Name: Bob Smith

:Age:

 52
Address: 101 Main Gender: Male
City: Dallas Height: 31
State: TX Weight: 240
Zip: 75204 Blood pressure: 120/80 Date: 02/05/2003
       
 
Prior Reported Symptoms
 
 Symptom   Date
 Cough   04/11/1997
 Chest Pain   04/11/1997
 Sore Throat   04/11/1997
 Stomach Ache   06/14/1996
 Head Ache   06/14/1996
 Chest Pain   06/14/1996
Preexisting Illnesses
 
 Illness   Date
 Tonsillitis     04/11/1997
 Pneumonia   06/14/1996
 

 
Doctors Notes
 
 Clinician   Date of Visit
 Dr. Dobson   04/11/1997
 Dr.Trapoli   06/14/1996
 

 
Radiology Tests
 
 Test Type   Date
 Chest X-ray   04/11/1997
 CT Scan   06/14/1996
 

 
Lab Tests
 
 Type   Date  Results
 Tonsillitis     04/11/1997    Positive
 Pneumonia   06/14/1996    Positive
     

 
Pharmacology
 
 Prescription  Date Issued  Last received
 Alegra   04/11/1997    02/15/2003
 Penicillin   06/14/1996    02/15/2003
   

 
Suggested Diagnosis and Treatment
 
 Diagnosis  Date  
 Tonsillitis    02/15/2003    
 
 Antibiotic 1
 Rest
 Aspirin
      
 Phenomena 02/15/2003    
 
 Penicillin
 Penicillin
 Penicillin