Name: Demo Patient | DOB: 11/2/1973 | MRN: <12345> | PCP: Richard A. Shuman, MD
Health Summary

Health Summary

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Current Health Issues

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Health IssueDate Noted
H1N1 Influenza09/20/2010

MedicationsMedications

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ASPIRIN 325 MG OR TABS

Instructions: 1 tablet every 4 to 6 hours as needed

Prescribed by Richard A. Shuman, MD on 11/13/2009

Cannot be refilled

Request a renewal

AMOXIL 500 MG OR TABS

Instructions: 1 tablet every 8 hours

Prescribed by Richard A. Shuman, MD on 12/10/2008

Cannot be refilled

Request a renewal

AllergiesAllergies

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AllergenReactionDate Noted
FishHives9/8/2009

ImmunizationsImmunizations

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ImmunizationDate
Influenza (> 3yrs)1/29/2010

Preventive CarePreventive Care

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Name Due Date Status Last Done
Flu Shot 10/1/2010 Overdue  
Td Immunization: Adult 6/22/2019   6/22/2009