| 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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