Luis Miguel Jasso
=================
Race: White
Ethnicity: Hispanic
Gender: M
Age: 32
Birth Date: 1990-02-10
Marital Status: M
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ALLERGIES:
1991-07-05 - : Peanut (substance)
1991-07-05 - : Lisinopril
1991-07-05 - : Grass pollen (substance)
1991-07-05 - : Animal dander (substance)
1991-07-05 - : House dust mite (organism)
1991-07-05 - : Mold (organism)
1991-07-05 - : Latex (substance)
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MEDICATIONS:
2022-06-25[CURRENT] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2022-06-25[CURRENT] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2022-06-25[CURRENT] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2022-06-25[CURRENT] : losartan potassium 25 MG Oral Tablet for Hypertension
2021-09-25[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2021-09-25[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2021-09-25[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2021-09-25[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2021-06-19[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2021-06-19[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2021-06-19[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2021-06-19[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2020-06-13[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2020-06-13[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2020-06-13[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2020-06-13[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2019-06-08[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2019-06-08[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2019-06-08[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2019-06-08[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2018-07-28[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2018-07-28[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2018-07-28[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2018-07-28[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2018-06-02[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2018-06-02[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2018-06-02[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2018-06-02[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2017-05-27[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2017-05-27[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2017-05-27[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2017-05-27[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2016-05-21[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2016-05-21[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2016-05-21[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2016-05-21[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2015-05-16[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2015-05-16[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2015-05-16[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2015-05-16[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2014-05-10[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2014-05-10[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2014-05-10[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2014-05-10[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2013-05-04[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2013-05-04[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2013-05-04[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2013-05-04[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2012-04-28[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2012-04-28[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2012-04-28[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2012-04-28[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2011-04-23[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2011-04-23[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2011-04-23[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2011-04-23[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2010-06-26[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2010-06-26[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2010-06-26[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2010-06-26[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2010-04-17[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2010-04-17[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2010-04-17[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2010-04-17[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2009-04-11[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2009-04-11[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2009-04-11[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2009-04-11[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2008-04-05[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension
2008-04-05[STOPPED] : losartan potassium 25 MG Oral Tablet for Hypertension
2008-04-05[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2008-04-05[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2007-03-31[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2007-03-31[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2006-03-25[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2006-03-25[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2005-03-19[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2005-03-19[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2004-12-11[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2004-12-11[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2004-03-13[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2004-03-13[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2003-03-08[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2003-03-08[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2002-03-02[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2002-03-02[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2001-02-24[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2001-02-24[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2000-02-19[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2000-02-19[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
1999-02-13[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
1999-02-13[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
1998-02-07[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
1998-02-07[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
1997-11-22[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
1997-11-22[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
1997-02-01[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
1997-02-01[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
1996-01-27[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
1996-01-27[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
1995-01-21[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
1995-01-21[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
1994-01-15[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
1994-01-15[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
1993-07-17[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
1993-07-17[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
1993-02-13[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
1993-02-13[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
1991-07-05[CURRENT] : NDA020800 0.3 ML Epinephrine 1 MG/ML Auto-Injector
1991-07-05[CURRENT] : Terfenadine 60 MG Oral Tablet
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CONDITIONS:
2022-06-25 - : Full-time employment (finding)
2021-09-25 - 2022-06-25 : Full-time employment (finding)
2021-09-25 - : Body mass index 30+ - obesity (finding)
2021-09-25 - 2021-10-02 : Viral sinusitis (disorder)
2021-06-19 - 2021-09-25 : Full-time employment (finding)
2020-06-13 - 2021-06-19 : Stress (finding)
2020-06-13 - 2021-06-19 : Full-time employment (finding)
2019-06-08 - 2020-06-13 : Full-time employment (finding)
2018-07-28 - 2019-06-08 : Full-time employment (finding)
2018-06-02 - 2022-06-25 : Social isolation (finding)
2018-06-02 - 2018-07-28 : Full-time employment (finding)
2015-05-16 - 2016-05-21 : Full-time employment (finding)
2014-05-10 - 2015-05-16 : Full-time employment (finding)
2013-05-04 - 2014-05-10 : Full-time employment (finding)
2012-04-28 - 2013-05-04 : Full-time employment (finding)
2011-04-23 - 2012-04-28 : Full-time employment (finding)
2010-06-26 - 2011-04-23 : Full-time employment (finding)
2010-04-17 - 2010-06-26 : Full-time employment (finding)
2009-04-11 - 2010-04-17 : Full-time employment (finding)
2008-04-05 - 2009-04-11 : Full-time employment (finding)
2008-04-05 - : Received certificate of high school equivalency (finding)
2008-04-05 - : Hypertension
1994-12-15 - : History of appendectomy
1994-12-15 - : Appendicitis
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CARE PLANS:
2008-04-05[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
1993-02-13[CURRENT] : Asthma self management
Reason: Childhood asthma
Activity: Inhaled steroid therapy
Activity: Home nebulizer therapy
Activity: Breathing control
1991-06-16[CURRENT] : Self-care interventions (procedure)
Activity: Food allergy diet
Activity: Allergy education
Activity: Allergy education
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REPORTS:
2022-06-25 : Drug Abuse Screening Test-10 [DAST-10]
- Total score [DAST-10] 2.0 {score}
2022-06-25 : Patient Health Questionnaire 2 item (PHQ-2) [Reported]
- Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 1.0 {score}
2022-06-25 : Generalized anxiety disorder 7 item (GAD-7)
- Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 2.0 {score}
2021-09-25 : Drug Abuse Screening Test-10 [DAST-10]
- Total score [DAST-10] 0.0 {score}
2021-09-25 : Patient Health Questionnaire 2 item (PHQ-2) [Reported]
- Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 1.0 {score}
2021-09-25 : Generalized anxiety disorder 7 item (GAD-7)
- Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 0.0 {score}
2021-06-19 : Drug Abuse Screening Test-10 [DAST-10]
- Total score [DAST-10] 1.0 {score}
2021-06-19 : Patient Health Questionnaire 2 item (PHQ-2) [Reported]
- Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 2.0 {score}
2021-06-19 : Complete blood count (hemogram) panel - Blood by Automated count
- Leukocytes [#/volume] in Blood by Automated count 3.7 10*3/uL
- Erythrocytes [#/volume] in Blood by Automated count 4.1 10*6/uL
- Hemoglobin [Mass/volume] in Blood 16.0 g/dL
- Hematocrit [Volume Fraction] of Blood by Automated count 41.6 %
- MCV [Entitic volume] by Automated count 89.5 fL
- MCH [Entitic mass] by Automated count 28.4 pg
- MCHC [Mass/volume] by Automated count 34.6 g/dL
- Erythrocyte distribution width [Entitic volume] by Automated count 44.8 fL
- Platelets [#/volume] in Blood by Automated count 326.9 10*3/uL
- Platelet distribution width [Entitic volume] in Blood by Automated count 357.9 fL
- Platelet mean volume [Entitic volume] in Blood by Automated count 10.5 fL
--------------------------------------------------------------------------------
OBSERVATIONS:
2022-06-25 : Total score [DAST-10] 2.0 {score}
2022-06-25 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 1.0 {score}
2022-06-25 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 2.0 {score}
2022-06-25 : 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. 133293 /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? 765 Stracke Trafficway
- 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? 4.0 {#}
- 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
2022-06-25 : Tobacco smoking status Never smoked tobacco (finding)
2022-06-25 : Respiratory rate 16.0 /min
2022-06-25 : Heart rate 80.0 /min
2022-06-25 : Blood Pressure
- Diastolic Blood Pressure 105.0 mm[Hg]
- Systolic Blood Pressure 154.0 mm[Hg]
2022-06-25 : Body Mass Index 29.5 kg/m2
2022-06-25 : Body Weight 87.5 kg
2022-06-25 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 3.0 {score}
2022-06-25 : Body Height 172.2 cm
2021-09-25 : Total score [DAST-10] 0.0 {score}
2021-09-25 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 1.0 {score}
2021-09-25 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 0.0 {score}
2021-09-25 : 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. 133293 /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? 765 Stracke Trafficway
- 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? 4.0 {#}
- 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
2021-09-25 : Tobacco smoking status Never smoked tobacco (finding)
2021-09-25 : Respiratory rate 13.0 /min
2021-09-25 : Heart rate 96.0 /min
2021-09-25 : Blood Pressure
- Diastolic Blood Pressure 102.0 mm[Hg]
- Systolic Blood Pressure 155.0 mm[Hg]
2021-09-25 : Body Mass Index 30.0 kg/m2
2021-09-25 : Body Weight 89.0 kg
2021-09-25 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 0.0 {score}
2021-09-25 : Body Height 172.2 cm
2021-06-19 : Total score [DAST-10] 1.0 {score}
2021-06-19 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 2.0 {score}
2021-06-19 : 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. 133293 /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? 765 Stracke Trafficway
- 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? 4.0 {#}
- 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
2021-06-19 : Tobacco smoking status Never smoked tobacco (finding)
2021-06-19 : Platelet mean volume [Entitic volume] in Blood by Automated count 10.5 fL
2021-06-19 : Platelet distribution width [Entitic volume] in Blood by Automated count 357.9 fL
2021-06-19 : Platelets [#/volume] in Blood by Automated count 326.9 10*3/uL
2021-06-19 : Erythrocyte distribution width [Entitic volume] by Automated count 44.8 fL
2021-06-19 : MCHC [Mass/volume] by Automated count 34.6 g/dL
2021-06-19 : MCH [Entitic mass] by Automated count 28.4 pg
2021-06-19 : MCV [Entitic volume] by Automated count 89.5 fL
2021-06-19 : Hematocrit [Volume Fraction] of Blood by Automated count 41.6 %
2021-06-19 : Hemoglobin [Mass/volume] in Blood 16.0 g/dL
2021-06-19 : Erythrocytes [#/volume] in Blood by Automated count 4.1 10*6/uL
2021-06-19 : Leukocytes [#/volume] in Blood by Automated count 3.7 10*3/uL
2021-06-19 : Respiratory rate 13.0 /min
2021-06-19 : Heart rate 79.0 /min
2021-06-19 : Blood Pressure
- Diastolic Blood Pressure 103.0 mm[Hg]
- Systolic Blood Pressure 144.0 mm[Hg]
2021-06-19 : Body Mass Index 29.9 kg/m2
2021-06-19 : Body Weight 88.6 kg
2021-06-19 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 1.0 {score}
2021-06-19 : Body Height 172.2 cm
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PROCEDURES:
2022-06-25 : Screening for drug abuse (procedure)
2022-06-25 : Assessment of substance use (procedure)
2022-06-25 : Depression screening using Patient Health Questionnaire Two-Item score (procedure)
2022-06-25 : Depression screening (procedure)
2022-06-25 : Assessment of anxiety (procedure)
2022-06-25 : Assessment of health and social care needs (procedure)
2021-09-25 : Screening for drug abuse (procedure)
2021-09-25 : Assessment of substance use (procedure)
2021-09-25 : Depression screening using Patient Health Questionnaire Two-Item score (procedure)
2021-09-25 : Depression screening (procedure)
2021-09-25 : Assessment of anxiety (procedure)
2021-09-25 : Assessment of health and social care needs (procedure)
2021-06-19 : Screening for drug abuse (procedure)
2021-06-19 : Assessment of substance use (procedure)
2021-06-19 : Depression screening using Patient Health Questionnaire Two-Item score (procedure)
2021-06-19 : Depression screening (procedure)
2021-06-19 : Assessment of health and social care needs (procedure)
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IMMUNIZATIONS:
2021-09-25 : Influenza, seasonal, injectable, preservative free
2021-06-19 : Td (adult) preservative free
2021-06-19 : Influenza, seasonal, injectable, preservative free
2021-05-29 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose
2021-05-08 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose
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ENCOUNTERS:
2022-06-25 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2021-09-25 (Dr. Ronald Emard) : Encounter at UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC : Encounter for Viral sinusitis (disorder)
2021-09-25 (Dr. Ronald Emard) : Encounter at UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC
2021-06-19 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2021-05-29 (Dr. Ronald Emard) : Encounter at UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC
2021-05-08 (Dr. Ronald Emard) : Encounter at UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC
2021-02-20 (Dr. Ronald Emard) : Encounter at UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC : Encounter for Asthma
2021-02-18 (Dr. Shon Swift) : Encounter at HEALTH ALLIANCE HOME HEALTH AND HOSPICE : Encounter for Asthma
2020-06-13 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2019-06-08 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2018-07-26 (Dr. Ronald Emard) : Encounter at UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC : Encounter for Viral sinusitis (disorder)
2018-06-02 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2017-05-27 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2016-05-21 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2015-05-16 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2014-05-10 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2013-05-04 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2012-04-28 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2011-04-23 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2010-06-21 (Dr. Ronald Emard) : Encounter at UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC : Encounter for Viral sinusitis (disorder)
2010-04-17 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2009-04-11 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2008-04-05 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2007-03-31 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2006-03-25 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2005-03-19 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2004-12-11 (Dr. Ronald Emard) : Encounter at UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC
2004-03-10 (Dr. Ronald Emard) : Encounter at UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC
2003-03-08 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2002-03-02 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2001-02-24 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
2000-02-19 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
1999-02-13 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
1998-02-07 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
1997-11-22 (Dr. Ronald Emard) : Encounter at UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC
1997-02-01 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
1996-01-27 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
1995-01-21 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
1994-12-15 (Dr. Ronald Emard) : Encounter at UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC : Encounter for Appendicitis
1994-12-15 (Dr. Shon Swift) : Encounter at HEALTH ALLIANCE HOME HEALTH AND HOSPICE : Encounter for Appendicitis
1994-01-15 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
1993-07-17 (Dr. Zackary Mohr) : Encounter at CEDAR STREET FAMILY CLINIC INC
1993-02-13 (Dr. Ronald Emard) : Encounter at UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC : Encounter for Childhood asthma
1991-07-05 (Dr. Ronald Emard) : Encounter at UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC
1991-06-16 (Dr. Ronald Emard) : Encounter at UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC
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IMAGING STUDIES:
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