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Comment: update patient story

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The examples in this specification are based on the following patient story:

Peter Packton has been having shortness of breath in the last few days and makes an appointment with comes in to see his primary care provider, Dr. Anthony Allen, for a an annual check-up. Dr. Allen sees Mr. Packton on September 2nd, 2016. The patient has a BMI of 30, no history of smoking, no complaints of occasional chest pain with exertion, no physical signs of respiratory and cardiac problems, and a familial family history of coronary artery disease . Based on the examination and certain test results, Dr. Allen where his dad died of a heart attack at age 53. Dr. Allen diagnoses Mr. Packton with hypertension and an elevated LDL and decides to refer him to a cardiologist, requesting a consultation within a week.. The a month. Dr. Allen sends a referral to a cardiologist, Dr. Charles Carlyle, but since Dr. Carlyle is unable to accept Mr. Packton's insurance, the referral is returned the next day to Dr. Allen's office with a reason of "Insurance out of network". Dr. Allen then sends the referral to another cardiologist, Dr. Beatrice Brown, who accepts the referral, and her practice schedules an appointment with Mr. Packton on for September 8th, 2016. After seeing the patient, Dr. Brown sends her consultation report to Dr. Allen, sharing her findings, and letting him know that diagnostic cardiac catheterization a CT Angiography is scheduled. The procedure is performed on September 14th, 201621st, and the diagnosis of coronary artery disease is confirmed. Dr. Brown sends he summary consultation notehas a follow-up appointment with Mr. Packton on September 28th and sends the CTA report, including a summary of care with a proposed plan of care, which closes the referral loop.

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First NameBeatrice
Family NameBrown
TitleNPIMD
NPI2223334444
Organization name Cardiology Cardiology Partners
Organization OID1.3.6.1.4.1.21367.2016.10.1.32
OID for patient ID Assignment1.3.6.1.4.1.21367.2016.10.1.32.11
OID for provider ID assignment1.3.6.1.4.1.21367.2016.10.1.32.13
OID for appointment ID assignment1.3.6.1.4.1.21367.2016.10.1.32.17
Provider ID within
the organization
42334DG
Direct addressbbrown@direct.cpart.example.org

Provider C

First NameCharles
Family NameCarlyle
TitleMD
NPI8889990000
Organization nameCardiology Associates
Organization OID1.3.6.1.4.1.21367.2016.10.1.62
OID for patient ID Assignment1.3.6.1.4.1.21367.2016.10.1.62.12
OID for provider ID assignment1.3.6.1.4.1.21367.2016.10.1.62.14
OID for appointment ID assignment1.3.6.1.4.1.21367.2016.10.1.62.18
Provider ID within
the organization
94893CC
Direct addressccarlyle@direct.cpart.example.org

D.2 Clinical Data

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Height5' 9"
Weight205 lbs
BMI30.3
Blood Pressure195/122
LDL200
CT Angiograph Impression40% stenosis of left anterior descending artery