Nursing unit 1 assignment

Covid-19 Vaccine (4 - 2023-24 season)

Never done

Colorectal Cancer Screen

04/15/2013

PAP Smear

09/01/2023

06/15/2024

Mammogram

11/10/2024

05/11/2033

Smoking

Former (Quit Date: 11/14/1978), 0.25 ppd

Smokeless Tobacco

Never

Vaping

Never used

Alcohol

Yes

Preferred Language

English

14 items

10/5/2012

Hypertriglyceridemia

10/5/2012

History of noncompliance

10/5/2012

Obesity

10/5/2012

Hypothyroidism

10/5/2012

Allergic rhinitis

10/5/2012

Sensorineural hearing loss, bilateral

10/5/2012

Chronic sinusitis

6/9/2010

Vitamin D deficiency

11/17/2009

Asthma exacerbation

8/10/2009

Mild asthma

6/4/2009

Dysmetabolic syndrome

6/2/2009

Classical migraine

6/2/2009

Hyperlipidemia

6/2/2009

Benign essential hypertension

Specialty Comments

No comments regarding your specialty

5 items



Father (Deceased)	Coronary artery disease
Mother (Deceased)	Diabetes
	Hypertension
	Asthma
Other	Other
Other	Hypertension
Neg Hx	Colon cancer
	Breast cancer

PCPs	Type

Jasinski, Robin R, CRNP	General

No other patient care team members

Recipients of Past 3 Communications

Office Visit - 9/14/2017



Digestive Disease Associates Consult	09/14/2017	Outside Provider Messaging

Office Visit - 12/1/2016



Digestive Disease Associates Consult	12/01/2016	Outside Provider Messaging

Office Visit - 12/22/2015



Digestive Disease Associates Consult	12/22/2015	Outside Provider Messaging

Norvasc [Amlodipine]Other (See Comments)

Other 1Hives

Penicillin V PotassiumRash

Benign essential hypertension

13 items

Cardiovascular and Mediastinum

Classical migraine

Respiratory

Endocrine

Nervous and Auditory

Sensorineural hearing loss, bilateral

Other

Hyperlipidemia

Hypertriglyceridemia

Dysmetabolic syndrome

History of noncompliance

Vitamin D deficiency

Morbid obesity with BMI of 45.0-49.9, adult (HCC)

3 items

8/15

Nasal sinus surgery (Bilateral)

Date Unknown

[Other]

Date Unknown

Tonsillectomy

Prior Authorizations

	albuterol HFA (PROAIR HFA) 90 mcg/actuation inhaler	INHALE ONE PUFF EVERY FOUR HOURS AS NEEDED FOR COUGH AND SHORTNESS OF BREATH
	aspirin 81 MG EC tablet	Take 1 tablet (81 mg total) by mouth daily.
	atorvastatin (LIPITOR) 40 MG tablet	TAKE 1 TABLET BY MOUTH EVERY DAY AT NIGHT
	bisoprolol (ZEBETA) 5 MG tablet	TAKE 1 TABLET BY MOUTH EVERY DAY
	cholecalciferol (VITAMIN D3) 1,000 unit (25 mcg) tablet	Take 1 tablet (1,000 Units total) by mouth daily.
	fluticasone propion-salmeteroL (ADVAIR DISKUS) 250-50 mcg/dose diskus inhaler	Inhale 1 puff into the lungs 2 (two) times daily.
	irbesartan (AVAPRO) 300 MG tablet	TAKE 1 TABLET BY MOUTH EVERY DAY
	levothyroxine (SYNTHROID) 50 MCG tablet	TAKE 1 TABLET (50 MCG TOTAL) BY MOUTH IN THE MORNING.
	montelukast (SINGULAIR) 10 mg tablet	TAKE 1 TABLET BY MOUTH EVERY DAY AT NIGHT
	NIFEdipine (PROCARDIA-XL) 60 MG (OSM) 24 hr tablet	TAKE 2 TABLETS BY MOUTH DAILY
	spironolactone (ALDACTONE) 100 MG tablet	TAKE 1 TABLET BY MOUTH EVERY DAY

PDMP Review Status

Never reviewed

CVS/pharmacy #5721 - EPHRATA, PA - 440 N. READING RD.

Phone:	717-733-1818
Fax:	717-721-6952

CVS Caremark MAILSERVICE Pharmacy - Wilkes-Barre, PA - One Great Valley Blvd AT Portal to Registered Caremark Sites

Phone:	877-864-7744
Fax:	800-378-0323

Flu (Quad) PF =/>6 mo11/10/2023, 11/10/2022, 11/9/2021, ... (1 more)

Flu Split, >3 years10/18/2011, 10/12/2010

MODERNA SARS-COV-2 VACCINATION4/28/2022, 5/7/2021, 4/9/2021

Pneumococcal Conj (Prevnar20)11/10/2022

Shingrix11/9/2021, 11/6/2020

Td6/4/2009

Tdap5/11/2023

Last 45 days

Date	Type	Department	Provider	Description
11/10/2023	Office Visit	Internal Medicine Wyomissing 1st Floor Tower Health Medical Group	Robin R Jasinski, CRNP	Need for influenza vaccination (Primary Dx); Depression scr...
11/08/2023	Refill	Internal Medicine Wyomissing 1st Floor Tower Health Medical Group	Robin R Jasinski, CRNP	Benign essential hypertension (Primary Dx); Hypertriglyceri...

None

Vitals as of today

Growth Chart BP	122/86
Heart Rate	68
Resp	16
Temp	35.8 °C (96.5 °F) Abnormal
Temp src	Tympanic
SpO2	99 %
Weight	267 lb (121.1 kg)

My Last Relevant Note

There are no notes for this patient that meet the current filters.

Question	Response
Have you been in contact with someone who was sick?	No / Unsure
Do you have any of the following new or worsening symptoms?	None of these
Have you traveled internationally in the last month?	No

2------------------------------------- Immunization Summary

Patient Information

Patient Name

Legal Sex Female

DOB

Immunizations

Name	Date
PFIZER SARS-COV-2 =/>12 yrs (PURPLE CAP)	11/09/21
PFIZER SARS-COV-2 =/>12 yrs (PURPLE CAP)	01/18/21
PFIZER SARS-COV-2 =/>12 yrs (PURPLE CAP)	12/28/20
Flu (Quad) 18-64yrs ID PF	10/07/22
Flu (Quad) 18-64yrs ID PF	10/19/21
Flu (Quad) 18-64yrs ID PF	10/01/20
Flu (Quad) 18-64yrs ID PF	10/08/19
Flu (Quad) 18-64yrs ID PF	10/08/18
Flu (quad) PF =/>3 yr	10/07/17
Flu (quad) PF =/>3 yr	09/13/16
Flu (quad) PF =/>3 yr	09/16/15
Prevnar 20	11/10/22
Tdap	04/30/15

65 year old female

Comm Pre

Recent Visits with You

Covid-19 Vaccine (4 - 2023-24 season)

09/01/2023

Influenza Vaccine

09/01/2023

03/28/2024

04/30/2025

03/28/2026

PAP Smear

Smoking

Never

Smokeless Tobacco

Never

Vaping

Never used

Alcohol

Comments

9/5/19 cs

Preferred Language

English

3 items

Date Unknown

Anxiety

Date Unknown

Asthma

Date Unknown

Migraine headache

Specialty Comments

No comments regarding your specialty

8 items



Maternal Grandmother (Deceased at age 67)	Diabetes
	Hypertension
Paternal Grandmother (Deceased)
Mother	Depression
	Cancer (30 y)
Father
Daughter
Daughter
Daughter
Maternal Aunt	Cancer (35 y)

PCPs	Type

Jasinski, Robin R, CRNP	General

No other patient care team members

Recipients of Past 5 Communications

Hospital Encounter - 4/23/2023



Jasinski, Robin R, CRNP	04/23/2023	In Basket

Letter (Out) - 3/18/2020



Diana E Arango	03/18/2020	Print Locally

Office Visit - 10/1/2018



Diana E Arango	10/01/2018	MyChart

Letter (Out) - 4/18/2018



Diana E Arango	04/18/2018	MyChart

Hospital Encounter - 4/11/2018



Mulreaney, Dianne R, CRNP	04/16/2018	In Basket

Recipients of Automatic ADT Notifications for Most Recent Admission

Show All Admissions

Hospital Encounter - 4/23/2023



Jasinski, Robin R, CRNP	04/23/2023	In Basket Message

No Known Allergies

Carpal tunnel syndrome of right wrist

6 items

Cardiovascular and Mediastinum

Migraine headache

Respiratory

Extrinsic asthma

Nervous and Auditory

Other

Panic disorder

Elevated sed rate

Obesity, Class I, BMI 30-34.9

4 items

Date Unknown

Cesarean section

Date Unknown

Pr cesarean delivery only

Date Unknown

Tonsillectomy and adenoidectomy

Date Unknown

tubes in ears [Other]

Prior Authorizations

cholecalciferol, vitamin D3, 50 mcg (2,000 unit) capsule	Take 1 capsule (2,000 Units total) by mouth daily.
ibuprofen (ADVIL,MOTRIN) 400 MG tablet	Take 1 tablet (400 mg total) by mouth every 6 (six) hours as needed for Pain.
Lactobacillus acidophilus (PROBIOTIC ORAL)	Take 1 tablet by mouth daily.
magnesium oxide (MAG-OX) 400 mg (241.3 mg magnesium) tablet	Take 1 tablet (400 mg total) by mouth daily.
multivitamin-iron-folic acid (CENTRUM COMPLETE) 18-400 mg-mcg Tab	Take 1 tablet by mouth daily.
SUMAtriptan (IMITREX) 100 MG tablet	Try Imitrex 100 mg: 1 pill at onset of severe headache, can repeat 1pill in 2 hr if not improved, max 2 pills in 24 hr
~~acetaminophen (TYLENOL) 500 MG tablet~~	Take 1 tablet (500 mg total) by mouth every 6 (six) hours as needed for Pain.
~~SUMAtriptan (IMITREX) 100 MG tablet~~	Try Imitrex 100 mg: 1 pill at onset of severe headache, can repeat 1pill in 2 hr if not improved, max 2 pills in 24 hr

PDMP Review Status

Never reviewed

CVS/pharmacy #5734 - READING, PA - 2001 NORTH 11TH STREET AT CORNER OF ROCKLAND STREET

Phone:	610-921-1048
Fax:	610-921-5761

Reading Hosp Ambulatory Pharmacy - Reading, PA - 420 S 5th Avenue

Phone:	484-628-7426
Fax:	484-628-7427

CVS/pharmacy #1923 - SINKING SPRING, PA - 3100 SHILLINGTON ROAD

Phone:	610-678-9054
Fax:	610-678-0825

Flu (Quad) 18-64yrs ID PF10/7/2022, 10/19/2021, 10/1/2020, ... (2 more)

Flu (quad) PF =/>3 yr10/7/2017, 9/13/2016, 9/16/2015

PFIZER SARS-COV-2 VACCINATION (PURPLE CAP)11/9/2021, 1/18/2021, 12/28/2020

Pneumococcal Conj (Prevnar20)11/10/2022

Tdap4/30/2015

Last 45 days

Date	Type	Department	Provider	Description
11/10/2023	Office Visit	Internal Medicine Wyomissing 1st Floor Tower Health Medical Group	Robin R Jasinski, CRNP	Well adult exam (Primary Dx); Migraine without aura and wit...

None

Vitals as of today

Growth Chart BP	112/82
Heart Rate	86
Resp	16
Temp	36.7 °C (98 °F)
Temp src	Temp Forehd
SpO2	98 %
Weight	188 lb (85.3 kg)
Height	1.524 m (5')

My Last Relevant Note

There are no notes for this patient that meet the current filters.

Question	Response
Have you been in contact with someone who was sick?	No / Unsure
Do you have any of the following new or worsening symptoms?	None of these
Have you traveled internationally in the last month?	No

3---------------------------------

Immunizations

Name	Date
PFIZER SARS-COV-2 =/>12 yrs (PURPLE CAP)	11/17/21
PFIZER SARS-COV-2 =/>12 yrs (PURPLE CAP)	01/21/21
PFIZER SARS-COV-2 =/>12 yrs (PURPLE CAP)	12/30/20
Flu (Quad) 18-64yrs ID PF	10/05/20
Flu (Quad) 18-64yrs ID PF	10/21/19
Flu (Quad) 18-64yrs ID PF	10/16/18
Flu (Quad)PF =/>6 mo	11/10/23
Flu (Quad)PF =/>6 mo	11/10/22
Flu (quad) PF =/>3 yr	10/31/17
Flu (quad) PF =/>3 yr	11/15/16
Flu (quad) PF =/>3 yr	03/14/16
PFIZER BIVALENT COVID-19 VACCINE >/= 12 YR	02/18/23
Pneumococcal Conj (Prevnar13)	05/16/22
Pneumococcal Poly(Pneumovax 23)	05/10/23
Tdap	05/10/23

68 year old female

Comm Pref:

Recent Visits with You

Covid-19 Vaccine (5 - 2023-24 season)

Never done

Zoster/Shingrix (1 of 2)

09/01/2023

03/07/2024

Mammogram

05/10/2024

Pneumococcal Vaccine Risk Series 0-64 years (3 - PPSV23 or PCV20)

10/28/2024

PAP Smear

11/02/2026

Pre-Diabetes Screening

05/10/2028

07/20/2028

Colorectal Cancer Screen

05/10/2033

Smoking

Never

Smokeless Tobacco

Never

Vaping

Never used

Alcohol

Preferred Language

English

19 items

12/8/2016

H/O kidney transplant

Date Unknown

Acute rhinosinusitis

Date Unknown

Allergic rhinitis

Date Unknown

Decreased vitamin D

Date Unknown

Degenerative disc disease

Date Unknown

Depression

Date Unknown

Hashimoto's thyroiditis

Date Unknown

Hyperlipidemia

Date Unknown

Hypothyroidism

Date Unknown

Irritable bowel syndrome

Date Unknown

Left shoulder pain

Date Unknown

Obesity

Date Unknown

Pharyngitis

Date Unknown

Sciatica

Date Unknown

Shortness of breath

Date Unknown

Subacromial bursitis

Date Unknown

Thyroid disease

Date Unknown

Trochanteric bursitis

Date Unknown

Viral upper respiratory infection

Specialty Comments

No comments regarding your specialty

14 items



Paternal Grandfather (Deceased)
Paternal Grandmother (Deceased)	Breast cancer
	Heart disease
	Cancer (70 y)
Maternal Grandmother (Deceased)	Heart disease
Maternal Grandfather (Deceased)
Father (Deceased at age 80)	Prostate cancer
	Heart disease
	Hyperlipidemia
	Hypertension
	Cancer (70 y)
Mother (Deceased at age 59)	Diabetes
	Stroke
	Heart disease
	Hyperlipidemia
	Hypertension
Brother	Hyperlipidemia
	Cancer (55 y)
Sister	Hyperlipidemia
	Hypertension
	Obesity
Sister (Deceased)	Hyperlipidemia
	Hypertension
	Diabetes
Other	Diabetes
Other	Hyperlipidemia
Other	Asthma
Other	Heart disease
Neg Hx	Sleep apnea
	History of bariatric surgery
	Depression
	Anxiety disorder

PCPs	Type

Jasinski, Robin R, CRNP	General

Other Patient Care Team Members	Relationship

Frey, Leah M, CRNP	Nurse Practitioner

Recipients of Past 5 Communications

Office Visit - 5/10/2023



Demko, Trudy M, MD	05/10/2023	Outside Provider Messaging

Office Visit - 10/28/2021



Jasinski, Robin R, CRNP	10/28/2021	In Basket

Office Visit - 5/10/2021



Demko, Trudy M, MD	07/08/2021	Outside Provider Messaging

Office Visit - 10/26/2020



Jasinski, Robin R, CRNP	10/26/2020	In Basket

Letter (Out) - 2/20/2019



	02/20/2019	MyChart

Recipients of Automatic ADT Notifications for Most Recent Admission

Show All Admissions

Hospital Encounter - 1/26/2022



Jasinski, Robin R, CRNP	01/26/2022	In Basket Message

ErythromycinUnknown

PravastatinJoint Pain

Gastroesophageal reflux disease without esophagitis

10 items

Respiratory

Allergic rhinitis

Digestive

Irritable bowel syndrome

Endocrine

Hypothyroidism

Hashimoto's thyroiditis

Genitourinary

Stage 3b chronic kidney disease (HCC)

Other

Single kidney

Decreased vitamin D

Degenerative disc disease

Class 1 obesity due to excess calories with serious comorbidity and body mass index (BMI) of 31.0 to 31.9 in adult

7 items

10/2011

rotor cuff [Other] (Left)

02/11

Kidney surgery

2004

Cleft palate repair

2001

Kidney stone surgery

1996

Cleft lip repair

1996

Nasal septum surgery

Date Unknown

Tonsillectomy and adenoidectomy

Prior Authorizations

	acetaminophen (TYLENOL) 500 MG tablet	Take 1 tablet (500 mg total) by mouth every 6 (six) hours as needed for Pain.
	ergocalciferol (VITAMIN D2) 1,250 mcg (50,000 unit) capsule	Take 1 capsule (50,000 Units total) by mouth every 30 days.
	famotidine (PEPCID) 10 MG tablet	Take 1 tablet (10 mg total) by mouth 2 (two) times daily.Patient taking differently: Take 2 tablets (20 mg total) by mouth 2 (two) times daily.
	FLUoxetine (PROZAC) 40 MG capsule	TAKE 1 CAPSULE DAILY
	levothyroxine (SYNTHROID) 75 MCG tablet	TAKE 1 TABLET 30 MINUTES BEFORE BREAKFAST
	multivitamin (DAILY-VITE) tablet	Take 1 tablet by mouth daily.
	phentermine (LOMAIRA) 8 mg Tab	Take 1 tablet prior to lunch
	rosuvastatin (CRESTOR) 5 MG tablet	TAKE 1 TABLET NIGHTLY
	semaglutide (OZEMPIC) 1 mg/dose (4 mg/3 mL) injection pen	Inject 1 mg into the skin every 7 days.
	solifenacin (VESICARE) 5 MG tablet	TAKE 1 TABLET DAILY

PDMP Review Status

Never Reviewed by You Unable to be reviewed by Frey, Leah M, CRNP on 12/7/2021 at 1:12 PM

EXPRESS SCRIPTS HOME DELIVERY - St. Louis, MO - 4600 North Hanley Road

Phone:	888-327-9791
Fax:	800-837-0959

CVS/pharmacy #1769 - LEESPORT, PA - 906 W LEESPORT RD

Phone:	610-208-8612
Fax:	610-208-8618

Reading Hosp Ambulatory Pharmacy - Reading, PA - 420 S 5th Avenue

Phone:	484-628-7426
Fax:	484-628-7427

CVS/pharmacy #1321 - Reading, PA - 3498 N 5th Street Hwy AT CORNER OF BELLEVUE AVENUE

Phone:	610-929-9864
Fax:	610-921-5653

Flu (Quad) 18-64yrs ID PF10/5/2020, 10/21/2019, 10/16/2018

Flu (Quad) PF =/>6 mo11/10/2023, 11/10/2022

Flu (quad) PF =/>3 yr10/31/2017, 11/15/2016, 3/14/2016

PFIZER BIVALENT COVID-19 VACCINE >/= 12 YR2/18/2023

PFIZER SARS-COV-2 VACCINATION (PURPLE CAP)11/17/2021, 1/21/2021, 12/30/2020

Pneumococcal Conj (Prevnar13)5/16/2022

Pneumococcal Poly(Pneumovax 23)5/10/2023

Tdap5/10/2023

Last 45 days

Date	Type	Department	Provider	Description
11/10/2023	Office Visit	Internal Medicine Wyomissing 1st Floor Tower Health Medical Group	Robin R Jasinski, CRNP	Need for influenza vaccination (Primary Dx); Depression scr...

None

Vitals as of today

Growth Chart BP	122/82
Heart Rate	64
Resp	16
Temp	36.2 °C (97.1 °F)
Temp src	Temp Forehd
SpO2	99 %
Weight	204 lb (92.5 kg)
Height	1.702 m (5' 7")

4--------------------------

Immunizations

Name	Date
PFIZER SARS-COV-2 =/>12 yrs (PURPLE CAP)	09/01/21
PFIZER SARS-COV-2 =/>12 yrs (PURPLE CAP)	08/11/21
DTP	07/12/04
DTP	10/31/01
DTP	02/21/01
DTP	12/11/00
DTP	10/03/00
Dtap	11/14/12
Flu Split, >3 years	10/25/11
Flu Split, >3 years	11/27/09
Flu Split, >3 years	02/18/09
Flu, Split, No Preservative >3yrs.	11/26/07
Flu, Split, No Preservative >3yrs.	11/26/07
H1N1	12/30/09
H1N1	11/27/09
HPV Quadrivalent	11/18/14
HPV Quadrivalent	02/08/13
HPV Quadrivalent	11/14/12
Hepatitis A Adult	05/20/08
Hepatitis A Adult	12/11/06
Hepatitis B - 3 dose	07/16/01
Hepatitis B - 3 dose	02/21/01
Hepatitis B - 3 dose	09/01/00
HiB PRP-D	10/31/01
HiB PRP-D	02/21/01
HiB PRP-D	12/11/00
HiB PRP-D	10/03/00
IPV	07/12/04
IPV	10/31/01
IPV	12/11/00
IPV	10/03/00
MMR	07/12/04
MMR	07/16/01
Meningococcal B 10-25 yrs - Bexsero	08/15/17
Meningococcal B 10-25 yrs - Bexsero	07/11/17
Meningococcal Oligosacc (Menveo)	07/11/17
Meningococcal Oligosacc (Menveo)	11/14/12
PPD Test	05/19/08
Pneumococcal Conjugate 7-Valent	10/31/01
Pneumococcal Conjugate 7-Valent	03/15/01
Pneumococcal Conjugate 7-Valent	01/10/01
Pneumococcal Conjugate 7-Valent	10/03/00
Prevnar 20	11/10/23
Tdap	11/14/12
Varicella	05/20/08
Varicella	07/16/01

65 year old male

Recent Visits with You

Never done

Hepatitis C Screening

11/14/2022

Covid-19 Vaccine (3 - 2023-24 season)

09/01/2023

11/10/2024

Smoking

Never

Smokeless Tobacco

Never

Vaping

Never used

Alcohol

Preferred Language

English

18 items

03/12/2012

Insecet bite

10/25/2011

Contact dermatitis

05/12/2011

Allergic rhinitis

03/28/2011

Obesity

12/30/2010

Viral syndrome

03/01/2010

Myopia

01/26/2010

Gastroenteritis

12/30/2009

Acute sinusitis

10/02/2009

Unspecified asthma, with exacerbation

05/19/2008

Cerebral palsy (HCC)

05/19/2008

Developmental delay

05/19/2008

Paronychia

05/19/2008

Allergic rhinitis

05/19/2008

Emesis

05/19/2008; 05/12/2011

Acute otitis media

Date Unknown

Asthma

05/20/2008; 05/19/2008

Persistent asthma

04/02/2008; 02/09/2009

Upper respiratory infection

Specialty Comments

No comments regarding your specialty

11 items



Father
Mother
Other	Heart disease
Other	Seizures
Other	Asthma
Brother
Maternal Grandmother
Maternal Grandfather (Deceased)
Paternal Grandmother
Paternal Grandfather (Deceased)
Brother

PCPs	Type

Jasinski, Robin R, CRNP	General

No other patient care team members

Recipients of Past 5 Communications

Hospital Encounter - 9/25/2019



Kwon, Michael Soon Il, MD	09/25/2019	Fax

Hospital Encounter - 8/28/2019



Kwon, Michael Soon Il, MD	08/28/2019	Fax

Hospital Encounter - 8/7/2019



Kwon, Michael Soon Il, MD	08/07/2019	Fax

Hospital Encounter - 7/10/2019



Kwon, Michael Soon Il, MD	07/10/2019	Fax

Hospital Encounter - 7/10/2019



Kwon, Michael Soon Il, MD	07/10/2019	Mail

No Known Allergies

5 item

Respiratory

Uncomplicated asthma

Nervous and Auditory

Cerebral palsy (HCC)

Other

Snoring

Personal history of fall

Spasticity

6 items

2011

Foot surgery

10/10

Hamstring lengthening

2005

Hip surgery

2002

Tendon release

Date Unknown

arm surgery [Other] (Right)

Date Unknown

Hip osteotomy

Prior Authorizations

albuterol (PROVENTIL) 2.5 mg /3 mL (0.083 %) nebulizer solution	Take 3 mLs (2.5 mg total) by nebulization every 4 (four) hours as needed.
albuterol HFA (PROVENTIL HFA;VENTOLIN HFA) 90 mcg/actuation inhaler	2 puffs. with spacer every 4 to 6 hours as needed

PDMP Review Status

Never reviewed

RITE AID #01581 - READING, PA - 524 NORTH 6TH STREET

Phone:	610-374-6282
Fax:	610-374-6596

RITE AID #00467 - WEST READING, PA - 525 PENN AVENUE

Phone:	610-373-5241
Fax:	610-373-1012

DTP7/12/2004, 10/31/2001, 2/21/2001, ... (2 more)

Dtap11/14/2012

Flu Split, >3 years10/25/2011, 11/27/2009, 2/18/2009

Flu, Split, No Preservative >3yrs.11/26/2007, 11/26/2007

H1N112/30/2009, 11/27/2009

HPV Quadrivalent11/18/2014, 2/8/2013, 11/14/2012

Hepatitis A Adult5/20/2008, 12/11/2006

Hepatitis B - 3 dose7/16/2001, 2/21/2001, 9/1/2000

HiB PRP-D10/31/2001, 2/21/2001, 12/11/2000, ... (1 more)

IPV7/12/2004, 10/31/2001, 12/11/2000, ... (1 more)

MMR7/12/2004, 7/16/2001

Meningococcal B 10-25 yrs - Bexsero8/15/2017, 7/11/2017

Meningococcal Oligosacc (Menveo)7/11/2017, 11/14/2012

PFIZER SARS-COV-2 VACCINATION (PURPLE CAP)9/1/2021, 8/11/2021

PPD Test5/19/2008

Pneumococcal Conj (Prevnar20)11/10/2023

Pneumococcal Conjugate 7-Valent10/31/2001, 3/15/2001, 1/10/2001, ... (1 more)

Tdap11/14/2012

Varicella5/20/2008, 7/16/2001

Last 45 days

Date	Type	Department	Provider	Description
11/10/2023	Office Visit	Internal Medicine Wyomissing 1st Floor Tower Health Medical Group	Robin R Jasinski, CRNP	Contracture of joint of finger of right hand (Primary Dx); ...

None

Vitals as of today

Growth Chart BP	132/78
Heart Rate	86
Resp	16
Temp	37.2 °C (98.9 °F)
Temp src	Temp Forehd
SpO2	97 %
Weight	219 lb (99.3 kg)
Height	1.702 m (5' 7")

My Last Relevant Note

There are no notes for this patient that meet the current filters.

Question	Response
Have you been in contact with someone who was sick?	No / Unsure
Do you have any of the following new or worsening symptoms?	None of these
Have you traveled internationally in the last month?	No

5-----------------------------------

Immunization Summary

Patient Information

Patient Name

Legal Sex Female

DOB 7/30/1946

Immunizations

Name	Date
PFIZER SARS-COV-2 =/>12 yrs (PURPLE CAP)	09/12/22
Dtap	07/01/11
FLU HIGH DOSE	10/09/20
FLU HIGH DOSE	10/15/18
FLU HIGH DOSE	10/19/16
FLU HIGH DOSE	10/21/15
Flu (Quad) MDV w/Preserv =/>3 years	10/09/20
Flu (Quad) MDV w/Preserv =/>3 years	10/10/18
Flu (Quad) MDV w/Preserv =/>3 years	10/16/17
Flu (Quad) MDV w/Preserv =/>3 years	10/19/16
Flu (Quad) MDV w/Preserv =/>3 years	10/21/15
Flu (Quad) MDV w/Preserv =/>3 years	10/01/14
Flu (quad) PF =/>3 yr	10/16/17
Flublok Quad	10/11/22
Flublok Quad	10/06/21
Flublok Quad	11/12/19
Influenza, Quad, Adjuvanted	10/18/23
MODERNA SARS-COV-2 VACCINATION	04/06/22
MODERNA SARS-COV-2 VACCINATION	11/22/21
MODERNA SARS-COV-2 VACCINATION	04/08/21
MODERNA SARS-COV-2 VACCINATION	03/04/21
PFIZER BIVALENT COVID-19 VACCINE >/= 12 YR	04/21/23
PFIZER COVID VACCINE (12 YRS UP)	09/23/23
Pneumococcal Conj (Prevnar13)	07/29/15
Pneumococcal Poly(Pneumovax 23)	07/17/12

77 year old female

Comm Pref:

Recent Visits with You

Covid-19 Vaccine (8 - 2023-24 season)

very important Data from outside sources needs reconciliation.

Never done

Zoster/Shingrix (1 of 2)

11/18/2023

04/06/2024

Fall Risk Assessment

10/19/2024

Osteoporosis Maintenance Scan

08/17/2025

Smoking

Never

Smokeless Tobacco

Never

Vaping

Never used

Alcohol

3.0 standard drinks of alcohol/week

Preferred Language

English

12 items

07/29/2015

Bladder prolapse, female, acquired

2000

Arthritis

2010

Cataract

Date Unknown

Chicken pox

2005

GERD (gastroesophageal reflux disease)

Date Unknown

Hair loss

Date Unknown

Hyperlipidemia

Date Unknown

Incontinence of urine

Date Unknown

Measles

Date Unknown

Osteopenia

2001

Osteoporosis

Date Unknown

Whooping cough

Food Insecurity

Not on file

Specialty Comments

Medicare wellness- 1/28/16, 2/1/17

11 items



Mother (Deceased)	Arthritis
	Osteoporosis
	Dementia
	Hypertension (60 y)
	Hyperlipidemia (60 y)
	Thyroid cancer
Father (Deceased)	Lung cancer
Sister	Hypertension
Sister	Hypertension
Brother	Hypertension
Son
Son
Maternal Cousin	Breast cancer (50 y)
Maternal Cousin	Ovarian cancer (60 y)
Paternal Cousin	Breast cancer (30 y)
Paternal Cousin	Breast cancer (60 y)

PCPs	Type

Erlikh, Tatyana, MD	General

No other patient care team members

Recipients of Past 3 Communications

Follow-Up - 2/25/2021



Erlikh, Tatyana, MD	02/25/2021	In Basket

Office Visit - 8/1/2017



Nicholas, Peter D Jr., MD	08/01/2017	Fax

Letter (Out) - 3/12/2015



Loretta A. Minear	03/31/2015	MyChart

No Known Allergies

Osteopenia of multiple sites

11 items

Musculoskeletal and Integument

Compression fracture of L3 lumbar vertebra, sequela

Compression fracture of thoracic vertebra with delayed healing

Degenerative disc disease, lumbar

Genitourinary

Bladder prolapse, female, acquired

Other

Mixed hyperlipidemia

Leg weakness, bilateral

Abnormal neurological exam

Acute midline thoracic back pain

Nonspecific abnormal electromyogram (EMG)

12 items

02/19/2016

Breast biopsy (Right)

01/28/2014

Breast biopsy (Right)

09/17/2013

Colonoscopy

12/01/2008

Combined hysteroscopy diagnostic / d&c

2000

Carpal tunnel release (Left)

1981

Carpal tunnel release (Right)

09/09/1969

Breast biopsy (Right)

Date Unknown

CATARACT SURG [Other]

Date Unknown

Dexa bone density appendage

Date Unknown

Dilation and curettage, diagnostic / therapeutic

2013

Eye surgery

Date Unknown

Tonsillectomy

Prior Authorizations

ascorbic acid (VITAMIN C) 500 MG tablet	Take 1 tablet (500 mg total) by mouth daily.
CALCIUM CITRATE/VITAMIN D3 (CITRACAL + D PETITES ORAL)	Take 1 tablet by mouth daily.
cetirizine (ZYRTEC) 10 MG tablet	Take 1 tablet (10 mg total) by mouth daily.
denosumab (PROLIA) 60 mg/mL injection	Inject 1 mL (60 mg total) into the skin once.
docosahexaenoic acid/epa (FISH OIL ORAL)	Take by mouth.
doxylamine (UNISOM) 25 mg tablet	Take 0.5 tablets (12.5 mg total) by mouth nightly as needed for Insomnia.
estradioL (ESTRACE) 0.01 % (0.1 mg/gram) vaginal cream	Insert 1 gram vaginally twice a week.Patient taking differently: Patient taking twice a month
FLAXSEED OIL ORAL	Take by mouth 2 (two) times daily. 540mg,132mg,132mg in 1200cap.
GARLIC ORAL	Take by mouth. tid
IBUPROFEN ORAL	Take by mouth daily as needed.
lovastatin (MEVACOR) 10 MG tablet	TAKE ONE TABLET BY MOUTH NIGHTLY
magnesium oxide 250 mg Tab	Take 2 tablets by mouth daily.
melatonin 5 mg tablet	Take 1 tablet (5 mg total) by mouth nightly.
multivitamin (DAILY-VITE) tablet	Take 1 tablet by mouth daily.
ubidecarenone (COENZYME Q10) 100 mg Tab	Take 1 tablet by mouth daily.Patient taking differently: Take 1 tablet by mouth daily. 200 MG
VITAMIN K2 ORAL	Take 90 mcg by mouth every other day.

PDMP Review Status

Never reviewed

WEIS PHARMACY #175 - WEST LAWN, PA - 1112 W WYOMISSING BLVD

Phone:	610-775-3409
Fax:	610-775-0507

Amazon Pharmacy #002 (INTERNAL USE ONLY) - Phoenix, AZ - 3809 E Watkins Street

Phone:	855-206-3605
Fax:	512-884-5981

Amazon Pharmacy Home Delivery - Austin, TX - 4500 S Pleasant Vly Rd Ste 201

Phone:	855-206-3605
Fax:	512-884-5981

Flu (Quad) MDV w/Preserv =/>3 years10/9/2020, 10/10/2018, 10/16/2017, ... (3 more)

very important Immunizations from outside sources need reconciliation.

Dtap7/1/2011

Flu (quad) PF =/>3 yr10/16/2017

Flu High Dose NP =/>65 yrs10/9/2020, 10/15/2018, 10/19/2016, ... (1 more)

Flublok Quad10/11/2022, 10/6/2021, 11/12/2019

Influenza, Quad, Adjuvanted10/18/2023

MODERNA SARS-COV-2 VACCINATION4/6/2022, 11/22/2021, 4/8/2021, ... (1 more)

PFIZER BIVALENT COVID-19 VACCINE >/= 12 YR4/21/2023

PFIZER COVID VACCINE (12 YRS UP)9/23/2023

PFIZER SARS-COV-2 VACCINATION (PURPLE CAP)9/12/2022

Pneumococcal Conj (Prevnar13)7/29/2015

Pneumococcal Poly(Pneumovax 23)7/17/2012

Last 45 days

Date	Type	Department	Provider	Description
11/10/2023	Office Visit	Internal Medicine Wyomissing 1st Floor Tower Health Medical Group	Robin R Jasinski, CRNP	Muscle strain of lower extremity, right, initial encounter (...
11/09/2023	Telephone	Internal Medicine Wyomissing 1st Floor Tower Health Medical Group	TATYANA ERLIKH, MD
10/19/2023	Office Visit	Internal Medicine Wyomissing 1st Floor Tower Health Medical Group	TATYANA ERLIKH, MD	Mixed hyperlipidemia (Primary Dx); Age-related osteoporosis...
10/08/2023	Refill	Internal Medicine Wyomissing 1st Floor Tower Health Medical Group	Robin R Jasinski, CRNP	Mixed hyperlipidemia (Primary Dx)
09/29/2023	Telephone	Internal Medicine Wyomissing 1st Floor Tower Health Medical Group	Miranda Santiago, MA

None

Vitals as of today

Growth Chart BP	112/78
Heart Rate	72
Resp	16
Temp	36.4 °C (97.6 °F)
Temp src	Temp Forehd
SpO2	95 %
Weight	135 lb (61.2 kg)
Height	1.499 m (4' 11")

My Last Relevant Note

There are no notes for this patient that meet the current filters.