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b/data/text/Marilu_Bruen_2c610800-5168-9acc-001d-7ab90cacad2b.txt |
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1 |
Marilu Bruen |
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============ |
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Race: White |
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4 |
Ethnicity: Non-Hispanic |
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5 |
Gender: F |
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6 |
Age: 41 |
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7 |
Birth Date: 1981-02-27 |
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8 |
Marital Status: S |
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9 |
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ALLERGIES: |
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11 |
No Known Allergies |
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12 |
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13 |
MEDICATIONS: |
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14 |
2022-03-11[CURRENT] : amLODIPine 2.5 MG Oral Tablet for Hypertension |
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15 |
2022-03-11[CURRENT] : lisinopril 10 MG Oral Tablet for Hypertension |
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16 |
2022-03-11[CURRENT] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension |
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17 |
2021-06-03[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension |
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18 |
2021-04-04[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension |
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19 |
2021-03-05[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension |
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20 |
2021-03-05[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension |
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21 |
2021-03-05[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension |
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CONDITIONS: |
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24 |
2022-03-11 - : Misuses drugs (finding) |
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2022-03-11 - : Diabetes |
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26 |
2021-03-05 - : Anemia (disorder) |
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27 |
2021-03-05 - : Metabolic syndrome X (disorder) |
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28 |
2021-03-05 - : Body mass index 30+ - obesity (finding) |
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2021-03-05 - : Hypertension |
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2018-05-18 - 2022-03-11 : Social isolation (finding) |
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31 |
2015-05-15 - 2018-05-18 : Misuses drugs (finding) |
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32 |
2015-05-15 - : Prediabetes |
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33 |
2012-05-11 - 2021-03-05 : Stress (finding) |
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34 |
1999-04-23 - : Unemployed (finding) |
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35 |
1999-04-23 - : Received higher education (finding) |
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36 |
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CARE PLANS: |
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2021-03-05[CURRENT] : Lifestyle education regarding hypertension |
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Reason: Hypertension |
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Activity: Prescribed activity/exercise education |
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Activity: Counseling about alcohol consumption |
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42 |
Activity: Dietary approaches to stop hypertension diet |
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Activity: Smoking cessation education |
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44 |
2015-05-15[CURRENT] : Diabetes self management plan |
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Reason: Prediabetes |
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Activity: Diabetic diet |
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Activity: Exercise therapy |
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REPORTS: |
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2022-03-11 : Drug Abuse Screening Test-10 [DAST-10] |
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- Total score [DAST-10] 5.0 {score} |
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2022-03-11 : Generalized anxiety disorder 7 item (GAD-7) |
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- Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 4.0 {score} |
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54 |
2022-03-11 : Lipid Panel |
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- Total Cholesterol 292.8 mg/dL |
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56 |
- Triglycerides 101.8 mg/dL |
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57 |
- Low Density Lipoprotein Cholesterol 238.5 mg/dL |
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58 |
- High Density Lipoprotein Cholesterol 34.0 mg/dL |
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59 |
2022-03-11 : Basic Metabolic Panel |
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- Glucose 82.0 mg/dL |
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- Urea Nitrogen 18.3 mg/dL |
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- Creatinine 1.0 mg/dL |
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- Calcium 9.3 mg/dL |
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64 |
- Sodium 140.9 mmol/L |
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- Potassium 4.9 mmol/L |
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66 |
- Chloride 103.4 mmol/L |
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67 |
- Carbon Dioxide 27.9 mmol/L |
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68 |
2021-03-05 : Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] |
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69 |
- Total score [AUDIT-C] 0.0 {score} |
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70 |
2021-03-05 : Patient Health Questionnaire 2 item (PHQ-2) [Reported] |
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71 |
- Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 0.0 {score} |
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72 |
2021-03-05 : Generalized anxiety disorder 7 item (GAD-7) |
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73 |
- Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 3.0 {score} |
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74 |
2021-03-05 : Complete blood count (hemogram) panel - Blood by Automated count |
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- Hemoglobin [Mass/volume] in Blood 11.6 g/dL |
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76 |
- Hematocrit [Volume Fraction] of Blood 35.6 % |
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77 |
- WBC Auto (Bld) [#/Vol] 6.9 10*3/uL |
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78 |
- RBC Auto (Bld) [#/Vol] 5.3 10*6/uL |
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79 |
- MCV [Entitic volume] by Automated count 92.2 fL |
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80 |
- MCH [Entitic mass] by Automated count 27.9 pg |
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81 |
- MCHC [Mass/volume] by Automated count 34.1 g/dL |
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82 |
- RDW - Erythrocyte distribution width Auto (RBC) [Entitic vol] 44.7 fL |
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83 |
- Platelets [#/volume] in Blood by Automated count 430.3 10*3/uL |
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84 |
- Platelet distribution width [Entitic volume] in Blood by Automated count 255.2 fL |
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85 |
- Platelet mean volume [Entitic volume] in Blood by Automated count 9.8 fL |
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86 |
2021-03-05 : Complete blood count (hemogram) panel - Blood by Automated count |
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87 |
- Leukocytes [#/volume] in Blood by Automated count 10.4 10*3/uL |
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88 |
- Erythrocytes [#/volume] in Blood by Automated count 4.7 10*6/uL |
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89 |
- Hemoglobin [Mass/volume] in Blood 15.8 g/dL |
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- Hematocrit [Volume Fraction] of Blood by Automated count 46.5 % |
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91 |
- MCV [Entitic volume] by Automated count 85.2 fL |
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- MCH [Entitic mass] by Automated count 32.7 pg |
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93 |
- MCHC [Mass/volume] by Automated count 34.1 g/dL |
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94 |
- Erythrocyte distribution width [Entitic volume] by Automated count 41.8 fL |
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- Platelets [#/volume] in Blood by Automated count 223.8 10*3/uL |
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96 |
- Platelet distribution width [Entitic volume] in Blood by Automated count 228.1 fL |
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- Platelet mean volume [Entitic volume] in Blood by Automated count 11.0 fL |
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2021-03-05 : Basic Metabolic Panel |
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- Glucose 72.8 mg/dL |
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- Urea Nitrogen 10.4 mg/dL |
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- Creatinine 1.7 mg/dL |
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102 |
- Calcium 8.9 mg/dL |
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103 |
- Sodium 136.7 mmol/L |
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104 |
- Potassium 5.1 mmol/L |
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105 |
- Chloride 105.2 mmol/L |
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106 |
- Carbon Dioxide 21.9 mmol/L |
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107 |
-------------------------------------------------------------------------------- |
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OBSERVATIONS: |
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2022-03-11 : Total score [DAST-10] 5.0 {score} |
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110 |
2022-03-11 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 4.0 {score} |
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111 |
2022-03-11 : Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] |
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- In the past year, have you been afraid of your partner or ex-partner? No |
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- Do you feel physically and emotionally safe where you currently live? Yes |
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- Are you a refugee? No |
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- 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 |
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116 |
- 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 |
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117 |
- 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 |
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118 |
- Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living? No |
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119 |
- 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 |
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120 |
- 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. 179219 /a |
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121 |
- What is your main insurance? Private insurance |
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122 |
- What is your current work situation? Unemployed (finding) |
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123 |
- What is the highest level of school that you have finished? More than high school |
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124 |
- What address do you live at? 169 Daugherty Ramp Apt 7 |
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125 |
- Are you worried about losing your housing? No |
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126 |
- What is your housing situation today? I have housing |
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127 |
- How many family members, including yourself, do you currently live with? 7.0 {#} |
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128 |
- What language are you most comfortable speaking? English |
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129 |
- Have you been discharged from the armed forces of the United States? No |
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130 |
- 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 |
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131 |
- Which race(s) are you? White |
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132 |
- Are you Hispanic or Latino? No |
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133 |
2022-03-11 : Hemoglobin A1c/Hemoglobin.total in Blood 7.0 % |
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134 |
2022-03-11 : Tobacco smoking status Never smoked tobacco (finding) |
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135 |
2022-03-11 : High Density Lipoprotein Cholesterol 34.0 mg/dL |
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136 |
2022-03-11 : Low Density Lipoprotein Cholesterol 238.5 mg/dL |
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137 |
2022-03-11 : Triglycerides 101.8 mg/dL |
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138 |
2022-03-11 : Total Cholesterol 292.8 mg/dL |
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139 |
2022-03-11 : Carbon Dioxide 27.9 mmol/L |
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140 |
2022-03-11 : Chloride 103.4 mmol/L |
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141 |
2022-03-11 : Potassium 4.9 mmol/L |
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142 |
2022-03-11 : Sodium 140.9 mmol/L |
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143 |
2022-03-11 : Calcium 9.3 mg/dL |
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144 |
2022-03-11 : Creatinine 1.0 mg/dL |
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145 |
2022-03-11 : Urea Nitrogen 18.3 mg/dL |
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146 |
2022-03-11 : Glucose 82.0 mg/dL |
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147 |
2022-03-11 : Respiratory rate 14.0 /min |
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148 |
2022-03-11 : Heart rate 69.0 /min |
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149 |
2022-03-11 : Blood Pressure |
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150 |
- Diastolic Blood Pressure 70.0 mm[Hg] |
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151 |
- Systolic Blood Pressure 107.0 mm[Hg] |
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152 |
2022-03-11 : Body Mass Index 28.0 kg/m2 |
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153 |
2022-03-11 : Body Weight 78.1 kg |
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154 |
2022-03-11 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 1.0 {score} |
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155 |
2022-03-11 : Body Height 167.1 cm |
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156 |
2021-08-02 : Blood Pressure |
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157 |
- Diastolic Blood Pressure 62.0 mm[Hg] |
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158 |
- Systolic Blood Pressure 102.0 mm[Hg] |
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159 |
2021-06-03 : Blood Pressure |
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160 |
- Diastolic Blood Pressure 81.0 mm[Hg] |
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161 |
- Systolic Blood Pressure 111.0 mm[Hg] |
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162 |
2021-04-04 : Blood Pressure |
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163 |
- Diastolic Blood Pressure 93.0 mm[Hg] |
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164 |
- Systolic Blood Pressure 132.0 mm[Hg] |
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165 |
2021-03-05 : Total score [AUDIT-C] 0.0 {score} |
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166 |
2021-03-05 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 0.0 {score} |
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167 |
2021-03-05 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 3.0 {score} |
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168 |
2021-03-05 : Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] |
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169 |
- In the past year, have you been afraid of your partner or ex-partner? No |
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170 |
- Do you feel physically and emotionally safe where you currently live? Yes |
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171 |
- Are you a refugee? No |
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172 |
- 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 |
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173 |
- 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 |
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174 |
- 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 |
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175 |
- Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living? No |
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176 |
- 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 |
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177 |
- 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. 179219 /a |
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178 |
- What is your main insurance? Private insurance |
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179 |
- What is your current work situation? Unemployed (finding) |
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180 |
- What is the highest level of school that you have finished? More than high school |
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181 |
- What address do you live at? 169 Daugherty Ramp Apt 7 |
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182 |
- Are you worried about losing your housing? No |
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183 |
- What is your housing situation today? I have housing |
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184 |
- How many family members, including yourself, do you currently live with? 7.0 {#} |
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185 |
- What language are you most comfortable speaking? English |
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186 |
- Have you been discharged from the armed forces of the United States? No |
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187 |
- 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 |
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188 |
- Which race(s) are you? White |
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189 |
- Are you Hispanic or Latino? No |
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190 |
2021-03-05 : Platelet mean volume [Entitic volume] in Blood by Automated count 9.8 fL |
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191 |
2021-03-05 : Platelet distribution width [Entitic volume] in Blood by Automated count 255.2 fL |
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192 |
2021-03-05 : Platelets [#/volume] in Blood by Automated count 430.3 10*3/uL |
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193 |
2021-03-05 : RDW - Erythrocyte distribution width Auto (RBC) [Entitic vol] 44.7 fL |
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194 |
2021-03-05 : MCHC [Mass/volume] by Automated count 34.1 g/dL |
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195 |
2021-03-05 : MCH [Entitic mass] by Automated count 27.9 pg |
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196 |
2021-03-05 : MCV [Entitic volume] by Automated count 92.2 fL |
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197 |
2021-03-05 : RBC Auto (Bld) [#/Vol] 5.3 10*6/uL |
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198 |
2021-03-05 : WBC Auto (Bld) [#/Vol] 6.9 10*3/uL |
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199 |
2021-03-05 : Hematocrit [Volume Fraction] of Blood 35.6 % |
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200 |
2021-03-05 : Hemoglobin [Mass/volume] in Blood 11.6 g/dL |
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201 |
2021-03-05 : Hemoglobin A1c/Hemoglobin.total in Blood 6.3 % |
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202 |
2021-03-05 : Tobacco smoking status Never smoked tobacco (finding) |
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203 |
2021-03-05 : Platelet mean volume [Entitic volume] in Blood by Automated count 11.0 fL |
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204 |
2021-03-05 : Platelet distribution width [Entitic volume] in Blood by Automated count 228.1 fL |
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205 |
2021-03-05 : Platelets [#/volume] in Blood by Automated count 223.8 10*3/uL |
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206 |
2021-03-05 : Erythrocyte distribution width [Entitic volume] by Automated count 41.8 fL |
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207 |
2021-03-05 : MCHC [Mass/volume] by Automated count 34.1 g/dL |
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208 |
2021-03-05 : MCH [Entitic mass] by Automated count 32.7 pg |
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209 |
2021-03-05 : MCV [Entitic volume] by Automated count 85.2 fL |
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210 |
2021-03-05 : Hematocrit [Volume Fraction] of Blood by Automated count 46.5 % |
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211 |
2021-03-05 : Hemoglobin [Mass/volume] in Blood 15.8 g/dL |
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212 |
2021-03-05 : Erythrocytes [#/volume] in Blood by Automated count 4.7 10*6/uL |
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213 |
2021-03-05 : Leukocytes [#/volume] in Blood by Automated count 10.4 10*3/uL |
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214 |
2021-03-05 : Carbon Dioxide 21.9 mmol/L |
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215 |
2021-03-05 : Chloride 105.2 mmol/L |
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216 |
2021-03-05 : Potassium 5.1 mmol/L |
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217 |
2021-03-05 : Sodium 136.7 mmol/L |
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218 |
2021-03-05 : Calcium 8.9 mg/dL |
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219 |
2021-03-05 : Creatinine 1.7 mg/dL |
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220 |
2021-03-05 : Urea Nitrogen 10.4 mg/dL |
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221 |
2021-03-05 : Glucose 72.8 mg/dL |
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222 |
2021-03-05 : Respiratory rate 13.0 /min |
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223 |
2021-03-05 : Heart rate 83.0 /min |
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224 |
2021-03-05 : Blood Pressure |
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225 |
- Diastolic Blood Pressure 90.0 mm[Hg] |
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226 |
- Systolic Blood Pressure 145.0 mm[Hg] |
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227 |
2021-03-05 : Body Mass Index 30.5 kg/m2 |
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|
228 |
2021-03-05 : Body Weight 85.3 kg |
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229 |
2021-03-05 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 4.0 {score} |
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230 |
2021-03-05 : Body Height 167.1 cm |
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231 |
-------------------------------------------------------------------------------- |
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232 |
PROCEDURES: |
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233 |
2022-03-11 : Screening for drug abuse (procedure) |
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234 |
2022-03-11 : Assessment of substance use (procedure) |
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235 |
2022-03-11 : Assessment of anxiety (procedure) |
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236 |
2022-03-11 : Assessment of health and social care needs (procedure) |
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237 |
2021-08-02 : Referral to hypertension clinic |
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238 |
2021-03-05 : Brief general examination (procedure) |
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239 |
2021-03-05 : Medication Reconciliation (procedure) |
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240 |
2021-03-05 : Review of systems (procedure) |
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241 |
2021-03-05 : Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure) |
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242 |
2021-03-05 : Assessment of substance use (procedure) |
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243 |
2021-03-05 : Depression screening using Patient Health Questionnaire Two-Item score (procedure) |
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244 |
2021-03-05 : Depression screening (procedure) |
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245 |
2021-03-05 : Assessment of anxiety (procedure) |
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246 |
2021-03-05 : Peripheral blood smear interpretation |
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247 |
2021-03-05 : Assessment of health and social care needs (procedure) |
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248 |
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249 |
IMMUNIZATIONS: |
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250 |
2022-03-11 : Hep A, adult |
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251 |
2022-03-11 : Td (adult) preservative free |
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252 |
2022-03-11 : Influenza, seasonal, injectable, preservative free |
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253 |
2021-11-12 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose |
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254 |
2021-10-15 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose |
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255 |
2021-03-05 : Hep A, adult |
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256 |
2021-03-05 : Influenza, seasonal, injectable, preservative free |
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257 |
-------------------------------------------------------------------------------- |
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258 |
ENCOUNTERS: |
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259 |
2022-03-11 (Dr. Wynell Mayert) : Encounter at WELLNESS ON WHEELS,PC |
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260 |
2021-11-12 (Dr. Reggie Schiller) : Encounter at ARBOUR-FULLER HOSPITAL |
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261 |
2021-10-15 (Dr. Reggie Schiller) : Encounter at ARBOUR-FULLER HOSPITAL |
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262 |
2021-08-02 (Dr. Reggie Schiller) : Encounter at ARBOUR-FULLER HOSPITAL : Encounter for Hypertension |
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263 |
2021-06-03 (Dr. Reggie Schiller) : Encounter at ARBOUR-FULLER HOSPITAL : Encounter for Hypertension |
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264 |
2021-04-04 (Dr. Reggie Schiller) : Encounter at ARBOUR-FULLER HOSPITAL : Encounter for Hypertension |
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265 |
2021-03-05 (Dr. Reggie Schiller) : Encounter at ARBOUR-FULLER HOSPITAL : Encounter for Anemia (disorder) |
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266 |
2021-03-05 (Dr. Wynell Mayert) : Encounter at WELLNESS ON WHEELS,PC |
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267 |
2018-05-18 (Dr. Wynell Mayert) : Encounter at WELLNESS ON WHEELS,PC |
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268 |
2015-05-15 (Dr. Wynell Mayert) : Encounter at WELLNESS ON WHEELS,PC |
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269 |
2012-05-11 (Dr. Wynell Mayert) : Encounter at WELLNESS ON WHEELS,PC |
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270 |
1999-04-23 (Dr. Wynell Mayert) : Encounter at WELLNESS ON WHEELS,PC |
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271 |
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272 |
IMAGING STUDIES: |
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273 |
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