--- a +++ b/data/text/Yen_Hagenes_4b94df41-6f66-5e5f-0e29-258e864e232b.txt @@ -0,0 +1,103 @@ +Yen Hagenes +=========== +Race: White +Ethnicity: Non-Hispanic +Gender: F +Age: 17 +Birth Date: 2005-11-19 +Marital Status: S +-------------------------------------------------------------------------------- +ALLERGIES: +No Known Allergies +-------------------------------------------------------------------------------- +MEDICATIONS: +-------------------------------------------------------------------------------- +CONDITIONS: + 2021-03-02 - 2021-03-29 : Viral sinusitis (disorder) +-------------------------------------------------------------------------------- +CARE PLANS: +-------------------------------------------------------------------------------- +REPORTS: + 2022-01-01 : 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} + 2022-01-01 : Complete blood count (hemogram) panel - Blood by Automated count + - Leukocytes [#/volume] in Blood by Automated count 10.5 10*3/uL + - Erythrocytes [#/volume] in Blood by Automated count 4.0 10*6/uL + - Hemoglobin [Mass/volume] in Blood 12.3 g/dL + - Hematocrit [Volume Fraction] of Blood by Automated count 46.5 % + - MCV [Entitic volume] by Automated count 80.7 fL + - MCH [Entitic mass] by Automated count 27.1 pg + - MCHC [Mass/volume] by Automated count 35.9 g/dL + - Erythrocyte distribution width [Entitic volume] by Automated count 44.7 fL + - Platelets [#/volume] in Blood by Automated count 168.4 10*3/uL + - Platelet distribution width [Entitic volume] in Blood by Automated count 185.0 fL + - Platelet mean volume [Entitic volume] in Blood by Automated count 10.5 fL + 2020-12-26 : 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} + 2020-12-26 : Generalized anxiety disorder 7 item (GAD-7) + - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 4.0 {score} +-------------------------------------------------------------------------------- +OBSERVATIONS: + 2022-01-01 : Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 1.0 {score} + 2022-01-01 : Tobacco smoking status Never smoked tobacco (finding) + 2022-01-01 : Platelet mean volume [Entitic volume] in Blood by Automated count 10.5 fL + 2022-01-01 : Platelet distribution width [Entitic volume] in Blood by Automated count 185.0 fL + 2022-01-01 : Platelets [#/volume] in Blood by Automated count 168.4 10*3/uL + 2022-01-01 : Erythrocyte distribution width [Entitic volume] by Automated count 44.7 fL + 2022-01-01 : MCHC [Mass/volume] by Automated count 35.9 g/dL + 2022-01-01 : MCH [Entitic mass] by Automated count 27.1 pg + 2022-01-01 : MCV [Entitic volume] by Automated count 80.7 fL + 2022-01-01 : Hematocrit [Volume Fraction] of Blood by Automated count 46.5 % + 2022-01-01 : Hemoglobin [Mass/volume] in Blood 12.3 g/dL + 2022-01-01 : Erythrocytes [#/volume] in Blood by Automated count 4.0 10*6/uL + 2022-01-01 : Leukocytes [#/volume] in Blood by Automated count 10.5 10*3/uL + 2022-01-01 : Respiratory rate 15.0 /min + 2022-01-01 : Heart rate 70.0 /min + 2022-01-01 : Blood Pressure + - Diastolic Blood Pressure 87.0 mm[Hg] + - Systolic Blood Pressure 135.0 mm[Hg] + 2022-01-01 : Body mass index (BMI) [Percentile] Per age and gender 20.6 % + 2022-01-01 : Body Mass Index 18.4 kg/m2 + 2022-01-01 : Body Weight 48.7 kg + 2022-01-01 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 0.0 {score} + 2022-01-01 : Body Height 162.8 cm + 2020-12-26 : Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 1.0 {score} + 2020-12-26 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 4.0 {score} + 2020-12-26 : Tobacco smoking status Never smoked tobacco (finding) + 2020-12-26 : Respiratory rate 15.0 /min + 2020-12-26 : Heart rate 80.0 /min + 2020-12-26 : Blood Pressure + - Diastolic Blood Pressure 88.0 mm[Hg] + - Systolic Blood Pressure 139.0 mm[Hg] + 2020-12-26 : Body mass index (BMI) [Percentile] Per age and gender 25.7 % + 2020-12-26 : Body Mass Index 18.3 kg/m2 + 2020-12-26 : Body Weight 48.0 kg + 2020-12-26 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 3.0 {score} + 2020-12-26 : Body Height 162.1 cm +-------------------------------------------------------------------------------- +PROCEDURES: + 2022-01-01 : Depression screening using Patient Health Questionnaire Nine Item score (procedure) + 2022-01-01 : Depression screening (procedure) + 2020-12-26 : Anticipatory guidance (procedure) + 2020-12-26 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure) + 2020-12-26 : Assessment of substance use (procedure) + 2020-12-26 : Depression screening using Patient Health Questionnaire Nine Item score (procedure) + 2020-12-26 : Depression screening (procedure) + 2020-12-26 : Assessment of anxiety (procedure) +-------------------------------------------------------------------------------- +IMMUNIZATIONS: + 2022-01-01 : meningococcal MCV4P + 2022-01-01 : Influenza, seasonal, injectable, preservative free + 2021-06-26 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose + 2021-06-05 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose + 2020-12-26 : Influenza, seasonal, injectable, preservative free +-------------------------------------------------------------------------------- +ENCOUNTERS: +2022-01-01 (Dr. Eloisa Arellano) : Encounter at PRIMARY CARE MEDICINE AND PEDIATRICS, LLC +2021-06-26 (Dr. Azzie Feil) : Encounter at BAYSTATE NOBLE HOSPITAL CORPORATION +2021-06-05 (Dr. Azzie Feil) : Encounter at BAYSTATE NOBLE HOSPITAL CORPORATION +2021-03-02 (Dr. Lynn Cassin) : Encounter at BAYSTATE NOBLE HOSPITAL CORPORATION : Encounter for Viral sinusitis (disorder) +2020-12-26 (Dr. Eloisa Arellano) : Encounter at PRIMARY CARE MEDICINE AND PEDIATRICS, LLC +-------------------------------------------------------------------------------- +IMAGING STUDIES: +--------------------------------------------------------------------------------