--- a +++ b/data/text/Russell_Schneider_bb0f6880-f59c-962c-6a99-570e4fef1ad8.txt @@ -0,0 +1,156 @@ +Russell Schneider +================= +Race: White +Ethnicity: Non-Hispanic +Gender: M +Age: 14 +Birth Date: 2008-10-15 +Marital Status: S +-------------------------------------------------------------------------------- +ALLERGIES: + 2009-08-07 - : Shellfish (substance) + 2009-08-07 - : Cow's milk (substance) + 2009-08-07 - : Aspirin + 2009-08-07 - : Tree pollen (substance) + 2009-08-07 - : Grass pollen (substance) + 2009-08-07 - : Animal dander (substance) + 2009-08-07 - : House dust mite (organism) + 2009-08-07 - : Mold (organism) +-------------------------------------------------------------------------------- +MEDICATIONS: + 2009-08-07[CURRENT] : NDA020800 0.3 ML Epinephrine 1 MG/ML Auto-Injector + 2009-08-07[CURRENT] : cetirizine hydrochloride 5 MG Oral Tablet +-------------------------------------------------------------------------------- +CONDITIONS: + 2021-11-10 - : Risk activity involvement (finding) + 2011-02-21 - : Perennial allergic rhinitis with seasonal variation + 2009-06-23 - : Atopic dermatitis +-------------------------------------------------------------------------------- +CARE PLANS: + 2021-10-20[CURRENT] : Allergic disorder monitoring + Activity: Hyposensitization to allergens (procedure) + 2009-07-23[CURRENT] : Self-care interventions (procedure) + Activity: Food allergy diet + Activity: Allergy education + Activity: Allergy education + 2009-06-23[CURRENT] : Skin condition care + Reason: Atopic dermatitis + Activity: Application of moisturizer to skin +-------------------------------------------------------------------------------- +REPORTS: + 2022-11-16 : Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen] + - Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 3.0 {score} + 2022-11-16 : Generalized anxiety disorder 7 item (GAD-7) + - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 3.0 {score} + 2021-11-10 : Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen] + - Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 1.0 {score} + 2021-11-10 : Generalized anxiety disorder 7 item (GAD-7) + - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 3.0 {score} +-------------------------------------------------------------------------------- +OBSERVATIONS: + 2022-11-16 : Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 3.0 {score} + 2022-11-16 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 3.0 {score} + 2022-11-16 : Tobacco smoking status Never smoked tobacco (finding) + 2022-11-16 : Respiratory rate 15.0 /min + 2022-11-16 : Heart rate 81.0 /min + 2022-11-16 : Blood Pressure + - Diastolic Blood Pressure 65.0 mm[Hg] + - Systolic Blood Pressure 118.0 mm[Hg] + 2022-11-16 : Body mass index (BMI) [Percentile] Per age and gender 89.6 % + 2022-11-16 : Body Mass Index 23.8 kg/m2 + 2022-11-16 : Body Weight 61.1 kg + 2022-11-16 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 4.0 {score} + 2022-11-16 : Body Height 160.2 cm + 2021-11-10 : Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 1.0 {score} + 2021-11-10 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 3.0 {score} + 2021-11-10 : Tobacco smoking status Never smoked tobacco (finding) + 2021-11-10 : Respiratory rate 14.0 /min + 2021-11-10 : Heart rate 74.0 /min + 2021-11-10 : Blood Pressure + - Diastolic Blood Pressure 74.0 mm[Hg] + - Systolic Blood Pressure 115.0 mm[Hg] + 2021-11-10 : Body mass index (BMI) [Percentile] Per age and gender 86.5 % + 2021-11-10 : Body Mass Index 22.2 kg/m2 + 2021-11-10 : Body Weight 51.2 kg + 2021-11-10 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 3.0 {score} + 2021-11-10 : Body Height 152.1 cm + 2021-10-20 : Latex IgE Ab in Serum 0.2 kU/L + 2021-10-20 : Honey bee IgE Ab in Serum 0.2 kU/L + 2021-10-20 : Cladosporium herbarum IgE Ab in Serum 0.3 kU/L + 2021-10-20 : American house dust mite IgE Ab in Serum 0.2 kU/L + 2021-10-20 : Cat dander IgE Ab in Serum 0.1 kU/L + 2021-10-20 : Common Ragweed IgE Ab in Serum 0.3 kU/L + 2021-10-20 : White oak IgE Ab in Serum 0.1 kU/L + 2021-10-20 : Cow milk IgE Ab in Serum 0.2 kU/L + 2021-10-20 : Soybean IgE Ab in Serum 0.1 kU/L + 2021-10-20 : Egg white IgE Ab in Serum 0.1 kU/L + 2021-10-20 : Wheat IgE Ab in Serum 0.3 kU/L + 2021-10-20 : Shrimp IgE Ab in Serum 0.1 kU/L + 2021-10-20 : Codfish IgE Ab in Serum 0.3 kU/L + 2021-10-20 : Walnut IgE Ab in Serum 0.2 kU/L + 2021-10-20 : Peanut IgE Ab in Serum 0.1 kU/L +-------------------------------------------------------------------------------- +PROCEDURES: + 2022-11-16 : Depression screening using Patient Health Questionnaire Nine Item score (procedure) + 2022-11-16 : Depression screening (procedure) + 2022-11-16 : Medication Reconciliation (procedure) + 2022-11-16 : Assessment of anxiety (procedure) + 2022-11-13 : Subcutaneous immunotherapy + 2022-10-23 : Subcutaneous immunotherapy + 2022-09-26 : Subcutaneous immunotherapy + 2022-09-03 : Subcutaneous immunotherapy + 2022-08-11 : Subcutaneous immunotherapy + 2022-07-17 : Subcutaneous immunotherapy + 2022-06-24 : Subcutaneous immunotherapy + 2022-05-31 : Subcutaneous immunotherapy + 2022-05-04 : Subcutaneous immunotherapy + 2022-04-08 : Subcutaneous immunotherapy + 2022-03-17 : Subcutaneous immunotherapy + 2022-02-22 : Subcutaneous immunotherapy + 2022-01-26 : Subcutaneous immunotherapy + 2021-12-31 : Subcutaneous immunotherapy + 2021-12-06 : Subcutaneous immunotherapy + 2021-11-10 : Health risks education (procedure) for Risk activity involvement (finding) + 2021-11-10 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure) + 2021-11-10 : Assessment of substance use (procedure) + 2021-11-10 : Depression screening using Patient Health Questionnaire Nine Item score (procedure) + 2021-11-10 : Depression screening (procedure) + 2021-11-12 : Subcutaneous immunotherapy + 2021-11-10 : Assessment of anxiety (procedure) + 2021-10-20 : Allergy screening test +-------------------------------------------------------------------------------- +IMMUNIZATIONS: + 2022-11-16 : Influenza, seasonal, injectable, preservative free + 2021-11-10 : Influenza, seasonal, injectable, preservative free + 2021-09-08 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose + 2021-08-18 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose +-------------------------------------------------------------------------------- +ENCOUNTERS: +2022-11-13 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2022-11-16 (Dr. Ethyl Rau) : Encounter at WALPOLE MEDICAL CENTER, PC +2022-10-23 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2022-09-26 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2022-09-03 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2022-08-11 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2022-07-17 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2022-06-24 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2022-05-31 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2022-05-04 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2022-04-08 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2022-03-17 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2022-02-22 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2022-01-26 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2021-12-31 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2021-12-06 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2021-11-12 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2021-11-10 (Dr. Ethyl Rau) : Encounter at WALPOLE MEDICAL CENTER, PC +2021-10-20 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2021-09-08 (Dr. Trinidad King) : Encounter at STEWARD NORWOOD HOSPITAL INC +2021-08-18 (Dr. Trinidad King) : Encounter at STEWARD NORWOOD HOSPITAL INC +2011-02-21 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC : Encounter for Perennial allergic rhinitis with seasonal variation +2009-08-07 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2009-07-23 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC +2009-06-23 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC : Encounter for Atopic dermatitis +-------------------------------------------------------------------------------- +IMAGING STUDIES: +--------------------------------------------------------------------------------