Condition | Effective Dates | Condition Status |
---|---|---|
Diabetes mellitus | 1995 | Active/Chronic |
Congestive Heart Failure | 2007 | Active/Chronic |
Myocardial Infactioon | 1996 | Resolved |
Medication | Date | Status | Form | Strength | Quantity | SIG | Refills | Prescribed by |
---|---|---|---|---|---|---|---|---|
GLYBURIDE-METFORMIN 2.5 mg-500 mg oral tablet | 7-3-2010 | ACTIVE | TABLET | 2.5/500 MG | 90 TAB | ONE BY MOUTH Q12H | two | Nancy Anthracite, MD |
ATENOLOL 100MG TAB | 7-3-2010 | ACTIVE | TAB | 100 MG | 90 TAB | ONE TAB (BY MOUTH) QD | TWO | Nancy Anthracite, MD |
LISINOPRIL 20MG TAB | 7-3-2010 | ACTIVE | TAB | 20 MG | 90 TAB | 20 MG ORAL (BY MOUTH) QAM | 2 | Nancy Anthracite, MD |
glyburide-metformin
atenolol
lisinopril
Test | Date | Result | Ref. Range |
---|---|---|---|
Calculated LDL | 7-3-2010 | LDL CHOLESTEROL 90 MG/DL | 0-130 |
HEMOGLOBIN A1C 9.1 percent H | 7-3-2010 | A1C 9.1 percent H | 3.5-6.0 |
EJECTION FRACTION | 20100210 | 39% | 55-75 |
Procedure | Date | Ordered By | Performed By |
---|---|---|---|
Mammogram | 2-10-2010 | Nancy Anthracite, MD | Grover, Christie & Merritt |
Colonoscopy | 2-18-2010 | Nancy Anthracite, MD | John Gallager, MD |
Vaccine | Date | Status |
---|---|---|
Influenza virus vaccine, split | Oct. 15. 2009 | Completed |
Pneumococcal vaccine | Jan. 10,2010 | Completed |
INFLUENZA VIRUS VACCIINE, SPLIT
PNEUMOCCAL VACCINE
Date | Vital Sign | Result | Source |
---|---|---|---|
2-5-2010 | Systolic Blood Pressure | 130 | WorldVistA Test Clinic |
2-5-2010 | Diastolic Blood Pressure | 78 | WorldVistA Test Clinic |
2-5-2010 | Heart Rate | 55 | WorldVistA Test Clinic |
7-3-2010 | Systolic Blood Pressure | 128 | WorldVistA Test Clinic |
7-3-2010 | Diastolic Blood Pressure | 80 | WorldVistA Test Clinic |
7-3-2010 | Heart Rate | 57 | WorldVistA Test Clinic |
Certified System Used | System Type | Certification Type | Encounter Date Used |
WorldVistA EHR | EHR | CCHIT Certified | 2-5-2010 |
WorldVistA EHR | EHR | Qualified System | 7-3-2010 |
Allscripts | eRx | Qualified | 7-3-2010 |
Payer name | Group/Type | Primary Policy Owner/Responsible Party | Covered party ID | Payor Telephone | Electronic Claims Payor Number | Authorized |
---|---|---|---|---|---|---|
Mail Handlers Benefit Plan | 454 | Jody Jean Jones | 8888888 | 1-800-410-7778 | 62413 | Colonoscopy |
Medicare | Jody Jean Jones | 002003004 | Colonoscopy |