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[1021] | 1 | Clinical Summaries Test Data Set #3 Office Visit #1 for Barbara Simpson
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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 | Barbara Simpson 10/12/1956 Female 9688675266 Medical Record Number 996 Dalton Street,
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| 6 | 19:47:01 Fargo, North Dakota
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| 7 | 54102
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| 8 | 701-366-5534
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| 9 |
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| 10 | Source for all data for this patient: Robert James, MD
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| 11 |
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| 12 | Problem List
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| 13 | Type ICD-9 Code Patient Problem Status Date Diagnosed
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| 14 | Diagnosis 486 Pneumonia Active 07/02/2010
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| 15 |
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| 16 | Type SNOMED Code* Patient Problem Status Date Diagnosed
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| 17 | Disorder 233604007 Pneumonia Active 07/02/2010
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| 18 |
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| 19 | Medication List
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| 20 | RxNorm
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| 21 | Product Generic Name Brand Name Strength Dose Route Frequency Date Started Status
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| 22 | Code
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| 23 | 308460 Medication azithromycin Azithromycin 250 mg 1 Tablet PO QD 07/02/2010 Active
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| 24 |
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| 25 | Medication Allergy List
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| 26 | Type SNOMED Code Medication/Agent Reaction Date Recorded
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| 27 | Drug Allergy 91936005 Penicillin Rash and anaphylaxis 06/10/2009
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| 28 | Drug Allergy 91939003 Sulfonamides Hives, photosensitivity 04/25/1988
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| 29 |
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| 30 | Diagnostic Test Results
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| 31 | Type LOINC Code Test (Normal Range) Result Date Performed
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| 32 | 42272-5
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| 33 | Imaging Chest X-ray, PA & Lateral Bilateral Pneumonia 07/02/2010
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| 34 | Type LOINC Code Test (Normal Range) Result Date Performed
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| 35 | Cardiology 34534-8 Electrocardiogram Sinus Tachycardia 07/02/2010
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