| Patient | Christopher Hammer, jr |
| Date of birth | July 1, 1980 |
| Sex | Male |
| Race | |
| Ethnicity | |
| Contact info | Primary Home: 1004 Amber Dr Beaverton, OR 97006, US Tel: +1(555)-117-1234 |
| Patient IDs | 115253336 2.16.840.1.113883.4.1 |
| Document Id | TT104 2.16.840.1.113883.19.5.99999.1 |
| Document Created: | July 22, 2015 |
| Care provision | Annual Health Maintenance, History and Physical from July 22, 2015, 14:00, EST to July 22, 2015, 14:30, EST |
| Performer (primary care physician) | Dr Albert Davis of Neighborhood Physicians Practice |
| Performer | Tracy Davis |
| Author | Amb EMR v1.0 |
| Contact info | 2472 Rocky place Beaverton, OR 97006, US Tel: +1(555)-555-1002 |
| Encounter Id | 9937012 2.16.840.1.113883.19 |
| Encounter Date | From July 22, 2015, 14:00, EST to July 22, 2015, 14:30, EST |
| Personal relationship | Mr. Mathew Hammer |
| Contact info | Primary Home: 1004 Amber Dr Beaverton, OR 97006, US Tel: +1(555)-118-1544 |
| Personal relationship | Ms Julia Hammer |
| Contact info | Primary Home: 1004 Amber Dr Beaverton, OR 97006, US Tel: +1(555)-118-1544 |
| Entered by | Tracy Davis |
| Contact info | 2472 Rocky place Beaverton, OR 97006, US Tel: +1(555)-555-1002 |
| Signed | Dr Albert Davis at July 22, 2015 |
| Contact info | 2472 Rocky place Beaverton, OR 97006, US Tel: +1(555)-555-1002 |
| Informant | Albert Davis |
| Contact info | 2472 Rocky place Beaverton, OR 97006, US Tel: +1(555)-555-1002 |
| Informant | Julia Hammer |
| Information recipient: | Dr Albert Davis |
| Legal authenticator | Dr Albert Davis signed at July 22, 2015 |
| Contact info | 2472 Rocky place Beaverton, OR 97006, US Tel: +1(555)-555-1002 |
| Document maintained by | Neighborhood Physicians Practice |
| Contact info | Work Place: 2472 Rocky place Beaverton, OR 97006, US Tel: +1(555)-555-1002 |
| Encounter | Location | Date |
|---|---|---|
| Annual Health Maintenance, History and Physical | Neighborhood Physicians Practice | July 22, 2015 2pm EST |
| Date / Time: | July 22, 2015 |
|---|---|
| Height | 177 cm |
| Weight | 88 kg |
| Blood Pressure | 145/88 mm[Hg] |
| Social History Observation | Description | Dates Observed |
|---|---|---|
| Current Smoking Status | Current every day | July 22, 2015 |
| Birth Sex | Male | July 22, 2015 |
No Procedure information
Patient has no history of implantable devices
| Planned Care | Start Date |
|---|---|
| Schedule a visit for next year. | July 22, 2016 |