Catholic
income: 100,000 USD
highest education: PhD
organ donor: false

Drug
prescribed to: George Andrew Tour
ontology: National Drug Code Directory
NDC: 000007414020
generic name: COREG TABLETS
strength: 6.25
unit: MG
pack size: 100
pack type: BOT
route name: ORAL
dosage name: TABLET, FILM COATED
frequency: b.i.d.
refill: 3
days to take: ongoing
prescribed by: Henry No
prescribed on: 2009-05-15
date prescription ended: false
physician notes: ...

Drug
prescribed to: George Andrew Tour
ontology: National Drug Code Directory
NDC: 000071015595
generic name: LIPITOR TABLETS
strength: 10
unit: MG
pack size: 8 X 7
pack type: BLPK
route name: ORAL
dosage name: TABLET, FILM COATED
frequency: q.d.
refill: 3
days to take: ongoing
prescribed by: Henry No
prescribed on: 2009-05-20
date prescription ended: false
physician notes: ...

Drug
prescribed to: George Andrew Tour
ontology: National Drug Code Directory
NDC: 66105051810
generic name: COUMADIN TABLETS
strength: 1.00
unit: MG
pack size: 100
pack type: BLPK
route name: ORAL
dosage name: TABLET
frequency: q.d.
refill: 0
days to take: ongoing
prescribed by: Henry No
prescribed on: 2009-05-20
date prescription ended: false
physician notes: ...

Drug
prescribed to: George Andrew Tour
ontology: National Drug Code Directory
NDC: 11071084101
generic name: DONEPEZIL HYDROCHLORIDE TABLETS
strength: 5.00
unit: MG
pack size: 90
pack type: BLPK
route name: ORAL
dosage name: TABLET
frequency: q.d.
refill: 3
days to take: 90
prescribed by: Henry No
prescribed on: 2009-08-10
date prescription ended: 2009-08-15
physician notes: ...

Drug
prescribed to: George Andrew Tour
ontology: National Drug Code Directory
NDC: 62856083130
generic name: ARICEPT TABLETS ORALLY DISINTEGRATING
strength: 5.00
unit: MG
pack size: 100
pack type: BLPK
route name: ORAL
dosage name: TABLET
frequency: q.d.
refill: 0
days to take: ongoing
prescribed by: Henry No
prescribed on: 2009-08-15
date prescription ended: false
physician notes: ...

Procedure
performed on: George Andrew Tour
procedure name: appendectomy via incision
ICD9procedure: 47.09
date performed: 2000-07-01
procedure notes: …..
referred by: Henry No
referred institution: Redding Hospital

Encounter
patient: George Andrew Tour
participant: Participation
  role: Patient
  persona: George Andrew Tour
participant: Participation
  role: Physician
  persona: Henry No
date of encounter: 2009-05-15
physician: Henry No
referral: false
medical baseline: true
medical test: Annual Medical
reported symptoms: false
working diagnosis: false
physical observations:
  body fat x5:
    x6 body fat: 24
    weight: 160
    height: 70
    BMI: 23
  waist to hips:
    waist: 38
    hips: 42
    waist to hips: 0.9
  blood pressure:
    systolic: 151
    diastolic: 92
  resting heart rate:
    resting heart rate: 77
  stamina:
    final heart rate: 135
    predicted VO2 max: 49.2
  lung function:
    PEFR: 560
test:
  test type: Laboratory
  CPT: 85025
  test name: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count
  referred to: Janet Day
  referred clinic: Family Health Laboratories
  referred by: Henry No
  test set: CompleteBloodCount
    x 3: 85025
    test code:
      x 3: HGB
      CPT: 85018
      LOINC: 24360-0
      description: Hemogloblin
      value: 12.8
      units: g/dl
    test code:
      x 3: RBC
      CPT: 85041
      LOINC: LP7536-8
      description: Red Blood Cell Count
      value: 3.89
      units: mil/mcl
    test code:
      x 3: HCT
      CPT: 85014
      LOINC: 41654-5
      description: Hematocrit
      value: 38.0
      units: percent
    test code:
      x 3: MCV
      description: Mean Cell Volume
      value: 97.4
      units: fl
    test code:
      x 3: MCH
      description: Mean Corpuscular Hemoglobin
      value: 32.9
      units: pg/cell
    test code:
      x 3: MCHC
      description: Mean Corpuscular Hemoglobin Concentration
      value: 33.8
      units: g/dl
    test code:
      x 3: PLTC
      CPT: 85049
      description: Platelet Count
      value: 291
      units: K/mcL
    test code:
      x 3: WBC
      CPT: 85048
      description: White Blood Cell Count
      value: 4.62
      units: K/mcL
    test code:
      x 3: ANEUT
      description: Absolute Neutrophil Count
      value: 1.70
      units: K/mcL
    test code:
      x 3: ALYMS
      description: Absolute Lymphocyte Count
      value: 2.21
      units: K/mcL
    test code:
      x 3: AMON
      description: Absolute Monocyte Count
      value: 0.32
      units: K/mcL
    test code:
      x 3: AEOS
      description: Absolute Eosinophil Count
      value: 0.36
      units: K/mcL
  physician notes: ...
test:
  test type: Laboratory
  CPT: 80061
  test name: Lipid panel
  referred to: Janet Day
  referred clinic: Family Health Laboratories
  referred by: Henry No
  test set: LipidPanel
    x 3: 80061
    test code:
      x 3: LDL
      CPT: 83721
      description: Low-density lipoprotein
      value: 162
      units: mg/dl
    test code:
      x 3: TRIG
      CPT: 84478
      description: Triglycerides
      value: 230
      units: mg/dl
  physician notes: ...
test:
  test type: Laboratory
  CPT: 80076
  test name: Hepatic function panel
  referred to: Janet Day
  referred clinic: Family Health Laboratories
  referred by: Henry No
  test set: HepaticFunctionPanel
    x 3: 80076
    test code:
      x 3: TP
      CPT: 84155
      description: Serum Total Protein
      value: 6.8
      units: g/dl
    test code:
      x 3: AST
      CPT: 84450
      description: Serum glutamic-oxaloacetic transaminase
      value: 17
      units: IU/l
    test code:
      x 3: TBIL
      CPT: 82247
      description: Serum Bilirubin, Total
      value: 0.8
      units: mg/dl
    test code:
      x 3: ALP
      CPT: 84075
      description: Serum Alkaline Phosphatase
      value: 43
      units: IU/l
    test code:
      x 3: GGT
      CPT: 82977
      description: Serum Gamma Glutamyl Transferase
      value: 19
      units: IU/l
    test code:
      x 3: CRP
      CPT: 86140
      description: Serum C-Reactive Protein
      value: 0.7
      units: mg/L
  physician notes: ...
test:
  test type: Laboratory
  CPT: 80069
  test name: Renal function panel
  referred to: Janet Day
  referred clinic: Family Health Laboratories
  referred by: Henry No
  test set: RenalFunctionPanel
    x 3: 80069
    test code:
      x 3: NA
      CPT: 84295
      description: Serum Sodium
      value: 139
      units: mmol/l
    test code:
      x 3: K
      CPT: 84132
      description: Serum Potassium
      value: 5.3
      units: mmol/l
    test code:
      x 3: CREA
      CPT: 82565
      description: Serum Creatinine
      value: 0.66
      units: mg/dl
  physician notes: ...

Encounter
patient: George Andrew Tour
participant: Participation
  role: Patient
  persona: George Andrew Tour
participant: Participation
  role: Physician
  persona: Henry No
date of encounter: 2009-05-17
physician: Henry No
referral: false
medical baseline: true
medical test: routine
reported symptoms: false
test:
  test type: ECG
  CPT: 93040
  test name: Rhythm ECG
  referred to: Edward Schmidt
  referred clinic: Heart Clinic
  referred by: Henry No
  result:
    mis parse: <testScore>???</testScore>
    mis parse: <testNormalRange>????</testNormalRange>
    mis parse: <testResult>abnormal</testResult>
  original image: http://
  physician notes: ...

Encounter
patient: George Andrew Tour
participant: Participation
  role: Patient
  persona: George Andrew Tour
participant: Participation
  role: Physician
  persona: Henry No
date of encounter: 2009-05-18
physician: Henry No
referral: false
medical baseline: true
medical test: true
reported symptoms: irregular pulse
working diagnosis: atrial fibrillation
test:
  test type: Genotyping SNPs
  CPT: 83520(3), 83891(1), 83892(4), 83896(10), 83908(4), 83912(1)
  test name: Ambry test
  referred to: Gene Cato
  referred clinic: Geno Clinic
  referred by: Henry No
  result:
    value: abnormal
    rs number: rs72547528
    variant synonyms: VKOR; MST134; MST576; VKCFD2; EDTP308; MGC2694; FLJ00289; IMAGE345520
    gene symbol: VKORC1
    gene name: Vitamin K Epoxide Reductase Complex, subunity 1
    ENTREZ gene ID: 79001
    accession ID: NG_011564.1
    gene region: 16:31009664-31013777(-)
    DNA change: C/T
    DNA change type: Missense
    amino acid change: R98W
    amino acid change type: Nonsynonymous
  physician notes: ...
test:
  test type: Genotyping SNPs
  CPT: 83520(3), 83891(1), 83892(4), 83896(10), 83908(4), 83912(1)
  referred to: Gene Cato
  referred clinic: Geno Clinic
  referred by: Henry No
  result:
    value: abnormal
    rs number: rs1799853
    variant synonyms: CPC9; CYP2C; CYP2C10; MGC88320; P450IIC9; MGC149605; CYP2C9
    gene symbol: CYP2C9
    gene name: Cytochrome P450, family 2, subfamily C, polypeptide 9
    ENTREZ gene ID: 1559
    accession ID: NG_008385.1
    gene region: 10:96688430-96739137(+)
    DNA change: C/T
    DNA change type: Missense
    amino acid change: R144C
    amino acid change type: Nonsynonymous
  physician notes: ...

Encounter
patient: George Andrew Tour
participant: Participation
  role: Patient
  persona: George Andrew Tour
participant: Participation
  role: Physician
  persona: Henry No
date of encounter: 2009-05-20
physician: Henry No
referral: false
medical baseline: true
medical test: false
reported symptoms: none
working diagnosis: none
physical observations:
  blood pressure:
    systolic: 125
    diastolic: 85
  resting heart rate:
    resting heart rate: 76

Encounter
patient: George Andrew Tour
participant: Participation
  role: Patient
  persona: George Andrew Tour
participant: Participation
  role: Physician
  persona: Henry No
date of encounter: 2009-06-03
physician: Henry No
referral: false
medical baseline: true
medical test: true
reported symptoms: none
working diagnosis: none
physical observations:
  blood pressure:
    systolic: 115
    diastolic: 75
  resting heart rate:
    resting heart rate: 72
test:
  test type: Laboratory
  CPT: 80061
  test name: Lipid panel
  referred to: Janet Day
  referred clinic: Family Health Laboratories
  referred by: Henry No
  test set: LipidPanel
    x 3: 80061
    test code:
      x 3: LDL
      CPT: 83721
      description: Low-density lipoprotein
      value: 105
      units: mg/dl
    test code:
      x 3: TRIG
      CPT: 84478
      description: Triglycerides
      value: 160
      units: mg/dl
  physician notes: ...

Encounter
patient: George Andrew Tour
participant: Participation
  role: Patient
  persona: George Andrew Tour
participant: Participation
  role: Physician
  persona: Henry No
date of encounter: 2009-07-03
physician: Henry No
referral: false
medical baseline: true
medical test: true
reported symptoms: none
working diagnosis: none
physical observations:
  blood pressure:
    systolic: 117
    diastolic: 74
  resting heart rate:
    resting heart rate: 76
test:
  test type: Laboratory
  CPT: 80061
  test name: Lipid panel
  referred to: Janet Day
  referred clinic: Family Health Laboratories
  referred by: Henry No
  test set: LipidPanel
    x 3: 80061
    test code:
      x 3: LDL
      CPT: 83721
      description: Low-density lipoprotein
      value: 98
      units: mg/dl
    test code:
      x 3: TRIG
      CPT: 84478
      description: Triglycerides
      value: 148
      units: mg/dl
  physician notes: ...

Encounter
patient: George Andrew Tour
participant: Participation
  role: Patient
  persona: George Andrew Tour
participant: Participation
  role: Physician
  persona: Henry No Mark Tourney
date of encounter: 2009-07-15
physician: Henry No
referral: false
medical baseline: false
medical test: false
reported symptoms: Confusion, Declining memory
date of encounter: 2009-07-16
physician: Mark Tourney
referral: true
mis parse: <referredClinic>Happy Days</referredClinic>
mis parse: <referredBy>Henry No</referredBy>
medical test: true
test:
  test type: ICD9 Procedure
  mis parse: <ICD9_Procedure>94.08</ICD9_Procedure>
  test name: Other psychologic evaluation and testing
  result:
    mis parse: <description> Classic 70 point total. Excludes Q4 (Delayed Word Recall) and Q14 (Number Cancellation)</description>
    value: 24
    mis parse: <description>85 point total including Q4 (Delayed Word Recall) and Q14 (Number Cancellation)</description>
    value: 35
  physician notes: ...
test:
  test type: ICD9 Procedure
  mis parse: <ICD9_Procedure>88.91</ICD9_Procedure>
  test name: Magnetic resonance imaging of brain and brain
  referred to: David Tork
  referred clinic: Warrington Hospital
  referred by: Henry No
  result:
    mis parse: <hippocampalLeft>0.75</hippocampalLeft>
    mis parse: <hippocampalRight>0.72</hippocampalRight>
    mis parse: <temporalRight>1.10</temporalRight>
    mis parse: <temporalLeft>1.09</temporalLeft>
    mis parse: <angularRight>1.13</angularRight>
    mis parse: <angularLeft>1.14</angularLeft>
    mis parse: <cingulumPostBilateral>1.07</cingulumPostBilateral>
    mis parse: <hippocampalVolumeTestResult>abnormal</hippocampalVolumeTestResult>
  original image: http:hospital.com/images/patient/1234
  physician notes: ...
test:
  test type: Laboratory
  CPT: 85025
  test name: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count
  referred to: Janet Day
  referred clinic: Family Health Laboratories
  referred by: Henry No
  test set: CompleteBloodCount
    x 3: 85025
    test code:
      x 3: HGB
      CPT: 85018
      description: Hemogloblin
      value: 12.7
      units: g/dl
    test code:
      x 3: RBC
      CPT: 85041
      description: Red Blood Cell Count
      value: 3.80
      units: mil/mcl
    test code:
      x 3: HCT
      CPT: 85014
      description: Hematocrit
      value: 38.2
      units: percent
    test code:
      x 3: MCV
      description: Mean Cell Volume
      value: 97.2
      units: fl
    test code:
      x 3: MCH
      description: Mean Corpuscular Hemoglobin
      value: 32.7
      units: pg/cell
    test code:
      x 3: MCHC
      description: Mean Corpuscular Hemoglobin Concentration
      value: 33.2
      units: g/dl
    test code:
      x 3: PLTC
      CPT: 85049
      description: Platelet Count
      value: 291
      units: K/mcL
    test code:
      x 3: WBC
      CPT: 85048
      description: White Blood Cell Count
      value: 4.60
      units: K/mcL
    test code:
      x 3: ANEUT
      description: Absolute Neutrophil Count
      value: 1.69
      units: K/mcL
    test code:
      x 3: ALYMS
      description: Absolute Lymphocyte Count
      value: 2.20
      units: K/mcL
    test code:
      x 3: AMON
      description: Absolute Monocyte Count
      value: 0.30
      units: K/mcL
    test code:
      x 3: AEOS
      description: Absolute Eosinophil Count
      value: 0.34
      units: K/mcL
  physician notes: ...
test:
  test type: Genotyping SNPs
  CPT: 83520(3), 83891(1), 83892(4), 83896(10), 83908(4), 83912(1)
  test name: ADmark Alzheimer's Evaluation
  referred to: Neurologist Vince
  referred clinic: Neuro Clinic
  referred by: Henry No
  result:
    value: abnormal
    rs number: rs429358
    variant synonyms: APOE4, NG_007084.2:g.7903T>C
    gene symbol: APOE
    gene name: apolipoprotein E
    ENTREZ gene ID: 348
    accession ID: NG_007084.2
    gene region: coding_region
    DNA change: g.7903T>C
    DNA change type: Substitution
    amino acid change: C112R
    amino acid change type: Missense
  physician notes: ...

Encounter
patient: George Andrew Tour
participant: Participation
  role: Patient
  persona: George Andrew Tour
participant: Participation
  role: Physician
  persona: Henry No
date of encounter: 2009-08-03
physician: Henry No
referral: false
medical baseline: true
medical test: true
reported symptoms: false
working diagnosis: false
physical observations:
  blood pressure:
    systolic: 116
    diastolic: 73
  resting heart rate:
    resting heart rate: 77
test:
  test type: Laboratory
  CPT: 80061
  test name: Lipid panel
  referred to: Janet Day
  referred clinic: Family Health Laboratories
  referred by: Henry No
  test set: LipidPanel
    x 3: 80061
    test code:
      x 3: LDL
      CPT: 83721
      description: Low-density lipoprotein
      value: 98
      units: mg/dl
    test code:
      x 3: TRIG
      CPT: 84478
      description: Triglycerides
      value: 148
      units: mg/dl
  physician notes: ...

Encounter
patient: George Andrew Tour
participant: Participation
  role: Patient
  persona: George Andrew Tour
participant: Participation
  role: Physician
  persona: Henry No
date of encounter: 2009-08-15
physician: Henry No
referral: false
medical baseline: false
medical test: none
reported symptoms: nausea
working diagnosis: adverse event to Donepezil

Encounter
patient: George Andrew Tour
participant: Participation
  role: Patient
  persona: George Andrew Tour
participant: Participation
  role: Physician
  persona: Henry No
date of encounter: 2009-11-03
physician: Henry No
referral: false
medical baseline: true
medical test: false
reported symptoms: false
working diagnosis: false
physical observations:
  blood pressure:
    systolic: 119
    diastolic: 78
  resting heart rate:
    resting heart rate: 77
test:
  test type: Laboratory
  CPT: 80061
  test name: Lipid panel
  referred to: Janet Day
  referred clinic: Family Health Laboratories
  referred by: Henry No
  test set: LipidPanel
    x 3: 80061
    test code:
      x 3: LDL
      CPT: 83721
      description: Low-density lipoprotein
      value: 97
      units: mg/dl
    test code:
      x 3: TRIG
      CPT: 84478
      description: Triglycerides
      value: 148
      units: mg/dl
  physician notes: ...

x 3: ALB
CPT: 82040
description: Serum Albumin
value: 3.6
units: g/dl

x 3: GLU
CPT: 82945
description: Glucose, serum fasting
value: 110
units: mg/dl

x 3: CA
CPT: 82310
description: Serum Calcium
value: 5.1
units: mg/dl

x 3: CNA
description: Corrected Calcium Level
value: 5.42
units: mg/dl

x 3: BUN
CPT: 84520
description: Blood Urea Nitrogen
value: 15
units: mg/dl

x 3: URIC
CPT: 84550
description: Serum Uric Acid
value: 3.6
units: mg/dl

test type: Laboratory
CPT: 84443
test name: Thyroid stimulating hormone (TSH)
referred to: Janet Day
referred clinic: Family Health Laboratories
referred by: Henry No
test set: ThyroidFunction
  x 3: 84443
  test code:
    x 3: TSH
    CPT: 84443
    description: Thyroid Stimulating Hormone
    value: 1.34
    units: mcU/ml
physician notes: ...