--- a +++ b/data/text/Michal_Nitzsche_7125de26-99b0-e948-3f75-604f284bcf6a.txt @@ -0,0 +1,165 @@ +Michal Nitzsche +=============== +Race: White +Ethnicity: Non-Hispanic +Gender: F +Age: 25 +Birth Date: 1997-06-08 +Marital Status: S +-------------------------------------------------------------------------------- +ALLERGIES: +No Known Allergies +-------------------------------------------------------------------------------- +MEDICATIONS: + 2022-09-11[CURRENT] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2022-09-11[CURRENT] : lisinopril 10 MG Oral Tablet for Hypertension + 2022-05-24[CURRENT] : Levora 0.15/30 28 Day Pack + 2021-09-05[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2021-09-05[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension + 2021-05-29[STOPPED] : Seasonique 91 Day Pack + 2020-08-30[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2020-08-30[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension + 2019-08-25[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2019-08-25[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension + 2018-08-19[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2018-08-19[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension + 2017-08-13[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2017-08-13[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension + 2016-08-07[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2016-08-07[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension + 2015-09-01[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension + 2015-08-02[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension + 2015-08-02[STOPPED] : amLODIPine 2.5 MG Oral Tablet for Hypertension +-------------------------------------------------------------------------------- +CONDITIONS: + 2022-09-11 - : Not in labor force (finding) + 2021-09-05 - 2022-09-11 : Full-time employment (finding) + 2020-08-30 - 2022-09-11 : Limited social contact (finding) + 2020-08-30 - 2021-09-05 : Part-time employment (finding) + 2016-08-07 - : Stress (finding) + 2015-08-02 - : Received higher education (finding) + 2015-08-02 - : Hypertension + 2014-07-27 - : Risk activity involvement (finding) +-------------------------------------------------------------------------------- +CARE PLANS: + 2015-08-02[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 +-------------------------------------------------------------------------------- +REPORTS: + 2022-09-11 : Drug Abuse Screening Test-10 [DAST-10] + - Total score [DAST-10] 1.0 {score} + 2022-09-11 : Humiliation, Afraid, Rape, and Kick questionnaire [HARK] + - Total score [HARK] 0.0 {score} + 2022-09-11 : Generalized anxiety disorder 7 item (GAD-7) + - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 1.0 {score} + 2021-09-05 : Patient Health Questionnaire 2 item (PHQ-2) [Reported] + - Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 2.0 {score} +-------------------------------------------------------------------------------- +OBSERVATIONS: + 2022-09-11 : Total score [DAST-10] 1.0 {score} + 2022-09-11 : Total score [HARK] 0.0 {score} + 2022-09-11 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 1.0 {score} + 2022-09-11 : 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? 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)? 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. 36241 /a + - What is your main insurance? None/uninsured + - What is your current work situation? Otherwise unemployed but not seeking work + - What is the highest level of school that you have finished? More than high school + - What address do you live at? 127 Schuster Club Apt 90 + - 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? 7.0 {#} + - What language are you most comfortable speaking? English + - Have you been discharged from the armed forces of the United States? No + - At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income? No + - Which race(s) are you? White + - Are you Hispanic or Latino? No + 2022-09-11 : Tobacco smoking status Never smoked tobacco (finding) + 2022-09-11 : Respiratory rate 16.0 /min + 2022-09-11 : Heart rate 69.0 /min + 2022-09-11 : Blood Pressure + - Diastolic Blood Pressure 73.0 mm[Hg] + - Systolic Blood Pressure 125.0 mm[Hg] + 2022-09-11 : Body Mass Index 24.4 kg/m2 + 2022-09-11 : Body Weight 69.7 kg + 2022-09-11 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 3.0 {score} + 2022-09-11 : Body Height 169.0 cm + 2021-09-05 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 2.0 {score} + 2021-09-05 : 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? A little bit + - How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)? 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. 36241 /a + - What is your main insurance? None/uninsured + - What is your current work situation? Full-time work + - What is the highest level of school that you have finished? More than high school + - What address do you live at? 127 Schuster Club Apt 90 + - Are you worried about losing your housing? I choose not to answer this question + - What is your housing situation today? I have housing + - How many family members, including yourself, do you currently live with? 7.0 {#} + - What language are you most comfortable speaking? English + - Have you been discharged from the armed forces of the United States? No + - At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income? No + - Which race(s) are you? White + - Are you Hispanic or Latino? No + 2021-09-05 : Tobacco smoking status Never smoked tobacco (finding) + 2021-09-05 : Respiratory rate 13.0 /min + 2021-09-05 : Heart rate 86.0 /min + 2021-09-05 : Blood Pressure + - Diastolic Blood Pressure 63.0 mm[Hg] + - Systolic Blood Pressure 118.0 mm[Hg] + 2021-09-05 : Body Mass Index 23.9 kg/m2 + 2021-09-05 : Body Weight 68.2 kg + 2021-09-05 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 2.0 {score} + 2021-09-05 : Body Height 169.0 cm +-------------------------------------------------------------------------------- +PROCEDURES: + 2022-09-11 : Screening for drug abuse (procedure) + 2022-09-11 : Assessment of substance use (procedure) + 2022-09-11 : Screening for domestic abuse (procedure) + 2022-09-11 : Assessment of anxiety (procedure) + 2022-09-11 : Assessment of health and social care needs (procedure) + 2021-09-05 : Depression screening using Patient Health Questionnaire Two-Item score (procedure) + 2021-09-05 : Depression screening (procedure) + 2021-09-05 : Assessment of health and social care needs (procedure) +-------------------------------------------------------------------------------- +IMMUNIZATIONS: + 2022-09-11 : Influenza, seasonal, injectable, preservative free + 2021-12-05 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose + 2021-11-07 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose + 2021-09-05 : Influenza, seasonal, injectable, preservative free +-------------------------------------------------------------------------------- +ENCOUNTERS: +2022-09-11 (Dr. Daniel Ankunding) : Encounter at KINGSBURY PRIMARY CARE PC +2022-05-24 (Dr. Riley Prohaska) : Encounter at BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH INC +2021-12-05 (Dr. Riley Prohaska) : Encounter at BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH INC +2021-11-07 (Dr. Riley Prohaska) : Encounter at BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH INC +2021-09-05 (Dr. Daniel Ankunding) : Encounter at KINGSBURY PRIMARY CARE PC +2021-05-29 (Dr. Riley Prohaska) : Encounter at BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH INC +2020-08-30 (Dr. Daniel Ankunding) : Encounter at KINGSBURY PRIMARY CARE PC +2019-08-25 (Dr. Daniel Ankunding) : Encounter at KINGSBURY PRIMARY CARE PC +2018-08-19 (Dr. Daniel Ankunding) : Encounter at KINGSBURY PRIMARY CARE PC +2017-08-13 (Dr. Daniel Ankunding) : Encounter at KINGSBURY PRIMARY CARE PC +2016-08-07 (Dr. Daniel Ankunding) : Encounter at KINGSBURY PRIMARY CARE PC +2015-09-01 (Dr. Crystle McCullough) : Encounter at BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH INC : Encounter for Hypertension +2015-08-02 (Dr. Daniel Ankunding) : Encounter at KINGSBURY PRIMARY CARE PC +2014-07-27 (Dr. Daniel Ankunding) : Encounter at KINGSBURY PRIMARY CARE PC +-------------------------------------------------------------------------------- +IMAGING STUDIES: +--------------------------------------------------------------------------------