Edwina Mahoney
00123456
NEW
You don't have to eat anything, but you have to sleep
Status
Emergency
ER
Payment
Cash
Doctor
Dr. Emma Johansson
Age / DOB
32y 3mo 12d
12 June 1988
Adult Male
Admission
10 Jun 2024 09:15
Registration
Last Assessment
17 May 2025 08:15
1 day ago
Blood Pressure
124/82 mmHg
1 day ago
Respiration Rate
18 bpm
1 day ago
Heart Rate
78 bpm
1 day ago
Temperature
37.2°C
1 day ago
GCS Score
15
Pain Scale
3 / 10
Nutrition Score
Normal
Weight
72 kg
Height
178 cm
Chief Complaint
Persistent chest pain and mild shortness of breath
Primary Diagnosis
Suspected Angina Pectoris
Allergies
Penicillin, Sulfa Drugs
Severe allergic reactions
Medical History
Hypertension (2018), Type 2 Diabetes (2020), Hyperlipidemia (2019)
Family History
Father: CAD, Mother: Type 2 Diabetes
Emergency Contact
Sarah Mahoney (Spouse) - (555) 123-4567
Discharge Planning
Estimated Discharge Date
18 Jun 2024 (pending test results)
Notes
EJ
Dr. Emma Johansson
10 JUN 2024 09:30
Patient requires immediate attention. ECG and blood work ordered. Monitoring vital signs every 15 minutes.
Laboratory Results
Hemoglobin
14.2 g/dL
WBC
7.5 x10³/µL
Platelets
250 x10³/µL
Glucose
95 mg/dL
Creatinine
0.9 mg/dL
Current Medications
Aspirin
81mg daily
Metoprolol
25mg BID
Atorvastatin
40mg daily
Allergies
Penicillin
Rash
Sulfa Drugs
Hives
Recent Immunizations
Influenza
Oct 2023
COVID-19
Mar 2024
Tetanus
Jan 2023