The Healthjump Chart Notes API is an Elasticsearch environment that allows for 2 primary techniques for searching and retreiving data. The URI Search and the Request Body Search. While the URI search is a simple and efficient way to query your cluster, you’ll quickly find that it doesn’t support all of the features ES offers. The full power of Elasticsearch is evident through Request Body Search. Using Request Body Search allows you to build a complex search request using various elements and query clauses that will match, filter, and order as well as manipulate documents depending on multiple criteria.
\nWe have provided examples for both use cases below.
\nThe easiest way to search your Elasticsearch cluster is through URI search. You can pass a simple query to Elasticsearch using the q query parameter. The following query will search your whole cluster for documents with a diagnosis field equal to “eczyma”:
\ncurl “https://chart-notes.healthjump.com/_search?q=diagnosis:eczyma”\nWith the Lucene syntax, you can build quite impressive searches. Usually you’ll have to URL-encode characters such as spaces (we omitted it in these examples for clarity):
\ncurl “https://chart-notes.healthjump.com/_search?q=diagnosis:eczyma AND (age:[30 TO 40}) AND -city”\nA number of options are available that allow you to customize the URI search, specifically in terms of which analyzer to use (analyzer), whether the query should be fault-tolerant (lenient), and whether an explanation of the scoring should be provided (explain).
\nAlthough you can use URI searches to perform simple searches, the Elasticsearch query domain-specific language (DSL) lets you specify the full range of search options. The query DSL uses the HTTP request body. Queries specified in this way have the added advantage of being more explicit in their intent and easier to tune over time.
\nRequest Body Search uses a JSON document that contains various elements to create a search on your Elasticsearch cluster. Not only can you specify search criteria, you can also specify the range and number of documents that you expect back, the fields that you want, and various other options.
\nThe first element of a search is the query element that uses Query DSL. Using Query DSL can sometimes be confusing because the DSL can be used to combine and build up query clauses into a query that can be nested deeply. Since most of the Elasticsearch documentation only refers to clauses in isolation, it’s easy to lose sight of where clauses should be placed.
\nTo use the Query DSL, you need to include a “query” element in your search body and populate it with a query built using the DSL:
\n{\"query\": { \"match\": { \"_all\": \"meaning\" } } }\nIn this case, the “query” element contains a “match” query clause that looks for the term “meaning” in all of the fields in all of the documents in your cluster.
\nThe query element is used along with other elements in the search body:
\n {\n \"query\": {\n \"match\": { \"_all\": \"meaning\" }\n },\n \"fields\": [\"name\", \"surname\", \"age\"],\n \"from\": 100, \"size\": 20\n }\nHere, we’re using the “fields” element to restrict which fields should be returned and the “from” and “size” elements to tell Elasticsearch we’re looking for documents 100 to 119 (starting at 100 and counting 20 documents).
\n","schema":"https://schema.getpostman.com/json/collection/v2.0.0/collection.json","toc":[],"owner":"253578","collectionId":"70e488e5-4278-46c4-b115-097ccd2febb4","publishedId":"TVsuDT1j","public":true,"customColor":{"top-bar":"FFFFFF","right-sidebar":"303030","highlight":"EF5B25"},"publishDate":"2020-12-22T19:07:10.000Z"},"item":[{"name":"All documents (10 Results)","id":"0e9e6f36-f451-45a4-92c6-18c122fbbda6","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"GET","header":[],"url":"https://chart-notes.healthjump.com/_search","description":"By default, with no parameters set, _search call will return a maximum of 10 documents.
\n","urlObject":{"protocol":"https","path":["_search"],"host":["chart-notes","healthjump","com"],"query":[],"variable":[]}},"response":[{"id":"4a776a9e-e047-4011-9760-9b74a4718a28","name":"All documents (10 Results)","originalRequest":{"method":"GET","header":[],"url":"https://chart-notes.healthjump.com/_search"},"status":"OK","code":200,"_postman_previewlanguage":"json","header":[{"key":"Date","value":"Tue, 22 Dec 2020 18:54:51 GMT"},{"key":"Content-Type","value":"application/json; charset=UTF-8"},{"key":"Content-Length","value":"34612"},{"key":"Connection","value":"keep-alive"},{"key":"Server","value":"gunicorn/20.0.4"}],"cookie":[],"responseTime":null,"body":"{\n \"_shards\": {\n \"failed\": 0,\n \"skipped\": 0,\n \"successful\": 5,\n \"total\": 5\n },\n \"hits\": {\n \"hits\": [\n {\n \"_id\": \"49613628940256332408090132368495198217326494790042255394.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 1,\n \"_source\": {\n \"chart_hash\": \"ecbbc7e81e81081dc2bfb38699dd1999516cff93\",\n \"content\": \"| Name | RedactedLastName, RedactedFirstName (65, F) ID# 47635 | Appt. Date/Time | 05/09/2014 03:00PM |
|---|---|---|---|
| DOB | RedactedDOB | Service Dept. | TLC_WBK_Adult |
| Provider | MIRZA BAIG | ||
| Insurance | Med Primary: CAREFIRST ADMINISTRATORS (PPO FOR STATES OF MD, DC, VA) Insurance # : BAC000211 Policy/Group # : BAC Med Payment plan: PAYMENT PLAN #1122 Prescription: check now |
| Name | RedactedLastName, RedactedFirstName (65, F) ID# 47635 | Appt. Date/Time | 05/09/2014 03:00PM |
|---|---|---|---|
| DOB | RedactedDOB | Service Dept. | TLC_WBK_Adult |
| Provider | MIRZA BAIG | ||
| Insurance | Med Primary: CAREFIRST ADMINISTRATORS (PPO FOR STATES OF MD, DC, VA) Insurance # : BAC000211 Policy/Group # : BAC Med Payment plan: PAYMENT PLAN #1122 Prescription: check now |
To increase the maximum request output, the parameter of size can be added and set as shown in this example.
\n","urlObject":{"protocol":"https","path":["_search"],"host":["chart-notes","healthjump","com"],"query":[{"key":"size","value":"200"}],"variable":[]}},"response":[{"id":"6296dd30-ea84-47fd-a1c9-cb6c6705dc56","name":"All documents (200 Results)","originalRequest":{"method":"GET","header":[],"url":{"raw":"https://chart-notes.healthjump.com/_search?size=200","protocol":"https","host":["chart-notes","healthjump","com"],"path":["_search"],"query":[{"key":"size","value":"200"}]}},"status":"OK","code":200,"_postman_previewlanguage":"json","header":[{"key":"Date","value":"Tue, 22 Dec 2020 18:55:00 GMT"},{"key":"Content-Type","value":"application/json; charset=UTF-8"},{"key":"Content-Length","value":"523361"},{"key":"Connection","value":"keep-alive"},{"key":"Server","value":"gunicorn/20.0.4"}],"cookie":[],"responseTime":null,"body":"{\n \"_shards\": {\n \"failed\": 0,\n \"skipped\": 0,\n \"successful\": 5,\n \"total\": 5\n },\n \"hits\": {\n \"hits\": [\n {\n \"_id\": \"49613628940256332408090132368495198217326494790042255394.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 1,\n \"_source\": {\n \"chart_hash\": \"ecbbc7e81e81081dc2bfb38699dd1999516cff93\",\n \"content\": \"| Name | RedactedLastName, RedactedFirstName (65, F) ID# 47635 | Appt. Date/Time | 05/09/2014 03:00PM |
|---|---|---|---|
| DOB | RedactedDOB | Service Dept. | TLC_WBK_Adult |
| Provider | MIRZA BAIG | ||
| Insurance | Med Primary: CAREFIRST ADMINISTRATORS (PPO FOR STATES OF MD, DC, VA) Insurance # : BAC000211 Policy/Group # : BAC Med Payment plan: PAYMENT PLAN #1122 Prescription: check now |
| Name | RedactedLastName, RedactedFirstName (65, F) ID# 47635 | Appt. Date/Time | 11/07/2014 03:30PM |
|---|---|---|---|
| DOB | RedactedDOB | Service Dept. | TLC_WBK_Adult |
| Provider | MIRZA BAIG | ||
| Insurance | Med Primary: BCBS-MD: CAREFIRST - BLUE CROSS BLUE SHIELD OF MARYLAND (PPO) Insurance # : BAC000211 Policy/Group # : BAC Med Payment plan: PAYMENT PLAN #1122 Prescription: check now |
| Ht: | 5 ft 7 in (170.18 cm) 11/07/2014 04:02 pm | Wt: | 125.8 lbs (57.06 kg) 11/07/2014 04:00 pm | BMI: | 19.7 11/07/2014 04:02 pm |
| BP: | 148/90 sitting L arm 11/07/2014 04:04 pm | T: | 97.9 F° oral (36.61 C) 11/07/2014 04:02 pm | Pulse: | 68 bpm regular 11/07/2014 04:04 pm |
| RR: | 16 11/07/2014 04:02 pm | O2Sat: | 99% Room Air at Rest 11/07/2014 04:02 pm | Pain Scale: | 0 11/07/2014 04:02 pm |
| Name | RedactedLastName, RedactedFirstName (69yo, F) ID# 47635 | Appt. Date/Time | 01/10/2019 03:00PM |
|---|---|---|---|
| DOB | RedactedDOB | Service Dept. | TLC_WBK_Adult |
| Provider | CYNTHIA CALIXTE, MD | ||
| Insurance | Med Primary: MEDICARE-MD - RHC-FQHC - PART A (MEDICARE) Insurance # : 216649192B Med Secondary: AARP (MEDICARE SUPPLEMENT) Insurance # : 33783032311 Med Payment plan: PAYMENT PLAN #1122 Prescription: CMX - Member is eligible. details |
| Ht: | 5 ft 7 in Standing (170.18 cm) 01/10/2019 03:04 pm | Wt: | 121 lbs 14.4 oz With clothes (55.29 kg) 01/10/2019 03:05 pm | BMI: | 19.1 01/10/2019 03:05 pm |
| BP: | 179/91 sitting L arm 01/10/2019 03:08 pm | T: | 97.5 F° oral (36.39 C) 01/10/2019 03:08 pm | Pulse: | 76 bpm regular 01/10/2019 03:07 pm |
| RR: | 17 01/10/2019 03:08 pm | O2Sat: | 96.01% Room Air at Rest 01/10/2019 03:07 pm | Pain Scale: | 7 01/10/2019 03:06 pm |
| Pain Scale Type: | Numeric 01/10/2019 03:06 pm |
Name | Date | Source |
|---|---|---|
betamethasone valerate 0.1 % topical cream APPLY TO THE AFFECTED AREA EACH DAY AS NEEDED | 12/19/18 filled | Caremark |
clobetasol 0.05 % topical ointment APPLY A THIN LAYER TO THE AFFECTED AREA(S) BY TOPICAL ROUTE 2 TIMES PER DAY | 01/10/19 prescribed | Cynthia Calixte, MD |
Fluvirin 2017-2018 (PF) 45 mcg(15 mcg x3)/0.5 mL intramuscular syringe ADM 0.5ML IM UTD | 10/15/17 filled | surescripts |
Fluzone Quad 2018-19(PF) 60 mcg(15 mcgx4)/0.5 mL intramuscular syringe ADM 0.5ML IM UTD | 11/28/18 filled | surescripts |
hydrOXYzine HCl 50 mg tablet Take 1 tablet(s) 4 times a day by oral route as needed. | 01/10/19 prescribed | Cynthia Calixte, MD |
| Vaccine Type | Date | Amt. | Route | Site | NDC | Lot # | Mfr. | Exp. Date | Date on VIS | VIS Given | Vaccinator |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Diphtheria, Tetanus, Pertussis | |||||||||||
| Tdap | 09/12/16 | 0.5 mL | Intramuscular | Deltoid, Left | K2D2T | GlaxoSmithKline | 12/08/18 | 02/24/15 | 09/12/16 | Sher'ra Brown | |
| Influenza | |||||||||||
| influenza, injectable, quadrivalent, preservative free | 09/12/16 | 0.5 mL | Intramuscular | Deltoid, Left | UI664AA | Sanofi Pasteur | 04/06/17 | 08/07/15 | 09/12/16 | Sher'ra Brown | |
| Pneumococcal | |||||||||||
| pneumococcal polysaccharide PPV23 | 06/24/16 | 0.5 mL | Injection | Deltoid, Left | LO40178 | Merck and Co., Inc. | 08/18/17 | 04/24/15 | 06/24/16 | Sher'ra Brown |
| Appointment Date: 01/15/2019 | Appointment Time: 11:15 |
Basic match query that searches for the string “antibiotics” in all the fields:
\nThe easiest way to search your Elasticsearch cluster is through URI search. You can pass a simple query to Elasticsearch using the q query parameter. The following query will search your whole cluster for documents that contain a word equal to “antibiotics”:
\n","urlObject":{"protocol":"https","path":["_search"],"host":["chart-notes","healthjump","com"],"query":[{"key":"q","value":"antibiotics"}],"variable":[]}},"response":[{"id":"2e130745-4b63-4ba9-997d-0fa9bfa885bb","name":"Search URI - by Word(s)","originalRequest":{"method":"GET","header":[],"url":{"raw":"https://chart-notes.healthjump.com/_search?q=antibiotics","protocol":"https","host":["chart-notes","healthjump","com"],"path":["_search"],"query":[{"key":"q","value":"antibiotics"}]}},"status":"OK","code":200,"_postman_previewlanguage":"json","header":[{"key":"Date","value":"Tue, 22 Dec 2020 18:55:31 GMT"},{"key":"Content-Type","value":"application/json; charset=UTF-8"},{"key":"Content-Length","value":"47309"},{"key":"Connection","value":"keep-alive"},{"key":"Server","value":"gunicorn/20.0.4"}],"cookie":[],"responseTime":null,"body":"{\n \"_shards\": {\n \"failed\": 0,\n \"skipped\": 0,\n \"successful\": 5,\n \"total\": 5\n },\n \"hits\": {\n \"hits\": [\n {\n \"_id\": \"49613628940256332408090142542918863714532942698936008738.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 8.047327,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"Start antibiotics Drink plenty of fluids After antibiotics finish, start bladder medication if still symptomatic. They are both once a day See me again if those don't work Call me for a prescription if they do \",\n \"encounter_date\": \"2018-01-02\",\n \"encounter_id\": \"104127774\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491943027583259071677447899447314.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 5.1712947,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"Patient Education Rocephin 1 gm IM in office. cefdinir for 10 days. phenergan with codeine as needed for cough. Rest and increase fluid intake Acute Bronchitis Your healthcare provider has told you that you have acute bronchitis. Bronchitis is infection or inflammation of the bronchial tubes (airways in the lungs). Normally, air moves easily in and out of the airways. Bronchitis narrows the airways, making it harder for air to flow in and out of the lungs. This causes symptoms such as shortness of breath, coughing up yellow or green mucus, and wheezing. Bronchitis can be acute or chronic. Acute means the condition comes on quickly and goes away in a short time, usually within 3 to 10 days. Chronic means a condition lasts a long time and often comes back. What causes acute bronchitis? Acute bronchitis almost always starts as a viral respiratory infection, such as a cold or the flu. Certain factors make it more likely for a cold or flu to turn into bronchitis. These include being very young, being elderly, having a heart or lung problem, or having a weak immune system. Cigarette smoking also makes bronchitis more likely. When bronchitis develops, the airways become swollen. The airways may also become infected with bacteria. This is known as a secondary infection. Diagnosing acute bronchitis Your healthcare provider will examine you and ask about your symptoms and health history. You may also have a sputum culture to test the fluid in your lungs. Chest X-rays may be done to look for infection in the lungs. Treating acute bronchitis Bronchitis usually clears up as the cold or flu goes away. You can help feel better faster by doing the following: · Take medicine as directed. You may be told to take ibuprofen or other over-the-counter medicines. These help relieve inflammation in your bronchial tubes. Your healthcare provider may prescribe an inhaler to help open up the bronchial tubes. Most of the time, acute bronchitis is caused by a viral infection. Antibiotics are usually not prescribed for viral infections. · Drink plenty of fluids, such as water, juice, or warm soup. Fluids loosen mucus so that you can cough it up. This helps you breathe more easily. Fluids also prevent dehydration. · Make sure you get plenty of rest. · Do not smoke. Do not allow anyone else to smoke in your home. Recovery and follow-up Follow up with your doctor as you are told. You will likely feel better in a week or two. But a dry cough can linger beyond that time. Let your doctor know if you still have symptoms (other than a dry cough) after 2 weeks, or if you’re prone to getting bronchial infections. Take steps to protect yourself from future infections. These steps include stopping smoking and avoiding tobacco smoke, washing your hands often, and getting a yearly flu shot. When to call your healthcare provider Call the healthcare provider if you have any of the following: · Fever of 100.4°F (38.0°C) or higher, or as advised · Symptoms that get worse, or new symptoms · Trouble breathing · Symptoms that don’t start to improve within a week, or within 3 days of taking antibiotics Date Last Reviewed: 12/1/2016 © 2000-2017 The StayWell Company, LLC. 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions. \",\n \"encounter_date\": \"2017-10-11\",\n \"encounter_id\": \"103413584\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491796504564995959000178546966546.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 3.3547134,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"We discussed utilization of long-acting opiate for more even suppression of her pain round the clock. Therefore, we will consider tramadol ER 100 mg 1 tablet per day; 30, no refill. Will also prescribe Ultracet 37.5/325 mg up to an average of 2 tablets per day as needed for pain; 60, no refill. For cramps and spasm, we will consider tizanidine 2 mg up to an average of 3 tablets per day as needed; 90, no refill. For left shoulder symptoms, will consider left shoulder steroid injection after we have reviewed the x-ray of her left shoulder. We also discussed about a referral to physical therapy for education regarding improvement of range of motion of your left shoulder. Please have a driver on day of your injection. If you are taking blood thinner, we will contact you with holding instruction after we receive clearance from prescriber. Wear loose comfortable clothing and have a light breakfast/lunch. In case you are prescribed an antibiotic that will run through the day of your scheduled injection, please call this practice to reschedule your injection. We will not give you a steroid injection while you are on antibiotics. We will obtain a drug screen today. Repeat office visit will be in about 2 months. Please call the practice in about 5 business days before you need medication refill. Take opioid analgesics only as prescribed. Do not increase your dose, take them more frequently, or take them with alcoholic beverages or other sedatives. This adds to risk of dizziness, drowsiness, increased chances of falls, accidents, life threatening respiratory issues, irregular heartbeat, tremors, and seizures. Use of opioid analgesics on a chronic basis increases potential for tolerance and addiction. Opioid analgesic medications may not work well for chronic and longstanding pain or when taken for extended periods of time, even if taken as prescribed. To minimize risks, take the smallest amount needed. To minimize constipation and critical bowel issues, increase intake of fiber, drink plenty of water, and remain active. In the event you have an allergic reaction, seek medical attention immediately. These medications should be used only when clearly needed during pregnancy, in the elderly, and people with respiratory conditions. Tell your provider of all prescription and nonprescription drugs you may be using but especially: MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, selegiline, tranylcypromine), psychiatric drugs, tranquilizers, sleep medications, zidovudine, rifampin, other narcotic pain relievers, barbiturates, cimetidine, anti-seizure drugs, or antihistamines (e.g., diphenhydramine). When taking opioid analgesics, you should be reevaluated frequently. You are responsible for securing these medications. They may not be replaced if stolen, lost, or not taken as prescribed. Because opioids can be misused, you will be asked to undergo urine drug screens and providers may check pharmacy or other registries prior to prescriptions and refills. Do not drink alcohol or use illicit drugs in combination with your opioid medications as this can lead to overdose and death. Be cautious in taking benzodiazepines or sleep aids in conjunction with your opioid medications due to increased risk of overdose. Please bring all the medicines you get from the pain management department with you to your next appointment. Thank you for using Shannon Pain Management Clinic! Kayode Olatunji, NP-C. Transcribed using voice recognition technology. Some errors may have been missed in review and editing. \",\n \"encounter_date\": \"2019-04-09\",\n \"encounter_id\": \"108108694\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628940256332408090142573568760019222637608370700322.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.9884944,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"We will refill tramadol ER 100 mg 1 tablet per day; 30, 1 refill. We will refill Ultracet 37.5/325 mg up to 3 tablets per day as needed for pain; 90, no refill. We will refill tizanidine 2 mg up to an average of 3 tablets per day as needed; 270/90 days, no refill. Continue to take Cymbalta and Elavil as prescribed. You may consider Cymbalta 60 mg daily instead of 30 mg 2 per day. Continue physical therapy for education regarding improvement of range of motion of your left shoulder. You reports that bilateral C5-6 and C6-7 intra-articular facet injection aggravated neck pain. We discuss bilateral C4-7 medial branch block with progression to RFA. Please have a driver on day of your injection. If you are taking blood thinner, we will contact you with holding instruction after we receive clearance from prescriber. Wear loose comfortable clothing and have a light breakfast/lunch. In case you are prescribed an antibiotic that will run through the day of your scheduled injection, please call this practice to reschedule your injection. We will not give you a steroid injection while you are on antibiotics. We will obtain a drug screen today. Repeat office visit will be in about 2 months. Please call the practice in about 5 business days before you need medication refill. Take opioid analgesics only as prescribed. Do not increase your dose, take them more frequently, or take them with alcoholic beverages or other sedatives. This adds to risk of dizziness, drowsiness, increased chances of falls, accidents, life threatening respiratory issues, irregular heartbeat, tremors, and seizures. Use of opioid analgesics on a chronic basis increases potential for tolerance and addiction. Opioid analgesic medications may not work well for chronic and longstanding pain or when taken for extended periods of time, even if taken as prescribed. To minimize risks, take the smallest amount needed. To minimize constipation and critical bowel issues, increase intake of fiber, drink plenty of water, and remain active. In the event you have an allergic reaction, seek medical attention immediately. These medications should be used only when clearly needed during pregnancy, in the elderly, and people with respiratory conditions. Tell your provider of all prescription and nonprescription drugs you may be using but especially: MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, selegiline, tranylcypromine), psychiatric drugs, tranquilizers, sleep medications, zidovudine, rifampin, other narcotic pain relievers, barbiturates, cimetidine, anti-seizure drugs, or antihistamines (e.g., diphenhydramine). When taking opioid analgesics, you should be reevaluated frequently. You are responsible for securing these medications. They may not be replaced if stolen, lost, or not taken as prescribed. Because opioids can be misused, you will be asked to undergo urine drug screens and providers may check pharmacy or other registries prior to prescriptions and refills. Do not drink alcohol or use illicit drugs in combination with your opioid medications as this can lead to overdose and death. Be cautious in taking benzodiazepines or sleep aids in conjunction with your opioid medications due to increased risk of overdose. Please bring all the medicines you get from the pain management department with you to your next appointment. Thank you for using Shannon Pain Management Clinic! Kayode Olatunji, NP-C. Transcribed using voice recognition technology. Some errors may have been missed in review and editing. \",\n \"encounter_date\": \"2019-10-21\",\n \"encounter_id\": \"110465396\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491557597853449535586856926707730.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.9015632,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"We will refill tramadol ER 100 mg 1 tablet per day; 30, no refill. We will refill Ultracet 37.5/325 mg up to an average of 2 tablets per day as needed for pain; 60, no refill. We will refill tizanidine 2 mg up to an average of 3 tablets per day as needed; 270/90 days, no refill. Continue physical therapy for education regarding improvement of range of motion of your left shoulder. We discussed obtaining CT of her cervical spine to establish you there more levels with facet pathology that we need to treat. For now, bilateral C5-6 facet arthritis a present. The area of her left shoulder correspond to the referred pain pattern from C5-6 facet joint. We would send you to intervention Radiology for C5-6 intra-articular facet injection after we have reviewed the updated CT scan. Please have a driver on day of your injection. If you are taking blood thinner, we will contact you with holding instruction after we receive clearance from prescriber. Wear loose comfortable clothing and have a light breakfast/lunch. In case you are prescribed an antibiotic that will run through the day of your scheduled injection, please call this practice to reschedule your injection. We will not give you a steroid injection while you are on antibiotics. We will not obtain a drug screen today. Repeat office visit will be in about 2 months. Please call the practice in about 5 business days before you need medication refill. Take opioid analgesics only as prescribed. Do not increase your dose, take them more frequently, or take them with alcoholic beverages or other sedatives. This adds to risk of dizziness, drowsiness, increased chances of falls, accidents, life threatening respiratory issues, irregular heartbeat, tremors, and seizures. Use of opioid analgesics on a chronic basis increases potential for tolerance and addiction. Opioid analgesic medications may not work well for chronic and longstanding pain or when taken for extended periods of time, even if taken as prescribed. To minimize risks, take the smallest amount needed. To minimize constipation and critical bowel issues, increase intake of fiber, drink plenty of water, and remain active. In the event you have an allergic reaction, seek medical attention immediately. These medications should be used only when clearly needed during pregnancy, in the elderly, and people with respiratory conditions. Tell your provider of all prescription and nonprescription drugs you may be using but especially: MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, selegiline, tranylcypromine), psychiatric drugs, tranquilizers, sleep medications, zidovudine, rifampin, other narcotic pain relievers, barbiturates, cimetidine, anti-seizure drugs, or antihistamines (e.g., diphenhydramine). When taking opioid analgesics, you should be reevaluated frequently. You are responsible for securing these medications. They may not be replaced if stolen, lost, or not taken as prescribed. Because opioids can be misused, you will be asked to undergo urine drug screens and providers may check pharmacy or other registries prior to prescriptions and refills. Do not drink alcohol or use illicit drugs in combination with your opioid medications as this can lead to overdose and death. Be cautious in taking benzodiazepines or sleep aids in conjunction with your opioid medications due to increased risk of overdose. Please bring all the medicines you get from the pain management department with you to your next appointment. Thank you for using Shannon Pain Management Clinic! Kayode Olatunji, NP-C. Transcribed using voice recognition technology. Some errors may have been missed in review and editing. \",\n \"encounter_date\": \"2019-06-26\",\n \"encounter_id\": \"109593213\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491607574846832404359344461709330.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.9015632,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"We will refill tramadol ER 100 mg 1 tablet per day; 30, 1 refill. Continue to take Ultracet 37.5/325 mg up to an average of 2 tablets per day as needed for pain. No refill is required today. We will refill tizanidine 2 mg up to an average of 3 tablets per day as needed; 270/90 days, no refill. Continue physical therapy for education regarding improvement of range of motion of your left shoulder. We discussed CT of cervical spine. Bilateral C5-6 facet arthritis is present. We will include C6-7 also. We will refer you to Intervention Radiology for C5-6 and C6-7 intra-articular facet injection to evaluate and treat cervical spondylosis and cervical facet arthropathy. Please have a driver on day of your injection. If you are taking blood thinner, we will contact you with holding instruction after we receive clearance from prescriber. Wear loose comfortable clothing and have a light breakfast/lunch. In case you are prescribed an antibiotic that will run through the day of your scheduled injection, please call this practice to reschedule your injection. We will not give you a steroid injection while you are on antibiotics. We will not obtain a drug screen today. Repeat office visit will be in about 2 months. Please call the practice in about 5 business days before you need medication refill. Take opioid analgesics only as prescribed. Do not increase your dose, take them more frequently, or take them with alcoholic beverages or other sedatives. This adds to risk of dizziness, drowsiness, increased chances of falls, accidents, life threatening respiratory issues, irregular heartbeat, tremors, and seizures. Use of opioid analgesics on a chronic basis increases potential for tolerance and addiction. Opioid analgesic medications may not work well for chronic and longstanding pain or when taken for extended periods of time, even if taken as prescribed. To minimize risks, take the smallest amount needed. To minimize constipation and critical bowel issues, increase intake of fiber, drink plenty of water, and remain active. In the event you have an allergic reaction, seek medical attention immediately. These medications should be used only when clearly needed during pregnancy, in the elderly, and people with respiratory conditions. Tell your provider of all prescription and nonprescription drugs you may be using but especially: MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, selegiline, tranylcypromine), psychiatric drugs, tranquilizers, sleep medications, zidovudine, rifampin, other narcotic pain relievers, barbiturates, cimetidine, anti-seizure drugs, or antihistamines (e.g., diphenhydramine). When taking opioid analgesics, you should be reevaluated frequently. You are responsible for securing these medications. They may not be replaced if stolen, lost, or not taken as prescribed. Because opioids can be misused, you will be asked to undergo urine drug screens and providers may check pharmacy or other registries prior to prescriptions and refills. Do not drink alcohol or use illicit drugs in combination with your opioid medications as this can lead to overdose and death. Be cautious in taking benzodiazepines or sleep aids in conjunction with your opioid medications due to increased risk of overdose. Please bring all the medicines you get from the pain management department with you to your next appointment. Thank you for using Shannon Pain Management Clinic! Kayode Olatunji, NP-C. Transcribed using voice recognition technology. Some errors may have been missed in review and editing. \",\n \"encounter_date\": \"2019-08-23\",\n \"encounter_id\": \"109796935\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491573779325545077399116283117586.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.8002667,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"Continue to take tramadol ER 100 mg 1 tablet per day. Continue to take Ultracet 37.5/325 mg up to 3 tablets per day as needed for pain. Continue to use tizanidine 2 mg up to an average of 3 tablets per day as needed for spasm. Continue to take Cymbalta and Elavil as prescribed. You may consider Cymbalta 60 mg daily instead of 30 mg 2 per day. Continue physical therapy for education regarding improvement of range of motion of your left shoulder. You reported that left C4-7 medial branch block gave about 30% relief. we will not progress with the 2nd set of the procedure. For now, we will wait until it is 3 months from the time you had the last injection performed by IR. We will schedule bilateral SI joint injection to evaluate and treat bilateral sacroiliitis. We will schedule bilateral trochanter bursa steroid injection to evaluate and treat bilateral iliac bursitis. We will schedule right L4-5 and L5-S1 transforaminal epidural steroid injection to evaluate and treat lumbosacral radiculopathy. We discussed the potential benefit of HF 10. Please review before next office visit. Please have a driver on day of your injection. If you are taking blood thinner, we will contact you with holding instruction after we receive clearance from prescriber. Wear loose comfortable clothing and have a light breakfast/lunch. In case you are prescribed an antibiotic that will run through the day of your scheduled injection, please call this practice to reschedule your injection. We will not give you a steroid injection while you are on antibiotics. We will not obtain a drug screen today. Repeat office visit will be in about 2 months. Please call the practice in about 5 business days before you need medication refill. Take opioid analgesics only as prescribed. Do not increase your dose, take them more frequently, or take them with alcoholic beverages or other sedatives. This adds to risk of dizziness, drowsiness, increased chances of falls, accidents, life threatening respiratory issues, irregular heartbeat, tremors, and seizures. Use of opioid analgesics on a chronic basis increases potential for tolerance and addiction. Opioid analgesic medications may not work well for chronic and longstanding pain or when taken for extended periods of time, even if taken as prescribed. To minimize risks, take the smallest amount needed. To minimize constipation and critical bowel issues, increase intake of fiber, drink plenty of water, and remain active. In the event you have an allergic reaction, seek medical attention immediately. These medications should be used only when clearly needed during pregnancy, in the elderly, and people with respiratory conditions. Tell your provider of all prescription and nonprescription drugs you may be using but especially: MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, selegiline, tranylcypromine), psychiatric drugs, tranquilizers, sleep medications, zidovudine, rifampin, other narcotic pain relievers, barbiturates, cimetidine, anti-seizure drugs, or antihistamines (e.g., diphenhydramine). When taking opioid analgesics, you should be reevaluated frequently. You are responsible for securing these medications. They may not be replaced if stolen, lost, or not taken as prescribed. Because opioids can be misused, you will be asked to undergo urine drug screens and providers may check pharmacy or other registries prior to prescriptions and refills. Do not drink alcohol or use illicit drugs in combination with your opioid medications as this can lead to overdose and death. Be cautious in taking benzodiazepines or sleep aids in conjunction with your opioid medications due to increased risk of overdose. Please bring all the medicines you get from the pain management department with you to your next appointment. Thank you for using Shannon Pain Management Clinic! Kayode Olatunji, NP-C. Transcribed using voice recognition technology. Some errors may have been missed in review and editing. \",\n \"encounter_date\": \"2019-12-11\",\n \"encounter_id\": \"111735524\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491884276206277439926066749636626.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.4362044,\n \"_source\": {\n \"chart_hash\": \"e8f48c9dae4df20c2707ba2ad3f58aa674d101d8\",\n \"content\": \"Discussed exam findings and possible causes for symptoms. Discussed viral vs bacterial vs allergy mediated processes. Discussed signs/symptoms of Covid 19. Discussed indications for antibiotics, antibiotic resistance, potential antibiotic adverse effects including rash, diarrhea, allergic reactions, yeast infections and sun sensitivity. Discussed 'watch and wait' delayed antibiotic prescribing. Anytime an antibiotic is taken, advise that patient also take an over the counter probiotic such as Align, or Culturelle, at different time of day from antibiotic, to reduce risk of antibiotic associated diarrhea. Discussed expected course and potential complications. Discussed symptom management measures. Advise gentle sinus irrigation with Neil Med Sinus Rinse prepared with distilled water once or twice a day to rinse sinuses of mucoid secretions, allergens, and infections particulates. Advise nasal steroid such as Flonase or Nasocort, one spray per nostril once or twice a day, after sinus irrigation, to decrease pain, congestion, and swelling of mucosa of sinuses. Advise adequate hydration and use of Mucinex to break up mucoid secretions. Advise Tylenol and Ibuprofen for pain and discomfort. Advise taking over the counter non-sedating antihistamines, such as Claritin/Zyrtect/Allegra/Xyzal, on a daily basis, during and throughout allergy season, to block and prevent allergy symptoms such as runny nose, sinus congestion, itching and sneezing. Advise local honey to desensitize against allergies. Advise chloraseptic spray and lozenges to soothe sore throat. Advise gargling four or more times a day with oral hygiene rinse, eating raw honey, sipping pickle juice to reduce infectious load in pharynx and reduce risk of recurrence and transmission. Advise dextromethorphan products (delsym/Robitussin) for cough. Advise dark honey for cough. Advise Thera Tears Eye Itch Relief for allergy eye symptoms such as itchy and watery red and irritated eyes. Advise immune boosting measures such as taking high dose Vitamin C (one to three grams a day), eating raw honey, taking zinc, and taking N-Acetyl Cysteine. Advise respiratory hygiene and scrupulous hand washing to prevent spread. Advise continued social distancing and wearing mask in public. If symptoms worsen/do not improve, if fever, if body aches, if loss of taste/smell, if chest pain, if shortness of breath, consider drive through Covid 19 testing and self isolation/quarantine. Eating for Your Health Better eating habits can improve your health by lowering blood pressure and cholesterol and help to maintain a healthy weight. Follow these 5 simple steps to make this lifestyle change. 1. Choose Heart Healthy Fats ? Olive oil, canola oil, avocado, nuts, and seeds are types of fats that can improve heart health. ? Boneless & skinless poultry, fish, and tofu are common, easy to prepare lean meats. ? Meats with loin or round in the name such as pork loin, sirloin, and round roast have less fat. ? Eat less cheese, ice cream, and heavy whipping cream. 2. Reduce Salt Intake ? Limit salt when cooking and try other flavors such as lemon, garlic, onion, and other non-sodium spice blends. ? Keep the saltshaker off the table. ? Check the Nutrition Facts label and limit sodium intake to 650 mg per meal. Do this when buying boxed or frozen meals. 3. Limit Sugar Intake ? All added sugars such as white and brown sugar, molasses, honey, syrup, etc can be harmful to your health. Start by cutting the amount you use in half. ? Low-calorie sweeteners can help to add some sweetness but limit use. ? Remember water is the best choice. ? Remove sugary beverages such as soda, juices, sports drinks, and sweet tea. Replace with drinks that have less than 10 calories. 4. Add Fiber to Your Meal ? Fill ½ of your plate with non-starchy vegetables such as most green vegetables, carrots, cabbage, lettuce, peppers, and tomatoes. Use fresh, frozen, or low sodium canned without added sauces. ? Choose fresh fruit or no added sugar canned fruit in place of sugary desserts ? Choose whole grains such as whole grain bread, oats, brown rice & pasta, etc. ? Use beans & lentils to add fiber to your plate as well as protein and a healthy serving of carbs. 5. Exercise More ? Check with your PCP before starting a new activity. It is recommended to get 30 minutes of physical activity 5 days each week. For more information about nutrition, you can ask your PCP for an appointment to speak with our Registered Dietitian. \",\n \"encounter_date\": \"2020-10-06\",\n \"encounter_id\": \"115358931\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"679cb3f1ffdde7bdfe9a8f2963594d2217e4f818\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628940256332408090142888802212112835281802774970402.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.0283933,\n \"_source\": {\n \"chart_hash\": \"e8f48c9dae4df20c2707ba2ad3f58aa674d101d8\",\n \"content\": \"\\\" Urgent Care Visit Chief Complaint:RedactedFirstName RedactedLastName, is a 19 y.o. year old male who presents for Cough (dry cough since 10/04/2020), Headache (10/04/2020, getting worse), Sore Throat (swelling), and Nasal Congestion (sinus congestion, drainage). Patient comes to clinic with report of progressively worsening sinus pain and pressure causing headaches and dizziness, nasal/post nasal drainage causing throat irritation and cough for the last several days. No fevers. No body aches. No loss of smell/taste. No chest pain. No shortness of breath. Current Outpatient Medications on File Prior to Visit Medication Sig Dispense Refill • cetirizine (ZyrTEC) 10 mg tablet • hydrocortisone (WESTCORT) 0.2 % cream APPLY TO FACE AND FOLDS 2 TO 3 TIMES DAILY 2 • triamcinolone (Kenalog) 0.1 % ointment Apply twice daily all over body x 2-3 weeks PRN for flares 454 g 1 • [DISCONTINUED] methylPREDNISolone (MEDROL DOSEPACK) 4 mg tablet Follow package directions 21 tablet 0 No current facility-administered medications on file prior to visit. Allergies Allergen Reactions • Codeine Sulfate Hives History reviewed. No pertinent past medical history. History reviewed. No pertinent surgical history. Family History Problem Relation Age of Onset • No Known Problems Mother • No Known Problems Father Social History Tobacco Use • Smoking status: Current Some Day Smoker Packs/day: 0.50 Years: 1.00 Pack years: 0.50 Types: Cigarettes • Smokeless tobacco: Never Used • Tobacco comment: when drinks Substance Use Topics • Alcohol use: Yes Comment: socially • Drug use: Never Review of Systems Constitutional: Negative for appetite change, chills, diaphoresis, fatigue and fever. HENT: Positive for congestion, postnasal drip, rhinorrhea, sinus pressure and sore throat. Negative for ear pain, hearing loss, mouth sores, sinus pain, tinnitus, trouble swallowing and voice change. Eyes: Negative for discharge, redness and visual disturbance. Respiratory: Positive for cough. Negative for chest tightness, shortness of breath, wheezing and stridor. Cardiovascular: Negative for chest pain and palpitations. Gastrointestinal: Negative for abdominal pain, constipation, diarrhea, nausea and vomiting. Genitourinary: Negative for decreased urine volume and dysuria. Musculoskeletal: Negative for arthralgias, myalgias, neck pain and neck stiffness. Skin: Negative for rash and wound. Allergic/Immunologic: Negative for environmental allergies and immunocompromised state. Neurological: Positive for headaches. Negative for dizziness, weakness and light-headedness. Hematological: Negative for adenopathy. Psychiatric/Behavioral: Negative for sleep disturbance. Vitals: 10/05/20 1159 BP: 122/78 Pulse: 89 Temp: 97.4 °F (36.3 °C) SpO2: 97% Weight: 109 kg (240 lb) Height: 5' 10\\\"\\\" (1.778 m) Physical Exam Constitutional: He is well-developed. Non-toxic appearance. He appears ill. Sounds congested, voice hoarse, cough noted HENT: Head: Normocephalic and atraumatic. Right Ear: Tympanic membrane is injected and retracted. Tympanic membrane is not erythematous and not bulging. No middle ear effusion. Left Ear: Tympanic membrane is injected and retracted. Tympanic membrane is not erythematous and not bulging. No middle ear effusion. Nose: Mucosal edema, rhinorrhea and congestion present. Right Turbinates: Swollen. Left Turbinates: Swollen. Right Sinus: Maxillary sinus tenderness and frontal sinus tenderness present. Left Sinus: Maxillary sinus tenderness and frontal sinus tenderness present. Mouth/Throat: Pharynx: Uvula midline. Posterior oropharyngeal erythema (postnasal drainage, cobblestoning) present. No oropharyngeal exudate or uvula swelling. Tonsils: No tonsillar exudate or tonsillar abscesses. 1+ on the right. 1+ on the left. Eyes: Conjunctivae normal. Cardiovascular: Normal rate and regular rhythm. Exam reveals no gallop and no friction rub. No murmur heard. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. No decreased breath sounds, wheezing, rhonchi or rales. Abdominal: Soft. There is no abdominal tenderness. Musculoskeletal: Normal range of motion. Lymphadenopathy: He has no cervical adenopathy. Neurological: He is alert. Tone: no abnormal muscle tone. Skin: No rash noted. Psychiatric: Behavior: Behavior normal. Vitals signs and nursing note reviewed. RedactedFirstName was seen today for cough, headache, sore throat and nasal congestion. Diagnoses and all orders for this visit: Cough (Primary) - triamcinolone acetonide (Kenalog-40) 40 mg/1 mL injection 40 mg Headache, unspecified, not otherwise specified - triamcinolone acetonide (Kenalog-40) 40 mg/1 mL injection 40 mg Acute pharyngitis, not otherwise specified - doxycycline (Vibramycin) 100 mg capsule; Take 1 capsule (100 mg total) by mouth 2 (two) times a day for 10 days. Take w/ full glass water, don't lie down for 30 min. Causes sun sensitivity. - cefTRIAXone (Rocephin) injection 1 g - triamcinolone acetonide (Kenalog-40) 40 mg/1 mL injection 40 mg Nasal congestion - triamcinolone acetonide (Kenalog-40) 40 mg/1 mL injection 40 mg Acute maxillary sinusitis, not otherwise specified - doxycycline (Vibramycin) 100 mg capsule; Take 1 capsule (100 mg total) by mouth 2 (two) times a day for 10 days. Take w/ full glass water, don't lie down for 30 min. Causes sun sensitivity. - cefTRIAXone (Rocephin) injection 1 g - triamcinolone acetonide (Kenalog-40) 40 mg/1 mL injection 40 mg Upper respiratory infection, not otherwise specified - doxycycline (Vibramycin) 100 mg capsule; Take 1 capsule (100 mg total) by mouth 2 (two) times a day for 10 days. Take w/ full glass water, don't lie down for 30 min. Causes sun sensitivity. - cefTRIAXone (Rocephin) injection 1 g - triamcinolone acetonide (Kenalog-40) 40 mg/1 mL injection 40 mg Discussed exam findings and possible causes for symptoms. Discussed viral vs bacterial vs allergy mediated processes. Discussed signs/symptoms of Covid 19. Discussed indications for antibiotics, antibiotic resistance, potential antibiotic adverse effects including rash, diarrhea, allergic reactions, yeast infections and sun sensitivity. Discussed 'watch and wait' delayed antibiotic prescribing. Anytime an antibiotic is taken, advise that patient also take an over the counter probiotic such as Align, or Culturelle, at different time of day from antibiotic, to reduce risk of antibiotic associated diarrhea. Discussed expected course and potential complications. Discussed symptom management measures. Advise gentle sinus irrigation with Neil Med Sinus Rinse prepared with distilled water once or twice a day to rinse sinuses of mucoid secretions, allergens, and infections particulates. Advise nasal steroid such as Flonase or Nasocort, one spray per nostril once or twice a day, after sinus irrigation, to decrease pain, congestion, and swelling of mucosa of sinuses. Advise adequate hydration and use of Mucinex to break up mucoid secretions. Advise Tylenol and Ibuprofen for pain and discomfort. Advise taking over the counter non-sedating antihistamines, such as Claritin/Zyrtect/Allegra/Xyzal, on a daily basis, during and throughout allergy season, to block and prevent allergy symptoms such as runny nose, sinus congestion, itching and sneezing. Advise local honey to desensitize against allergies. Advise chloraseptic spray and lozenges to soothe sore throat. Advise gargling four or more times a day with oral hygiene rinse, eating raw honey, sipping pickle juice to reduce infectious load in pharynx and reduce risk of recurrence and transmission. Advise dextromethorphan products (delsym/Robitussin) for cough. Advise dark honey for cough. Advise Thera Tears Eye Itch Relief for allergy eye symptoms such as itchy and watery red and irritated eyes. Advise immune boosting measures such as taking high dose Vitamin C (one to three grams a day), eating raw honey, taking zinc, and taking N-Acetyl Cysteine. Advise respiratory hygiene and scrupulous hand washing to prevent spread. Advise continued social distancing and wearing mask in public. If symptoms worsen/do not improve, if fever, if body aches, if loss of taste/smell, if chest pain, if shortness of breath, consider drive through Covid 19 testing and self isolation/quarantine. Alice B. Blount, MD \\\"\",\n \"encounter_date\": \"2020-10-05\",\n \"encounter_id\": \"115358931\",\n \"note_type\": \"Progress Note\",\n \"patient_hash\": \"679cb3f1ffdde7bdfe9a8f2963594d2217e4f818\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628940256332408090142949074417775542236754424627234.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 1.9434314,\n \"_source\": {\n \"chart_hash\": \"26768a09446dfd9291d73157eadce117157cfb8e\",\n \"content\": \"Atopic Dermatitis “Dermatitis” means inflammation of the skin. “Atopic” dermatitis is a particular type of skin inflammation that is marked by dryness, associated itching, and a characteristic pattern of rash on the body. The condition is fairly common and may occur in as many as 10% of children. You will often hear it called “atopic eczema” or sometimes just “eczema”. The exact cause of atopic dermatitis is unknown. In many patients, there is a family history of hay fever, asthma, or atopic dermatitis itself. Rarely, atopic dermatitis in infants may be related to food sensitivity, such as sensitivity to milk, but this is often difficult to determine and manage. In the majority of cases, however, no allergic triggers can be found. Physical or emotional stressors (severe seasonal allergies, physical illness, etc.) can worsen atopic dermatitis. Atopic dermatitis usually starts in infancy from the ages of 2 to 6 months. The skin is dry and the rash is quite itchy, so infants may be restless and rub against the sheets or scratch (if able). The rash may involve the face or it may cover a large part of the body. As the child gets older, the rash may become more localized. In early childhood, the rash is commonly on the legs, feet, hands and arms. As a child becomes older, the rash may be limited to the bend of the elbows, knees, on the back of the hands, feet, and on the neck and face. When the rash becomes more established, the dry itchy skin may become thickened, leathery and sometimes darker in coloration. The more the person scratches, the worse the rash is and the thicker the skin gets. Many children with atopic dermatitis outgrow the condition before school age, while others continue to have problems into adolescence and adulthood. Many things may affect the severity of the condition. All patients have sensitive and dry skin. Many will find that during the winter months when the humidity is very low, the dryness and itchiness will be worse. On the other hand, some people are easily irritated by sweat and will find that they have more problems during the summer months. Most patients note an increase in itching at times when there are sudden changes in temperature. Other irritants easily affect the skin of a patient with atopic dermatitis. Use of harsh soaps or detergents and exposure to wool are common problems. Sometimes atopic dermatitis may become infected by bacteria, yeast or viruses. This is called “secondary infection”. Bacterial secondary infection is the most common and is often a result of scratching. The rash gets very red with pus-filled pimples and scabs. If this occurs, your doctor will prescribe an antibiotic to control the infection. A more serious complication can be caused by certain viruses. The “cold sore” virus (herpes simplex) may cause a severe rash. If this is suspected, immediately contact your doctor. What can I expect from treatment? Unfortunately, there is no “magic” cure that will always eliminate atopic dermatitis. The main objective in treating atopic dermatitis is to decrease the skin eruption and relieve the itching. There are a number of different forms of the medications that are used for atopic dermatitis. Primarily, topical medications will be used. Because the skin is excessively dry, moisturizers will be recommended that will effectively decrease the dryness. Daily bathing is a useful way to get water into the skin but bathing should be brief (no more than 10 minutes unless otherwise indicated by your physician). Effective moisturizers (Cetaphil cream or lotion, CeraVe cream or lotion [Wal-Mart, CVS, and Walgreens], Aquaphor, and plain Vaseline) can be used immediately after the bath or shower to trap moisture within the skin. It is best to “pat dry” after a bathing and then place your moisturizer (cream or lotion) on your skin. Cortisone (steroid) is a medicated ointment or cream (eg. triamcinolone, hydrocortisone, desonide, betamethasone, clobetasol) that may also be suggested. It is very helpful in decreasing the itching and controlling the inflammation. Your doctor will prescribe a cortisone treatment that is most appropriate for the severity and location of the dermatitis that is to be treated. Once the affected area clears up, it is best to discontinue the use of the cortisone preparation due to possibility of atrophy (skin thinning), but continue the regular use of moisturizers to try to prevent new areas of dermatitis from occurring. Of course, if itching or a new rash begins, the cortisone preparation may have to be started again. Anti-inflammatory creams and ointments which are not steroids such as Protopic and Elidel may also be prescribed. Certain internal medicines called antihistamines (eg. Atarax, Benadryl, hydroxyzine) may help control itching. They primarily help with the itching by introducing some drowsiness and allowing you to sleep at night. Some oral antibiotics are often useful as well for controlling the secondary infection and enable infected dermatitis to be controlled. Other important forms of treatment: 1. Avoid contact with substances you know to cause itching. These may include soaps, detergents, certain perfumes, dust, grass, weeds, wools, and other types of scratchy clothing. 2. You may bathe daily. Use no soap or the minimal amount necessary to get clean. Always use moisturizer immediately after bathing (within 3 minutes is best). Avoid very hot or very cold water. Avoid bubble baths. When drying with a towel, pat dry and do not rub. Use a mild, unscented soap (Dove, CeraVe Cleanser, Lever 2000, or Cetaphil). 3. Try to keep the temperature and humidity in the home fairly constant. Use a bedroom air conditioner in the summer and a humidifier in the winter. It is very important that the humidifier be cleaned frequently and thoroughly since mold may grow and cause allergies. 4. Try to avoid scratching. Atopic dermatitis is often called “the itch that rashes” and it is known that scratching plays a significant role in making atopic dermatitis worse. Keeping the nails short and well-filed is helpful. 5. Use a fragrance-free, sensitive skin laundry detergent (eg. All Free & Clear). Run clothes through a second rinse cycle to remove any residual detergents and chemicals. Bed linens and towels should be washed in hot water to kill dust mites, which are common allergen in atopic patients. 6. In the bedroom, minimize rugs and curtains or other loose fabrics that collect dust. The National Eczema Association (www.eczema-assn.org) is a wonderful organization that sends out a quarterly newsletter with useful information on these types of conditions. Please consider contacting them at the above website or by address: National Eczema Association for Science and Education, 1220 SW Morrison, Suite 433, Portland Oregon, 97025 \",\n \"encounter_date\": \"2018-01-30\",\n \"encounter_id\": \"104585197\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"c494e89f686d3f4b311a8bda9016e09733dfef0f\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n }\n ],\n \"max_score\": 8.047327,\n \"total\": {\n \"relation\": \"eq\",\n \"value\": 12\n }\n },\n \"timed_out\": false,\n \"took\": 9\n}"}],"_postman_id":"710a2024-06eb-4172-b70e-226d87c92dbc"},{"name":"Search - URI - in field","id":"06b68d57-b101-45a7-b9db-0e443159b72b","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"GET","header":[],"url":"https://chart-notes.healthjump.com/_search?q=note_type:instructions","description":"The following query will search your whole cluster for documents with a notetype field equal to instructions:
\n","urlObject":{"protocol":"https","path":["_search"],"host":["chart-notes","healthjump","com"],"query":[{"key":"q","value":"note_type:instructions"}],"variable":[]}},"response":[{"id":"1656f227-4505-44d1-8a33-3a27e4e91009","name":"Search - URI - in field","originalRequest":{"method":"GET","header":[],"url":{"raw":"https://chart-notes.healthjump.com/_search?q=note_type:instructions","protocol":"https","host":["chart-notes","healthjump","com"],"path":["_search"],"query":[{"key":"q","value":"note_type:instructions"}]}},"status":"OK","code":200,"_postman_previewlanguage":"json","header":[{"key":"Date","value":"Tue, 22 Dec 2020 18:55:40 GMT"},{"key":"Content-Type","value":"application/json; charset=UTF-8"},{"key":"Content-Length","value":"13303"},{"key":"Connection","value":"keep-alive"},{"key":"Server","value":"gunicorn/20.0.4"}],"cookie":[],"responseTime":null,"body":"{\n \"_shards\": {\n \"failed\": 0,\n \"skipped\": 0,\n \"successful\": 5,\n \"total\": 5\n },\n \"hits\": {\n \"hits\": [\n {\n \"_id\": \"49613628940256332408090142594434819665771138194591449122.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.6640062,\n \"_source\": {\n \"chart_hash\": \"7a6a8b7ca5e2d456a741840b08cc74b71b28c736\",\n \"content\": \"1. Continue Prednisone 10 mg.-one every morning (dispense # 90). 2. Continue cetirizine 10 mg.-one tablet twice a day (dispense # 180). 3. Continue topical management of eczema as previously prescribed. Use 1 % hydrocortisone ointment on rash on face twice a day. Use fluocinonide 0.05 % gel;apply to rash on neck, back, arms and legs twice a day until clear. Use Aquafor on cracked finger skin. 4. Obtain approval for Dupixent therapy. 5. Try Benzedrex OTC nasal inhaler-2 inhalations up to 3 times a day for no more than 3 days in a row. 6. Return in 2 months. 7. Gargle with 1/2 tsp. Salt/8 oz glass of warm water 3 times a day for throat irritation. Consider Chloraseptic throat spray and/or Motrin or Tylenol for sore throat pain. \",\n \"encounter_date\": \"2018-02-14\",\n \"encounter_id\": \"104503721\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"004aa7fb1f8e8b101e11ac6b1d9cdedec061c98e\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628940256332408090142686298674846647584182771908642.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.6640062,\n \"_source\": {\n \"chart_hash\": \"41280872708730d80ed48314782a9ea5cac87ec7\",\n \"content\": \"Referral sent to gastroenterology Labs ordered Start Cholestyramine 4gm by mouth daily \",\n \"encounter_date\": \"2018-10-29\",\n \"encounter_id\": \"107018738\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"c919c71c6325841c03a34ae45436ccba6212765e\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628940256332408090142805699442346706053924726505506.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.6640062,\n \"_source\": {\n \"chart_hash\": \"7a6a8b7ca5e2d456a741840b08cc74b71b28c736\",\n \"content\": \"Discussed symptoms, history, exam findings and possible causes for rash. Discussed options in management. Have given steroid in office, and have prescribed oral steroid prednisone, if needed, two pills once daily in the morning until symptoms controlled up to a maximum of five days. Advise that patient also take antihistamines, both H1 blockers and H2 blockers. Examples of over the counter H1 blocking antihistamines include Claritin/Zyrtec/Allegra. Examples of over the counter H2 blockers include Zantac/Pepcid. Advise that patient NOT use a topical antihistamine while taking an oral antihistamine because of potential adverse effects. Patient may apply thin layer of over the counter hydrocortisone cream, once a day, for no longer than two weeks. Advise avoiding hot showers and heat, and to use cold packs and cool showers/baths to relieve itching. Advise copious and frequent applications of hypoallergenic, non-perfume/non-dye emollients to skin throughout the day to provide protective barrier for skin from the environment. Examples include Cetaphil/Eucerin/CeraVe/Aquaphor/Aveeno. Advise avoiding harsh detergents and soaps, and to use moisturizing cleansers instead, such as Cetaphil cleanser/Dove/Aveeno. Advise use of hypoallergenic laundry detergents such as All Free and Tide Clear. \",\n \"encounter_date\": \"2019-10-05\",\n \"encounter_id\": \"110983035\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"004aa7fb1f8e8b101e11ac6b1d9cdedec061c98e\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628940256332408090142856432014366833969509013913634.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.6640062,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"Follow up in 4 months, thank you Eating for Your Health Better eating habits can improve your health by lowering blood pressure and cholesterol and help to maintain a healthy weight. Follow these 5 simple steps to make this lifestyle change. 1. Choose Heart Healthy Fats ? Olive oil, canola oil, avocado, nuts, and seeds are types of fats that can improve heart health. ? Boneless & skinless poultry, fish, and tofu are common, easy to prepare lean meats. ? Meats with loin or round in the name such as pork loin, sirloin, and round roast have less fat. ? Eat less cheese, ice cream, and heavy whipping cream. 2. Reduce Salt Intake ? Limit salt when cooking and try other flavors such as lemon, garlic, onion, and other non-sodium spice blends. ? Keep the saltshaker off the table. ? Check the Nutrition Facts label and limit sodium intake to 650 mg per meal. Do this when buying boxed or frozen meals. 3. Limit Sugar Intake ? All added sugars such as white and brown sugar, molasses, honey, syrup, etc can be harmful to your health. Start by cutting the amount you use in half. ? Low-calorie sweeteners can help to add some sweetness but limit use. ? Remember water is the best choice. ? Remove sugary beverages such as soda, juices, sports drinks, and sweet tea. Replace with drinks that have less than 10 calories. 4. Add Fiber to Your Meal ? Fill ½ of your plate with non-starchy vegetables such as most green vegetables, carrots, cabbage, lettuce, peppers, and tomatoes. Use fresh, frozen, or low sodium canned without added sauces. ? Choose fresh fruit or no added sugar canned fruit in place of sugary desserts ? Choose whole grains such as whole grain bread, oats, brown rice & pasta, etc. ? Use beans & lentils to add fiber to your plate as well as protein and a healthy serving of carbs. 5. Exercise More ? Check with your PCP before starting a new activity. It is recommended to get 30 minutes of physical activity 5 days each week. For more information about nutrition, you can ask your PCP for an appointment to speak with our Registered Dietitian. \",\n \"encounter_date\": \"2020-10-05\",\n \"encounter_id\": \"113769316\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491564700292639771533601922875410.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.6640062,\n \"_source\": {\n \"chart_hash\": \"7a6a8b7ca5e2d456a741840b08cc74b71b28c736\",\n \"content\": \"Patient teaching done Dupixent administration. Patient to contact office with any questions or concerns. Patient to continue Dupixent 300 mg SQ every other week as prescribed. Patient to keep follow up apt scheduled Thursday, 6/28/18 2:30 pm. \",\n \"encounter_date\": \"2018-05-29\",\n \"encounter_id\": \"105739415\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"004aa7fb1f8e8b101e11ac6b1d9cdedec061c98e\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491583930675652381440777327214610.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.6640062,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"Recent Results (from the past 168 hour(s)) Comprehensive metabolic panel Collection Time: 11/06/17 8:49 AM Result Value Ref Range Sodium 140 135 - 145 mEq/L Potassium 4.4 3.5 - 5.3 mEq/L Chloride 104 98 - 109 mEq/L Anion Gap 12.0 mEq/L CO2 24 22 - 33 mEq/L BUN 16 7 - 25 mg/dL Glucose 82 70 - 100 mg/dL Creatinine 0.58 (L) 0.60 - 1.20 mg/dL AST (SGOT) 19 13 - 39 U/L Alkaline Phosphatase 62 42 - 98 U/L Total Bilirubin 0.48 0.20 - 1.20 mg/dL Total Protein 6.7 6.0 - 8.3 g/dL Albumin 4.4 3.7 - 5.3 g/dL Calcium 9.3 8.6 - 10.3 mg/dL ALT (SGPT) 22 7 - 52 U/L eGFR 114.9 61.0 - 150.0 mL/min/1.73m*2 CBC auto differential Collection Time: 11/06/17 8:50 AM Result Value Ref Range WBC 5.3 4.5 - 11.0 10*3/uL RBC 4.04 (L) 4.20 - 5.00 10*6/uL Hemoglobin 12.3 11.7 - 15.5 g/dL Hematocrit 36.7 35.0 - 45.0 % MCV 90.8 81.0 - 100.0 fL MCH 30.4 27.0 - 34.0 pg MCHC 33.5 32.0 - 36.0 g/dL RDW 18.3 (H) 11.5 - 14.5 % MPV 10.1 9.4 - 12.3 fL Neutrophils % 63.0 42.2 - 75.2 % Lymphocytes % 22.6 20.5 - 51.0 % Monocytes % 9.5 1.7 - 12.0 % Eosinophils % 3.6 0.0 - 7.0 % Basophils % 0.9 0.1 - 1.2 % Neutrophils # 3.32 1.50 - 7.00 10*3/uL Lymphocytes # 1.2 1.0 - 4.0 10*3/uL Monocytes # 0.5 0.0 - 1.0 10*3/uL Eosinophils # 0.2 0.0 - 0.7 10*3/uL Basophils # 0.1 0.0 - 0.1 10*3/uL Platelets 270 130 - 400 10*3/uL nRBC 0 <=2 10*3/uL IG 0.4 0.0 - 0.4 % IG Abs 0.02 0.00 - 0.30 10*3/uL TSH Collection Time: 11/06/17 8:50 AM Result Value Ref Range TSH 1.07 0.55 - 4.78 uIU/mL \",\n \"encounter_date\": \"2017-11-07\",\n \"encounter_id\": \"102548600\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491618669159079007811761776623634.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.6640062,\n \"_source\": {\n \"chart_hash\": \"e8f48c9dae4df20c2707ba2ad3f58aa674d101d8\",\n \"content\": \"Eating for Your Health Better eating habits can improve your health by lowering blood pressure and cholesterol and help to maintain a healthy weight. Follow these 5 simple steps to make this lifestyle change. 1. Choose Heart Healthy Fats ? Olive oil, canola oil, avocado, nuts, and seeds are types of fats that can improve heart health. ? Boneless & skinless poultry, fish, and tofu are common, easy to prepare lean meats. ? Meats with loin or round in the name such as pork loin, sirloin, and round roast have less fat. ? Eat less cheese, ice cream, and heavy whipping cream. 2. Reduce Salt Intake ? Limit salt when cooking and try other flavors such as lemon, garlic, onion, and other non-sodium spice blends. ? Keep the saltshaker off the table. ? Check the Nutrition Facts label and limit sodium intake to 650 mg per meal. Do this when buying boxed or frozen meals. 3. Limit Sugar Intake ? All added sugars such as white and brown sugar, molasses, honey, syrup, etc can be harmful to your health. Start by cutting the amount you use in half. ? Low-calorie sweeteners can help to add some sweetness but limit use. ? Remember water is the best choice. ? Remove sugary beverages such as soda, juices, sports drinks, and sweet tea. Replace with drinks that have less than 10 calories. 4. Add Fiber to Your Meal ? Fill ½ of your plate with non-starchy vegetables such as most green vegetables, carrots, cabbage, lettuce, peppers, and tomatoes. Use fresh, frozen, or low sodium canned without added sauces. ? Choose fresh fruit or no added sugar canned fruit in place of sugary desserts ? Choose whole grains such as whole grain bread, oats, brown rice & pasta, etc. ? Use beans & lentils to add fiber to your plate as well as protein and a healthy serving of carbs. 5. Exercise More ? Check with your PCP before starting a new activity. It is recommended to get 30 minutes of physical activity 5 days each week. For more information about nutrition, you can ask your PCP for an appointment to speak with our Registered Dietitian. \",\n \"encounter_date\": \"2019-06-01\",\n \"encounter_id\": \"109514990\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"679cb3f1ffdde7bdfe9a8f2963594d2217e4f818\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491637952734827680762689587511314.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.6640062,\n \"_source\": {\n \"chart_hash\": \"51a5b11fe0603c1151f9000a7b6dbd78c178d8ac\",\n \"content\": \"The nature of sun-induced photo-aging and skin cancers is discussed. Sun avoidance, protective clothing, and the use of 30-SPF sunscreens is advised. Observe closely for skin damage/changes, and call if such occurs. \",\n \"encounter_date\": \"2020-05-26\",\n \"encounter_id\": \"113645923\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"0209e04821ef76fb519774b8cf67a424de8f2039\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491664117516341600183154703859730.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.6640062,\n \"_source\": {\n \"chart_hash\": \"51a5b11fe0603c1151f9000a7b6dbd78c178d8ac\",\n \"content\": \"The nature of sun-induced photo-aging and skin cancers is discussed. Sun avoidance, protective clothing, and the use of 30-SPF sunscreens is advised. Observe closely for skin damage/changes, and call if such occurs. \",\n \"encounter_date\": \"2020-04-28\",\n \"encounter_id\": \"113302918\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"0209e04821ef76fb519774b8cf67a424de8f2039\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491738095314021278189472314294290.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.6640062,\n \"_source\": {\n \"chart_hash\": \"529255f6d4b8039054998f9f44e09b18b1d1445d\",\n \"content\": \"- Follow up with pediatrician if symptoms do not improve in 2-3 days; sooner if worse - Long acting over the counter antihistamine such as Allegra or Zyrtec once daily - flonase and its generic fluticasone are available over the counter - 1 or 2 sprays per nostril twice daily until symptoms improve then once daily at bedtime for symptom control \",\n \"encounter_date\": \"2017-11-28\",\n \"encounter_id\": \"104024795\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"26d958183d683b0a0960a653371b314ce3fc4e1e\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n }\n ],\n \"max_score\": 2.6640062,\n \"total\": {\n \"relation\": \"eq\",\n \"value\": 87\n }\n },\n \"timed_out\": false,\n \"took\": 4\n}"}],"_postman_id":"06b68d57-b101-45a7-b9db-0e443159b72b"},{"name":"Search - Term Level Query - Bool Query","id":"33f50f48-c8ed-4b28-9bbb-e6fc53c4babb","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"GET","header":[],"body":{"mode":"raw","raw":"{\n \"query\": {\n \"bool\":{\n \"must\":[\n {\"match\": {\"note_type\": \"patient\"}},\n {\"match\": {\"encounter_id\": 110983035}}\n ]\n }\n }\n}\n ","options":{"raw":{"language":"json"}}},"url":"https://chart-notes.healthjump.com/_search","description":"The AND/OR/NOT operators can be used to fine tune our search queries in order to provide more relevant or specific results. This is implemented in the search API as a bool query. The bool query accepts a:
\nmust parameter (equivalent to AND)\nmust_not parameter (equivalent to NOT)\nshould parameter (equivalent to OR).
\nFor example, if I want to search for a document with the note type like \"patient\" AND the document ID 110983035:
\n","urlObject":{"protocol":"https","path":["_search"],"host":["chart-notes","healthjump","com"],"query":[],"variable":[]}},"response":[],"_postman_id":"33f50f48-c8ed-4b28-9bbb-e6fc53c4babb"},{"name":"Search - Term Level Query - Fuzzy Query","id":"bbac83d5-6b79-4ba4-bb62-7263e4337f29","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"GET","header":[],"body":{"mode":"raw","raw":"{\n \"query\": {\n \"regexp\": {\n \"note_type\": {\n \"value\": \"p*\",\n \"flags\": \"ALL\"\n }\n }\n }\n}","options":{"raw":{"language":"json"}}},"url":"https://chart-notes.healthjump.com/_search","description":"Fuzzy matching can be enabled on Match and Multi-Match queries to catch spelling errors. The degree of fuzziness is specified based on the Levenshtein distance from the original word, i.e. the number of one-character changes that need to be made to one string to make it the same as another string.
\nNote: Instead of specifying \"AUTO\" you can specify the numbers 0, 1, or 2 to indicate the maximum number of edits that can be made to the string to find a match. The benefit of using \"AUTO\" is that it takes into account the length of the string. For strings that are only 3 characters long, allowing a fuzziness of 2 will result in poor search performance. Therefore it's recommended to stick to \"AUTO\" in most cases.
\n","urlObject":{"protocol":"https","path":["_search"],"host":["chart-notes","healthjump","com"],"query":[],"variable":[]}},"response":[{"id":"713460b0-54ee-43f2-a2e3-27bd72a371da","name":"Search - Term Level Query - Fuzzy Query","originalRequest":{"method":"GET","header":[],"body":{"mode":"raw","raw":"{\n \"query\": {\n \"multi_match\":{\n \"query\": \"Medicin\",\n \"fuzziness\": \"Auto\"\n }\n }\n}","options":{"raw":{"language":"json"}}},"url":"https://chart-notes.healthjump.com/_search"},"status":"OK","code":200,"_postman_previewlanguage":"json","header":[{"key":"Date","value":"Tue, 22 Dec 2020 17:56:52 GMT"},{"key":"Content-Type","value":"application/json; charset=UTF-8"},{"key":"Content-Length","value":"40271"},{"key":"Connection","value":"close"},{"key":"Server","value":"gunicorn/20.0.4"}],"cookie":[],"responseTime":null,"body":"{\n \"_shards\": {\n \"failed\": 0,\n \"skipped\": 0,\n \"successful\": 5,\n \"total\": 5\n },\n \"hits\": {\n \"hits\": [\n {\n \"_id\": \"49613628940256332408090142938867457080535922151344046114.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 3.5155802,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"Patient Education Vertigo (Unknown Cause) In addition to helping with hearing, the inner ear is part of the balance center of your body. Problems with the inner ear can a false feeling of motion. This is called vertigo. Often, it feels as if you or the room is spinning. A vertigo attack may cause sudden nausea, vomiting and heavy sweating. Severe vertigo causes a loss of balance and can cause you to fall. During vertigo, small head movements and changes in body position will often make the symptoms worse. You may also have ringing in the ears called tinnitus. An episode of vertigo may last seconds, minutes or hours. Once you are over the first episode, it may never come back. However, symptoms may return off and on. The cause of your vertigo is not yet known. Possible causes of vertigo include: · Inflammation of the inner ear · Disease of the nerves to the inner ear · Movement of calcium particles in the inner ear · Poor blood flow to the balance centers of the brain · Migraine headaches Home care · If symptoms are severe, rest quietly in bed. Change positions very slowly. There is usually one position that will feel best, such as lying on one side or lying on your back with your head slightly raised on pillows. · Do not drive a car or work with dangerous machinery until symptoms have been gone for at least one week. · Take medicine as prescribed to relieve your symptoms. Unless another medicine was prescribed for symptoms of nausea, vomiting, and dizziness, you may use over-the-counter motion sickness pills. Ask your pharmacist for suggestions. Follow-up care Follow up with your healthcare provider or as directed. If you are referred to a specialist or for testing, make the appointment promptly. When to seek medical advice Call your healthcare provider if any of the following occur: · Fever of 100.4°F (38ºC) or higher, or as directed by your healthcare provider · Vertigo worsens or is not controlled by prescribed medicine · Repeated vomiting not relieved by prescribed medicine · Severe headache · Confusion · Weakness of an arm or leg or one side of the face · Difficulty with speech or vision · Loss of consciousness · Seizure Date Last Reviewed: 8/16/2015 © 2000-2017 The StayWell Company, LLC. 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions. \",\n \"encounter_date\": \"2018-07-13\",\n \"encounter_id\": \"106110552\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491661534041865083720470917808146.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 3.4399588,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"Pinched Nerve in the Neck A pinched nerve in the neck (cervical radiculopathy) is caused when the nerve that goes from the spinal cord to the arm is irritated or has pressure on it. This may be caused by a bulging spinal disk. A spinal disk is the cushion between each spinal bone. Or it may be caused by a narrowing of the spinal joint because of arthritis. A pinched nerve can cause numbness, tingling, deep aching, or electrical shooting pain from the side of the neck all the way down to the fingers on one side. A pinched nerve may begin after a sudden turning or bending force (such as in a car accident) or after a simple awkward movement. In either case, muscle spasm is commonly present and adds to the pain. Home care Follow these guidelines when caring for yourself at home: · Rest and relax the muscles. Use a comfortable pillow that supports your head and keeps your spine in a natural (neutral) position. Your head shouldn’t be tilted forward or backward. A rolled-up towel may help for a custom fit. When standing or sitting, keep your neck in line with your body. Keep your head up and shoulders down. Stay away from activities that require you to move your neck a lot. · You can use heat and massage to help ease the pain. Take a hot shower or bath, or use a heating pad. You can also use a cold pack for relief. You can make a cold pack by wrapping a plastic bag of crushed or cubed ice in a thin towel. Try both heat and cold, and use the method that feels best. Do this for 20 minutes several times a day. · You may use acetaminophen or ibuprofen to control pain, unless another pain medicine was prescribed. If you have chronic liver or kidney disease, talk with your health care provider before using these medicines. Also talk with your provider if you’ve had a stomach ulcer or GI bleeding. · Reduce stress. Stress can make it longer for your pain to go away. · Do any exercises or stretches that were given to you as part of your discharge plan. · Wear a soft collar, if prescribed. · You may need surgery for a more serious injury. Follow-up care Follow up with your health care provider, or as advised, if you don’t start to get better after 1 week. You may need more tests. Tell your provider about any fever, chills, or weight loss. If X-rays were taken, a radiologist will look at them. You will be told of any new findings that may affect your care. When to seek medical advice Call your health care provider right away if any of these occur: · Pain becomes worse even after taking prescribed pain medicine · Weakness in the arm · Numbness in the arm gets worse · Trouble breathing or swallowing Date Last Reviewed: 2/17/2015 © 2000-2017 The StayWell Company, LLC. 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions. \",\n \"encounter_date\": \"2017-11-27\",\n \"encounter_id\": \"104011548\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491943027583259071677447899447314.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.728775,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"Patient Education Rocephin 1 gm IM in office. cefdinir for 10 days. phenergan with codeine as needed for cough. Rest and increase fluid intake Acute Bronchitis Your healthcare provider has told you that you have acute bronchitis. Bronchitis is infection or inflammation of the bronchial tubes (airways in the lungs). Normally, air moves easily in and out of the airways. Bronchitis narrows the airways, making it harder for air to flow in and out of the lungs. This causes symptoms such as shortness of breath, coughing up yellow or green mucus, and wheezing. Bronchitis can be acute or chronic. Acute means the condition comes on quickly and goes away in a short time, usually within 3 to 10 days. Chronic means a condition lasts a long time and often comes back. What causes acute bronchitis? Acute bronchitis almost always starts as a viral respiratory infection, such as a cold or the flu. Certain factors make it more likely for a cold or flu to turn into bronchitis. These include being very young, being elderly, having a heart or lung problem, or having a weak immune system. Cigarette smoking also makes bronchitis more likely. When bronchitis develops, the airways become swollen. The airways may also become infected with bacteria. This is known as a secondary infection. Diagnosing acute bronchitis Your healthcare provider will examine you and ask about your symptoms and health history. You may also have a sputum culture to test the fluid in your lungs. Chest X-rays may be done to look for infection in the lungs. Treating acute bronchitis Bronchitis usually clears up as the cold or flu goes away. You can help feel better faster by doing the following: · Take medicine as directed. You may be told to take ibuprofen or other over-the-counter medicines. These help relieve inflammation in your bronchial tubes. Your healthcare provider may prescribe an inhaler to help open up the bronchial tubes. Most of the time, acute bronchitis is caused by a viral infection. Antibiotics are usually not prescribed for viral infections. · Drink plenty of fluids, such as water, juice, or warm soup. Fluids loosen mucus so that you can cough it up. This helps you breathe more easily. Fluids also prevent dehydration. · Make sure you get plenty of rest. · Do not smoke. Do not allow anyone else to smoke in your home. Recovery and follow-up Follow up with your doctor as you are told. You will likely feel better in a week or two. But a dry cough can linger beyond that time. Let your doctor know if you still have symptoms (other than a dry cough) after 2 weeks, or if you’re prone to getting bronchial infections. Take steps to protect yourself from future infections. These steps include stopping smoking and avoiding tobacco smoke, washing your hands often, and getting a yearly flu shot. When to call your healthcare provider Call the healthcare provider if you have any of the following: · Fever of 100.4°F (38.0°C) or higher, or as advised · Symptoms that get worse, or new symptoms · Trouble breathing · Symptoms that don’t start to improve within a week, or within 3 days of taking antibiotics Date Last Reviewed: 12/1/2016 © 2000-2017 The StayWell Company, LLC. 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions. \",\n \"encounter_date\": \"2017-10-11\",\n \"encounter_id\": \"103413584\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491825117421294598044722443321362.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.2803488,\n \"_source\": {\n \"chart_hash\": \"51a5b11fe0603c1151f9000a7b6dbd78c178d8ac\",\n \"content\": \"\\\" Understanding Coronavirus Disease 2019 (COVID-19) Coronavirus disease 2019 (COVID-19) is a respiratory illness. It's caused by a new (novel) coronavirus called SARS-CoV-2. There are many types of coronavirus. Coronaviruses are a very common cause of bronchitis. They may sometimes cause lung infection (pneumonia). Symptoms can range from mild to severe respiratory illness. These viruses are also found in some animals. COVID-19 was first found in people in Wuhan, China, in late 2019. In 2020, several cases of COVID-19 have been confirmed in the U.S. COVID-19 is a rapidly- emerging infectious disease. This means that scientists are actively researching it. There are information updates regularly. Public health officials are working to find the source. How the virus spreads is not yet fully understood, but it seems to spread and infect people fairly easily. Some people who have been infected in an area may be unsure how or where they became infected. The virus may be spread through droplets of fluid that a person coughs or sneezes into the air. It may be spread if you touch a surface with virus on it, such as a handle or object, and then touch your eyes, nose, or mouth. For the latest information, visit the CDC website at www.cdc.gov/coronavirus/2019-ncov. Or call 800-CDC-INFO (800-232-4636). What are the symptoms of COVID-19? Some people have no symptoms or mild symptoms. Symptoms may appear 2 to 14 days after contact with the virus. Symptoms can include: · Fever · Coughing · Trouble breathing What are possible complications from COVID-19? In many cases, this virus can cause infection (pneumonia) in both lungs. In some cases, this can cause death. Certain people are at higher risk for complications. This includes older adults and people with serious chronic health conditions such as heart or lung disease or diabetes. How is COVID-19 diagnosed? Your healthcare provider will ask about your symptoms. He or she will also ask about your recent travel and contact with sick people. If your healthcare provider thinks you may have COVID-19, he or she will work closely with your local health department on testing. Follow all instructions from your healthcare provider. COVID-19 is diagnosed by: · Nose and throat swab. A cotton-tipped swab is wiped inside your nose or throat. This is done to check for viruses in your nasal mucus. · Sputum culture. A small sample of mucus coughed from your lungs (sputum) is collected if you have a cough. It's checked for the virus. How is COVID-19 treated? There is currently no medicine to treat the virus. Treatment is done to help your body while it fights the virus. This is known as supportive care. Supportive care may include: · Pain medicine. These include acetaminophen and ibuprofen. They are used to help ease pain and reduce fever. · Bed rest. This helps your body fight the illness. For severe illness, you may need to stay in the hospital. Care during severe illness may include: · IV (intravenous) fluids. These are given through a vein to help keep your body hydrated. · Oxygen. Supplemental oxygen or ventilation with a breathing machine (ventilator) may be given. This is done so you get enough oxygen in your body. Are you at risk for COVID-19? You are at risk for infection if you’ve been to a place where people have been sick with this virus or if there are people with COVID-19 in your area. You are at risk if you: · Recently traveled to an area with a COVID-19 outbreak · Had contact with a sick person who recently traveled to an area with a COVID-19 outbreak · Had contact with a person who was diagnosed with or who may have COVID-19 How can COVID-19 be prevented? There is no vaccine yet. The best prevention is to not have contact with the virus. The CDC advises that people should not travel to areas where there are COVID-19 outbreaks right now for any reason that is not urgent. For the most current CDC travel advisories, visit the CDC website at www.cdc.gov/coronavirus/2019-ncov/travelers. Prepare and protect yourself from COVID-19: · Wash your hands often with soap and clean, running water for at least 20 seconds. · If you don't have access to soap and water, use an alcohol-based hand sanitizer often. Make sure it has at least 60% alcohol. · Don't touch your eyes, nose, or mouth unless you have clean hands. · As much as possible, don't touch \\\"\\\"high-touch\\\"\\\" public surfaces such as doorknobs. Don't shake hands. · Clean home and work surfaces often with disinfectant. · Cough or sneeze into a tissue, then throw the tissue into the trash. If you don't have tissues, cough or sneeze into the bend of your elbow. · Stay informed about COVID-19 in your area. Follow local instructions about being in public. Be aware of events in your community that may be postponed or canceled such as school and sporting events. You may be advised not to attend public gatherings. You will be advised to stay about 6 feet from others as much as possible. This is called \\\"\\\"social distancing.\\\"\\\" · Check your home supplies. Consider keeping a 2-week supply of medicines, food, and other needed household items. · Make a plan for childcare, work, and ways to stay in touch with others. Know who will help you if you get sick. · Don't be around people who are sick. · There is no evidence right now that animals spread SARS-CoV-2. But it's always a good idea to wash your hands after touching any animals. Don't touch animals that may be sick. · Don’t share eating or drinking utensils with sick people. · Don’t kiss someone who is sick. If you were in an area with COVID-19 in the last 14 days: · Call your healthcare provider and follow all instructions. Your activities and where you go may be restricted for up to 2 weeks. · Take your temperature every morning and evening for at least 14 days. This is to check for fever. Keep a record of the readings. · Watch for symptoms of the virus. Call your provider if you have symptoms. Call your provider first before going to any clinic or hospital. · Stay home if you are sick for any reason. If you are sick with COVID-19 symptoms: · Stay home. Call your healthcare provider and tell them you have symptoms of COVID-19. Do this before going to any hospital or clinic. Follow your provider's instructions. You may be advised to isolate yourself at home. This is called self-isolation or self-quarantine. · Don’t panic. Keep in mind that other illnesses can cause similar symptoms. · Stay away from work, school, and public places. Limit physical contact with family members. Limit visitors. Don't kiss anyone or share eating or drinking utensils. Clean surfaces you touch with disinfectant. This is to help prevent the virus from spreading. · Cough or sneeze into a tissue, then throw away the tissue in the trash. If you don't have tissues, cough or sneeze into the bend of your elbow. · Wear a facemask only if you have symptoms · If you need to go in to a hospital or clinic, expect that the healthcare staff will wear protective equipment such as masks, gowns, gloves, and eye protection. You may be put in a separate room. This is to prevent the possible virus from spreading. · Tell the healthcare staff about recent travel. This includes local travel on public transport. Staff may need to find other people you have been in contact with. · Follow all instructions the healthcare staff give you. If you have been tested for COVID-19 · Stay home. Don’t leave your home unless you need to get medical care. Don't go to work, school, or public areas. Don't use public transportation or taxis. · Follow all instructions from your healthcare provider. Call your healthcare provider’s office before going. They can prepare and give you instructions. This will help prevent the virus from spreading. · If you need to go to a hospital or clinic, expect that the healthcare staff will wear protective equipment such as masks, gowns, gloves, and eye protection. You may be put in a separate room. This is to prevent the possible virus from spreading. · Wear a face mask. This is to protect other people from your germs. If you are not able to wear a mask, your caregivers should. · Stay away from other people in your home. · Limit contact with pets and animals. Although there are no reports of pets getting sick with COVID-19, consider limiting contact with pets until more is known. · Don’t share household items or food. · Cover your face with a tissue when you cough or sneeze. Throw the tissue away. Then wash your hands. · Wash your hands often. We will contact you with your test results & will share these with the local health department. Please remain on self-quarantine until Staff from Shannon Medical Center or the Health Department releases you from self-quarantine. If you are caring for a sick person: · Follow all instructions from healthcare staff. · Wash your hands often. · Wear protective clothing as advised. · Make sure the sick person wears a mask. If they can't wear a mask, don't stay in the same room with the person. If you must be in the same room, wear a facemask. · Use a separate room and bathroom for sick household members (if possible). · Clean sick room and bathroom as needed, to avoid unnecessary contact with the sick person. · Keep track of the sick person’s symptoms. · Clean surfaces, fabrics, and laundry thoroughly. · Keep other people and pets away from the sick person. • If you are staying with a family member who has been quarantined monitor your temperature twice a day at least 6 hours apart. • If staying with a sick family member and you start feeling bad, seek medical care for your symptoms When to call your healthcare provider Call your healthcare provider: · If you’ve recently traveled or have been in an area with COVID-19 and have symptoms · If you have been diagnosed with COVID-19 and your symptoms are worse StayWell last reviewed this educational content on 1/1/2020 © 2000-2019 StayWell, 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions. This information has been modified by your health care provider with permission from the publisher. \\\"\",\n \"encounter_date\": \"2020-06-28\",\n \"encounter_id\": \"114072604\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"0209e04821ef76fb519774b8cf67a424de8f2039\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491646627986509235342059595890706.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.13249,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"Follow up in 2 months. Please bring all the medicines you get from the pain management department with you to your next appointment. Thank you !!Take opioid analgesics only as prescribed. Do not increase your dose, take them more frequently, or take them with alcoholic beverages or other sedatives. This adds to risk of dizziness, drowsiness, increased chances of falls, accidents, life threatening respiratory issues, irregular heartbeat, tremors, and seizures. Use of opioid analgesics on a chronic basis increases potential for tolerance and addiction. Opioid analgesic medications may not work well for chronic and longstanding pain or when taken for extended periods of time, even if taken as prescribed. To minimize risks, take the smallest amount needed. To minimize constipation and critical bowel issues, increase intake of fiber, drink plenty of water, and remain active. In the event you have an allergic reaction, seek medical attention immediately. These medications should be used only when clearly needed during pregnancy, in the elderly, and people with respiratory conditions. Tell your provider of all prescription and nonprescription drugs you may be using but especially: MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, selegiline, tranylcypromine), psychiatric drugs, tranquilizers, sleep medications, zidovudine, rifampin, other narcotic pain relievers, barbiturates, cimetidine, anti-seizure drugs, or antihistamines (e.g., diphenhydramine). When taking opioid analgesics, you should be reevaluated frequently. You are responsible for securing these medications. They may not be replaced if stolen, lost, or not taken as prescribed. Because opioids can be misused, you will be asked to undergo urine drug screens and providers may check pharmacy or other registries prior to prescriptions and refills. Do not drink alcohol or use illicit drugs in combination with your opioid medications as this can lead to overdose and death. Be cautious in taking benzodiazepines or sleep aids in conjunction with your opioid medications due to increased risk of overdose. \",\n \"encounter_date\": \"2019-02-01\",\n \"encounter_id\": \"107583573\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628940256332408090142590514273232760895506141413410.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.0820944,\n \"_source\": {\n \"chart_hash\": \"26768a09446dfd9291d73157eadce117157cfb8e\",\n \"content\": \"Patient Education Atopic Dermatitis (Adult) Atopic dermatitis is a dry, itchy, red rash. It’s also called eczema. The rash is chronic, or ongoing. It can come and go over time. The disease is often passed down in families. It causes a problem with the skin barrier that makes the skin more sensitive to the environment and other factors. The increased skin sensitivity causes an itch, which causes scratching. Scratching can worsen the itching or also break the skin. This can put the skin at risk of infection. The condition is most common in people with asthma, hay fever, hives, or dry or sensitive skin. The rash may be caused by extreme heat or heavy sweating. Skin irritants can cause the rash to flare up. These can include wool or silk clothing, grease, oils, some medicines, and harsh soaps and detergents. Emotional stress can also be a trigger. Treatment is done to relieve the itching and inflammation of the skin. Home care Follow these tips to care for your condition: · Keep the areas of rash clean by bathing at least every other day. Use lukewarm water to bathe. Don’t use hot water, which can dry out the skin. · Don’t use soaps with strong detergents. Use mild soaps made for sensitive skin. · Apply a cream or ointment to damp skin right after bathing. · Avoid things that irritate your skin. Wear absorbent, soft fabrics next to the skin rather than rough or scratchy materials. · Use mild laundry soap free of scents and perfumes. Make sure to rinse all the soap out of your clothes. · Treat any skin infection as directed. · Use oral diphenhydramine to help reduce itching. This is an antihistamine you can buy at drug and grocery stores. It can make you sleepy, so use lower doses during the daytime. Or you can use loratadine. This is an antihistamine that will not make you sleepy. Do not use diphenhydramine if you have glaucoma or have trouble urinating due to an enlarged prostate. Follow-up care See your healthcare provider, or as advised. If your symptoms don’t get better or if they get worse in the next 7 days, make an appointment with your healthcare provider. When to seek medical advice Call your healthcare provider right away if any of these occur: · Increasing area of redness or pain in the skin · Yellow crusts or wet drainage from the rash · Fever of 100.4°F (38°C) or higher, or as directed by your healthcare provider Date Last Reviewed: 9/1/2016 © 2000-2017 The StayWell Company, LLC. 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions. \",\n \"encounter_date\": \"2018-05-14\",\n \"encounter_id\": \"105215787\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"c494e89f686d3f4b311a8bda9016e09733dfef0f\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491693663663372981721558912335890.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.061946,\n \"_source\": {\n \"chart_hash\": \"26768a09446dfd9291d73157eadce117157cfb8e\",\n \"content\": \"\\\" Kroger SP: \\\"\\\"We have made numerous unsuccessful attempts to contact the above mentioned patient in regards to possible patient assistance program. Per Dupixent My Way, the patient is below income for PAP. The patient must apply for Medicaid, and be denied Medicaid coverage, before moving forward with PAP. In an effort to ensure maximum compliance and desired outcomes, we wanted to inform you at this time we will discharge the patient from our services.\\\"\\\" \\\"\",\n \"encounter_date\": \"2020-06-02\",\n \"encounter_id\": \"113762657\",\n \"note_type\": \"Progress Note\",\n \"patient_hash\": \"c494e89f686d3f4b311a8bda9016e09733dfef0f\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491895065869217500491932038594578.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.0237045,\n \"_source\": {\n \"chart_hash\": \"26768a09446dfd9291d73157eadce117157cfb8e\",\n \"content\": \"Spoke with patient, did let her know that due to the medicine she is on we will need to see her. She v/u. \",\n \"encounter_date\": \"2018-03-21\",\n \"encounter_id\": \"105138351\",\n \"note_type\": \"Telephone Encounter\",\n \"patient_hash\": \"c494e89f686d3f4b311a8bda9016e09733dfef0f\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628940256332408090142870574028604685902281921527842.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 1.9827201,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"menicon #331892 \",\n \"encounter_date\": \"2019-08-22\",\n \"encounter_id\": \"110398144\",\n \"note_type\": \"Telephone Encounter\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628940256332408090142608538148277395402833908465698.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 1.9626006,\n \"_source\": {\n \"chart_hash\": \"26768a09446dfd9291d73157eadce117157cfb8e\",\n \"content\": \"\\\" Understanding Coronavirus Disease 2019 (COVID-19) Coronavirus disease 2019 (COVID-19) is a respiratory illness. It's caused by a new (novel) coronavirus called SARS-CoV-2. There are many types of coronavirus. Coronaviruses are a very common cause of bronchitis. They may sometimes cause lung infection (pneumonia). Symptoms can range from mild to severe respiratory illness. These viruses are also found in some animals. COVID-19 was first found in people in Wuhan, China, in late 2019. In 2020, several cases of COVID-19 have been confirmed in the U.S. COVID-19 is a rapidly- emerging infectious disease. This means that scientists are actively researching it. There are information updates regularly. Public health officials are working to find the source. How the virus spreads is not yet fully understood, but it seems to spread and infect people fairly easily. Some people who have been infected in an area may be unsure how or where they became infected. The virus may be spread through droplets of fluid that a person coughs or sneezes into the air. It may be spread if you touch a surface with virus on it, such as a handle or object, and then touch your eyes, nose, or mouth. For the latest information, visit the CDC website at www.cdc.gov/coronavirus/2019-ncov. Or call 800-CDC-INFO (800-232-4636). What are the symptoms of COVID-19? Some people have no symptoms or mild symptoms. Symptoms may appear 2 to 14 days after contact with the virus. Symptoms can include: · Fever · Coughing · Trouble breathing What are possible complications from COVID-19? In many cases, this virus can cause infection (pneumonia) in both lungs. In some cases, this can cause death. Certain people are at higher risk for complications. This includes older adults and people with serious chronic health conditions such as heart or lung disease or diabetes. How is COVID-19 diagnosed? Your healthcare provider will ask about your symptoms. He or she will also ask about your recent travel and contact with sick people. If your healthcare provider thinks you may have COVID-19, he or she will work closely with your local health department on testing. Follow all instructions from your healthcare provider. COVID-19 is diagnosed by: · Nose and throat swab. A cotton-tipped swab is wiped inside your nose or throat. This is done to check for viruses in your nasal mucus. · Sputum culture. A small sample of mucus coughed from your lungs (sputum) is collected if you have a cough. It's checked for the virus. How is COVID-19 treated? There is currently no medicine to treat the virus. Treatment is done to help your body while it fights the virus. This is known as supportive care. Supportive care may include: · Pain medicine. These include acetaminophen and ibuprofen. They are used to help ease pain and reduce fever. · Bed rest. This helps your body fight the illness. For severe illness, you may need to stay in the hospital. Care during severe illness may include: · IV (intravenous) fluids. These are given through a vein to help keep your body hydrated. · Oxygen. Supplemental oxygen or ventilation with a breathing machine (ventilator) may be given. This is done so you get enough oxygen in your body. Are you at risk for COVID-19? You are at risk for infection if you’ve been to a place where people have been sick with this virus or if there are people with COVID-19 in your area. You are at risk if you: · Recently traveled to an area with a COVID-19 outbreak · Had contact with a sick person who recently traveled to an area with a COVID-19 outbreak · Had contact with a person who was diagnosed with or who may have COVID-19 How can COVID-19 be prevented? There is no vaccine yet. The best prevention is to not have contact with the virus. The CDC advises that people should not travel to areas where there are COVID-19 outbreaks right now for any reason that is not urgent. For the most current CDC travel advisories, visit the CDC website at www.cdc.gov/coronavirus/2019-ncov/travelers. Prepare and protect yourself from COVID-19: · Wash your hands often with soap and clean, running water for at least 20 seconds. · If you don't have access to soap and water, use an alcohol-based hand sanitizer often. Make sure it has at least 60% alcohol. · Don't touch your eyes, nose, or mouth unless you have clean hands. · As much as possible, don't touch \\\"\\\"high-touch\\\"\\\" public surfaces such as doorknobs. Don't shake hands. · Clean home and work surfaces often with disinfectant. · Cough or sneeze into a tissue, then throw the tissue into the trash. If you don't have tissues, cough or sneeze into the bend of your elbow. · Stay informed about COVID-19 in your area. Follow local instructions about being in public. Be aware of events in your community that may be postponed or canceled such as school and sporting events. You may be advised not to attend public gatherings. You will be advised to stay about 6 feet from others as much as possible. This is called \\\"\\\"social distancing.\\\"\\\" · Check your home supplies. Consider keeping a 2-week supply of medicines, food, and other needed household items. · Make a plan for childcare, work, and ways to stay in touch with others. Know who will help you if you get sick. · Don't be around people who are sick. · There is no evidence right now that animals spread SARS-CoV-2. But it's always a good idea to wash your hands after touching any animals. Don't touch animals that may be sick. · Don’t share eating or drinking utensils with sick people. · Don’t kiss someone who is sick. If you were in an area with COVID-19 in the last 14 days: · Call your healthcare provider and follow all instructions. Your activities and where you go may be restricted for up to 2 weeks. · Take your temperature every morning and evening for at least 14 days. This is to check for fever. Keep a record of the readings. · Watch for symptoms of the virus. Call your provider if you have symptoms. Call your provider first before going to any clinic or hospital. · Stay home if you are sick for any reason. If you are sick with COVID-19 symptoms: · Stay home. Call your healthcare provider and tell them you have symptoms of COVID-19. Do this before going to any hospital or clinic. Follow your provider's instructions. You may be advised to isolate yourself at home. This is called self-isolation or self-quarantine. · Don’t panic. Keep in mind that other illnesses can cause similar symptoms. · Stay away from work, school, and public places. Limit physical contact with family members. Limit visitors. Don't kiss anyone or share eating or drinking utensils. Clean surfaces you touch with disinfectant. This is to help prevent the virus from spreading. · Cough or sneeze into a tissue, then throw away the tissue in the trash. If you don't have tissues, cough or sneeze into the bend of your elbow. · Wear a facemask only if you have symptoms · If you need to go in to a hospital or clinic, expect that the healthcare staff will wear protective equipment such as masks, gowns, gloves, and eye protection. You may be put in a separate room. This is to prevent the possible virus from spreading. · Tell the healthcare staff about recent travel. This includes local travel on public transport. Staff may need to find other people you have been in contact with. · Follow all instructions the healthcare staff give you. If you have been tested for COVID-19 · Stay home. Don’t leave your home unless you need to get medical care. Don't go to work, school, or public areas. Don't use public transportation or taxis. · Follow all instructions from your healthcare provider. Call your healthcare provider’s office before going. They can prepare and give you instructions. This will help prevent the virus from spreading. · If you need to go to a hospital or clinic, expect that the healthcare staff will wear protective equipment such as masks, gowns, gloves, and eye protection. You may be put in a separate room. This is to prevent the possible virus from spreading. · Wear a face mask. This is to protect other people from your germs. If you are not able to wear a mask, your caregivers should. · Stay away from other people in your home. · Limit contact with pets and animals. Although there are no reports of pets getting sick with COVID-19, consider limiting contact with pets until more is known. · Don’t share household items or food. · Cover your face with a tissue when you cough or sneeze. Throw the tissue away. Then wash your hands. · Wash your hands often. We will contact you with your test results & will share these with the local health department. Please remain on self-quarantine until Staff from Shannon Medical Center or the Health Department releases you from self-quarantine. If you are caring for a sick person: · Follow all instructions from healthcare staff. · Wash your hands often. · Wear protective clothing as advised. · Make sure the sick person wears a mask. If they can't wear a mask, don't stay in the same room with the person. If you must be in the same room, wear a facemask. · Use a separate room and bathroom for sick household members (if possible). · Clean sick room and bathroom as needed, to avoid unnecessary contact with the sick person. · Keep track of the sick person’s symptoms. · Clean surfaces, fabrics, and laundry thoroughly. · Keep other people and pets away from the sick person. • If you are staying with a family member who has been quarantined monitor your temperature twice a day at least 6 hours apart. • If staying with a sick family member and you start feeling bad, seek medical care for your symptoms When to call your healthcare provider Call your healthcare provider: · If you’ve recently traveled or have been in an area with COVID-19 and have symptoms · If you have been diagnosed with COVID-19 and your symptoms are worse StayWell last reviewed this educational content on 1/1/2020 © 2000-2019 StayWell, 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions. This information has been modified by your health care provider with permission from the publisher. \\\"\",\n \"encounter_date\": \"2020-06-14\",\n \"encounter_id\": \"113903168\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"c494e89f686d3f4b311a8bda9016e09733dfef0f\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n }\n ],\n \"max_score\": 3.5155802,\n \"total\": {\n \"relation\": \"eq\",\n \"value\": 217\n }\n },\n \"timed_out\": false,\n \"took\": 58\n}"}],"_postman_id":"bbac83d5-6b79-4ba4-bb62-7263e4337f29"},{"name":"Search - Term Level Query - Wildcard","id":"42cc6ab2-ed3d-4840-8719-5baf5d42e58e","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"GET","header":[],"body":{"mode":"raw","raw":"{\n \"query\": {\n \"regexp\": {\n \"note_type\": {\n \"value\": \"p*\",\n \"flags\": \"ALL\"\n }\n }\n }\n}","options":{"raw":{"language":"json"}}},"url":"https://chart-notes.healthjump.com/_search","description":"Wildcard queries allow you to specify a pattern to match instead of the entire term. ? matches any character and * matches zero or more characters. For example, to find all records that have a conidtion which begins with the letter ‘f’:
\n","urlObject":{"protocol":"https","path":["_search"],"host":["chart-notes","healthjump","com"],"query":[],"variable":[]}},"response":[{"id":"470ae27d-18f5-4796-95fd-9ccb37d9b14a","name":"Search - Term Level Query -","originalRequest":{"method":"GET","header":[],"body":{"mode":"raw","raw":"{\n \"query\": {\n \"bool\":{\n \"must\":[\n \n {\"match\": {\"note_type\": \"patient\"}},\n {\"match\": {\"encounter_id\": 110983035}}\n ]\n }\n }\n}\n ","options":{"raw":{"language":"json"}}},"url":"https://chart-notes.healthjump.com/_search"},"status":"OK","code":200,"_postman_previewlanguage":"json","header":[{"key":"Date","value":"Tue, 22 Dec 2020 17:28:09 GMT"},{"key":"Content-Type","value":"application/json; charset=UTF-8"},{"key":"Content-Length","value":"1890"},{"key":"Connection","value":"close"},{"key":"Server","value":"gunicorn/20.0.4"}],"cookie":[],"responseTime":null,"body":"{\n \"_shards\": {\n \"failed\": 0,\n \"skipped\": 0,\n \"successful\": 5,\n \"total\": 5\n },\n \"hits\": {\n \"hits\": [\n {\n \"_id\": \"49613628940256332408090142805699442346706053924726505506.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 7.5618463,\n \"_source\": {\n \"chart_hash\": \"7a6a8b7ca5e2d456a741840b08cc74b71b28c736\",\n \"content\": \"Discussed symptoms, history, exam findings and possible causes for rash. Discussed options in management. Have given steroid in office, and have prescribed oral steroid prednisone, if needed, two pills once daily in the morning until symptoms controlled up to a maximum of five days. Advise that patient also take antihistamines, both H1 blockers and H2 blockers. Examples of over the counter H1 blocking antihistamines include Claritin/Zyrtec/Allegra. Examples of over the counter H2 blockers include Zantac/Pepcid. Advise that patient NOT use a topical antihistamine while taking an oral antihistamine because of potential adverse effects. Patient may apply thin layer of over the counter hydrocortisone cream, once a day, for no longer than two weeks. Advise avoiding hot showers and heat, and to use cold packs and cool showers/baths to relieve itching. Advise copious and frequent applications of hypoallergenic, non-perfume/non-dye emollients to skin throughout the day to provide protective barrier for skin from the environment. Examples include Cetaphil/Eucerin/CeraVe/Aquaphor/Aveeno. Advise avoiding harsh detergents and soaps, and to use moisturizing cleansers instead, such as Cetaphil cleanser/Dove/Aveeno. Advise use of hypoallergenic laundry detergents such as All Free and Tide Clear. \",\n \"encounter_date\": \"2019-10-05\",\n \"encounter_id\": \"110983035\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"004aa7fb1f8e8b101e11ac6b1d9cdedec061c98e\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n }\n ],\n \"max_score\": 7.5618463,\n \"total\": {\n \"relation\": \"eq\",\n \"value\": 1\n }\n },\n \"timed_out\": false,\n \"took\": 15\n}"},{"id":"5b5c1fb8-c38a-435d-8860-38243039cf9a","name":"Search - Term Level Query - Fuzzy Query","originalRequest":{"method":"GET","header":[],"body":{"mode":"raw","raw":"{\n \"query\": {\n \"multi_match\":{\n \"query\": \"Medicin\",\n \"fuzziness\": \"Auto\"\n }\n }\n}","options":{"raw":{"language":"json"}}},"url":"https://chart-notes.healthjump.com/_search"},"status":"OK","code":200,"_postman_previewlanguage":"json","header":[{"key":"Date","value":"Tue, 22 Dec 2020 17:56:52 GMT"},{"key":"Content-Type","value":"application/json; charset=UTF-8"},{"key":"Content-Length","value":"40271"},{"key":"Connection","value":"close"},{"key":"Server","value":"gunicorn/20.0.4"}],"cookie":[],"responseTime":null,"body":"{\n \"_shards\": {\n \"failed\": 0,\n \"skipped\": 0,\n \"successful\": 5,\n \"total\": 5\n },\n \"hits\": {\n \"hits\": [\n {\n \"_id\": \"49613628940256332408090142938867457080535922151344046114.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 3.5155802,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"Patient Education Vertigo (Unknown Cause) In addition to helping with hearing, the inner ear is part of the balance center of your body. Problems with the inner ear can a false feeling of motion. This is called vertigo. Often, it feels as if you or the room is spinning. A vertigo attack may cause sudden nausea, vomiting and heavy sweating. Severe vertigo causes a loss of balance and can cause you to fall. During vertigo, small head movements and changes in body position will often make the symptoms worse. You may also have ringing in the ears called tinnitus. An episode of vertigo may last seconds, minutes or hours. Once you are over the first episode, it may never come back. However, symptoms may return off and on. The cause of your vertigo is not yet known. Possible causes of vertigo include: · Inflammation of the inner ear · Disease of the nerves to the inner ear · Movement of calcium particles in the inner ear · Poor blood flow to the balance centers of the brain · Migraine headaches Home care · If symptoms are severe, rest quietly in bed. Change positions very slowly. There is usually one position that will feel best, such as lying on one side or lying on your back with your head slightly raised on pillows. · Do not drive a car or work with dangerous machinery until symptoms have been gone for at least one week. · Take medicine as prescribed to relieve your symptoms. Unless another medicine was prescribed for symptoms of nausea, vomiting, and dizziness, you may use over-the-counter motion sickness pills. Ask your pharmacist for suggestions. Follow-up care Follow up with your healthcare provider or as directed. If you are referred to a specialist or for testing, make the appointment promptly. When to seek medical advice Call your healthcare provider if any of the following occur: · Fever of 100.4°F (38ºC) or higher, or as directed by your healthcare provider · Vertigo worsens or is not controlled by prescribed medicine · Repeated vomiting not relieved by prescribed medicine · Severe headache · Confusion · Weakness of an arm or leg or one side of the face · Difficulty with speech or vision · Loss of consciousness · Seizure Date Last Reviewed: 8/16/2015 © 2000-2017 The StayWell Company, LLC. 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions. \",\n \"encounter_date\": \"2018-07-13\",\n \"encounter_id\": \"106110552\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491661534041865083720470917808146.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 3.4399588,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"Pinched Nerve in the Neck A pinched nerve in the neck (cervical radiculopathy) is caused when the nerve that goes from the spinal cord to the arm is irritated or has pressure on it. This may be caused by a bulging spinal disk. A spinal disk is the cushion between each spinal bone. Or it may be caused by a narrowing of the spinal joint because of arthritis. A pinched nerve can cause numbness, tingling, deep aching, or electrical shooting pain from the side of the neck all the way down to the fingers on one side. A pinched nerve may begin after a sudden turning or bending force (such as in a car accident) or after a simple awkward movement. In either case, muscle spasm is commonly present and adds to the pain. Home care Follow these guidelines when caring for yourself at home: · Rest and relax the muscles. Use a comfortable pillow that supports your head and keeps your spine in a natural (neutral) position. Your head shouldn’t be tilted forward or backward. A rolled-up towel may help for a custom fit. When standing or sitting, keep your neck in line with your body. Keep your head up and shoulders down. Stay away from activities that require you to move your neck a lot. · You can use heat and massage to help ease the pain. Take a hot shower or bath, or use a heating pad. You can also use a cold pack for relief. You can make a cold pack by wrapping a plastic bag of crushed or cubed ice in a thin towel. Try both heat and cold, and use the method that feels best. Do this for 20 minutes several times a day. · You may use acetaminophen or ibuprofen to control pain, unless another pain medicine was prescribed. If you have chronic liver or kidney disease, talk with your health care provider before using these medicines. Also talk with your provider if you’ve had a stomach ulcer or GI bleeding. · Reduce stress. Stress can make it longer for your pain to go away. · Do any exercises or stretches that were given to you as part of your discharge plan. · Wear a soft collar, if prescribed. · You may need surgery for a more serious injury. Follow-up care Follow up with your health care provider, or as advised, if you don’t start to get better after 1 week. You may need more tests. Tell your provider about any fever, chills, or weight loss. If X-rays were taken, a radiologist will look at them. You will be told of any new findings that may affect your care. When to seek medical advice Call your health care provider right away if any of these occur: · Pain becomes worse even after taking prescribed pain medicine · Weakness in the arm · Numbness in the arm gets worse · Trouble breathing or swallowing Date Last Reviewed: 2/17/2015 © 2000-2017 The StayWell Company, LLC. 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions. \",\n \"encounter_date\": \"2017-11-27\",\n \"encounter_id\": \"104011548\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491943027583259071677447899447314.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.728775,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"Patient Education Rocephin 1 gm IM in office. cefdinir for 10 days. phenergan with codeine as needed for cough. Rest and increase fluid intake Acute Bronchitis Your healthcare provider has told you that you have acute bronchitis. Bronchitis is infection or inflammation of the bronchial tubes (airways in the lungs). Normally, air moves easily in and out of the airways. Bronchitis narrows the airways, making it harder for air to flow in and out of the lungs. This causes symptoms such as shortness of breath, coughing up yellow or green mucus, and wheezing. Bronchitis can be acute or chronic. Acute means the condition comes on quickly and goes away in a short time, usually within 3 to 10 days. Chronic means a condition lasts a long time and often comes back. What causes acute bronchitis? Acute bronchitis almost always starts as a viral respiratory infection, such as a cold or the flu. Certain factors make it more likely for a cold or flu to turn into bronchitis. These include being very young, being elderly, having a heart or lung problem, or having a weak immune system. Cigarette smoking also makes bronchitis more likely. When bronchitis develops, the airways become swollen. The airways may also become infected with bacteria. This is known as a secondary infection. Diagnosing acute bronchitis Your healthcare provider will examine you and ask about your symptoms and health history. You may also have a sputum culture to test the fluid in your lungs. Chest X-rays may be done to look for infection in the lungs. Treating acute bronchitis Bronchitis usually clears up as the cold or flu goes away. You can help feel better faster by doing the following: · Take medicine as directed. You may be told to take ibuprofen or other over-the-counter medicines. These help relieve inflammation in your bronchial tubes. Your healthcare provider may prescribe an inhaler to help open up the bronchial tubes. Most of the time, acute bronchitis is caused by a viral infection. Antibiotics are usually not prescribed for viral infections. · Drink plenty of fluids, such as water, juice, or warm soup. Fluids loosen mucus so that you can cough it up. This helps you breathe more easily. Fluids also prevent dehydration. · Make sure you get plenty of rest. · Do not smoke. Do not allow anyone else to smoke in your home. Recovery and follow-up Follow up with your doctor as you are told. You will likely feel better in a week or two. But a dry cough can linger beyond that time. Let your doctor know if you still have symptoms (other than a dry cough) after 2 weeks, or if you’re prone to getting bronchial infections. Take steps to protect yourself from future infections. These steps include stopping smoking and avoiding tobacco smoke, washing your hands often, and getting a yearly flu shot. When to call your healthcare provider Call the healthcare provider if you have any of the following: · Fever of 100.4°F (38.0°C) or higher, or as advised · Symptoms that get worse, or new symptoms · Trouble breathing · Symptoms that don’t start to improve within a week, or within 3 days of taking antibiotics Date Last Reviewed: 12/1/2016 © 2000-2017 The StayWell Company, LLC. 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions. \",\n \"encounter_date\": \"2017-10-11\",\n \"encounter_id\": \"103413584\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491825117421294598044722443321362.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.2803488,\n \"_source\": {\n \"chart_hash\": \"51a5b11fe0603c1151f9000a7b6dbd78c178d8ac\",\n \"content\": \"\\\" Understanding Coronavirus Disease 2019 (COVID-19) Coronavirus disease 2019 (COVID-19) is a respiratory illness. It's caused by a new (novel) coronavirus called SARS-CoV-2. There are many types of coronavirus. Coronaviruses are a very common cause of bronchitis. They may sometimes cause lung infection (pneumonia). Symptoms can range from mild to severe respiratory illness. These viruses are also found in some animals. COVID-19 was first found in people in Wuhan, China, in late 2019. In 2020, several cases of COVID-19 have been confirmed in the U.S. COVID-19 is a rapidly- emerging infectious disease. This means that scientists are actively researching it. There are information updates regularly. Public health officials are working to find the source. How the virus spreads is not yet fully understood, but it seems to spread and infect people fairly easily. Some people who have been infected in an area may be unsure how or where they became infected. The virus may be spread through droplets of fluid that a person coughs or sneezes into the air. It may be spread if you touch a surface with virus on it, such as a handle or object, and then touch your eyes, nose, or mouth. For the latest information, visit the CDC website at www.cdc.gov/coronavirus/2019-ncov. Or call 800-CDC-INFO (800-232-4636). What are the symptoms of COVID-19? Some people have no symptoms or mild symptoms. Symptoms may appear 2 to 14 days after contact with the virus. Symptoms can include: · Fever · Coughing · Trouble breathing What are possible complications from COVID-19? In many cases, this virus can cause infection (pneumonia) in both lungs. In some cases, this can cause death. Certain people are at higher risk for complications. This includes older adults and people with serious chronic health conditions such as heart or lung disease or diabetes. How is COVID-19 diagnosed? Your healthcare provider will ask about your symptoms. He or she will also ask about your recent travel and contact with sick people. If your healthcare provider thinks you may have COVID-19, he or she will work closely with your local health department on testing. Follow all instructions from your healthcare provider. COVID-19 is diagnosed by: · Nose and throat swab. A cotton-tipped swab is wiped inside your nose or throat. This is done to check for viruses in your nasal mucus. · Sputum culture. A small sample of mucus coughed from your lungs (sputum) is collected if you have a cough. It's checked for the virus. How is COVID-19 treated? There is currently no medicine to treat the virus. Treatment is done to help your body while it fights the virus. This is known as supportive care. Supportive care may include: · Pain medicine. These include acetaminophen and ibuprofen. They are used to help ease pain and reduce fever. · Bed rest. This helps your body fight the illness. For severe illness, you may need to stay in the hospital. Care during severe illness may include: · IV (intravenous) fluids. These are given through a vein to help keep your body hydrated. · Oxygen. Supplemental oxygen or ventilation with a breathing machine (ventilator) may be given. This is done so you get enough oxygen in your body. Are you at risk for COVID-19? You are at risk for infection if you’ve been to a place where people have been sick with this virus or if there are people with COVID-19 in your area. You are at risk if you: · Recently traveled to an area with a COVID-19 outbreak · Had contact with a sick person who recently traveled to an area with a COVID-19 outbreak · Had contact with a person who was diagnosed with or who may have COVID-19 How can COVID-19 be prevented? There is no vaccine yet. The best prevention is to not have contact with the virus. The CDC advises that people should not travel to areas where there are COVID-19 outbreaks right now for any reason that is not urgent. For the most current CDC travel advisories, visit the CDC website at www.cdc.gov/coronavirus/2019-ncov/travelers. Prepare and protect yourself from COVID-19: · Wash your hands often with soap and clean, running water for at least 20 seconds. · If you don't have access to soap and water, use an alcohol-based hand sanitizer often. Make sure it has at least 60% alcohol. · Don't touch your eyes, nose, or mouth unless you have clean hands. · As much as possible, don't touch \\\"\\\"high-touch\\\"\\\" public surfaces such as doorknobs. Don't shake hands. · Clean home and work surfaces often with disinfectant. · Cough or sneeze into a tissue, then throw the tissue into the trash. If you don't have tissues, cough or sneeze into the bend of your elbow. · Stay informed about COVID-19 in your area. Follow local instructions about being in public. Be aware of events in your community that may be postponed or canceled such as school and sporting events. You may be advised not to attend public gatherings. You will be advised to stay about 6 feet from others as much as possible. This is called \\\"\\\"social distancing.\\\"\\\" · Check your home supplies. Consider keeping a 2-week supply of medicines, food, and other needed household items. · Make a plan for childcare, work, and ways to stay in touch with others. Know who will help you if you get sick. · Don't be around people who are sick. · There is no evidence right now that animals spread SARS-CoV-2. But it's always a good idea to wash your hands after touching any animals. Don't touch animals that may be sick. · Don’t share eating or drinking utensils with sick people. · Don’t kiss someone who is sick. If you were in an area with COVID-19 in the last 14 days: · Call your healthcare provider and follow all instructions. Your activities and where you go may be restricted for up to 2 weeks. · Take your temperature every morning and evening for at least 14 days. This is to check for fever. Keep a record of the readings. · Watch for symptoms of the virus. Call your provider if you have symptoms. Call your provider first before going to any clinic or hospital. · Stay home if you are sick for any reason. If you are sick with COVID-19 symptoms: · Stay home. Call your healthcare provider and tell them you have symptoms of COVID-19. Do this before going to any hospital or clinic. Follow your provider's instructions. You may be advised to isolate yourself at home. This is called self-isolation or self-quarantine. · Don’t panic. Keep in mind that other illnesses can cause similar symptoms. · Stay away from work, school, and public places. Limit physical contact with family members. Limit visitors. Don't kiss anyone or share eating or drinking utensils. Clean surfaces you touch with disinfectant. This is to help prevent the virus from spreading. · Cough or sneeze into a tissue, then throw away the tissue in the trash. If you don't have tissues, cough or sneeze into the bend of your elbow. · Wear a facemask only if you have symptoms · If you need to go in to a hospital or clinic, expect that the healthcare staff will wear protective equipment such as masks, gowns, gloves, and eye protection. You may be put in a separate room. This is to prevent the possible virus from spreading. · Tell the healthcare staff about recent travel. This includes local travel on public transport. Staff may need to find other people you have been in contact with. · Follow all instructions the healthcare staff give you. If you have been tested for COVID-19 · Stay home. Don’t leave your home unless you need to get medical care. Don't go to work, school, or public areas. Don't use public transportation or taxis. · Follow all instructions from your healthcare provider. Call your healthcare provider’s office before going. They can prepare and give you instructions. This will help prevent the virus from spreading. · If you need to go to a hospital or clinic, expect that the healthcare staff will wear protective equipment such as masks, gowns, gloves, and eye protection. You may be put in a separate room. This is to prevent the possible virus from spreading. · Wear a face mask. This is to protect other people from your germs. If you are not able to wear a mask, your caregivers should. · Stay away from other people in your home. · Limit contact with pets and animals. Although there are no reports of pets getting sick with COVID-19, consider limiting contact with pets until more is known. · Don’t share household items or food. · Cover your face with a tissue when you cough or sneeze. Throw the tissue away. Then wash your hands. · Wash your hands often. We will contact you with your test results & will share these with the local health department. Please remain on self-quarantine until Staff from Shannon Medical Center or the Health Department releases you from self-quarantine. If you are caring for a sick person: · Follow all instructions from healthcare staff. · Wash your hands often. · Wear protective clothing as advised. · Make sure the sick person wears a mask. If they can't wear a mask, don't stay in the same room with the person. If you must be in the same room, wear a facemask. · Use a separate room and bathroom for sick household members (if possible). · Clean sick room and bathroom as needed, to avoid unnecessary contact with the sick person. · Keep track of the sick person’s symptoms. · Clean surfaces, fabrics, and laundry thoroughly. · Keep other people and pets away from the sick person. • If you are staying with a family member who has been quarantined monitor your temperature twice a day at least 6 hours apart. • If staying with a sick family member and you start feeling bad, seek medical care for your symptoms When to call your healthcare provider Call your healthcare provider: · If you’ve recently traveled or have been in an area with COVID-19 and have symptoms · If you have been diagnosed with COVID-19 and your symptoms are worse StayWell last reviewed this educational content on 1/1/2020 © 2000-2019 StayWell, 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions. This information has been modified by your health care provider with permission from the publisher. \\\"\",\n \"encounter_date\": \"2020-06-28\",\n \"encounter_id\": \"114072604\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"0209e04821ef76fb519774b8cf67a424de8f2039\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491646627986509235342059595890706.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.13249,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"Follow up in 2 months. Please bring all the medicines you get from the pain management department with you to your next appointment. Thank you !!Take opioid analgesics only as prescribed. Do not increase your dose, take them more frequently, or take them with alcoholic beverages or other sedatives. This adds to risk of dizziness, drowsiness, increased chances of falls, accidents, life threatening respiratory issues, irregular heartbeat, tremors, and seizures. Use of opioid analgesics on a chronic basis increases potential for tolerance and addiction. Opioid analgesic medications may not work well for chronic and longstanding pain or when taken for extended periods of time, even if taken as prescribed. To minimize risks, take the smallest amount needed. To minimize constipation and critical bowel issues, increase intake of fiber, drink plenty of water, and remain active. In the event you have an allergic reaction, seek medical attention immediately. These medications should be used only when clearly needed during pregnancy, in the elderly, and people with respiratory conditions. Tell your provider of all prescription and nonprescription drugs you may be using but especially: MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, selegiline, tranylcypromine), psychiatric drugs, tranquilizers, sleep medications, zidovudine, rifampin, other narcotic pain relievers, barbiturates, cimetidine, anti-seizure drugs, or antihistamines (e.g., diphenhydramine). When taking opioid analgesics, you should be reevaluated frequently. You are responsible for securing these medications. They may not be replaced if stolen, lost, or not taken as prescribed. Because opioids can be misused, you will be asked to undergo urine drug screens and providers may check pharmacy or other registries prior to prescriptions and refills. Do not drink alcohol or use illicit drugs in combination with your opioid medications as this can lead to overdose and death. Be cautious in taking benzodiazepines or sleep aids in conjunction with your opioid medications due to increased risk of overdose. \",\n \"encounter_date\": \"2019-02-01\",\n \"encounter_id\": \"107583573\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628940256332408090142590514273232760895506141413410.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.0820944,\n \"_source\": {\n \"chart_hash\": \"26768a09446dfd9291d73157eadce117157cfb8e\",\n \"content\": \"Patient Education Atopic Dermatitis (Adult) Atopic dermatitis is a dry, itchy, red rash. It’s also called eczema. The rash is chronic, or ongoing. It can come and go over time. The disease is often passed down in families. It causes a problem with the skin barrier that makes the skin more sensitive to the environment and other factors. The increased skin sensitivity causes an itch, which causes scratching. Scratching can worsen the itching or also break the skin. This can put the skin at risk of infection. The condition is most common in people with asthma, hay fever, hives, or dry or sensitive skin. The rash may be caused by extreme heat or heavy sweating. Skin irritants can cause the rash to flare up. These can include wool or silk clothing, grease, oils, some medicines, and harsh soaps and detergents. Emotional stress can also be a trigger. Treatment is done to relieve the itching and inflammation of the skin. Home care Follow these tips to care for your condition: · Keep the areas of rash clean by bathing at least every other day. Use lukewarm water to bathe. Don’t use hot water, which can dry out the skin. · Don’t use soaps with strong detergents. Use mild soaps made for sensitive skin. · Apply a cream or ointment to damp skin right after bathing. · Avoid things that irritate your skin. Wear absorbent, soft fabrics next to the skin rather than rough or scratchy materials. · Use mild laundry soap free of scents and perfumes. Make sure to rinse all the soap out of your clothes. · Treat any skin infection as directed. · Use oral diphenhydramine to help reduce itching. This is an antihistamine you can buy at drug and grocery stores. It can make you sleepy, so use lower doses during the daytime. Or you can use loratadine. This is an antihistamine that will not make you sleepy. Do not use diphenhydramine if you have glaucoma or have trouble urinating due to an enlarged prostate. Follow-up care See your healthcare provider, or as advised. If your symptoms don’t get better or if they get worse in the next 7 days, make an appointment with your healthcare provider. When to seek medical advice Call your healthcare provider right away if any of these occur: · Increasing area of redness or pain in the skin · Yellow crusts or wet drainage from the rash · Fever of 100.4°F (38°C) or higher, or as directed by your healthcare provider Date Last Reviewed: 9/1/2016 © 2000-2017 The StayWell Company, LLC. 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions. \",\n \"encounter_date\": \"2018-05-14\",\n \"encounter_id\": \"105215787\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"c494e89f686d3f4b311a8bda9016e09733dfef0f\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491693663663372981721558912335890.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.061946,\n \"_source\": {\n \"chart_hash\": \"26768a09446dfd9291d73157eadce117157cfb8e\",\n \"content\": \"\\\" Kroger SP: \\\"\\\"We have made numerous unsuccessful attempts to contact the above mentioned patient in regards to possible patient assistance program. Per Dupixent My Way, the patient is below income for PAP. The patient must apply for Medicaid, and be denied Medicaid coverage, before moving forward with PAP. In an effort to ensure maximum compliance and desired outcomes, we wanted to inform you at this time we will discharge the patient from our services.\\\"\\\" \\\"\",\n \"encounter_date\": \"2020-06-02\",\n \"encounter_id\": \"113762657\",\n \"note_type\": \"Progress Note\",\n \"patient_hash\": \"c494e89f686d3f4b311a8bda9016e09733dfef0f\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628944515774741009491895065869217500491932038594578.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 2.0237045,\n \"_source\": {\n \"chart_hash\": \"26768a09446dfd9291d73157eadce117157cfb8e\",\n \"content\": \"Spoke with patient, did let her know that due to the medicine she is on we will need to see her. She v/u. \",\n \"encounter_date\": \"2018-03-21\",\n \"encounter_id\": \"105138351\",\n \"note_type\": \"Telephone Encounter\",\n \"patient_hash\": \"c494e89f686d3f4b311a8bda9016e09733dfef0f\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628940256332408090142870574028604685902281921527842.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 1.9827201,\n \"_source\": {\n \"chart_hash\": \"e87bf72907fd84e383bf97f74399e5925420b0b2\",\n \"content\": \"menicon #331892 \",\n \"encounter_date\": \"2019-08-22\",\n \"encounter_id\": \"110398144\",\n \"note_type\": \"Telephone Encounter\",\n \"patient_hash\": \"fdcfc17b663cfd8371175306bba21aa9442363e6\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n },\n {\n \"_id\": \"49613628940256332408090142608538148277395402833908465698.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 1.9626006,\n \"_source\": {\n \"chart_hash\": \"26768a09446dfd9291d73157eadce117157cfb8e\",\n \"content\": \"\\\" Understanding Coronavirus Disease 2019 (COVID-19) Coronavirus disease 2019 (COVID-19) is a respiratory illness. It's caused by a new (novel) coronavirus called SARS-CoV-2. There are many types of coronavirus. Coronaviruses are a very common cause of bronchitis. They may sometimes cause lung infection (pneumonia). Symptoms can range from mild to severe respiratory illness. These viruses are also found in some animals. COVID-19 was first found in people in Wuhan, China, in late 2019. In 2020, several cases of COVID-19 have been confirmed in the U.S. COVID-19 is a rapidly- emerging infectious disease. This means that scientists are actively researching it. There are information updates regularly. Public health officials are working to find the source. How the virus spreads is not yet fully understood, but it seems to spread and infect people fairly easily. Some people who have been infected in an area may be unsure how or where they became infected. The virus may be spread through droplets of fluid that a person coughs or sneezes into the air. It may be spread if you touch a surface with virus on it, such as a handle or object, and then touch your eyes, nose, or mouth. For the latest information, visit the CDC website at www.cdc.gov/coronavirus/2019-ncov. Or call 800-CDC-INFO (800-232-4636). What are the symptoms of COVID-19? Some people have no symptoms or mild symptoms. Symptoms may appear 2 to 14 days after contact with the virus. Symptoms can include: · Fever · Coughing · Trouble breathing What are possible complications from COVID-19? In many cases, this virus can cause infection (pneumonia) in both lungs. In some cases, this can cause death. Certain people are at higher risk for complications. This includes older adults and people with serious chronic health conditions such as heart or lung disease or diabetes. How is COVID-19 diagnosed? Your healthcare provider will ask about your symptoms. He or she will also ask about your recent travel and contact with sick people. If your healthcare provider thinks you may have COVID-19, he or she will work closely with your local health department on testing. Follow all instructions from your healthcare provider. COVID-19 is diagnosed by: · Nose and throat swab. A cotton-tipped swab is wiped inside your nose or throat. This is done to check for viruses in your nasal mucus. · Sputum culture. A small sample of mucus coughed from your lungs (sputum) is collected if you have a cough. It's checked for the virus. How is COVID-19 treated? There is currently no medicine to treat the virus. Treatment is done to help your body while it fights the virus. This is known as supportive care. Supportive care may include: · Pain medicine. These include acetaminophen and ibuprofen. They are used to help ease pain and reduce fever. · Bed rest. This helps your body fight the illness. For severe illness, you may need to stay in the hospital. Care during severe illness may include: · IV (intravenous) fluids. These are given through a vein to help keep your body hydrated. · Oxygen. Supplemental oxygen or ventilation with a breathing machine (ventilator) may be given. This is done so you get enough oxygen in your body. Are you at risk for COVID-19? You are at risk for infection if you’ve been to a place where people have been sick with this virus or if there are people with COVID-19 in your area. You are at risk if you: · Recently traveled to an area with a COVID-19 outbreak · Had contact with a sick person who recently traveled to an area with a COVID-19 outbreak · Had contact with a person who was diagnosed with or who may have COVID-19 How can COVID-19 be prevented? There is no vaccine yet. The best prevention is to not have contact with the virus. The CDC advises that people should not travel to areas where there are COVID-19 outbreaks right now for any reason that is not urgent. For the most current CDC travel advisories, visit the CDC website at www.cdc.gov/coronavirus/2019-ncov/travelers. Prepare and protect yourself from COVID-19: · Wash your hands often with soap and clean, running water for at least 20 seconds. · If you don't have access to soap and water, use an alcohol-based hand sanitizer often. Make sure it has at least 60% alcohol. · Don't touch your eyes, nose, or mouth unless you have clean hands. · As much as possible, don't touch \\\"\\\"high-touch\\\"\\\" public surfaces such as doorknobs. Don't shake hands. · Clean home and work surfaces often with disinfectant. · Cough or sneeze into a tissue, then throw the tissue into the trash. If you don't have tissues, cough or sneeze into the bend of your elbow. · Stay informed about COVID-19 in your area. Follow local instructions about being in public. Be aware of events in your community that may be postponed or canceled such as school and sporting events. You may be advised not to attend public gatherings. You will be advised to stay about 6 feet from others as much as possible. This is called \\\"\\\"social distancing.\\\"\\\" · Check your home supplies. Consider keeping a 2-week supply of medicines, food, and other needed household items. · Make a plan for childcare, work, and ways to stay in touch with others. Know who will help you if you get sick. · Don't be around people who are sick. · There is no evidence right now that animals spread SARS-CoV-2. But it's always a good idea to wash your hands after touching any animals. Don't touch animals that may be sick. · Don’t share eating or drinking utensils with sick people. · Don’t kiss someone who is sick. If you were in an area with COVID-19 in the last 14 days: · Call your healthcare provider and follow all instructions. Your activities and where you go may be restricted for up to 2 weeks. · Take your temperature every morning and evening for at least 14 days. This is to check for fever. Keep a record of the readings. · Watch for symptoms of the virus. Call your provider if you have symptoms. Call your provider first before going to any clinic or hospital. · Stay home if you are sick for any reason. If you are sick with COVID-19 symptoms: · Stay home. Call your healthcare provider and tell them you have symptoms of COVID-19. Do this before going to any hospital or clinic. Follow your provider's instructions. You may be advised to isolate yourself at home. This is called self-isolation or self-quarantine. · Don’t panic. Keep in mind that other illnesses can cause similar symptoms. · Stay away from work, school, and public places. Limit physical contact with family members. Limit visitors. Don't kiss anyone or share eating or drinking utensils. Clean surfaces you touch with disinfectant. This is to help prevent the virus from spreading. · Cough or sneeze into a tissue, then throw away the tissue in the trash. If you don't have tissues, cough or sneeze into the bend of your elbow. · Wear a facemask only if you have symptoms · If you need to go in to a hospital or clinic, expect that the healthcare staff will wear protective equipment such as masks, gowns, gloves, and eye protection. You may be put in a separate room. This is to prevent the possible virus from spreading. · Tell the healthcare staff about recent travel. This includes local travel on public transport. Staff may need to find other people you have been in contact with. · Follow all instructions the healthcare staff give you. If you have been tested for COVID-19 · Stay home. Don’t leave your home unless you need to get medical care. Don't go to work, school, or public areas. Don't use public transportation or taxis. · Follow all instructions from your healthcare provider. Call your healthcare provider’s office before going. They can prepare and give you instructions. This will help prevent the virus from spreading. · If you need to go to a hospital or clinic, expect that the healthcare staff will wear protective equipment such as masks, gowns, gloves, and eye protection. You may be put in a separate room. This is to prevent the possible virus from spreading. · Wear a face mask. This is to protect other people from your germs. If you are not able to wear a mask, your caregivers should. · Stay away from other people in your home. · Limit contact with pets and animals. Although there are no reports of pets getting sick with COVID-19, consider limiting contact with pets until more is known. · Don’t share household items or food. · Cover your face with a tissue when you cough or sneeze. Throw the tissue away. Then wash your hands. · Wash your hands often. We will contact you with your test results & will share these with the local health department. Please remain on self-quarantine until Staff from Shannon Medical Center or the Health Department releases you from self-quarantine. If you are caring for a sick person: · Follow all instructions from healthcare staff. · Wash your hands often. · Wear protective clothing as advised. · Make sure the sick person wears a mask. If they can't wear a mask, don't stay in the same room with the person. If you must be in the same room, wear a facemask. · Use a separate room and bathroom for sick household members (if possible). · Clean sick room and bathroom as needed, to avoid unnecessary contact with the sick person. · Keep track of the sick person’s symptoms. · Clean surfaces, fabrics, and laundry thoroughly. · Keep other people and pets away from the sick person. • If you are staying with a family member who has been quarantined monitor your temperature twice a day at least 6 hours apart. • If staying with a sick family member and you start feeling bad, seek medical care for your symptoms When to call your healthcare provider Call your healthcare provider: · If you’ve recently traveled or have been in an area with COVID-19 and have symptoms · If you have been diagnosed with COVID-19 and your symptoms are worse StayWell last reviewed this educational content on 1/1/2020 © 2000-2019 StayWell, 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions. This information has been modified by your health care provider with permission from the publisher. \\\"\",\n \"encounter_date\": \"2020-06-14\",\n \"encounter_id\": \"113903168\",\n \"note_type\": \"Patient Instructions\",\n \"patient_hash\": \"c494e89f686d3f4b311a8bda9016e09733dfef0f\",\n \"practice_id\": \"SMC002\"\n },\n \"_type\": \"_doc\"\n }\n ],\n \"max_score\": 3.5155802,\n \"total\": {\n \"relation\": \"eq\",\n \"value\": 217\n }\n },\n \"timed_out\": false,\n \"took\": 58\n}"},{"id":"705cd615-5744-436e-9a0b-145cc7d04daa","name":"Regex Search","originalRequest":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n \"query\": {\n \"regexp\": {\n \"note_type\": {\n \"value\": \"p*\",\n \"flags\": \"ALL\"\n }\n }\n }\n}","options":{"raw":{"language":"json"}}},"url":"https://chart-notes.healthjump.com/_search"},"status":"OK","code":200,"_postman_previewlanguage":"json","header":[{"key":"Server","value":"awselb/2.0"},{"key":"Date","value":"Tue, 22 Dec 2020 16:26:26 GMT"},{"key":"Content-Type","value":"application/json; charset=UTF-8"},{"key":"Content-Length","value":"7816"},{"key":"Connection","value":"keep-alive"}],"cookie":[],"responseTime":null,"body":"{\n \"took\": 8,\n \"timed_out\": false,\n \"_shards\": {\n \"total\": 5,\n \"successful\": 5,\n \"skipped\": 0,\n \"failed\": 0\n },\n \"hits\": {\n \"total\": {\n \"value\": 5,\n \"relation\": \"eq\"\n },\n \"max_score\": 1,\n \"hits\": [\n {\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_type\": \"_doc\",\n \"_id\": \"49613628940256332408090142809623615557175140363261706274.0\",\n \"_score\": 1,\n \"_source\": {\n \"content\": \"H&P reviewed. The patient was examined and there are no changes to the H&P. \",\n \"chart_hash\": \"4c13784e98bc56c7a44ccb9d76ebd9313d70e579\",\n \"patient_hash\": \"e431212cd427d1d0ae279545e28bd330669530c1\",\n \"encounter_id\": \"106838563\",\n \"encounter_date\": \"2018-10-10\",\n \"practice_id\": \"SMC002\",\n \"note_type\": \"Interval H&P Note - IP\"\n }\n },\n {\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_type\": \"_doc\",\n \"_id\": \"49613628940256332408090142810856719893182062190181482530.0\",\n \"_score\": 1,\n \"_source\": {\n \"content\": \"History and Physical for Phaco IOL RIGHT - planned power and notes: 18.5 Pre-op diagnosis: Age Related Nuclear Sclerotic Cataract RIGHT EYE RedactedFirstName A RedactedLastName RedactedDOB History of Present Illness: Patient complaining of vision that is causing difficulty with one of the following: Driving vision, Watching TV and/or Reading. May refer recent office encounter for more details. Past Medical History: Diagnosis Date • Atopic dermatitis Past Surgical History: Procedure Laterality Date • TONSILLECTOMY Social History Social History • Marital status: Unknown Spouse name: N/A • Number of children: N/A • Years of education: N/A Occupational History • Not on file. Social History Main Topics • Smoking status: Current Every Day Smoker • Smokeless tobacco: Never Used • Alcohol use No • Drug use: No • Sexual activity: Not on file Other Topics Concern • Not on file Social History Narrative • No narrative on file Allergies Allergen Reactions • Dupixent [Dupilumab] Caused eye infection • A-Cillin Rash Penicillin No current facility-administered medications for this encounter. Current Outpatient Prescriptions: • crisaborole (EUCRISA) 2 % ointment, Apply 1 application topically 2 (two) times a day., Disp: 60 g, Rfl: 1 • predniSONE (DELTASONE) 20 mg tablet, Take 2 tabs daily x 5 days, then take 1 tab daily x 5 days., Disp: 15 tablet, Rfl: 0 • tobramycin-dexamethasone (TOBRADEX) ophthalmic solution, Administer 1 drop into the right eye 4 times a day for 21 days. Begin drops after surgery, Disp: 10 mL, Rfl: 1 • triamcinolone (KENALOG) 0.1 % ointment, Apply twice daily on affected areas x 2-3 weeks PRN for flares, Disp: 80 g, Rfl: 1 ROS: No Chest Pain, No SOB, No Adverse Reaction to Anesthesia Physical Exam: There were no vitals taken for this visit. Lungs: Clear Heart: Regular Eyes and Ocular Adnexa: Age Related Nuclear Sclerotic Cataract Not recorded Pre-op Diagnosis * Nuclear sclerosis cataract of right eye [H25.11] Plan Phaco/iol and implantation of lens Electronically signed by: Matthew A Goldman, MD \",\n \"chart_hash\": \"4c13784e98bc56c7a44ccb9d76ebd9313d70e579\",\n \"patient_hash\": \"e431212cd427d1d0ae279545e28bd330669530c1\",\n \"encounter_id\": \"106518811\",\n \"encounter_date\": \"2018-09-25\",\n \"practice_id\": \"SMC002\",\n \"note_type\": \"H&P - IP\"\n }\n },\n {\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_type\": \"_doc\",\n \"_id\": \"49613628940256332408090142945447640316698349092867145762.0\",\n \"_score\": 1,\n \"_source\": {\n \"content\": \"History and Physical for Phaco IOL LEFT - planned power and notes: 16 Pre-op diagnosis: Age Related Nuclear Sclerotic Cataract LEFT EYE RedactedFirstName A RedactedLastName RedactedDOB History of Present Illness: Patient complaining of vision that is causing difficulty with one of the following: Driving vision, Watching TV and/or Reading. May refer to office encounter. Past Medical History: Diagnosis Date • Atopic dermatitis Past Surgical History: Procedure Laterality Date • INTRAOCULAR LENS INSERTION Right • PR REMV CATARACT EXTRACAP,INSERT LENS Right 9/26/2018 Procedure: PHACOEMULSIFICATION/IOL • TONSILLECTOMY Social History Social History • Marital status: Unknown Spouse name: N/A • Number of children: N/A • Years of education: N/A Occupational History • Not on file. Social History Main Topics • Smoking status: Current Every Day Smoker Packs/day: 2.00 • Smokeless tobacco: Never Used • Alcohol use No • Drug use: No • Sexual activity: Not on file Other Topics Concern • Not on file Social History Narrative • No narrative on file Allergies Allergen Reactions • Dupixent [Dupilumab] Caused eye infection • A-Cillin Rash Penicillin No current facility-administered medications for this encounter. Current Outpatient Prescriptions: • tobramycin-dexamethasone (TOBRADEX) ophthalmic solution, Administer 1 drop into the right eye 4 times a day for 21 days. Begin drops after surgery, Disp: 10 mL, Rfl: 1 ROS: No Chest Pain, No SOB, No Adverse Reaction to Anesthesia Physical Exam: There were no vitals taken for this visit. Lungs: Clear Heart: Regular Eyes and Ocular Adnexa: Age Related Nuclear Sclerotic Cataract Not recorded Pre-op Diagnosis * Age-related nuclear cataract of left eye [H25.12] Plan Phaco/iol and implantation of lens Electronically signed by: Matthew A Goldman, MD \",\n \"chart_hash\": \"4c13784e98bc56c7a44ccb9d76ebd9313d70e579\",\n \"patient_hash\": \"e431212cd427d1d0ae279545e28bd330669530c1\",\n \"encounter_id\": \"106838563\",\n \"encounter_date\": \"2018-10-09\",\n \"practice_id\": \"SMC002\",\n \"note_type\": \"H&P - IP\"\n }\n },\n {\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_type\": \"_doc\",\n \"_id\": \"49613628940256332408090142963274460452735671727718137890.0\",\n \"_score\": 1,\n \"_source\": {\n \"content\": \"H&P reviewed. The patient was examined and there are no changes to the H&P. \",\n \"chart_hash\": \"4c13784e98bc56c7a44ccb9d76ebd9313d70e579\",\n \"patient_hash\": \"e431212cd427d1d0ae279545e28bd330669530c1\",\n \"encounter_id\": \"106518811\",\n \"encounter_date\": \"2018-09-26\",\n \"practice_id\": \"SMC002\",\n \"note_type\": \"Interval H&P Note - IP\"\n }\n },\n {\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_type\": \"_doc\",\n \"_id\": \"49613628940256332408090142632350360146344754787607642146.0\",\n \"_score\": 1,\n \"_source\": {\n \"content\": \"SUBJECTIVE: HPI: 35 y.o.male who presents for evaluation of chronic diarrhea. He has never had a colonoscopy before. Past Medical History: Diagnosis Date • Dermatitis History reviewed. No pertinent surgical history. No Known Allergies Social History Tobacco Use • Smoking status: Never Smoker • Smokeless tobacco: Never Used Substance Use Topics • Alcohol use: Yes Comment: social • Drug use: No Family History Problem Relation Age of Onset • Colon cancer Neg Hx Prior to Admission medications Medication Sig Start Date End Date Taking? Authorizing Provider dupilumab (Dupixent) 300 mg/2 mL syringe Inject 1 Syringe (300 mg total) under the skin every 14 (fourteen) days. 2/19/20 Yes Charles E. Greeson, MD OBJECTIVE: Vitals: 11/06/20 1020 BP: 140/90 Pulse: 91 Resp: 20 Temp: 97.2 °F (36.2 °C) TempSrc: Temporal SpO2: 98% PE: General: NAD CVS: RRR, no m/r/g PULM: CTAB, no wheezes ABD: soft, nontender, nondistended ASSESSMENT/PLAN: Proceed with colonoscopy. \",\n \"chart_hash\": \"41280872708730d80ed48314782a9ea5cac87ec7\",\n \"patient_hash\": \"c919c71c6325841c03a34ae45436ccba6212765e\",\n \"encounter_id\": \"115687263\",\n \"encounter_date\": \"2020-11-06\",\n \"practice_id\": \"SMC002\",\n \"note_type\": \"H&P - IP\"\n }\n }\n ]\n }\n}"},{"id":"fb3470d8-c3a0-48d5-a743-c2c15b50fb94","name":"Search - Term Level Query - Wildcard","originalRequest":{"method":"GET","header":[],"body":{"mode":"raw","raw":"{\n \"query\": {\n \"wildcard\": {\n \"content\" : \"Kera*\"\n \n }\n }\n}","options":{"raw":{"language":"json"}}},"url":"https://chart-notes.healthjump.com/_search"},"status":"OK","code":200,"_postman_previewlanguage":"json","header":[{"key":"Date","value":"Tue, 22 Dec 2020 18:06:14 GMT"},{"key":"Content-Type","value":"application/json; charset=UTF-8"},{"key":"Content-Length","value":"5102"},{"key":"Connection","value":"close"},{"key":"Server","value":"gunicorn/20.0.4"}],"cookie":[],"responseTime":null,"body":"{\n \"_shards\": {\n \"failed\": 0,\n \"skipped\": 0,\n \"successful\": 5,\n \"total\": 5\n },\n \"hits\": {\n \"hits\": [\n {\n \"_id\": \"49613628944515774741009491562648745523885507755007541266.0\",\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_score\": 1,\n \"_source\": {\n \"chart_hash\": \"4c13784e98bc56c7a44ccb9d76ebd9313d70e579\",\n \"content\": \"RIGHT EYE PHACO OP NOTE Implant Name Type Inv. Item Serial No. Manufacturer Lot No. LRB No. Used LENS IOL SA60WF - S212058941014 - LOG29969 Lens LENS IOL SA60WF 212058941014 ALCON SURGICAL Right 1 IOL power: 19.5 Patient name: RedactedFirstName A RedactedLastName 20566892 RedactedDOB Date of Procedure: 9/26/2018 Preoperative Diagnosis: Age Related Nuclear Sclerotic Cataract Right Postoperative Diagnosis: Age Related Nuclear Sclerotic Cataract Right Procedure: Procedure(s): PHACOEMULSIFICATION/IOL Anesthesia: Monitor Anesthesia Care Anesthesiologist: Stephan G. Pizzola, MD Complications: None Procedure Details: The patient was brought to the operating suite and placed in the supine position following institution of IV sedation the operative eye was prepped using iodine solution and then draped. The operating microscope was fashioned over the patient's right eye. An eye speculum was placed in the eye. A 2.4 mm keratome was used to create a temporal clear corneal wound and a paracentesis blade was used to create a paracentesis. 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Item Serial No. Manufacturer Lot No. LRB No. Used LENS IOL SA60WF - S12618213046 - LOG33275 Lens LENS IOL SA60WF 12618213046 ALCON SURGICAL NA Left 1 IOL power: 16 Patient name: RedactedFirstName A RedactedLastName 20566892 RedactedDOB Date of Procedure: 10/10/2018 Preoperative Diagnosis: Age Related Nuclear Sclerotic Cataract Left Postoperative Diagnosis: Age Related Nuclear Sclerotic Cataract Left Procedure: Procedure(s): PHACOEMULSIFICATION/IOL Anesthesia: Monitor Anesthesia Care Anesthesiologist: C. Ogden McGowan, MD Complications: None Procedure Details: The patient was brought to the operating suite and placed in the supine position following institution of IV sedation the operative eye was prepped using iodine solution and then draped. The operating microscope was fashioned over the patient's left eye. An eye speculum was placed in the eye. A 2.4 mm keratome was used to create a temporal clear corneal wound and a paracentesis blade was used to create a paracentesis. 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Past Medical History: Diagnosis Date • Atopic dermatitis Past Surgical History: Procedure Laterality Date • TONSILLECTOMY Social History Social History • Marital status: Unknown Spouse name: N/A • Number of children: N/A • Years of education: N/A Occupational History • Not on file. Social History Main Topics • Smoking status: Current Every Day Smoker • Smokeless tobacco: Never Used • Alcohol use No • Drug use: No • Sexual activity: Not on file Other Topics Concern • Not on file Social History Narrative • No narrative on file Allergies Allergen Reactions • Dupixent [Dupilumab] Caused eye infection • A-Cillin Rash Penicillin No current facility-administered medications for this encounter. 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May refer to office encounter. Past Medical History: Diagnosis Date • Atopic dermatitis Past Surgical History: Procedure Laterality Date • INTRAOCULAR LENS INSERTION Right • PR REMV CATARACT EXTRACAP,INSERT LENS Right 9/26/2018 Procedure: PHACOEMULSIFICATION/IOL • TONSILLECTOMY Social History Social History • Marital status: Unknown Spouse name: N/A • Number of children: N/A • Years of education: N/A Occupational History • Not on file. Social History Main Topics • Smoking status: Current Every Day Smoker Packs/day: 2.00 • Smokeless tobacco: Never Used • Alcohol use No • Drug use: No • Sexual activity: Not on file Other Topics Concern • Not on file Social History Narrative • No narrative on file Allergies Allergen Reactions • Dupixent [Dupilumab] Caused eye infection • A-Cillin Rash Penicillin No current facility-administered medications for this encounter. 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Lungs: Clear Heart: Regular Eyes and Ocular Adnexa: Age Related Nuclear Sclerotic Cataract Not recorded Pre-op Diagnosis * Age-related nuclear cataract of left eye [H25.12] Plan Phaco/iol and implantation of lens Electronically signed by: Matthew A Goldman, MD \",\n \"chart_hash\": \"4c13784e98bc56c7a44ccb9d76ebd9313d70e579\",\n \"patient_hash\": \"e431212cd427d1d0ae279545e28bd330669530c1\",\n \"encounter_id\": \"106838563\",\n \"encounter_date\": \"2018-10-09\",\n \"practice_id\": \"SMC002\",\n \"note_type\": \"H&P - IP\"\n }\n },\n {\n \"_index\": \"notes-atopic-derm-patients-dubi-redacted\",\n \"_type\": \"_doc\",\n \"_id\": \"49613628940256332408090142963274460452735671727718137890.0\",\n \"_score\": 1,\n \"_source\": {\n \"content\": \"H&P reviewed. 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No Known Allergies Social History Tobacco Use • Smoking status: Never Smoker • Smokeless tobacco: Never Used Substance Use Topics • Alcohol use: Yes Comment: social • Drug use: No Family History Problem Relation Age of Onset • Colon cancer Neg Hx Prior to Admission medications Medication Sig Start Date End Date Taking? Authorizing Provider dupilumab (Dupixent) 300 mg/2 mL syringe Inject 1 Syringe (300 mg total) under the skin every 14 (fourteen) days. 2/19/20 Yes Charles E. Greeson, MD OBJECTIVE: Vitals: 11/06/20 1020 BP: 140/90 Pulse: 91 Resp: 20 Temp: 97.2 °F (36.2 °C) TempSrc: Temporal SpO2: 98% PE: General: NAD CVS: RRR, no m/r/g PULM: CTAB, no wheezes ABD: soft, nontender, nondistended ASSESSMENT/PLAN: Proceed with colonoscopy. \",\n \"chart_hash\": \"41280872708730d80ed48314782a9ea5cac87ec7\",\n \"patient_hash\": \"c919c71c6325841c03a34ae45436ccba6212765e\",\n \"encounter_id\": \"115687263\",\n \"encounter_date\": \"2020-11-06\",\n \"practice_id\": \"SMC002\",\n \"note_type\": \"H&P - IP\"\n }\n }\n ]\n }\n}"}],"_postman_id":"750be546-6b22-4f5d-af7f-ccc94050c5d5"},{"name":"Search by chart_hash","id":"c1181004-4060-46a6-a661-4f17b8a15e2d","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"GET","header":[],"body":{"mode":"raw","raw":"{\n \"query\": {\n \"bool\":{\n \"must\":[\n {\"match\": {\"chart_hash\": \"65de7f72e67efcf105206931a5b7db56e6bb608a\"}}\n ]\n }\n }\n}\n ","options":{"raw":{"language":"json"}}},"url":"https://chart-notes.healthjump.com/_search","description":"The AND/OR/NOT operators can be used to fine tune our search queries in order to provide more relevant or specific results. 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