47 lines
1.7 KiB
Plaintext
47 lines
1.7 KiB
Plaintext
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Patient Summary Record Test Data <20> Set #5
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Patient
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Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
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Matthew Brown|09/22/1965|Male|988730987|Medical Record Number|754 Sharp Street
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16:48:25|Aurora,
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Colorado|80011
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303-544-9988
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<EFBFBD>Source<EFBFBD> for all data for this patient: Pamela Jones, MD
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Problem List
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Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
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Diagnosis|250.02|Diabetes Mellitus, Type 2|Active|07/17/2009
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Symptom|401.9|Hypertension, Essential|Active|06/05/2008
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Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
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Disorder|44054006|Diabetes Mellitus, Type 2|Active|07/17/2009
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Disorder|59621000|Essential Hypertension|Active|06/05/2008
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Medication List
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RxNorm
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|Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
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Code
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205875|Medication|glyburide|Diabeta|2.5 mg|1 Tablet|PO|Q AM|07/17/2009|Active
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200801|Medication|furosemide|Lasix|20 mg|1 Tablet|PO|BID|06/05/2008|Active
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potassium
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628958|Medication|Klor-Con|10 mEq|1 Tablet|PO|BID|06/05/2008|Active
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chloride
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Medication Allergy List
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Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
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Drug Allergy|294506009|Ampicillin|Diarrhea, nausea, vomiting|03/25/1997
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Drug Allergy|91939003|Sulfonamides|Hives, photosensitivity|04/25/1989
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Diagnostic Test Results
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Type|LOINC Code|Test (Normal Range)|Result|Date Performed
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Chemistry|14771-0|Fasting Blood Glucose (70<37>100 mg/dl)|145 mg/dl|07/17/2009
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Hemistry|2823-3|Potassium (3.5<EFBFBD>5.3 mg/dl)|4.5 mg/dl|07/17/2009
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Chemistry|14927-8|Triglycerides (<150 mg/dl)|187 mg/dl|07/17/2009
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The heart outline is normal
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42272-5|and the hilar and
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Imaging|Chest X-ray, PA & Lateral|mediastinal vessels are of|07/17/2009
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normal appearance
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