Substance | Reaction | Severity | Status |
---|---|---|---|
Codeine | Shortness of Breath | Unknown | Active |
aspirin | Hives | Unknown | Active |
PENICILLIN G BENZATHINE | Hives | Unknown | Active |
Medication | Instructions | Dosage | Effective Dates (start - stop) | Status | Comments |
---|---|---|---|---|---|
metoprolol tartrate 25 mg tablet | take 1 tablet by oral route every day | 25 MG | Feb-12-2013 - | Active |
|
clarithromycin 500 mg tablet | take 1 tablet by oral route 2 times daily for 7 days |
| Aug-06-2012 - | Active |
|
albuterol sulfate HFA 90 mcg/actuation Aerosol Inhaler | inhale 2 puff by inhalation route every 4 - 6 hours as needed as needed for Wheezing | 0 | Apr-02-2012 - Apr-02-2013 | Active |
|
albuterol sulfate HFA 90 mcg/actuation Aerosol Inhaler | inhale 2 puffs once as needed |
| Aug-06-2012 - Aug-06-2012 | No Longer Active | Administered in office |
Condition | Effective Dates (start - stop) | Clinical Status |
---|---|---|
Community acquired pneumonia | Jan-25-2013 - | Active |
Asthma | Jan-25-2013 - | Controlled |
Hypoxemia | Jan-25-2013 - | Mild |
Procedure | Date |
---|---|
Immunization admin, 1 vaccine | Jan-25-2013 |
Immunization admin, 1 vaccine | Jan-25-2013 |
Immunization admin, 1 vaccine | Jan-25-2013 |
Immunization admin, 1 vaccine | Jan-25-2013 |
CHEST COMPRESSION GEN SYSTEM | Aug-06-2012 |
Test Name | Date and Time | Measure | Units | Reference Range | Abnormal Flag | Comments |
---|---|---|---|---|---|---|
|
Directive | Yes / No | Effective Date |
---|---|---|
Resuscitation | Yes | 8/6/2012 |
Life Support | Yes | 8/6/2012 |
Intubation | Yes | 8/6/2012 |
Antibiotics | Yes | 8/6/2012 |
IV Fluid Support | Yes | 8/6/2012 |
Tube Feed | Yes | 8/6/2012 |
CPR | Yes | 8/6/2012 |
Other Directive | Yes | 8/6/2012 |
Encounter | Practice | Location | Reason(s) For Visit | Diagnoses | Date |
---|---|---|---|---|---|
Patient Visit | NEXTGEN Medical Practice (Horsham), 795 Horsham Road, Horsham, PA, 19044 tel:+1-2156577010 | Get Well Clinic |
|
| Aug-06-2012 |
Family Member | Diagnosis | Age At Onset | Status |
---|---|---|---|
|
Vaccine | Date | Status | Comments |
---|---|---|---|
Pneumo (2 yrs or older) (PPV23) | Aug-06-2012 | completed | - Completed reason: New |
Influenza Virus vaccine | Sep-10-2011 | completed | - Completed reason: New |
Influenza Virus vaccine | Nov-01-2010 | completed | - Completed reason: New |
Td (7 yrs or older) | Jan-04-2007 | completed | - Completed reason: New |
Payer name | Insurance type | Covered party ID | Authorization(s) |
---|---|---|---|
|
Description | Quantity | Date |
---|---|---|
Smoking Status | Current every day smoker | 1992 |
Date / Time: | Height | Weight | BMI | Pulse Rate | Blood Pressure | Temperature | Respiratory Rate | Body Surface Area | Head Circumference |
---|---|---|---|---|---|---|---|---|---|
Aug-06-2012/12:13:00 | 69.69 in | 194.01 lbs | 28.08 | 135/92 mm[Hg] |
Reason For Referral |
---|
|
Date | Type | Action | Status |
---|---|---|---|
Feb-12-2013 | Goal | Colonoscopy. Due on Sep-22-2012 | due |
Feb-15-2013 | Referral | referred to Penny Puffer, MD Pulmonary Disease For consultation, 555-555-1049, 1047 Healthcare Dr, Portland, OR 97005 -today 08/20/2012 (related to Community acquired pneumonia) | ordered |
02/20/2013 09:00 | Appointment | Jones, Isabella --- Dr. Henry Seven, 1007 Healthcare Dr., Portland, OR 99123 On Test Date + 3 Weeks | BOOKED |
02/19/2013 08:10 | Appointment | Jones, Isabella | BOOKED |
Aug-06-2012 | Patient Education | Stopping Smoking: After Your Visit | completed |
Feb-18-2013 | Future Order: Lab Order | Sputum Culture (Sputum Clt), Collected on: Aug-06-2012 | Ordered |
Feb-18-2013 | Future Order: Radiology Order | Chest X-ray (CXR), Scheduled on: Aug-13-2012 | Ordered |
Feb-18-2013 | Future Order: Radiology Order | Chest x-ray, two views (71020), Body Site: Lower Respiratory Tract Strcture, Collected on: Aug-06-2012 | Ordered |
Feb-18-2013 | Future Order: Lab Order | HGB (NG005041), Scheduled on: Aug-13-2012 | Ordered |
Functional / Cognitive | Date | Status |
---|---|---|
Cognitive | Aug-06-2012 | No impairment |
Functional | Aug-06-2012 | Active |
Medication | Instructions | Dosage | Effective Dates (start - stop) | Status | Comments |
---|---|---|---|---|---|
albuterol sulfate HFA 90 mcg/actuation Aerosol Inhaler | inhale 2 puffs once as needed |
| Aug-06-2012 - Aug-06-2012 | No Longer Active | Administered in office |
Date | Instruction | Additional Information |
---|---|---|
Feb-12-2013 | Patient may continue to experience low grade fever and chills. | Related to Community acquired pneumonia |
Feb-12-2013 | Return to clinic or call 911 if you experience chest pain, shortness of breath, high fevers, or intractable vomiting/diarrhea | Related to Community acquired pneumonia |