Denna Gleason ============= Race: White Ethnicity: Non-Hispanic Gender: F Age: 23 Birth Date: 1999-02-20 Marital Status: S -------------------------------------------------------------------------------- ALLERGIES: No Known Allergies -------------------------------------------------------------------------------- MEDICATIONS: 2020-01-14[STOPPED] : Natazia 28 Day Pack -------------------------------------------------------------------------------- CONDITIONS: 2022-10-15 - : Normal pregnancy 2021-05-08 - : Stress (finding) 2021-05-08 - : Transport problems (finding) 2021-05-08 - : Full-time employment (finding) 2021-05-08 - : Homeless (finding) 2018-05-05 - 2021-05-08 : Social isolation (finding) 2018-05-05 - 2021-05-08 : Full-time employment (finding) 2017-04-29 - : Lack of access to transportation (finding) 2017-04-29 - 2018-05-05 : Full-time employment (finding) 2017-04-29 - : Received higher education (finding) 2017-04-29 - : Housing unsatisfactory (finding) -------------------------------------------------------------------------------- CARE PLANS: 2022-10-15[CURRENT] : Routine antenatal care Activity: Antenatal education Activity: Antenatal risk assessment Activity: Antenatal blood tests -------------------------------------------------------------------------------- REPORTS: 2021-05-08 : Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] - Total score [AUDIT-C] 0.0 {score} 2021-05-08 : Humiliation, Afraid, Rape, and Kick questionnaire [HARK] - Total score [HARK] 0.0 {score} 2021-05-08 : Generalized anxiety disorder 7 item (GAD-7) - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 2.0 {score} 2021-05-08 : Complete blood count (hemogram) panel - Blood by Automated count - Leukocytes [#/volume] in Blood by Automated count 8.1 10*3/uL - Erythrocytes [#/volume] in Blood by Automated count 5.0 10*6/uL - Hemoglobin [Mass/volume] in Blood 12.5 g/dL - Hematocrit [Volume Fraction] of Blood by Automated count 36.1 % - MCV [Entitic volume] by Automated count 86.0 fL - MCH [Entitic mass] by Automated count 27.0 pg - MCHC [Mass/volume] by Automated count 34.2 g/dL - Erythrocyte distribution width [Entitic volume] by Automated count 45.1 fL - Platelets [#/volume] in Blood by Automated count 251.5 10*3/uL - Platelet distribution width [Entitic volume] in Blood by Automated count 502.0 fL - Platelet mean volume [Entitic volume] in Blood by Automated count 10.6 fL -------------------------------------------------------------------------------- OBSERVATIONS: 2021-05-08 : Total score [AUDIT-C] 0.0 {score} 2021-05-08 : Total score [HARK] 0.0 {score} 2021-05-08 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 2.0 {score} 2021-05-08 : 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? Quite a 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)? 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? Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need - 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. 191419 /a - What is your main insurance? Private insurance - 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? 1066 Mitchell Course Unit 82 - Are you worried about losing your housing? Yes - What is your housing situation today? I do not have housing - How many family members, including yourself, do you currently live with? 6.0 {#} - 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 2021-05-08 : Tobacco smoking status Never smoked tobacco (finding) 2021-05-08 : Platelet mean volume [Entitic volume] in Blood by Automated count 10.6 fL 2021-05-08 : Platelet distribution width [Entitic volume] in Blood by Automated count 502.0 fL 2021-05-08 : Platelets [#/volume] in Blood by Automated count 251.5 10*3/uL 2021-05-08 : Erythrocyte distribution width [Entitic volume] by Automated count 45.1 fL 2021-05-08 : MCHC [Mass/volume] by Automated count 34.2 g/dL 2021-05-08 : MCH [Entitic mass] by Automated count 27.0 pg 2021-05-08 : MCV [Entitic volume] by Automated count 86.0 fL 2021-05-08 : Hematocrit [Volume Fraction] of Blood by Automated count 36.1 % 2021-05-08 : Hemoglobin [Mass/volume] in Blood 12.5 g/dL 2021-05-08 : Erythrocytes [#/volume] in Blood by Automated count 5.0 10*6/uL 2021-05-08 : Leukocytes [#/volume] in Blood by Automated count 8.1 10*3/uL 2021-05-08 : Respiratory rate 12.0 /min 2021-05-08 : Heart rate 96.0 /min 2021-05-08 : Blood Pressure - Diastolic Blood Pressure 91.0 mm[Hg] - Systolic Blood Pressure 112.0 mm[Hg] 2021-05-08 : Body Mass Index 21.3 kg/m2 2021-05-08 : Body Weight 59.2 kg 2021-05-08 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 2.0 {score} 2021-05-08 : Body Height 166.7 cm 2021-04-15 : History of Hospitalizations+Outpatient visits 6.3 {count} 2021-04-15 : Are you covered by health insurance or some other kind of health care plan [PhenX] No {nominal} 2021-04-15 : Housing status Patient is homeless {nominal} 2021-04-15 : Abuse Status [OMAHA] No signs/symptoms {nominal} 2021-04-15 : HIV status not HIV positive {nominal} 2021-04-15 : Sexual orientation heterosexual {nominal} -------------------------------------------------------------------------------- PROCEDURES: 2022-12-10 : Auscultation of the fetal heart for Normal pregnancy 2022-12-10 : Evaluation of uterine fundal height for Normal pregnancy 2022-12-10 : Alpha-fetoprotein test for Normal pregnancy 2022-12-10 : Fetal anatomy study for Normal pregnancy 2022-11-12 : Screening for chromosomal aneuploidy in prenatal amniotic fluid for Normal pregnancy 2022-11-12 : Auscultation of the fetal heart for Normal pregnancy 2022-11-12 : Evaluation of uterine fundal height for Normal pregnancy 2022-10-15 : Physical examination of mother for Normal pregnancy 2022-10-15 : Urine protein test for Normal pregnancy 2022-10-15 : Skin test for tuberculosis for Normal pregnancy 2022-10-15 : Measurement of Varicella-zoster virus antibody for Normal pregnancy 2022-10-15 : Rubella screening for Normal pregnancy 2022-10-15 : Hepatitis C antibody test for Normal pregnancy 2022-10-15 : Urine screening test for diabetes for Normal pregnancy 2022-10-15 : Cytopathology procedure, preparation of smear, genital source for Normal pregnancy 2022-10-15 : Urine culture for Normal pregnancy 2022-10-15 : Syphilis infection test for Normal pregnancy 2022-10-15 : Gonorrhea infection test for Normal pregnancy 2022-10-15 : Chlamydia antigen test for Normal pregnancy 2022-10-15 : Human immunodeficiency virus antigen test for Normal pregnancy 2022-10-15 : Hepatitis B Surface Antigen Measurement for Normal pregnancy 2022-10-15 : Hemoglobin / Hematocrit / Platelet count for Normal pregnancy 2022-10-15 : Blood typing, RH typing for Normal pregnancy 2022-10-15 : Auscultation of the fetal heart for Normal pregnancy 2022-10-15 : Evaluation of uterine fundal height for Normal pregnancy 2022-10-15 : Ultrasound scan for fetal viability for Normal pregnancy 2022-10-15 : Standard pregnancy test for Normal pregnancy 2021-05-08 : Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure) 2021-05-08 : Assessment of substance use (procedure) 2021-05-08 : Screening for domestic abuse (procedure) 2021-05-08 : Assessment of anxiety (procedure) 2021-05-08 : Assessment of health and social care needs (procedure) 2021-04-15 : Information gathering (procedure) -------------------------------------------------------------------------------- IMMUNIZATIONS: 2021-05-15 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose 2021-05-08 : meningococcal MCV4P 2021-05-08 : Hep B, adult 2021-05-08 : Td (adult) preservative free 2021-05-08 : Influenza, seasonal, injectable, preservative free 2021-04-17 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose -------------------------------------------------------------------------------- ENCOUNTERS: 2022-12-10 (Dr. Hermelinda Hyatt) : Encounter at SPAULDING HOSPITAL FOR CONTINUING MED CARE-CAMB : Encounter for Normal pregnancy 2022-11-12 (Dr. Hermelinda Hyatt) : Encounter at SPAULDING HOSPITAL FOR CONTINUING MED CARE-CAMB : Encounter for Normal pregnancy 2022-10-15 (Dr. Hermelinda Hyatt) : Encounter at SPAULDING HOSPITAL FOR CONTINUING MED CARE-CAMB : Encounter for Normal pregnancy 2021-05-15 (Dr. Hermelinda Hyatt) : Encounter at SPAULDING HOSPITAL FOR CONTINUING MED CARE-CAMB 2021-05-08 (Dr. Carmelita Tromp) : Encounter at ENGRACE HEALTHCARE PRACTICE LLC 2021-04-15 (Dr. Hermelinda Hyatt) : Encounter at SPAULDING HOSPITAL FOR CONTINUING MED CARE-CAMB 2021-04-17 (Dr. Hermelinda Hyatt) : Encounter at SPAULDING HOSPITAL FOR CONTINUING MED CARE-CAMB 2020-01-14 (Dr. Hermelinda Hyatt) : Encounter at SPAULDING HOSPITAL FOR CONTINUING MED CARE-CAMB 2018-05-05 (Dr. Carmelita Tromp) : Encounter at ENGRACE HEALTHCARE PRACTICE LLC 2017-04-29 (Dr. Carmelita Tromp) : Encounter at ENGRACE HEALTHCARE PRACTICE LLC -------------------------------------------------------------------------------- IMAGING STUDIES: --------------------------------------------------------------------------------