Everyman Health Summary 17 Daws Rd. Blue Bell MA 02368 US Mr. Adam Frankie Everyman 17 Daws Rd. Blue Bell MA 02368 US Ralph Relative MA 02368 USA USA Good Health Clinic 21 North Ave Burlington MA 02368 USA Seven 21 North Ave. Burlington MA 02368 USA Dr. Pseudo Physician-1 Dr. Pseudo Physician-3
Allergies, Adverse Reactions, Alerts
Substance Code Reaction Severity Status
ALLERGENIC EXTRACT, PENICILLIN 314422 Hives Moderate to severe Active
ASPIRIN R16CO5Y76E Wheezing Moderate to severe Active
Codeine Q830PW7520 Nausea Moderate to severe Active
Plan of Care
Details Name
Colonoscopy
Colonoscopy
encounter
Colonoscopy
Instructions
Functional Status
Reason for Referral
Hospital Discharge Instructions
Chief Complaint
Medications
Medication Notes Start Date End Date Reason Prescriber
Albuterol 0.09 MG/ACTUAT inhalant solution 0.09 MG/ACTUAT inhalant solution, 2 puffs QID PRN wheezing 03/01/2011 03/01/2012 Bronchitis
0.09 MG/ACTUAT inhalant solution, 2 puffs QID PRN wheezing
Problems
Problem Code Code System Start Date Status
Pneumonia 233604007 02/28/1998 Active
Procedures
Procedure Date
Colonic polypectomy 02/15/2011
Colonic polypectomy 02/03/2011
Colonic polypectomy 02/03/2011
Results
Panel Name Test Name Value Unit Reference Range Date
CBC WO DIFFERENTIAL HGB 13.2 g/dl 03/23/2000
CBC WO DIFFERENTIAL WBC 6.7 10+3/ul 4.3 to 10.8 03/23/2000
CBC WO DIFFERENTIAL PLT 123 10+3/ul 150 to 350 03/23/2000
Encounters
Encounter Diagnosis Date
Bronchitis 04/07/2000
Immunizations
Vaccine Code System Code Date
Influenza virus vaccine CVX 88 10/31/1999
Influenza virus vaccine CVX 88 12/15/1998
Pneumococcal polysaccharide vaccine CVX 33 12/15/1998
Tetanus and diphtheria toxoids - preservative free CVX 103 12/15/1998
Influenza virus vaccine Possible flu-like symptoms for three days. Influenza virus vaccine Possible flu-like symptoms for three days. Influenza virus vaccine Possible flu-like symptoms for three days. Influenza virus vaccine Possible flu-like symptoms for three days.
Vital Signs
Date Name Value Unit
11/14/1999 Height 177 cm
11/14/1999 Patient Body Weight - Measured 86 kg
11/14/1999 Intravascular Systolic 132 mm[Hg]
04/07/2000 Height 177 cm
04/07/2000 Patient Body Weight - Measured 88 kg
04/07/2000 Intravascular Systolic 145 mm[Hg]
Social History
Social History Element Description Code Effective Dates
Smoking Status