| Rev | Line | |
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| [1021] | 1 | Clinical Summaries Test Data Set #5|Office Visit #1 for Johnathan Stone
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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 | Johnathan|11/12/1966|Male|988772587|Medical Record Number|937 Sutter Street, Aurora,
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| 6 | Stone|08:18:08|Colorado|80011
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| 7 | 303-544-9988
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| 8 |
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| 9 | Source for all data for this patient: Samuel Johnston, 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|250.02|Diabetes Mellitus, Type 2|Active|07/17/2010
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| 14 |
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| 15 | Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
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| 16 | Disorder|44054006|Diabetes Mellitus, Type 2|Active|07/17/2010
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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 | 205875|Medication|glyburide|Diabeta|2.5 mg|1 Tablet|PO|Q AM|07/17/2010|Active
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| 23 |
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| 24 | Medication Allergy List
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| 25 | Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
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| 26 | Drug Allergy|294506009|Ampicillin|Diarrhea, nausea, vomiting|03/25/1997
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| 27 | Drug Allergy|91939003|Sulfonamides|Hives, photosensitivity|04/25/1989
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| 28 |
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| 29 | Diagnostic Test Results
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| 30 | Type|LOINC Code|Test (Normal Range)|Result|Date Performed
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| 31 | Chemistry|14771-0|LOINC|Fasting Blood Glucose (70100 mg/dl)|120 mg/dl|07/17/2010
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