17 Daws Rd. Blue Bell MA 02368 US Mr. Adam Frankie Everyman 17 Daws Rd. Blue Bell MA 02368 US Ralph Relative MA 02368 USA Good Health Clinic 21 North Ave Burlington MA 02368 USA 21 North Ave. Burlington MA 02368 USA Henry Seven 21 North Ave. Burlington MA 02368 USA Henry Seven 21 North Ave. Burlington MA 02368 USA Henry Seven Rose Everyman Good Health Clinic 17 Daws Rd. Blue Bell MA 02368 USA Henry Seven Good Health Clinic 21 North Ave. Burlington MA 02368 USA Henry Seven 21 North Ave. Burlington MA 02368 USA Henry Seven 17 Daws Rd. Blue Bell MA 02368 USA Mrs. Abigail Ruth Primary Care Provider Dr. Pseudo Physician-1 NIST HL7 Test Laboratory Primary Care Provider Dr. Pseudo Physician-3 HL7 Test Laboratory

Substance	Reaction	Status
Penicillin	Hives	Active
Aspirin	Wheezing	Active
Codeine	Nausea	Active

Penicillin Aspirin Aspirin

Recurrent GI bleed of unknown etiology; hypotension perhaps secondary to this but as likely secondary to polypharmacy. Acute on chronic anemia secondary to #1. Azotemia, acute renal failure with volume loss secondary to #1. Hyperkalemia secondary to #3 and on ACE and K+ supplement. Other chronic diagnoses as noted above, currently stable.

Dark stools.

Medication	Directions	Start Date	Status	Indications	Fill Instructions
Proventil 0.09 MG/ACTUAT inhalant solution	2 puffs QID PRN wheezing	2011-03-01	Active	Bronchitis (32398004 SNOMED CT)	Generic Substitition Allowed

0.09 MG/ACTUAT inhalant solution, 2 puffs QID PRN wheezing Good Health Clinic Diethylene Glycol Dr. Robert Michaels label in spanish 17 Daws Rd. Blue Bell MA 02368 US Dr. Robert Michaels Good Health Clinic

Chest: clear to ausc. No rales, normal breath sounds Heart: RR, PMI in normal location and no heave or evidence of cardiomegaly,normal heart sounds, no murm or gallop

HEENT: All normal to examination. Heart: RRR, no murmur. THORAX & LUNGS: Clear without rhonchi or wheeze. ABDOMEN: No distension, tenderness, or guarding, obese, pos bowel sounds. BACK: Normal to inspection and palpation, without tenderness; no presacral edema. EXTREMITIES: Doughy edema bilaterally, chronic stasis changes, no asymmetrical swelling.

Planned Activity	Planned Date
Colonoscopy	April 21, 2000

Pneumonia: Resolved in March 1998 ...

LABORATORY INFORMATION
Chemistries and drug levels
HGB (M 13-18 g/dl; F 12-16 g/dl)	13.2
WBC (4.3-10.8 10+3/ul)	6.7
PLT (135-145 meq/l)	123 (L)
Liver Functions and Other Laboratory Values
ALT (SGPT)	31.0
AST (SGOT)	18.0
GGT	28.0 Alk
Phos	86.0
Total Bili	0.1
Albumin	3.2
Blood Count
White Count	7.7
Platelets	187.0
Hematocrit	23.7
Hemoglobin	8.1
ELECTROCARDIOGRAM (EKG) INFORMATION
EKG	Sinus rhythm without acute changes

M 13-18 g/dl; F 12-16 g/dl

Patient denies recent history of fever or malaise. Positive for weakness and shortness of breath. One episode of melena. No recent headaches. Positive for osteoarthritis in hips, knees and hands.

Complaints of rectal bleeding, fatigue and a change in bowel patterns. Has several days of constipation alternating with diarrhea.

Date / Time:	Nov 14, 1999	April 7, 2000
Height	177 cm	177 cm
Weight	86 kg	88 kg
Blood Pressure	132/86 mmHg	145/88 mmHg