SYNTHETIC TEST FILE, NO REAL PATIENT Published by medicalrecordssummaryai.com, 2026-11-12. All names, dates, facilities and record numbers are invented. Use: save as a PDF or upload as text to an AI summary tool, ask for a summary and chronology, then score the output against the answer key at https://medicalrecordssummaryai.com/test-file/ 12 pages. Page breaks are marked ===== PAGE n =====. ===== PAGE 1 ===== FAX COVER SHEET Received: 2025-11-03 14:12 From: Hillcrest Orthopedics, records department To: Records requester Pages including cover: 12 Re: Rowan Example, DOB 1971-08-19 Note: records enclosed as received from multiple facilities. ===== PAGE 2 ===== FAX 2025-11-03 14:12 HILLCREST ORTHO P.2/12 Northside Urgent Care Patient: Rowan Example DOB 1971-08-19 MRN SYN-40417 Date of service: 2025-09-09 HPI: 54 y/o male reports R shoulder pain after lifting a 40 lb box at work on 2025-09-08. Pain 7/10, worse with reaching overhead. Denies prior shoulder injury. Denies numbness or tingling. Right-hand dominant. PMH: Type 2 diabetes, on metformin. Hypertension. Exam: Tenderness anterior R shoulder. Painful arc 70 to 120 degrees. Neer positive on the right. Neer negative on the left. Distal pulses 2+. Sensation intact to light touch in R upper extremity. Assessment: R shoulder strain, r/o rotator cuff tear. Plan: X-ray R shoulder. Sling as needed. Naproxen 500 mg BID with food. Modified duty: no lifting over 10 lb with R arm. Follow up with orthopedics in 2 to 3 weeks. Electronically signed: J. Park, PA-C, 2025-09-12 08:31 ===== PAGE 3 ===== FAX 2025-11-03 14:12 HILLCREST ORTHO P.3/12 Northside Imaging Patient: Rowan Example DOB 1971-08-19 MRN SYN-40417 Exam: XR shoulder R, 3 views Exam date: 2025-09-09 Dictated: 2025-09-10 Findings: No acute fracture or dislocation. Mild acromioclavicular joint degenerative change. Type II acromion. Glenohumeral joint space preserved. Impression: No acute osseous abnormality. Mild AC joint arthrosis. ===== PAGE 4 ===== FAX 2025-11-03 14:12 HILLCREST ORTHO P.4/12 Maple Family Medicine Patient: Rowan Example DOB 1971-08-19 MRN SYN-40417 Date of service: 2024-03-14 CC: Diabetes follow-up. Also R shoulder pain. HPI: Chronic R shoulder pain x 6 months, worse overhead. Patient attributes it to yard work at home. No injury at work. A1c last visit 7.6. Exam: Mild pain with R shoulder abduction above 90 degrees. Strength 5/5. Assessment: 1. Type 2 diabetes. 2. R shoulder pain, likely impingement. Plan: Refer to physical therapy for R shoulder. Consider imaging if no improvement. Continue metformin 500 mg BID. ===== PAGE 5 ===== FAX 2025-11-03 14:12 HILLCREST ORTHO P.5/12 Hillcrest Orthopedics Patient: Rowan Example DOB 1971-08-19 MRN SYN-40417 Date of service: 2025-10-02 HPI: R shoulder pain since lifting injury at work 2025-09-08. On modified duty. No improvement with naproxen. Exam: Active forward flexion 100 degrees. Positive drop arm test on the right. External rotation strength 4/5. Assessment: R shoulder pain. Possible full-thickness supraspinatus tear. Plan: MRI R shoulder without contrast ordered. Physical therapy evaluation. Continue modified duty. Will discuss surgical options if MRI confirms a full-thickness tear. A1c ordered today (diabetes, surgical planning). ===== PAGE 6 ===== FAX 2025-11-03 14:12 HILLCREST ORTHO P.6/12 Regional Lab Services Patient: Rowan Example DOB 1971-08-19 MRN SYN-40417 Ordered: 2025-10-02 Collected: 2025-10-02 09:40 Resulted: 2025-10-04 16:05 Hemoglobin A1c: 8.4 percent (H) Reference: below 5.7 Reviewed and signed: Hillcrest Orthopedics, 2025-10-06 Printed 2025-11-03 13:58 ===== PAGE 7 ===== FAX 2025-11-03 14:12 HILLCREST ORTHO P.7/12 Riverside Physical Therapy, initial evaluation Patient: Rowan Example DOB 1971-08-19 MRN SYN-40417 Date of service: 2025-10-06 Subjective: Pt reports numbness in the R hand for the past week, mostly at night. Pt states ortho told him he needs surgery. Objective: R shoulder flexion 95 degrees, abduction 80 degrees. Strength 4/5 external rotation. Assessment: Deficits consistent with rotator cuff pathology. Plan: PT 2x per week for 6 weeks. Home exercise program. ===== PAGE 8 ===== FAX 2025-11-03 14:12 HILLCREST ORTHO P.8/12 Hillcrest Orthopedics Patient: Rowan Example DOB 1971-08-19 MRN SYN-40417 Date of service: 2025-10-23 HPI: R shoulder pain since lifting injury at work 2025-09-08. On modified duty. No improvement with naproxen. Pt states MRI done 2025-10-16 at Lakeview Imaging; report not available at today's visit. Exam: Active forward flexion 120 degrees. External rotation strength 4+/5. Assessment: R shoulder pain. Possible full-thickness supraspinatus tear. Plan: Obtain MRI report. Continue PT. Work status: modified duty, no lifting over 10 lb with R arm (unchanged). ===== PAGE 9 ===== FAX 2025-11-03 14:12 HILLCREST ORTHO P.9/12 Hillcrest Orthopedics, work status form Patient: Rowan Example DOB 1971-08-19 Date: 2025-10-23 Work status: Return to full duty on 2025-10-27. No restrictions. Signed: M. Ortiz, PA-C ===== PAGE 10 ===== FAX 2025-11-03 14:12 HILLCREST ORTHO P.10/12 [Scanned handwritten medication list, Northside Urgent Care] Patient: R. Example Hydrocodone/APAP 5/325, 1 tab q6h prn severe pain, #20, no refills. 2025-09-09. Naproxen 500 mg BID. ===== PAGE 11 ===== FAX 2025-11-03 14:12 HILLCREST ORTHO P.11/12 Lakeview Imaging Patient: Rowena Exampel DOB 1971-03-19 MRN SYN-40471 Exam: MRI shoulder LEFT without contrast Exam date: 2025-10-16 Findings: Full-thickness tear of the supraspinatus tendon with 1.5 cm retraction. Moderate subacromial bursitis. Impression: Full-thickness supraspinatus tear with retraction. ===== PAGE 12 ===== FAX 2025-11-03 14:12 HILLCREST ORTHO P.12/12 Hillcrest Orthopedics Patient: Rowan Example DOB 1971-08-19 MRN SYN-40417 Addendum dated 2025-10-30 to note of 2025-10-23: MRI report reviewed by phone with Lakeview Imaging (exam 2025-10-16): partial-thickness articular-sided supraspinatus tear, no retraction. No surgical indication at this time. Continue PT. Recheck in 6 weeks. Signed: A. Brandt, MD, 2025-10-30 END OF SYNTHETIC TEST FILE