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+++ b/data/text/Dylan_Parisian_e2189ee1-b39c-cf7e-9d30-766c677a5942.txt
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+Dylan Parisian
+==============
+Race:                White
+Ethnicity:           Non-Hispanic
+Gender:              M
+Age:                 28
+Birth Date:          1994-05-27
+Marital Status:      M
+--------------------------------------------------------------------------------
+ALLERGIES:
+No Known Allergies
+--------------------------------------------------------------------------------
+MEDICATIONS:
+  2022-09-16[CURRENT] : tramadol hydrochloride 50 MG Oral Tablet
+  2022-09-16[CURRENT] : 72 HR Fentanyl 0.025 MG/HR Transdermal System
+  2022-09-16[CURRENT] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension
+  2022-09-16[CURRENT] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
+  2022-06-22[STOPPED] : Ibuprofen 200 MG Oral Tablet
+  2022-06-22[STOPPED] : Acetaminophen 325 MG / oxyCODONE Hydrochloride 5 MG Oral Tablet
+  2021-09-10[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet
+  2021-09-10[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System
+  2021-09-10[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension
+  2021-09-10[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
+  2020-09-04[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet
+  2020-09-04[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System
+  2020-09-04[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension
+  2020-09-04[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
+  2019-08-30[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet
+  2019-08-30[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System
+  2019-08-30[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension
+  2019-08-30[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
+  2018-08-24[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet
+  2018-08-24[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System
+  2018-08-24[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension
+  2018-08-24[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
+  2017-08-18[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet
+  2017-08-18[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System
+  2017-08-18[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension
+  2017-08-18[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
+  2016-08-12[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet
+  2016-08-12[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System
+  2016-08-12[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension
+  2016-08-12[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
+  2015-08-07[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet
+  2015-08-07[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System
+  2015-08-07[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension
+  2015-08-07[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
+  2015-08-07[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension
+  2015-08-07[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet
+  2015-08-07[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System
+  2015-08-07[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
+  2015-05-01[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet
+  2015-05-01[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System
+  2015-05-01[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
+  2014-11-08[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System
+  2014-08-01[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet
+  2014-08-01[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
+  2014-03-23[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
+  2014-02-02[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet
+--------------------------------------------------------------------------------
+CONDITIONS:
+  2022-09-16 -            : Full-time employment (finding)
+  2022-06-22 - 2022-07-23 : Fracture of clavicle
+  2021-10-06 - 2021-10-18 : Acute viral pharyngitis (disorder)
+  2021-09-10 - 2022-09-16 : Stress (finding)
+  2021-09-10 - 2022-09-16 : Social isolation (finding)
+  2021-09-10 - 2022-09-16 : Full-time employment (finding)
+  2020-09-04 - 2021-09-10 : Full-time employment (finding)
+  2019-08-30 - 2020-09-04 : Full-time employment (finding)
+  2018-08-24 - 2019-08-30 : Full-time employment (finding)
+  2017-08-18 - 2018-08-24 : Full-time employment (finding)
+  2016-08-12 - 2017-08-18 : Full-time employment (finding)
+  2015-08-07 -            : Lack of access to transportation (finding)
+  2015-08-07 - 2016-08-12 : Full-time employment (finding)
+  2015-08-07 -            : Anemia (disorder)
+  2015-08-07 -            : Metabolic syndrome X (disorder)
+  2015-08-07 -            : Hypertension
+  2014-08-01 - 2015-05-01 : Full-time employment (finding)
+  2014-08-01 -            : Prediabetes
+  2014-08-01 -            : Body mass index 30+ - obesity (finding)
+  2014-02-02 -            : Chronic neck pain (finding)
+  2014-02-02 -            : Chronic low back pain (finding)
+  2012-07-20 -            : Transport problems (finding)
+  2012-07-20 - 2013-07-26 : Full-time employment (finding)
+  2012-07-20 -            : Only received primary school education (finding)
+  2011-07-15 -            : Risk activity involvement (finding)
+  2007-01-26 - 2008-06-27 : Risk activity involvement (finding)
+--------------------------------------------------------------------------------
+CARE PLANS:
+  2022-06-22[STOPPED] : Fracture care
+                         Reason: Fracture of clavicle
+                         Activity: Recommendation to rest
+                         Activity: Physical activity target light exercise
+  2015-08-07[CURRENT] : Lifestyle education regarding hypertension
+                         Reason: Hypertension
+                         Activity: Prescribed activity/exercise education
+                         Activity: Counseling about alcohol consumption
+                         Activity: Dietary approaches to stop hypertension diet
+                         Activity: Smoking cessation education
+  2014-08-01[CURRENT] : Diabetes self management plan
+                         Reason: Prediabetes
+                         Activity: Diabetic diet
+                         Activity: Exercise therapy
+  2014-03-23[CURRENT] : Therapy (regime/therapy)
+                         Activity: Physical therapy procedure (regime/therapy)
+                         Activity: Cognitive and behavioral therapy (regime/therapy)
+--------------------------------------------------------------------------------
+REPORTS:
+  2022-09-16 : Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]
+           - Total score [AUDIT-C]                    1.0 {score}
+  2022-09-16 : Patient Health Questionnaire 2 item (PHQ-2) [Reported]
+           - Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 2.0 {score}
+  2022-09-16 : Generalized anxiety disorder 7 item (GAD-7)
+           - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 1.0 {score}
+  2022-09-16 : Basic Metabolic Panel
+           - Glucose                                  68.2 mg/dL
+           - Urea Nitrogen                            11.6 mg/dL
+           - Creatinine                               1.5 mg/dL
+           - Calcium                                  10.2 mg/dL
+           - Sodium                                   143.5 mmol/L
+           - Potassium                                5.1 mmol/L
+           - Chloride                                 105.0 mmol/L
+           - Carbon Dioxide                           22.5 mmol/L
+  2021-09-10 : Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]
+           - Total score [AUDIT-C]                    1.0 {score}
+  2021-09-10 : Basic Metabolic Panel
+           - Glucose                                  70.6 mg/dL
+           - Urea Nitrogen                            16.5 mg/dL
+           - Creatinine                               1.7 mg/dL
+           - Calcium                                  8.7 mg/dL
+           - Sodium                                   138.3 mmol/L
+           - Potassium                                4.8 mmol/L
+           - Chloride                                 105.0 mmol/L
+           - Carbon Dioxide                           25.2 mmol/L
+--------------------------------------------------------------------------------
+OBSERVATIONS:
+  2022-09-16 : Total score [AUDIT-C]                    1.0 {score}
+  2022-09-16 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 2.0 {score}
+  2022-09-16 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 1.0 {score}
+  2022-09-16 : 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?                       No 
+           - 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? Yes, it has kept me from medical appointments or from getting my medications 
+           - 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? Medicine or Any Health Care 
+           - 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. 34468 /a
+           - What is your main insurance?             None/uninsured 
+           - What is your current work situation?     Full-time work 
+           - What is the highest level of school that you have finished? Less than high school degree 
+           - What address do you live at?             754 Kirlin Extension Suite 17 
+           - 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? 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 
+  2022-09-16 : Hemoglobin A1c/Hemoglobin.total in Blood 6.0 %
+  2022-09-16 : Tobacco smoking status                   Never smoked tobacco (finding) 
+  2022-09-16 : Carbon Dioxide                           22.5 mmol/L
+  2022-09-16 : Chloride                                 105.0 mmol/L
+  2022-09-16 : Potassium                                5.1 mmol/L
+  2022-09-16 : Sodium                                   143.5 mmol/L
+  2022-09-16 : Calcium                                  10.2 mg/dL
+  2022-09-16 : Creatinine                               1.5 mg/dL
+  2022-09-16 : Urea Nitrogen                            11.6 mg/dL
+  2022-09-16 : Glucose                                  68.2 mg/dL
+  2022-09-16 : Respiratory rate                         13.0 /min
+  2022-09-16 : Heart rate                               91.0 /min
+  2022-09-16 : Blood Pressure
+           - Diastolic Blood Pressure                 100.0 mm[Hg]
+           - Systolic Blood Pressure                  141.0 mm[Hg]
+  2022-09-16 : Body Mass Index                          30.3 kg/m2
+  2022-09-16 : Body Weight                              99.0 kg
+  2022-09-16 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 2.0 {score}
+  2022-09-16 : Body Height                              180.8 cm
+  2021-10-06 : Body temperature                         38.0 Cel
+  2021-09-10 : Total score [AUDIT-C]                    1.0 {score}
+  2021-09-10 : 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?                       No 
+           - 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? A little bit 
+           - 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)? Less than once a week 
+           - Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living? Yes, it has kept me from medical appointments or from getting my medications 
+           - 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? Other, Please write 
+           - 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. 34468 /a
+           - What is your main insurance?             None/uninsured 
+           - What is your current work situation?     Full-time work 
+           - What is the highest level of school that you have finished? Less than high school degree 
+           - What address do you live at?             754 Kirlin Extension Suite 17 
+           - 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? 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 
+  2021-09-10 : Hemoglobin A1c/Hemoglobin.total in Blood 6.1 %
+  2021-09-10 : Tobacco smoking status                   Never smoked tobacco (finding) 
+  2021-09-10 : Carbon Dioxide                           25.2 mmol/L
+  2021-09-10 : Chloride                                 105.0 mmol/L
+  2021-09-10 : Potassium                                4.8 mmol/L
+  2021-09-10 : Sodium                                   138.3 mmol/L
+  2021-09-10 : Calcium                                  8.7 mg/dL
+  2021-09-10 : Creatinine                               1.7 mg/dL
+  2021-09-10 : Urea Nitrogen                            16.5 mg/dL
+  2021-09-10 : Glucose                                  70.6 mg/dL
+  2021-09-10 : Respiratory rate                         12.0 /min
+  2021-09-10 : Heart rate                               60.0 /min
+  2021-09-10 : Blood Pressure
+           - Diastolic Blood Pressure                 110.0 mm[Hg]
+           - Systolic Blood Pressure                  146.0 mm[Hg]
+  2021-09-10 : Body Mass Index                          31.3 kg/m2
+  2021-09-10 : Body Weight                              102.2 kg
+  2021-09-10 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 2.0 {score}
+  2021-09-10 : Body Height                              180.8 cm
+--------------------------------------------------------------------------------
+PROCEDURES:
+  2022-09-16 : Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)
+  2022-09-16 : Assessment of substance use (procedure)
+  2022-09-16 : Depression screening using Patient Health Questionnaire Two-Item score (procedure)
+  2022-09-16 : Depression screening (procedure)
+  2022-09-16 : Assessment of anxiety (procedure)
+  2022-09-16 : Assessment of health and social care needs (procedure)
+  2022-06-22 : Admission to orthopedic department for Fracture of clavicle
+  2022-06-22 : Clavicle X-ray
+  2021-09-10 : Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)
+  2021-09-10 : Assessment of substance use (procedure)
+  2021-09-10 : Assessment of health and social care needs (procedure)
+--------------------------------------------------------------------------------
+IMMUNIZATIONS:
+  2022-09-16 : Influenza, seasonal, injectable, preservative free
+  2021-09-10 : Influenza, seasonal, injectable, preservative free
+  2021-05-28 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose
+  2021-05-07 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose
+--------------------------------------------------------------------------------
+ENCOUNTERS:
+2022-09-16 (Dr. Jared Satterfield) : Encounter at MELROSE INTERNAL MEDICINE ASSOC PC
+2022-07-23 (Dr. María Nieves) : Encounter at MELROSEWAKEFIELD HEALTHCARE, INC : Encounter for Fracture of clavicle
+2022-06-22 (Dr. Jess Gutmann) : Encounter at GREENWOOD NURSING & REHABILITATION CENTER
+2021-10-06 (Dr. María Nieves) : Encounter at MELROSEWAKEFIELD HEALTHCARE, INC : Encounter for Acute viral pharyngitis (disorder)
+2021-09-10 (Dr. Jared Satterfield) : Encounter at MELROSE INTERNAL MEDICINE ASSOC PC
+2021-05-28 (Dr. María Nieves) : Encounter at MELROSEWAKEFIELD HEALTHCARE, INC
+2021-05-07 (Dr. María Nieves) : Encounter at MELROSEWAKEFIELD HEALTHCARE, INC
+2020-09-04 (Dr. Jared Satterfield) : Encounter at MELROSE INTERNAL MEDICINE ASSOC PC
+2019-08-30 (Dr. Jared Satterfield) : Encounter at MELROSE INTERNAL MEDICINE ASSOC PC
+2018-08-24 (Dr. Jared Satterfield) : Encounter at MELROSE INTERNAL MEDICINE ASSOC PC
+2017-08-18 (Dr. Jared Satterfield) : Encounter at MELROSE INTERNAL MEDICINE ASSOC PC
+2016-08-12 (Dr. Jared Satterfield) : Encounter at MELROSE INTERNAL MEDICINE ASSOC PC
+2015-08-07 (Dr. María Nieves) : Encounter at MELROSEWAKEFIELD HEALTHCARE, INC : Encounter for Anemia (disorder)
+2015-08-07 (Dr. Jared Satterfield) : Encounter at MELROSE INTERNAL MEDICINE ASSOC PC
+2015-05-01 (Dr. María Nieves) : Encounter at MELROSEWAKEFIELD HEALTHCARE, INC : Encounter for Viral sinusitis (disorder)
+2014-11-08 (Dr. María Nieves) : Encounter at MELROSEWAKEFIELD HEALTHCARE, INC
+2014-08-01 (Dr. Jared Satterfield) : Encounter at MELROSE INTERNAL MEDICINE ASSOC PC
+2014-03-23 (Dr. María Nieves) : Encounter at MELROSEWAKEFIELD HEALTHCARE, INC
+2014-02-02 (Dr. María Nieves) : Encounter at MELROSEWAKEFIELD HEALTHCARE, INC
+2012-07-20 (Dr. Jared Satterfield) : Encounter at MELROSE INTERNAL MEDICINE ASSOC PC
+2011-07-15 (Dr. Jared Satterfield) : Encounter at MELROSE INTERNAL MEDICINE ASSOC PC
+2007-01-28 (Dr. María Nieves) : Encounter at MELROSEWAKEFIELD HEALTHCARE, INC : Encounter for Viral sinusitis (disorder)
+--------------------------------------------------------------------------------
+IMAGING STUDIES:
+  2022-06-22 : Digital Radiography, Clavicle
+--------------------------------------------------------------------------------