38 lines
3.1 KiB
Plaintext
38 lines
3.1 KiB
Plaintext
Clinical Summaries Test Data – Set #4 Office Visit #1 for Susan Ellerby
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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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Susan Ellerby 12/08/1963 Female 925377799 Medical Record Number 483 Powell Street,
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21:54:24 Shawville, Pennsylvania
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16873
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814-645-9475
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“Source” for all data for this patient: Dorcas Wayne, MD
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Problem List
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Type ICD-9 Code Patient Problem Status Date Diagnosed
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Condition 272.4 Hyperlipidemia Active 07/06/2010
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Type SNOMED Code* Patient Problem Status Date Diagnosed
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Disorder 55822004 Hyperlipidemia Active 07/06/2010
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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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atorvastatin
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617314 Medication Lipitor 10 mg 1 Tablet PO Q Day 07/06/2010 Active
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calcium
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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 91936005 Penicillin Rash and anaphylaxis 05/22/1998
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Drug Allergy 293597001 Codeine Hives 02/17/1992
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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 14647-2 Total cholesterol (<200 mg/dl) 279 mg/dl 07/06/2010
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Chemistry 14646-4 HDL cholesterol (?40 mg/dl) 89 mg/dl 07/06/2010
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Chemistry 2089-1 LDL cholesterol (<100 mg/dl) 190 mg/dl 07/06/2010
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Chemistry 14927-8 Triglycerides (<150 mg/dl) 187 mg/dl 07/06/2010 |