Substance | Reaction | Severity | Status |
---|---|---|---|
Codeine | Shortness of Breath | Moderate | Active |
Patient | Legal: Isabella Isa JONES Date of Birth: May 1, 1947 (65yr) Gender: Female Patient-ID: 1 (NPI), 123-10-5230 (SSN) |
Guardian | Ralph JONES - Grandfather |
Encounter | ID: 1 (NPI) , Type: Pnuemonia, Date/Time: August 6, 2012 00:28AM +0500 - 00:58AM +0500 |
Documentation Of | Care provision, Pnuemonia, Date/Time: August 6, 2012 00:28AM +0500 - 00:58AM +0500, Performer: Dr. Henry SEVEN |
Author | Henry SEVEN, Authored On: August 6, 2005 |
Substance | Reaction | Severity | Status |
---|---|---|---|
Codeine | Shortness of Breath | Moderate | Active |
Encounter | Performer | Location | Date |
---|---|---|---|
Pnuemonia | Dr Henry Seven | Get Well Clinic | 20120806 |
Vaccine | Date | Status |
---|---|---|
Influenza virus vaccine | May 2012 | Completed |
Tetanus and diphtheria toxoids | April 2012 | Completed |
Medication | Directions | Start Date | Status | Indications | Fill Instructions |
---|---|---|---|---|---|
Albuterol 0.09 MG/ACTUAT inhalant powder | Albuterol 0.09 MG/ACTUAT inhalant powder, 2 puffs | 20120806 | Active | Pneumonia (233604007 SNOMED CT) | Generic Substitition Allowed |
Planned Activity | Planned Date |
---|---|
Admit Yourself to Community Health and Hospitals for Pnuemonia | 20120806 |
Recommend Admission to Community Health and Hospitals for Pnuemonia
Procedure | Date |
---|---|
Chest X-Ray | 2012 |
Functional Condition | Effective Dates | Condition Status |
---|---|---|
Dependence on cane | November 1, 2008 | Active |
Memory impairment | November 1, 2008 | Active |
Result Type | Result Value |
---|---|
HGB | 10.2 g/dL |
WBC | 12.3 10*3/uL |
PLT | 123 10*3/uL |
Social History Element | Description | Effective Dates |
---|---|---|
smoking | Former Smoker (1 pack per day | 20050501 to 20110227 |
Date / Time: | Nov 1, 2011 | August 6, 2012 |
---|---|---|
Height | 175 cm | 175 cm |
Weight | 88 kg | 90 kg |
Blood Pressure | 132/86 mm[Hg] | 145/88 mm[Hg] |