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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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