35 lines
2.9 KiB
Plaintext
35 lines
2.9 KiB
Plaintext
Clinical Summaries Test Data – Set #3 Office Visit #1 for Barbara Simpson
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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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Barbara Simpson 10/12/1956 Female 9688675266 Medical Record Number 996 Dalton Street,
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19:47:01 Fargo, North Dakota
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54102
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701-366-5534
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“Source” for all data for this patient: Robert James, 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 486 Pneumonia Active 07/02/2010
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Type SNOMED Code* Patient Problem Status Date Diagnosed
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Disorder 233604007 Pneumonia Active 07/02/2010
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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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308460 Medication azithromycin Azithromycin 250 mg 1 Tablet PO QD 07/02/2010 Active
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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 06/10/2009
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Drug Allergy 91939003 Sulfonamides Hives, photosensitivity 04/25/1988
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Diagnostic Test Results
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Type LOINC Code Test (Normal Range) Result Date Performed
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42272-5
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Imaging Chest X-ray, PA & Lateral Bilateral Pneumonia 07/02/2010
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Type LOINC Code Test (Normal Range) Result Date Performed
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Cardiology 34534-8 Electrocardiogram Sinus Tachycardia 07/02/2010 |