+
+ Father
+
+
+ Lab Requisition
+
+
+
+ Endocrinology
+
+
+
+
+ Lab
+
+
+
+ Name | +Administration Dates | +Next Due | +
---|---|---|
DTAP-HIB-IPV (PENTACEL) | +
+ |
+ + |
HEP A (ADULT) 2 DOSE | +
+ |
+ + |
HEP B (PED,ADOLESCENT) 3 DOSE | +
+ |
+ + |
MENINGOCOCCAL CONJUGATE,MENACTRA + (PED/ADOL/ADULT) | +
+ |
+ + |
TDAP, (ADOL/ADULT) | +
+ |
+ + |
+
+
+
+
+
+
+ Registered Nurse
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Active Problems | +Noted Date | +
---|---|
Bipolar I disorder | +11/19/20 | +
Reactive depression | +11/19/20 | +
Rheumatoid arthritis with negative + rheumatoid factor | +11/16/20 | +
Arthralgia of both ankles | +11/16/20 | +
Anxiety | +11/10/20 | +
Asthma | +11/10/20 | +
Knee pain | +4/29/19 | +
Sprain of calcaneofibular ligament of + right ankle | +4/16/19 | +
+ This + is my note about this problem. + |
+
+
+
+
+
+ Family Medicine
+
+
+
+
+
+
+
+
+
+
+ Physical Therapy
+
+
+
+
+
+
+
+
+
+ Family Medicine
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+ Component | +Value | +Ref Range | +Test Method | +Analysis Time | +Performed At | +Pathologist Signature | +
---|---|---|---|---|---|---|
Campylobacter, + NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Plesiomonas + shigelloides, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Salmonella, + NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Vibrio, + NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Vibrio + cholerae, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Yersinia + enterocolitica, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
E. + Coli (EAEC), NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
E. + Coli (EPEC), NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
E. + Coli (ETEC), NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Shiga-Like + Toxin E. Coli (STEC), NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Shigella/EIEC, + NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Cryptosporidium, + NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Cyclospora + cayetanensis, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
E. + histolytica, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Giardia + lamblia, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Adenovirus + F 40/41, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Astrovirus, + NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Norovirus, + NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Rotavirus + A, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Sapovirus, + NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 1:59 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Specimen (Source) | +Anatomical Location / Laterality | +Collection Method / Volume | +Collection Time | +Received Time | +
---|---|---|---|---|
+ Stool | +STOOL SPECIMEN / Unknown | ++ | 09/28/2022 1:51 PM PDT | +09/28/2022 1:51 PM PDT | +
Authorizing Provider | +Result Type | +
---|---|
Ambhp1 Test MD | +MICROBIOLOGY - GENERAL ORDERABLES | +
Performing Organization | +Address | +City/State/ZIP Code | +Phone Number | +
---|---|---|---|
+ |
+
+ |
+
+ |
+
+ |
+
Component | +Value | +Ref Range | +Test Method | +Analysis Time | +Performed At | +Pathologist Signature | +
---|---|---|---|---|---|---|
Campylobacter, + NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Plesiomonas + shigelloides, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Salmonella, + NAAT | +
+ |
+ Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Vibrio, + NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Vibrio + cholerae, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Yersinia + enterocolitica, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
E. + Coli O157, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
E. + Coli (EAEC), NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
E. + Coli (EPEC), NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
E. + Coli (ETEC), NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Shiga-Like + Toxin E. Coli (STEC), NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Shigella/EIEC, + NAAT | +
+ |
+ Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Cryptosporidium, + NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Cyclospora + cayetanensis, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
E. + histolytica, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Giardia + lamblia, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Adenovirus + F 40/41, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Astrovirus, + NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Norovirus, + NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Rotavirus + A, NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Sapovirus, + NAAT | +Not Detected | +Not Detected | +
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
GI + Pathogens Panel | +Acceptable | ++ |
+ |
+ 09/28/2022 2:00 PM PDT | +PROVIDENCE ST. JOSEPH MEDICAL CENTER LABORATORY + (CLIA 05D0672675) | ++ |
Specimen (Source) | +Anatomical Location / Laterality | +Collection Method / Volume | +Collection Time | +Received Time | +
---|---|---|---|---|
+ Stool | +STOOL SPECIMEN / Unknown | ++ | 09/28/2022 1:51 PM PDT | +09/28/2022 1:51 PM PDT | +
Authorizing Provider | +Result Type | +
---|---|
Ambhp1 Test MD | +MICROBIOLOGY - GENERAL ORDERABLES | +
Performing Organization | +Address | +City/State/ZIP Code | +Phone Number | +
---|---|---|---|
+ |
+
+ |
+
+ |
+
+ |
+
+ Stool Pathogens, NAAT, 12 to 25 Targets
+
+
+
+
+ Endocrinology
+
+
+
+
+
+ Stool
+
+
+
+
+ Campylobacter, NAAT
+
+
+ Plesiomonas shigelloides, NAAT
+
+
+ Salmonella, NAAT
+
+
+ Vibrio, NAAT
+
+
+ Vibrio cholerae, NAAT
+
+
+
+
+ Yersinia enterocolitica, NAAT
+
+
+ E. Coli O157, NAAT
+
+
+ E. Coli (EAEC), NAAT
+
+
+ E. Coli (EPEC), NAAT
+
+
+ E. Coli (ETEC), NAAT
+
+
+ Shiga-Like Toxin E. Coli (STEC), NAAT
+
+
+ Shigella/EIEC, NAAT
+
+
+ Cryptosporidium, NAAT
+
+
+ Cyclospora cayetanensis, NAAT
+
+
+ E. histolytica, NAAT
+
+
+ Giardia lamblia, NAAT
+
+
+ Adenovirus F 40/41, NAAT
+
+
+ Astrovirus, NAAT
+
+
+ Norovirus, NAAT
+
+
+ Rotavirus A, NAAT
+
+
+ Sapovirus, NAAT
+
+
+ GI Pathogens Panel
+
+
+
+ Lab Interpretation
+
+
+
+ Stool Pathogens, NAAT, 12 to 25 Targets
+
+
+
+
+ Endocrinology
+
+
+
+
+
+ Stool
+
+
+
+
+ Campylobacter, NAAT
+
+
+ Plesiomonas shigelloides, NAAT
+
+
+ Salmonella, NAAT
+
+
+ Vibrio, NAAT
+
+
+ Vibrio cholerae, NAAT
+
+
+ Yersinia enterocolitica, NAAT
+
+
+ E. Coli (EAEC), NAAT
+
+
+ E. Coli (EPEC), NAAT
+
+
+ E. Coli (ETEC), NAAT
+
+
+ Shiga-Like Toxin E. Coli (STEC), NAAT
+
+
+ Shigella/EIEC, NAAT
+
+
+ Cryptosporidium, NAAT
+
+
+ Cyclospora cayetanensis, NAAT
+
+
+ E. histolytica, NAAT
+
+
+ Giardia lamblia, NAAT
+
+
+ Adenovirus F 40/41, NAAT
+
+
+ Astrovirus, NAAT
+
+
+ Norovirus, NAAT
+
+
+ Rotavirus A, NAAT
+
+
+ Sapovirus, NAAT
+
+
+ Lab Interpretation
+
+
+
+ Tobacco Use | +Types | +Packs/Day | +Years Used | +Date | +
---|---|---|---|---|
Smoking Tobacco: Never | ++ | + | + | + |
Smokeless Tobacco: Never | ++ | + | + | + |
Alcohol Use | +Standard Drinks/Week | +Comments | +
---|---|---|
Yes | +0 (1 standard drink = 0.6 oz pure alcohol) | ++ |
Sex Assigned at Birth | +Date Recorded | +
---|---|
Not on file | ++ |
+
+
+
+
+
+
+
+
+ Date | +Type | +Department | +Care Team | +Description | +
---|---|---|---|---|
9/28/22 | +Lab Requisition | +
+ |
+
+ |
+ + |
+
+
+
+
+
+
+
+
+ Endocrinology
+
+
+
+
+ Lab
+
+