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| Condition | Onset Date | Status | 
|---|---|---|
| Essential hypertension | 15-Sep-2002 | active | 
| Medication | Since | Form | Dosage | Reason | 
|---|---|---|---|---|
| Amlodipine (as amlodipine besylate) 2.5 mg oral tablet | 2025-01-19 | - | 1 tablet (2.5 mg) by mouth once daily | Essential hypertension (disorder) | 
| Hydrochlorothiazide 25 mg oral tablet | 2025-01-19 | - | 1 tablet (25 mg) by mouth once daily | Essential hypertension (disorder) | 
| Lisinopril 10 mg oral tablet | 2025-01-19 | - | 1 tablet (10 mg) by mouth once daily | Essential hypertension (disorder) | 
| Albuterol (as albuterol sulfate) 830 microgram/mL solution for inhalation | 2025-01-19 | - | 2.5 mg (3 mL of 830 microgram/mL solution) via nebulizer every 4 to 6 hours as needed | Childhood asthma | 
| 120 ACTUAT fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler [Flovent] | 2025-01-19 | - | 44 mcg inhaled twice daily | Childhood asthma | 
| Vaccine | Date | 
|---|---|
| Influenza virus antigen only vaccine product | 19-Jan-2025 | 
| COVID-19 non-replicating viral vector vaccine | 25-Apr-2021 | 
| Hepatitis A virus antigen only vaccine product | 27-Dec-2020 | 
| Clostridium tetani toxoid antigen adsorbed only vaccine product | 27-Dec-2020 | 
| Procedure | Date | Reason | 
|---|---|---|
| Plain X-ray of clavicle | 26-Sep-2018 | - | 
| Admission to orthopedic department | 26-Sep-2018 | Fracture of clavicle | 
| Allergy/Intolerance | Onset Date | Status | Type | Reaction | 
|---|---|---|---|---|
| ? | active | ? | 
| Active Planned Care / Goals | Start Date | Reason | 
|---|---|---|
| Lifestyle education regarding hypertension | 15-Sep-2002 | Essential hypertension (disorder) | 
                           
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| Weight management program | 15-Jun-1986 | - | 
| Asthma self management | 02-Feb-1983 | Childhood asthma | 
                           
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| Vital Signs | 2025-03-13 | 2025-01-19 | 
|---|---|---|
| Body temperature | 37.4 Cel | - | 
| Body Height | - | 168.1 cm | 
| Pain severity - 0-10 verbal numeric rating [Score] - Reported | - | 0 {score} | 
| Body Weight | - | 80.4 kg | 
| Body mass index (BMI) [Ratio] | - | 28.5 kg/m2 | 
| Diastolic Blood Pressure | - | 56 mm[Hg] | 
| Systolic Blood Pressure | - | 76 mm[Hg] | 
| Heart rate | - | 84 /min | 
| Respiratory rate | - | 14 /min | 
| Recent Lab Observations | 19-JAN-2025 | Reference Range | Unit | 
|---|---|---|---|
| Cholesterol [Mass/volume] in Serum or Plasma | 255.1 H | 0 - 200 | mg/dL | 
| Triglyceride [Mass/volume] in Serum or Plasma | 110.8 | 0 - 150 | mg/dL | 
| Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | 181.2 H | 0 - 130 | mg/dL | 
| Cholesterol in HDL [Mass/volume] in Serum or Plasma | 51.8 | 40 - 60 | mg/dL |