blue_button_parser 0.1.0
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- data/.document +5 -0
- data/Gemfile +14 -0
- data/Gemfile.lock +22 -0
- data/LICENSE.txt +20 -0
- data/README.rdoc +114 -0
- data/Rakefile +53 -0
- data/VERSION +1 -0
- data/blue_button_parser.gemspec +64 -0
- data/lib/blue_button_parser.rb +282 -0
- data/test/data/blue_button_example_data.txt +1479 -0
- data/test/data/expected_json_output.js +1062 -0
- data/test/helper.rb +19 -0
- data/test/test_blue_button_parser.rb +257 -0
- metadata +153 -0
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# Sample data from the VA.gov site:
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# http://www.va.gov/BLUEBUTTON/docs/VA_My_HealtheVet_Blue_Button_Sample_Version_12_All_Data.txt
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------------------ MY HEALTHEVET PERSONAL INFORMATION REPORT ------------
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*************CONFIDENTIAL*************
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Produced by the Blue Button (v12)
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02 Dec 2011 @ 1023
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This summary is a copy of information from your My HealtheVet Personal
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Health Record. Your summary contains information that you entered and
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may also include a copy of some of the information in your VA medical
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record as it becomes available in My HealtheVet. Please let your health
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care team know if you have questions about your health information. For
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some Veterans, information from the Department of Defense (DoD) is
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available. You will see this in VA Blue Button as DoD Military Service
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Information.
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Name: MHVVETERAN, ONE A Date of Birth: 01 Mar 1948
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------------------------ DOWNLOAD REQUEST SUMMARY -----------------------
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System Request Date/Time: 02 Dec 2011 @ 1023
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User Request Type: Download all of my available data from My HealtheVet
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File Name: mhv_MHVVETERAN_20111202.txt
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Data Types Selected:
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My HealtheVet Account Summary
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Demographics
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Health Care Providers
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Treatment Facilities
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Health Insurance
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VA Wellness Reminders
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VA Appointments (Future)
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VA Appointments (Limited to past 2 years)
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VA Medication History
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Medications and Supplements
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VA Allergies
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Allergies/Adverse Reactions
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Medical Events
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Immunizations
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VA Laboratory Results
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Labs and Tests
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Vitals and Readings
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Family Health History
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Military Health History
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DoD Military Service Information
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--------------------- MY HEALTHEVET ACCOUNT SUMMARY ---------------------
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Source: VA
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Authentication Status: Authenticated
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Authentication Date: 19 Aug 2010
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Authentication Facility ID: 979
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Authentication Facility Name: SLC10 TEST LAB
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VA Treating Facility Type
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---------------------------- -----------
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DAYT29 M&ROC
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AUSTIN HDR INT OTHER
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AUSTIN PSIM OTHER
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----------------------------- DEMOGRAPHICS ----------------------------
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Source: Self-Entered
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First Name: ONE
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Middle Initial: A
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Last Name: MHVVETERAN
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Suffix:
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Alias: MHVVET
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Relationship to VA: Patient, Veteran, Employee
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Gender: Male Blood Type: AB+ Organ Donor: Yes
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Date of Birth: 01 Mar 1948
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Marital Status: Married
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Current Occupation: Truck Driver
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Mailing or Destination Address: 123 Anywhere Road
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Mailing or Destination Address2: Apartment 123
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Mailing or Destination City: Anywhere
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Mailing or Destination State: DC
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Mailing or Destination Country: United States
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Mailing or Destination Province:
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Mailing or Destination Zip/Postal Code: 00001
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Home Phone Number: 000-010-0101
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Work Phone Number: 000-020-0202
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Pager Number: 000-030-0303
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Cell Phone Number: 000-040-0404
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FAX Number: 000-050-0505
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Email Address: mhvveteran@emailaddress.com
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Preferred Method of Contact: Email
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EMERGENCY CONTACTS
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Contact First Name: Two
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Contact Last Name: MHVVeteran
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Relationship:
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Home Phone Number: 000-010-0101
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Work Phone Number: 000-060-0606 Extension:
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Cell Phone Number: 000-070-0707
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Address Line 1: 123 Anywhere Road
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Address Line 2: Apartment 123
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City: Anywhere
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State: DC
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Country: United States
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Province:
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Zip/Post Code: 00001
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Email Address: twomhvveteran@domain.com
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Contact First Name: Three
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Contact Last Name: MHVVeteran
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Relationship:
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Home Phone Number: 000-010-0101
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Work Phone Number: 000-080-0808 Extension:
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Cell Phone Number: 000-090-0909
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Address Line 1: 123 Anywhere Road
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Address Line 2: Apartment 123
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City: Anywhere
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State: DC
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Country: United States
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Province:
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Zip/Post Code: 00001
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Email Address: threemhvveteran@domain.com
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------------------------- HEALTH CARE PROVIDERS -------------------------
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Source: Self-Entered
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Provider Name: John Doe
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Type of Provider: Primary
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Other Clinician Information:
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Phone Number: 000-000-0000 Ext: 1234
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Email: provider@institution.org
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Comments: Dr. Doe can be reached on the weekend if needed by leaving a message
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with the clinic.
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Provider Name: Jane Smith
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Type of Provider: Specialist
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Other Clinician Information: Seen as needed
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Phone Number: 000-000-0001 Ext: 1234
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Email: specialist@institution.org
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Comments: Dr. Smith should be notified of any changes in my medical condition.
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Requires a referral from my health insurance company.
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------------------------- TREATMENT FACILITIES --------------------------
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Source: Self-Entered
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Facility Name: Anywhere VA Medical Center
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Facility Type: VA VA Home Facility: Yes
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Phone Number: 000-000-0001 Ext: 1234
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Mailing Address: 123 VA Drive
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Mailing Address2: Suite 4
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Mailing City: Anywhere
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Mailing State: DC
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Mailing Country: United States
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Mailing Province:
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Mailing Zip/Postal Code: 00001
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Comments: Contact clinic when calling to make my appointments.
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Facility Name: Health Care Inc.
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Facility Type: Non-VA VA Home Facility: No
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Phone Number: 000-000-0002 Ext: 5678
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Mailing Address: 123 Anywhere Road
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Mailing Address2: B-Wing
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Mailing City: Anywhere
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Mailing State: DC
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Mailing Country: United States
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Mailing Province:
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Mailing Zip/Postal Code: 00001
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Comments: Reminder to bring My HealtheVet printouts for all visits
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--------------------------- HEALTH INSURANCE ----------------------------
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Source: Self-Entered
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Health Insurance Company: My Health Insurance Company
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Primary Insurance Provider: Yes
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ID Number: 0001234 Group Number: 0000000
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Insured: One Mhvveteran
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Start Date: 01 Jan 2000 Stop Date:
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Pre-Approval Phone Number: 000-000-0003
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Health Insurance Company Phone Number: 000-000-0004
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Comments: Need to get pre-authorization for special services.
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Health Insurance Company: My Other Health Insurance Company
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Primary Insurance Provider: No
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ID Number: 000567891010 Group Number: ABC123456789
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Insured: One Mhvveteran
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Start Date: 01 Jan 2009 Stop Date:
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Pre-Approval Phone Number: 000-000-0005
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Health Insurance Company Phone Number: 000-000-0005
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Comments: Coverage only for vision and dental.
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---------------------------- VA WELLNESS REMINDERS -------------------------
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Source: VA
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Last Updated: 02 Dec 2011 @ 0706
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Wellness Reminder Due Date Last Completed Location
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----------------------------------------------------------------------------
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Colon Cancer Screening DUE NOW UNKNOWN DAYT29
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Influenza Vaccine DUE NOW UNKNOWN DAYT29
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Learn more about these Wellness Reminders by visiting My HealtheVet.
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Please contact your health care team with any questions about your VA
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Wellness Reminders.
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--------------------------- VA APPOINTMENTS -----------------------------
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Source: VA
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Last Updated: 02 Dec 2011 @ 0706
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VA Past Appointments are limited to two years from the date of your
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download request.
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FUTURE APPOINTMENTS:
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--------------------
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Date/Time: 13 Oct 2012 @ 1100
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Location: DAYT29 TEST LAB
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Status: NOT APPLICABLE
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Clinic: C&P CHRISTIE
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Phone Number: 3929
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Type: Compensation and Pension Appointment
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PAST APPOINTMENTS:
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--------------------
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Date/Time: 13 Oct 2011 @ 1600
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Location: DAYT29 TEST LAB
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Status: NOT APPLICABLE
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Clinic: C&P CHRISTIE
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Phone Number: 3929
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Type: Compensation and Pension Appointment
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Date/Time: 07 Sep 2011 @ 1100
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Location: DAYT29 TEST LAB
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Status: NOT APPLICABLE
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Clinic: TELEPHONE CALLS/GERIATRICS
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Phone Number: 3742
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Date/Time: 27 Jul 2011 @ 1400
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Location: DAYT29 TEST LAB
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Status: NOT APPLICABLE
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Clinic: DIABETIC-BURKE
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Phone Number: 800-123-1234
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Note: This appointment has pre-appointment activity scheduled:
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Lab: 27 Jul 2011 @ 1000
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Date/Time: 15 Jun 2011 @ 1300
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Location: DAYT29 TEST LAB
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Status: NOT APPLICABLE
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Clinic: DIABETIC-BURKE
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Phone Number: 800-123-1234
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Note: This appointment has pre-appointment activity scheduled:
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Lab: 15 Jun 2011 @ 0800
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EKG: 15 Jun 2011 @ 1030
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X-Ray: 15 Jun 2011 @ 0900
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Date/Time: 03 May 2011 @ 1100
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Location: DAYT29 TEST LAB
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Status: NOT APPLICABLE
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Clinic: TELEPHONE CALLS/GERIATRICS
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Phone Number: 3742
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Note: This appointment has pre-appointment activity scheduled:
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X-Ray: 03 May 2011 @ 0800
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Date/Time: 15 Mar 2011 @ 1000
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Location: MIDDLETOWN
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Status: CANCELLED
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Clinic: MD/DENTAL FOSTER
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Phone Number: 2449
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Note: This appointment has pre-appointment activity scheduled:
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Lab: 15 Mar 2011 @ 0930
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Date/Time: 06 Jan 2011 @ 1000
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Location: DAYT29 TEST LAB
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Status: NOT APPLICABLE
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Clinic: PRP JOHNSON,C (GRP)
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Phone Number: 2188
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Note: This appointment has pre-appointment activity scheduled:
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Lab: 06 Jan 2011 @ 0900
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EKG: 06 Jan 2011 @ 0930
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Date/Time: 03 Jan 2011 @ 1300
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Location: DAYT29 TEST LAB
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Status: NOT APPLICABLE
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Clinic: PRP JOHNSON,C (GRP)
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Phone Number: 2188
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Date/Time: 29 Dec 2010 @ 1000
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Location: MIDDLETOWN
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Status: NOT APPLICABLE
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Clinic: MD/PODIATRY NGUYEN (Follow-Up)
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Phone Number: 5416
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Date/Time: 30 Aug 2010 @ 1400
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Location: DAYT29 TEST LAB
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Status: APPOINTMENT KEPT
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Clinic: TELEPHONE CALLS/GERIATRICS
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Phone Number: 3742
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Date/Time: 14 Jul 2010 @ 0900
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Location: MIDDLETOWN
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Status: NOT APPLICABLE
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Clinic: MD/PODIATRY NGUYEN (Follow-Up)
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Phone Number: 5416
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-------------------------- VA MEDICATION HISTORY ----------------------
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Source: VA
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Last Updated: 11 Apr 2011 @ 1737
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VA Medication History includes up to two years of medication history
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unless you select a different date range in your download request.
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Medication: AMLODIPINE BESYLATE 10MG TAB
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Instructions: TAKE ONE TABLET BY MOUTH TAKE ONE-HALF TABLET FOR 1 DAY --AVOID
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GRAPEFRUIT JUICE--
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Status: Active
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Refills Remaining: 3
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Last Filled On: 20 Aug 2010
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Initially Ordered On: 13 Aug 2010
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Quantity: 45
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Days Supply: 90
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Pharmacy: DAYTON
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Prescription Number: 2718953
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Medication: IBUPROFEN 600MG TAB
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Instructions: TAKE ONE TABLET BY MOUTH FOUR TIMES A DAY WITH FOOD AS NEEDED
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Status: Active
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Refills Remaining: 3
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Last Filled On: 20 Aug 2010
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Initially Ordered On: 01 Jul 2010
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Quantity: 240
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Days Supply: 60
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Pharmacy: DAYTON
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Prescription Number: 2718960
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Medication: INSULIN,GLARGINE,HUMAN 100 UNT/ML INJ
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Instructions: INJECT 10 ML VIAL UNDER THE SKIN AS DIRECTED FOR 28 DAYS INJECT
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25 UNITS UNDER THE SKIN AT BEDTIME DO NOT MIX WITH OTHER INSULINS/DISCARD OPEN
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VIALS AFTER 28 DAYS
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Status: Active
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Refills Remaining: 3
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Last Filled On: 20 Aug 2010
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Initially Ordered On: 01 Jul 2010
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Quantity: 30
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Days Supply: 30
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Pharmacy: DAYTON
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Prescription Number: 2718956
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Medication: TERAZOSIN HCL 2MG CAP
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Instructions: TAKE THREE CAPSULES BY MOUTH AT BEDTIME.
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Status: Active
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Refills Remaining: 2
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Last Filled On: 20 Aug 2010
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Initially Ordered On: 01 Jul 2010
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Quantity: 270
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Days Supply: 90
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Pharmacy: DAYTON
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Prescription Number: 2718958
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Medication: METFORMIN HCL 1000MG TAB
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Instructions: TAKE ONE TABLET BY MOUTH TWICE A DAY WITH MEALS FOR DIABETES
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Status: Active
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Refills Remaining: 3
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Last Filled On: 20 Aug 2010
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Initially Ordered On: 01 Jul 2010
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Quantity: 180
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Days Supply: 90
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Pharmacy: DAYTON
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Prescription Number: 2718955
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Medication: SIMVASTATIN 20MG TAB
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Instructions: TAKE ONE TABLET BY MOUTH AT BEDTIME FOR CHOLESTEROL - CALL YOUR
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|
+
PROVIDER IF YOU HAVE UNEXPLAINED MUSCLE PAIN, TENDERNESS OR WEAKNESS.
|
383
|
+
Status: Active
|
384
|
+
Refills Remaining: 3
|
385
|
+
Last Filled On: 20 Aug 2010
|
386
|
+
Initially Ordered On: 01 Jul 2010
|
387
|
+
Quantity: 90
|
388
|
+
Days Supply: 90
|
389
|
+
Pharmacy: DAYTON
|
390
|
+
Prescription Number: 2718957
|
391
|
+
|
392
|
+
Medication: LISINOPRIL 10MG TAB
|
393
|
+
Instructions: TAKE ONE TABLET BY MOUTH DAILY
|
394
|
+
Status: Active
|
395
|
+
Refills Remaining: 3
|
396
|
+
Last Filled On: 20 Aug 2010
|
397
|
+
Initially Ordered On: 01 Jul 2010
|
398
|
+
Quantity: 90
|
399
|
+
Days Supply: 90
|
400
|
+
Pharmacy: DAYTON
|
401
|
+
Prescription Number: 2718954
|
402
|
+
|
403
|
+
Medication: INSULIN NPH HUMAN 100 U/ML INJ NOVOLIN N
|
404
|
+
Instructions: INJECT 16 UNITS UNDER THE SKIN EVERY MORNING AND INJECT 18 UNITS
|
405
|
+
AT BEDTIMEnull
|
406
|
+
Status: Discontinued
|
407
|
+
Refills Remaining: 3
|
408
|
+
Last Filled On: 20 Aug 2010
|
409
|
+
Initially Ordered On: 24 May 2010
|
410
|
+
Quantity: 30
|
411
|
+
Days Supply: 30
|
412
|
+
Pharmacy: DAYTON
|
413
|
+
Prescription Number: 2718962
|
414
|
+
|
415
|
+
Medication: FREESTYLE (GLUCOSE) TEST STRIP
|
416
|
+
Instructions: USE 1 STRIP FOR TESTING AS DIRECTED
|
417
|
+
Status: Submitted
|
418
|
+
Refills Remaining: 2
|
419
|
+
Last Filled On: 20 Aug 2010
|
420
|
+
Initially Ordered On: 01 Jul 2010
|
421
|
+
Quantity: 200
|
422
|
+
Days Supply: 50
|
423
|
+
Pharmacy: DAYTON
|
424
|
+
Prescription Number: 2718959
|
425
|
+
|
426
|
+
Medication: COLON ELECTROLYTE LAVAGE PWD FOR SOLN
|
427
|
+
Instructions: TAKE 1 CONTAINER MOUTH AS DIRECTED FOR 1 DAY DISSOLVE 1 BOTTLE BY
|
428
|
+
Status: Expired
|
429
|
+
Refills Remaining: 0
|
430
|
+
Last Filled On: 01 Jul 2010
|
431
|
+
Initially Ordered On: 01 Jul 2010
|
432
|
+
Quantity: 1
|
433
|
+
Days Supply: 2
|
434
|
+
Pharmacy: DAYTON
|
435
|
+
Prescription Number: 2718961
|
436
|
+
|
437
|
+
Medication: TABLET CUTTER
|
438
|
+
Instructions: USE AS DIRECTED MOUTH AS DIRECTED FOR 3 DAYS USE AS DIRECTED TO
|
439
|
+
SPLIT
|
440
|
+
Status: Expired
|
441
|
+
Refills Remaining: 0
|
442
|
+
Last Filled On: 24 May 2010
|
443
|
+
Initially Ordered On: 24 May 2010
|
444
|
+
Quantity: 1
|
445
|
+
Days Supply: 30
|
446
|
+
Pharmacy: DAYTON
|
447
|
+
Prescription Number: 2718963
|
448
|
+
|
449
|
+
|
450
|
+
-------------------------- MEDICATIONS AND SUPPLEMENTS ----------------------
|
451
|
+
|
452
|
+
Source: Self-Entered
|
453
|
+
|
454
|
+
Category: RX Medication
|
455
|
+
Drug Name: Aspirin EC
|
456
|
+
Prescription Number: 010101B
|
457
|
+
Strength: 81mg
|
458
|
+
Dose: 1 tab
|
459
|
+
Frequency: daily
|
460
|
+
Start Date: 15 Jun 2005 Stop Date:
|
461
|
+
Pharmacy Name: My Local Drugstore Pharmacy Phone: 000-010-0000
|
462
|
+
|
463
|
+
Reason for taking: Daily regimen for heart health
|
464
|
+
|
465
|
+
Comments:
|
466
|
+
|
467
|
+
Category: OTC
|
468
|
+
Drug Name: Cough Medicine
|
469
|
+
Prescription Number:
|
470
|
+
Strength: 1000mg
|
471
|
+
Dose: 2 TBS
|
472
|
+
Frequency: morning and night
|
473
|
+
Start Date: 01 Feb 2010 Stop Date: 21 Feb 2010
|
474
|
+
Pharmacy Name: My Local Drugstore Pharmacy Phone: 000-010-0000
|
475
|
+
|
476
|
+
Reason for taking: Cough was keeping me up at night
|
477
|
+
|
478
|
+
Comments: Cleared up after a few weeks
|
479
|
+
|
480
|
+
Category: Herbal
|
481
|
+
Drug Name: Ginkgo biloba
|
482
|
+
Prescription Number:
|
483
|
+
Strength:
|
484
|
+
Dose: 2 capsules
|
485
|
+
Frequency: once a day
|
486
|
+
Start Date: 08 Mar 2008 Stop Date:
|
487
|
+
Pharmacy Name: My Local Drugstore Pharmacy Phone: 000-010-0000
|
488
|
+
|
489
|
+
Reason for taking: Wife suggested to improve concentration
|
490
|
+
|
491
|
+
Comments: Take in the morning with breakfast
|
492
|
+
|
493
|
+
Category: Supplement
|
494
|
+
Drug Name: Multi-vitamin
|
495
|
+
Prescription Number:
|
496
|
+
Strength: 100% RDA
|
497
|
+
Dose: 1 tablet daily
|
498
|
+
Frequency: morning
|
499
|
+
Start Date: 18 Mar 2010 Stop Date:
|
500
|
+
Pharmacy Name: My Local Drugstore Pharmacy Phone: 000-010-0000
|
501
|
+
|
502
|
+
Reason for taking: To stay healthy
|
503
|
+
|
504
|
+
Comments: Feeling more energetic since I started taking vitamin
|
505
|
+
|
506
|
+
---------------------------- VA ALLERGIES -------------------------
|
507
|
+
|
508
|
+
Source: VA
|
509
|
+
Last Updated: 01 Dec 2011 @ 0851
|
510
|
+
|
511
|
+
|
512
|
+
Allergy Name: TRIMETHOPRIM
|
513
|
+
Location: DAYT29
|
514
|
+
Date Entered: 09 Mar 2011
|
515
|
+
Reaction:
|
516
|
+
Allergy Type: DRUG
|
517
|
+
VA Drug Class: ANTI-INFECTIVES,OTHER
|
518
|
+
Observed/Historical: HISTORICAL
|
519
|
+
Comments: The reaction to this allergy was MILD (NO SQUELAE)
|
520
|
+
|
521
|
+
Allergy Name: TRAMADOL
|
522
|
+
Location: DAYT29
|
523
|
+
Date Entered: 09 Mar 2011
|
524
|
+
Reaction: URINARY RETENTION
|
525
|
+
Allergy Type: DRUG
|
526
|
+
VA Drug Class: NON-OPIOID ANALGESICS
|
527
|
+
Observed/Historical: HISTORICAL
|
528
|
+
Comments: gradually worsening difficulty emptying bladder -- might
|
529
|
+
try tramadol again cautiously because pt. reported pain releif
|
530
|
+
|
531
|
+
Allergy Name: BACTRIM
|
532
|
+
Location: DAYT29
|
533
|
+
Date Entered: 09 Mar 2011
|
534
|
+
Reaction:
|
535
|
+
Allergy Type: DRUG
|
536
|
+
VA Drug Class: SULFONAMIDE/RELATED ANTIMICROBIALS
|
537
|
+
Observed/Historical: HISTORICAL
|
538
|
+
Comments: Causes Swelling of the Extremeties
|
539
|
+
|
540
|
+
Allergy Name: TERAZOSIN
|
541
|
+
Location: DAYT29
|
542
|
+
Date Entered: 09 Mar 2011
|
543
|
+
Reaction: DIZZINESS
|
544
|
+
Allergy Type: DRUG
|
545
|
+
VA Drug Class: ALPHA BLOCKERS/RELATED
|
546
|
+
Observed/Historical: HISTORICAL
|
547
|
+
Comments: Lightheadedness on 10mg qhs Terazoin resolved upon
|
548
|
+
stopping Terazoin.
|
549
|
+
|
550
|
+
Allergy Name: METHOCARBAMOL
|
551
|
+
Location: DAYT29
|
552
|
+
Date Entered: 09 Mar 2011
|
553
|
+
Reaction: CONFUSION, DROWSINESS
|
554
|
+
Allergy Type: DRUG
|
555
|
+
VA Drug Class: SKELETAL MUSCLE RELAXANTS
|
556
|
+
Observed/Historical: OBSERVED
|
557
|
+
Comments: Drowsiness and hallucinations while on methocarbamol plus
|
558
|
+
carbamazepine and other sedatives
|
559
|
+
|
560
|
+
Please contact your health care team with any questions about your VA
|
561
|
+
Allergy information.
|
562
|
+
|
563
|
+
|
564
|
+
|
565
|
+
-------------------------- ALLERGIES/ADVERSE REACTIONS ---------------------
|
566
|
+
|
567
|
+
Source: Self-Entered
|
568
|
+
|
569
|
+
|
570
|
+
Allergy Name: Peanuts
|
571
|
+
Date: 01 Aug 1980
|
572
|
+
Severity: Moderate
|
573
|
+
Diagnosed: Yes
|
574
|
+
|
575
|
+
Reaction: Hives
|
576
|
+
|
577
|
+
Comments: Avoid peanuts and peanut based foods. Foods cooked with peanut oil
|
578
|
+
also cause the reaction
|
579
|
+
|
580
|
+
Allergy Name: Pollen
|
581
|
+
Date: 18 Mar 2010
|
582
|
+
Severity: Mild
|
583
|
+
Diagnosed: Yes
|
584
|
+
|
585
|
+
Reaction: Watery eyes, itchy nose
|
586
|
+
|
587
|
+
Comments: Took an over the counter antihistamine
|
588
|
+
|
589
|
+
|
590
|
+
------------------------------ MEDICAL EVENTS -------------------------------
|
591
|
+
|
592
|
+
Source: Self-Entered
|
593
|
+
|
594
|
+
Medical Event: Colonoscopy
|
595
|
+
Start Date: 18 Mar 2000
|
596
|
+
Stop Date: 18 Mar 2000
|
597
|
+
|
598
|
+
Response: Colonoscopy when well
|
599
|
+
|
600
|
+
Comments: Polyps were removed. Doctor said these were benign
|
601
|
+
|
602
|
+
Medical Event: Broken right arm
|
603
|
+
Start Date: 04 Jan 2010
|
604
|
+
Stop Date: 17 Feb 2010
|
605
|
+
|
606
|
+
Response: Placed in cast from my hand to my elbow
|
607
|
+
|
608
|
+
Comments: Went to community hospital emergency room since I was on vacation.
|
609
|
+
Followed up with my VA doctor when I returned home.
|
610
|
+
|
611
|
+
|
612
|
+
----------------------------- IMMUNIZATIONS ---------------------------------
|
613
|
+
|
614
|
+
Source: Self-Entered
|
615
|
+
|
616
|
+
Immunization: Measles + Rubella (German Measles)
|
617
|
+
Other: none
|
618
|
+
Method: Injection
|
619
|
+
Date Received: 01 Mar 1950
|
620
|
+
|
621
|
+
Reactions:
|
622
|
+
---------------------------------
|
623
|
+
Pain
|
624
|
+
|
625
|
+
Comments: Received as a child
|
626
|
+
|
627
|
+
Immunization: Flu
|
628
|
+
Other: H1N1
|
629
|
+
Method: Inhalant
|
630
|
+
Date Received: 01 Sep 2009
|
631
|
+
|
632
|
+
Reactions:
|
633
|
+
---------------------------------
|
634
|
+
|
635
|
+
Comments: Had no reaction
|
636
|
+
|
637
|
+
Immunization: Tetanus
|
638
|
+
Other: none
|
639
|
+
Method: Injection
|
640
|
+
Date Received: 18 Jul 2010
|
641
|
+
|
642
|
+
Reactions:
|
643
|
+
---------------------------------
|
644
|
+
Pain
|
645
|
+
|
646
|
+
Comments: stepped on a rusty nail
|
647
|
+
|
648
|
+
|
649
|
+
-------------------------- VA LABORATORY RESULTS ----------------------------
|
650
|
+
|
651
|
+
Source: VA
|
652
|
+
Last Updated: 01 Dec 2011 @ 0851
|
653
|
+
Sorted By: Date Specimen Collected (Descending)
|
654
|
+
|
655
|
+
VA Laboratory Results includes up to two years of history
|
656
|
+
unless you select a different date range in your download request.
|
657
|
+
|
658
|
+
=============================================================================
|
659
|
+
Lab Test: Prothrombin Time+PTT
|
660
|
+
Lab Type: Chemistry/Hematology
|
661
|
+
Ordering Provider: PROVIDER, ONE
|
662
|
+
Ordering Location: DAYTON, OH VAMC
|
663
|
+
Specimen: Plasma
|
664
|
+
Date/Time Collected: 27 Jun 2011
|
665
|
+
|
666
|
+
-----------------------------------------------------------------------------
|
667
|
+
Test Name: COAGULATION SURFACE INDUCED.FACTOR SUBSTITUTION~IMMEDIATELY AFTER ADDITION OF NORMAL PLASMA
|
668
|
+
Result: 13.2 Low
|
669
|
+
Units: SECONDS
|
670
|
+
Reference Range: (59.0-104.0)
|
671
|
+
Interpretation: Current normal range = 20.3 -35.8 seconds.
|
672
|
+
Normal range prior to 7/5/02 was 25.3 - 40.4 sec.
|
673
|
+
Normal range prior to 2/26/98 was 26.1 - 43.0 sec.
|
674
|
+
Therapeutic range prior to 7/5/02 was 67.0 - 118.0 sec.
|
675
|
+
Therapeutic range prior to 2/26/98 was 72.0 - 126.0 sec.
|
676
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
677
|
+
Status: Final
|
678
|
+
----------------------
|
679
|
+
Test Name: COAGULATION TISSUE FACTOR INDUCED
|
680
|
+
Result: 9.9 Low
|
681
|
+
Units: SECONDS
|
682
|
+
Reference Range: (23.0-33.0)
|
683
|
+
Interpretation: Current normal range = 10.8 - 13.7 seconds.
|
684
|
+
Normal range prior to 7/5/02 was 10.7 - 14.1 seconds.
|
685
|
+
INR should be used for therapeutic decisions.
|
686
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
687
|
+
Status: Final
|
688
|
+
----------------------
|
689
|
+
Test Name: COAGULATION TISSUE FACTOR INDUCED.INR
|
690
|
+
Result: .7
|
691
|
+
Units:
|
692
|
+
Reference Range: (2-3)
|
693
|
+
Interpretation: FOR ADDITIONAL INFORMATION - CHECK INR UNDER "TEST DESCRIPTION
|
694
|
+
INFO"
|
695
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
696
|
+
Status: Final
|
697
|
+
-----------------------------------------------------------------------------
|
698
|
+
Comments: For Test: COAGULATION (PT & PTT)
|
699
|
+
ANTICOAGULANT: PT
|
700
|
+
|
701
|
+
=============================================================================
|
702
|
+
Lab Test: Hemogram V
|
703
|
+
Lab Type: Chemistry/Hematology
|
704
|
+
Ordering Provider: PROVIDER, ONE
|
705
|
+
Ordering Location: DAYTON, OH VAMC
|
706
|
+
Specimen: Whole blood
|
707
|
+
Date/Time Collected: 22 Mar 2011 @ 1000
|
708
|
+
|
709
|
+
-----------------------------------------------------------------------------
|
710
|
+
Test Name: ERYTHROCYTE DISTRIBUTION WIDTH
|
711
|
+
Result: 40 High
|
712
|
+
Units: %
|
713
|
+
Reference Range: (11.5-14.5)
|
714
|
+
Interpretation:
|
715
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
716
|
+
Status: Final
|
717
|
+
----------------------
|
718
|
+
Test Name: ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN
|
719
|
+
Result: 20 Low
|
720
|
+
Units: pg
|
721
|
+
Reference Range: (27-31)
|
722
|
+
Interpretation:
|
723
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
724
|
+
Status: Final
|
725
|
+
----------------------
|
726
|
+
Test Name: ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATION
|
727
|
+
Result: 30 Low
|
728
|
+
Units: gm/dl
|
729
|
+
Reference Range: (33-37)
|
730
|
+
Interpretation:
|
731
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
732
|
+
Status: Final
|
733
|
+
----------------------
|
734
|
+
Test Name: ERYTHROCYTES
|
735
|
+
Result: 4.44 Low
|
736
|
+
Units: m/cmm
|
737
|
+
Reference Range: (4.7-6.1)
|
738
|
+
Interpretation:
|
739
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
740
|
+
Status: Final
|
741
|
+
----------------------
|
742
|
+
Test Name: HEMATOCRIT
|
743
|
+
Result: 47.1
|
744
|
+
Units: %
|
745
|
+
Reference Range: (42-52)
|
746
|
+
Interpretation:
|
747
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
748
|
+
Status: Final
|
749
|
+
----------------------
|
750
|
+
Test Name: HEMOGLOBIN
|
751
|
+
Result: 15.5
|
752
|
+
Units: g/dl
|
753
|
+
Reference Range: (14-18)
|
754
|
+
Interpretation:
|
755
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
756
|
+
Status: Final
|
757
|
+
----------------------
|
758
|
+
Test Name: LEUKOCYTES
|
759
|
+
Result: 20 High
|
760
|
+
Units: t/cmm
|
761
|
+
Reference Range: (4.8-10.8)
|
762
|
+
Interpretation:
|
763
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
764
|
+
Status: Final
|
765
|
+
----------------------
|
766
|
+
Test Name: LYMPHOCYTES/100 LEUKOCYTES
|
767
|
+
Result: 14.9 Low
|
768
|
+
Units: %
|
769
|
+
Reference Range: (20.5-51.1)
|
770
|
+
Interpretation:
|
771
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
772
|
+
Status: Final
|
773
|
+
----------------------
|
774
|
+
Test Name: MEAN CORPUSCULAR VOLUME
|
775
|
+
Result: 100.2 High
|
776
|
+
Units: fl
|
777
|
+
Reference Range: (80-94)
|
778
|
+
Interpretation:
|
779
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
780
|
+
Status: Final
|
781
|
+
----------------------
|
782
|
+
Test Name: PLATELET MEAN VOLUME
|
783
|
+
Result: 60 High
|
784
|
+
Units: fl
|
785
|
+
Reference Range: (7.4-10.4)
|
786
|
+
Interpretation:
|
787
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
788
|
+
Status: Final
|
789
|
+
----------------------
|
790
|
+
Test Name: PLATELETS
|
791
|
+
Result: 50 Low
|
792
|
+
Units: t/cmm
|
793
|
+
Reference Range: (130-400)
|
794
|
+
Interpretation:
|
795
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
796
|
+
Status: Final
|
797
|
+
-----------------------------------------------------------------------------
|
798
|
+
Comments: This is a comment entered for this lab panel.
|
799
|
+
|
800
|
+
=============================================================================
|
801
|
+
Lab Test: Carbon Dioxide Content
|
802
|
+
Lab Type: Chemistry/Hematology
|
803
|
+
Ordering Provider: PROVIDER, ONE
|
804
|
+
Ordering Location: DAYTON, OH VAMC
|
805
|
+
Specimen: Serum
|
806
|
+
Date/Time Collected: 01 Dec 2010
|
807
|
+
|
808
|
+
-----------------------------------------------------------------------------
|
809
|
+
Test Name: CARBON DIOXIDE
|
810
|
+
Result:
|
811
|
+
Units: mEq/L
|
812
|
+
Reference Range: (23-33)
|
813
|
+
Interpretation: Reference range prior to 5/25/01 was 22-31 mEq/L.
|
814
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
815
|
+
Status: Pending
|
816
|
+
=============================================================================
|
817
|
+
Lab Test: Renal Panel
|
818
|
+
Lab Type: Chemistry/Hematology
|
819
|
+
Ordering Provider: PROVIDER, ONE
|
820
|
+
Ordering Location: DAYTON, OH VAMC
|
821
|
+
Specimen: Serum
|
822
|
+
Date/Time Collected: 01 Dec 2010
|
823
|
+
|
824
|
+
-----------------------------------------------------------------------------
|
825
|
+
Test Name: CALCIUM
|
826
|
+
Result: 150 Critical High
|
827
|
+
Units: mg/dl
|
828
|
+
Reference Range: (8.5-10.5)
|
829
|
+
Interpretation: Critical high prior to 6/13/00 = 13 mg/dl
|
830
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
831
|
+
Status: Final
|
832
|
+
----------------------
|
833
|
+
Test Name: CHLORIDE
|
834
|
+
Result: 13 Low
|
835
|
+
Units: mEq/L
|
836
|
+
Reference Range: (98-108)
|
837
|
+
Interpretation:
|
838
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
839
|
+
Status: Final
|
840
|
+
----------------------
|
841
|
+
Test Name: CREATININE
|
842
|
+
Result: 63 High
|
843
|
+
Units: mg/dl
|
844
|
+
Reference Range: (.5-1.4)
|
845
|
+
Interpretation:
|
846
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
847
|
+
Status: Final
|
848
|
+
----------------------
|
849
|
+
Test Name: CREATININE EGFR
|
850
|
+
Result: 0.7 Low
|
851
|
+
Units:
|
852
|
+
Reference Range: (>60)
|
853
|
+
Interpretation:
|
854
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
855
|
+
Status: Final
|
856
|
+
----------------------
|
857
|
+
Test Name: GLUCOSE
|
858
|
+
Result: 110
|
859
|
+
Units: mg/dl
|
860
|
+
Reference Range: (65-110)
|
861
|
+
Interpretation: ***PLEASE NOTE NEW CRITICAL VALUE EFFECTIVE 2/2/98***
|
862
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
863
|
+
Status: Final
|
864
|
+
----------------------
|
865
|
+
Test Name: POTASSIUM
|
866
|
+
Result: 50 Critical High
|
867
|
+
Units: mEq/L
|
868
|
+
Reference Range: (3.6-5.1)
|
869
|
+
Interpretation: Normal Range Prior to 8-22-02 was: 3.6 - 5.0 mEq/L.
|
870
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
871
|
+
Status: Final
|
872
|
+
----------------------
|
873
|
+
Test Name: SODIUM
|
874
|
+
Result: 130 Low
|
875
|
+
Units: mEq/L
|
876
|
+
Reference Range: (136-145)
|
877
|
+
Interpretation:
|
878
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
879
|
+
Status: Final
|
880
|
+
----------------------
|
881
|
+
Test Name: UREA NITROGEN
|
882
|
+
Result: 27 High
|
883
|
+
Units: mg/dl
|
884
|
+
Reference Range: (6-20)
|
885
|
+
Interpretation:
|
886
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
887
|
+
Status: Final
|
888
|
+
=============================================================================
|
889
|
+
Lab Test: Albumin
|
890
|
+
Lab Type: Chemistry/Hematology
|
891
|
+
Ordering Provider: PROVIDER, ONE
|
892
|
+
Ordering Location: DAYTON, OH VAMC
|
893
|
+
Specimen: Serum
|
894
|
+
Date/Time Collected: 04 Jun 2010 @ 0900
|
895
|
+
|
896
|
+
-----------------------------------------------------------------------------
|
897
|
+
Test Name: ALBUMIN
|
898
|
+
Result:
|
899
|
+
Units: g/dl
|
900
|
+
Reference Range: (3.4-5.0)
|
901
|
+
Interpretation:
|
902
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
903
|
+
Status: Pending
|
904
|
+
=============================================================================
|
905
|
+
Lab Test: Bilirubin Total
|
906
|
+
Lab Type: Chemistry/Hematology
|
907
|
+
Ordering Provider: PROVIDER, ONE
|
908
|
+
Ordering Location: DAYTON, OH VAMC
|
909
|
+
Specimen: Serum
|
910
|
+
Date/Time Collected: 04 Jun 2010 @ 0900
|
911
|
+
|
912
|
+
-----------------------------------------------------------------------------
|
913
|
+
Test Name: BILIRUBIN
|
914
|
+
Result:
|
915
|
+
Units: mg/dl
|
916
|
+
Reference Range: (.2-1.5)
|
917
|
+
Interpretation:
|
918
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
919
|
+
Status: Pending
|
920
|
+
=============================================================================
|
921
|
+
Lab Test: Calcium
|
922
|
+
Lab Type: Chemistry/Hematology
|
923
|
+
Ordering Provider: PROVIDER, ONE
|
924
|
+
Ordering Location: DAYTON, OH VAMC
|
925
|
+
Specimen: Serum
|
926
|
+
Date/Time Collected: 04 Jun 2010 @ 0900
|
927
|
+
|
928
|
+
-----------------------------------------------------------------------------
|
929
|
+
Test Name: CALCIUM
|
930
|
+
Result:
|
931
|
+
Units: mg/dl
|
932
|
+
Reference Range: (8.5-10.5)
|
933
|
+
Interpretation: Critical high prior to 6/13/00 = 13 mg/dl
|
934
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
935
|
+
Status: Pending
|
936
|
+
=============================================================================
|
937
|
+
Lab Test: Carbon Dioxide Content
|
938
|
+
Lab Type: Chemistry/Hematology
|
939
|
+
Ordering Provider: PROVIDER, ONE
|
940
|
+
Ordering Location: DAYTON, OH VAMC
|
941
|
+
Specimen: Serum
|
942
|
+
Date/Time Collected: 04 Jun 2010 @ 0900
|
943
|
+
|
944
|
+
-----------------------------------------------------------------------------
|
945
|
+
Test Name: CARBON DIOXIDE
|
946
|
+
Result:
|
947
|
+
Units: mEq/L
|
948
|
+
Reference Range: (23-33)
|
949
|
+
Interpretation: Reference range prior to 5/25/01 was 22-31 mEq/L.
|
950
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
951
|
+
Status: Pending
|
952
|
+
=============================================================================
|
953
|
+
Lab Test: Chemistry Analysis Profile
|
954
|
+
Lab Type: Chemistry/Hematology
|
955
|
+
Ordering Provider: PROVIDER, ONE
|
956
|
+
Ordering Location: DAYTON, OH VAMC
|
957
|
+
Specimen: Serum
|
958
|
+
Date/Time Collected: 04 Jun 2010 @ 0900
|
959
|
+
|
960
|
+
-----------------------------------------------------------------------------
|
961
|
+
Test Name: GLUCOSE
|
962
|
+
Result: 110
|
963
|
+
Units: mg/dl
|
964
|
+
Reference Range: (65-110)
|
965
|
+
Interpretation: ***PLEASE NOTE NEW CRITICAL VALUE EFFECTIVE 2/2/98***
|
966
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
967
|
+
Status: Final
|
968
|
+
=============================================================================
|
969
|
+
Lab Test: Chloride
|
970
|
+
Lab Type: Chemistry/Hematology
|
971
|
+
Ordering Provider: PROVIDER, ONE
|
972
|
+
Ordering Location: DAYTON, OH VAMC
|
973
|
+
Specimen: Serum
|
974
|
+
Date/Time Collected: 04 Jun 2010 @ 0900
|
975
|
+
|
976
|
+
-----------------------------------------------------------------------------
|
977
|
+
Test Name: CHLORIDE
|
978
|
+
Result:
|
979
|
+
Units: mEq/L
|
980
|
+
Reference Range: (98-108)
|
981
|
+
Interpretation:
|
982
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
983
|
+
Status: Pending
|
984
|
+
=============================================================================
|
985
|
+
Lab Test: Creatinine
|
986
|
+
Lab Type: Chemistry/Hematology
|
987
|
+
Ordering Provider: PROVIDER, ONE
|
988
|
+
Ordering Location: DAYTON, OH VAMC
|
989
|
+
Specimen: Serum
|
990
|
+
Date/Time Collected: 04 Jun 2010 @ 0900
|
991
|
+
|
992
|
+
-----------------------------------------------------------------------------
|
993
|
+
Test Name: CREATININE
|
994
|
+
Result:
|
995
|
+
Units: mg/dl
|
996
|
+
Reference Range: (.5-1.4)
|
997
|
+
Interpretation:
|
998
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
999
|
+
Status: Pending
|
1000
|
+
=============================================================================
|
1001
|
+
Lab Test: Gen Chem Specimen
|
1002
|
+
Lab Type: Chemistry/Hematology
|
1003
|
+
Ordering Provider: PROVIDER, ONE
|
1004
|
+
Ordering Location: DAYTON, OH VAMC
|
1005
|
+
Specimen: Serum
|
1006
|
+
Date/Time Collected: 04 Jun 2010 @ 0900
|
1007
|
+
|
1008
|
+
-----------------------------------------------------------------------------
|
1009
|
+
Test Name: CREATININE EGFR
|
1010
|
+
Result:
|
1011
|
+
Units:
|
1012
|
+
Reference Range: (>60)
|
1013
|
+
Interpretation:
|
1014
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
1015
|
+
Status: Pending
|
1016
|
+
=============================================================================
|
1017
|
+
Lab Test: Phosphatase Alkaline
|
1018
|
+
Lab Type: Chemistry/Hematology
|
1019
|
+
Ordering Provider: PROVIDER, ONE
|
1020
|
+
Ordering Location: DAYTON, OH VAMC
|
1021
|
+
Specimen: Serum
|
1022
|
+
Date/Time Collected: 04 Jun 2010 @ 0900
|
1023
|
+
|
1024
|
+
-----------------------------------------------------------------------------
|
1025
|
+
Test Name: ALKALINE PHOSPHATASE
|
1026
|
+
Result:
|
1027
|
+
Units: U/L
|
1028
|
+
Reference Range: (32-122)
|
1029
|
+
Interpretation: REFERENCE RANGE PRIOR TO 9/26/00 = 43-122 U/L
|
1030
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
1031
|
+
Status: Pending
|
1032
|
+
=============================================================================
|
1033
|
+
Lab Test: Potassium
|
1034
|
+
Lab Type: Chemistry/Hematology
|
1035
|
+
Ordering Provider: PROVIDER, ONE
|
1036
|
+
Ordering Location: DAYTON, OH VAMC
|
1037
|
+
Specimen: Serum
|
1038
|
+
Date/Time Collected: 04 Jun 2010 @ 0900
|
1039
|
+
|
1040
|
+
-----------------------------------------------------------------------------
|
1041
|
+
Test Name: POTASSIUM
|
1042
|
+
Result:
|
1043
|
+
Units: mEq/L
|
1044
|
+
Reference Range: (3.6-5.1)
|
1045
|
+
Interpretation: Normal Range Prior to 8-22-02 was: 3.6 - 5.0 mEq/L.
|
1046
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
1047
|
+
Status: Pending
|
1048
|
+
=============================================================================
|
1049
|
+
Lab Test: Protein Total
|
1050
|
+
Lab Type: Chemistry/Hematology
|
1051
|
+
Ordering Provider: PROVIDER, ONE
|
1052
|
+
Ordering Location: DAYTON, OH VAMC
|
1053
|
+
Specimen: Serum
|
1054
|
+
Date/Time Collected: 04 Jun 2010 @ 0900
|
1055
|
+
|
1056
|
+
-----------------------------------------------------------------------------
|
1057
|
+
Test Name: PROTEIN
|
1058
|
+
Result:
|
1059
|
+
Units: g/dl
|
1060
|
+
Reference Range: (6.0-8.5)
|
1061
|
+
Interpretation:
|
1062
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
1063
|
+
Status: Pending
|
1064
|
+
=============================================================================
|
1065
|
+
Lab Test: Sodium
|
1066
|
+
Lab Type: Chemistry/Hematology
|
1067
|
+
Ordering Provider: PROVIDER, ONE
|
1068
|
+
Ordering Location: DAYTON, OH VAMC
|
1069
|
+
Specimen: Serum
|
1070
|
+
Date/Time Collected: 04 Jun 2010 @ 0900
|
1071
|
+
|
1072
|
+
-----------------------------------------------------------------------------
|
1073
|
+
Test Name: SODIUM
|
1074
|
+
Result:
|
1075
|
+
Units: mEq/L
|
1076
|
+
Reference Range: (136-145)
|
1077
|
+
Interpretation:
|
1078
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
1079
|
+
Status: Pending
|
1080
|
+
=============================================================================
|
1081
|
+
Lab Test: Transferase Alanine Amino SGPT
|
1082
|
+
Lab Type: Chemistry/Hematology
|
1083
|
+
Ordering Provider: PROVIDER, ONE
|
1084
|
+
Ordering Location: DAYTON, OH VAMC
|
1085
|
+
Specimen: Serum
|
1086
|
+
Date/Time Collected: 04 Jun 2010 @ 0900
|
1087
|
+
|
1088
|
+
-----------------------------------------------------------------------------
|
1089
|
+
Test Name: ALANINE AMINOTRANSFERASE
|
1090
|
+
Result:
|
1091
|
+
Units: U/L
|
1092
|
+
Reference Range: (8-63)
|
1093
|
+
Interpretation: MALE REFERENCE RANGE PRIOR TO 9/26/00 = 21-72 U/L
|
1094
|
+
FEMALE REFERENCE RANGE PRIOR TO 9/26/00 = 9-52 U/L
|
1095
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
1096
|
+
Status: Pending
|
1097
|
+
=============================================================================
|
1098
|
+
Lab Test: Transferase Aspartate SGOT
|
1099
|
+
Lab Type: Chemistry/Hematology
|
1100
|
+
Ordering Provider: PROVIDER, ONE
|
1101
|
+
Ordering Location: DAYTON, OH VAMC
|
1102
|
+
Specimen: Serum
|
1103
|
+
Date/Time Collected: 04 Jun 2010 @ 0900
|
1104
|
+
|
1105
|
+
-----------------------------------------------------------------------------
|
1106
|
+
Test Name: ASPARTATE AMINOTRANSFERASE
|
1107
|
+
Result:
|
1108
|
+
Units: U/L
|
1109
|
+
Reference Range: (9-45)
|
1110
|
+
Interpretation: MALE REFERENCE RANGE PRIOR TO 9/26/00 = 14-50 U/L
|
1111
|
+
FEMALE REFERENCE RANGE PRIOR TO 9/26/00 = 8-39 U/L
|
1112
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
1113
|
+
Status: Pending
|
1114
|
+
=============================================================================
|
1115
|
+
Lab Test: Urea Nitrogen
|
1116
|
+
Lab Type: Chemistry/Hematology
|
1117
|
+
Ordering Provider: PROVIDER, ONE
|
1118
|
+
Ordering Location: DAYTON, OH VAMC
|
1119
|
+
Specimen: Serum
|
1120
|
+
Date/Time Collected: 04 Jun 2010 @ 0900
|
1121
|
+
|
1122
|
+
-----------------------------------------------------------------------------
|
1123
|
+
Test Name: UREA NITROGEN
|
1124
|
+
Result:
|
1125
|
+
Units: mg/dl
|
1126
|
+
Reference Range: (6-20)
|
1127
|
+
Interpretation:
|
1128
|
+
Performing Location: DAYTON, OH VAMC 4100 W. THIRD STREET , DAYTON, OH 45428
|
1129
|
+
Status: Pending
|
1130
|
+
|
1131
|
+
=============================================================================
|
1132
|
+
|
1133
|
+
Test results slightly outside the reference range are not unusual.
|
1134
|
+
Your provider has reviewed your test results and will contact you
|
1135
|
+
for any important issues. If you have further questions, please
|
1136
|
+
do not hesitate to contact your primary care provider.
|
1137
|
+
|
1138
|
+
|
1139
|
+
----------------------------- LABS AND TESTS --------------------------------
|
1140
|
+
|
1141
|
+
Source: Self-Entered
|
1142
|
+
|
1143
|
+
Test Name: Blood Test
|
1144
|
+
Date: 06 Jun 2010
|
1145
|
+
Location performed: Community Center
|
1146
|
+
Provider: Red Cross Blood Drive
|
1147
|
+
|
1148
|
+
Results: Was not able to donate blood because iron was low
|
1149
|
+
|
1150
|
+
Comments: Will ask doctor at next visit
|
1151
|
+
|
1152
|
+
Test Name: Colonoscopy
|
1153
|
+
Date: 01 Jul 2010
|
1154
|
+
Location performed: VAMC
|
1155
|
+
Provider: Provider One
|
1156
|
+
|
1157
|
+
Results: No new polyps
|
1158
|
+
|
1159
|
+
Comments: Keep high fiber diet
|
1160
|
+
|
1161
|
+
|
1162
|
+
|
1163
|
+
----------------------------- VITALS AND READINGS ---------------------------
|
1164
|
+
|
1165
|
+
Source: Self-Entered
|
1166
|
+
|
1167
|
+
===============================================================================
|
1168
|
+
Measurement Type: Blood pressure
|
1169
|
+
Date: 02 Aug 2010
|
1170
|
+
Time: 1720
|
1171
|
+
Systolic: 130
|
1172
|
+
Diastolic: 76
|
1173
|
+
|
1174
|
+
Comments: BP taken lying down
|
1175
|
+
===============================================================================
|
1176
|
+
Measurement Type: Blood pressure
|
1177
|
+
Date: 02 Aug 2010
|
1178
|
+
Time: 1730
|
1179
|
+
Systolic: 132
|
1180
|
+
Diastolic: 76
|
1181
|
+
|
1182
|
+
Comments: BP taken standing. BP continues at goal. Doctor says to continue BP
|
1183
|
+
medications as directed
|
1184
|
+
===============================================================================
|
1185
|
+
Measurement Type: Heart rate
|
1186
|
+
Date: 02 Jun 2010
|
1187
|
+
Time: 1720
|
1188
|
+
Heart Rate: 160
|
1189
|
+
|
1190
|
+
Comments: Started taking Beta-Blockers after visit with physician
|
1191
|
+
===============================================================================
|
1192
|
+
Measurement Type: Body weight
|
1193
|
+
Date: 02 Apr 2010
|
1194
|
+
Time: 1720
|
1195
|
+
Body Weight: 246
|
1196
|
+
Measure: Pounds
|
1197
|
+
|
1198
|
+
Comments: Talk to provider about weight management program at next visit
|
1199
|
+
===============================================================================
|
1200
|
+
Measurement Type: Body weight
|
1201
|
+
Date: 02 May 2010
|
1202
|
+
Time: 1720
|
1203
|
+
Body Weight: 244
|
1204
|
+
Measure: Pounds
|
1205
|
+
|
1206
|
+
Comments: Lost a few pounds and feel better. Walking daily
|
1207
|
+
===============================================================================
|
1208
|
+
Measurement Type: Body weight
|
1209
|
+
Date: 02 Jun 2010
|
1210
|
+
Time: 1720
|
1211
|
+
Body Weight: 242
|
1212
|
+
Measure: Pounds
|
1213
|
+
|
1214
|
+
Comments: still walking when I have time off from work
|
1215
|
+
===============================================================================
|
1216
|
+
Measurement Type: Body temperature
|
1217
|
+
Date: 02 Mar 2010
|
1218
|
+
Time: 1720
|
1219
|
+
Body temperature: 98.5
|
1220
|
+
Measure: Fahrenheit
|
1221
|
+
Method: Mouth
|
1222
|
+
|
1223
|
+
Comments: I wasn't feeling well but temperature is normal
|
1224
|
+
===============================================================================
|
1225
|
+
Measurement Type: Pain
|
1226
|
+
Date: 01 Jan 2010
|
1227
|
+
Time: 1720
|
1228
|
+
Pain Level: 7
|
1229
|
+
|
1230
|
+
Comments: Lower back pain - took 1 Ibuprofen with food for pain
|
1231
|
+
===============================================================================
|
1232
|
+
Measurement Type: Blood sugar
|
1233
|
+
Date: 02 Jan 2010
|
1234
|
+
Time: 1720
|
1235
|
+
Method: Sterile Lancet
|
1236
|
+
Blood sugar count: 166
|
1237
|
+
|
1238
|
+
Comments: BS taken before meal
|
1239
|
+
===============================================================================
|
1240
|
+
Measurement Type: Cholesterol
|
1241
|
+
Date: 15 Aug 2010
|
1242
|
+
Time: 2359
|
1243
|
+
Total cholesterol: 142
|
1244
|
+
HDL: 45
|
1245
|
+
LDL:
|
1246
|
+
|
1247
|
+
Comments: Lab result from community health fair.
|
1248
|
+
|
1249
|
+
|
1250
|
+
-------------------------- FAMILY HEALTH HISTORY ----------------------------
|
1251
|
+
|
1252
|
+
Source: Self-Entered
|
1253
|
+
|
1254
|
+
Relationship: Self
|
1255
|
+
First Name: ONE
|
1256
|
+
Last Name: MHVVETERAN
|
1257
|
+
Living or Deceased: Living
|
1258
|
+
Health Issues:
|
1259
|
+
-----------------------------
|
1260
|
+
Back Pain
|
1261
|
+
Insomnia
|
1262
|
+
>1 beer/wine a day
|
1263
|
+
Hearing Loss
|
1264
|
+
Pneumonia
|
1265
|
+
Smoking >1 pack/day
|
1266
|
+
Allergies
|
1267
|
+
Chicken Pox
|
1268
|
+
Current Smoker
|
1269
|
+
Diabetics Type 2
|
1270
|
+
Overweight
|
1271
|
+
High Blood Pressure
|
1272
|
+
Depression
|
1273
|
+
High Blood Cholesterol
|
1274
|
+
Stomach/Bowel Other
|
1275
|
+
Smoking >20 Years
|
1276
|
+
|
1277
|
+
Other Health Issues:
|
1278
|
+
-----------------------------
|
1279
|
+
trouble sleeping
|
1280
|
+
|
1281
|
+
Comments: I sometimes have trouble sleeping when stress is high at work
|
1282
|
+
|
1283
|
+
Relationship: Mother
|
1284
|
+
First Name: Four
|
1285
|
+
Last Name: MHVVeteranMother
|
1286
|
+
Living or Deceased: Deceased
|
1287
|
+
Health Issues:
|
1288
|
+
-----------------------------
|
1289
|
+
Cancer Other
|
1290
|
+
Diabetics Type 2
|
1291
|
+
Overweight
|
1292
|
+
Joint Pain
|
1293
|
+
Stroke
|
1294
|
+
|
1295
|
+
Other Health Issues:
|
1296
|
+
-----------------------------
|
1297
|
+
Chronic joint pain
|
1298
|
+
|
1299
|
+
Comments: Mother died of cancer at age 40
|
1300
|
+
|
1301
|
+
|
1302
|
+
--------------------------- MILITARY HEALTH HISTORY -------------------------
|
1303
|
+
|
1304
|
+
Source: Self-Entered
|
1305
|
+
|
1306
|
+
Event Title: Exposure to Burning Chemicals
|
1307
|
+
Event Date: 01 Jan 2007
|
1308
|
+
Service Branch: Army Rank: COL
|
1309
|
+
Exposures: Yes
|
1310
|
+
Location of Service: Overseas Onboard Ship: No
|
1311
|
+
Military Occupational Specialty: Intelligence Officer
|
1312
|
+
Assignment: 1st Recon
|
1313
|
+
|
1314
|
+
Exposures: Exposed to burning chemicals
|
1315
|
+
|
1316
|
+
Military Service Description: Unit was in charge of security
|
1317
|
+
|
1318
|
+
|
1319
|
+
--------------------- DOD MILITARY SERVICE INFORMATION ---------------------
|
1320
|
+
|
1321
|
+
Source: DoD
|
1322
|
+
Last Updated: 02 Dec 2011 @ 1013
|
1323
|
+
|
1324
|
+
NOTE: This report may not show your complete DoD Military Service
|
1325
|
+
Information. For more information go to the FAQ tab.
|
1326
|
+
|
1327
|
+
-- Regular Active Service
|
1328
|
+
Service Begin Date End Date Character of Service Rank
|
1329
|
+
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
|
1330
|
+
Army 06/11/2005 03/26/2007 Honorable COL
|
1331
|
+
Army 02/22/2009 02/21/2010 Honorable COL
|
1332
|
+
Army 04/10/2010 04/08/2011 Honorable COL
|
1333
|
+
|
1334
|
+
-- Reserve/Guard Association Periods
|
1335
|
+
Service Begin Date End Date Character of Service Rank
|
1336
|
+
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
|
1337
|
+
Army Guard 01/11/1987 08/24/1993 Unknown
|
1338
|
+
Army Reserve 08/25/1993 10/25/2004 Unknown COL
|
1339
|
+
Army Reserve 03/27/2007 10/31/2008 Unknown COL
|
1340
|
+
|
1341
|
+
-- Reserve/Guard Activation Periods
|
1342
|
+
Service Begin Date End Date Activated Under (Title 10, 32, etc.)
|
1343
|
+
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
|
1344
|
+
Army Reserve 11/10/2001 11/09/2002
|
1345
|
+
Army Reserve 04/14/2003 10/13/2004
|
1346
|
+
Army Reserve 10/24/2004 10/25/2004
|
1347
|
+
Army Reserve 03/27/2007 10/24/2007
|
1348
|
+
Army Reserve 02/04/2008 10/31/2008
|
1349
|
+
|
1350
|
+
-- Deployment Periods
|
1351
|
+
Service Begin Date End Date Conflict Location
|
1352
|
+
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
|
1353
|
+
Army Reserve 03/01/2004 03/31/2004 OEF ZZ
|
1354
|
+
Army 01/01/2007 03/26/2007 OEF IZ
|
1355
|
+
|
1356
|
+
-- DoD MOS/Occupation Codes
|
1357
|
+
-- Note: Both Service and DoD Generic codes may not be present in all records
|
1358
|
+
Service Begin Date Enl/Off Type Svc Occ Code DoD Occ Code
|
1359
|
+
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
|
1360
|
+
Army Reserve 01/16/1975 Officer Duty 35B00 3A
|
1361
|
+
Army Reserve 01/16/1975 Officer Primary 35D00 3A
|
1362
|
+
Army Reserve 03/31/2002 Officer Duty 35D 3A
|
1363
|
+
Army Reserve 03/31/2002 Officer Primary 35D 3A
|
1364
|
+
Army Reserve 06/30/2002 Officer Duty 00A 9E
|
1365
|
+
Army Reserve 11/30/2002 Officer Duty 01A 9E
|
1366
|
+
Army Reserve 10/31/2003 Officer Duty 35D 3A
|
1367
|
+
Army 06/11/2005 Officer Primary 35D5K 3A
|
1368
|
+
Army 05/31/2006 Officer Duty 35D 3A
|
1369
|
+
Army Reserve 03/27/2007 Officer Primary 35D5K 3A
|
1370
|
+
Army Reserve 06/27/2007 Officer Duty 35D5K 3A
|
1371
|
+
Army 02/22/2009 Officer Duty 35D00 3A
|
1372
|
+
Army 02/22/2009 Officer Secondary 66HD5 6E18
|
1373
|
+
Army 02/22/2009 Officer Primary 35D5K 3A
|
1374
|
+
|
1375
|
+
-- Military/Combat Pay Details
|
1376
|
+
Service Begin Date End Date Military Pay Type Location
|
1377
|
+
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
|
1378
|
+
Army Reserve 03/01/2004 03/31/2004 02
|
1379
|
+
Army 01/01/2007 02
|
1380
|
+
Army 01/01/2007 01 IZ
|
1381
|
+
|
1382
|
+
-- Separation Pay Details
|
1383
|
+
Service Begin Date End Date Separation Pay Type
|
1384
|
+
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
|
1385
|
+
|
1386
|
+
-- Retirement Periods
|
1387
|
+
Service Begin Date End Date Retirement Type Rank
|
1388
|
+
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
|
1389
|
+
Army 11/01/2008 02/21/2009 F COL
|
1390
|
+
Army 02/22/2010 04/09/2010 F COL
|
1391
|
+
Army 04/09/2011 F COL
|
1392
|
+
|
1393
|
+
-- DoD Retirement Pay
|
1394
|
+
Service Begin Date End Date Dsblty % Pay Stat Term Rsn Stop Pay Rsn
|
1395
|
+
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
|
1396
|
+
Army 10/31/2008 11/30/2008 00 1 C Z
|
1397
|
+
Army 12/01/2008 00 1 W Z
|
1398
|
+
Army 03/01/2010 07/31/2010 00 1 C Z
|
1399
|
+
Army 08/01/2010 00 5 W B
|
1400
|
+
Army 05/01/2011 05/31/2011 00 1 C Z
|
1401
|
+
Army 06/01/2011 00 1 W Z
|
1402
|
+
|
1403
|
+
Translations of Codes Used in this Section:
|
1404
|
+
|
1405
|
+
Service Occupation Codes
|
1406
|
+
00A Officer Duties Unassigned
|
1407
|
+
01A Officer Officer Generalist
|
1408
|
+
35B00 Officer Land Combat Support Systems (LCSS) Test Specialist
|
1409
|
+
35B00 Officer Strategic Intelligence (RC)
|
1410
|
+
35D Officer Air Traffic Control Equipment Repairer
|
1411
|
+
35D Officer All Source Intelligence
|
1412
|
+
35D Officer Meteorological Equipment Repairman
|
1413
|
+
35D00 Officer Air Traffic Control Equipment Repairer
|
1414
|
+
35D00 Officer All Source Intelligence
|
1415
|
+
35D00 Officer Meteorological Equipment Repairman
|
1416
|
+
35D5K Officer Air Traffic Control Equipment Repairer
|
1417
|
+
35D5K Officer All Source Intelligence
|
1418
|
+
35D5K Officer Meteorological Equipment Repairman
|
1419
|
+
66HD5 Officer Medical Surgical Nurse
|
1420
|
+
66HD5 Officer Observation Airplane Technical Inspector
|
1421
|
+
|
1422
|
+
DoD Occupation Codes
|
1423
|
+
3A Officer Intelligence, General
|
1424
|
+
9E Officer Other
|
1425
|
+
|
1426
|
+
Military Pay Type Code
|
1427
|
+
01 Combat Zone Tax Exclusion (CZTE)
|
1428
|
+
02 Hostile Fire/Imminent Danger
|
1429
|
+
03 Hazardous Duty incentive
|
1430
|
+
|
1431
|
+
Separation Pay Type Code
|
1432
|
+
01 Separation Pay
|
1433
|
+
02 Readjustment Pay
|
1434
|
+
03 Non-Disability Severance Pay
|
1435
|
+
04 Disability Severance Pay
|
1436
|
+
05 Discharge Gratuity
|
1437
|
+
06 Death Gratuity
|
1438
|
+
07 Special Separation Benefit
|
1439
|
+
08 Voluntary Separation Incentive Pay
|
1440
|
+
09 Voluntary Separation Pay (VSP)
|
1441
|
+
|
1442
|
+
Retirement Type Code
|
1443
|
+
A Mandatory
|
1444
|
+
B Voluntary
|
1445
|
+
C Fleet Reserve
|
1446
|
+
D Temporary Disability Retirement List
|
1447
|
+
E Permanent Disability Retirement List
|
1448
|
+
F Title III
|
1449
|
+
G Special Act
|
1450
|
+
H Philippine Scouts
|
1451
|
+
|
1452
|
+
Retired Pay Status Code
|
1453
|
+
1 Receiving retired pay
|
1454
|
+
2 Eligible, not receiving pay
|
1455
|
+
3 Eligible, not receiving direct SBP remittance
|
1456
|
+
4 Terminated
|
1457
|
+
5 Suspended
|
1458
|
+
|
1459
|
+
Retired Pay Termination Reason Code
|
1460
|
+
C Pay condition terminated
|
1461
|
+
S Pay terminated for the reason reported in the Stop Payment Reason Code
|
1462
|
+
W Not terminated
|
1463
|
+
|
1464
|
+
Stop Payment Reason Code
|
1465
|
+
A Member died
|
1466
|
+
B Recalled to Active Duty
|
1467
|
+
C Removed from TDRL, returned to Active Duty
|
1468
|
+
D Removed from TDRL, returned to Civilian
|
1469
|
+
E Pay suspended, failure to report for TDRL physical
|
1470
|
+
F Civil Service retirement waiver
|
1471
|
+
G VA compensation waiver
|
1472
|
+
H Dual compensation, pay cap offset
|
1473
|
+
J Refused retired pay
|
1474
|
+
K Pay suspended, whereabouts unknown
|
1475
|
+
L Suspected death
|
1476
|
+
M Pay suspended, miscellaneous
|
1477
|
+
Z Not applicable
|
1478
|
+
|
1479
|
+
-------------- END OF MY HEALTHEVET PERSONAL INFORMATION REPORT ----------
|