Lawrence Ima Daugherty
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Race: White
Ethnicity: Non-Hispanic
Gender: F
Age: 41
Birth Date: 1981-02-03
Marital Status: M
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ALLERGIES:
No Known Allergies
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MEDICATIONS:
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CONDITIONS:
2021-02-09 - : Full-time employment (finding)
2018-04-24 - 2021-02-09 : Full-time employment (finding)
2015-04-21 - 2018-04-24 : Full-time employment (finding)
2012-04-17 - : Victim of intimate partner abuse (finding)
2012-04-17 - 2021-02-09 : Limited social contact (finding)
2009-04-14 - 2021-02-09 : Stress (finding)
2009-04-14 - 2012-04-17 : Full-time employment (finding)
2009-04-14 - : Anemia (disorder)
2009-04-14 - : Prediabetes
2007-07-24 - : Miscarriage in first trimester
2003-04-08 - 2006-04-11 : Full-time employment (finding)
2000-04-04 - 2003-04-08 : Full-time employment (finding)
1999-03-30 - : Received certificate of high school equivalency (finding)
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CARE PLANS:
2009-04-14[CURRENT] : Diabetes self management plan
Reason: Prediabetes
Activity: Diabetic diet
Activity: Exercise therapy
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REPORTS:
2021-02-09 : Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]
- Total score [AUDIT-C] 2.0 {score}
2021-02-09 : Patient Health Questionnaire 2 item (PHQ-2) [Reported]
- Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 1.0 {score}
2021-02-09 : Generalized anxiety disorder 7 item (GAD-7)
- Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 3.0 {score}
2021-02-09 : Complete blood count (hemogram) panel - Blood by Automated count
- Leukocytes [#/volume] in Blood by Automated count 8.9 10*3/uL
- Erythrocytes [#/volume] in Blood by Automated count 5.2 10*6/uL
- Hemoglobin [Mass/volume] in Blood 16.2 g/dL
- Hematocrit [Volume Fraction] of Blood by Automated count 46.0 %
- MCV [Entitic volume] by Automated count 92.8 fL
- MCH [Entitic mass] by Automated count 27.1 pg
- MCHC [Mass/volume] by Automated count 33.0 g/dL
- Erythrocyte distribution width [Entitic volume] by Automated count 39.4 fL
- Platelets [#/volume] in Blood by Automated count 406.0 10*3/uL
- Platelet distribution width [Entitic volume] in Blood by Automated count 420.7 fL
- Platelet mean volume [Entitic volume] in Blood by Automated count 12.1 fL
2021-02-09 : Basic Metabolic Panel
- Glucose 92.6 mg/dL
- Urea Nitrogen 7.5 mg/dL
- Creatinine 1.1 mg/dL
- Calcium 9.7 mg/dL
- Sodium 140.8 mmol/L
- Potassium 4.9 mmol/L
- Chloride 110.1 mmol/L
- Carbon Dioxide 23.5 mmol/L
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OBSERVATIONS:
2021-02-09 : Total score [AUDIT-C] 2.0 {score}
2021-02-09 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 1.0 {score}
2021-02-09 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 3.0 {score}
2021-02-09 : 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? Not at all
- 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)? 5 or more times a week
- Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living? No
- 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? Food
- 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. 21452 /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? High school diploma or GED
- What address do you live at? 983 Stoltenberg Byway Unit 6
- Are you worried about losing your housing? No
- What is your housing situation today? I have housing
- How many family members, including yourself, do you currently live with? 7.0 {#}
- 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
2021-02-09 : Hemoglobin A1c/Hemoglobin.total in Blood 5.9 %
2021-02-09 : Tobacco smoking status Never smoked tobacco (finding)
2021-02-09 : Platelet mean volume [Entitic volume] in Blood by Automated count 12.1 fL
2021-02-09 : Platelet distribution width [Entitic volume] in Blood by Automated count 420.7 fL
2021-02-09 : Platelets [#/volume] in Blood by Automated count 406.0 10*3/uL
2021-02-09 : Erythrocyte distribution width [Entitic volume] by Automated count 39.4 fL
2021-02-09 : MCHC [Mass/volume] by Automated count 33.0 g/dL
2021-02-09 : MCH [Entitic mass] by Automated count 27.1 pg
2021-02-09 : MCV [Entitic volume] by Automated count 92.8 fL
2021-02-09 : Hematocrit [Volume Fraction] of Blood by Automated count 46.0 %
2021-02-09 : Hemoglobin [Mass/volume] in Blood 16.2 g/dL
2021-02-09 : Erythrocytes [#/volume] in Blood by Automated count 5.2 10*6/uL
2021-02-09 : Leukocytes [#/volume] in Blood by Automated count 8.9 10*3/uL
2021-02-09 : Carbon Dioxide 23.5 mmol/L
2021-02-09 : Chloride 110.1 mmol/L
2021-02-09 : Potassium 4.9 mmol/L
2021-02-09 : Sodium 140.8 mmol/L
2021-02-09 : Calcium 9.7 mg/dL
2021-02-09 : Creatinine 1.1 mg/dL
2021-02-09 : Urea Nitrogen 7.5 mg/dL
2021-02-09 : Glucose 92.6 mg/dL
2021-02-09 : Respiratory rate 15.0 /min
2021-02-09 : Heart rate 65.0 /min
2021-02-09 : Blood Pressure
- Diastolic Blood Pressure 72.0 mm[Hg]
- Systolic Blood Pressure 97.0 mm[Hg]
2021-02-09 : Body Mass Index 29.5 kg/m2
2021-02-09 : Body Weight 89.2 kg
2021-02-09 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 3.0 {score}
2021-02-09 : Body Height 173.9 cm
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PROCEDURES:
2021-02-09 : Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)
2021-02-09 : Assessment of substance use (procedure)
2021-02-09 : Depression screening using Patient Health Questionnaire Two-Item score (procedure)
2021-02-09 : Depression screening (procedure)
2021-02-09 : Assessment of anxiety (procedure)
2021-02-09 : Medication Reconciliation (procedure)
2021-02-09 : Assessment of health and social care needs (procedure)
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IMMUNIZATIONS:
2021-05-18 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose
2021-04-27 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose
2021-02-09 : Hep A, adult
2021-02-09 : Influenza, seasonal, injectable, preservative free
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ENCOUNTERS:
2021-05-18 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC
2021-04-27 (Dr. Abdul White) : Encounter at STEWARD NORWOOD HOSPITAL INC
2021-02-09 (Dr. Ethyl Rau) : Encounter at WALPOLE MEDICAL CENTER, PC
2018-04-24 (Dr. Ethyl Rau) : Encounter at WALPOLE MEDICAL CENTER, PC
2015-04-21 (Dr. Guillermo Fay) : Encounter at NORWOOD HOSPITAL : Encounter for Normal pregnancy
2012-04-17 (Dr. Ethyl Rau) : Encounter at WALPOLE MEDICAL CENTER, PC
2009-04-14 (Dr. Guillermo Fay) : Encounter at NORWOOD HOSPITAL : Encounter for Anemia (disorder)
2009-04-14 (Dr. Ethyl Rau) : Encounter at WALPOLE MEDICAL CENTER, PC
2007-07-24 (Dr. Guillermo Fay) : Encounter at NORWOOD HOSPITAL : Encounter for Normal pregnancy
2003-04-08 (Dr. Ethyl Rau) : Encounter at WALPOLE MEDICAL CENTER, PC
2000-04-04 (Dr. Ethyl Rau) : Encounter at WALPOLE MEDICAL CENTER, PC
1999-03-30 (Dr. Ethyl Rau) : Encounter at WALPOLE MEDICAL CENTER, PC
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IMAGING STUDIES:
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