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File: 102896_aug96_decls2_0020.txt
Subject: PATIENT FILE
Box ID: BX000482
Unit: ARCENT
Parent Organization: CENTCOM
Folder Title: MEDSTAT - SITREPS OCT 90 3 OF 4
Folder SEQ #: 16
Document Number: 6
05:13 PATIENT FILE 10/22/90
PERSONAL DATA - PRIVACY ACT OF 1974
5 U.S.C. 552 (b)(6) 13. MODE- A
1. NAME: 18. AUTHORITY 0292AOB2 2. SSAN: 3. PRECEDENCE: R
4. STAT: All 5. GRADE- EOB 6. AGE: 40Y 7. SEX. M S. WT: 210 9. READY DATE- 292
10. 160: 11. POR: 12. SPEC CAT:
14. REAS REG. DS 15, DATE LAST VISIT: 16. CLASS: 2A
17. ACCEPT PHYS: JMRO 19. APPT/SURB DATE: NO
20. APP@ROV AUTH: 21. CANC/INC: 22. VALID: SMF Y7
23. MTF CRIB: A5150 USA DISPENSARY DHAHRAN 24. ICAD GRIG: GEDR
25. P.TF DEST. A@@040 2ND GEN HOSP LANDSTUHL 26. ICAD DEST: EDAR
27. rED SPEC 1: MMC 28. DIAG 1: 78650 UNSPECIFIED CHEST PAIN
29, NED SPEC 2. APC 30. DIAG 2- 78650 UNSPECIFIED CHEST PAIN
31. t4ED SPEC 3: 32. DIAS 3:
32A. PROCEDURE:
33. SPEC DIET: Y/ NONE STATED 34. IV:
35. 02/LPI: Y 1 2 36. SUET: N 37. NS TUBE: N 38. FrtSP: N' 39. FOLEY: N 40. STRYKER: N
41, INCLIB: N 42. TRACT: N 43. IMFD: N 44, CAST/LOC: N 1 45. TRACH: N 46. MON: N
AG TYPE. NB 72. PT BAG TAG 73. PT BAG WT:
47, SUPP INFO: 101 SPT GRP; IOIST AIRBORNE DIVISION; FT. CAMPBELL, KY REPORTED BY
44TP, NED BDE/26 CSH **LIRGENT**
48. MAX ENRTE STOPS: Y / 9 49. MAX # RONS: Y f 7 50. ALT REST/riAX NT: N
53. INPATIENT., Y 54. SPEC PROB: VA DRUG ALCOHOL WT NONE X 55. VA CODE:
5b. ADMIN/UVERSEAS:
58. VITAL SIGNS(TEMP/PULSE/RcSP/BLOOD PRESS): 098.6 64 / 12 / 100 60
59. HGB- 60, MCI: 61. ABS: / DATE TAKEN:
62@ NBC: 63. SI/VSI: 64. MEDICATIONS: ASA I GD/ISORDIL IOMB TID/TYLENOL 2
TABS CID/MYLANTA 3OCC OID
65. HISTORY. PT HAS A HX OF CHEST PAINS - NEW ONSET ON 18 OCT 90. PAINS HAVE RES
OLVED WITH THERAPHY. EKG ON 19 OCT 90 @0400L, SHOWED NO EVIDENCE OF ACUTE MI.
PT NEEDS A CARDIAC CATHERIZATION; WHICH IS NOT AVAILABLE IN THE AUR.
PT HAS NOT HAD ABB OR STRESS TEST PROCEDURES DONE. PT WILL BE ON 02 PRN.
***THIS PATIENT 15 A "URGENT" FROM SAUDI ARABIA***
66. ATT PHYS: YOST 67. PH#. 000 000 0000 68. WARD#/PH#: 000 000 000 0000
69. REPORTED BY: 190509ZGCT90DJD 70. PH#. 000 0000
74. ATTENDANT NAME #I: 75. STATUS- 76. GRADE:
77. AGE. 78. SEX: 78A. WT: 79. RELATIONSHIP TO PATIENT:
80. BAG TYPE: 81. BAG TAB 82, BAG WT-
83. ATTENDANT NAME #2: 84. STATUS- 05. GRADE:
: 87. SEX: 87A. WT: 80. RELATIONSHIP TO PATIENT:
69. BAG TYPE: 90. BAG TAG 91. BAG WT.-
92. TRANS ORIG PHONE EXT:
93, TRANS DEST PHONE EXT:
94. ETA ORIG MTF(DATE/TIME). 000 95. ETA DEST NTF(DATE/TIME), 000
97. OTHER COMMENTS:
51. MSN #: 4120/292 52. RON LOC-
57. VALIDATED BY/REAS FOR HIGHER PRECEDENCE:
96. AIRCRAFT ITINERARY;
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Document 41 f:/Week-32/BX000482/MEDSTAT - SITREPS OCT 90 3 OF 4/patient file:10019616503518
Control Fields 17
File Room = aug96_declassified
File Cabinet = Week-32
Box ID = BX000482
Unit = ARCENT
Parent Organization = CENTCOM
Folder Title = MEDSTAT - SITREPS OCT 90 3 OF 4
Folder Seq # = 16
Subject = PATIENT FILE
Document Seq # = 6
Document Date =
Scan Date =
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 = 01-OCT-1996