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"Shawn" | |
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"code": "ADM", | |
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"text": "TIMOTHY REID", | |
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"Timothy" | |
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"Q" | |
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"value": "S.101.1" | |
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"building": "S", | |
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"bed": "1", | |
"name": "S.101.1" | |
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{ | |
"resourceType": "Bundle", | |
"type": "transaction", | |
"entry": [ | |
{ | |
"request": { | |
"method": "PUT", | |
"url": "/Patient/b1a555d1fb11bab5e48a6607e696c47c" | |
}, | |
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"id": "b1a555d1fb11bab5e48a6607e696c47c", | |
"resourceType": "Patient", | |
"deceasedBoolean": "N", | |
"birthDate": "1933-10-09T21:00:00.000Z", | |
"gender": "female", | |
"name": [ | |
{ | |
"given": [ | |
"Vincent" | |
], | |
"middle": [ | |
"Devin" | |
], | |
"family": [ | |
"Kutcher" | |
], | |
"text": "VINCENT DEVIN KUTCHER" | |
} | |
], | |
"address": [ | |
{ | |
"line": [ | |
"GIBSON AVE", | |
"FOUR OAKS LODGE", | |
"ORANGE" | |
], | |
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"state": "CA", | |
"postalCode": "98765", | |
"country": "USA", | |
"text": "GIBSON AVE FOUR OAKS LODGE ORANGE CA 98765 USA" | |
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"text": "External ID" | |
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"text": "Internal ID" | |
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"value": "160922", | |
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"text": "Alternate ID" | |
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"text": "Account number" | |
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"value": "123-52-9999", | |
"system": "http://hl7.org/fhir/sid/us-ssn", | |
"type": { | |
"text": "Social Security Number" | |
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{ | |
"use": "home", | |
"value": "(111)222-3333", | |
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], | |
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"gender": "male", | |
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{ | |
"code": "Z" | |
} | |
] | |
}, | |
"name": { | |
"use": "official", | |
"given": [ | |
"LAWRENCE" | |
], | |
"family": [ | |
"KUTCHER" | |
], | |
"middle": [ | |
"E" | |
], | |
"text": "LAWRENCE E KUTCHER" | |
}, | |
"address": { | |
"line": [ | |
"4357 COBBLESTONE LANE", | |
"LA CANDADA" | |
], | |
"city": "LA CANDADA", | |
"state": "CA", | |
"postalCode": "91011", | |
"text": "4357 COBBLESTONE LANE LA CANDADA CA 91011", | |
"use": "Mailing Address" | |
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{ | |
"gender": "male", | |
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"coding": [ | |
{ | |
"code": "Z" | |
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"name": { | |
"use": "official", | |
"given": [ | |
"RUSSEL" | |
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"family": [ | |
"KUTCHER" | |
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"text": "RUSSEL KUTCHER" | |
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"3420 LE BETHON ST", | |
"SUNLAND" | |
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"state": "CA", | |
"postalCode": "91040", | |
"text": "3420 LE BETHON ST SUNLAND CA 91040", | |
"use": "Mailing Address" | |
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"url": "/Coverage" | |
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"identifier": { | |
"value": "160922", | |
"system": "urn:oid:2.16.840.1.113883.4.3.45" | |
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"reference": "Patient/b1a555d1fb11bab5e48a6607e696c47c" | |
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"method": "PUT", | |
"url": "/Encounter/fae0b27c451c728867a567e8c1bb4e53" | |
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"id": "fae0b27c451c728867a567e8c1bb4e53", | |
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"value": "666" | |
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"start": "2013-08-02T10:00:00.000Z" | |
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"code": "ATND", | |
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"reference": "Practitioner/ea82e6c2c3303938ba6b79cc7d6a8991" | |
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"coding": [ | |
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"code": "ADM", | |
"system": "http://hl7.org/fhir/v3/ParticipationType" | |
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"reference": "Practitioner/ea82e6c2c3303938ba6b79cc7d6a8991" | |
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"patient": { | |
"reference": "Patient/b1a555d1fb11bab5e48a6607e696c47c" | |
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"location": { | |
"location": { | |
"reference": "Location/b6295fe37cf9377d0e0f90bc9a6f8242" | |
}, | |
"status": "active" | |
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"request": { | |
"method": "PUT", | |
"url": "/Practitioner/ea82e6c2c3303938ba6b79cc7d6a8991" | |
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"resource": { | |
"id": "ea82e6c2c3303938ba6b79cc7d6a8991", | |
"resourceType": "Practitioner", | |
"identifier": [ | |
{ | |
"value": "01552" | |
} | |
], | |
"name": { | |
"text": "CHARLES ANDERSON", | |
"given": [ | |
"Charles" | |
], | |
"middle": [ | |
"A" | |
], | |
"family": [ | |
"Anderson" | |
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"request": { | |
"method": "PUT", | |
"url": "/Location/b6295fe37cf9377d0e0f90bc9a6f8242" | |
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"id": "b6295fe37cf9377d0e0f90bc9a6f8242", | |
"resourceType": "Location", | |
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{ | |
"value": "581.A" | |
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"room": "581", | |
"bed": "A", | |
"name": "581.A" | |
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{ | |
"resourceType": "Bundle", | |
"entry": [ | |
{ | |
"request": { | |
"method": "POST", | |
"url": "/DiagnosticReport" | |
}, | |
"resource": { | |
"resourceType": "DiagnosticReport", | |
"issued": "2011-12-15T17:06:00.000Z", | |
"conclusion": "EXAMINATION^^^^^^^^^^CT ANGIO NECK W WO CON^^^^^^^^^^^^^^^CLINICAL HISTORY^^^^^Chest pain, syncope and dizziness. Rule out carotid stenosis.^^^^^^^^^^^^^^^COMPARISON^^^^^No comparison available.^^^^^^^^^^^^^^^TECHNIQUE^^^^^CT angiography of the neck was performed and supplemented with ^^^^^coronal, sagittal, MIP, surface rendered and 3D rotating ^^^^^reconstructions.^^^^^^^^^^Contrast Agent ISOVUE 370 100 milliliter 11/15/2011 INTRAVENOUS^^^^^^^^^^^^^^^FINDINGS^^^^^Incidentally noted is a bovine arch variant. There is mild tortuosity ^^^^^and kinking of the proximal great vessels without significant ostial ^^^^^stenosis.^^^^^^^^^^RIGHT CAROTID ARTERY: The right common and internal carotid arteries ^^^^^are normal in course and caliber without aneurysmal dilatation or ^^^^^dissection. The carotid bifurcation is widely patent. There is very ^^^^^mild focal short-segment narrowing of the proximal internal carotid ^^^^^artery with less than 10% stenosis. The external carotid artery is ^^^^^widely patent and well-opacified as well.^^^^^^^^^^LEFT CAROTID ARTERY: The left common carotid artery is normal in ^^^^^course and caliber without aneurysmal dilatation or dissection. The ^^^^^carotid bifurcation is patent. There is a moderate-length high-grade ^^^^^stenosis of the proximal left internal carotid artery with ^^^^^circumferential mural thrombus noted best on axial and sagittal ^^^^^imaging. This results in approximately 75% narrowing over a 2 cm ^^^^^length segment. The distal internal carotid artery is unremarkable. ^^^^^The origin of the external carotid artery is widely patent without ^^^^^abnormality.^^^^^^^^^^VERTEBROBASILAR SYSTEM: The origin of both vertebral arteries are ^^^^^patent. Incidentally noted is a dominant left vertebral artery with ^^^^^diffuse attenuation of the right vertebral artery. The vertebral ^^^^^confluence and proximal basilar artery are unremarkable.^^^^^^^^^^^^^^^IMPRESSION^^^^^1. LEFT INTERNAL CAROTID ARTERY: Long-segment high-grade stenosis of ^^^^^the proximal ICA with approximately 75% narrowing. Correlation with ^^^^^carotid ultrasound is needed.^^^^^^^^^^2. RIGHT INTERNAL CAROTID ARTERY: No significant stenosis.", | |
"status": "P", | |
"serviceCategory": { | |
"coding": [ | |
{ | |
"code": "CT", | |
"display": "Computed Tomography" | |
} | |
] | |
}, | |
"code": { | |
"coding": [ | |
{ | |
"code": "4550422", | |
"display": "CT ANGIO NECK W WO CON" | |
} | |
] | |
}, | |
"codedDiagnosis": [ | |
{ | |
"coding": [ | |
{ | |
"code": "784.3", | |
"display": "APHASIA" | |
} | |
] | |
}, | |
{ | |
"coding": [ | |
{ | |
"code": "535.61", | |
"display": "DUODENITIS W/HEMORRHAGE" | |
} | |
] | |
} | |
] | |
} | |
} | |
] | |
} |
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