Start Date Central Ave
Resume:
RITCHWOOD, KAMMI Admin Sex: Female DOB: **/**/****
Continuity of Care Document
Summarization of Episode Note 07/25/2023 to 07/25/2023 Source: Indiana Regional Medical Center
Created: 08/6/2023
Demographics
Contact Information:
661 CYPRESS AVEJOHNSTOWN, PA 159022740, US
Tel: 631-***-****
Tel: 631-***-****
Mail: adyw6p@r.postjobfree.com
Marital Status: Married
Religion: None/No Preference
Race: Black or African American
Previous Name(s):
Ritchwood, Kammi
CREWS,
Ethnic Group: Not Hispanic or Latino
Language: English
ID: 100309401, URN:CERNER:IDENTITY-FEDERATION:REALM:1031A3CD-9903-4995-BAA5-734895A3E2A2- CH:PRINCIPAL:PK7YN5AP72M3UK9J
Care Team
Type Name
Represented
Organization
Address Phone
primary care physician Dziagwa, Michael J -- Work:879 Hospital RoadIndiana, PA 15701-,
US
Work Tel: 724-***-****
Relationships
No Data to Display
Document Details
Source Contact Info
835 Hospital RoadIndiana, PA 15701-3629, US
Tel: 724-***-****
Author Contact Info
--
Recipient Contact Info
--
Healthcare Professionals
No Data to Display
IDs & Code Type Data
Document Type ID: 2.16.840.1.113883.1.3 : POCD_HD000040 Document Template ID: 2.16.840.1.113883.10.20.22.1.1 : --, 2.16.840.1.113883.10.20.22.1.1 : 2015-08-01, 2.16.840.1.113883.10.20.22.1.2 : 2015-08-01
Document ID: 2.16.840.1.113883.3.7867.1.1.999362 : 28291891 Document Type Code: 2.16.840.1.113883.6.1, 34133-9 Document Language Code: en-US
Document Set ID: --
Document Version Number: --
Primary Encounter
Encounter Information
Registration Date: 07/25/2023
Discharge Date: 07/25/2023
Visit ID: --
Location Information
Indiana Regional Medical Center
Work:835 Hospital RoadIndiana, PA 15701-3629, US
Providers
Type Name Address Phone
Admitting Dziagwa, Michael J Work:879 Hospital RoadIndiana, PA 15701-, US
Work Tel: 724-***-****
Attending Dziagwa, Michael J Work:879 Hospital RoadIndiana, PA 15701-, US
Work Tel: 724-***-****
Encounter
7/25/23 - 7/25/23
Indiana Regional Medical Center 835 Hospital Road Indiana, PA 15701-3629 US 724-***-**** Discharge Disposition: Home
Attending Physician: Dziagwa, Michael J CRNP
Admitting Physician: Dziagwa, Michael J CRNP
Reason for Visit
FATIGUE
Allergies, Adverse Reactions, Alerts
Substance Reaction Severity Status
penicillins Active
Assessment and Plan
Future Appointments
Appointment Date: 11/15/2023 11:00:00 AM
Scheduled Provider: Dziagwa, Michael J CRNP
Location: IPG-PCC
Appointment Type: Follow Up 15
Future Scheduled Tests
Referral:
Follow Up to Cardio 11/11/22
Immunizations
Given and Recorded
Vaccine Date Status Refusal Reason
influenza virus vaccine, inactivated 1 4/29/22 Given tetanus/diphtheria/pertussis, acel(Tdap) 2 4/29/22 Given 1 Result Comment: NDC: 492**-****-**
LOT: UT7383MA
exp: 06/30/22
2 Result Comment: NDC: 492**-****-**
LOT: C5963AA
Exp: 01/18/24
Medications
albuterol (albuterol 90 mcg/inh aerosol inhaler)
Status: Ordered
Start Date: 5/15/23
1 Puffs Inhale (breathe in) every 4 hours as needed as needed for wheezing. Refills: 0. Ordering provider: Dziagwa, Michael J CRNP
RITE AID #04676
407 Central Ave Johnstown, PA 159022502
atorvastatin (atorvastatin 10 mg oral tablet)
Status: Ordered
Start Date: 5/24/23
1 Tablet Oral (given by mouth) every day. Refills: 3. Ordering provider: Dziagwa, Michael J CRNP
RITE AID #04676
407 Central Ave Johnstown, PA 159022502
cetirizine (cetirizine 10 mg oral tablet)
Status: Ordered
Start Date: 4/29/22
1 Tablet Oral (given by mouth) every day. Refills: 2. Ordering provider: Dziagwa, Michael J CRNP
RITE AID #00264
375 Philadelphia St Indiana, PA 157012068
cyclobenzaprine (cyclobenzaprine 10 mg oral tablet) Status: Ordered
Start Date: 5/15/23
1 Tablet Oral (given by mouth) 3 times a day as needed as needed for muscle spasm. Refills: 0.
Ordering provider: Dziagwa, Michael J CRNP
RITE AID #04676
407 Central Ave Johnstown, PA 159022502
ergocalciferol (ergocalciferol 50,000 intl units (1.25 mg) oral capsule) Status: Ordered
Start Date: 5/23/23
1 Capsules Oral (given by mouth) every week. Refills: 0. Ordering provider: Dziagwa, Michael J CRNP
RITE AID #04676
407 Central Ave Johnstown, PA 159022502
famotidine (Pepcid 20 mg oral tablet)
Status: Ordered
Start Date: 6/27/22
1 Tablet Oral (given by mouth) 2 times a day. Refills: 0. Ordering provider: Custer, Gregory A PAC
RITE AID #00264
375 Philadelphia St Indiana, PA 157012068
multivitamin (Multivitamin Adult, oral tablet)
Status: Ordered
Start Date: 1/6/20
1 Tablet Oral (given by mouth) every day.
Problem List
Condition Confirmation Course Effective Dates Status Health Status Informant Encounter to
establish care
Confirmed Active
Fatigue Confirmed Active
Low back pain Confirmed Active
Tobacco use Confirmed Active patient
Tobacco use Confirmed Active patient
Wolff-Parkinson-
White syndrome
Confirmed Active
Procedures
Procedure Date Related Diagnosis Body Site Status
Cesarean delivery Completed
Jaw Completed
Results
No data available for this section
Vital Signs
No data available for this section
Social History
Social History Type Response
Smoking Status 10 or more cigarettes (1/2 pack or more)/day in last 30 days; Type: Cigarettes entered on: 6/27/22
Birth Sex Female
Goals
No data available for this section
Hospital Discharge Instructions
No data available for this section
Reason for Referral
No data available for this section
Health Concerns
No data available for this section
Implantable Device List
No data available for this section
Clinical Note
No data available for this section
Patient Care team information
Care Team Personnel
Name: Myers, John H DO
Position: Physician - Women's Health
Member Role: OB/GYN Physician
Address:
Address: 841Hospital Road
Suite 2500
Indiana, PA 15701- US
Name: Dziagwa, Michael J CRNP
Position: Advanced Care Practitioner 2
Member Role: Primary Care Physician
Address:
Address: 879 Hospital Road
Indiana, PA 15701- US
Contact this candidate