Elana Goodwin
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Race: White
Ethnicity: Non-Hispanic
Gender: F
Age: 16
Birth Date: 2006-05-22
Marital Status: S
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ALLERGIES:
No Known Allergies
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MEDICATIONS:
2021-08-31[STOPPED] : Naproxen sodium 220 MG Oral Tablet
2021-05-03[STOPPED] : Naproxen sodium 220 MG Oral Tablet
2021-05-03[STOPPED] : Amoxicillin 250 MG Oral Capsule
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CONDITIONS:
2021-08-31 - 2021-10-05 : Sprain of ankle
2021-05-03 - 2021-06-28 : Otitis media
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CARE PLANS:
2021-08-31[STOPPED] : Physiotherapy care plan (record artifact)
Reason: Sprain of ankle
Activity: Rest, ice, compression and elevation treatment programme
Activity: Stretching exercises
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REPORTS:
2022-07-04 : 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}
2022-07-04 : Complete blood count (hemogram) panel - Blood by Automated count
- Leukocytes [#/volume] in Blood by Automated count 4.6 10*3/uL
- Erythrocytes [#/volume] in Blood by Automated count 4.7 10*6/uL
- Hemoglobin [Mass/volume] in Blood 15.4 g/dL
- Hematocrit [Volume Fraction] of Blood by Automated count 36.8 %
- MCV [Entitic volume] by Automated count 90.8 fL
- MCH [Entitic mass] by Automated count 30.6 pg
- MCHC [Mass/volume] by Automated count 34.1 g/dL
- Erythrocyte distribution width [Entitic volume] by Automated count 44.8 fL
- Platelets [#/volume] in Blood by Automated count 156.6 10*3/uL
- Platelet distribution width [Entitic volume] in Blood by Automated count 252.7 fL
- Platelet mean volume [Entitic volume] in Blood by Automated count 11.2 fL
2021-06-28 : Generalized anxiety disorder 7 item (GAD-7)
- Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 1.0 {score}
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OBSERVATIONS:
2022-07-04 : Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 4.0 {score}
2022-07-04 : Tobacco smoking status Never smoked tobacco (finding)
2022-07-04 : Platelet mean volume [Entitic volume] in Blood by Automated count 11.2 fL
2022-07-04 : Platelet distribution width [Entitic volume] in Blood by Automated count 252.7 fL
2022-07-04 : Platelets [#/volume] in Blood by Automated count 156.6 10*3/uL
2022-07-04 : Erythrocyte distribution width [Entitic volume] by Automated count 44.8 fL
2022-07-04 : MCHC [Mass/volume] by Automated count 34.1 g/dL
2022-07-04 : MCH [Entitic mass] by Automated count 30.6 pg
2022-07-04 : MCV [Entitic volume] by Automated count 90.8 fL
2022-07-04 : Hematocrit [Volume Fraction] of Blood by Automated count 36.8 %
2022-07-04 : Hemoglobin [Mass/volume] in Blood 15.4 g/dL
2022-07-04 : Erythrocytes [#/volume] in Blood by Automated count 4.7 10*6/uL
2022-07-04 : Leukocytes [#/volume] in Blood by Automated count 4.6 10*3/uL
2022-07-04 : Respiratory rate 14.0 /min
2022-07-04 : Heart rate 73.0 /min
2022-07-04 : Blood Pressure
- Diastolic Blood Pressure 86.0 mm[Hg]
- Systolic Blood Pressure 123.0 mm[Hg]
2022-07-04 : Body mass index (BMI) [Percentile] Per age and gender 78.4 %
2022-07-04 : Body Mass Index 23.5 kg/m2
2022-07-04 : Body Weight 62.0 kg
2022-07-04 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 2.0 {score}
2022-07-04 : Body Height 162.6 cm
2021-06-28 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 1.0 {score}
2021-06-28 : Tobacco smoking status Never smoked tobacco (finding)
2021-06-28 : Respiratory rate 13.0 /min
2021-06-28 : Heart rate 92.0 /min
2021-06-28 : Blood Pressure
- Diastolic Blood Pressure 87.0 mm[Hg]
- Systolic Blood Pressure 132.0 mm[Hg]
2021-06-28 : Body mass index (BMI) [Percentile] Per age and gender 78.0 %
2021-06-28 : Body Mass Index 22.8 kg/m2
2021-06-28 : Body Weight 59.8 kg
2021-06-28 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 1.0 {score}
2021-06-28 : Body Height 162.0 cm
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PROCEDURES:
2022-07-04 : Anticipatory guidance (procedure)
2022-07-04 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)
2022-07-04 : Assessment of substance use (procedure)
2022-07-04 : Depression screening using Patient Health Questionnaire Nine Item score (procedure)
2022-07-04 : Depression screening (procedure)
2021-06-28 : Anticipatory guidance (procedure)
2021-06-28 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)
2021-06-28 : Assessment of substance use (procedure)
2021-06-28 : Assessment of anxiety (procedure)
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IMMUNIZATIONS:
2022-07-04 : meningococcal MCV4P
2022-07-04 : Influenza, seasonal, injectable, preservative free
2021-12-06 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose
2021-11-08 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose
2021-06-28 : Influenza, seasonal, injectable, preservative free
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ENCOUNTERS:
2022-07-04 (Dr. Erwin Stiedemann) : Encounter at NEW BEDFORD INTERNAL MEDICINE & GERIATRICS, LLC
2021-12-06 (Dr. Jerónimo Berríos) : Encounter at AP MEDICAL LLC
2021-11-08 (Dr. Jerónimo Berríos) : Encounter at AP MEDICAL LLC
2021-08-31 (Dr. Orpha Marks) : Encounter at HATHAWAY MANOR EXTENDED CARE
2021-06-28 (Dr. Erwin Stiedemann) : Encounter at NEW BEDFORD INTERNAL MEDICINE & GERIATRICS, LLC
2021-05-03 (Dr. Jerónimo Berríos) : Encounter at AP MEDICAL LLC : Encounter for Otitis media
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IMAGING STUDIES:
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