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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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