Public Profile -- hu6E37AB
Public profile url: https://my.pgp-hms.org/profile/hu6E37AB
Personal Health Records
Demographic Information
| Date of Birth | 1970-04-06 (55 years old) |
|---|---|
| Gender | Male |
| Weight | 202lbs (92kg) |
| Height | 5ft 11in (180cm) |
| Blood Type | A+ |
| Race | White |
Conditions
| Name | Start Date | End Date |
|---|---|---|
| Abdominal Pain | 2005-01-26 | |
| Ankle Sprain- Left | 1998-04-20 | |
| Anterior Cruciate Ligament (ACL) Injury | ||
| Anterior Cruciate Ligament (ACL) Injury | ||
| Anterior Cruciate Ligament (ACL) Injury | ||
| ARTHROPATHY NOS-MULT | ||
| ARTHROPATHY NOS-MULT | ||
| ASTHMA | ||
| ASTHMA | ||
| ASTHMA | ||
| ASTHMA, UNSPECIFIED | ||
| ASTHMA, UNSPECIFIED | ||
| ASTHMA, UNSPECIFIED | ||
| ASTHMA, UNSPECIFIED | ||
| Back Pain | 1996-09-30 | |
| Bronchitis | 1987-01-28 | |
| Calculus of Kidney | 2002-06-27 | |
| Canidida of Mouth | 2005-07-25 | |
| Carpal Tunnel Syndrome | 1998-04-06 | |
| Carpal Tunnel Syndrome | 1998-04-06 | |
| Chicken Pox | ||
| Chicken Pox | ||
| Chickenpox | 1987-01-28 | |
| Constipation | 1997-10-20 | |
| Dehydration | 2006-12-08 | |
| DIETARY SURVEILLANCE AND COUNSELING | ||
| DIETARY SURVEILLANCE AND COUNSELING | ||
| Difficulty sleeping | 1998-08-17 | |
| Difficulty sleeping | 1998-08-14 | |
| DT Site Swelling and Redness | 1995-12-18 | |
| DUMMY DIAGNOSIS FOR DENTAL CLAIMS | ||
| DUMMY DIAGNOSIS FOR DENTAL CLAIMS | ||
| Elbow pain | 1998-07-06 | |
| Elevated Cholesterol | ||
| Epigastric Pain | 2004-01-22 | |
| Esophoria | 2007-05-17 | |
| Finger Injury (Lft 4th and 5th Knuckles) | 1998-04-20 | |
| Gastritis | 2001-09-19 | |
| Gastroenteritis | 2006-12-08 | |
| Hayfever | ||
| Hayfever | ||
| Heart murmur | ||
| Heart murmur | ||
| Heart murmur | ||
| High Cholesterol | ||
| High Cholesterol | ||
| High Cholesterol | ||
| HYPERLIPIDEMIA | 2005-07-25 | |
| Impingement acromioclavicular joint | 1999-02-15 | |
| JOINT PAIN-SHLDER | ||
| Kidney stones | ||
| Kidney stones | ||
| Kidney stones | ||
| Knee Pain | 1998-11-02 | |
| left distral ureteral stone | 2002-07-02 | |
| Left Index Finger Laceration | 2004-11-12 | |
| Left Renel Colic | 2002-07-02 | |
| LESION OF SCIATIC NERVE | ||
| LESION OF SCIATIC NERVE | ||
| LESION OF SCIATIC NERVE | ||
| LESION OF SCIATIC NERVE | ||
| LESION OF SCIATIC NERVE | ||
| LESION OF SCIATIC NERVE | ||
| LESION OF SCIATIC NERVE | ||
| Low Back Pain | 1970-04-06 | |
| Low Back Pain | 1970-04-06 | |
| Melena (Blood in Stool) 578.1 | 2001-07-19 | |
| Myopia | 2007-05-17 | |
| Non-Cardiac Chest Pain | 2002-06-27 | |
| OTHER UNSPECIFIED HYPERLIPIDEMIA | ||
| OTHER UNSPECIFIED HYPERLIPIDEMIA | ||
| OTHER UNSPECIFIED HYPERLIPIDEMIA | ||
| Pharyngitis | 2007-04-30 | |
| Pharyngitis | 1972-05-05 | |
| Piriformis syndrome | 2009-01-01 | |
| Plugged TM | 1995-11-16 | |
| Possible Rib Fractures | 1996-10-13 | |
| PURE HYPERCHOLESTEROLEMIA | ||
| PURE HYPERCHOLESTEROLEMIA | ||
| Recurrent Fever | ||
| ROTATOR CUFF SYND NOS | ||
| ROTATOR CUFF SYND NOS | ||
| ROTATOR CUFF SYND NOS | ||
| ROTATOR CUFF SYND NOS | ||
| ROTATOR CUFF SYND NOS | ||
| ROTATOR CUFF SYND NOS | ||
| ROTATOR CUFF SYND NOS | ||
| SCROTAL VARICES | ||
| Seborrheic Psoriasis | 1997-11-03 | |
| Seborrheic Psoriasis | 1995-11-16 | |
| Severe Acute Respiratory Syndrome (SARS) | 2003-10-23 | |
| Shoulder Pain | 1999-04-19 | |
| Shoulder Pain | 1999-01-08 | |
| Shoulder Pain | 1998-06-22 | |
| Shoulder Pain | 1998-06-15 | |
| Sinus Problems | 1996-02-15 | |
| Sinusitis | 1996-09-30 | |
| Sinusitis | 1994-04-20 | |
| Spina Bifida | ||
| SPRAIN/STRAIN ROTATOR CUFF (CAPSULE) | ||
| Temporomandibular Joint Disorder | ||
| Temporomandibular Joint Disorder | ||
| Tendinitis | 2009-01-01 | |
| Toe Injury-Rt. Foot | 1998-04-20 | |
| Tonsillitis | 1970-04-06 | 1972-04-06 |
| Tonsillitis | 1970-04-06 | 1972-04-06 |
| Upper Respiratory Infection (URI) | 2003-10-23 | |
| Urinary Tract Infection (UTI) | 2002-06-27 | |
| Urinary Tract Infection (UTI) | 2001-11-30 | |
| Vericocele | 2006-04-25 | |
| Wrist pain (RT and LFT) | 1995-11-16 | |
| Yeast Infection, Throat | 2003-07-10 |
Medications (show refills)
| Name | Dosage | Frequency | Start Date | End Date |
|---|---|---|---|---|
| UNSPECIFIED | ||||
| UNSPECIFIED | ||||
| UNSPECIFIED | ||||
| UNSPECIFIED | ||||
| UNSPECIFIED | ||||
| UNSPECIFIED | ||||
| UNSPECIFIED | ||||
| UNSPECIFIED | ||||
| UNSPECIFIED | ||||
| UNSPECIFIED | ||||
| UNSPECIFIED | ||||
| UNSPECIFIED | ||||
| UNSPECIFIED | ||||
| UNSPECIFIED | ||||
| UNSPECIFIED | ||||
| Accolate | 20 mg Tablet | Take 1, 2 times per day | ||
| Advair Diskus | 250-5 | |||
| Advair Diskus | 250-5 | |||
| Advair Diskus | 250-5 | |||
| Advair Diskus | 250-5 | |||
| Advair Diskus | 250-5 | |||
| Advair Diskus | 250-5 | |||
| Advair Diskus | 250-5 | |||
| Advair Diskus | 250-5 | |||
| Advair Diskus | 250-5 | |||
| Advair Diskus | 250-5 | |||
| Advair Diskus | 250-50 mcg/Dose Disk with Device | Take 2, 2 times per day | ||
| Albuterol | 90 mcg/Actuation Aerosol | Take 2, as needed | ||
| Albuterol | 90 mcg/Actuation Aerosol | |||
| Albuterol | 90 mcg/Actuation Aerosol | |||
| Albuterol | ||||
| AMOX TR/POTASSIUM CLAVULA | 875-1 | |||
| Amoxicillin | 500 M | |||
| Amoxicillin | 500 mg Tablet | Take 1, 3 times per day | 2000-12-28 | |
| Amoxicillin | 500 mg Capsule | Take 1, 3 times per day | 1998-10-22 | |
| Amoxicillin | 250 mg Capsule | Take 1, 3 times per day | 1996-02-15 | |
| Amoxicillin | 500 mg Capsule | Take 1, 3 times per day | 1994-04-20 | |
| Augmentin | Take 1, 3 times per day | 2001-07-18 | ||
| Avelox | 400 M | |||
| Bactrim | 80-400 mg Tablet | Take 1, 2 times per day | 1996-12-05 | |
| BENZONATATE | 200 M | |||
| Claritin-D 12 Hour | 5-120 mg Tablet Sustained Release 12 hr | Take 1, 2 times per day | 2001-11-30 | |
| Claritin-D 12 Hour | 5-120 mg Tablet Sustained Release 12 hr | Take 1, 2 times per day | 2001-01-12 | |
| Claritin-D 12 Hour | 5-120 mg Tablet Sustained Release 12 hr | Take 1, 2 times per day | 1999-12-31 | |
| Clinoril | 200 mg Tablet | Take 1, 2 times per day | 1998-06-22 | |
| CYCLOBENZAPRINE HCL | 10 MG | |||
| Darvocet-N 100 | 100-650 mg Tablet | Take 1, every 4 hours | 2002-06-27 | |
| Daypro | 600 mg Tablet | Take 1, 2 times per day | 1999-01-08 | |
| Daypro | 600 mg Tablet | Take 1, 2 times per day | 1998-06-15 | |
| Diclofenac Sodium | 75MG | |||
| Drixoral | Take 1, 1 time per day at bedtime | 1998-08-24 | ||
| Entex LA | 30-400 mg Cap, Multiphasic Release 12 hr | Take 1, 2 times per day | 1996-09-30 | |
| Entex LA | 30-400 mg Cap, Multiphasic Release 12 hr | Take 1, 2 times per day | 1995-11-16 | |
| Flexeril | Take 1, 2 times per day | 1996-10-21 | ||
| Flovent HFA | 110MC | |||
| Flovent HFA | 110MC | |||
| Flovent HFA | 110 mcg/Actuation Aerosol | Take 2, 1 time per day | 2007-10-18 | |
| Fluconazole | 150 mg Tablet | Take 1, 1 time | 2005-07-25 | |
| GRIS-PEG | 250 M | |||
| Hycotuss Expectorant | 5-100 mg/5 mL Syrup | Take 1, every 4 hours | 2001-01-12 | |
| Ibuprofen | 600 mg Tablet | Take 1, 4 times per day | 1994-01-22 | |
| Keflex | 500 mg Capsule | Take 1, 2 times per day | 1996-12-05 | |
| Lidex | 0.05 % Cream | Take 1, as needed | 1997-11-03 | |
| Melatonin | Take 1, 1 time per day at bedtime | 1998-08-24 | ||
| Montelukast | 4 mg Tablet, Chewable | |||
| Montelukast | 4 mg Tablet, Chewable | |||
| Omeprazole | 20 MG | |||
| Oxistat | 1995-11-16 | |||
| Pravachol | 10 mg Tablet | Take 1, 1 time per day | ||
| PRAVASTATIN SODIUM | 10 MG | |||
| PRAVASTATIN SODIUM | 10 MG | |||
| PRAVASTATIN SODIUM | 10 MG | |||
| PRAVASTATIN SODIUM | 10 MG | |||
| PRAVASTATIN SODIUM | 20MG | |||
| PRAVASTATIN SODIUM | 10MG | |||
| PRAVASTATIN SODIUM | 10MG | |||
| ProAir HFA | 90 MC | |||
| PROCTOZONE-HC | 2.5 % | |||
| Promethazine | 25 mg Tablet | Take 1, 4 times per day | 2006-12-08 | |
| Pulmicort Turbuhaler | ||||
| Qvar | 80 mcg/Actuation Aerosol | Take 2, 2 times per day | 2007-04-30 | |
| Relafen | 500 mg Tablet | Take 1, 2 times per day | 1996-10-21 | |
| Serevent Diskus | 50 mcg/Dose Disk with Device | Take 2, 2 times per day | 2001-11-06 | |
| Singulair | 10 MG | |||
| Singulair | 10MG | |||
| Singulair | 10MG | |||
| Singulair | ||||
| Singulair | 10 mg Tablet | Take 1, 1 time per day | 2007-11-12 | |
| TERBINAFINE HCL | 250 M | |||
| TERBINAFINE HCL | 250 M | |||
| TERBINAFINE HCL | 250 M | |||
| tramadol | 50 mg Tablet | Take 2, 4 times per day | 2007-04-30 | |
| Voltaren | 75 mg Tablet, Delayed Release (E.C.) | Take 1, 2 times per day | 1996-09-30 | |
| Voltaren | 75 mg Tablet, Delayed Release (E.C.) | Take 1, 2 times per day | 1995-11-16 | |
| Xanax | 0.5 mg Tablet | Take 1, 1 time per day | 1998-10-22 | |
| Zithromax Z-Pak | 250 mg Tablet | Take 1 | 2003-10-23 | |
| ZOLPIDEM 10MG TABLETS | 10 mg Tablet | TAKE ½ TO 1 TABLET BY MOUTH AT BEDTIME AS NEEDED FOR SLEEP | 2011-08-09 (refill) | |
| ZOLPIDEM TARTRATE | 10 MG | |||
| ZOLPIDEM TARTRATE | 10 MG | |||
| ZOLPIDEM TARTRATE | 10 MG |
Allergies
| Name | Reaction/Severity | Start Date | End Date |
|---|---|---|---|
| Adhesive Tape | Severe | 2009-07-20 | |
| Codeine | Severe | ||
| Hydrocodone | |||
| Hydrocodone | |||
| Hydrocodone | Severe | ||
| Hydrocodone | Severe | ||
| Hydrocodone-acetaminophen | Severe | ||
| Oxycodone | |||
| Oxycodone | |||
| Oxycodone | Severe | ||
| Ultram | Severe |
Procedures
| Name | Date |
|---|---|
| Intravenous Pyelogram (IVP) | |
| Anterior Cruciate Ligament (ACL) Reconstruction | |
| Anterior Cruciate Ligament (ACL) Reconstruction | |
| Anterior Cruciate Ligament (ACL) Reconstruction | |
| Tonsillectomy | |
| Tonsillectomy | |
| Tonsillectomy | |
| Sleep Study | |
| Electrocardiogram (ECG) - Event Monitor | 1993-09-30 |
| C.T. Chest Scan | 1994-01-22 |
| Electrocardiogram (ECG) - Event Monitor | 1994-01-22 |
| Chest X-Ray | 1994-01-22 |
| Chest X-Ray | 1996-10-13 |
| Foot X-Ray | 1998-04-20 |
| Hand X-Ray | 1998-04-20 |
| Shoulder X-Ray | 1998-06-23 |
| Excision of AC Joint | 1998-07-27 |
| Shoulder arthroscopy | 1998-07-27 |
| Elbow- CT Scan | 1998-08-17 |
| Shoulder X-Ray | 1998-10-05 |
| Excision of Distal End of Clavicle | 1999-02-15 |
| Shoulder X-Ray | 1999-06-18 |
| Electrocardiogram (ECG) - Event Monitor | 2000-08-16 |
| US GB Ultrasound- 789.02 Abdominal Pain RT UPP Q | 2001-08-28 |
| Panendoscopy with biopsy and/or brushing | 2001-09-19 |
| Colonoscopy | 2001-09-19 |
| esophagogastroduodenscopy | 2001-09-19 |
| XR IVP Bolus & 3 Tomo Films | 2002-06-27 |
| LIMITED EXAM,EVALUATION AND/OR TREATMENT, OFFICE OR OPD | 2008-12-30 |
| PROPHYLAXIS-ADULT | 2009-03-12 |
| BITEWINGS-FOUR FILMS | 2009-03-12 |
| PROPHYLAXIS-ADULT | 2009-03-12 |
| PERIODIC ORAL EVALUATION-ESTABLISHED PATIENT | 2009-03-12 |
| BITEWINGS-FOUR FILMS | 2009-03-12 |
| PERIODIC ORAL EVALUATION-ESTABLISHED PATIENT | 2009-03-12 |
| INTERMEDIATE EXAM, OFFICE OR OPD | 2009-07-08 |
| ROUTINE VENIPUNTURE FOR COLLECTION OF SPECIMEN(S) | 2009-07-13 |
| BRIEF EXAM EVALUATION AND/OR TREATMENT OFFICE | 2009-07-13 |
| LIMITED EXAM,EVALUATION AND/OR TREATMENT, OFFICE OR OPD | 2009-07-15 |
| SHOULDER COMPLETE TWO VIEWS | 2009-07-16 |
| OFFICE CONSULT FOR NEW/ESTAB PT, W/ 3 KEY COMPONENTS 40 MINS. | 2009-07-16 |
| HIPS BILATERAL 2 VEIWS OF EACH HIP | 2009-07-16 |
| THER PROC,1OR>AREAS,EA 15MIN;NEUROMUSC REED MOVEM,BAL,COORD | 2009-07-17 |
| SELF CARE/HOME MANAGEMENT TRAINING EA 15 MIN 1 ON 1 CONTACT | 2009-07-17 |
| PHYSICAL THERAPY EVALUATION | 2009-07-17 |
| THER PROC,1OR>AREAS,EA 15 MIN;THER EXER DEV STR,END,ROM,FLEX | 2009-07-17 |
| APPLIC OF MOD TO 1 OR > AREAS;IONTOPHORESIS,EA 15 MIN | 2009-07-20 |
| THER PROC,1OR>AREAS,EA 15 MIN;THER EXER DEV STR,END,ROM,FLEX | 2009-07-20 |
| APPLIC OF MOD TO 1 OR > AREAS;ULTRASOUND,EA 15 MIN | 2009-07-20 |
| MANUAL THERAPY TECHNIQUES ONE OR MORE REGIONS, EACH 15 MINUTES | 2009-07-20 |
| CONS REQ LIM EXAM & EVAL OF GIVEN SYS CON DO NOT INV PAT WHOLE | 2009-07-21 |
| MANUAL THERAPY TECHNIQUES ONE OR MORE REGIONS, EACH 15 MINUTES | 2009-07-22 |
| MED NUTRITION THERAPY;INIT ASSESS ONE ON ONE C PT EA 15 MIN | 2009-07-22 |
| MED NUTRITION THERAPY;INIT ASSESS ONE ON ONE C PT EA 15 MIN | 2009-07-22 |
| THER PROC,1OR>AREAS,EA 15 MIN;THER EXER DEV STR,END,ROM,FLEX | 2009-07-22 |
| APPLIC OF MOD TO 1 OR > AREAS;IONTOPHORESIS,EA 15 MIN | 2009-07-24 |
| MANUAL THERAPY TECHNIQUES ONE OR MORE REGIONS, EACH 15 MINUTES | 2009-07-24 |
| THER PROC,1OR>AREAS,EA 15 MIN;THER EXER DEV STR,END,ROM,FLEX | 2009-07-24 |
| MANUAL THERAPY TECHNIQUES ONE OR MORE REGIONS, EACH 15 MINUTES | 2009-07-27 |
| APPLICATION OF MODALITY TO 1 OR MORE AREAS;ELEC STIM(UNATTEND) | 2009-07-27 |
| APPLICATION OF MODALITY TO 1 OR MORE AREAS;HOT OR COLD PACKS | 2009-07-27 |
| THER PROC,1OR>AREAS,EA 15MIN;NEUROMUSC REED MOVEM,BAL,COORD | 2009-07-27 |
| THER PROC,1OR>AREAS,EA 15 MIN;THER EXER DEV STR,END,ROM,FLEX | 2009-07-27 |
| THER PROC,1OR>AREAS,EA 15MIN;NEUROMUSC REED MOVEM,BAL,COORD | 2009-07-29 |
| MANUAL THERAPY TECHNIQUES ONE OR MORE REGIONS, EACH 15 MINUTES | 2009-07-29 |
| THER PROC,1OR>AREAS,EA 15 MIN;THER EXER DEV STR,END,ROM,FLEX | 2009-07-29 |
| THER PROC,1OR>AREAS,EA 15 MIN;THER EXER DEV STR,END,ROM,FLEX | 2009-07-31 |
| MANUAL THERAPY TECHNIQUES ONE OR MORE REGIONS, EACH 15 MINUTES | 2009-07-31 |
| ROUTINE VENIPUNTURE FOR COLLECTION OF SPECIMEN(S) | 2009-08-26 |
| BRIEF EXAM EVALUATION AND/OR TREATMENT OFFICE | 2009-08-26 |
| LIMITED EXAM,EVALUATION AND/OR TREATMENT, OFFICE OR OPD | 2009-09-01 |
| ROUTINE VENIPUNTURE FOR COLLECTION OF SPECIMEN(S) | 2009-10-13 |
| BRIEF EXAM EVALUATION AND/OR TREATMENT OFFICE | 2009-10-13 |
| EMER MED,NEW PATIENT-MINIMAL | 2009-11-04 |
| INTERMEDIATE EXAM, OFFICE | 2009-11-04 |
| INTERMEDIATE EXAM, OFFICE OR OPD | 2009-11-24 |
| EMER MED,NEW PATIENT-MINIMAL | 2009-11-24 |
| INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY WITH DIRECT | 2009-11-24 |
| STREPTOCOCCUS, GROUP A | 2009-11-24 |
| CHEST PA AND LATERAL VIEW TWO VIEWS | 2009-11-30 |
| COMPREHENSIVE EXAM WITH HISTORY AND PHYSICAL, OFFICE | 2009-11-30 |
| ROUTINE VENIPUNTURE FOR COLLECTION OF SPECIMEN(S) | 2009-12-01 |
| BRIEF EXAM EVALUATION AND/OR TREATMENT OFFICE | 2009-12-01 |
| LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; DIAGNOSTIC | 2009-12-03 |
| OFFICE CONSULT FOR NEW/ESTAB PT, W/ 3 KEY COMPONENTS 40 MINS. | 2009-12-03 |
| LIMITED EXAM,EVALUATION AND/OR TREATMENT, OFFICE OR OPD | 2009-12-28 |
| MEDICAL EYE EXAM (PORTION FOR, OTHER THAN TO DETERMINE THE NEE | 2009-12-29 |
| PERIODIC ORAL EVALUATION-ESTABLISHED PATIENT | 2009-12-30 |
| PROPHYLAXIS-ADULT | 2009-12-30 |
| PROPHYLAXIS-ADULT | 2009-12-30 |
| PERIODIC ORAL EVALUATION-ESTABLISHED PATIENT | 2009-12-30 |
| LIMITED EXAM,EVALUATION AND/OR TREATMENT, OFFICE OR OPD | 2009-12-31 |
| ALL POTASSIUM HYDROXIDE (KOH) PREPARATIONS | 2010-01-28 |
| LIMITED EXAM,EVALUATION AND/OR TREATMENT, OFFICE OR OPD | 2010-01-28 |
| BITEWINGS-FOUR FILMS | 2010-06-28 |
| PROPHYLAXIS-ADULT | 2010-06-28 |
| PERIODIC ORAL EVALUATION-ESTABLISHED PATIENT | 2010-06-28 |
| Procedure 83690 | 2010-07-18 |
| LIMITED HISTORY, EXAMINATION AND TREATMENT | 2010-07-18 |
| EMERG ROOM | 2010-07-18 |
| EMERG ROOM | 2010-07-18 |
| Procedure 80053 | 2010-07-18 |
| Procedure 80053 | 2010-07-18 |
| Procedure 80053 | 2010-07-18 |
| EMERG ROOM | 2010-07-18 |
| Procedure 83690 | 2010-07-18 |
| Procedure 83690 | 2010-07-18 |
| Procedure 85025 | 2010-07-18 |
| Procedure 85025 | 2010-07-18 |
| Procedure 85025 | 2010-07-18 |
| LAB/HEMATOLOGY | 2010-07-18 |
| LAB/HEMATOLOGY | 2010-07-18 |
| LAB/HEMATOLOGY | 2010-07-18 |
| Procedure 99283 | 2010-07-18 |
| Procedure 99283 | 2010-07-18 |
| DRUGS/NONGENERIC | 2010-07-18 |
| LAB/CHEMISTRY CHANGED RECORD | 2010-07-18 |
| LAB/CHEMISTRY CHANGED RECORD | 2010-07-18 |
| LAB/CHEMISTRY CHANGED RECORD | 2010-07-18 |
| DRUGS/NONGENERIC | 2010-07-18 |
| IV SOLUTIONS | 2010-07-18 |
| IV SOLUTIONS | 2010-07-18 |
| IV SOLUTIONS | 2010-07-18 |
| DRUGS/NONGENERIC | 2010-07-18 |
| Procedure 99283 | 2010-07-18 |
| BLOOD, OCCULT, BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSA | 2010-07-19 |
| INTERMEDIATE EXAM, OFFICE OR OPD | 2010-07-19 |
| Procedure S4699 | 2010-07-20 |
| UPR GASTROINTEST,ENDOSCOP,INC ESOPHAGUS,STOMACH,DUODENUM/JEJUN | 2010-07-20 |
| UPR GASTROINTEST,ENDOSCOP,INC ESOPHAGUS,STOMACH,DUODENUM/JEJUN | 2010-07-20 |
| GASTRO INTESTINAL SERVICE | 2010-07-20 |
| Procedure 43235 | 2010-07-20 |
| INFLUENZA VIRUS VACINE SPLIT VIRUS WHEN ADMIN TO 3YRS OR OLDER | 2010-09-28 |
| INTERMEDIATE EXAM, OFFICE OR OPD | 2010-09-28 |
| ROUTINE VENIPUNTURE FOR COLLECTION OF SPECIMEN(S) | 2010-09-28 |
| PERIODIC ORAL EVALUATION-ESTABLISHED PATIENT | 2010-12-13 |
| PERIODIC ORAL EVALUATION-ESTABLISHED PATIENT | 2010-12-13 |
| PROPHYLAXIS-ADULT | 2010-12-13 |
| PROPHYLAXIS-ADULT | 2010-12-13 |
| INTERMEDIATE EXAM, OFFICE OR OPD | 2011-01-04 |
| STREPTOCOCCUS, GROUP A | 2011-02-11 |
| LIMITED EXAM,EVALUATION AND/OR TREATMENT, OFFICE OR OPD | 2011-02-11 |
| SERVICES PROVIDED IN AN URGENT CARE CENTER(LIST W/PROC CODE) | 2011-02-11 |
| LIMITED EXAM,EVALUATION AND/OR TREATMENT, OFFICE OR OPD | 2011-04-13 |
| INCISION OF THROMBOSED HEMORRHOID, EXTERNAL | 2011-04-13 |
| PROPHYLAXIS-ADULT | 2011-06-13 |
| BITEWINGS-FOUR FILMS | 2011-06-13 |
| PERIODIC ORAL EVALUATION-ESTABLISHED PATIENT | 2011-06-13 |
| MEDICAL EYE EXAM & EVAL;COMPREHENSIVE,ESTBLSHD PAT;1 OR MORE V | 2011-06-30 |
| MEDICAL EYE EXAM & EVAL;COMPREHENSIVE,ESTBLSHD PAT;1 OR MORE V | 2011-06-30 |
| EMERG ROOM | 2011-07-29 |
| BRIEF SERVICE IP IMMUNIZATION ETC | 2011-07-29 |
| DRUGS REQUIRING DETAILED CODING | 2011-07-29 |
| Procedure 99282 | 2011-07-29 |
| Procedure 90715 | 2011-07-29 |
| DRUGS/NONGENERIC | 2011-07-29 |
| VACCINE ADMINISTRATION. | 2011-07-29 |
| Procedure 90471 | 2011-07-29 |
Test Results
| Name | Result | Date |
|---|---|---|
| Giardia Lamblia Antigen | UNSPECIFIED | 1999-09-23 |
| Hepatitis B Virus Surface Antigen - Serum | UNSPECIFIED | 2000-08-15 |
| Thyroid Stimulating Hormone (TSH) | UNSPECIFIED | 2000-08-15 |
| Creatinine, Serum | 1.2 MG/DL | 2006-04-25 |
| PT | 9.8 Seconds | 2006-04-25 |
| Potassium, Serum | 4.2 MEQ/L | 2006-04-25 |
| Platelet Count | 282 THOU/CMM | 2006-04-25 |
| Basophils - Blood | 0.3 % | 2006-04-25 |
| Basophils - Blood | 0.0 THOU/CMM | 2006-04-25 |
| Neutrophils - Blood | 67.7 % | 2006-04-25 |
| Neutrophils - Blood | 5.1 THOU/CMM | 2006-04-25 |
| Monocytes - Blood | 7.8 % | 2006-04-25 |
| PT INR | 1.0 therapeutic | 2006-04-25 |
| Monocytes - Blood | 0.6 THOU/CMM | 2006-04-25 |
| Mean Corpuscular Volume (MCV) | 89.4 FL | 2006-04-25 |
| Eosinophil Count, Blood | 0.1 THOU/CMM | 2006-04-25 |
| Eosinophil Count, Blood | 1.2 % | 2006-04-25 |
| Red Blood Cell (RBC) Count | 5.21 MILL/CMM | 2006-04-25 |
| Glucose, Blood | 93 MG/DL | 2006-04-25 |
| HGB | 16.0 GM/DL | 2006-04-25 |
| Hct, auto | 46.6 % | 2006-04-25 |
| Lymphocytes - Blood | 23.0 & | 2006-04-25 |
| Activated Partial Thromboplastin Time (aPTT) | 26.3 Seconds | 2006-04-25 |
| Lymphocytes - Blood | 1.7 THOU/CMM | 2006-04-25 |
| White Blood Cell (WBC) Count | 7.5 Thous/CMM | 2006-04-25 |
| Rapid Strep Test | Negative | 2007-04-26 |
| Streptococcus Group A Probe, Throat | Negative | 2007-04-26 |
| Neutrophils - Blood | 6.8 thous/mm3 | 2007-04-30 |
| Mean Corpuscular Hemoglobin (MCH) | 32.0 pg | 2007-04-30 |
| Hct, auto | 46.7 % | 2007-04-30 |
| Mean Corpuscular Hemoglobin Concentration (MCHC) | 35.1 gm/dL | 2007-04-30 |
| Mean Corpuscular Volume (MCV) | 91.2 fl | 2007-04-30 |
| Eosinophil Count, Blood | 2.9 % | 2007-04-30 |
| Mean Platelet Volume (MPV) | 10.5 fl | 2007-04-30 |
| Monocytes - Blood | 8.2 % | 2007-04-30 |
| Monocytes - Blood | 0.8 thous/mm3 | 2007-04-30 |
| Eosinophil Count, Blood | 0.3 thous/mm3 | 2007-04-30 |
| White Blood Cell (WBC) Count | 10.0 thous/mm3 | 2007-04-30 |
| Mononucleosis Spot Test | Negative | 2007-04-30 |
| HGB | 16.4 gm/dL | 2007-04-30 |
| Neutrophils - Blood | 68.0 thous/mm3 | 2007-04-30 |
| Bilirubin, Total | 1.3 mg/dL | 2007-04-30 |
| Total Protein | 7.5 g/dL | 2007-04-30 |
| Basophils - Blood | 0.0 thous/mm3 | 2007-04-30 |
| Platelets | 313 thous/mm3 | 2007-04-30 |
| Basophils - Blood | 0.4 % | 2007-04-30 |
| Aspartate Aminotransferase (AST) | 16 IU/L | 2007-04-30 |
| Alkaline Phosphatase | 82 IU/L | 2007-04-30 |
| Lymphocytes - Blood | 2.1 thous/mm3 | 2007-04-30 |
| RDW,ratio, RBC, Qn, auto | 12.2 % | 2007-04-30 |
| Red Blood Cell (RBC) Count | 5.12 mill/mm3 | 2007-04-30 |
| Albumin, Serum | 4.5 g/dL | 2007-04-30 |
| Lymphocytes - Blood | 20.5 % | 2007-04-30 |
| Alanine Transaminase (ALT) | 25 IU/L | 2007-04-30 |
| Bilirubin, conjugated | 0.3 mg/dL | 2007-04-30 |
| Cholesterol, LDL - Serum | 156 | 2009-07-14 |
| Vitamin D3, 25-OH (Calcifediol) | 55 ng/ml | 2009-07-15 |
| Weight | 3232 ounces | 2010-02-11 |
| Height | 71 inches | 2010-02-11 |
Immunizations
| Name | Date |
|---|---|
| Diphtheria/Tetanus (DT) Toxoids | 2005-12-14 |
| Diphtheria/Tetanus (DT) Toxoids | 1996-11-18 |
| Diphtheria/Tetanus (DT) Toxoids | 1988-08-01 |
| Diphtheria/Tetanus (DT) Toxoids | 1986-06-25 |
| Diphtheria/Tetanus (DT) Toxoids | 1977-06-01 |
| Diphtheria/Tetanus (DT) Toxoids | 1974-03-01 |
| Diphtheria/Tetanus (DT) Toxoids | 1971-01-05 |
| Diphtheria/Tetanus (DT) Toxoids | 1970-07-01 |
| Diphtheria/Tetanus (DT) Toxoids | 1970-06-05 |
| Diphtheria/Tetanus (DT) Toxoids | 1970-05-07 |
| Flu Shot | 2007-10-18 |
| Flu Shot | 2002-11-27 |
| Flu Shot | 2000-11-30 |
| Flu Shot | 1998-10-15 |
| Flu Shot | 1996-10-01 |
| Flu Shot | 1995-12-14 |
| Hepatitis A Vaccine, Adult | 2000-08-09 |
| Hepatitis A Vaccine, Adult | 1996-07-11 |
| Hepatitis A Vaccine, Adult | 1995-12-18 |
| Hepatitis B Vaccine, Adult | 1998-10-15 |
| Hepatitis B Vaccine, Adult | 1998-10-01 |
| Hepatitis B Vaccine, Adult | 1995-12-14 |
| Hepatitis B Vaccine, Adult | 1992-05-20 |
| Hepatitis B Vaccine, Adult | 1992-01-09 |
| Hepatitis B Vaccine, Adult | 1991-12-12 |
| Japanese Encephalitis | 1998-12-11 |
| Japanese Encephalitis | 1998-11-25 |
| Japanese Encephalitis | 1998-11-18 |
| Measles/Mumps/Rubella (MMR) Vaccine | 1995-12-14 |
| Measles/Mumps/Rubella (MMR) Vaccine | 1988-08-01 |
| Measles/Mumps/Rubella (MMR) Vaccine | 1974-03-15 |
| Measles/Mumps/Rubella (MMR) Vaccine | 1971-04-07 |
| Meningococcal Vaccine, Type Unknown | 2002-11-27 |
| Meningococcal Vaccine, Type Unknown | 2000-11-30 |
| Meningococcal Vaccine, Type Unknown | 1998-10-01 |
| Meningococcal Vaccine, Type Unknown | 1996-11-18 |
| Poliovirus Vaccine, (DPV) | 1995-12-14 |
| Poliovirus Vaccine, Live, Oral (OPV) | 1970-08-31 |
| Poliovirus Vaccine, Live, Oral (OPV) | 1970-07-01 |
| Poliovirus Vaccine, Live, Oral (OPV) | 1970-05-07 |
| Rabies Vaccine, Type Unknown | 2002-11-27 |
| Rabies Vaccine, Type Unknown | 2000-11-30 |
| Rabies Vaccine, Type Unknown | 1998-11-18 |
| Rabies Vaccine, Type Unknown | 1996-12-04 |
| Rabies Vaccine, Type Unknown | 1996-11-27 |
| Rabies Vaccine, Type Unknown | 1996-11-21 |
| Tetanus Toxoid, Unknown Type (Booster) | 1998-11-18 |
| Tuberculin Tine Test | 1998-07-03 |
| Tuberculin Tine Test | 1995-12-14 |
| Typhoid Vaccine, Unknown Type | 2002-11-27 |
| Typhoid Vaccine, Unknown Type | 2000-11-30 |
| Typhoid Vaccine, Unknown Type | 1995-12-01 |
| Yellow fever vaccine | 1997-01-08 |
Updated: 2011-09-05T08:07:07.934Z
Samples
| Saliva Collection Pilot Study for 100 participants |
Sample
51450922
(saliva)
received
2011-08-30 21:31:19 UTC
by Harvard University.
Show log
|
||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sample
67294125
(saliva)
received
2011-08-30 21:26:54 UTC
by Harvard University.
Show log
|
|||||||||||||||||||
Sample
40876719
(saliva)
received
2011-08-07 13:04:15 UTC
by hu6E37AB.
Show log
|
|||||||||||||||||||
| Saliva Collection for Multiple Studies |
Sample
10157163
(saliva)
mailed
2012-08-31 22:21:17 UTC
by
hu6E37AB.
Show log
|
||||||||||||||||||
Sample
11026009
(saliva)
mailed
2012-08-31 22:21:17 UTC
by
hu6E37AB.
Show log
|
|||||||||||||||||||
| Saliva Re-collection for Multiple Studies |
Sample
57025776
(saliva)
received
2012-09-13 17:15:04 UTC
by Harvard University / TeloMe, Inc..
Show log
|
||||||||||||||||||
Sample
2662317
(saliva)
received
2012-09-13 17:15:23 UTC
by Harvard University / TeloMe, Inc..
Show log
|
|||||||||||||||||||
Sample
60708499
(saliva)
received
2012-09-13 17:15:34 UTC
by Harvard University / TeloMe, Inc..
Show log
|
Uploaded data
| Date | Data type | Source | Name | Download | Report | |
|---|---|---|---|---|---|---|
| 2011-04-12 | 23andMe | Participant | Genome - 23andMe |
Download
(4.8 MB) |
View report
• male • 575,239 positions covered • ref. b36 |
Geographic Information
| State: | Colorado |
| Zip code: | 80504 |
Family Members Enrolled
None added.Surveys
| PGP Participant Survey | Responses submitted 7/16/2011 14:33:25. Show responses |
|---|---|
| Timestamp | 7/16/2011 14:33:25 |
| Year of birth | 40-49 years |
| Which statement best describes you? | I am comfortable making my genome sequence data publicly available without prior review. |
| Severe disease or rare genetic trait | No |
| Sex/Gender | Male |
| Race/ethnicity | White |
| Maternal grandmother: Country of origin | Austria |
| Paternal grandmother: Country of origin | United Kingdom |
| Paternal grandfather: Country of origin | United Kingdom |
| Maternal grandfather: Country of origin | Austria |
| Enrollment of relatives | No |
| Enrollment of older individuals | No |
| Enrollment of parents | No |
| Have you uploaded genetic data to your PGP participant profile? | Yes, I have uploaded genetic data |
| Have you used the PGP web interface to record a designated proxy? | Yes |
| Have you uploaded health record data using our Google Health or Microsoft Healthvault interfaces? | Yes |
| Uploaded health records: Update status | Yes |
| Uploaded health records: Extensiveness | 5 |
| Blood sample | Yes |
| Saliva sample | Yes |
| Microbiome samples | Yes |
| Tissue samples from surgery | No |
| Tissue samples from autopsy | Yes |
Absolute Pitch Survey [see all responses]
Can tell if notes are in tune: No
Can sing a melody on key: No
Can recognize musical intervals: Yes
Do you have absolute pitch? No
Enrollment History
| Participant ID: | hu6E37AB |
| Account created: | 2009-06-01 14:57:20 UTC |
| Eligibility screening: | 2009-06-01 15:00:06 UTC (passed v1) |
| Exam: | 2009-06-01 15:58:07 UTC (passed v1) |
| Consent: | 2015-08-06 14:28:47 UTC (passed v20150505) |
| Enrolled: | 2010-10-10 15:32:28 UTC |