[ab5bfb]: / data / text / Velma_Iraida_Halvorson_402d63bb-3daf-2516-c003-ae4d1e56e2ad.txt

Download this file

221 lines (220 with data), 16.3 kB

  1
  2
  3
  4
  5
  6
  7
  8
  9
 10
 11
 12
 13
 14
 15
 16
 17
 18
 19
 20
 21
 22
 23
 24
 25
 26
 27
 28
 29
 30
 31
 32
 33
 34
 35
 36
 37
 38
 39
 40
 41
 42
 43
 44
 45
 46
 47
 48
 49
 50
 51
 52
 53
 54
 55
 56
 57
 58
 59
 60
 61
 62
 63
 64
 65
 66
 67
 68
 69
 70
 71
 72
 73
 74
 75
 76
 77
 78
 79
 80
 81
 82
 83
 84
 85
 86
 87
 88
 89
 90
 91
 92
 93
 94
 95
 96
 97
 98
 99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
Velma Iraida Halvorson
======================
Race: White
Ethnicity: Non-Hispanic
Gender: F
Age: 47
Birth Date: 1975-08-03
Marital Status: M
--------------------------------------------------------------------------------
ALLERGIES:
1976-03-13 - : Shellfish (substance)
--------------------------------------------------------------------------------
MEDICATIONS:
2021-12-12[CURRENT] : 12 HR Hydrocodone Bitartrate 10 MG Extended Release Oral Capsule
2021-12-12[CURRENT] : lisinopril 10 MG Oral Tablet for Hypertension
2021-12-12[CURRENT] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
2021-12-12[CURRENT] : Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]
2020-12-06[STOPPED] : 12 HR Hydrocodone Bitartrate 10 MG Extended Release Oral Capsule
2020-12-06[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension
2020-12-06[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
2020-12-06[STOPPED] : Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]
2019-12-01[STOPPED] : 12 HR Hydrocodone Bitartrate 10 MG Extended Release Oral Capsule
2019-12-01[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension
2019-12-01[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
2019-12-01[STOPPED] : Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]
2018-11-25[STOPPED] : 12 HR Hydrocodone Bitartrate 10 MG Extended Release Oral Capsule
2018-11-25[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension
2018-11-25[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
2018-11-25[STOPPED] : Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]
2017-11-19[STOPPED] : 12 HR Hydrocodone Bitartrate 10 MG Extended Release Oral Capsule
2017-11-19[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension
2017-11-19[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
2017-11-19[STOPPED] : Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]
2016-11-13[STOPPED] : 12 HR Hydrocodone Bitartrate 10 MG Extended Release Oral Capsule
2016-11-13[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension
2016-11-13[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
2016-11-13[STOPPED] : Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]
2015-11-08[STOPPED] : 12 HR Hydrocodone Bitartrate 10 MG Extended Release Oral Capsule
2015-11-08[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension
2015-11-08[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
2015-11-08[STOPPED] : Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]
2014-11-02[STOPPED] : 12 HR Hydrocodone Bitartrate 10 MG Extended Release Oral Capsule
2014-11-02[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension
2014-11-02[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
2014-11-02[STOPPED] : Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]
2014-07-10[STOPPED] : 12 HR Hydrocodone Bitartrate 10 MG Extended Release Oral Capsule
2014-03-24[STOPPED] : Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]
2014-02-04[STOPPED] : Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]
2013-10-27[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension
2012-10-21[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension
2012-10-21[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension
1976-03-13[CURRENT] : diphenhydrAMINE Hydrochloride 25 MG Oral Tablet
--------------------------------------------------------------------------------
CONDITIONS:
2022-08-20 - 2022-09-07 : Viral sinusitis (disorder)
2021-12-12 - : Stress (finding)
2021-12-12 - : Full-time employment (finding)
2020-12-06 - 2021-12-12 : Full-time employment (finding)
2019-12-01 - 2020-12-06 : Full-time employment (finding)
2018-11-25 - : Metabolic syndrome X (disorder)
2017-11-19 - 2018-11-25 : Full-time employment (finding)
2015-11-08 - 2016-11-13 : Full-time employment (finding)
2014-11-02 - 2019-12-01 : Stress (finding)
2014-11-02 - 2021-12-12 : Limited social contact (finding)
2014-02-04 - : Chronic low back pain (finding)
2013-10-27 - : Social isolation (finding)
2013-10-27 - 2014-11-02 : Full-time employment (finding)
2012-10-21 - 2013-10-27 : Full-time employment (finding)
2012-10-21 - : Body mass index 30+ - obesity (finding)
2012-10-21 - : Hypertension
2009-10-18 - 2012-10-21 : Stress (finding)
2009-10-18 - 2012-10-21 : Full-time employment (finding)
2007-09-23 - 2009-10-18 : Full-time employment (finding)
2006-10-15 - 2007-09-23 : Full-time employment (finding)
2003-10-12 - 2007-09-23 : Stress (finding)
2003-10-12 - 2006-10-15 : Full-time employment (finding)
2000-10-08 - 2003-10-12 : Full-time employment (finding)
2000-10-08 - : Anemia (disorder)
2000-10-08 - : Prediabetes
1997-10-05 - 2000-10-08 : Full-time employment (finding)
1993-09-26 - 1994-10-02 : Stress (finding)
1993-09-26 - 1997-10-05 : Social isolation (finding)
1993-09-26 - 1994-10-02 : Full-time employment (finding)
1993-09-26 - : Received certificate of high school equivalency (finding)
1975-09-08 - : Epilepsy
1975-09-07 - : History of single seizure (situation)
1975-09-07 - : Seizure disorder
--------------------------------------------------------------------------------
CARE PLANS:
2014-03-24[CURRENT] : Therapy (regime/therapy)
Activity: Physical therapy procedure (regime/therapy)
Activity: Cognitive and behavioral therapy (regime/therapy)
2012-10-21[CURRENT] : Lifestyle education regarding hypertension
Reason: Hypertension
Activity: Prescribed activity/exercise education
Activity: Counseling about alcohol consumption
Activity: Dietary approaches to stop hypertension diet
Activity: Smoking cessation education
2000-10-08[CURRENT] : Diabetes self management plan
Reason: Prediabetes
Activity: Diabetic diet
Activity: Exercise therapy
1976-02-27[CURRENT] : Self-care interventions (procedure)
Activity: Food allergy diet
Activity: Allergy education
Activity: Allergy education
--------------------------------------------------------------------------------
REPORTS:
2021-12-13 : Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]
- Total score [AUDIT-C] 1.0 {score}
2021-12-12 : Patient Health Questionnaire 2 item (PHQ-2) [Reported]
- Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 1.0 {score}
2021-12-12 : Lipid Panel
- Total Cholesterol 159.6 mg/dL
- Triglycerides 106.6 mg/dL
- Low Density Lipoprotein Cholesterol 81.6 mg/dL
- High Density Lipoprotein Cholesterol 56.7 mg/dL
2021-12-12 : Basic Metabolic Panel
- Glucose 84.2 mg/dL
- Urea Nitrogen 9.2 mg/dL
- Creatinine 0.8 mg/dL
- Calcium 9.8 mg/dL
- Sodium 140.7 mmol/L
- Potassium 3.8 mmol/L
- Chloride 101.8 mmol/L
- Carbon Dioxide 28.9 mmol/L
--------------------------------------------------------------------------------
OBSERVATIONS:
2021-12-13 : Total score [AUDIT-C] 1.0 {score}
2021-12-12 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 1.0 {score}
2021-12-12 : 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? A little 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? 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? 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. 49892 /a
- What is your main insurance? None/uninsured
- 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? 721 Harber Route
- 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? 3.0 {#}
- 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
2021-12-12 : Hemoglobin A1c/Hemoglobin.total in Blood 5.8 %
2021-12-12 : Tobacco smoking status Ex-smoker (finding)
2021-12-12 : High Density Lipoprotein Cholesterol 56.7 mg/dL
2021-12-12 : Low Density Lipoprotein Cholesterol 81.6 mg/dL
2021-12-12 : Triglycerides 106.6 mg/dL
2021-12-12 : Total Cholesterol 159.6 mg/dL
2021-12-12 : Carbon Dioxide 28.9 mmol/L
2021-12-12 : Chloride 101.8 mmol/L
2021-12-12 : Potassium 3.8 mmol/L
2021-12-12 : Sodium 140.7 mmol/L
2021-12-12 : Calcium 9.8 mg/dL
2021-12-12 : Creatinine 0.8 mg/dL
2021-12-12 : Urea Nitrogen 9.2 mg/dL
2021-12-12 : Glucose 84.2 mg/dL
2021-12-12 : Respiratory rate 16.0 /min
2021-12-12 : Heart rate 61.0 /min
2021-12-12 : Blood Pressure
- Diastolic Blood Pressure 88.0 mm[Hg]
- Systolic Blood Pressure 121.0 mm[Hg]
2021-12-12 : Body Mass Index 27.8 kg/m2
2021-12-12 : Body Weight 68.7 kg
2021-12-12 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 1.0 {score}
2021-12-12 : Body Height 157.1 cm
--------------------------------------------------------------------------------
PROCEDURES:
2021-12-12 : Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)
2021-12-12 : Assessment of substance use (procedure)
2021-12-12 : Depression screening using Patient Health Questionnaire Two-Item score (procedure)
2021-12-12 : Depression screening (procedure)
2021-12-12 : Medication Reconciliation (procedure)
2021-12-12 : Assessment of health and social care needs (procedure)
--------------------------------------------------------------------------------
IMMUNIZATIONS:
2021-12-12 : Influenza, seasonal, injectable, preservative free
2021-04-11 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose
2021-03-14 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose
--------------------------------------------------------------------------------
ENCOUNTERS:
2022-08-20 (Dr. Latoria Eichmann) : Encounter at BERKSHIRE MEDICAL CENTER INC : Encounter for Viral sinusitis (disorder)
2021-12-12 (Dr. Rashad Predovic) : Encounter at FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
2021-04-11 (Dr. Maryann Hintz) : Encounter at BERKSHIRE MEDICAL CENTER INC - 1
2021-03-14 (Dr. Maryann Hintz) : Encounter at BERKSHIRE MEDICAL CENTER INC - 1
2020-12-06 (Dr. Rashad Predovic) : Encounter at FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
2019-12-01 (Dr. Rashad Predovic) : Encounter at FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
2018-11-25 (Dr. Rashad Predovic) : Encounter at FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
2017-11-19 (Dr. Rashad Predovic) : Encounter at FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
2016-11-13 (Dr. Rashad Predovic) : Encounter at FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
2015-11-08 (Dr. Rashad Predovic) : Encounter at FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
2014-11-02 (Dr. Rashad Predovic) : Encounter at FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
2014-07-10 (Dr. Latoria Eichmann) : Encounter at BERKSHIRE MEDICAL CENTER INC
2014-03-24 (Dr. Latoria Eichmann) : Encounter at BERKSHIRE MEDICAL CENTER INC
2014-02-04 (Dr. Maryann Hintz) : Encounter at BERKSHIRE MEDICAL CENTER INC - 1
2013-10-27 (Dr. Rashad Predovic) : Encounter at FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
2012-10-21 (Dr. Rashad Predovic) : Encounter at FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
2009-10-18 (Dr. Rashad Predovic) : Encounter at FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
2007-09-23 (Dr. Maryann Hintz) : Encounter at BERKSHIRE MEDICAL CENTER INC - 1
2006-10-15 (Dr. Rashad Predovic) : Encounter at FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
2003-10-12 (Dr. Rashad Predovic) : Encounter at FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
2000-10-08 (Dr. Latoria Eichmann) : Encounter at BERKSHIRE MEDICAL CENTER INC : Encounter for Anemia (disorder)
2000-10-08 (Dr. Rashad Predovic) : Encounter at FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
1997-10-05 (Dr. Rashad Predovic) : Encounter at FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
1993-09-26 (Dr. Rashad Predovic) : Encounter at FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
1976-03-13 (Dr. Latoria Eichmann) : Encounter at BERKSHIRE MEDICAL CENTER INC
1976-02-27 (Dr. Latoria Eichmann) : Encounter at BERKSHIRE MEDICAL CENTER INC
1975-09-07 (Dr. Troy Dooley) : Encounter at GENTIVA HEALTH SERVICES : Encounter for Seizure disorder
--------------------------------------------------------------------------------
IMAGING STUDIES:
--------------------------------------------------------------------------------