Patient | Christopher Hammer, jr |
Date of birth | July 1, 1980 |
Sex | Male |
Race | |
Ethnicity | |
Contact info | Primary Home: 1004 Amber Dr Beaverton, OR 97006, US Tel: +1(555)-117-1234 |
Patient IDs | 115253336 2.16.840.1.113883.4.1 |
Document Id | ToC_12 2.16.840.1.113883.19.5.99999.1 |
Document Created: | July 22, 2015 |
Care provision | Annual Health Maintenance, History and Physical from July 22, 2015, 14:00, EST to July 22, 2015, 14:30, EST |
Performer (primary care physician) | Dr Albert Davis of Neighborhood Physicians Practice |
Performer | Tracy Davis |
Author | Amb EMR v1.0 |
Contact info | 2472 Rocky place Beaverton, OR 97006, US Tel: +1(555)-555-1002 |
Encounter Id | 9937012 2.16.840.1.113883.19 |
Encounter Date | From July 22, 2015, 14:00, EST to July 22, 2015, 14:30, EST |
Personal relationship | Mr. Mathew Hammer |
Contact info | Primary Home: 1004 Amber Dr Beaverton, OR 97006, US Tel: +1(555)-118-1544 |
Personal relationship | Ms Julia Hammer |
Contact info | Primary Home: 1004 Amber Dr Beaverton, OR 97006, US Tel: +1(555)-118-1544 |
Entered by | Tracy Davis |
Contact info | 2472 Rocky place Beaverton, OR 97006, US Tel: +1(555)-555-1002 |
Signed | Dr Albert Davis at July 22, 2015 |
Contact info | 2472 Rocky place Beaverton, OR 97006, US Tel: +1(555)-555-1002 |
Informant | Albert Davis |
Contact info | 2472 Rocky place Beaverton, OR 97006, US Tel: +1(555)-555-1002 |
Informant | Julia Hammer |
Information recipient: | Dr Albert Davis |
Legal authenticatorThis is not intended and not fully compliant with ONC Certification | Dr Albert Davis signed at July 22, 2015 |
Contact info | 2472 Rocky place Beaverton, OR 97006, US Tel: +1(555)-555-1002 |
Document maintained by | Neighborhood Physicians Practice |
Contact info | Work Place: 2472 Rocky place Beaverton, OR 97006, US Tel: +1(555)-555-1002 |
Encounter | Location | Date |
---|---|---|
Annual Health Maintenance, History and Physical | Neighborhood Physicians Practice | July 22, 2015 2pm EST |
Date / Time: | July 22, 2015 |
---|---|
Height | 177 cm |
Weight | 88 kg |
Blood Pressure | 145/88 mm[Hg] |
Social History Observation | Description | Dates Observed |
---|---|---|
Current Smoking Status | Current every day | July 22, 2015 |
Birth Sex | Male | July 22, 2015 |
No Procedure information
Patient has no history of implantable devices
Planned Care | Start Date |
---|---|
Schedule a visit for next year. | July 22, 2016 |