Summarization of Episode Note

This document provides an extract of all information from OpenSHR related to the patient

Observation	Date/Time	Observed Value	Author	Interpretation	Status	Notes
Blood Tranfusion	Until Wed Oct 29 13:25:02 PDT 2014	NI (Negated)	Device Authored : OpenSHR		completed
	Additional Information: Observation Date/Time Observed Value Author Interpretation Status Notes Has Component: Status Unknown null [null] completed

• Vital Signs (effective: On Sun Mar 2 21:00:00 PST 2014):

  Observation	Date/Time	Observed Value	Author	Interpretation	Status	Notes
  SYSTOLIC BLOOD PRESSURE	On Sun Mar 2 21:00:00 PST 2014	110.0 mm[Hg]	Device Authored : OpenSHR		completed	INTRAVASCULAR SYSTOLIC; INTRAVASCULAR SYSTOLIC: 110 mmHg;
  DIASTOLIC BLOOD PRESSURE	On Sun Mar 2 21:00:00 PST 2014	60.0 mm[Hg]	Device Authored : OpenSHR		completed	INTRAVASCULAR DIASTOLIC; INTRAVASCULAR DIASTOLIC: 60 mmHg;
  Height (cm)	On Sun Mar 2 21:00:00 PST 2014	182.0 cm	Device Authored : OpenSHR		completed	BODY HEIGHT (MEASURED); BODY HEIGHT (MEASURED): 95 cm;
  Weight (kg)	On Sun Mar 2 21:00:00 PST 2014	98.0 kg	Device Authored : OpenSHR		completed	BODY WEIGHT (MEASURED); BODY WEIGHT (MEASURED): 110 kg;

Observation	Date/Time	Observed Value	Author	Interpretation	Status	Notes
Problem	Until Wed Oct 29 13:25:03 PDT 2014	Past Medical History Unknown	Device Authored : OpenSHR		completed

Observation	Date/Time	Observed Value	Author	Interpretation	Status	Notes
Drug Allergy	On Mon Jun 9 09:20:05 PDT 2014	PENICILLIN	Device Authored : OpenSHR		active	Consumable >Manufactured Material: PENICILLIN
	Additional Information: Observation Date/Time Observed Value Author Interpretation Status Notes Subject of: Severity Unknown SEVERE completed SEVERE Manifests: PROBLEM (PROBLEM) Since Mon Jan 15 14:15:302007 Anaphylaxis Device Authored : OpenSHR completed
Other Allergy		Allergy to Latex (Negated)	Device Authored : OpenSHR		completed

• From History and Physical on 2014-06-09 09:20:05.0 (created by Robert Dolin)): Text as described above

Administration Procedure		Date/Time	Frequency	Drug	Dose	Form	Status	Notes
Drug Treatment Unknown		Until Wed Oct 29 13:25:04 PDT 2014	One time	Not Applicable	?		completed

Administration Procedure		Date/Time	Frequency	Drug	Dose	Form	Status	Notes
Drug Treatment Unknown		Until Wed Oct 29 13:25:04 PDT 2014	One time	Not Applicable	?		completed

No procedures reported

• From History and Physical on 2014-06-09 09:20:05.0 (created by Robert Dolin)): Text as described above

Observation	Date/Time	Observed Value	Author	Interpretation	Status	Notes
Body weight Measured --pre pregnancy (kg)	On Thu Oct 9 06:06:28 PDT 2014	86.0 kg	Device Authored : OpenSHR	Normal	completed

• Antepartum Flowsheet Panel (effective: On Thu Oct 9 06:06:28 PDT 2014):

  Observation	Date/Time	Observed Value	Author	Interpretation	Status	Notes
  Fetal Body weight Estimated by palpation (g)	On Thu Oct 9 06:06:28 PDT 2014	900.0 g	Device Authored : OpenSHR	Normal	completed
  Fetal presentation by palpitation	On Thu Oct 9 06:06:28 PDT 2014	Face presentation	Device Authored : OpenSHR	Normal	completed
  Fetal Heart rate US (/min)	On Thu Oct 9 06:06:28 PDT 2014	80.0 /min	Device Authored : OpenSHR	Normal	completed
  Fetal Movement - Reported	On Thu Oct 9 06:06:28 PDT 2014	Finding of fetal movement activity	Device Authored : OpenSHR	Normal	completed
  Preterm labor symptoms	On Thu Oct 9 06:06:28 PDT 2014	false (Negated)	Device Authored : OpenSHR	Normal	completed
  SYSTOLIC BLOOD PRESSURE	On Thu Oct 9 06:06:28 PDT 2014	120.0 mm[Hg]	Device Authored : OpenSHR	Normal	completed
  DIASTOLIC BLOOD PRESSURE	On Thu Oct 9 06:06:28 PDT 2014	80.0 mm[Hg]	Device Authored : OpenSHR	Normal	completed
  Albumin [Presence] in Urine	On Thu Oct 9 06:06:28 PDT 2014	Urine protein test = + (finding)	Device Authored : OpenSHR	Normal	completed
  Pain severity - Reported	On Thu Oct 9 06:06:28 PDT 2014	2.0	Device Authored : OpenSHR	Normal	completed

• ANTENATAL TESTING AND SURVEILLANCE BATTERY (effective: On Thu Oct 9 06:06:28 PDT 2014):

  Observation	Date/Time	Observed Value	Author	Interpretation	Status	Notes
  Biophysical profile.amniotic fluid volume	On Thu Oct 9 06:06:28 PDT 2014	Binary Data	Device Authored : OpenSHR	Normal	completed
  Biophysical profile.body movement	On Thu Oct 9 06:06:28 PDT 2014	Binary Data	Device Authored : OpenSHR	Normal	completed
  Ultrasound morphologic	On Thu Oct 9 06:06:28 PDT 2014	Binary Data	Device Authored : OpenSHR	Normal	completed
  Hbs1 Antigen	On Thu Oct 9 06:06:28 PDT 2014	Binary Data	Device Authored : OpenSHR	Normal	completed

• From History and Physical on 2014-06-09 09:20:05.0 (created by Robert Dolin)): Text as described above