EFTA00134710

Bureau of Prisons
Health Services
Clinical Encounter - Administrative Note

Cosign Note - Intake Cosign encounter performed at Health Services.

Administrative Notes:

ADMINISTRATIVE NOTE 1 Provider: MED CL1 NO CCC APPT.

Discontinued Laboratory Requests:

Details
Lab Tests-H-Hemoglobin A1C One Time 08/05/2019 00:00 Priority Routine
Lab Tests-C-CBC w/diff
Lab Tests-L-Lipid Profile
Lab Tests-C-Comprehensive Metabolic Profile (CMP)
Lab Tests-U-Urinalysis w/Reflex to Microscopic

Additional Information:
66 y/o male, elevated BP

Labs requested to be reviewed by:

New Laboratory Requests:

Details
Chronic Care Clinics-Diabetic-CBC w/diff One Time 07/25/2019 00:00 Priority Routine
Chronic Care Clinics-Diabetic-Lipid Profile
Chronic Care Clinics-Diabetic-Hemoglobin A1C
Lab Tests-H-HIV 1/2
Lab Tests-R-RPR
Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP)

New Radiology Request Orders:

Details
General Radiology-Chest-2 Views One Time 07/25/2019 Priority Routine
Specific reason(s) for request (Complaints and findings):
66 YR OLD MALE WITH NO PMHX, REFERRED FOR ROUITNE CXR.

Copay Required: No Cosign Required: No

Telephone/Verbal Order: No

Completed by on 07/07/2019 00:30

Generated 07/07/2019 00:30 by

Bureau of Prisons - NYM



SDNY_00000967


EFTA_00000176