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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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