| Rev | Line | |
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| [1021] | 1 | Clinical Summaries Test Data Set #4|Office Visit #1 for Susan Ellerby
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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 | Susan Ellerby|12/08/1963|Female|925377799|Medical Record Number|483 Powell Street,
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| 6 | 21:54:24|Shawville, Pennsylvania
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| 7 | 16873
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| 8 | 814-645-9475
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| 9 |
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| 10 | Source for all data for this patient: Dorcas Wayne, 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 | Condition|272.4|Hyperlipidemia|Active|07/06/2010
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| 15 |
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| 16 | Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
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| 17 | Disorder|55822004|Hyperlipidemia|Active|07/06/2010
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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 | atorvastatin
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| 24 | 617314|Medication|Lipitor|10 mg|1 Tablet|PO|Q Day|07/06/2010|Active
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| 25 | calcium
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| 26 |
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| 27 | Medication Allergy List
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| 28 | Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
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| 29 | Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|05/22/1998
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| 30 | Drug Allergy|293597001|Codeine|Hives|02/17/1992
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| 31 |
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| 32 |
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| 33 | Diagnostic Test Results
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| 34 | Type|LOINC Code|Test (Normal Range)|Result|Date Performed
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| 35 | Chemistry|14647-2|Total cholesterol (<200 mg/dl)|279 mg/dl|07/06/2010
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| 36 | Chemistry|14646-4|HDL cholesterol (?40 mg/dl)|89 mg/dl|07/06/2010
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| 37 | Chemistry|2089-1|LDL cholesterol (<100 mg/dl)|190 mg/dl|07/06/2010
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| 38 | Chemistry|14927-8|Triglycerides (<150 mg/dl)|187 mg/dl|07/06/2010
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