--- a +++ b/data/text/Burton_Heller_400351d1-6616-40dd-6b29-d9f9428a42c8.txt @@ -0,0 +1,109 @@ +Burton Heller +============= +Race: White +Ethnicity: Non-Hispanic +Gender: M +Age: 17 +Birth Date: 2005-09-14 +Marital Status: S +-------------------------------------------------------------------------------- +ALLERGIES: +No Known Allergies +-------------------------------------------------------------------------------- +MEDICATIONS: +-------------------------------------------------------------------------------- +CONDITIONS: + 2022-11-02 - : Risk activity involvement (finding) +-------------------------------------------------------------------------------- +CARE PLANS: +-------------------------------------------------------------------------------- +REPORTS: + 2022-11-02 : 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} + 2022-11-02 : Generalized anxiety disorder 7 item (GAD-7) + - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 1.0 {score} + 2021-10-27 : 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} + 2021-10-27 : Generalized anxiety disorder 7 item (GAD-7) + - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 1.0 {score} + 2021-10-27 : Complete blood count (hemogram) panel - Blood by Automated count + - Leukocytes [#/volume] in Blood by Automated count 5.1 10*3/uL + - Erythrocytes [#/volume] in Blood by Automated count 4.8 10*6/uL + - Hemoglobin [Mass/volume] in Blood 13.1 g/dL + - Hematocrit [Volume Fraction] of Blood by Automated count 43.7 % + - MCV [Entitic volume] by Automated count 93.0 fL + - MCH [Entitic mass] by Automated count 31.1 pg + - MCHC [Mass/volume] by Automated count 34.1 g/dL + - Erythrocyte distribution width [Entitic volume] by Automated count 44.9 fL + - Platelets [#/volume] in Blood by Automated count 366.5 10*3/uL + - Platelet distribution width [Entitic volume] in Blood by Automated count 196.5 fL + - Platelet mean volume [Entitic volume] in Blood by Automated count 11.1 fL +-------------------------------------------------------------------------------- +OBSERVATIONS: + 2022-11-02 : Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 1.0 {score} + 2022-11-02 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 1.0 {score} + 2022-11-02 : Tobacco smoking status Never smoked tobacco (finding) + 2022-11-02 : Respiratory rate 14.0 /min + 2022-11-02 : Heart rate 86.0 /min + 2022-11-02 : Blood Pressure + - Diastolic Blood Pressure 86.0 mm[Hg] + - Systolic Blood Pressure 139.0 mm[Hg] + 2022-11-02 : Body mass index (BMI) [Percentile] Per age and gender 51.7 % + 2022-11-02 : Body Mass Index 21.4 kg/m2 + 2022-11-02 : Body Weight 65.0 kg + 2022-11-02 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 1.0 {score} + 2022-11-02 : Body Height 174.2 cm + 2021-10-27 : Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 1.0 {score} + 2021-10-27 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 1.0 {score} + 2021-10-27 : Tobacco smoking status Never smoked tobacco (finding) + 2021-10-27 : Platelet mean volume [Entitic volume] in Blood by Automated count 11.1 fL + 2021-10-27 : Platelet distribution width [Entitic volume] in Blood by Automated count 196.5 fL + 2021-10-27 : Platelets [#/volume] in Blood by Automated count 366.5 10*3/uL + 2021-10-27 : Erythrocyte distribution width [Entitic volume] by Automated count 44.9 fL + 2021-10-27 : MCHC [Mass/volume] by Automated count 34.1 g/dL + 2021-10-27 : MCH [Entitic mass] by Automated count 31.1 pg + 2021-10-27 : MCV [Entitic volume] by Automated count 93.0 fL + 2021-10-27 : Hematocrit [Volume Fraction] of Blood by Automated count 43.7 % + 2021-10-27 : Hemoglobin [Mass/volume] in Blood 13.1 g/dL + 2021-10-27 : Erythrocytes [#/volume] in Blood by Automated count 4.8 10*6/uL + 2021-10-27 : Leukocytes [#/volume] in Blood by Automated count 5.1 10*3/uL + 2021-10-27 : Respiratory rate 15.0 /min + 2021-10-27 : Heart rate 74.0 /min + 2021-10-27 : Blood Pressure + - Diastolic Blood Pressure 84.0 mm[Hg] + - Systolic Blood Pressure 137.0 mm[Hg] + 2021-10-27 : Body mass index (BMI) [Percentile] Per age and gender 65.2 % + 2021-10-27 : Body Mass Index 21.8 kg/m2 + 2021-10-27 : Body Weight 64.8 kg + 2021-10-27 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 2.0 {score} + 2021-10-27 : Body Height 172.5 cm +-------------------------------------------------------------------------------- +PROCEDURES: + 2022-11-02 : Health risks education (procedure) for Risk activity involvement (finding) + 2022-11-02 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure) + 2022-11-02 : Assessment of substance use (procedure) + 2022-11-02 : Depression screening using Patient Health Questionnaire Nine Item score (procedure) + 2022-11-02 : Depression screening (procedure) + 2022-11-02 : Assessment of anxiety (procedure) + 2021-10-27 : Anticipatory guidance (procedure) + 2021-10-27 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure) + 2021-10-27 : Assessment of substance use (procedure) + 2021-10-27 : Depression screening using Patient Health Questionnaire Nine Item score (procedure) + 2021-10-27 : Depression screening (procedure) + 2021-10-27 : Assessment of anxiety (procedure) +-------------------------------------------------------------------------------- +IMMUNIZATIONS: + 2022-11-02 : Influenza, seasonal, injectable, preservative free + 2021-10-27 : meningococcal MCV4P + 2021-10-27 : Influenza, seasonal, injectable, preservative free + 2021-09-29 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose + 2021-09-08 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose +-------------------------------------------------------------------------------- +ENCOUNTERS: +2022-11-02 (Dr. Larisa Kris) : Encounter at HARBORLIGHT FAMILY MEDICINE, PC +2021-10-27 (Dr. Larisa Kris) : Encounter at HARBORLIGHT FAMILY MEDICINE, PC +2021-09-29 (Dr. Joanna Abbott) : Encounter at LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON +2021-09-08 (Dr. Joanna Abbott) : Encounter at LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON +-------------------------------------------------------------------------------- +IMAGING STUDIES: +--------------------------------------------------------------------------------