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    CHRIS JOHNSON      
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Personal Health Record
   
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Health Summary
 

Hi CHRIS JOHNSON,

Displayed below are your most recent health entries based upon your self-reported and claims information. Click here for Quick Start
 
Personal Information Edit
Gender: Male DOB: 01/01/1971
Height: 5' 10" Weight: 220.0 lbs
Blood Type: Don't Know

Contact Information   Edit
Address: 23 Main Street
Summit,NJ 08875
Home #: 555-555-5555
Work #: 555-555-5555
Mobile #: 555-555-5555
E-Mail: cjohnson@test.com
Primary Emergency Contact Edit
Name: Joanne Anderson
Relationship: Wife
Phone: 952-555-3214
Primary Care Physician Contact
Name: Mickey J Morgan
Phone: 952-555-3214

Health Tracking  
Category
Value
Last
Tracked
Weight:
02/12/2007
Caloric Intake: Add  
Drinks/Day: 1
02/12/2007
Total Choles.: 140
02/12/2007
HDL - LDL: Add  
Triglycerides: Add  
Blood Press.: 130/90
02/12/2007
Blood Sugar: 80
02/12/2007
Hemoglobin: Add  
HbA1C: 7.5
02/12/2007
Pain: Add  
Stress: 6
02/12/2007
Sleep: Add  
Depression: Add  

Legal Documents Edit
Living Will Yes: Details
Resuscitation Order Yes: Details

 

 
Claims
View Your Claims Information

Reminders
8/15/2006 Your prescription for Glucophage is due to be re-filled on 8/19/2006
8/10/2006 You have a Physical Exam Scheduled for 8/15/2006 at 10:30 a.m.
8/5/2006 Dr. Morgan sent a message to your Message Center
7/21/2006 A recent lab test showed your blood pressure to be high. Talk with your physician.
 

Allergies  
Food: Reaction:
Hay Fever Hives
 
 

Conditions  
Condition: Diagnosed Date:
Diabetes 8/25/2004
Hypertension 4/25/2005
Conjunctivitis 2/21/2006
Flu 1/25/2005
Hepatitus C 7/25/2004
 

Medications  
Medication: Date Started:
Glucophage 6/26/2006
Valium 2/25/2006
 

Procedures  
 
Procedure: Date:
Heart Bypass 8/25/2004
 
 
 
 
 
 
 
 
 
 
 
 
Health Links
 
Diabetes
Hypertension
Conjunctivitis
Hepatitis
 
 
 
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