Appointment

Doctor: Dr. Smith

Date: Thu Oct 03 2024

Time: 10:00 AM

Reason: General Checkup

Follow-Up Actions: Schedule blood test for next visit

Notes: Patient needs to monitor blood pressure daily

Medical Query

Query: Recurring headaches in the morning

Notes: Recommended to check for dehydration

Date Created: Sun Sep 15 2024

Status: Unresolved

Advance Directive

Directive: Do Not Resuscitate (DNR)

Description: Patient requests no CPR or advanced cardiac life support

Document: View Document

Notes: Discussed with family and agreed upon

Emergency Contact

Name: Jane Doe

Relationship: Spouse

Phone: +1 123 456 7890

Address: 123 Main St, Springfield, USA

Family Medical History

Relative: Father

Condition: Hypertension

Diagnosis Age: 45

Notes: Managed with medication

Insurance Information

Provider: HealthCare Inc.

Policy Number: ABC123456789

Coverage Details: Covers general health and dental care

Contact Information: 1-800-123-4567

Health Goal

Goal: Lose Weight

Target: Lose 10 pounds

Progress: Lost 3 pounds

Start Date: Thu Aug 01 2024

End Date: Fri Nov 01 2024

Notes: Continue with current diet and exercise plan

Health Journal

Date: Wed Sep 25 2024

Entry: Feeling better after starting new medication. No headaches today.

Allergy

Allergy: Peanuts

Severity: Severe

Triggers: Peanut butter, peanut oil

Notes: Carries EpiPen at all times

Medication

Medication: Amoxicillin

Dosage: 500mg

Frequency: 3 times a day

Prescribing Doctor: Dr. Johnson

Start Date: Sun Sep 15 2024

End Date: Sun Sep 22 2024

Notes: Take with food

Chronic Condition

Condition: Diabetes Type 2

Diagnosis Date: Fri Jun 12 2020

Treatment Plan: Metformin 500mg daily, low-carb diet, regular exercise

Managing Physician: Dr. Adams

Notes: Monitor blood sugar levels daily

Symptom

Symptom: Fatigue

Severity: Moderate

Date: Fri Sep 20 2024

Duration: 3 days

Notes: Related to lack of sleep, possibly stress-induced

Immunization

Vaccine: Tetanus

Date Administered: Wed Mar 15 2023

Booster Due Date: Tue Mar 15 2033

Notes: Next booster required in 10 years

Vital Sign

Type: Blood Pressure

Value: 120/80 mmHg

Date: Wed Sep 25 2024

Time: 08:00 AM

Notes: Normal reading

Lab Test Result

Test: Complete Blood Count (CBC)

Result: Normal

Date: Tue Sep 10 2024

Notes: All values within normal range

Medical History

Event: Surgery - Appendectomy

Date: Tue May 22 2018

Outcome: Successful recovery

Notes: No complications during or after surgery