[ab5bfb]: / data / text / Clara_Mercedes_Armijo_6dc10958-354c-fd5c-6d82-cd6cb9563351.txt

Download this file

225 lines (224 with data), 16.2 kB

  1
  2
  3
  4
  5
  6
  7
  8
  9
 10
 11
 12
 13
 14
 15
 16
 17
 18
 19
 20
 21
 22
 23
 24
 25
 26
 27
 28
 29
 30
 31
 32
 33
 34
 35
 36
 37
 38
 39
 40
 41
 42
 43
 44
 45
 46
 47
 48
 49
 50
 51
 52
 53
 54
 55
 56
 57
 58
 59
 60
 61
 62
 63
 64
 65
 66
 67
 68
 69
 70
 71
 72
 73
 74
 75
 76
 77
 78
 79
 80
 81
 82
 83
 84
 85
 86
 87
 88
 89
 90
 91
 92
 93
 94
 95
 96
 97
 98
 99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
Clara Mercedes Armijo
=====================
Race: White
Ethnicity: Hispanic
Gender: F
Age: 45
Birth Date: 1977-09-19
Marital Status: M
--------------------------------------------------------------------------------
ALLERGIES:
No Known Allergies
--------------------------------------------------------------------------------
MEDICATIONS:
2022-10-04[CURRENT] : NuvaRing 0.12/0.015 MG per 24HR 21 Day Vaginal Ring
2021-08-01[STOPPED] : Acetaminophen 21.7 MG/ML / Dextromethorphan Hydrobromide 1 MG/ML / doxylamine succinate 0.417 MG/ML Oral Solution for Acute bronchitis (disorder)
2020-10-09[STOPPED] : Levora 0.15/30 28 Day Pack
2014-11-07[STOPPED] : NuvaRing 0.12/0.015 MG per 24HR 21 Day Vaginal Ring
--------------------------------------------------------------------------------
CONDITIONS:
2021-10-04 - : Full-time employment (finding)
2021-08-16 - 2021-10-04 : Stress (finding)
2021-08-16 - 2021-10-04 : Full-time employment (finding)
2021-08-01 - 2021-08-10 : Acute bronchitis (disorder)
2019-09-30 - 2021-08-16 : Unhealthy alcohol drinking behavior (finding)
2019-09-30 - 2021-08-16 : Full-time employment (finding)
2017-09-25 - 2019-09-30 : Full-time employment (finding)
2014-12-29 - : Refugee (person)
2014-12-29 - 2017-09-25 : Full-time employment (finding)
2014-01-06 - : Victim of intimate partner abuse (finding)
2008-12-22 - 2011-12-26 : Full-time employment (finding)
2005-12-19 - 2008-12-22 : Full-time employment (finding)
2002-12-16 - 2005-12-19 : Full-time employment (finding)
2002-12-16 - : Anemia (disorder)
2002-12-16 - : Prediabetes
1999-12-13 - 2002-12-16 : Full-time employment (finding)
1996-12-09 - 1999-12-13 : Victim of intimate partner abuse (finding)
1995-12-04 - : Received certificate of high school equivalency (finding)
1994-11-28 - : Risk activity involvement (finding)
--------------------------------------------------------------------------------
CARE PLANS:
2021-08-01[STOPPED] : Respiratory therapy
Activity: Recommendation to avoid exercise
Activity: Deep breathing and coughing exercises
2002-12-16[CURRENT] : Diabetes self management plan
Reason: Prediabetes
Activity: Diabetic diet
Activity: Exercise therapy
--------------------------------------------------------------------------------
REPORTS:
2021-10-04 : Drug Abuse Screening Test-10 [DAST-10]
- Total score [DAST-10] 2.0 {score}
2021-10-04 : Patient Health Questionnaire 2 item (PHQ-2) [Reported]
- Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 2.0 {score}
2021-10-04 : Humiliation, Afraid, Rape, and Kick questionnaire [HARK]
- Total score [HARK] 0.0 {score}
2021-10-04 : Basic Metabolic Panel
- Glucose 83.3 mg/dL
- Urea Nitrogen 12.2 mg/dL
- Creatinine 1.5 mg/dL
- Calcium 9.0 mg/dL
- Sodium 142.3 mmol/L
- Potassium 4.4 mmol/L
- Chloride 108.4 mmol/L
- Carbon Dioxide 25.7 mmol/L
2021-08-16 : Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]
- Total score [AUDIT-C] 0.0 {score}
2021-08-16 : Patient Health Questionnaire 2 item (PHQ-2) [Reported]
- Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 0.0 {score}
2021-08-16 : Humiliation, Afraid, Rape, and Kick questionnaire [HARK]
- Total score [HARK] 0.0 {score}
2021-08-16 : Generalized anxiety disorder 7 item (GAD-7)
- Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 5.0 {score}
2021-08-16 : Basic Metabolic Panel
- Glucose 72.8 mg/dL
- Urea Nitrogen 17.4 mg/dL
- Creatinine 0.9 mg/dL
- Calcium 10.0 mg/dL
- Sodium 139.8 mmol/L
- Potassium 5.2 mmol/L
- Chloride 110.8 mmol/L
- Carbon Dioxide 23.7 mmol/L
--------------------------------------------------------------------------------
OBSERVATIONS:
2021-10-04 : Total score [DAST-10] 2.0 {score}
2021-10-04 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 2.0 {score}
2021-10-04 : Total score [HARK] 0.0 {score}
2021-10-04 : Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]
- In the past year, have you been afraid of your partner or ex-partner? No
- Do you feel physically and emotionally safe where you currently live? Unsure
- Are you a refugee? Yes
- In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility? No
- Stress is when someone feels tense, nervous, anxious or can't sleep at night because their mind is troubled. How stressed are you? Not at all
- How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)? 5 or more times a week
- Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living? No
- In the past year, have you or any family members you live with been unable to get any of the following when it was really needed? I choose not to answer this question
- During the past year, what was the total combined income for you and the family members you live with? This information will help us determine if you are eligible for any benefits. 128905 /a
- What is your main insurance? Private insurance
- What is your current work situation? Full-time work
- What is the highest level of school that you have finished? High school diploma or GED
- What address do you live at? 978 Lind Highlands
- Are you worried about losing your housing? No
- What is your housing situation today? I have housing
- How many family members, including yourself, do you currently live with? 8.0 {#}
- What language are you most comfortable speaking? Language other than English
- Have you been discharged from the armed forces of the United States? No
- At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income? No
- Which race(s) are you? White
- Are you Hispanic or Latino? No
2021-10-04 : Hemoglobin A1c/Hemoglobin.total in Blood 6.1 %
2021-10-04 : Tobacco smoking status Never smoked tobacco (finding)
2021-10-04 : Carbon Dioxide 25.7 mmol/L
2021-10-04 : Chloride 108.4 mmol/L
2021-10-04 : Potassium 4.4 mmol/L
2021-10-04 : Sodium 142.3 mmol/L
2021-10-04 : Calcium 9.0 mg/dL
2021-10-04 : Creatinine 1.5 mg/dL
2021-10-04 : Urea Nitrogen 12.2 mg/dL
2021-10-04 : Glucose 83.3 mg/dL
2021-10-04 : Respiratory rate 15.0 /min
2021-10-04 : Heart rate 74.0 /min
2021-10-04 : Blood Pressure
- Diastolic Blood Pressure 87.0 mm[Hg]
- Systolic Blood Pressure 115.0 mm[Hg]
2021-10-04 : Body Mass Index 28.7 kg/m2
2021-10-04 : Body Weight 76.4 kg
2021-10-04 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 2.0 {score}
2021-10-04 : Body Height 163.2 cm
2021-08-16 : Total score [AUDIT-C] 0.0 {score}
2021-08-16 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 0.0 {score}
2021-08-16 : Total score [HARK] 0.0 {score}
2021-08-16 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 5.0 {score}
2021-08-16 : Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]
- In the past year, have you been afraid of your partner or ex-partner? No
- Do you feel physically and emotionally safe where you currently live? Yes
- Are you a refugee? Yes
- In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility? No
- Stress is when someone feels tense, nervous, anxious or can't sleep at night because their mind is troubled. How stressed are you? Somewhat
- How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)? 3 to 5 times a week
- Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living? No
- In the past year, have you or any family members you live with been unable to get any of the following when it was really needed? I choose not to answer this question
- During the past year, what was the total combined income for you and the family members you live with? This information will help us determine if you are eligible for any benefits. 128905 /a
- What is your main insurance? Private insurance
- What is your current work situation? Full-time work
- What is the highest level of school that you have finished? High school diploma or GED
- What address do you live at? 978 Lind Highlands
- Are you worried about losing your housing? No
- What is your housing situation today? I have housing
- How many family members, including yourself, do you currently live with? 8.0 {#}
- What language are you most comfortable speaking? Language other than English
- Have you been discharged from the armed forces of the United States? No
- At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income? No
- Which race(s) are you? White
- Are you Hispanic or Latino? No
2021-08-16 : Hemoglobin A1c/Hemoglobin.total in Blood 6.1 %
2021-08-16 : Tobacco smoking status Never smoked tobacco (finding)
2021-08-16 : Carbon Dioxide 23.7 mmol/L
2021-08-16 : Chloride 110.8 mmol/L
2021-08-16 : Potassium 5.2 mmol/L
2021-08-16 : Sodium 139.8 mmol/L
2021-08-16 : Calcium 10.0 mg/dL
2021-08-16 : Creatinine 0.9 mg/dL
2021-08-16 : Urea Nitrogen 17.4 mg/dL
2021-08-16 : Glucose 72.8 mg/dL
2021-08-16 : Respiratory rate 14.0 /min
2021-08-16 : Heart rate 95.0 /min
2021-08-16 : Blood Pressure
- Diastolic Blood Pressure 94.0 mm[Hg]
- Systolic Blood Pressure 118.0 mm[Hg]
2021-08-16 : Body Mass Index 28.6 kg/m2
2021-08-16 : Body Weight 76.1 kg
2021-08-16 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 1.0 {score}
2021-08-16 : Body Height 163.2 cm
--------------------------------------------------------------------------------
PROCEDURES:
2021-10-09 : Insertion of intrauterine contraceptive device
2021-10-04 : Screening for drug abuse (procedure)
2021-10-04 : Assessment of substance use (procedure)
2021-10-04 : Depression screening using Patient Health Questionnaire Two-Item score (procedure)
2021-10-04 : Depression screening (procedure)
2021-10-04 : Screening for domestic abuse (procedure)
2021-10-04 : Assessment of health and social care needs (procedure)
2021-08-16 : Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)
2021-08-16 : Assessment of substance use (procedure)
2021-08-16 : Depression screening using Patient Health Questionnaire Two-Item score (procedure)
2021-08-16 : Depression screening (procedure)
2021-08-16 : Screening for domestic abuse (procedure)
2021-08-16 : Assessment of anxiety (procedure)
2021-08-16 : Assessment of health and social care needs (procedure)
2021-08-01 : Measurement of respiratory function (procedure) for Acute bronchitis (disorder)
--------------------------------------------------------------------------------
IMMUNIZATIONS:
2021-10-04 : Influenza, seasonal, injectable, preservative free
2021-08-16 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose
2021-08-16 : Influenza, seasonal, injectable, preservative free
2021-08-09 : Influenza, seasonal, injectable, preservative free
2021-07-19 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose
--------------------------------------------------------------------------------
ENCOUNTERS:
2022-10-04 (Dr. Azucena Crona) : Encounter at HOLY FAMILY HOSPITAL
2021-10-09 (Dr. Azucena Crona) : Encounter at HOLY FAMILY HOSPITAL
2021-10-04 (Dr. Azucena Crona) : Encounter at HOLY FAMILY HOSPITAL
2021-10-04 (Dr. Fabian Larkin) : Encounter at BLUESKIES WELLNESS INC
2021-08-16 (Dr. Azucena Crona) : Encounter at HOLY FAMILY HOSPITAL
2021-08-16 (Dr. Azucena Crona) : Encounter at HOLY FAMILY HOSPITAL
2021-08-09 (Dr. Terrie Ratke) : Encounter at MIDDLETON FAMILY MEDICINE URGENT CARE, LLC
2021-08-01 (Dr. Azucena Crona) : Encounter at HOLY FAMILY HOSPITAL : Encounter for Acute bronchitis (disorder)
2021-07-19 (Dr. Azucena Crona) : Encounter at HOLY FAMILY HOSPITAL
2020-10-09 (Dr. Azucena Crona) : Encounter at HOLY FAMILY HOSPITAL
2019-09-30 (Dr. Fabian Larkin) : Encounter at BLUESKIES WELLNESS INC
2017-09-25 (Dr. Fabian Larkin) : Encounter at BLUESKIES WELLNESS INC
2014-12-29 (Dr. Fabian Larkin) : Encounter at BLUESKIES WELLNESS INC
2014-11-07 (Dr. Azucena Crona) : Encounter at HOLY FAMILY HOSPITAL
2014-01-03 (Dr. Azucena Crona) : Encounter at HOLY FAMILY HOSPITAL : Encounter for Viral sinusitis (disorder)
2008-12-22 (Dr. Fabian Larkin) : Encounter at BLUESKIES WELLNESS INC
2005-12-19 (Dr. Fabian Larkin) : Encounter at BLUESKIES WELLNESS INC
2002-12-19 (Dr. Azucena Crona) : Encounter at HOLY FAMILY HOSPITAL : Encounter for Viral sinusitis (disorder)
2002-12-16 (Dr. Fabian Larkin) : Encounter at BLUESKIES WELLNESS INC
1999-12-13 (Dr. Fabian Larkin) : Encounter at BLUESKIES WELLNESS INC
1996-12-09 (Dr. Fabian Larkin) : Encounter at BLUESKIES WELLNESS INC
1995-12-04 (Dr. Fabian Larkin) : Encounter at BLUESKIES WELLNESS INC
1994-11-28 (Dr. Fabian Larkin) : Encounter at BLUESKIES WELLNESS INC
--------------------------------------------------------------------------------
IMAGING STUDIES:
--------------------------------------------------------------------------------