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| 1 | Clinical Summaries Test Data Set #2|Office Visit #1 for Robert Flint
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| 2 |
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| 3 | Patient
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| 4 | Name|Date/Time of Birth|Gender|Identification Number|Identification Number Type|Address/Phone
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| 5 | Robert Flint|04/18/1983|Male|9813624798|Medical Record Number|747 Market Street,
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| 6 | 20:18:04|Morton, Illinois|61550
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| 7 | 309-365-8298
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| 8 |
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| 9 | Source for all data for this patient: Carl Roberts, MD
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| 10 |
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| 11 | Problem List
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| 12 | Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
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| 13 | Diagnosis|493.00|Asthma, unspecified|Active|07/19/2009
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| 14 |
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| 15 | Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
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| 16 | Disorder|195967001|Asthma|Active|07/19/2009
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| 17 |
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| 18 | Medication List
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| 19 | RxNorm
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| 20 | |Product|Generic Name|Brand Name|Strength|Dose|Route|Frequency|Date Started|Status
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| 21 | Code
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| 22 | Alupent
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| 23 | metaproterenol
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| 24 | 206833|Medication|Inhalation|15 mg/ml|2 Puffs|Inhaled|Q4h|07/19/2009|Active
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| 25 | sulfate
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| 26 | Aerosol
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| 27 |
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| 28 | Medication Allergy List
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| 29 | Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
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| 30 | Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|08/10/2008
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| 31 | Nausea, vomiting, rash,
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| 32 | Drug Allergy|293620004|Indomethacin|03/25/2003
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| 33 | dizziness, headache
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| 34 |
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| 35 | Diagnostic Test Results
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| 36 | Type|LOINC Code|Test (Normal Range)|Result|Date Performed
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| 37 | Imaging|24648-8|Chest X-ray, PA|Increased bronchial wall markings, patchy infiltrates|07/19/2009
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