--- a +++ b/data/text/Clark_Ryan_02179e43-4ce6-e599-74b6-a365286627eb.txt @@ -0,0 +1,84 @@ +Clark Ryan +========== +Race: White +Ethnicity: Non-Hispanic +Gender: M +Age: 15 +Birth Date: 2007-03-02 +Marital Status: S +-------------------------------------------------------------------------------- +ALLERGIES: +No Known Allergies +-------------------------------------------------------------------------------- +MEDICATIONS: +-------------------------------------------------------------------------------- +CONDITIONS: + 2021-10-19 - 2021-11-13 : Viral sinusitis (disorder) +-------------------------------------------------------------------------------- +CARE PLANS: +-------------------------------------------------------------------------------- +REPORTS: + 2022-04-08 : 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} + 2022-04-08 : Generalized anxiety disorder 7 item (GAD-7) + - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 0.0 {score} + 2021-04-02 : Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen] + - Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 4.0 {score} +-------------------------------------------------------------------------------- +OBSERVATIONS: + 2022-04-08 : Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 1.0 {score} + 2022-04-08 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 0.0 {score} + 2022-04-08 : Tobacco smoking status Never smoked tobacco (finding) + 2022-04-08 : Respiratory rate 14.0 /min + 2022-04-08 : Heart rate 79.0 /min + 2022-04-08 : Blood Pressure + - Diastolic Blood Pressure 96.0 mm[Hg] + - Systolic Blood Pressure 119.0 mm[Hg] + 2022-04-08 : Body mass index (BMI) [Percentile] Per age and gender 7.3 % + 2022-04-08 : Body Mass Index 16.9 kg/m2 + 2022-04-08 : Body Weight 50.4 kg + 2022-04-08 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 2.0 {score} + 2022-04-08 : Body Height 172.7 cm + 2021-04-02 : Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 4.0 {score} + 2021-04-02 : Tobacco smoking status Never smoked tobacco (finding) + 2021-04-02 : Respiratory rate 15.0 /min + 2021-04-02 : Heart rate 76.0 /min + 2021-04-02 : Blood Pressure + - Diastolic Blood Pressure 91.0 mm[Hg] + - Systolic Blood Pressure 121.0 mm[Hg] + 2021-04-02 : Body mass index (BMI) [Percentile] Per age and gender 7.5 % + 2021-04-02 : Body Mass Index 16.3 kg/m2 + 2021-04-02 : Body Weight 45.6 kg + 2021-04-02 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 0.0 {score} + 2021-04-02 : Body Height 167.0 cm +-------------------------------------------------------------------------------- +PROCEDURES: + 2022-04-08 : Anticipatory guidance (procedure) + 2022-04-08 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure) + 2022-04-08 : Assessment of substance use (procedure) + 2022-04-08 : Depression screening using Patient Health Questionnaire Nine Item score (procedure) + 2022-04-08 : Depression screening (procedure) + 2022-04-08 : Medication Reconciliation (procedure) + 2022-04-08 : Assessment of anxiety (procedure) + 2021-04-02 : Anticipatory guidance (procedure) + 2021-04-02 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure) + 2021-04-02 : Assessment of substance use (procedure) + 2021-04-02 : Depression screening using Patient Health Questionnaire Nine Item score (procedure) + 2021-04-02 : Medication Reconciliation (procedure) + 2021-04-02 : Depression screening (procedure) +-------------------------------------------------------------------------------- +IMMUNIZATIONS: + 2022-04-08 : Influenza, seasonal, injectable, preservative free + 2021-12-03 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose + 2021-11-05 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose + 2021-04-02 : Influenza, seasonal, injectable, preservative free +-------------------------------------------------------------------------------- +ENCOUNTERS: +2022-04-08 (Dr. Jospeh Wunsch) : Encounter at SOUTH SHORE CENTER FOR WELLNESS LTD +2021-12-03 (Dr. Houston Funk) : Encounter at BROCKTON HOSPITAL, INC. +2021-11-05 (Dr. Houston Funk) : Encounter at BROCKTON HOSPITAL, INC. +2021-10-19 (Dr. Houston Funk) : Encounter at BROCKTON HOSPITAL, INC. : Encounter for Viral sinusitis (disorder) +2021-04-02 (Dr. Jospeh Wunsch) : Encounter at SOUTH SHORE CENTER FOR WELLNESS LTD +-------------------------------------------------------------------------------- +IMAGING STUDIES: +--------------------------------------------------------------------------------