--- a +++ b/data/text/Carl_Fisher_3b64911b-193a-1faf-1962-858f1fb64dc0.txt @@ -0,0 +1,90 @@ +Carl Fisher +=========== +Race: White +Ethnicity: Hispanic +Gender: M +Age: 16 +Birth Date: 2006-03-29 +Marital Status: S +-------------------------------------------------------------------------------- +ALLERGIES: +No Known Allergies +-------------------------------------------------------------------------------- +MEDICATIONS: +-------------------------------------------------------------------------------- +CONDITIONS: + 2014-07-18 - : Chronic sinusitis (disorder) +-------------------------------------------------------------------------------- +CARE PLANS: +-------------------------------------------------------------------------------- +REPORTS: + 2022-05-11 : Complete blood count (hemogram) panel - Blood by Automated count + - Leukocytes [#/volume] in Blood by Automated count 9.9 10*3/uL + - Erythrocytes [#/volume] in Blood by Automated count 5.2 10*6/uL + - Hemoglobin [Mass/volume] in Blood 12.2 g/dL + - Hematocrit [Volume Fraction] of Blood by Automated count 43.4 % + - MCV [Entitic volume] by Automated count 82.3 fL + - MCH [Entitic mass] by Automated count 32.2 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 312.1 10*3/uL + - Platelet distribution width [Entitic volume] in Blood by Automated count 339.1 fL + - Platelet mean volume [Entitic volume] in Blood by Automated count 10.6 fL +-------------------------------------------------------------------------------- +OBSERVATIONS: + 2022-05-11 : Tobacco smoking status Never smoked tobacco (finding) + 2022-05-11 : Platelet mean volume [Entitic volume] in Blood by Automated count 10.6 fL + 2022-05-11 : Platelet distribution width [Entitic volume] in Blood by Automated count 339.1 fL + 2022-05-11 : Platelets [#/volume] in Blood by Automated count 312.1 10*3/uL + 2022-05-11 : Erythrocyte distribution width [Entitic volume] by Automated count 39.8 fL + 2022-05-11 : MCHC [Mass/volume] by Automated count 34.7 g/dL + 2022-05-11 : MCH [Entitic mass] by Automated count 32.2 pg + 2022-05-11 : MCV [Entitic volume] by Automated count 82.3 fL + 2022-05-11 : Hematocrit [Volume Fraction] of Blood by Automated count 43.4 % + 2022-05-11 : Hemoglobin [Mass/volume] in Blood 12.2 g/dL + 2022-05-11 : Erythrocytes [#/volume] in Blood by Automated count 5.2 10*6/uL + 2022-05-11 : Leukocytes [#/volume] in Blood by Automated count 9.9 10*3/uL + 2022-05-11 : Respiratory rate 15.0 /min + 2022-05-11 : Heart rate 85.0 /min + 2022-05-11 : Blood Pressure + - Diastolic Blood Pressure 74.0 mm[Hg] + - Systolic Blood Pressure 128.0 mm[Hg] + 2022-05-11 : Body mass index (BMI) [Percentile] Per age and gender 68.3 % + 2022-05-11 : Body Mass Index 22.1 kg/m2 + 2022-05-11 : Body Weight 74.7 kg + 2022-05-11 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 1.0 {score} + 2022-05-11 : Body Height 184.0 cm + 2021-05-05 : Tobacco smoking status Never smoked tobacco (finding) + 2021-05-05 : Respiratory rate 15.0 /min + 2021-05-05 : Heart rate 96.0 /min + 2021-05-05 : Blood Pressure + - Diastolic Blood Pressure 77.0 mm[Hg] + - Systolic Blood Pressure 130.0 mm[Hg] + 2021-05-05 : Body mass index (BMI) [Percentile] Per age and gender 79.2 % + 2021-05-05 : Body Mass Index 22.6 kg/m2 + 2021-05-05 : Body Weight 74.0 kg + 2021-05-05 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 2.0 {score} + 2021-05-05 : Body Height 181.1 cm +-------------------------------------------------------------------------------- +PROCEDURES: + 2021-05-05 : Anticipatory guidance (procedure) + 2021-05-05 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure) + 2021-05-05 : Medication Reconciliation (procedure) + 2021-05-05 : Assessment of substance use (procedure) +-------------------------------------------------------------------------------- +IMMUNIZATIONS: + 2022-05-11 : meningococcal MCV4P + 2022-05-11 : Influenza, seasonal, injectable, preservative free + 2021-07-14 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose + 2021-06-23 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose + 2021-05-05 : Influenza, seasonal, injectable, preservative free +-------------------------------------------------------------------------------- +ENCOUNTERS: +2022-05-11 (Dr. Tashina Towne) : Encounter at NEW ENGLAND FAMILY HEALTH LLC +2021-07-14 (Dr. Nickolas Schumm) : Encounter at ENCOMPASS HEALTH BRAINTREE HOSPITAL OF BRAINTREE +2021-06-23 (Dr. Nickolas Schumm) : Encounter at ENCOMPASS HEALTH BRAINTREE HOSPITAL OF BRAINTREE +2021-05-05 (Dr. Tashina Towne) : Encounter at NEW ENGLAND FAMILY HEALTH LLC +2014-07-18 (Dr. Nickolas Schumm) : Encounter at ENCOMPASS HEALTH BRAINTREE HOSPITAL OF BRAINTREE : Encounter for Sinusitis (disorder) +-------------------------------------------------------------------------------- +IMAGING STUDIES: +--------------------------------------------------------------------------------