Summary of Care

TableofContents
1. FunctionalStatus

2. Problems

3. Medications

4. AllergiesandAdverseReactions

5. Procedures

6. Immunization

7. SocialHistory

8. VitalSigns

9. Results

10. PlanofCare

11. Instructions

12. Encounters

13. Payers

Patient

ANEELASANGEM

Date of birth

July16,1985

Sex

Female

Race

Asian

Ethnicity

NotHispanicorLatino

Contact Info

Home:
Patient IDs
245E93RDST
APT19D
NEWYORK,NY10128,US
Tel:+1-(240)360-3409

Preferred Language

English

Admission Date

December28,2016,09:19:00

Discharge Date

December28,2016,10:55:00

Document Created

January4,2017,12:02:21,EST

Primary Care Provider (Nursing Care)

ValerieBryant

Referring Provider (Nurse Practitioner)

KathryneCorona

7855704

Referring Provider (General Acute Care Hospital) KfierKuba

Encounter Date

FromDecember28,2016,09:19:00toDecember28,2016,10:55:00

Personal Relationship SRINIVASMEDAVARAPU

Contact Info

Home:
245E93RDST
APT19D
NEWYORK,NY10128-3958,US
Tel:+1-(999)999-9999

Guardian

ANEELASANGEM

Contact Info

Home:
245E93RDST
APT19D
NEWYORK,NY10128,US
Tel:+1-(240)360-3409

FunctionalStatus
FunctionalStatusHealthIssues
Name

Dates

Details

FunctionalStatusHealthIssuesexcluded/notavailable

N/A

Status:

Name

Dates

Details

CognitiveStatusHealthIssuesexcluded/notavailable

N/A

Status:

CognitiveStatusHealthIssues

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Problems
Name

Dates

Details

ActiveProblemsexcluded/notavailable

N/A

Status:
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Medications
Name

Dates Details

PrenatalPlusoraltablet
1tab(s)orallyonceadayx100days
Indication:nutritioninpregnancy6218169
8/31/2017
Quantity:1

Start 28-Sep-2016
N/A

Refills:0

Active
Comments: May discolor urine or feces.
Take with food or milk.

Colace100mgoralcapsule
1cap(s)orally3timesadayx30days,As
Needed-Indication:constipation

Start 13-Oct-2016
N/A

Quantity:90

End 6-Jan-2017

Refills:2

End 10-Jan-2017

Active
Comments: Medication should be taken with plenty of water.

Start 13-Oct-2016

famotidine20mgoraltablet
1tab(s)orally2timesadayx30days,As
Needed-Indication:heartburn

Active
N/A

Quantity:60

Refills:2

Comments: It is very important that you take or use this exactly as

directed. Do not skip doses or discontinue unless directed by your
doctor.
Obtain medical advice before taking any non-prescription drugs as some
may affect the action of this medication.

Start 13-Oct-2016
metoclopramide10mgoraltablet
1tab(s)orallyevery8hoursx30days,As

End 10-Jan-2017

Active

End 10-Jan-2017

Name

Dates Details

Needed-Indication:nausea/vomiting
N/A
Quantity:90

Refills:2

Comments: It is very important that you take or use this exactly as

directed. Do not skip doses or discontinue unless directed by your
doctor.
May cause drowsiness. Alcohol may intensify this effect. Use care when
operating dangerous machinery.
Take medication on an empty stomach 1 hour before or 2 to 3 hours after a
meal unless otherwise directed by your doctor.

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AllergiesandAdverseReactions
Name

Dates

Details

NoKnownAllergies(Allergy)

N/A

Status: Active
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Procedures
Procedure

Dates

Details

Proceduresexcluded/notavailable

N/A

N/A
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Immunization
Name

Dates

Details

Immunizationsexcluded/notavailable

N/A

N/A
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SocialHistory

SmokingStatus
Name

Dates

Details

Unknownifeversmoked

N/A

N/A
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VitalSigns
Date

Test

Result

Details

28-Dec-2016
10:35

Height

159 cm

Range:
Status:

BPSystolic

109

Range:
Status:

BPDiastolic

73

Range:
Status:

28-Dec-2016
09:00

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Results
Date

Description

Value

28-Dec-2016
QuantiferonTBGold(Quest)
10:46

Details

Comments: Result report date 29-Dec-2016 23:32

Range: Negative
Quantiferon(R)-TB(Quest
40023800)

Negative

Comments: Negative test result. M. tuberculosis complex

infection
unlikely.;
Performed by NYP_Quest (31D0696246);
Address: One Malcolm Avenue, Teteboro, NJ, 07608;
Medical Director: Janet Piscitelli

Range: IU/mL

Date

Description
NIL(Quest40023801)

Value
0.04 IU/mL

Details
Comments: Performed by NYP_Quest (31D0696246);
Address: One Malcolm Avenue, Teteboro, NJ, 07608;
Medical Director: Janet Piscitelli

Range: IU/mL
TBAgMinusNIL(Quest
40023802)

0.01

IU/mL

Comments: Performed by NYP_Quest (31D0696246);

Address: One Malcolm Avenue, Teteboro, NJ, 07608;
Medical Director: Janet Piscitelli

Range: IU/mL

Mitogen(Quest)

10:46

GlucoseChallenge

0.89

IU/mL

Comments: The Nil tube value is used to determine if the

patient has a
preexisting immune response which could cause a falsepositive reading on the test.
In order for a test to be valid, the Nil tube must have a
value of <=8.0 IU/mL.
The mitogen control tube is used to assure the patient has
a healthy immune status and also serves as a control for
correct blood handling and incubation. It is used to detect
false-negative readings. The mitogen tube must have a gamma
interferon value >=0.5 IU/mL higher than the value of the
Nil
tube.
The TB Antigen tube is coated with the M. tuberculosis
specific antigens. For a test to be considered positive,
the TB antigen tube value minus the Nil tube value must be
>=0.35 IU/mL.
For additional information, please refer to
http://education.questdiagnostics.com/faq/QFT
(This link is being provided for informational/educational
purposes only.)
Test performed by:
Quest Diagnostics
One Malcolm Avenue
Teterboro, NJ 07608
Lawrence Tsao, M.D.;
Performed by NYP_Quest (31D0696246);
Address: One Malcolm Avenue, Teteboro, NJ, 07608;
Medical Director: Janet Piscitelli

Comments: Result report date 28-Dec-2016 14:51

Date

Description

Value

Details
Range: mg/dL

GlucoseTolerance,1hr

10:46

81

mg/dL

CBC

Comments: Reference range is 20 - 50 mg/dL above fasting

level.;
Performed by NYP_Columbia (33D0664187);
Address: 630 West 168th Street, New York, NY, 10032;
Medical Director: Steven Spitalnik

Comments: Result report date 28-Dec-2016 14:27

Range: 3.48 - 9.42 x10(3)/uL

WhiteBloodCell

11.26 x10(3)/uL
(High)

Comments: Performed by NYP_Columbia (33D0664187);

Address: 630 West 168th Street, New York, NY, 10032;
Medical Director: Steven Spitalnik

Range: 3.80 - 5.09 x10(6)/uL

RedBloodCells.

4.07

x10(6)/uL

Comments: Performed by NYP_Columbia (33D0664187);

Address: 630 West 168th Street, New York, NY, 10032;
Medical Director: Steven Spitalnik

Range: 11.2 - 14.7 g/dL

Hemoglobin

12.0

g/dL

Comments: Performed by NYP_Columbia (33D0664187);

Address: 630 West 168th Street, New York, NY, 10032;
Medical Director: Steven Spitalnik

Range: 33.8 - 43.3 %

Hematocrit

37.3

Comments: Performed by NYP_Columbia (33D0664187);

Address: 630 West 168th Street, New York, NY, 10032;
Medical Director: Steven Spitalnik

Range: 79.4 - 94.7 fL

MeanCellVolume

91.6

fL

Comments: Performed by NYP_Columbia (33D0664187);

Address: 630 West 168th Street, New York, NY, 10032;
Medical Director: Steven Spitalnik

Date

Description

Value

Details
Range: 25.7 - 32.7 pg

MeanCellHemoglobin

29.5

pg

Comments: Performed by NYP_Columbia (33D0664187);

Address: 630 West 168th Street, New York, NY, 10032;
Medical Director: Steven Spitalnik

Range: 32.0 - 35.3 g/dL

MeanCellHemoglobin
Concentration

32.2

g/dL

Comments: Performed by NYP_Columbia (33D0664187);

Address: 630 West 168th Street, New York, NY, 10032;
Medical Director: Steven Spitalnik

Range: 11.4 - 14.7 %

RedCellDiameterWidth

13.0

Comments: Performed by NYP_Columbia (33D0664187);

Address: 630 West 168th Street, New York, NY, 10032;
Medical Director: Steven Spitalnik

Range: 167 - 374 x10(3)/uL

Platelets.

195

x10(3)/uL

Comments: Performed by NYP_Columbia (33D0664187);

Address: 630 West 168th Street, New York, NY, 10032;
Medical Director: Steven Spitalnik

Range: 8.7 - 12.5 fL

MeanPlateletVolume

11.6

fL

Comments: Performed by NYP_Columbia (33D0664187);

Address: 630 West 168th Street, New York, NY, 10032;
Medical Director: Steven Spitalnik

Range: 0.0 - 0.0 /100 WBC's

NucleatedRBCAuto

0.0

/100 WBC's

Comments: Performed by NYP_Columbia (33D0664187);

Address: 630 West 168th Street, New York, NY, 10032;
Medical Director: Steven Spitalnik

Range: x10(3)/uL
AbsoluteNRBC

0.0

x10(3)/uL

Comments: Performed by NYP_Columbia (33D0664187);

Address: 630 West 168th Street, New York, NY, 10032;

Date

Description

Value

Details
Medical Director: Steven Spitalnik

Section Comments:

Lab results have also been communicated with the provider who ordered the tests. These results should not be
viewed as medical advice and are not meant to replace direct communication with a provider. Please contact
your provider for questions.

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PlanofCare
Name

Dates

Details

PlannedObservations
PlanOfCareEntriesexcluded/notavailable

N/A

N/A
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Instructions
Name

Dates

Details

Instructionsexcluded/notavailable

N/A

N/A
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Encounters
Clinic
EncounterDiagnosis:NoKnownEncounterDiagnosisBroadwayOB-717

On28-Dec-2016
09:19to10:55

Kuba,Kfier
Clinic
EncounterDiagnosis:NoKnownEncounterDiagnosisOCBWAY-OCB717

On15-Dec-2016
11:45

Clinic
EncounterDiagnosis:NoKnownEncounterDiagnosisOCBWAY-OCB717

On3-Nov-2016
14:45

Clinic
EncounterDiagnosis:NoKnownEncounterDiagnosisOCBWAY-OCB717
Clinic
EncounterDiagnosis:NoKnownEncounterDiagnosisBroadwayOB-717

On3-Nov-2016
14:45
On2-Nov-2016
16:13to17:00

Kuba,Kfier
Clinic
EncounterDiagnosis:NoKnownEncounterDiagnosisOCBWAY-OCB717
Clinic
EncounterDiagnosis:NoKnownEncounterDiagnosisBroadwayOB-717

On19-Oct-2016
14:15
On13-Oct-2016
10:23to13:15

Kuba,Kfier
Clinic
EncounterDiagnosis:Positiveurinepregnancytest
Comments:Status:Active&nbsp;AudubonFamilyPlanning-467

On28-Sep-2016
16:35to17:45

Corona,Kathryne
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Payers
ANEELASANGEM;aguarantor
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