|
SETMA I - 2929 Calder, Suite 100
SETMA II - 3570 College, Suite 200
SETMA West - 2010 Dowlen
(409) 833-9797
www.setma.com
Transfer of Care Document
Patient Sex Male
Date of Birth SS#
Problem List
Hyperten Benign Essential
CAD Unspecified Vesse
Allergies
Description Onset
No Known Allergies 03/26/2010
Active Medications
Start Date Brand Dose Sig Code Sig Desc
03/26/2010 Levaquin 500mg 1 tab po daily 1 tab po every day
03/26/2010 Ventolin Hfa 90mcg 1 puff po bid Inhale one time by mouth twice per day
Histories
Past Medical History
Hospital
Pneumonia Pneumonitis, 2010
Surgical
hiatal hernia repair
L inguinal hernia repair
Social History
Ethnicity - Caucasian
Sexuality - heterosexual
Marital Status - divorced
Tobacco Use
The patient currently smokes cigarettes. Approximately 05 packs per day, for approximately 50 years.
Family History
Patient does not have a family history of Diabetes Mellitus.
Patient does not have a family history of hypertension.
Patient has a family history of hyperlipidemia.
Health Maintenance
The patient's health maintenance was reviewed today.
CBC - 03/29/2010
Chemistry - 03/29/2010
Chest X-Ray - 03/29/2010
Creatinine - 03/29/2010
Flu Shot - 03/26/2010
HGB - 03/29/2010
Microalbumin - 03/29/2010
Pneumovax - 03/26/2010
PSA - 03/29/2010
Urinalysis - 03/29/2010
Immunizations
Latest Lab Results
CBC
| 
