PO Box 637 Natchez MS 39120 USA Albert Epic MU 3 Isolation Alternate QA 101 Somewhere Washington DC 20001 USA Epic - Version 8.3 Epic - Version 8.3 MU 3 Isolation Alternate QA 101 Somewhere Washington DC 20001 USA MU 3 Isolation Alternate QA 101 Somewhere Washington DC 20001 USA Primary Care Provider

No Known Allergies 123 Anywhere St. Verona WI 53753 Andrew Moreland MU 3 Isolation Alternate QA 101 Somewhere Washington DC 20001 USA

Prescription	Sig.	Disp.	Refills	Start Date	End Date	Status
NADOLOL-BENDROFLUMETHIAZIDE PO	Take 5 mg by mouth 3 (three) times a week.			01/10/2015		Active
Apixaban 2.5 MG tablet	Take 1 tablet by mouth 2 (two) times a day.			04/10/2016		Active
NADOLOL-BENDROFLUMETHIAZIDE PO	Take 5 mg by mouth 2 (two) times a day.			09/01/2014	12/05/2014	Expired

123 Anywhere Street MADISON WI 53711 Historical Provider MU 3 Isolation Alternate QA 101 Somewhere Washington DC 20001 USA 123 Anywhere Street MADISON WI 53711 Historical Provider MU 3 Isolation Alternate QA 101 Somewhere Washington DC 20001 USA 123 Anywhere Street MADISON WI 53711 Historical Provider MU 3 Isolation Alternate QA 101 Somewhere Washington DC 20001 USA 123 Anywhere Street MADISON WI 53711 Historical Provider MU 3 Isolation Alternate QA 101 Somewhere Washington DC 20001 USA 123 Anywhere Street MADISON WI 53711 Historical Provider MU 3 Isolation Alternate QA 101 Somewhere Washington DC 20001 USA 123 Anywhere Street MADISON WI 53711 Historical Provider MU 3 Isolation Alternate QA 101 Somewhere Washington DC 20001 USA

Problem	Noted Date
Osteoarthritis	09/09/2014
Uncontrolled hypertension, stage 1	12/14/2013

123 Anywhere St. Verona WI 53753 Andrew Moreland MU 3 Isolation Alternate QA 101 Somewhere Washington DC 20001 USA 123 Anywhere St. Verona WI 53753 Andrew Moreland MU 3 Isolation Alternate QA 101 Somewhere Washington DC 20001 USA

Date	Type	Specialty	Care Team	Description
12/10/2015	Office Visit	Family Medicine	Moreland, Andrew

613 Jefferson St. NATCHEZ MS 39120 USA Andrew Moreland Good Health Clinic Family Medicine

Name	Dates Previously Given	Next Due
Influenza TIV (IM)	09/15/2015

Tobacco Use	Types	Packs/Day	Years Used	Date
Never Smoker

Vital Sign	Reading	Time Taken
Blood Pressure	140/90	01/10/2016 11:33 AM CST
Pulse	-	-
Temperature	-	-
Respiratory Rate	-	-
Oxygen Saturation	-	-
Inhaled Oxygen Concentration	-	-
Weight	83.9 kg (185 lb)	01/10/2016 11:33 AM CST
Height	-	-
Body Mass Index	-	-

Instructions

Instruction Type	Instructions
Patient Care Coordination Note	12 day supply of anticoagulants to aid recovery Tylenol recommended to manage pain. Follow up with Dr. Fleming if this is not working. Monitor for signs of infection Patient to follow physical therapy and exercise routine as discussed Follow up with Dr. Fleming in one month

Patient Goal Type	Goal	Patient-Stated?	Author
Blood Pressure	Get BP to normal (i.e. 120/80)	No	Moreland, Andrew
Lifestyle	100% range of motion of knee	Yes	Moreland, Andrew
Weight	178 lbs	No	Moreland, Andrew

Andrew Moreland Andrew Moreland Andrew Moreland

Implanted	Type	Area	Manufacturer	Device Identifier	Expiration Date	Model / Serial / Lot
Mck Patellofemoral Component Implanted: Qty: 1 on 04/13/2016 by Fleming, Barry		Left: Knee		00848486000400		/ 123777 / ABC634
Mck Inlay Tibial Component Implanted: Qty: 1 on 04/13/2016 by Fleming, Barry		Left: Knee		00848486001032		MCK7712 / / ABC124
Mck Patella Component Implanted: Qty: 1 on 04/13/2016 by Fleming, Barry		Left: Knee		00848486000349		MCK912 / /

Procedure Name	Priority	Date/Time	Associated Diagnosis	Comments
REVISE KNEE JOINT REPLACE,1 PART	Routine	04/13/2016	Osteoarthritis

613 Jefferson Street NATCHEZ MS 39120 Andrew Moreland Osteoarthritis

Lipid panel (12/10/2015)

Component	Value	Ref Range
LDL	3.56 (H)	0 - 2.59 mmol/L
HDL	1.1	0 - 2.85 mmol/L
Triglycerides	1.9	mmol/L
Total	5.71	mmol/L

Specimen	Performing Laboratory
Blood - Blood, Venous

ECG 12 lead (12/10/2015)

Impressions
Normal

0 - 2.59 0 - 2.85 Abnormal