Patient Medical History

From To
SL NO.
DX DATE
DIAGNOSIS
PHYSICIAN
DETAILS
1
01-01-2023
Chickenpox
Mr. Peter Ibeoth
2
02-01-2023
Common cold
Mr. Peter Ibeoth
3
03-01-2023
Diphtheria
Mr. Peter Ibeoth
4
04-01-2023
E. coli.
Mr. Peter Ibeoth
5
05-01-2023
HIV/AIDS
Mr. Peter Ibeoth
6
06-01-2023
Infectious mononucleosis
Mr. Peter Ibeoth
7
07-01-2023
Diphtheria
Mr. Peter Ibeoth
8
08-01-2023
Influenza (flu)
Mr. Peter Ibeoth
9
09-01-2023
Lyme disease
Mr. Peter Ibeoth
SL NO.
SURGERY DATE
TYPE OF SURGERY
PHYSICIAN
CLINIC
DETAILS
1
01-01-2023
General Surgery
Mr. Peter Ibeoth
ACMH Hospital
2
02-01-2023
Cystoscopy
Mr. Peter Ibeoth
Nova Clinic
3
03-01-2023
Rhinoplasty
Mr. Peter Ibeoth
FastMed urgent care
4
04-01-2023
Breast surgery
Mr. Peter Ibeoth
Acadian Medical Center
5
05-01-2023
Neurosurgery
Mr. Peter Ibeoth
Allied Health services
6
06-01-2023
Endocrine Surgery
Mr. Peter Ibeoth
Grace Medical
7
07-01-2023
Colonoscopy
Mr. Peter Ibeoth
BodyFit Clinic
TEST ID
APPOINTMENT ID
DATE
PROCEDURE
DETAILS
LB-02/0003
#2456Y83
07-01-2023
Spine CT (Cervical, Thoracic, Lumbar)

Angiography or arteriography is a medical imaging method that allows doctors to see the interior.

LB-02/0002
#2456Y82
06-01-2023
Head CT
LB-02/0001
#2456Y81
05-01-2023
Abdomen/Pelvis

Angiography or arteriography is a medical imaging method that allows doctors to see the interior.

TEST ID
APPOINTMENT ID
DATE
PROCEDURE
DETAILS
LB-02/0003
#2456Y83
07-01-2023
Ultrasound of extremities

Angiography or arteriography is a medical imaging method that allows doctors to see the interior.

LB-02/0002
#2456Y82
06-01-2023
Ultrasound of abdomen
TEST ID
APPOINTMENT ID
DATE
PROCEDURE
DETAILS
LB-02/0003
#2456Y83
07-01-2023
Ultrasound of extremities

Angiography or arteriography is a medical imaging method that allows doctors to see the interior.

LB-02/0002
#2456Y82
06-01-2023
Ultrasound of abdomen

Name Jhone Doe (Father)

Age 60 Years State of Health
Gender Male Health Issues
Relation Father

Chickenpox, Common cold, Diphtheria.

DiagnosisChickenpox, Common cold, Diphtheria.

Symptoms: Chickenpox typically begins with a mild fever, headache, and fatigue, followed by the development of an itchy rash. The rash progresses from red spots to fluid-filled blisters, which eventually form scabs as the illness runs its course. Other symptoms may include loss of...

Diagnosis

Health Related

Chickenpox typically begins with a mild fever, headache, and fatigue, followed by the development of an itchy rash. The rash progresses from red spots to fluid-filled blisters, which eventually form scabs as the illness runs its course. Other symptoms may include loss of...

Age 55 Years State of Health
Gender Female Health Issues
Relation (Mother)

Chickenpox, Common cold, Diphtheria.

DiagnosisChickenpox, Common cold, Diphtheria.

Symptoms: Chickenpox typically begins with a mild fever, headache, and fatigue, followed by the development of an itchy rash. The rash progresses from red spots to fluid-filled blisters, which eventually form scabs as the illness runs its course. Other symptoms may include loss of...

Diagnosis

Health Related

Chickenpox typically begins with a mild fever, headache, and fatigue, followed by the development of an itchy rash. The rash progresses from red spots to fluid-filled blisters, which eventually form scabs as the illness runs its course. Other symptoms may include loss of...

Age 60 Years State of Health
Gender Male Health Issues
Relation Father

Chickenpox, Common cold, Diphtheria.

DiagnosisChickenpox, Common cold, Diphtheria.

Symptoms: Chickenpox typically begins with a mild fever, headache, and fatigue, followed by the development of an itchy rash. The rash progresses from red spots to fluid-filled blisters, which eventually form scabs as the illness runs its course. Other symptoms may include loss of...

Diagnosis

Health Related

Chickenpox typically begins with a mild fever, headache, and fatigue, followed by the development of an itchy rash. The rash progresses from red spots to fluid-filled blisters, which eventually form scabs as the illness runs its course. Other symptoms may include loss of...

Age 60 Years State of Health
Gender Male Health Issues
Relation Father

Chickenpox, Common cold, Diphtheria.

DiagnosisChickenpox, Common cold, Diphtheria.

Symptoms: Chickenpox typically begins with a mild fever, headache, and fatigue, followed by the development of an itchy rash. The rash progresses from red spots to fluid-filled blisters, which eventually form scabs as the illness runs its course. Other symptoms may include loss of...

Diagnosis

Health Related

Chickenpox typically begins with a mild fever, headache, and fatigue, followed by the development of an itchy rash. The rash progresses from red spots to fluid-filled blisters, which eventually form scabs as the illness runs its course. Other symptoms may include loss of...

Age 60 Years State of Health
Gender Male Health Issues
Relation Father

Chickenpox, Common cold, Diphtheria.

DiagnosisChickenpox, Common cold, Diphtheria.

Symptoms: Chickenpox typically begins with a mild fever, headache, and fatigue, followed by the development of an itchy rash. The rash progresses from red spots to fluid-filled blisters, which eventually form scabs as the illness runs its course. Other symptoms may include loss of...

Diagnosis

Health Related

Chickenpox typically begins with a mild fever, headache, and fatigue, followed by the development of an itchy rash. The rash progresses from red spots to fluid-filled blisters, which eventually form scabs as the illness runs its course. Other symptoms may include loss of...

Age 60 Years State of Health
Gender Male Health Issues
Relation Father

Chickenpox, Common cold, Diphtheria.

DiagnosisChickenpox, Common cold, Diphtheria.

Symptoms: Chickenpox typically begins with a mild fever, headache, and fatigue, followed by the development of an itchy rash. The rash progresses from red spots to fluid-filled blisters, which eventually form scabs as the illness runs its course. Other symptoms may include loss of...

Diagnosis

Health Related

Chickenpox typically begins with a mild fever, headache, and fatigue, followed by the development of an itchy rash. The rash progresses from red spots to fluid-filled blisters, which eventually form scabs as the illness runs its course. Other symptoms may include loss of...

TEST ID
APPOINTMENT ID
DATE
PROCEDURE
DETAILS
LB-02/0003
#2456Y83
07-01-2023
Ultrasound of extremities

Angiography or arteriography is a medical imaging method that allows doctors to see the interior.

LB-02/0002
#2456Y82
06-01-2023
Ultrasound of abdomen
Measure Code Measure Weight Age Date Range Date
Depression Screening Annual Depression Screening and Monitoring N/A > 18 Jan to Dec 2023
11/02/2023
BCS Annual Mammogram between Oct 1, 2021 to Dec 31, 2022 1.0 50 to 74 Oct 2021 to Dec 2023
-
COL iFOBT/gFOBT or Jan to Dec 2023
03/02/2023
Sigmoidoscopy or 1.0 50 to 75 Previous 4 years of measurement year.
-
Sigmoidoscopy or Previous 9 years of measurement year.
04/03/2023
COA Care for Older Adults (COA) Members on SNP Plan only 1.0 SNP > 66 Jan to Dec 2023
-
Cardiovascular Conditions
CBP Controlling high blood pressure: 140/90 for diabetics, 150/90 for non-diabetics 60- 85 years old 1.0 18 to 85 Jan to Dec 2023
-
SPC Statin therapy for patients with cardiovascular disease 1.0 40 to 75 Jan to Dec 2023
12/12/2023
Diabetic Members Ages 18 to 75 (CDC2)
CDC2_EYE Diabetic retinal eye exam (DRE) performed or evidence of negative DRE performed the prior year. 1.0 18 to 75 Jan to Dec 2023
-
CDC2_HBA POOR HbA1C less than 9%. 3.0 40 to 75 Jan to Dec 2023
08/05/2023
CDC2_HBA TEST HbA1C test
CDC2_NPH Attention to Nephropathy: Protein UA or Microalbuminuria 1.0 18 to 75 Jan to Dec 2023
-
PartDSUPD Statin use in persons with Diabetes (SUPD) measure calculates the percentage of patients who received a medication for diabetes that also received a statin medication during the measurement period. 1.0 18 to 75 Jan to Dec 2023
13/05/2023
Hospitalization Related Measures
MRP Medication reconciliation within 30 days of hospitalization discharge 1111F 1.0 > 18 Jan to Dec 2023
-
FMC F/U visit for persons with chronic conditions within 7 days of ED Visit. 1.0 > 18 Jan to Dec 2023
-
TEST ID
APPOINTMENT ID
DATE
PROCEDURE
DETAILS
LB-02/0003
#2456Y83
07-01-2023
Ultrasound of extremities

Angiography or arteriography is a medical imaging method that allows doctors to see the interior.

LB-02/0002
#2456Y82
06-01-2023
Ultrasound of abdomen
TEST ID
APPOINTMENT ID
DATE
PROCEDURE
DETAILS
LB-02/0003
#2456Y83
07-01-2023
Ultrasound of extremities

Angiography or arteriography is a medical imaging method that allows doctors to see the interior.

LB-02/0002
#2456Y82
06-01-2023
Ultrasound of abdomen