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--- a +++ b/data/text/Hugh_Paucek_f4023938-aa7c-e086-c883-a60d05b75b54.txt @@ -0,0 +1,646 @@ +Hugh Paucek +=========== +Race: White +Ethnicity: Non-Hispanic +Gender: M +Age: 52 +Birth Date: 1970-12-11 +Marital Status: M +-------------------------------------------------------------------------------- +ALLERGIES: +No Known Allergies +-------------------------------------------------------------------------------- +MEDICATIONS: + 2022-12-02[CURRENT] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2022-12-02[CURRENT] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension + 2022-12-02[CURRENT] : insulin human, isophane 70 UNT/ML / Regular Insulin, Human 30 UNT/ML Injectable Suspension [Humulin] for Prediabetes + 2022-09-10[STOPPED] : Acetaminophen 325 MG Oral Tablet for Acute bronchitis (disorder) + 2022-06-10[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2022-06-10[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension + 2022-06-10[STOPPED] : insulin human, isophane 70 UNT/ML / Regular Insulin, Human 30 UNT/ML Injectable Suspension [Humulin] for Prediabetes + 2022-05-05[STOPPED] : Acetaminophen 21.7 MG/ML / Dextromethorphan Hydrobromide 1 MG/ML / doxylamine succinate 0.417 MG/ML Oral Solution for Acute bronchitis (disorder) + 2022-02-11[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2022-02-11[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension + 2022-02-11[STOPPED] : insulin human, isophane 70 UNT/ML / Regular Insulin, Human 30 UNT/ML Injectable Suspension [Humulin] for Prediabetes + 2021-02-05[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2021-02-05[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension + 2021-02-05[STOPPED] : insulin human, isophane 70 UNT/ML / Regular Insulin, Human 30 UNT/ML Injectable Suspension [Humulin] for Prediabetes + 2020-01-31[STOPPED] : insulin human, isophane 70 UNT/ML / Regular Insulin, Human 30 UNT/ML Injectable Suspension [Humulin] for Prediabetes + 2020-01-31[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2020-01-31[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension + 2019-01-25[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2019-01-25[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension + 2018-01-19[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2018-01-19[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension + 2017-01-13[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2017-01-13[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension + 2016-01-08[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2016-01-08[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension + 2015-01-02[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2015-01-02[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension + 2013-12-27[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2013-12-27[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension + 2013-01-20[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2012-12-21[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension + 2012-12-21[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension +-------------------------------------------------------------------------------- +CONDITIONS: + 2022-12-02 - : Stress (finding) + 2022-12-02 - : Social isolation (finding) + 2022-12-02 - : Full-time employment (finding) + 2022-09-10 - 2022-09-23 : Acute bronchitis (disorder) + 2022-06-10 - 2022-12-02 : Full-time employment (finding) + 2022-05-05 - 2022-05-13 : Acute bronchitis (disorder) + 2022-02-11 - 2022-06-10 : Full-time employment (finding) + 2021-10-23 - 2021-11-04 : Viral sinusitis (disorder) + 2021-02-05 - 2022-02-11 : Stress (finding) + 2021-02-05 - 2022-02-11 : Full-time employment (finding) + 2020-01-31 - 2021-02-05 : Full-time employment (finding) + 2020-01-31 - : Diabetic renal disease (disorder) + 2020-01-31 - : Chronic kidney disease stage 1 (disorder) + 2018-01-19 - 2019-01-25 : Full-time employment (finding) + 2017-01-13 - 2018-01-19 : Full-time employment (finding) + 2016-01-08 - 2017-01-13 : Full-time employment (finding) + 2015-01-02 - 2017-01-13 : Stress (finding) + 2015-01-02 - 2016-01-08 : Full-time employment (finding) + 2013-12-27 - 2018-01-19 : Social isolation (finding) + 2013-12-27 - 2015-01-02 : Full-time employment (finding) + 2012-12-21 - 2022-06-10 : Limited social contact (finding) + 2012-12-21 - 2013-12-27 : Full-time employment (finding) + 2012-12-21 - : Hypertension + 2002-02-22 - 2013-12-27 : Stress (finding) + 2002-02-22 - 2005-02-25 : Full-time employment (finding) + 1999-02-19 - 2002-02-22 : Full-time employment (finding) + 1990-02-09 - 2010-12-17 : Social isolation (finding) + 1990-02-09 - 1993-02-12 : Full-time employment (finding) + 1990-02-09 - : Anemia (disorder) + 1990-02-09 - : Prediabetes + 1989-02-03 - 1993-02-12 : Stress (finding) + 1989-02-03 - 1990-02-09 : Full-time employment (finding) + 1989-02-03 - : Only received primary school education (finding) + 1989-02-03 - : Housing unsatisfactory (finding) + 1972-11-02 - : Chronic sinusitis (disorder) +-------------------------------------------------------------------------------- +CARE PLANS: + 2022-09-10[STOPPED] : Respiratory therapy + Activity: Recommendation to avoid exercise + Activity: Deep breathing and coughing exercises + 2022-05-05[STOPPED] : Respiratory therapy + Activity: Recommendation to avoid exercise + Activity: Deep breathing and coughing exercises + 2012-12-21[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 + 1990-02-09[CURRENT] : Diabetes self management plan + Reason: Prediabetes + Activity: Diabetic diet + Activity: Exercise therapy +-------------------------------------------------------------------------------- +REPORTS: + 2022-12-02 : Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] + - Total score [AUDIT-C] 2.0 {score} + 2022-12-02 : Patient Health Questionnaire 2 item (PHQ-2) [Reported] + - Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 2.0 {score} + 2022-12-02 : Urinalysis macro (dipstick) panel - Urine + - Appearance of Urine Cloudy urine (finding) {nominal} + - Odor of Urine Urine smell ammoniacal (finding) {nominal} + - Clarity of Urine Translucent (qualifier value) {nominal} + - Color of Urine Brown color (qualifier value) {nominal} + - Glucose [Mass/volume] in Urine by Test strip 1.1 mg/dL + - Glucose [Presence] in Urine by Test strip Urine glucose test = ++ (finding) {nominal} + - Bilirubin.total [Mass/volume] in Urine by Test strip 0.9 mg/dL + - Bilirubin.total [Presence] in Urine by Test strip Finding of bilirubin in urine (finding) {nominal} + - Ketones [Mass/volume] in Urine by Test strip 4.9 mg/dL + - Ketones [Presence] in Urine by Test strip Urine ketone test = trace (finding) {nominal} + - Specific gravity of Urine by Test strip 1.0 {nominal} + - pH of Urine by Test strip 6.3 pH + - Protein [Mass/volume] in Urine by Test strip 65.4 mg/dL + - Protein [Presence] in Urine by Test strip Urine protein test = + (finding) {nominal} + - Nitrite [Presence] in Urine by Test strip Urine nitrite negative (finding) {nominal} + - Hemoglobin [Presence] in Urine by Test strip Urine blood test = negative (finding) {nominal} + - Leukocyte esterase [Presence] in Urine by Test strip Urine leukocyte test negative (finding) {nominal} + 2022-12-02 : Basic Metabolic 2000 Panel + - Glucose 95.5 mg/dL + - Urea Nitrogen 8.4 mg/dL + - Creatinine 1.7 mg/dL + - Calcium 8.6 mg/dL + - Sodium 137.1 mmol/L + - Potassium 4.3 mmol/L + - Chloride 105.4 mmol/L + - Carbon Dioxide 28.0 mmol/L + - Glomerular filtration rate/1.73 sq M.predicted 128.2 mL/min + 2022-12-02 : Basic Metabolic Panel + - Glucose 95.5 mg/dL + - Urea Nitrogen 8.4 mg/dL + - Creatinine 1.6 mg/dL + - Calcium 8.6 mg/dL + - Sodium 137.1 mmol/L + - Potassium 4.3 mmol/L + - Chloride 105.4 mmol/L + - Carbon Dioxide 28.0 mmol/L + 2022-06-10 : Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] + - Total score [AUDIT-C] 2.0 {score} + 2022-06-10 : Urinalysis macro (dipstick) panel - Urine + - Appearance of Urine Cloudy urine (finding) {nominal} + - Odor of Urine Urine smell ammoniacal (finding) {nominal} + - Clarity of Urine Translucent (qualifier value) {nominal} + - Color of Urine Brown color (qualifier value) {nominal} + - Glucose [Mass/volume] in Urine by Test strip 1.4 mg/dL + - Glucose [Presence] in Urine by Test strip Urine glucose test = ++ (finding) {nominal} + - Bilirubin.total [Mass/volume] in Urine by Test strip 0.7 mg/dL + - Bilirubin.total [Presence] in Urine by Test strip Finding of bilirubin in urine (finding) {nominal} + - Ketones [Mass/volume] in Urine by Test strip 16.6 mg/dL + - Ketones [Presence] in Urine by Test strip Urine ketone test = trace (finding) {nominal} + - Specific gravity of Urine by Test strip 1.0 {nominal} + - pH of Urine by Test strip 5.3 pH + - Protein [Mass/volume] in Urine by Test strip 89.6 mg/dL + - Protein [Presence] in Urine by Test strip Urine protein test = + (finding) {nominal} + - Nitrite [Presence] in Urine by Test strip Urine nitrite negative (finding) {nominal} + - Hemoglobin [Presence] in Urine by Test strip Urine blood test = negative (finding) {nominal} + - Leukocyte esterase [Presence] in Urine by Test strip Urine leukocyte test negative (finding) {nominal} + 2022-06-10 : Basic Metabolic 2000 Panel + - Glucose 91.0 mg/dL + - Urea Nitrogen 7.4 mg/dL + - Creatinine 1.6 mg/dL + - Calcium 9.6 mg/dL + - Sodium 138.5 mmol/L + - Potassium 5.1 mmol/L + - Chloride 103.3 mmol/L + - Carbon Dioxide 27.2 mmol/L + - Glomerular filtration rate/1.73 sq M.predicted 138.7 mL/min + 2022-06-10 : Basic Metabolic Panel + - Glucose 91.0 mg/dL + - Urea Nitrogen 7.4 mg/dL + - Creatinine 1.5 mg/dL + - Calcium 9.6 mg/dL + - Sodium 138.5 mmol/L + - Potassium 5.1 mmol/L + - Chloride 103.3 mmol/L + - Carbon Dioxide 27.2 mmol/L + 2022-02-11 : Drug Abuse Screening Test-10 [DAST-10] + - Total score [DAST-10] 2.0 {score} + 2022-02-11 : Humiliation, Afraid, Rape, and Kick questionnaire [HARK] + - Total score [HARK] 0.0 {score} + 2022-02-11 : Generalized anxiety disorder 7 item (GAD-7) + - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 1.0 {score} + 2022-02-11 : Urinalysis macro (dipstick) panel - Urine + - Appearance of Urine Cloudy urine (finding) {nominal} + - Odor of Urine Urine smell ammoniacal (finding) {nominal} + - Clarity of Urine Translucent (qualifier value) {nominal} + - Color of Urine Brown color (qualifier value) {nominal} + - Glucose [Mass/volume] in Urine by Test strip 0.9 mg/dL + - Glucose [Presence] in Urine by Test strip Urine glucose test = ++ (finding) {nominal} + - Bilirubin.total [Mass/volume] in Urine by Test strip 0.7 mg/dL + - Bilirubin.total [Presence] in Urine by Test strip Finding of bilirubin in urine (finding) {nominal} + - Ketones [Mass/volume] in Urine by Test strip 16.0 mg/dL + - Ketones [Presence] in Urine by Test strip Urine ketone test = trace (finding) {nominal} + - Specific gravity of Urine by Test strip 1.0 {nominal} + - pH of Urine by Test strip 5.5 pH + - Protein [Mass/volume] in Urine by Test strip 83.4 mg/dL + - Protein [Presence] in Urine by Test strip Urine protein test = + (finding) {nominal} + - Nitrite [Presence] in Urine by Test strip Urine nitrite negative (finding) {nominal} + - Hemoglobin [Presence] in Urine by Test strip Urine blood test = negative (finding) {nominal} + - Leukocyte esterase [Presence] in Urine by Test strip Urine leukocyte test negative (finding) {nominal} + 2022-02-11 : Basic Metabolic 2000 Panel + - Glucose 75.9 mg/dL + - Urea Nitrogen 8.3 mg/dL + - Creatinine 1.6 mg/dL + - Calcium 9.2 mg/dL + - Sodium 142.6 mmol/L + - Potassium 4.5 mmol/L + - Chloride 103.3 mmol/L + - Carbon Dioxide 21.5 mmol/L + - Glomerular filtration rate/1.73 sq M.predicted 129.9 mL/min + 2022-02-11 : Lipid Panel + - Total Cholesterol 197.8 mg/dL + - Triglycerides 131.6 mg/dL + - Low Density Lipoprotein Cholesterol 111.6 mg/dL + - High Density Lipoprotein Cholesterol 59.9 mg/dL + 2022-02-11 : Basic Metabolic Panel + - Glucose 75.9 mg/dL + - Urea Nitrogen 8.3 mg/dL + - Creatinine 2.0 mg/dL + - Calcium 9.2 mg/dL + - Sodium 142.6 mmol/L + - Potassium 4.5 mmol/L + - Chloride 103.3 mmol/L + - Carbon Dioxide 21.5 mmol/L + 2021-02-05 : Drug Abuse Screening Test-10 [DAST-10] + - Total score [DAST-10] 0.0 {score} + 2021-02-05 : Patient Health Questionnaire 2 item (PHQ-2) [Reported] + - Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 1.0 {score} + 2021-02-05 : Humiliation, Afraid, Rape, and Kick questionnaire [HARK] + - Total score [HARK] 0.0 {score} + 2021-02-05 : Urinalysis macro (dipstick) panel - Urine + - Appearance of Urine Cloudy urine (finding) {nominal} + - Odor of Urine Urine smell ammoniacal (finding) {nominal} + - Clarity of Urine Translucent (qualifier value) {nominal} + - Color of Urine Brown color (qualifier value) {nominal} + - Glucose [Mass/volume] in Urine by Test strip 1.4 mg/dL + - Glucose [Presence] in Urine by Test strip Urine glucose test = ++ (finding) {nominal} + - Bilirubin.total [Mass/volume] in Urine by Test strip 0.6 mg/dL + - Bilirubin.total [Presence] in Urine by Test strip Finding of bilirubin in urine (finding) {nominal} + - Ketones [Mass/volume] in Urine by Test strip 11.2 mg/dL + - Ketones [Presence] in Urine by Test strip Urine ketone test = trace (finding) {nominal} + - Specific gravity of Urine by Test strip 1.0 {nominal} + - pH of Urine by Test strip 6.1 pH + - Protein [Mass/volume] in Urine by Test strip 99.0 mg/dL + - Protein [Presence] in Urine by Test strip Urine protein test = + (finding) {nominal} + - Nitrite [Presence] in Urine by Test strip Urine nitrite negative (finding) {nominal} + - Hemoglobin [Presence] in Urine by Test strip Urine blood test = negative (finding) {nominal} + - Leukocyte esterase [Presence] in Urine by Test strip Urine leukocyte test negative (finding) {nominal} + 2021-02-05 : Basic Metabolic 2000 Panel + - Glucose 75.8 mg/dL + - Urea Nitrogen 15.2 mg/dL + - Creatinine 1.6 mg/dL + - Calcium 9.2 mg/dL + - Sodium 138.5 mmol/L + - Potassium 4.4 mmol/L + - Chloride 106.2 mmol/L + - Carbon Dioxide 21.8 mmol/L + - Glomerular filtration rate/1.73 sq M.predicted 148.6 mL/min + 2021-02-05 : Complete blood count (hemogram) panel - Blood by Automated count + - Leukocytes [#/volume] in Blood by Automated count 10.5 10*3/uL + - Erythrocytes [#/volume] in Blood by Automated count 4.0 10*6/uL + - Hemoglobin [Mass/volume] in Blood 13.1 g/dL + - Hematocrit [Volume Fraction] of Blood by Automated count 47.5 % + - MCV [Entitic volume] by Automated count 90.0 fL + - MCH [Entitic mass] by Automated count 29.4 pg + - MCHC [Mass/volume] by Automated count 36.0 g/dL + - Erythrocyte distribution width [Entitic volume] by Automated count 41.6 fL + - Platelets [#/volume] in Blood by Automated count 359.7 10*3/uL + - Platelet distribution width [Entitic volume] in Blood by Automated count 308.1 fL + - Platelet mean volume [Entitic volume] in Blood by Automated count 11.0 fL + 2021-02-05 : Basic Metabolic Panel + - Glucose 75.8 mg/dL + - Urea Nitrogen 15.2 mg/dL + - Creatinine 2.1 mg/dL + - Calcium 9.2 mg/dL + - Sodium 138.5 mmol/L + - Potassium 4.4 mmol/L + - Chloride 106.2 mmol/L + - Carbon Dioxide 21.8 mmol/L +-------------------------------------------------------------------------------- +OBSERVATIONS: + 2022-12-02 : Total score [AUDIT-C] 2.0 {score} + 2022-12-02 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 2.0 {score} + 2022-12-02 : 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? 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)? Less than once 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? 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. 83359 /a + - What is your main insurance? Medicare + - 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? 282 Quigley Orchard + - Are you worried about losing your housing? Yes + - What is your housing situation today? I have housing + - How many family members, including yourself, do you currently live with? 4.0 {#} + - 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 + 2022-12-02 : Hemoglobin A1c/Hemoglobin.total in Blood 3.0 % + 2022-12-02 : Leukocyte esterase [Presence] in Urine by Test strip Urine leukocyte test negative (finding) {nominal} + 2022-12-02 : Hemoglobin [Presence] in Urine by Test strip Urine blood test = negative (finding) {nominal} + 2022-12-02 : Nitrite [Presence] in Urine by Test strip Urine nitrite negative (finding) {nominal} + 2022-12-02 : Protein [Presence] in Urine by Test strip Urine protein test = + (finding) {nominal} + 2022-12-02 : Protein [Mass/volume] in Urine by Test strip 65.4 mg/dL + 2022-12-02 : pH of Urine by Test strip 6.3 pH + 2022-12-02 : Specific gravity of Urine by Test strip 1.0 {nominal} + 2022-12-02 : Ketones [Presence] in Urine by Test strip Urine ketone test = trace (finding) {nominal} + 2022-12-02 : Ketones [Mass/volume] in Urine by Test strip 4.9 mg/dL + 2022-12-02 : Bilirubin.total [Presence] in Urine by Test strip Finding of bilirubin in urine (finding) {nominal} + 2022-12-02 : Bilirubin.total [Mass/volume] in Urine by Test strip 0.9 mg/dL + 2022-12-02 : Glucose [Presence] in Urine by Test strip Urine glucose test = ++ (finding) {nominal} + 2022-12-02 : Glucose [Mass/volume] in Urine by Test strip 1.1 mg/dL + 2022-12-02 : Color of Urine Brown color (qualifier value) {nominal} + 2022-12-02 : Clarity of Urine Translucent (qualifier value) {nominal} + 2022-12-02 : Odor of Urine Urine smell ammoniacal (finding) {nominal} + 2022-12-02 : Appearance of Urine Cloudy urine (finding) {nominal} + 2022-12-02 : Glomerular filtration rate/1.73 sq M.predicted 128.2 mL/min + 2022-12-02 : Carbon Dioxide 28.0 mmol/L + 2022-12-02 : Chloride 105.4 mmol/L + 2022-12-02 : Potassium 4.3 mmol/L + 2022-12-02 : Sodium 137.1 mmol/L + 2022-12-02 : Calcium 8.6 mg/dL + 2022-12-02 : Creatinine 1.7 mg/dL + 2022-12-02 : Urea Nitrogen 8.4 mg/dL + 2022-12-02 : Glucose 95.5 mg/dL + 2022-12-02 : Tobacco smoking status Never smoked tobacco (finding) + 2022-12-02 : Carbon Dioxide 28.0 mmol/L + 2022-12-02 : Chloride 105.4 mmol/L + 2022-12-02 : Potassium 4.3 mmol/L + 2022-12-02 : Sodium 137.1 mmol/L + 2022-12-02 : Calcium 8.6 mg/dL + 2022-12-02 : Creatinine 1.6 mg/dL + 2022-12-02 : Urea Nitrogen 8.4 mg/dL + 2022-12-02 : Glucose 95.5 mg/dL + 2022-12-02 : Respiratory rate 14.0 /min + 2022-12-02 : Heart rate 69.0 /min + 2022-12-02 : Blood Pressure + - Diastolic Blood Pressure 74.0 mm[Hg] + - Systolic Blood Pressure 134.0 mm[Hg] + 2022-12-02 : Body Mass Index 28.1 kg/m2 + 2022-12-02 : Body Weight 103.1 kg + 2022-12-02 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 0.0 {score} + 2022-12-02 : Body Height 191.4 cm + 2022-06-10 : Total score [AUDIT-C] 2.0 {score} + 2022-06-10 : 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? 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. 83359 /a + - What is your main insurance? Medicare + - 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? 282 Quigley Orchard + - Are you worried about losing your housing? Yes + - What is your housing situation today? I have housing + - How many family members, including yourself, do you currently live with? 4.0 {#} + - 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 + 2022-06-10 : Hemoglobin A1c/Hemoglobin.total in Blood 3.3 % + 2022-06-10 : Leukocyte esterase [Presence] in Urine by Test strip Urine leukocyte test negative (finding) {nominal} + 2022-06-10 : Hemoglobin [Presence] in Urine by Test strip Urine blood test = negative (finding) {nominal} + 2022-06-10 : Nitrite [Presence] in Urine by Test strip Urine nitrite negative (finding) {nominal} + 2022-06-10 : Protein [Presence] in Urine by Test strip Urine protein test = + (finding) {nominal} + 2022-06-10 : Protein [Mass/volume] in Urine by Test strip 89.6 mg/dL + 2022-06-10 : pH of Urine by Test strip 5.3 pH + 2022-06-10 : Specific gravity of Urine by Test strip 1.0 {nominal} + 2022-06-10 : Ketones [Presence] in Urine by Test strip Urine ketone test = trace (finding) {nominal} + 2022-06-10 : Ketones [Mass/volume] in Urine by Test strip 16.6 mg/dL + 2022-06-10 : Bilirubin.total [Presence] in Urine by Test strip Finding of bilirubin in urine (finding) {nominal} + 2022-06-10 : Bilirubin.total [Mass/volume] in Urine by Test strip 0.7 mg/dL + 2022-06-10 : Glucose [Presence] in Urine by Test strip Urine glucose test = ++ (finding) {nominal} + 2022-06-10 : Glucose [Mass/volume] in Urine by Test strip 1.4 mg/dL + 2022-06-10 : Color of Urine Brown color (qualifier value) {nominal} + 2022-06-10 : Clarity of Urine Translucent (qualifier value) {nominal} + 2022-06-10 : Odor of Urine Urine smell ammoniacal (finding) {nominal} + 2022-06-10 : Appearance of Urine Cloudy urine (finding) {nominal} + 2022-06-10 : Glomerular filtration rate/1.73 sq M.predicted 138.7 mL/min + 2022-06-10 : Carbon Dioxide 27.2 mmol/L + 2022-06-10 : Chloride 103.3 mmol/L + 2022-06-10 : Potassium 5.1 mmol/L + 2022-06-10 : Sodium 138.5 mmol/L + 2022-06-10 : Calcium 9.6 mg/dL + 2022-06-10 : Creatinine 1.6 mg/dL + 2022-06-10 : Urea Nitrogen 7.4 mg/dL + 2022-06-10 : Glucose 91.0 mg/dL + 2022-06-10 : Tobacco smoking status Never smoked tobacco (finding) + 2022-06-10 : Carbon Dioxide 27.2 mmol/L + 2022-06-10 : Chloride 103.3 mmol/L + 2022-06-10 : Potassium 5.1 mmol/L + 2022-06-10 : Sodium 138.5 mmol/L + 2022-06-10 : Calcium 9.6 mg/dL + 2022-06-10 : Creatinine 1.5 mg/dL + 2022-06-10 : Urea Nitrogen 7.4 mg/dL + 2022-06-10 : Glucose 91.0 mg/dL + 2022-06-10 : Respiratory rate 15.0 /min + 2022-06-10 : Heart rate 83.0 /min + 2022-06-10 : Blood Pressure + - Diastolic Blood Pressure 75.0 mm[Hg] + - Systolic Blood Pressure 139.0 mm[Hg] + 2022-06-10 : Body Mass Index 28.1 kg/m2 + 2022-06-10 : Body Weight 103.1 kg + 2022-06-10 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 3.0 {score} + 2022-06-10 : Body Height 191.4 cm + 2022-02-11 : Total score [DAST-10] 2.0 {score} + 2022-02-11 : Total score [HARK] 0.0 {score} + 2022-02-11 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 1.0 {score} + 2022-02-11 : 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)? 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. 83359 /a + - What is your main insurance? Medicare + - 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? 282 Quigley Orchard + - Are you worried about losing your housing? Yes + - What is your housing situation today? I have housing + - How many family members, including yourself, do you currently live with? 4.0 {#} + - 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? I choose not to answer this question + - Are you Hispanic or Latino? No + 2022-02-11 : Hemoglobin A1c/Hemoglobin.total in Blood 3.2 % + 2022-02-11 : Leukocyte esterase [Presence] in Urine by Test strip Urine leukocyte test negative (finding) {nominal} + 2022-02-11 : Hemoglobin [Presence] in Urine by Test strip Urine blood test = negative (finding) {nominal} + 2022-02-11 : Nitrite [Presence] in Urine by Test strip Urine nitrite negative (finding) {nominal} + 2022-02-11 : Protein [Presence] in Urine by Test strip Urine protein test = + (finding) {nominal} + 2022-02-11 : Protein [Mass/volume] in Urine by Test strip 83.4 mg/dL + 2022-02-11 : pH of Urine by Test strip 5.5 pH + 2022-02-11 : Specific gravity of Urine by Test strip 1.0 {nominal} + 2022-02-11 : Ketones [Presence] in Urine by Test strip Urine ketone test = trace (finding) {nominal} + 2022-02-11 : Ketones [Mass/volume] in Urine by Test strip 16.0 mg/dL + 2022-02-11 : Bilirubin.total [Presence] in Urine by Test strip Finding of bilirubin in urine (finding) {nominal} + 2022-02-11 : Bilirubin.total [Mass/volume] in Urine by Test strip 0.7 mg/dL + 2022-02-11 : Glucose [Presence] in Urine by Test strip Urine glucose test = ++ (finding) {nominal} + 2022-02-11 : Glucose [Mass/volume] in Urine by Test strip 0.9 mg/dL + 2022-02-11 : Color of Urine Brown color (qualifier value) {nominal} + 2022-02-11 : Clarity of Urine Translucent (qualifier value) {nominal} + 2022-02-11 : Odor of Urine Urine smell ammoniacal (finding) {nominal} + 2022-02-11 : Appearance of Urine Cloudy urine (finding) {nominal} + 2022-02-11 : Glomerular filtration rate/1.73 sq M.predicted 129.9 mL/min + 2022-02-11 : Carbon Dioxide 21.5 mmol/L + 2022-02-11 : Chloride 103.3 mmol/L + 2022-02-11 : Potassium 4.5 mmol/L + 2022-02-11 : Sodium 142.6 mmol/L + 2022-02-11 : Calcium 9.2 mg/dL + 2022-02-11 : Creatinine 1.6 mg/dL + 2022-02-11 : Urea Nitrogen 8.3 mg/dL + 2022-02-11 : Glucose 75.9 mg/dL + 2022-02-11 : Tobacco smoking status Never smoked tobacco (finding) + 2022-02-11 : High Density Lipoprotein Cholesterol 59.9 mg/dL + 2022-02-11 : Low Density Lipoprotein Cholesterol 111.6 mg/dL + 2022-02-11 : Triglycerides 131.6 mg/dL + 2022-02-11 : Total Cholesterol 197.8 mg/dL + 2022-02-11 : Carbon Dioxide 21.5 mmol/L + 2022-02-11 : Chloride 103.3 mmol/L + 2022-02-11 : Potassium 4.5 mmol/L + 2022-02-11 : Sodium 142.6 mmol/L + 2022-02-11 : Calcium 9.2 mg/dL + 2022-02-11 : Creatinine 2.0 mg/dL + 2022-02-11 : Urea Nitrogen 8.3 mg/dL + 2022-02-11 : Glucose 75.9 mg/dL + 2022-02-11 : Respiratory rate 14.0 /min + 2022-02-11 : Heart rate 84.0 /min + 2022-02-11 : Blood Pressure + - Diastolic Blood Pressure 74.0 mm[Hg] + - Systolic Blood Pressure 138.0 mm[Hg] + 2022-02-11 : Body Mass Index 28.1 kg/m2 + 2022-02-11 : Body Weight 103.1 kg + 2022-02-11 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 3.0 {score} + 2022-02-11 : Body Height 191.4 cm + 2021-02-05 : Total score [DAST-10] 0.0 {score} + 2021-02-05 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 1.0 {score} + 2021-02-05 : Total score [HARK] 0.0 {score} + 2021-02-05 : 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? Very much + - 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. 83359 /a + - What is your main insurance? Medicare + - 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? 282 Quigley Orchard + - Are you worried about losing your housing? Yes + - What is your housing situation today? I have housing + - How many family members, including yourself, do you currently live with? 4.0 {#} + - 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 + 2021-02-05 : Hemoglobin A1c/Hemoglobin.total in Blood 2.8 % + 2021-02-05 : Leukocyte esterase [Presence] in Urine by Test strip Urine leukocyte test negative (finding) {nominal} + 2021-02-05 : Hemoglobin [Presence] in Urine by Test strip Urine blood test = negative (finding) {nominal} + 2021-02-05 : Nitrite [Presence] in Urine by Test strip Urine nitrite negative (finding) {nominal} + 2021-02-05 : Protein [Presence] in Urine by Test strip Urine protein test = + (finding) {nominal} + 2021-02-05 : Protein [Mass/volume] in Urine by Test strip 99.0 mg/dL + 2021-02-05 : pH of Urine by Test strip 6.1 pH + 2021-02-05 : Specific gravity of Urine by Test strip 1.0 {nominal} + 2021-02-05 : Ketones [Presence] in Urine by Test strip Urine ketone test = trace (finding) {nominal} + 2021-02-05 : Ketones [Mass/volume] in Urine by Test strip 11.2 mg/dL + 2021-02-05 : Bilirubin.total [Presence] in Urine by Test strip Finding of bilirubin in urine (finding) {nominal} + 2021-02-05 : Bilirubin.total [Mass/volume] in Urine by Test strip 0.6 mg/dL + 2021-02-05 : Glucose [Presence] in Urine by Test strip Urine glucose test = ++ (finding) {nominal} + 2021-02-05 : Glucose [Mass/volume] in Urine by Test strip 1.4 mg/dL + 2021-02-05 : Color of Urine Brown color (qualifier value) {nominal} + 2021-02-05 : Clarity of Urine Translucent (qualifier value) {nominal} + 2021-02-05 : Odor of Urine Urine smell ammoniacal (finding) {nominal} + 2021-02-05 : Appearance of Urine Cloudy urine (finding) {nominal} + 2021-02-05 : Glomerular filtration rate/1.73 sq M.predicted 148.6 mL/min + 2021-02-05 : Carbon Dioxide 21.8 mmol/L + 2021-02-05 : Chloride 106.2 mmol/L + 2021-02-05 : Potassium 4.4 mmol/L + 2021-02-05 : Sodium 138.5 mmol/L + 2021-02-05 : Calcium 9.2 mg/dL + 2021-02-05 : Creatinine 1.6 mg/dL + 2021-02-05 : Urea Nitrogen 15.2 mg/dL + 2021-02-05 : Glucose 75.8 mg/dL + 2021-02-05 : Tobacco smoking status Never smoked tobacco (finding) + 2021-02-05 : Platelet mean volume [Entitic volume] in Blood by Automated count 11.0 fL + 2021-02-05 : Platelet distribution width [Entitic volume] in Blood by Automated count 308.1 fL + 2021-02-05 : Platelets [#/volume] in Blood by Automated count 359.7 10*3/uL + 2021-02-05 : Erythrocyte distribution width [Entitic volume] by Automated count 41.6 fL + 2021-02-05 : MCHC [Mass/volume] by Automated count 36.0 g/dL + 2021-02-05 : MCH [Entitic mass] by Automated count 29.4 pg + 2021-02-05 : MCV [Entitic volume] by Automated count 90.0 fL + 2021-02-05 : Hematocrit [Volume Fraction] of Blood by Automated count 47.5 % + 2021-02-05 : Hemoglobin [Mass/volume] in Blood 13.1 g/dL + 2021-02-05 : Erythrocytes [#/volume] in Blood by Automated count 4.0 10*6/uL + 2021-02-05 : Leukocytes [#/volume] in Blood by Automated count 10.5 10*3/uL + 2021-02-05 : Carbon Dioxide 21.8 mmol/L + 2021-02-05 : Chloride 106.2 mmol/L + 2021-02-05 : Potassium 4.4 mmol/L + 2021-02-05 : Sodium 138.5 mmol/L + 2021-02-05 : Calcium 9.2 mg/dL + 2021-02-05 : Creatinine 2.1 mg/dL + 2021-02-05 : Urea Nitrogen 15.2 mg/dL + 2021-02-05 : Glucose 75.8 mg/dL + 2021-02-05 : Respiratory rate 15.0 /min + 2021-02-05 : Heart rate 95.0 /min + 2021-02-05 : Blood Pressure + - Diastolic Blood Pressure 81.0 mm[Hg] + - Systolic Blood Pressure 129.0 mm[Hg] + 2021-02-05 : Body Mass Index 28.1 kg/m2 + 2021-02-05 : Body Weight 103.1 kg + 2021-02-05 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 4.0 {score} + 2021-02-05 : Body Height 191.4 cm +-------------------------------------------------------------------------------- +PROCEDURES: + 2022-12-02 : Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure) + 2022-12-02 : Assessment of substance use (procedure) + 2022-12-02 : Depression screening using Patient Health Questionnaire Two-Item score (procedure) + 2022-12-02 : Depression screening (procedure) + 2022-12-02 : Assessment of health and social care needs (procedure) + 2022-09-10 : Measurement of respiratory function (procedure) for Acute bronchitis (disorder) + 2022-06-10 : Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure) + 2022-06-10 : Assessment of substance use (procedure) + 2022-06-10 : Assessment of health and social care needs (procedure) + 2022-02-11 : Screening for drug abuse (procedure) + 2022-02-11 : Assessment of substance use (procedure) + 2022-02-11 : Screening for domestic abuse (procedure) + 2022-02-11 : Assessment of anxiety (procedure) + 2022-02-11 : Assessment of health and social care needs (procedure) + 2021-02-05 : Screening for drug abuse (procedure) + 2021-02-05 : Assessment of substance use (procedure) + 2021-02-05 : Depression screening using Patient Health Questionnaire Two-Item score (procedure) + 2021-02-05 : Depression screening (procedure) + 2021-02-05 : Screening for domestic abuse (procedure) + 2021-02-05 : Assessment of health and social care needs (procedure) +-------------------------------------------------------------------------------- +IMMUNIZATIONS: + 2022-09-16 : Influenza, seasonal, injectable, preservative free + 2022-02-11 : Td (adult) preservative free + 2021-10-22 : Influenza, seasonal, injectable, preservative free + 2021-10-22 : zoster + 2021-05-07 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose + 2021-04-16 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose + 2021-02-05 : Influenza, seasonal, injectable, preservative free + 2021-02-05 : zoster +-------------------------------------------------------------------------------- +ENCOUNTERS: +2022-12-02 (Dr. Reggie Schiller) : Encounter at ARBOUR-FULLER HOSPITAL +2022-09-23 (Dr. Liberty Kihn) : Encounter at WOONSOCKET URGENT CARE PC +2022-09-10 (Dr. Reggie Schiller) : Encounter at ARBOUR-FULLER HOSPITAL : Encounter for Acute bronchitis (disorder) +2022-09-16 (Dr. Cleo Crooks) : Encounter at VNA & HOSPICE OF GREATER MILFORD +2022-06-10 (Dr. Reggie Schiller) : Encounter at ARBOUR-FULLER HOSPITAL +2022-05-13 (Dr. Liberty Kihn) : Encounter at WOONSOCKET URGENT CARE PC +2022-05-05 (Dr. Reggie Schiller) : Encounter at ARBOUR-FULLER HOSPITAL : Encounter for Acute bronchitis (disorder) +2022-02-11 (Dr. Stephen Okuneva) : Encounter at A&A HEALTHCARE LLC +2021-11-05 (Dr. Liberty Kihn) : Encounter at WOONSOCKET URGENT CARE PC +2021-10-23 (Dr. Reggie Schiller) : Encounter at ARBOUR-FULLER HOSPITAL : Encounter for Viral sinusitis (disorder) +2021-10-29 (Dr. Liberty Kihn) : Encounter at WOONSOCKET URGENT CARE PC +2021-10-22 (Dr. Cleo Crooks) : Encounter at VNA & HOSPICE OF GREATER MILFORD +2021-05-07 (Dr. Reggie Schiller) : Encounter at ARBOUR-FULLER HOSPITAL +2021-04-16 (Dr. Reggie Schiller) : Encounter at ARBOUR-FULLER HOSPITAL +2021-02-05 (Dr. Stephen Okuneva) : Encounter at A&A HEALTHCARE LLC +2020-01-31 (Dr. Stephen Okuneva) : Encounter at A&A HEALTHCARE LLC +2019-01-25 (Dr. Stephen Okuneva) : Encounter at A&A HEALTHCARE LLC +2018-01-19 (Dr. Stephen Okuneva) : Encounter at A&A HEALTHCARE LLC +2017-01-13 (Dr. Stephen Okuneva) : Encounter at A&A HEALTHCARE LLC +2016-01-08 (Dr. Stephen Okuneva) : Encounter at A&A HEALTHCARE LLC +2015-01-02 (Dr. Stephen Okuneva) : Encounter at A&A HEALTHCARE LLC +2013-12-27 (Dr. Stephen Okuneva) : Encounter at A&A HEALTHCARE LLC +2013-01-20 (Dr. Reggie Schiller) : Encounter at ARBOUR-FULLER HOSPITAL : Encounter for Hypertension +2012-12-21 (Dr. Stephen Okuneva) : Encounter at A&A HEALTHCARE LLC +2002-02-22 (Dr. Stephen Okuneva) : Encounter at A&A HEALTHCARE LLC +1999-02-19 (Dr. Stephen Okuneva) : Encounter at A&A HEALTHCARE LLC +1990-02-09 (Dr. Reggie Schiller) : Encounter at ARBOUR-FULLER HOSPITAL : Encounter for Anemia (disorder) +1990-02-09 (Dr. Stephen Okuneva) : Encounter at A&A HEALTHCARE LLC +1989-02-03 (Dr. Stephen Okuneva) : Encounter at A&A HEALTHCARE LLC +1972-11-02 (Dr. Reggie Schiller) : Encounter at ARBOUR-FULLER HOSPITAL : Encounter for Sinusitis (disorder) +-------------------------------------------------------------------------------- +IMAGING STUDIES: +--------------------------------------------------------------------------------