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| Condition | Onset Date | Status |
|---|---|---|
| Prediabetes | 20-Feb-2012 | active |
| Anemia | 20-Feb-2012 | active |
| No known medications |
| Vaccine | Date |
|---|---|
| Influenza virus antigen only vaccine product | 23-Dec-2024 |
| Hepatitis A virus antigen only vaccine product | 19-Dec-2022 |
| Clostridium tetani toxoid antigen adsorbed only vaccine product | 19-Dec-2022 |
| SARS-CoV-2 mRNA vaccine | 14-Jun-2021 |
| Procedure | Date | Reason |
|---|---|---|
| Radiography of humerus | 06-Sep-2019 | - |
| Bone immobilization | 06-Sep-2019 | Fracture of forearm |
| Suture open wound | 16-Aug-2018 | Laceration of thigh |
| Postoperative care | 13-May-2016 | History of tubal ligation (situation) |
| Ligation of bilateral fallopian tubes | 13-May-2016 | Sterilization requested (situation) |
| Parturition | 07-Mar-2016 | Normal pregnancy |
| Augmentation of labor | 07-Mar-2016 | Normal pregnancy |
| Allergy/Intolerance | Onset Date | Status | Type | Reaction |
|---|---|---|---|---|
| Mold | 1981-06-29 | active | environment | Allergic skin rash<br> </br>Sneezing |
| Allergy to substance | 1981-06-29 | active | environment | |
| Shellfish | 1981-06-29 | active | food | Anaphylaxis (disorder)<br> </br>Eruption of skin (disorder) |
| Active Planned Care / Goals | Start Date | Reason |
|---|---|---|
| Diabetes self management plan | 20-Feb-2012 | Prediabetes |
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| Self-care interventions | 13-Jun-1981 | - |
| Vital Signs | 2024-12-23 | 2022-12-19 |
|---|---|---|
| Body Height | 170.3 cm | 170.3 cm |
| Pain severity - 0-10 verbal numeric rating [Score] - Reported | 3 {score} | 3 {score} |
| Body Weight | 79.5 kg | 79.5 kg |
| Body mass index (BMI) [Ratio] | 27.4 kg/m2 | 27.4 kg/m2 |
| Diastolic Blood Pressure | 82 mm[Hg] | 86 mm[Hg] |
| Systolic Blood Pressure | 110 mm[Hg] | 106 mm[Hg] |
| Heart rate | 100 /min | 97 /min |
| Respiratory rate | 15 /min | 14 /min |
| [#] Births total | 1 |
| Recent Lab Observations | 23-DEC-2024 | Reference Range | Unit |
|---|---|---|---|
| Hemoglobin A1c/Hemoglobin.total in Blood | 6.2 H | 4.8 - 5.7 | % |
| Glucose [Mass/volume] in Blood | 90.1 | 70 - 99 | mg/dL |
| Urea nitrogen [Mass/volume] in Blood | 17.1 | 7 - 43 | mg/dL |
| Creatinine [Mass/volume] in Blood | 0.9 | 0.6 - 1.1 | mg/dL |
| Calcium [Mass/volume] in Blood | 10.0 | 8.5 - 10.4 | mg/dL |
| Sodium [Moles/volume] in Blood | 140.1 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Blood | 4.2 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Blood | 105.6 | 98 - 108 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Blood | 22.2 | 22 - 29 | mmol/L |
| Device | Date (since) |
|---|---|
| Blood glucose meter (physical object) | 20-Feb-2012 |