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Priority Assigned On Next Steps Assignee Status  
High 12/12/2013 Limit alcohol intake; 2 drinks a week maximum Dr. Berg Progress
High 12/01/2014 Take Gentle Chair Yoga Class Dr. Berg Progress
Moderate 14/01/2014 Make a follow-up appointment in 2 weeks Dr. Berg Progress
           
           
           
           
           
           
           
           

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Medical Records
You have 1 new medical record

  • Service History
  • May 6, 2011 – Diagnostic Studies

  • 1d    1w    1m    3m    1y    3y    All    Custom

  •    
Type of Service Date                                      
Doctor Visits                                        
    Primary Care                                        
    Specialist                                        
    ER                                        
Tests                                        
    Radiology                                        
    Labs                                        
    Clinical Tests                                        
Procedures                                        
Surgeries                                        
                                         
                                         

Diagnostic Studies Details

Ordered by

Dr. Gregory Berg, Team 1
   

Collection Date

Mon, April 16, 2011

Order Date

Tues, April 17, 2011
   

Type

Lab

Lab Name

Chem. 17
   

Phone

(999) 999-9999

Address

The New York Clinic
99 Main St.
New York, NY 11111

Next Steps

Attached Images

Radiology Report

PREPROCEDURE DIAGNOSIS

Physical examination of leg and back.

POSTPROCEDURE DIAGNOSES

(1) L5 nerve impingement from a herniated disc is observed.
(2) This is causing weakness in the ankle.
(3) This is also causing the pain may also radiate into the buttock.

PROCEDURE PERFORMED

Magnetic Resonance Imaging (MRI).

ENDOSCOPIST

Michael Jones, M.D.

ASSISTANT

Jane Doe, L.P.N.

REFERRING PHYSICIAN

George Washington, M.D.

ANESTHESIA

Demerol 25 mg IV push, Versed 2 mg IV push

INSTRUMENT USED

PCF-AL160

Total Service Usage

  • 18

    Outpatient Services
    In the past year.

  • 4

    Inpatient Services
    In the past year.

Problem List

History

  • The patient is experiencing high levels of stress in the past few months.
    Entered on March 15, 2011 by Dr. Berg

  • The patient had a high fever and vomiting.
    Entered on March 31, 2011.

  • The patient is having a high BP.
    Entered on April 21, 2011.