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| Condition | Onset Date | Status | 
|---|---|---|
| Fibromyalgia | 05-Feb-2014 | active | 
| Osteoarthritis of knee | 19-Mar-2008 | active | 
| Hyperlipidemia | 23-Dec-1996 | active | 
| Malignant neoplasm of breast | 05-May-1988 | active | 
| Recurrent urinary tract infection | 14-May-1973 | active | 
| Medication | Since | Form | Dosage | Reason | 
|---|---|---|---|---|
| Simvastatin 10 mg oral tablet | 2025-05-05 | - | 1 tablet (10 mg) by mouth once daily | Hyperlipidemia | 
| Naproxen sodium 220 mg oral capsule | 2008-03-19 | - | 1 capsule (220 mg) by mouth every 12 hours as needed | Osteoarthritis of knee | 
| Vaccine | Date | 
|---|---|
| Influenza virus antigen only vaccine product | 28-Apr-2025 | 
| SARS-CoV-2 mRNA vaccine | 22-Feb-2021 | 
| Clostridium tetani toxoid antigen adsorbed only vaccine product | 30-Mar-2020 | 
| Procedure | Date | Reason | 
|---|---|---|
| Suture open wound | 20-Jun-2024 | Facial laceration | 
| Injection of tetanus antitoxin | 20-Jun-2024 | Facial laceration | 
| Patient discharge | 17-Dec-2023 | - | 
| Hospice care | 16-Dec-2023 | - | 
| Notifications | 04-Dec-2023 | - | 
| Certification procedure | 04-Dec-2023 | - | 
| Initial patient assessment | 04-Dec-2023 | - | 
| Development of individualized plan of care | 04-Dec-2023 | - | 
| Allergy/Intolerance | Onset Date | Status | Type | Reaction | 
|---|---|---|---|---|
| ? | active | ? | 
| Active Planned Care / Goals | Start Date | Reason | 
|---|---|---|
| Musculoskeletal care | 19-Mar-2008 | Osteoarthritis of knee | 
                           
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| Hyperlipidemia clinical management plan | 13-Jan-1997 | Hyperlipidemia | 
                           
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| Immunization Recommendation | Due Date | Reason | 
| Vaccine product containing only Influenza virus antigen (medicinal product) | 01-Oct-2025 | Annual seasonal influenza vaccination | 
| Vital Signs | 2025-04-28 | 2024-04-22 | 
|---|---|---|
| Body Height | 155 cm | 155 cm | 
| Pain severity - 0-10 verbal numeric rating [Score] - Reported | 3 {score} | 2 {score} | 
| Body Weight | 67.1 kg | 67.1 kg | 
| Body mass index (BMI) [Ratio] | 27.9 kg/m2 | 27.9 kg/m2 | 
| Diastolic Blood Pressure | 82 mm[Hg] | 82 mm[Hg] | 
| Systolic Blood Pressure | 125 mm[Hg] | 123 mm[Hg] | 
| Heart rate | 86 /min | 67 /min | 
| Respiratory rate | 16 /min | 12 /min | 
| Recent Lab Observations | 05-MAY-2025 | Reference Range | Unit | 
|---|---|---|---|
| Glucose [Mass/volume] in Blood | 99.4 | 70 - 140 | mg/dL | 
| Urea nitrogen [Mass/volume] in Blood | 15.8 | 7 - 20 | mg/dL | 
| Creatinine [Mass/volume] in Blood | 3.1 H | 0.6 - 1.1 | mg/dL | 
| Calcium [Mass/volume] in Blood | 9.7 | 8.5 - 10.4 | mg/dL | 
| Sodium [Moles/volume] in Blood | 136.4 | 135 - 145 | mmol/L | 
| Potassium [Moles/volume] in Blood | 4.5 | 3.5 - 5.1 | mmol/L | 
| Chloride [Moles/volume] in Blood | 105.1 | 98 - 108 | mmol/L | 
| Carbon dioxide, total [Moles/volume] in Blood | 26.1 | 22 - 29 | mmol/L | 
| Protein [Mass/volume] in Serum or Plasma | 6.8 | 6 - 8.3 | g/dL | 
| Albumin [Mass/volume] in Serum or Plasma | 5.2 H | 3.4 - 5 | g/dL | 
| Globulin [Mass/volume] in Serum by calculation | 2.1 | 2 - 3.5 | g/L | 
| Bilirubin.total [Mass/volume] in Serum or Plasma | 0.7 | 0.2 - 1.2 | mg/dL | 
| Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma | 127.5 H | 44 - 104 | U/L | 
| Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 46.3 H | 13 - 36 | U/L | 
| Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 36.8 | 10 - 40 | U/L | 
| Cholesterol [Mass/volume] in Serum or Plasma | 181.1 | 130 - 200 | mg/dL | 
| Triglyceride [Mass/volume] in Serum or Plasma | 101.8 | 35 - 175 | mg/dL | 
| Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | 94.0 | 0 - 190 | mg/dL | 
| Cholesterol in HDL [Mass/volume] in Serum or Plasma | 54.9 | 50 - 100 | mg/dL | 
| Device | Date (since) | 
|---|---|
| Wheelchair accessory (physical object) | 19-Mar-2008 | 
| Power-assisted wheelchair (physical object) | 19-Mar-2008 |