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Avatar of vpnsol123
vpnsol123

asked on

RTF File Separation

I have a large file that I need to separate out based on information contained on certain lines contained within that file.  I got a great answer on a similar question previously.  The difference is that the file(s) that I am working with now are RTF files.  I have posted an example below.  

{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: Dec  2 2003  9:11AM\par \b0Location Name: GCPeds}

This is the first part of the file.

Basically what I need is for the file to separate into smaller files, naming the file with what it finds after the "Patient NAme" and "Encounter Date" using those values to name the new files.  There is quite a bit of data following this section that would be contained in the individual files.

Thanks.
'
Avatar of Norie
Norie

What you posted looks like a kind of header row or the start of the document.

Can you attach a file with some sample data?
Avatar of vpnsol123

ASKER

Below is an entire document:  Thank you.

{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: Dec  2 2003  9:11AM\par \b0Location Name: GCPeds - Wake Forest}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par
{\rtf1\ansi\deff9\deftab720{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;\f1\fnil\fcharset0\fprq2 Courier New;}}{\colortbl{\red0\green0\blue0;\red255\green0\blue0;\red0\green127\blue0;\red0\green0\blue255;\red128\green128\blue128;}}\pard\pard\nowidctlpar\tx288 {\f9\fs18 \tab Patient's words: mom states nebs have not been helpful-has used neb every two hrs\par\par\tab  The patient is a 6 year old female who presents with a complaint of wheezing.  The onset of the wheezing has been gradual.  The symptoms are aggravated by fall season.  The symptoms have been associated with family history of asthma.  The patient has an additional complaint of urine problems.\par\par\tab Urine problems are described as the following.  The urine problems are described as child says "my pee hurts".\par}}

\par Review of Systems: \par \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 \b General: \b0 \i Present - \i0 Normal and Fever.  \par\fs18 \b Skin: \b0 \i Not Present - \i0 New Lesions, Pruritus and Rash.  \par\fs18 \b HEENT: \b0 \i Present - \i0 Normal.  \par\fs18 \b Neck: \b0 \i Not Present - \i0 Neck Mass, Neck Pain, Neck Stiffness and Swollen Glands.  \par\fs18 \b Respiratory: \b0 \i Present - \i0 Wheezing.  \par\fs18 \b Breast: \b0 \i Present - \i0 Normal.  \par\fs18 \b Cardiovascular: \b0 \i Present - \i0 Normal.  \par\fs18 \b Gastrointestinal: \b0 \i Not Present - \i0 Abdominal Pain and Diarrhea.  \par\fs18 \b Female Genitourinary: \b0 \i Present - \i0 Dysuria.  \par\fs18 \b Musculoskeletal: \b0 \i Present - \i0 Myalgia.  \par\fs18 \b Neurological: \b0 \i Present - \i0 Dizziness.  \par\fs18 \b Psychiatric: \b0 \i Present - \i0 Normal.  \par\fs18 \b Endocrine: \b0 \i Present - \i0 Normal.  \par\fs18 \b Hematology: \b0 \i Present - \i0 Normal.  \par\fs18 }}
'
\par Physical Exam: The physical exam findings are as follows:
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 \par\fs18 \fs9\par\fs18\ \b Lymphatic: \b0 \par\fs18 \b Head & Neck: \b0 Left - Tender.  }}
'
\par Vitals: \par

{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Temperature:98.60\parBP:0/0\par Weight: 51.0000\par Height: 47.00}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18}\par
'
\par History: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Allergy: No Known Allergies :\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Allergy: Penicillins :augm\par

'
\par Medications: \par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC W/ Differential (85025) Result: EOSINOPHILS .  Normal Range: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Urinalysis (81000) Result:    Normal Range: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC W/ Differential (85025) Result: RDW (RED CELL DISTRIBUTION WID 34  Normal Range: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC W/ Differential (85025) Result: MCH (MEAN CORPUSCULAR HEMOGLOB . pg Normal Range: 27 - 31\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC W/ Differential (85025) Result: NEUTROPHILS, SEGMENTED .  Normal Range: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC W/ Differential (85025) Result: BLOOD COUNT, PLATELET, AUTOMAT .  Normal Range: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC W/ Differential (85025) Result: CBC COMMENTS .  Normal Range: C\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC W/ Differential (85025) Result: WBC 10.5 10 X 9 cells/L Normal Range: 4.5 - 11.0\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC W/ Differential (85025) Result: HCT (HEMATOCRIT) 33 % Normal Range: 42.9 - 49.1\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC W/ Differential (85025) Result: NEUTROPHILS, BAND .  Normal Range: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC W/ Differential (85025) Result: RBC . 10 X 6/uL Normal Range: 4.73 - 5.49\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC W/ Differential (85025) Result: BASOPHILS .  Normal Range: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC W/ Differential (85025) Result: LYMPHOCYTES, TOTAL .  Normal Range: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC W/ Differential (85025) Result: MCV (MEAN CORPUSCULAR VOLUME) . cu um Normal Range: 76 - 100\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 Result:    Normal Range: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC W/ Differential (85025) Result: MCHC (MEAN CORPUSCULAR HEMOGLO 33. g/dl Normal Range: 33 - 37\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC W/ Differential (85025) Result: HGB (HEMOGLOBIN) 14 g/dL Normal Range: 14.4 - 16.6\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC W/ Differential (85025) Result: MONOCYTES .  Normal Range: \par


\par
\par Assessment & Plan: \par
599.0 Urinary tract infection, site not specified (599.0)\par
 \par}}}

{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}
{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: Dec  2 2003 10:52AM\par \b0Location Name: GCPeds - Wake Forest}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par
{\rtf1\ansi\deff9\deftab720{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;\f1\fnil\fcharset0\fprq2 Courier New;}}{\colortbl{\red0\green0\blue0;\red255\green0\blue0;\red0\green127\blue0;\red0\green0\blue255;\red128\green128\blue128;}}\pard\pard\nowidctlpar\tx288 {\f9\fs18 \tab  The patient is a 6 year old female presenting for a well-child visit.  The primary caregiver is the grandparent.  Family status: coping adequately.  Behavioral problems: none.  Nutrition: balanced diet. Meals/day: 4.  The child sleeps 9 hours at night.  Elimination: toilet trained. The child interacts well with peers.  Safety measures taken: appropriate use of car seats/safety belts, home smoke detectors, awareness of dangers of passenger-side air bags, avoiding exposure to passive smoke, household child-proofing, appropriate use of helmets and pool/water/drowning precautions.\par}}

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par

{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18}\par
'
\par History: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Pregnancy/Birth: Birth Weight :7lbs10oz\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Pregnancy/Birth: Gestational Age :42 weeks, Post-term\par
Hep B pediatric/adolescent #1:11/02/2003\par
'
\par Medications: \par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18CBC (85025) Result:    Normal Range: \par

Hep B pediatric/adolescent #1\par
\par
\par Assessment & Plan: \par
V20.2 12 Month (V20.2)\par
170 - RSV prophylaxis screening completed\par}}}}}}
90707 - MMR (90707)\par}}}}}}
90716 - Varivax (90716)\par}}}}}}

171 - Anticipatory Guidance Given\par}}}}}}
172 - Lead and TB questionaire reviewed\par}}}}}}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}
{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: Dec  2 2003 11:51AM\par \b0Location Name: (unspecified)}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par

'
\par History: \par

'
\par Medications: \par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 Result:    Normal Range: \par


\par
\par Assessment & Plan: \par

 \par}}}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}
{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: Dec  2 2003 12:00PM\par \b0Location Name: GCPeds - Raleigh}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par

'
\par History: \par

'
\par Medications: \par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 Result:    Normal Range: \par


\par
\par Assessment & Plan: \par

 \par}}}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}
{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: Dec  2 2003 12:09PM\par \b0Location Name: GCPeds - Wake Forest}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par

'
\par History: \par

'
\par Medications: \par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 Result:    Normal Range: \par


\par
\par Assessment & Plan: \par

 \par}}}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}
{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: Dec  4 2003  8:33AM\par \b0Location Name: GCPeds - Wake Forest}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par
{\rtf1\ansi\deff9\deftab720{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;\f1\fnil\fcharset0\fprq2 Courier New;}}{\colortbl{\red0\green0\blue0;\red255\green0\blue0;\red0\green127\blue0;\red0\green0\blue255;\red128\green128\blue128;}}\pard\pard\nowidctlpar\tx288 {\f9\fs18 \tab  The patient is a 6 year old female who presents with a complaint of vomiting.  The onset of the vomiting has been sudden and has been occurring in a persistent pattern for 1 day.  The course has been decreasing.  The vomiting is characterized as coffee-ground in color.  The vomiting occurs immediately after meals.  The symptoms are aggravated by lying down.  The symptoms have been associated with abdominal pain and dysphagia.\par}}

\par Review of Systems: \par \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 \b General: \b0 \i Present - \i0 Playful and Active.  \i Not Present - \i0 Crying, Fever and Distressed.  \par\fs18 \b HEENT: \b0 \i Not Present - \i0 Sore Throat.  \par\fs18 \b Neck: \b0 \i Not Present - \i0 Neck Stiffness.  \par\fs18 \b Respiratory: \b0 \i Not Present - \i0 Breathing Difficulty.  \par\fs18 \b Cardiovascular: \b0 \i Not Present - \i0 Color Change and Increased Heart Rate.  \par\fs18 \b Gastrointestinal: \b0 \i Present - \i0 Constipation.  \i Not Present - \i0 Weight Loss, Abdominal Pain, Change in Bowel Habits, Diarrhea, Food Intolerance, Melena, Nausea, Rectal Bleeding and Vomiting.  \par\fs18 \b Neurological: \b0 \i Not Present - \i0 Change in Behavior, Focal Neurological Symptoms, Incontinence Stool, Incontinence Urine and Trauma.  \par\fs18 \b Psychiatric: \b0 \i Not Present - \i0 Change in Sleep Pattern.  \par\fs18 }}
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Temperature:98.00\parBP:0/0\par Weight: 44.0000\par Height: 40.00}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18AURANOFIN, 3MG (PO Cap) }\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18MYSOLINE, 50MG (PO Tab) }\par
'
\par History: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Allergy: Rice :Rash\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Family: Seizures :Sister\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Social: Pets/Animals :Reptile\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Travel: Austria :\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Problem List/Past Medical: Constipation (564.00) :\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Problem List/Past Medical: Extrinsic Asthma :\par

'
\par Medications: \par
AURANOFIN, 3MG (Oral Capsule)\par
MYSOLINE, 50MG (Oral Tablet)\par
BACTRIM, 200-40MG/5ML (PO Suspension) \par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 Result:    Normal Range: \par


\par
\par Assessment & Plan: \par
784.7 Epistaxis\par
D6-94800 Cystic Fibrosis (277.00)\par
 \par}}}
12366 - Itchy ear *\par}}}}}}
170 - RSV prophylaxis screening completed\par}}}}}}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}
{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: Dec  5 2003 10:12AM\par \b0Location Name: (unspecified)}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par

'
\par History: \par

'
\par Medications: \par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 Result:    Normal Range: \par


\par
\par Assessment & Plan: \par

 \par}}}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}
{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: Dec  5 2003 10:31AM\par \b0Location Name: GCPeds - Wake Forest}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par
{\rtf1\ansi\deff9\deftab720{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;\f1\fnil\fcharset0\fprq2 Courier New;}}{\colortbl{\red0\green0\blue0;\red255\green0\blue0;\red0\green127\blue0;\red0\green0\blue255;\red128\green128\blue128;}}\pard\pard\nowidctlpar\tx288 {\f9\fs18 \tab  The patient is a 6 year old female presenting for a well-child visit.\par}}

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par

'
\par History: \par

'
\par Medications: \par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 Result:    Normal Range: \par


\par
\par Assessment & Plan: \par
D6-94800 Cystic Fibrosis (277.00)\par
17250 - Chemical Cauterization (17250)\par}}}}}}
27 - LIQUID NITROGEN - TOPICAL APPLICATION\par}}}}}}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}
{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: Dec  9 2003 10:03AM\par \b0Location Name: GCPeds - Wake Forest}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par
{\rtf1\ansi\deff9\deftab720{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;\f1\fnil\fcharset0\fprq2 Courier New;}}{\colortbl{\red0\green0\blue0;\red255\green0\blue0;\red0\green127\blue0;\red0\green0\blue255;\red128\green128\blue128;}}\pard\pard\nowidctlpar\tx288 {\f9\fs18 \tab  The patient is a 6 year old female who presents with a complaint of cough.  The cough has been occurring for 3 days.  the patient has a history of asthma.  Mom giving nebs for 2 days.  Additional complaints include wheezing and fever. \par\par\tab Wheezing is described as the following.  The wheezing has been occurring for 2 days.\par}}

\par Review of Systems: \par \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 \b General: \b0 \i Present - \i0 Playful and Active.  \par\fs18 \b HEENT: \b0 \i Not Present - \i0 Cold Symptoms.  \par\fs18 \b Respiratory: \b0 \i Not Present - \i0 Breathing Difficulty.  \par\fs18 \b Cardiovascular: \b0 \i Not Present - \i0 Chest Pain.  \par\fs18 }}
'
\par Physical Exam: The physical exam findings are as follows:
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 \par\fs18 \fs9\par\fs18\ \b Skin: \b0 \par\fs18 Normal.  }}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 \par\fs18 \fs9\par\fs18\ \b Chest & Lung Exam: \b0 \par\fs18 \b Auscultation: \b0 Expiratory wheeze - Both Lung Fields.  }}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 \par\fs18 \fs9\par\fs18\ \b HEENT: \b0 \par\fs18 \b Ear: \b0 Tympanic Membrane - (Bilateral) Normal.  }}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 \par\fs18 \fs9\par\fs18\ \b Peripheral Vascular: \b0 \par\fs18 \b Lower Extremity: \b0 (Bilateral) Inspection Normal.  }}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 \par\fs18 \fs9\par\fs18\ \b Cardiovascular: \b0 \par\fs18 \b Auscultation: \b0 Rhythm - Regular.  }}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 \par\fs18 \fs9\par\fs18\ \b General: \b0 \par\fs18 General Appearance - Cooperative.  }}
'
\par Vitals: \par

{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Temperature:101.00\parBP:0/0\par Weight: 45.0000\par Height: 45.00}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18}\par
'
\par History: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Immunization: Immunizations Up To Date :\par

'
\par Medications: \par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 Result:    Normal Range: \par
Airway Inhalation Treatment (94640) Result: Pulse Oximetry Reading 99 % Normal Range:  - \par
Airway Inhalation Treatment (94640) Result: Medication Instilled tmp cc Normal Range:  - \par


\par
\par Assessment & Plan: \par
493.20 Asthma, Unspecified (493.20)\par
94640 - Airway Inhalation Treatment (94640)\par}}}}}}
 \par}}}
182 - supportive care, observation\par}}}}}}
10 - follow-up in 1 week\par}}}}}}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}
{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: Jan 30 2004 10:01AM\par \b0Location Name: GCPeds - Clayton}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par

'
\par History: \par

'
\par Medications: \par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Quick Flu (87804) Result:    Normal Range: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 Result:    Normal Range: \par


\par
\par Assessment & Plan: \par
466.19 Bronchiolitis (466.19)\par
113 - follow-up tomorrow\par}}}}}}
170 - RSV prophylaxis screening completed\par}}}}}}

179 - If fever persists >48 hours, return to office\par}}}}}}
71020 - X-RAY, Chest (71020)\par}}}}}}
94640 - Airway Inhalation Treatment (94640)\par}}}}}}
16 - return to clinic if symptoms worsen\par}}}}}}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}
{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: Mar 31 2006  9:23AM\par \b0Location Name: GCPeds - Wake Forest}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par

'
\par History: \par

'
\par Medications: \par
ALBUTEROL SULFATE, (2.5 MG/3ML)0.083% (Inhalation Nebulization Solution)\par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 Result:    Normal Range: \par


\par
\par Assessment & Plan: \par

 \par}}}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}
{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: May 21 2012  9:23AM\par \b0Location Name: GCPeds - Knightdale}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par

{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18ANAPLEX DM, 60-4-30MG/5ML (Oral Syrup)}\par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Medications Reconciled}\par
'
\par History: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Social: Tobacco use :\par

'
\par Medications: \par
ANAPLEX DM, 60-4-30MG/5ML (Oral Syrup)\par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Quick Strep GCP (87880) Result: INFCTS ANTIGN, STREPTOCOCCUS G Positive  Normal Range: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 Result:    Normal Range: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Throat Culture GCP (87070) Result:    Normal Range: \par


\par
\par Assessment & Plan: \par
462 PHARYNGITIS in house culture (462.)\par

1897 - follow-up as needed\par}}}}}}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}
{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: May 21 2012  9:53AM\par \b0Location Name: GCPeds - Knightdale}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par

'
\par History: \par

'
\par Medications: \par
TYLENOL CHILDRENS COLD/COUGH, 15-1-5-160MG/5ML (Oral Syrup)\par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 Result:    Normal Range: \par


\par
\par Assessment & Plan: \par

 \par}}}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}
{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: May 21 2012 10:15AM\par \b0Location Name: GCPeds - Knightdale}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0 Arial;}}{\colortbl;\red255\green0\blue0;}\viewkind4\uc1\pard\f0\fs18 \b General:\b0  Not Present- Appetite Loss and Fever.\par \b Skin:\b0  Not Present- \b\cf1 Rash\cf0\b0 .\par \b HEENT:\b0  Present- Congestion.\par \b Respiratory:\b0  Present- Cough. Not Present- Difficulty Breathing and Wheezing.\par }
'
\par Physical Exam: The physical exam findings are as follows:
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0 Arial;}}{\colortbl;\red255\green0\blue0;}\viewkind4\uc1\pard\f0\fs18 \fs20\b Abdomen\b0\fs18  \par \par}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0 Arial;}}{\colortbl;\red255\green0\blue0;}\viewkind4\uc1\pard\f0\fs18 \fs20\b General\b0\fs18  \par \b Mental Status\b0  - Alert. \b General Appearance\b0  - Well Appearing, Cooperative and Easily consolable. \b Build & Nutrition\b0  - Well nourished. \b Hydration\b0  - Well hydrated. \par \par}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0 Arial;}}{\colortbl;\red255\green0\blue0;}\viewkind4\uc1\pard\f0\fs18 \fs20\b Peripheral Vascular\b0\fs18  \par \b Upper Extremity:\b0   Note: well perfused  \par \b Palpation:\b0  \b Temperature\b0  - \b Bilateral\b0  - Warm. \par \par}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0 Arial;}}{\colortbl;\red255\green0\blue0;}\viewkind4\uc1\pard\f0\fs18 \fs20\b \ul HEENT\ul0 \b0\fs18 \par \fs20\b Head\b0\fs18  \par \b Head Shape\b0  - Normocephalic. \par \fs20\b Ear\b0\fs18  \par \b Pinna\b0  - \b Bilateral\b0  - Normal. \b Auditory Canal\b0  - \b Bilateral\b0  - Normal. \b Tympanic Membrane\b0  - \b Left\b0  - \b\cf1 Bulging\cf0\b0 , \b\cf1 Inflamed\cf0\b0  and \b\cf1 Purulent effusion\cf0\b0 . \b Right\b0  - Pearly gray and shiny. \par \fs20\b Eye\b0\fs18  \par \b Sclera/Conjunctiva\b0  - \b Bilateral\b0  - No Conjunctival infection. \par \fs20\b Nose & Sinuses\b0\fs18  - Normal. \par \fs20\b Mouth & Throat\b0\fs18  - Normal. \par \par}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0 Arial;}}{\colortbl;\red255\green0\blue0;}\viewkind4\uc1\pard\f0\fs18 \fs20\b \ul Lymphatic\ul0 \b0\fs18 \par \fs20\b General Lymphatics\b0\fs18  \par \b Description\b0  - No lymphandenopathy. \par \par}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0 Arial;}}{\colortbl;\red255\green0\blue0;}\viewkind4\uc1\pard\f0\fs18 \fs20\b Cardiovascular\b0\fs18  \par \b Auscultation:\b0  \b Rhythm\b0  - Regular. \b Heart Sounds\b0  - S1 WNL and S2 WNL. \par \b Murmurs & Other Heart Sounds:\b0  Auscultation of the heart reveals - No Murmurs. \par \par}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0 Arial;}}{\colortbl;\red255\green0\blue0;}\viewkind4\uc1\pard\f0\fs18 \fs20\b Chest and Lung Exam\b0\fs18  \par \b Inspection:\b0  \b Accessory muscles\b0  - No use of accessory muscles in breathing. \par \b Auscultation:\b0   Note: no crackles, wheezing or rhonchi  \par \b Breath sounds:\b0  - Normal. \par \par}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0 Arial;}}{\colortbl;\red255\green0\blue0;}\viewkind4\uc1\pard\f0\fs18 \fs20\b Neck\b0\fs18  \par \b Neck\b0  - Full range of motion and Supple. \par \par}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0 Arial;}}{\colortbl;\red255\green0\blue0;}\viewkind4\uc1\pard\f0\fs18 \fs20\b Skin\b0\fs18  \par \b General:\b0  - Normal. \par \b Lesions:\b0  - No Lesions. \par \b Rashes:\b0  - No Rashes. \par \par}
'
\par Vitals: \par

'
\par History: \par

'
\par Medications: \par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 Result:    Normal Range: \par

Pneumococcal conjugate vaccine, 13 valent, IM\par

Rotavirus vaccine, monovalent\par
HIB (PRP-T)\par
DTaP - HepB - IPV\par
\par
\par Assessment & Plan: \par
382.00 ACUTE OTITIS MEDIA cefdinir/omnicef (382.00)\par
V20.2 WCC, 2 MONTHS,  Established, ActHIB (V20.2)\par
90648 - ActHib IM (90648)\par}}}}}}
1342 - Anticipatory Guidance Given\par}}}}}}
1993 - Acetaminophen-Ibuprofen- pain/fever.\par}}}}}}
90670 - PNEUMOCOCCAL VACC 13 VAL IM (PREVNAR) (90670)\par}}}}}}
90681 - ROTAVIRUS VACC 2 DOSE ORAL (ROTARIX) (90681)\par}}}}}}
90471 - IMMUNIZATION ADMIN (90471)\par}}}}}}
90472 - IMMUNIZATION ADMIN EACH ADD (90472)\par}}}}}}
90723 - DTAP-HEP B-IPV VACCINE IM (PEDIARIX) (90723)\par}}}}}}
 \par}}}
1989 - Return to clinic if not improving in 3-4 days, worsening or concerns arise.\par}}}}}}
1997 - MEDICATIONS - CONTINUE\par}}}}}}
4061 - Vaccine Counseling\par}}}}}}
4077 - Return to office at 4 months of age for next WCC\par}}}}}}
4173 - Remember to add EP modifier to billing\par}}}}}}
90474 - IMMUNE ADMIN ORAL/NASAL ADDL (90474)\par}}}}}}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}
{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: May 21 2012 10:19AM\par \b0Location Name: GCPeds - Knightdale}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par

{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18}\par
'
\par History: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18Problem List/Past Medical: Asthma (493.90) :\par

'
\par Medications: \par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 Result:    Normal Range: \par


\par
\par Assessment & Plan: \par

 \par}}}
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}
{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: May 21 2012 11:16AM\par \b0Location Name: GCPeds - Knightdale}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par

'
\par History: \par

'
\par Medications: \par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 Result:    Normal Range: \par


\par
\par Assessment & Plan: \par

 \par}}}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}
{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par \b0 Patient Name Test haley\par \b0 Encounter Date: Aug 15 2019  4:52PM\par \b0Location Name: GCPeds - Knightdale}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par

'
\par History: \par

'
\par Medications: \par
CEFDINIR, 250MG/5ML (Oral Suspension Reconstituted)\par

\par Labs: \par
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18 Result:    Normal Range: \par


\par
\par Assessment & Plan: \par

 \par}}}
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
'
{\rtf1\ansi\deff9{\fonttbl{\f9\fnil\fcharset0\fprq2 Arial;}{\f8\fnil\fcharset0\fprq2 Lucida Console;}}{\colortbl;\red0\green0\blue0\;\red255\green0\blue0\;red0\green127\blue0; red0\green0\blue255;}\pard{\f9\fs18\par\par \b0 Reason for Visit: \par\par

\par Review of Systems: \par \par
'
\par Physical Exam: The physical exam findings are as follows:
'
\par Vitals: \par
'
\par History: \par
'
\par Medications: \par

\par Labs: \par
\par
\par Assessment & Plan: \par
What is it you want to extract from the file?
Basically, the content I sent is composed of several documents.  Each new document starts with the first line that I had posted.  So, what I would need to do is look for that first line and take everything following that line up to the next occurrence of that first line into a separate document using the values after "Patient Name" and "Encounter Date" to name the new smaller files.  Hopefully that makes sense.

So, I would have a document named Haley_Test_20031203.rtf  then the next one would be Haley_test_20031204.rtf, etc
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