--- a +++ b/data/text/Brain_Schuppe_d540605c-5a99-f35f-af8f-642ab8b3f135.txt @@ -0,0 +1,92 @@ +Brain Schuppe +============= +Race: White +Ethnicity: Non-Hispanic +Gender: M +Age: 17 +Birth Date: 2005-09-25 +Marital Status: S +-------------------------------------------------------------------------------- +ALLERGIES: +No Known Allergies +-------------------------------------------------------------------------------- +MEDICATIONS: +-------------------------------------------------------------------------------- +CONDITIONS: +-------------------------------------------------------------------------------- +CARE PLANS: +-------------------------------------------------------------------------------- +REPORTS: + 2022-11-13 : Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen] + - Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 1.0 {score} + 2021-11-07 : Complete blood count (hemogram) panel - Blood by Automated count + - Leukocytes [#/volume] in Blood by Automated count 9.7 10*3/uL + - Erythrocytes [#/volume] in Blood by Automated count 4.2 10*6/uL + - Hemoglobin [Mass/volume] in Blood 16.8 g/dL + - Hematocrit [Volume Fraction] of Blood by Automated count 38.3 % + - MCV [Entitic volume] by Automated count 90.7 fL + - MCH [Entitic mass] by Automated count 27.9 pg + - MCHC [Mass/volume] by Automated count 34.7 g/dL + - Erythrocyte distribution width [Entitic volume] by Automated count 39.8 fL + - Platelets [#/volume] in Blood by Automated count 301.5 10*3/uL + - Platelet distribution width [Entitic volume] in Blood by Automated count 406.0 fL + - Platelet mean volume [Entitic volume] in Blood by Automated count 9.8 fL +-------------------------------------------------------------------------------- +OBSERVATIONS: + 2022-11-13 : Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 1.0 {score} + 2022-11-13 : Tobacco smoking status Never smoked tobacco (finding) + 2022-11-13 : Respiratory rate 13.0 /min + 2022-11-13 : Heart rate 67.0 /min + 2022-11-13 : Blood Pressure + - Diastolic Blood Pressure 71.0 mm[Hg] + - Systolic Blood Pressure 116.0 mm[Hg] + 2022-11-13 : Body mass index (BMI) [Percentile] Per age and gender 36.5 % + 2022-11-13 : Body Mass Index 20.4 kg/m2 + 2022-11-13 : Body Weight 66.9 kg + 2022-11-13 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 3.0 {score} + 2022-11-13 : Body Height 181.2 cm + 2021-11-07 : Tobacco smoking status Never smoked tobacco (finding) + 2021-11-07 : Platelet mean volume [Entitic volume] in Blood by Automated count 9.8 fL + 2021-11-07 : Platelet distribution width [Entitic volume] in Blood by Automated count 406.0 fL + 2021-11-07 : Platelets [#/volume] in Blood by Automated count 301.5 10*3/uL + 2021-11-07 : Erythrocyte distribution width [Entitic volume] by Automated count 39.8 fL + 2021-11-07 : MCHC [Mass/volume] by Automated count 34.7 g/dL + 2021-11-07 : MCH [Entitic mass] by Automated count 27.9 pg + 2021-11-07 : MCV [Entitic volume] by Automated count 90.7 fL + 2021-11-07 : Hematocrit [Volume Fraction] of Blood by Automated count 38.3 % + 2021-11-07 : Hemoglobin [Mass/volume] in Blood 16.8 g/dL + 2021-11-07 : Erythrocytes [#/volume] in Blood by Automated count 4.2 10*6/uL + 2021-11-07 : Leukocytes [#/volume] in Blood by Automated count 9.7 10*3/uL + 2021-11-07 : Respiratory rate 14.0 /min + 2021-11-07 : Heart rate 86.0 /min + 2021-11-07 : Blood Pressure + - Diastolic Blood Pressure 79.0 mm[Hg] + - Systolic Blood Pressure 121.0 mm[Hg] + 2021-11-07 : Body mass index (BMI) [Percentile] Per age and gender 51.8 % + 2021-11-07 : Body Mass Index 20.7 kg/m2 + 2021-11-07 : Body Weight 67.0 kg + 2021-11-07 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 0.0 {score} + 2021-11-07 : Body Height 179.7 cm +-------------------------------------------------------------------------------- +PROCEDURES: + 2022-11-13 : Anticipatory guidance (procedure) + 2022-11-13 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure) + 2022-11-13 : Assessment of substance use (procedure) + 2022-11-13 : Depression screening using Patient Health Questionnaire Nine Item score (procedure) + 2022-11-13 : Depression screening (procedure) +-------------------------------------------------------------------------------- +IMMUNIZATIONS: + 2022-11-13 : Influenza, seasonal, injectable, preservative free + 2021-11-07 : meningococcal MCV4P + 2021-11-07 : Influenza, seasonal, injectable, preservative free + 2021-08-29 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose + 2021-08-01 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose +-------------------------------------------------------------------------------- +ENCOUNTERS: +2022-11-13 (Dr. Erica Goyette) : Encounter at SPECTRUM HEALTHCARE PARTNERS PA +2021-11-07 (Dr. Erica Goyette) : Encounter at SPECTRUM HEALTHCARE PARTNERS PA +2021-08-29 (Dr. Cira Hane) : Encounter at DANA FARBER CANCER INSTITUTE +2021-08-01 (Dr. Cira Hane) : Encounter at DANA FARBER CANCER INSTITUTE +-------------------------------------------------------------------------------- +IMAGING STUDIES: +--------------------------------------------------------------------------------