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| Condition | Onset Date | Status |
|---|---|---|
| Osteoarthritis of knee | 25-Oct-2018 | active |
| No known medications |
| Vaccine | Date |
|---|---|
| Influenza virus antigen only vaccine product | 17-Apr-2025 |
| Hepatitis A virus antigen only vaccine product | 11-Apr-2024 |
| Clostridium tetani toxoid antigen adsorbed only vaccine product | 11-Apr-2024 |
| SARS-CoV-2 mRNA vaccine | 18-Mar-2021 |
| Procedure | Date | Reason |
|---|---|---|
| Suture open wound | 22-Mar-2024 | Laceration of thigh |
| Depression screening | 12-May-2022 | - |
| Medication reconciliation | 12-May-2022 | - |
| Assessment of health and social care needs | 12-May-2022 | - |
| Screening for drug abuse | 12-May-2022 | - |
| Screening for domestic abuse | 12-May-2022 | - |
| Assessment of substance use | 12-May-2022 | - |
| Depression screening using Patient Health Questionnaire Two-Item score (procedure) | 12-May-2022 | - |
| Postoperative care | 06-Dec-2018 | History of tubal ligation (situation) |
| Ligation of bilateral fallopian tubes | 05-Dec-2018 | Sterilization requested (situation) |
| Allergy/Intolerance | Onset Date | Status | Type | Reaction |
|---|---|---|---|---|
| ? | active | ? |
| Active Planned Care / Goals | Start Date | Reason |
|---|---|---|
| Musculoskeletal care | 25-Oct-2018 | Osteoarthritis of knee |
|
| Vital Signs | 2025-04-17 | 2024-04-11 |
|---|---|---|
| Body Height | 172.4 cm | 172.4 cm |
| Pain severity - 0-10 verbal numeric rating [Score] - Reported | 0 {score} | 3 {score} |
| Body Weight | 89.6 kg | 89.6 kg |
| Body mass index (BMI) [Ratio] | 30.2 kg/m2 | 30.2 kg/m2 |
| Diastolic Blood Pressure | 80 mm[Hg] | 85 mm[Hg] |
| Systolic Blood Pressure | 117 mm[Hg] | 118 mm[Hg] |
| Heart rate | 85 /min | 70 /min |
| Respiratory rate | 13 /min | 14 /min |
| Recent Lab Observations | 06-APR-2023 | Reference Range | Unit |
|---|---|---|---|
| Cholesterol [Mass/volume] in Serum or Plasma | 170.4 | 130 - 200 | mg/dL |
| Triglyceride [Mass/volume] in Serum or Plasma | 109.5 | 35 - 150 | mg/dL |
| Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | 94.5 | 0 - 130 | mg/dL |
| Cholesterol in HDL [Mass/volume] in Serum or Plasma | 54.0 | 40 - 60 | mg/dL |
| Device | Date (since) |
|---|---|
| Walker (physical object) | 25-Oct-2018 |