Van MacGyver
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Race: Asian
Ethnicity: Non-Hispanic
Gender: F
Age: 10
Birth Date: 2012-03-11
Marital Status: S
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ALLERGIES:
2013-01-16 - : Cow's milk (substance)
2013-01-16 - : Lisinopril
2013-01-16 - : Tree pollen (substance)
2013-01-16 - : Grass pollen (substance)
2013-01-16 - : Animal dander (substance)
2013-01-16 - : House dust mite (organism)
2013-01-16 - : Mold (organism)
2013-01-16 - : Latex (substance)
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MEDICATIONS:
2022-03-20[CURRENT] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2022-03-20[CURRENT] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2022-01-23[STOPPED] : Acetaminophen 160 MG Chewable Tablet
2021-03-14[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2021-03-14[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2020-03-08[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2020-03-08[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2019-03-03[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2019-03-03[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2018-02-25[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2018-02-25[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2017-06-11[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2017-06-11[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2017-02-19[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2017-02-19[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2016-02-14[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2016-02-14[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2015-08-16[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2015-08-16[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2015-02-15[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2015-02-15[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2014-11-09[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2014-11-09[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2014-08-17[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2014-08-17[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2014-06-13[STOPPED] : NDA021457 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [ProAir] for Childhood asthma
2014-06-13[STOPPED] : 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] for Childhood asthma
2013-01-16[CURRENT] : NDA020800 0.3 ML Epinephrine 1 MG/ML Auto-Injector
2013-01-16[CURRENT] : cetirizine hydrochloride 5 MG Oral Tablet
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CONDITIONS:
2022-01-23 - 2022-02-12 : Facial laceration
2021-01-18 - 2021-09-17 : Child attention deficit disorder
2021-01-11 - 2021-02-17 : COVID-19
2021-01-11 - 2021-01-11 : Suspected COVID-19
2021-01-11 - 2021-02-17 : Joint pain (finding)
2021-01-11 - 2021-02-17 : Muscle pain (finding)
2021-01-11 - 2021-02-17 : Sore throat symptom (finding)
2021-01-11 - 2021-02-17 : Cough (finding)
2014-06-13 - : Childhood asthma
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CARE PLANS:
2022-01-23[STOPPED] : Wound care
Reason: Facial laceration
Activity: Dressing change management
Activity: Behavior to prevent infection
2021-01-18[STOPPED] : Overactivity/inattention behavior management
Activity: Counseling
Activity: Psychological assessment
2021-01-11[STOPPED] : Infectious disease care plan (record artifact)
Activity: Airborne precautions (procedure)
Activity: Isolation of infected patient (procedure)
2021-01-11[STOPPED] : Infectious disease care plan (record artifact)
Activity: Airborne precautions (procedure)
Activity: Personal protective equipment (physical object)
2014-06-13[CURRENT] : Asthma self management
Reason: Childhood asthma
Activity: Inhaled steroid therapy
Activity: Home nebulizer therapy
Activity: Breathing control
2013-01-03[CURRENT] : Self-care interventions (procedure)
Activity: Food allergy diet
Activity: Allergy education
Activity: Allergy education
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REPORTS:
2021-01-11 : SARS-CoV-2 RNA Pnl Resp NAA+probe
- SARS-CoV-2 RNA Pnl Resp NAA+probe Detected (qualifier value)
2021-01-11 : Respiratory pathogens DNA and RNA panel - Respiratory specimen by NAA with probe detection
- Influenza virus A RNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
- Influenza virus B RNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
- Respiratory syncytial virus RNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
- Parainfluenza virus 1 RNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
- Parainfluenza virus 2 RNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
- Parainfluenza virus 3 RNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
- Rhinovirus RNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
- Human metapneumovirus RNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
- Adenovirus A+B+C+D+E DNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
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OBSERVATIONS:
2022-03-20 : Tobacco smoking status Never smoked tobacco (finding)
2022-03-20 : Respiratory rate 15.0 /min
2022-03-20 : Heart rate 85.0 /min
2022-03-20 : Blood Pressure
- Diastolic Blood Pressure 72.0 mm[Hg]
- Systolic Blood Pressure 130.0 mm[Hg]
2022-03-20 : Body mass index (BMI) [Percentile] Per age and gender 66.4 %
2022-03-20 : Body Mass Index 17.9 kg/m2
2022-03-20 : Body Weight 30.5 kg
2022-03-20 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 1.0 {score}
2022-03-20 : Body Height 130.5 cm
2021-03-14 : Tobacco smoking status Never smoked tobacco (finding)
2021-03-14 : Respiratory rate 14.0 /min
2021-03-14 : Heart rate 69.0 /min
2021-03-14 : Blood Pressure
- Diastolic Blood Pressure 77.0 mm[Hg]
- Systolic Blood Pressure 114.0 mm[Hg]
2021-03-14 : Body mass index (BMI) [Percentile] Per age and gender 71.0 %
2021-03-14 : Body Mass Index 17.6 kg/m2
2021-03-14 : Body Weight 28.0 kg
2021-03-14 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 2.0 {score}
2021-03-14 : Body Height 126.0 cm
2021-01-11 : SARS-CoV-2 RNA Pnl Resp NAA+probe Detected (qualifier value)
2021-01-11 : Adenovirus A+B+C+D+E DNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
2021-01-11 : Human metapneumovirus RNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
2021-01-11 : Rhinovirus RNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
2021-01-11 : Parainfluenza virus 3 RNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
2021-01-11 : Parainfluenza virus 2 RNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
2021-01-11 : Parainfluenza virus 1 RNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
2021-01-11 : Respiratory syncytial virus RNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
2021-01-11 : Influenza virus B RNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
2021-01-11 : Influenza virus A RNA [Presence] in Respiratory specimen by NAA with probe detection Negative (qualifier value)
2021-01-11 : Body Weight 27.3 kg
2021-01-11 : Blood Pressure
- Diastolic Blood Pressure 73.0 mm[Hg]
- Systolic Blood Pressure 123.0 mm[Hg]
2021-01-11 : Oxygen saturation in Arterial blood 75.5 %
2021-01-11 : Heart rate 69.5 /min
2021-01-11 : Respiratory rate 26.5 /min
2021-01-11 : Body temperature 41.0 Cel
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PROCEDURES:
2022-01-23 : Suture open wound for Facial laceration
2021-09-17 : Cognitive and behavioral therapy for Child attention deficit disorder
2021-08-09 : Cognitive and behavioral therapy for Child attention deficit disorder
2021-06-29 : Cognitive and behavioral therapy for Child attention deficit disorder
2021-05-29 : Cognitive and behavioral therapy for Child attention deficit disorder
2021-04-19 : Cognitive and behavioral therapy for Child attention deficit disorder
2021-03-20 : Cognitive and behavioral therapy for Child attention deficit disorder
2021-03-14 : Medication Reconciliation (procedure)
2021-02-20 : Cognitive and behavioral therapy for Child attention deficit disorder
2021-01-11 : Face mask (physical object) for Suspected COVID-19
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IMMUNIZATIONS:
2022-03-20 : Influenza, seasonal, injectable, preservative free
2021-03-14 : Influenza, seasonal, injectable, preservative free
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ENCOUNTERS:
2022-03-20 (Dr. Quentin Fritsch) : Encounter at RIVER'S EDGE PRIMARY CARE LLC
2022-01-23 (Dr. Burton Schoen) : Encounter at EXCEL HOME CARE SERVICES INC
2021-09-17 (Dr. Cletus Paucek) : Encounter at ENCOMPASS HEALTH REHAB HOSPITAL OF WESTERN MASS : Encounter for Child attention deficit disorder
2021-08-09 (Dr. Cletus Paucek) : Encounter at ENCOMPASS HEALTH REHAB HOSPITAL OF WESTERN MASS : Encounter for Child attention deficit disorder
2021-06-29 (Dr. Cletus Paucek) : Encounter at ENCOMPASS HEALTH REHAB HOSPITAL OF WESTERN MASS : Encounter for Child attention deficit disorder
2021-05-29 (Dr. Cletus Paucek) : Encounter at ENCOMPASS HEALTH REHAB HOSPITAL OF WESTERN MASS : Encounter for Child attention deficit disorder
2021-04-19 (Dr. Cletus Paucek) : Encounter at ENCOMPASS HEALTH REHAB HOSPITAL OF WESTERN MASS : Encounter for Child attention deficit disorder
2021-03-20 (Dr. Cletus Paucek) : Encounter at ENCOMPASS HEALTH REHAB HOSPITAL OF WESTERN MASS : Encounter for Child attention deficit disorder
2021-03-14 (Dr. Quentin Fritsch) : Encounter at RIVER'S EDGE PRIMARY CARE LLC
2021-02-20 (Dr. Cletus Paucek) : Encounter at ENCOMPASS HEALTH REHAB HOSPITAL OF WESTERN MASS : Encounter for Child attention deficit disorder
2021-01-18 (Dr. Cletus Paucek) : Encounter at ENCOMPASS HEALTH REHAB HOSPITAL OF WESTERN MASS : Encounter for Child attention deficit disorder
2021-01-11 (Dr. Cletus Paucek) : Encounter at ENCOMPASS HEALTH REHAB HOSPITAL OF WESTERN MASS
2020-03-08 (Dr. Quentin Fritsch) : Encounter at RIVER'S EDGE PRIMARY CARE LLC
2019-03-03 (Dr. Quentin Fritsch) : Encounter at RIVER'S EDGE PRIMARY CARE LLC
2018-02-25 (Dr. Quentin Fritsch) : Encounter at RIVER'S EDGE PRIMARY CARE LLC
2017-06-10 (Dr. Cletus Paucek) : Encounter at ENCOMPASS HEALTH REHAB HOSPITAL OF WESTERN MASS : Encounter for Viral sinusitis (disorder)
2017-02-19 (Dr. Quentin Fritsch) : Encounter at RIVER'S EDGE PRIMARY CARE LLC
2016-02-14 (Dr. Quentin Fritsch) : Encounter at RIVER'S EDGE PRIMARY CARE LLC
2015-08-16 (Dr. Quentin Fritsch) : Encounter at RIVER'S EDGE PRIMARY CARE LLC
2015-02-15 (Dr. Quentin Fritsch) : Encounter at RIVER'S EDGE PRIMARY CARE LLC
2014-11-09 (Dr. Cletus Paucek) : Encounter at ENCOMPASS HEALTH REHAB HOSPITAL OF WESTERN MASS
2014-08-17 (Dr. Quentin Fritsch) : Encounter at RIVER'S EDGE PRIMARY CARE LLC
2014-06-13 (Dr. Cletus Paucek) : Encounter at ENCOMPASS HEALTH REHAB HOSPITAL OF WESTERN MASS : Encounter for Childhood asthma
2013-01-16 (Dr. Cletus Paucek) : Encounter at ENCOMPASS HEALTH REHAB HOSPITAL OF WESTERN MASS
2013-01-03 (Dr. Cletus Paucek) : Encounter at ENCOMPASS HEALTH REHAB HOSPITAL OF WESTERN MASS
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IMAGING STUDIES:
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