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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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