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Mrs. KATE ALLENA
Chart ID
11111D1
Age
69 Years
DOB
07-23-1957 (66 years)
Gender
Male
Phone
+1-212-456-7890
Email
ibeothpeter@gmail,com
Enrolment Type
Non-Dual Aged
Provider
ibeothpeter@gmail,com
Appointment Date
11-02-2023
Risk Score
2.55
INS Name
Medical Health Insurance
INS ID
14XE-YT78-8901
High Risk
COA
Geriatric Depression Screening
Mini Cog
MMSE
Pain Assessment
PHQ-9
CONFIRMATION
Do you want to edit COA ?
No
Yes
Cognitive Status
Diminished
Ambulatory Status
Needs Assistance
Vision
Diminished
Hearing
Diminished
Speech
Normal
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Comment
Add Comment
Pain Assessment?
Yes
No
Moderate Pain
4 to 6 is moderate pain
Need Assistance with
Advanced Care Planning
Medication Review
Bathing/Grooming
Yes
No
Cooking/Eating
Yes
No
Dressing
Yes
No
Walking
Yes
No
Transferring
Yes
No
Using Toilet
Yes
No
Save
Advanced Care Planning
No
Yes
Advanced Directive
Yes
No
Living Will
Yes
No
Surrogate Decision Letter
Yes
No
Save
Medication Review
Yes
No
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