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| Condition | Onset Date | Status |
|---|---|---|
| Essential hypertension | 19-Jan-2010 | active |
| No known medications |
| Vaccine | Date |
|---|---|
| Influenza virus antigen only vaccine product | 15-Apr-2025 |
| SARS-CoV-2 mRNA vaccine | 12-Jan-2021 |
| Hepatitis A virus antigen only vaccine product | 28-Feb-2017 |
| Clostridium tetani toxoid antigen adsorbed only vaccine product | 28-Feb-2017 |
| Procedure | Date | Reason |
|---|---|---|
| Postoperative care | 22-Apr-2022 | - |
| Excision of fallopian tube and surgical removal of ectopic pregnancy | 19-Apr-2022 | Tubal pregnancy |
| Assessment of anxiety | 23-Mar-2022 | - |
| Medication reconciliation | 22-Mar-2022 | - |
| Assessment of health and social care needs | 22-Mar-2022 | - |
| Allergy/Intolerance | Onset Date | Status | Type | Reaction |
|---|---|---|---|---|
| ? | active | ? |
| Active Planned Care / Goals | Start Date | Reason |
|---|---|---|
| Lifestyle education regarding hypertension | 19-Jan-2010 | Essential hypertension (disorder) |
|
| Vital Signs | 2025-04-15 | 2024-04-09 |
|---|---|---|
| Body Height | 148.2 cm | 148.2 cm |
| Pain severity - 0-10 verbal numeric rating [Score] - Reported | 2 {score} | 1 {score} |
| Body Weight | 60.2 kg | 60.2 kg |
| Body mass index (BMI) [Ratio] | 27.4 kg/m2 | 27.4 kg/m2 |
| Diastolic Blood Pressure | 101 mm[Hg] | 102 mm[Hg] |
| Systolic Blood Pressure | 130 mm[Hg] | 126 mm[Hg] |
| Heart rate | 98 /min | 77 /min |
| Respiratory rate | 16 /min | 14 /min |
| Recent Lab Observations | 16-APR-2025 | Reference Range | Unit |
|---|---|---|---|
| Cholesterol [Mass/volume] in Serum or Plasma | 213.4 H | 125 - 200 | mg/dL |
| Triglyceride [Mass/volume] in Serum or Plasma | 111.0 | 35 - 150 | mg/dL |
| Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | 144.7 H | 0 - 130 | mg/dL |
| Cholesterol in HDL [Mass/volume] in Serum or Plasma | 46.5 | 40 - 100 | mg/dL |
| Leukocytes [#/volume] in Blood by Automated count | 5.4 | 3.4 - 10.5 | 10*3/uL |
| Erythrocytes [#/volume] in Blood by Automated count | 4.2 L | 4.8 - 5.8 | 10*6/uL |
| Hemoglobin [Mass/volume] in Blood | 17.3 H | 12 - 16 | g/dL |
| Hematocrit [Volume Fraction] of Blood by Automated count | 48.2 | 38 - 54 | % |
| MCV [Entitic volume] by Automated count | 88.7 | 82 - 98 | fL |
| MCH [Entitic mass] by Automated count | 32.7 | 27 - 34 | pg |
| MCHC [Mass/volume] by Automated count | 34.3 | 31 - 35 | g/dL |
| Erythrocyte distribution width [Entitic volume] by Automated count | 44.8 | 36 - 60 | fL |
| Platelets [#/volume] in Blood by Automated count | 261.8 | 150 - 350 | 10*3/uL |
| Platelet distribution width [Entitic volume] in Blood by Automated count | 156.8 H | 11.6 - 17.4 | fL |
| Platelet mean volume [Entitic volume] in Blood by Automated count | 10.1 | 7.2 - 13.5 | fL |