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File: 092396_aug96_decls5_0011.txt
Subject: PATIENT FILE
Box ID: BX000482
Document Number: 4
Folder Title: MEDSTAT - SITREPS DEC 90 4 OF 6
Folder Seq #: 8
Unit: ARCENT
Parent Organzation: CENTCOM
06:32:17 **** PATI@c%@j- FILE **** '2/29/90
PERSONAL DAIA - PRIVACY ACT OF 1974
13, j@,ODF; A
@S. AU-1p.0-PTT
57ALI(12 2, SSAil PRECEDENCE: R
4@ STA-I: Hii u@Hu@: to;+ 6@ AGE: 21Y 7. @@-EX; F S. WT: 110 9. READY DATE; 57
if,'. Isol POR@ 12. SPE@ CAT@
14@ REAS REG: DS 15, DATE LOS' VISIT; 16. P@LASS@ 2D
17. ACCEPT PHYST J'RO 5 U.S.C. 552 (b)(6) 19. APPT/SURG DATE: NO
10. APPRCIV AUTH- 'II. CAN'@/INC: 22. VALID: CWH Y5
23. riTF CRIG-, A5150 USA DISPENSARY DHAP,,RAt%' 24. ICAG ORIG; C@@DR
26. ICAO DEST: EDAF
,5. @ITF DEST: A5030 cRANKFURi ARMY R'as i!ED
27. riED SPEC I- V@MU 'Ls. DIAS 1: 49390 ASTH.@N4, UNSPECIFIE@ T PE, ST TUS hSTP@i@iA-ICLIS NOT MENTIONED
A
29. r,.ED SPEC 2: 30. DIAG 2@
3i. MED SPEC 3: 30@. DIAC 3:
32A. PROCEDURE:
3. SPEC DIET: NI 34. IV: 1
35@ 02/LPMi @N' 36. SU@,T: N 37@ MG TUBE: N 38. RESP: 7@9, FOLEY: N 40. STRYKER: N
41. !NCUS: N4@-1. TRACT: iN 43. IIFD: %I 44. CASTI,'L.3C.- N 45. TRACJ; N' 46. @ON: N
71. PT BAG TYPE: NB 72. PT BAG TA,@, 73. PT BAG ViT:
47@ SUPP INFO: FT BRAGG, NC //28
48. MAX c,NRTc, STOPS: Y / 9 49. M@AX # RONS; Y f 9 50. ALT REST/11AX HT: N' 1
-7 Y54. SPE@ Po P: VA DRU@ A' OHnuL 6!T X 55. VA CODE:
D.. !NPATIENTA IC I
@6. ADIIIN/DVm' S'CAS:
59@ VITAL SiGiNS(TEMP/PULS-t/RESP/B'@@OD PRESS): 098.0 72 /1.6 120 / 70
@9. HOB@ 60. 'HOT: 61. AB'@: DATE TAKEN:
62. 4,3. SI/VSI: 64. P@c@DICATIONS: PRE.@14133@4E 40MG PC DAILY,
PROVEiNT'i !NH@"@OR MD T2 PUFFS DID, T-:O@HROMYCIN 500t.16 DID
65. HISIORY; LONG HISTORY OF ASTHMA ACUTE ASTHMA ATTACK RC@CIUIRING SYSTEi@tTr
STEROIDS. PATIENT TS STEROID DEPENDEN- AND CANNOT TN.LERATE EpiVIROF,@cN'T
c f
NEEDS FULL PULMONARY C@VAL AND POSSIBLE ri--B.
68. WARD#/PHO.; 000 000 00@ 000,')
69. REPORED BY: DREYER 70, PH4: 000 0000
74. ATTENDANT NAME #I: 75. STATUS: 76. GRADE:
77. ASP-: 78. SEXT 76A. V,T: 79, RELAITONSHIP TO PAIIENT:
Fi. BAG TYPE: 81. BAG TAG 62. BAG @14T:
83. ATTENDANT NAYIE #2: 84. STATUS! S'@. GRADE:
86, A C. 87. SFX; 07A. 6T: 88. RELATIONSHIP TO PATIENT:
.G-.
89. BAG TYPE: 90. BAG TAG 91. BAG WT:
92. IRAN CRIB PHONE CIXT:
93. TRANS DEST PHONE EXT:
94. ETA DRIG MTF(DAiE/TIr,'C): 000 95. ETA DES' MT@-(DA-iE/Tl'@i---): 000
97. OTHER COMMENTS:
51. rSN #: OOOO/ 57 52. RON LO@@@
57@ VALIDATED BY/REAS FOR HIGHER PRECEDENCE;
96, AIR@@RAF TITI@4ERARY@ I f
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Document 18 f:/Week-32/BX000482/MEDSTAT - SITREPS DEC 90 4 OF 6/patient file:09069614061216
Control Fields 17
File Room = aug96_declassified
File Cabinet = Week-32
Box ID = BX000482
Unit = ARCENT
Parent Organization = CENTCOM
Folder Title = MEDSTAT - SITREPS DEC 90 4 OF 6
Folder Seq # = 8
Subject = PATIENT FILE
Document Seq # = 16
Document Date =
Scan Date = 14-AUG-1996
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 06-SEP-1996