--- a +++ b/data/text/Tanner_Kautzer_0d7736a0-6233-5076-69a7-e99fcedd1fbd.txt @@ -0,0 +1,104 @@ +Tanner Kautzer +============== +Race: White +Ethnicity: Non-Hispanic +Gender: M +Age: 17 +Birth Date: 2004-12-16 +Marital Status: S +-------------------------------------------------------------------------------- +ALLERGIES: +No Known Allergies +-------------------------------------------------------------------------------- +MEDICATIONS: +-------------------------------------------------------------------------------- +CONDITIONS: +-------------------------------------------------------------------------------- +CARE PLANS: +-------------------------------------------------------------------------------- +REPORTS: + 2022-02-03 : Generalized anxiety disorder 7 item (GAD-7) + - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 2.0 {score} + 2021-01-28 : Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen] + - Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 4.0 {score} + 2021-01-28 : Generalized anxiety disorder 7 item (GAD-7) + - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 3.0 {score} + 2021-01-28 : Complete blood count (hemogram) panel - Blood by Automated count + - Leukocytes [#/volume] in Blood by Automated count 5.8 10*3/uL + - Erythrocytes [#/volume] in Blood by Automated count 4.1 10*6/uL + - Hemoglobin [Mass/volume] in Blood 14.0 g/dL + - Hematocrit [Volume Fraction] of Blood by Automated count 45.2 % + - MCV [Entitic volume] by Automated count 87.0 fL + - MCH [Entitic mass] by Automated count 28.0 pg + - MCHC [Mass/volume] by Automated count 35.8 g/dL + - Erythrocyte distribution width [Entitic volume] by Automated count 39.7 fL + - Platelets [#/volume] in Blood by Automated count 392.0 10*3/uL + - Platelet distribution width [Entitic volume] in Blood by Automated count 290.1 fL + - Platelet mean volume [Entitic volume] in Blood by Automated count 9.9 fL +-------------------------------------------------------------------------------- +OBSERVATIONS: + 2022-02-03 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 2.0 {score} + 2022-02-03 : Tobacco smoking status Never smoked tobacco (finding) + 2022-02-03 : Respiratory rate 13.0 /min + 2022-02-03 : Heart rate 98.0 /min + 2022-02-03 : Blood Pressure + - Diastolic Blood Pressure 83.0 mm[Hg] + - Systolic Blood Pressure 144.0 mm[Hg] + 2022-02-03 : Body mass index (BMI) [Percentile] Per age and gender 49.2 % + 2022-02-03 : Body Mass Index 21.2 kg/m2 + 2022-02-03 : Body Weight 69.7 kg + 2022-02-03 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 3.0 {score} + 2022-02-03 : Body Height 181.2 cm + 2021-01-28 : Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 4.0 {score} + 2021-01-28 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 3.0 {score} + 2021-01-28 : Tobacco smoking status Never smoked tobacco (finding) + 2021-01-28 : Platelet mean volume [Entitic volume] in Blood by Automated count 9.9 fL + 2021-01-28 : Platelet distribution width [Entitic volume] in Blood by Automated count 290.1 fL + 2021-01-28 : Platelets [#/volume] in Blood by Automated count 392.0 10*3/uL + 2021-01-28 : Erythrocyte distribution width [Entitic volume] by Automated count 39.7 fL + 2021-01-28 : MCHC [Mass/volume] by Automated count 35.8 g/dL + 2021-01-28 : MCH [Entitic mass] by Automated count 28.0 pg + 2021-01-28 : MCV [Entitic volume] by Automated count 87.0 fL + 2021-01-28 : Hematocrit [Volume Fraction] of Blood by Automated count 45.2 % + 2021-01-28 : Hemoglobin [Mass/volume] in Blood 14.0 g/dL + 2021-01-28 : Erythrocytes [#/volume] in Blood by Automated count 4.1 10*6/uL + 2021-01-28 : Leukocytes [#/volume] in Blood by Automated count 5.8 10*3/uL + 2021-01-28 : Respiratory rate 13.0 /min + 2021-01-28 : Heart rate 86.0 /min + 2021-01-28 : Blood Pressure + - Diastolic Blood Pressure 86.0 mm[Hg] + - Systolic Blood Pressure 135.0 mm[Hg] + 2021-01-28 : Body mass index (BMI) [Percentile] Per age and gender 76.4 % + 2021-01-28 : Body Mass Index 23.0 kg/m2 + 2021-01-28 : Body Weight 74.1 kg + 2021-01-28 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 4.0 {score} + 2021-01-28 : Body Height 179.7 cm +-------------------------------------------------------------------------------- +PROCEDURES: + 2022-02-03 : Anticipatory guidance (procedure) + 2022-02-03 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure) + 2022-02-03 : Assessment of substance use (procedure) + 2022-02-03 : Medication Reconciliation (procedure) + 2022-02-03 : Assessment of anxiety (procedure) + 2021-01-28 : Anticipatory guidance (procedure) + 2021-01-28 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure) + 2021-01-28 : Assessment of substance use (procedure) + 2021-01-28 : Depression screening using Patient Health Questionnaire Nine Item score (procedure) + 2021-01-28 : Depression screening (procedure) + 2021-01-28 : Assessment of anxiety (procedure) +-------------------------------------------------------------------------------- +IMMUNIZATIONS: + 2022-02-03 : Influenza, seasonal, injectable, preservative free + 2021-08-26 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose + 2021-08-05 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose + 2021-01-28 : meningococcal MCV4P + 2021-01-28 : Influenza, seasonal, injectable, preservative free +-------------------------------------------------------------------------------- +ENCOUNTERS: +2022-02-03 (Dr. Tyler Howe) : Encounter at PODIATRY HEALTHCARE P.C. +2021-08-26 (Dr. Joanna Abbott) : Encounter at LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON +2021-08-05 (Dr. Joanna Abbott) : Encounter at LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON +2021-01-28 (Dr. Tyler Howe) : Encounter at PODIATRY HEALTHCARE P.C. +-------------------------------------------------------------------------------- +IMAGING STUDIES: +--------------------------------------------------------------------------------