53 lines
1.8 KiB
Plaintext
53 lines
1.8 KiB
Plaintext
Patient Summary Record Test Data – Set #4
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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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Sally Eckerd|08/08/1962|Female|998877799|Medical Record Number|754 Samuel Street,
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Shawville,
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18:25:59|
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“Source” for all data for this patient: Mark Payne, 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|07/05/2006
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Symptom|401.9|Hypertension, Essential|Active|07/05/2006
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Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
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Disorder|55822004|Hyperlipidemia|Active|07/05/2006
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Disorder|59621000|Essential Hypertension|Active|07/05/2006
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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|07/05/2006|Active
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calcium
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200801|Medication|furosemide|Lasix|20 mg|1 Tablet|PO|BID|07/05/2006|Active
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(potassium
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628958|Medication|Klor-Con|10 mEq|1 Tablet|PO|BID|07/05/2006|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|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|2823-3|Potassium (3.5–5.3 mg/dl)|4.5 mg/dl|07/15/2009
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Chemistry|14647-2|Total cholesterol (<200 mg/dl)|180 mg/dl|07/15/2009
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Chemistry|14646-4|HDL cholesterol (?40 mg/dl)|38 mg/dl|07/15/2009
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Chemistry|2089-1|LDL cholesterol (<100 mg/dl)|120 mg/dl|07/15/2009
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Chemistry|14927-8|Triglycerides (<150 mg/dl)|187 mg/dl|07/15/2009
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Type|LOINC Code|Test (Normal Range)|Result|Date Performed
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Imaging|42272-5|The heart outline is normal|07/15/2009
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Chest X-ray, PA & Lateral|and the hilar and
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