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| a | b/data/text/Avery_Auer_37c768d2-81e3-faec-ab62-5c3ec83463a5.txt | ||
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| 1 | Avery Auer |
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| 2 | ========== |
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| 3 | Race: White |
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| 4 | Ethnicity: Hispanic |
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| 5 | Gender: F |
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| 6 | Age: 18 |
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| 7 | Birth Date: 2004-12-09 |
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| 8 | Marital Status: S |
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| 9 | -------------------------------------------------------------------------------- |
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| 10 | ALLERGIES: |
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| 11 | No Known Allergies |
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| 12 | -------------------------------------------------------------------------------- |
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| 13 | MEDICATIONS: |
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| 14 | 2022-11-08[STOPPED] : Acetaminophen 325 MG Oral Tablet for Acute bronchitis (disorder) |
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| 15 | 2021-12-05[STOPPED] : levofloxacin 500 MG Oral Tablet for Acute myeloid leukemia, disease (disorder) |
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| 16 | 2021-11-23[STOPPED] : Jolivette 28 Day Pack |
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| 17 | 2020-11-28[STOPPED] : Yaz 28 Day Pack |
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| 18 | -------------------------------------------------------------------------------- |
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| 19 | CONDITIONS: |
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| 20 | 2022-11-08 - 2022-11-22 : Acute bronchitis (disorder) |
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| 21 | 2021-12-05 - 2021-12-05 : Neutropenia (disorder) |
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| 22 | 2021-12-05 - 2021-12-05 : Acute myeloid leukemia, disease (disorder) |
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| 23 | -------------------------------------------------------------------------------- |
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| 24 | CARE PLANS: |
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| 25 | 2022-11-08[CURRENT] : Respiratory therapy |
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| 26 | Activity: Recommendation to avoid exercise |
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| 27 | Activity: Deep breathing and coughing exercises |
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| 28 | -------------------------------------------------------------------------------- |
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| 29 | REPORTS: |
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| 30 | 2022-03-24 : Generalized anxiety disorder 7 item (GAD-7) |
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| 31 | - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 14.0 {score} |
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| 32 | 2021-03-18 : Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen] |
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| 33 | - Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 1.0 {score} |
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| 34 | 2021-03-18 : Generalized anxiety disorder 7 item (GAD-7) |
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| 35 | - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 4.0 {score} |
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| 36 | 2021-03-18 : Complete blood count (hemogram) panel - Blood by Automated count |
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| 37 | - Leukocytes [#/volume] in Blood by Automated count 10.1 10*3/uL |
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| 38 | - Erythrocytes [#/volume] in Blood by Automated count 4.3 10*6/uL |
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| 39 | - Hemoglobin [Mass/volume] in Blood 12.7 g/dL |
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| 40 | - Hematocrit [Volume Fraction] of Blood by Automated count 46.1 % |
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| 41 | - MCV [Entitic volume] by Automated count 85.5 fL |
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| 42 | - MCH [Entitic mass] by Automated count 31.9 pg |
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| 43 | - MCHC [Mass/volume] by Automated count 33.9 g/dL |
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| 44 | - Erythrocyte distribution width [Entitic volume] by Automated count 42.5 fL |
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| 45 | - Platelets [#/volume] in Blood by Automated count 184.0 10*3/uL |
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| 46 | - Platelet distribution width [Entitic volume] in Blood by Automated count 403.1 fL |
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| 47 | - Platelet mean volume [Entitic volume] in Blood by Automated count 10.8 fL |
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| 48 | -------------------------------------------------------------------------------- |
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| 49 | OBSERVATIONS: |
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| 50 | 2022-03-24 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 14.0 {score} |
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| 51 | 2022-03-24 : Tobacco smoking status Smokes tobacco daily (finding) |
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| 52 | 2022-03-24 : Respiratory rate 13.0 /min |
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| 53 | 2022-03-24 : Heart rate 76.0 /min |
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| 54 | 2022-03-24 : Blood Pressure |
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| 55 | - Diastolic Blood Pressure 75.0 mm[Hg] |
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| 56 | - Systolic Blood Pressure 108.0 mm[Hg] |
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| 57 | 2022-03-24 : Body mass index (BMI) [Percentile] Per age and gender 54.6 % |
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| 58 | 2022-03-24 : Body Mass Index 21.4 kg/m2 |
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| 59 | 2022-03-24 : Body Weight 61.5 kg |
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| 60 | 2022-03-24 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 2.0 {score} |
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| 61 | 2022-03-24 : Body Height 169.7 cm |
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| 62 | 2021-12-05 : Body Temperature 98.6 [degF] |
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| 63 | 2021-12-05 : Neutrophils [#/volume] in Blood by Automated count 403.3 10*3/uL |
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| 64 | 2021-03-18 : Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 1.0 {score} |
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| 65 | 2021-03-18 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 4.0 {score} |
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| 66 | 2021-03-18 : Tobacco smoking status Smokes tobacco daily (finding) |
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| 67 | 2021-03-18 : Platelet mean volume [Entitic volume] in Blood by Automated count 10.8 fL |
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| 68 | 2021-03-18 : Platelet distribution width [Entitic volume] in Blood by Automated count 403.1 fL |
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| 69 | 2021-03-18 : Platelets [#/volume] in Blood by Automated count 184.0 10*3/uL |
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| 70 | 2021-03-18 : Erythrocyte distribution width [Entitic volume] by Automated count 42.5 fL |
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| 71 | 2021-03-18 : MCHC [Mass/volume] by Automated count 33.9 g/dL |
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| 72 | 2021-03-18 : MCH [Entitic mass] by Automated count 31.9 pg |
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| 73 | 2021-03-18 : MCV [Entitic volume] by Automated count 85.5 fL |
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| 74 | 2021-03-18 : Hematocrit [Volume Fraction] of Blood by Automated count 46.1 % |
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| 75 | 2021-03-18 : Hemoglobin [Mass/volume] in Blood 12.7 g/dL |
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| 76 | 2021-03-18 : Erythrocytes [#/volume] in Blood by Automated count 4.3 10*6/uL |
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| 77 | 2021-03-18 : Leukocytes [#/volume] in Blood by Automated count 10.1 10*3/uL |
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| 78 | 2021-03-18 : Respiratory rate 16.0 /min |
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| 79 | 2021-03-18 : Heart rate 94.0 /min |
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| 80 | 2021-03-18 : Blood Pressure |
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| 81 | - Diastolic Blood Pressure 73.0 mm[Hg] |
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| 82 | - Systolic Blood Pressure 114.0 mm[Hg] |
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| 83 | 2021-03-18 : Body mass index (BMI) [Percentile] Per age and gender 57.0 % |
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| 84 | 2021-03-18 : Body Mass Index 21.1 kg/m2 |
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| 85 | 2021-03-18 : Body Weight 60.7 kg |
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| 86 | 2021-03-18 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 0.0 {score} |
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| 87 | 2021-03-18 : Body Height 169.4 cm |
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| 88 | -------------------------------------------------------------------------------- |
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| 89 | PROCEDURES: |
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| 90 | 2022-11-08 : Plain chest X-ray (procedure) for Acute bronchitis (disorder) |
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| 91 | 2022-03-24 : Anticipatory guidance (procedure) |
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| 92 | 2022-03-24 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure) |
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| 93 | 2022-03-24 : Assessment of substance use (procedure) |
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| 94 | 2022-03-24 : Medication Reconciliation (procedure) |
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| 95 | 2022-03-24 : Assessment of anxiety (procedure) |
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| 96 | 2021-12-05 : Transfer to stepdown for Acute myeloid leukemia, disease (disorder) |
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| 97 | 2021-12-05 : Chemotherapy (procedure) for Acute myeloid leukemia, disease (disorder) |
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| 98 | 2021-03-18 : Depression screening using Patient Health Questionnaire Nine Item score (procedure) |
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| 99 | 2021-03-18 : Depression screening (procedure) |
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| 100 | 2021-03-18 : Assessment of anxiety (procedure) |
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| 101 | -------------------------------------------------------------------------------- |
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| 102 | IMMUNIZATIONS: |
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| 103 | 2022-03-24 : Influenza, seasonal, injectable, preservative free |
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| 104 | 2021-03-18 : meningococcal MCV4P |
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| 105 | 2021-03-18 : Influenza, seasonal, injectable, preservative free |
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| 106 | -------------------------------------------------------------------------------- |
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| 107 | ENCOUNTERS: |
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| 108 | 2022-11-08 (Dr. Alysha Koch) : Encounter at TEWKSBURY HOSPITAL : Encounter for Acute bronchitis (disorder) |
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| 109 | 2022-03-24 (Dr. Gerard Pouros) : Encounter at CLARITY HEALTH & WELLNESS LLC |
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| 110 | 2021-12-05 (Dr. Alysha Koch) : Encounter at TEWKSBURY HOSPITAL : Encounter for Acute myeloid leukemia, disease (disorder) |
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| 111 | 2021-11-23 (Dr. Alysha Koch) : Encounter at TEWKSBURY HOSPITAL |
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| 112 | 2021-03-18 (Dr. Gerard Pouros) : Encounter at CLARITY HEALTH & WELLNESS LLC |
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| 113 | 2020-11-28 (Dr. Alysha Koch) : Encounter at TEWKSBURY HOSPITAL |
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| 114 | -------------------------------------------------------------------------------- |
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| 115 | IMAGING STUDIES: |
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| 116 | -------------------------------------------------------------------------------- |