37 lines
2.9 KiB
Plaintext
37 lines
2.9 KiB
Plaintext
Clinical Summaries Test Data – Set #2 Office Visit #1 for Robert Flint
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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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Robert Flint 04/18/1983 Male 9813624798 Medical Record Number 747 Market Street,
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20:18:04 Morton, Illinois 61550
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309-365-8298
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“Source” for all data for this patient: Carl Roberts, 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 493.00 Asthma, unspecified Active 07/19/2009
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Type SNOMED Code* Patient Problem Status Date Diagnosed
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Disorder 195967001 Asthma Active 07/19/2009
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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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Alupent
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metaproterenol
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206833 Medication Inhalation 15 mg/ml 2 Puffs Inhaled Q4h 07/19/2009 Active
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sulfate
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Aerosol
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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 08/10/2008
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Nausea, vomiting, rash,
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Drug Allergy 293620004 Indomethacin 03/25/2003
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dizziness, headache
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Diagnostic Test Results
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Type LOINC Code Test (Normal Range) Result Date Performed
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Imaging 24648-8 Chest X-ray, PA Increased bronchial wall markings, patchy infiltrates 07/19/2009 |