Summarization of Episode Note

Vital Signs (effective: On Mon Mar 3 00:00:00 EST 2014):

Observation	Date/Time	Observed Value	Author	Status	Notes
BODY HEIGHT (MEASURED) (cm)	On Mon Mar 3 00:00:00 EST 2014	182.0 cm	? Staff	completed	BODY HEIGHT (MEASURED); BODY HEIGHT (MEASURED): 95 cm;
INTRAVASCULAR SYSTOLIC (mm[Hg])	On Mon Mar 3 00:00:00 EST 2014	110.0 mm[Hg]	? Staff	completed	INTRAVASCULAR SYSTOLIC; INTRAVASCULAR SYSTOLIC: 110 mmHg;
INTRAVASCULAR DIASTOLIC (mm[Hg])	On Mon Mar 3 00:00:00 EST 2014	60.0 mm[Hg]	? Staff	completed	INTRAVASCULAR DIASTOLIC; INTRAVASCULAR DIASTOLIC: 60 mmHg;
BODY WEIGHT (MEASURED) (kg)	On Mon Mar 3 00:00:00 EST 2014	98.0 kg	? Staff	completed	BODY WEIGHT (MEASURED); BODY WEIGHT (MEASURED): 110 kg;

Observation	Date/Time	Observed Value	Author	Status	Notes
Symptom	Until Tue Oct 26 2010	Patient currently pregnant (Negated)	? Staff	completed	Pregnancy; Oct 26, 2010; NOT currently pregnant;
Condition	Since Mar 1999	Pneumonia	? Staff	completed	Pneumonia; Mar 1999; Resolved;
Condition	Since Jan 1997	Pneumonia	? Staff	completed	Pneumonia; Jan 1997; Resolved;
Condition	Since Jan 1997	Myocardial infarction	? Staff	completed	Myocardial Infarction; Jan 1997; Resolved;
Condition	Since 1950	Asthma	? Staff	completed	Asthma; 1950; Active;

Biological father (effective: ) (information pertains to: null DOB: Mon Jan 1 00:00:00 EST 1912[Relative] [Biological father] ):

Observation

Date/Time

Observed Value

Author

Interpretation

Status

Notes

ASSERTION

Unknown

Myocardial infarction

completed

Additional Information

Observation	Date/Time	Observed Value	Author	Interpretation	Status	Notes
Age	Unknown	57			completed
	Unknown	Dead			completed

ASSERTION

Unknown

HTN

completed

Additional Information

Observation	Date/Time	Observed Value	Author	Interpretation	Status	Notes
Age	Unknown	40			completed

Biological mother (effective: ) (information pertains to: null DOB: Mon Jan 1 00:00:00 EST 1912[Relative] [Biological mother] ):

Observation	Date/Time	Observed Value	Author	Interpretation	Status	Notes
ASSERTION	Since 1942	Asthma			completed

Administration Procedure	Date/Time	Frequency	Drug	Dose	Form	Status
Drug Administration (EVN)	Since Jul 2005	Every 6 h	Albuterol 0.09 MG/ACTUAT inhalant solution	2 puffs	Metered dose aerosol inhaler	completed
Drug Administration (EVN)	On Tue Oct 26 13:09:45 EDT 2010	Every 24 h	Clopidogrel 75 MG oral tablet	75 mg	Tablet dose form	completed
Drug Administration (EVN)	Since Wed Nov 21 2007	Every 12 h	Metoprolol 25 MG oral tablet	25 mg	Tablet dose form	completed
Drug Administration (EVN)	Since Tue Mar 28 2000	Every 24 h	Prednisone 20 MG oral tablet	20 mg	Tablet dose form	completed
Drug Administration (EVN)	Since Tue Mar 28 2000 Until Tue Apr 4 2000	Every 6 h	Cephalexin 500 MG oral tablet	500 mg	Tablet dose form	completed

Administration Procedure	Date/Time	Frequency	Drug	Dose	Status
Immunization (EVN)	On Nov 1999	One time	Influenza virus vaccine	?	completed
Immunization (EVN)	On Dec 1998	One time	Influenza virus vaccine	?	completed
Immunization (EVN)	On Dec 1998	One time	Pneumococcal polysaccharide vaccine	?	completed
Immunization (EVN)	On 1997	One time	Tetanus and diphtheria toxoids	?	completed

Patient	FirstName FamilyName
Date of birth	July 4, 1984	Sex	Female
Contact info	First Address Line Next Address line - if needed, etc. CityName, StateName ZipCode(5or9), USA	Patient IDs	PatientID ProviderID 1000 1.2.3.4.5.9

Document Id	1000-20141002180314 1.2.3.4.5.100.1
Document Created:	October 2, 2014, 18:03:14 -0400

Author	OpenSHR
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Author	Staff ?, NIST Healthcare Testing Laboratory
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Table of Contents

Next of kin (Mother)	NextOfKin(NOK) Name ? from January 1, 2010, 00:00:00, EST to ,
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Document maintained by	Elbonia Shared Health Authority DC
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