Delbert Collins
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Race: White
Ethnicity: Non-Hispanic
Gender: M
Age: 56
Birth Date: 1965-12-23
Marital Status: M
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ALLERGIES:
No Known Allergies
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MEDICATIONS:
2022-10-12[CURRENT] : sacubitril 97 MG / valsartan 103 MG Oral Tablet for Chronic congestive heart failure (disorder)
2022-10-12[CURRENT] : carvedilol 25 MG Oral Tablet for Chronic congestive heart failure (disorder)
2022-10-12[CURRENT] : Furosemide 40 MG Oral Tablet for Chronic congestive heart failure (disorder)
2015-12-31[CURRENT] : Nitroglycerin 0.4 MG/ACTUAT Mucosal Spray
2015-12-31[CURRENT] : 24 HR metoprolol succinate 100 MG Extended Release Oral Tablet
2015-12-31[CURRENT] : Simvastatin 20 MG Oral Tablet
2015-12-31[CURRENT] : Clopidogrel 75 MG Oral Tablet
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CONDITIONS:
2022-09-23 - : Chronic congestive heart failure (disorder)
2021-03-08 - 2021-04-01 : COVID-19
2021-03-08 - 2021-03-08 : Suspected COVID-19
2021-03-08 - 2021-04-01 : Loss of taste (finding)
2021-03-08 - 2021-04-01 : Fever (finding)
2021-03-08 - 2021-04-01 : Wheezing (finding)
2021-03-08 - 2021-04-01 : Dyspnea (finding)
2021-03-08 - 2021-04-01 : Fatigue (finding)
2021-03-08 - 2021-04-01 : Cough (finding)
2016-01-04 - : Abnormal findings diagnostic imaging heart+coronary circulat (finding)
2015-12-24 - : Reports of violence in the environment (finding)
2015-12-24 - : Part-time employment (finding)
2015-12-24 - : Ischemic heart disease (disorder)
2014-01-16 - : Victim of intimate partner abuse (finding)
2010-01-07 - : Stress (finding)
2006-06-08 - 2008-01-03 : Stress (finding)
2006-06-08 - 2008-01-03 : Part-time employment (finding)
2005-12-29 - 2006-06-08 : Part-time employment (finding)
2000-03-09 - 2005-12-29 : Stress (finding)
1991-02-28 - : Anemia (disorder)
1991-02-28 - : Prediabetes
1988-02-25 - 1994-03-03 : Stress (finding)
1988-02-25 - : Limited social contact (finding)
1988-02-25 - : Body mass index 30+ - obesity (finding)
1984-02-16 - 1985-02-21 : Limited social contact (finding)
1984-02-16 - : Received higher education (finding)
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CARE PLANS:
2022-10-12[CURRENT] : Heart failure self management plan
Reason: Chronic congestive heart failure (disorder)
Activity: low salt diet education
Activity: physical exercise
2021-03-08[STOPPED] : Infectious disease care plan (record artifact)
Activity: Airborne precautions (procedure)
Activity: Isolation of infected patient (procedure)
2021-03-08[STOPPED] : Infectious disease care plan (record artifact)
Activity: Airborne precautions (procedure)
Activity: Personal protective equipment (physical object)
1991-02-28[CURRENT] : Diabetes self management plan
Reason: Prediabetes
Activity: Diabetic diet
Activity: Exercise therapy
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REPORTS:
2022-10-12 : Basic Metabolic Panel
- Glucose 65.0 mg/dL
- Urea Nitrogen 13.9 mg/dL
- Creatinine 1.0 mg/dL
- Calcium 9.3 mg/dL
- Sodium 142.9 mmol/L
- Potassium 3.7 mmol/L
- Chloride 101.2 mmol/L
- Carbon Dioxide 28.2 mmol/L
2022-10-12 : Heartfailure Tracking Panel
- Left ventricular Ejection fraction 27.4 %
2022-09-23 : New York Heart Association Functional Classification panel
- Functional capacity NYHA Class II
- Objective assessment of cardiovascular disease NYHA Objective evidence of severe cardiovascular disease
2022-09-23 : Iron and Iron binding capacity panel - Serum or Plasma
- Iron [Mass/volume] in Serum or Plasma 93.1 ug/dL
- Iron binding capacity [Mass/volume] in Serum or Plasma 400.9 ug/dL
- Iron saturation [Mass Fraction] in Serum or Plasma 19.9 %
2022-09-23 : Iron panel - Serum or Plasma
- Ferritin [Mass/volume] in Serum or Plasma 68.4 ug/L
2022-09-23 : Troponin I.cardiac panel - Serum or Plasma by High sensitivity method
- Troponin I.cardiac [Mass/volume] in Serum or Plasma by High sensitivity method 0.0 pg/mL
2022-09-23 : Lipid Panel
- Total Cholesterol 157.7 mg/dL
- Triglycerides 114.3 mg/dL
- Low Density Lipoprotein Cholesterol 80.9 mg/dL
- High Density Lipoprotein Cholesterol 53.9 mg/dL
2022-09-23 : Comprehensive metabolic 2000 panel - Serum or Plasma
- Glucose [Mass/volume] in Serum or Plasma 90.1 mg/dL
- Urea nitrogen [Mass/volume] in Serum or Plasma 11.9 mg/dL
- Creatinine [Mass/volume] in Serum or Plasma 1.0 mg/dL
- Calcium [Mass/volume] in Serum or Plasma 9.7 mg/dL
- Sodium [Moles/volume] in Serum or Plasma 138.2 mmol/L
- Potassium [Moles/volume] in Serum or Plasma 4.1 mmol/L
- Chloride [Moles/volume] in Serum or Plasma 106.1 mmol/L
- Carbon dioxide, total [Moles/volume] in Serum or Plasma 24.9 mmol/L
- Glomerular filtration rate/1.73 sq M.predicted 102.6 mL/min
- Protein [Mass/volume] in Serum or Plasma 6.3 g/dL
- Albumin [Mass/volume] in Serum or Plasma 4.3 g/dL
- Bilirubin.total [Mass/volume] in Serum or Plasma 1.1 mg/dL
- Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 39.8 U/L
- Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma 25.0 U/L
- Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma 29.2 U/L
2022-09-23 : Complete blood count (hemogram) panel - Blood by Automated count
- Leukocytes [#/volume] in Blood by Automated count 6.4 10*3/uL
- Erythrocytes [#/volume] in Blood by Automated count 5.5 10*6/uL
- Hemoglobin [Mass/volume] in Blood 15.2 g/dL
- Hematocrit [Volume Fraction] of Blood by Automated count 40.0 %
- MCV [Entitic volume] by Automated count 87.9 fL
- MCH [Entitic mass] by Automated count 31.2 pg
- MCHC [Mass/volume] by Automated count 32.3 g/dL
- Erythrocyte distribution width [Ratio] by Automated count 13.1 %
- Platelets [#/volume] in Blood by Automated count 393.6 10*3/uL
2021-03-08 : SARS-CoV-2 RNA Pnl Resp NAA+probe
- SARS-CoV-2 RNA Pnl Resp NAA+probe Detected (qualifier value)
2021-03-08 : Influenza virus A and B Ag panel - Nasopharynx by Rapid immunoassay
- Influenza virus A Ag [Presence] in Nasopharynx by Rapid immunoassay Not detected (qualifier value)
- Influenza virus B Ag [Presence] in Nasopharynx by Rapid immunoassay Not detected (qualifier value)
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OBSERVATIONS:
2022-10-12 : Carbon Dioxide 28.2 mmol/L
2022-10-12 : Chloride 101.2 mmol/L
2022-10-12 : Potassium 3.7 mmol/L
2022-10-12 : Sodium 142.9 mmol/L
2022-10-12 : Calcium 9.3 mg/dL
2022-10-12 : Creatinine 1.0 mg/dL
2022-10-12 : Urea Nitrogen 13.9 mg/dL
2022-10-12 : Glucose 65.0 mg/dL
2022-10-12 : Left ventricular Ejection fraction 27.4 %
2022-09-23 : Objective assessment of cardiovascular disease NYHA Objective evidence of severe cardiovascular disease
2022-09-23 : Functional capacity NYHA Class II
2022-09-23 : Iron saturation [Mass Fraction] in Serum or Plasma 19.9 %
2022-09-23 : Iron binding capacity [Mass/volume] in Serum or Plasma 400.9 ug/dL
2022-09-23 : Iron [Mass/volume] in Serum or Plasma 93.1 ug/dL
2022-09-23 : Ferritin [Mass/volume] in Serum or Plasma 68.4 ug/L
2022-09-23 : Troponin I.cardiac [Mass/volume] in Serum or Plasma by High sensitivity method 0.0 pg/mL
2022-09-23 : Hemoglobin A1c/Hemoglobin.total in Blood 6.0 %
2022-09-23 : High Density Lipoprotein Cholesterol 53.9 mg/dL
2022-09-23 : Low Density Lipoprotein Cholesterol 80.9 mg/dL
2022-09-23 : Triglycerides 114.3 mg/dL
2022-09-23 : Total Cholesterol 157.7 mg/dL
2022-09-23 : Magnesium [Mass/volume] in Serum or Plasma 2.0 mg/dL
2022-09-23 : Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma 29.2 U/L
2022-09-23 : Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma 25.0 U/L
2022-09-23 : Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 39.8 U/L
2022-09-23 : Bilirubin.total [Mass/volume] in Serum or Plasma 1.1 mg/dL
2022-09-23 : Albumin [Mass/volume] in Serum or Plasma 4.3 g/dL
2022-09-23 : Protein [Mass/volume] in Serum or Plasma 6.3 g/dL
2022-09-23 : Glomerular filtration rate/1.73 sq M.predicted 102.6 mL/min
2022-09-23 : Carbon dioxide, total [Moles/volume] in Serum or Plasma 24.9 mmol/L
2022-09-23 : Chloride [Moles/volume] in Serum or Plasma 106.1 mmol/L
2022-09-23 : Potassium [Moles/volume] in Serum or Plasma 4.1 mmol/L
2022-09-23 : Sodium [Moles/volume] in Serum or Plasma 138.2 mmol/L
2022-09-23 : Calcium [Mass/volume] in Serum or Plasma 9.7 mg/dL
2022-09-23 : Creatinine [Mass/volume] in Serum or Plasma 1.0 mg/dL
2022-09-23 : Urea nitrogen [Mass/volume] in Serum or Plasma 11.9 mg/dL
2022-09-23 : Glucose [Mass/volume] in Serum or Plasma 90.1 mg/dL
2022-09-23 : Platelets [#/volume] in Blood by Automated count 393.6 10*3/uL
2022-09-23 : Erythrocyte distribution width [Ratio] by Automated count 13.1 %
2022-09-23 : MCHC [Mass/volume] by Automated count 32.3 g/dL
2022-09-23 : MCH [Entitic mass] by Automated count 31.2 pg
2022-09-23 : MCV [Entitic volume] by Automated count 87.9 fL
2022-09-23 : Hematocrit [Volume Fraction] of Blood by Automated count 40.0 %
2022-09-23 : Hemoglobin [Mass/volume] in Blood 15.2 g/dL
2022-09-23 : Erythrocytes [#/volume] in Blood by Automated count 5.5 10*6/uL
2022-09-23 : Leukocytes [#/volume] in Blood by Automated count 6.4 10*3/uL
2022-09-23 : NT-proBNP 1984.0 pg/mL
2022-09-23 : Body Weight 83.6 kg
2022-09-23 : Symptom Rales (finding)
2022-09-23 : Symptom Edema (finding)
2022-09-23 : Symptom Orthopnea (finding)
2022-09-23 : Symptom Paroxysmal dyspnea (finding)
2022-09-23 : Symptom Dyspnea (finding)
2022-09-23 : Symptom Dyspnea on exertion (finding)
2021-03-08 : SARS-CoV-2 RNA Pnl Resp NAA+probe Detected (qualifier value)
2021-03-08 : Influenza virus B Ag [Presence] in Nasopharynx by Rapid immunoassay Not detected (qualifier value)
2021-03-08 : Influenza virus A Ag [Presence] in Nasopharynx by Rapid immunoassay Not detected (qualifier value)
2021-03-08 : Body Weight 91.0 kg
2021-03-08 : Blood Pressure
- Diastolic Blood Pressure 75.0 mm[Hg]
- Systolic Blood Pressure 76.0 mm[Hg]
2021-03-08 : Oxygen saturation in Arterial blood 86.4 %
2021-03-08 : Heart rate 160.2 /min
2021-03-08 : Respiratory rate 21.0 /min
2021-03-08 : Body temperature 40.5 Cel
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PROCEDURES:
2022-10-12 : Medication Reconciliation (procedure)
2022-10-12 : Echocardiography (procedure)
2022-09-23 : Assessment using New York Heart Association Classification (procedure) for Chronic congestive heart failure (disorder)
2022-09-23 : Plain chest X-ray (procedure)
2022-09-23 : Electrocardiographic procedure for Chronic congestive heart failure (disorder)
2021-03-08 : Face mask (physical object) for Suspected COVID-19
2020-12-23 : Colonoscopy
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IMMUNIZATIONS:
2021-04-29 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose
2021-04-01 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose
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ENCOUNTERS:
2022-10-12 (Dr. Gabriel Reilly) : Encounter at Fitchburg Outpatient Clinic : Encounter for Chronic congestive heart failure (disorder)
2022-09-23 (Dr. Gabriel Reilly) : Encounter at Fitchburg Outpatient Clinic : Encounter for Chronic congestive heart failure (disorder)
2021-04-29 (Dr. Rocio Montaño) : Encounter at CAMBRIDGE PUBLIC HEALTH COMMISSION
2021-04-01 (Dr. Rocio Montaño) : Encounter at CAMBRIDGE PUBLIC HEALTH COMMISSION
2021-03-08 (Dr. Rocio Montaño) : Encounter at CAMBRIDGE PUBLIC HEALTH COMMISSION
2020-12-23 (Dr. Rocio Montaño) : Encounter at CAMBRIDGE PUBLIC HEALTH COMMISSION
2016-01-04 (Dr. Gabriel Reilly) : Encounter at Fitchburg Outpatient Clinic : Encounter for Ischemic heart disease (disorder)
2015-12-26 (Dr. Rocio Montaño) : Encounter at CAMBRIDGE PUBLIC HEALTH COMMISSION : Encounter for Viral sinusitis (disorder)
2015-12-24 (Dr. Rocio Montaño) : Encounter at CAMBRIDGE PUBLIC HEALTH COMMISSION
2014-01-16 (Dr. Enriqueta Barton) : Encounter at DAVIS SQUARE FAMILY PRACTICE
2010-01-07 (Dr. Enriqueta Barton) : Encounter at DAVIS SQUARE FAMILY PRACTICE
2006-06-08 (Dr. Rocio Montaño) : Encounter at CAMBRIDGE PUBLIC HEALTH COMMISSION
2005-12-29 (Dr. Enriqueta Barton) : Encounter at DAVIS SQUARE FAMILY PRACTICE
2000-03-09 (Dr. Enriqueta Barton) : Encounter at DAVIS SQUARE FAMILY PRACTICE
1991-02-28 (Dr. Enriqueta Barton) : Encounter at DAVIS SQUARE FAMILY PRACTICE
1988-02-25 (Dr. Enriqueta Barton) : Encounter at DAVIS SQUARE FAMILY PRACTICE
1984-02-16 (Dr. Enriqueta Barton) : Encounter at DAVIS SQUARE FAMILY PRACTICE
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IMAGING STUDIES:
2022-10-12 : Ultrasound, Heart structure (body structure)
2022-09-23 : Computed Radiography, Thoracic structure (body structure)
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