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| Condition | Onset Date / Period | Status |
|---|---|---|
| Anemia | 23-Jul-2019 | active |
| Malignant neoplasm of breast | 29-Aug-1989 | active |
| Acute viral pharyngitis | 28-Apr-2025 - 09-May-2025 | inactive |
| Laceration of thigh | 13-Mar-2023 - 05-Apr-2023 | inactive |
| Laceration - injury | 13-Mar-2023 - 05-Apr-2023 | inactive |
| Concussion with no loss of consciousness | 31-Dec-2021 - 16-Feb-2022 | inactive |
| Concussion injury of brain | 31-Dec-2021 - 16-Feb-2022 | inactive |
| Acute bronchitis | 22-May-2017 - 29-May-2017 | inactive |
| No known medications |
| Vaccine | Date |
|---|---|
| Influenza virus antigen only vaccine product | 20-Aug-2024 |
| Clostridium tetani toxoid antigen adsorbed only vaccine product | 05-Jul-2016 |
| Live attenuated Human alphaherpesvirus 3 only vaccine product | 05-Jul-2016 |
| Procedure | Date | Reason |
|---|---|---|
| Suture open wound | 13-Mar-2023 | Laceration of thigh (disorder) |
| Screening for substance abuse | 30-May-2017 | - |
| Medication reconciliation | 30-May-2017 | - |
| Assessment of health and social care needs | 30-May-2017 | - |
| Screening for domestic abuse | 30-May-2017 | - |
| Assessment of substance use | 30-May-2017 | - |
| No known allergies or intolerances |
| Active Planned Care / Goals | Start Date | Reason |
|---|---|---|
| Diabetes self management plan | 23-Jul-2019 | Prediabetes (finding) |
|
| Vital Signs | 2025-04-28 | 2024-08-20 |
|---|---|---|
| Body temperature | 37 Cel | - |
| Body Height | - | 157.6 cm |
| Pain severity - 0-10 verbal numeric rating [Score] - Reported | - | 2 {score} |
| Body Weight | - | 70 kg |
| Body mass index (BMI) [Ratio] | - | 28.2 kg/m2 |
| Heart rate | - | 83 /min |
| Respiratory rate | - | 13 /min |
| Blood pressure panel with all children optional | - | 77 mm[Hg] |
| Recent Lab Observations | 20-AUG-2024 | Reference Range | Unit |
|---|---|---|---|
| Hemoglobin A1c/Hemoglobin.total in Blood | 6.3 H | 4.0 - 5.6 | % |
| Glucose [Mass/volume] in Blood | 65.1 L | 70 - 100 | mg/dL |
| Urea nitrogen [Mass/volume] in Blood | 11.6 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Blood | 0.7 | 0.5 - 1.1 | mg/dL |
| Calcium [Mass/volume] in Blood | 9.2 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Blood | 138.2 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Blood | 4.9 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Blood | 107.7 | 98 - 110 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Blood | 22.2 | 22 - 29 | mmol/L |
| Cholesterol [Mass/volume] in Serum or Plasma | 230.2 H | 125 - 200 | mg/dL |
| Triglyceride [Mass/volume] in Serum or Plasma | 118.8 | 0 - 150 | mg/dL |
| Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | 180.6 H | 0 - 100 | mg/dL |
| Cholesterol in HDL [Mass/volume] in Serum or Plasma | 25.9 L | 40 - 60 | mg/dL |
| Device | Date (since) |
|---|---|
| Blood glucose meter (physical object) | 23-Jul-2019 |