1 | Patient Summary Record Test Data Set #4
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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 | Sally Eckerd|08/08/1962|Female|998877799|Medical Record Number|754 Samuel Street,
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6 | Shawville,
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7 | 18:25:59|
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8 | Source for all data for this patient: Mark Payne, MD
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9 |
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10 | Problem List
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11 | Type|ICD-9 Code|Patient Problem|Status|Date Diagnosed
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12 | Condition|272.4|Hyperlipidemia|Active|07/05/2006
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13 | Symptom|401.9|Hypertension, Essential|Active|07/05/2006
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14 |
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15 | Type|SNOMED Code*|Patient Problem|Status|Date Diagnosed
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16 | Disorder|55822004|Hyperlipidemia|Active|07/05/2006
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17 | Disorder|59621000|Essential Hypertension|Active|07/05/2006
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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|07/05/2006|Active
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25 | calcium
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26 | 200801|Medication|furosemide|Lasix|20 mg|1 Tablet|PO|BID|07/05/2006|Active
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27 | (potassium
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28 | 628958|Medication|Klor-Con|10 mEq|1 Tablet|PO|BID|07/05/2006|Active
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29 | chloride
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30 |
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31 | Medication Allergy List
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32 | Type|SNOMED Code|Medication/Agent|Reaction|Date Recorded
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33 | Drug Allergy|91936005|Penicillin|Rash and anaphylaxis|05/22/1998
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34 | Drug Allergy|293597001|Codeine|Hives|02/17/1992
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35 |
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36 | Diagnostic Test Results
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37 | Type|LOINC Code|Test (Normal Range)|Result|Date Performed
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38 | Chemistry|2823-3|Potassium (3.55.3 mg/dl)|4.5 mg/dl|07/15/2009
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39 |
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40 | Chemistry|14647-2|Total cholesterol (<200 mg/dl)|180 mg/dl|07/15/2009
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41 |
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42 | Chemistry|14646-4|HDL cholesterol (?40 mg/dl)|38 mg/dl|07/15/2009
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43 |
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44 | Chemistry|2089-1|LDL cholesterol (<100 mg/dl)|120 mg/dl|07/15/2009
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45 |
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46 | Chemistry|14927-8|Triglycerides (<150 mg/dl)|187 mg/dl|07/15/2009
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47 |
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48 | Type|LOINC Code|Test (Normal Range)|Result|Date Performed
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49 | Imaging|42272-5|The heart outline is normal|07/15/2009
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50 | Chest X-ray, PA & Lateral|and the hilar and
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51 |
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52 |
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