1. Patient -> EncounterType Triple: (Patient) -[had_encounter]-> (EncounterType) - Chunk_ids link to specific visit instances - Example Chunk: "Annual physical on 2024–01–15. BP 120/80, routine screenings updated."
2. Patient -> Condition Triple: (Patient) -[has_condition]-> (Condition) - Chunk_ids link to condition episodes - Example Chunk: "Diagnosed with hypertension on 2020–03–10. Status: active. Managed with medication."
3. Patient -> Immunization Triple: (Patient) -[received]-> (Immunization) - Chunk_ids link to administration records - Example Chunk: "Influenza vaccine administered on 2024–01–15."
4. Patient -> Observation Triple: (Patient) -[has_measurement]-> (Observation) - Chunk_ids link to measurement instances - Example Chunk: "2024–01–15: Blood Pressure 120/80 mmHg, Weight 70kg."
PATIENT SUMMARY Name: Joseph Crona DOB: 2022–08–29 Age: 2 years Gender: male MRN: #dbfbaa
CURRENT MEASUREMENTS (as of 2024–08–05) Height: 84.1cm (50th percentile) Weight: 14.5kg (52nd percentile) ALLERGIES No known allergies
MEDICAL HISTORY - Viral sinusitis (disorder) Onset: 2023–03–13 Status: resolved Outcome: Resolved
GROWTH & DEVELOPMENT - 2023–11–06: Body Weight: 12.7 kg - 2024–02–05: Body Height: 79 cm - 2024–02–05: Body Weight: 13.4 kg - 2024–08–05: Body Height: 84.1 cm - 2024–08–05: Body Weight: 14.5 kg Development: Age-appropriate milestones met - Gross motor: Age appropriate - Fine motor: Age appropriate - Language: Age appropriate - Social: Age appropriate
PREVENTIVE CARE Well-Child Visits: - 2024–08–05: 2yo well visit - Development on track - 2024–02–05: 1yo well visit - Development on track - 2023–11–06: 1yo well visit - Development on track - 2023–08–07: 1yo well visit - Development on track - 2023–05–08: 9mo well visit - Age appropriate exam completed - 2023–02–06: 6mo well visit - Age appropriate exam completed - 2022–12–05: 4mo well visit - Age appropriate exam completed - 2022–10–03: 2mo well visit - Age appropriate exam completed - 2022–08–29: Newborn visit - Normal exam
FAMILY HISTORY Mother: Healthy Father: Healthy Siblings: None documented
SOCIAL HISTORY Living Situation: Lives with parents Development: Meeting age-appropriate milestones Sleep: Age-appropriate pattern Nutrition: Age-appropriate diet
You are an AI assistant specializing in medical records analysis. Use the following information to answer the user's question. The information is derived from a knowledge graph of patient medical records.
Relevant Nodes (these represent patients, encounters, and conditions): {node_context}
Relevant Relationships (these show connections between patients, encounters, and conditions): {triple_context}
Relevant Medical Records: {chunk_context}
Answer the question using the following steps: 1. Analyze the medical information, focusing on the specific topic of the question 2. Identify key medical events, conditions, and temporal relationships 3. Formulate a clear and concise answer that directly addresses the question 4. If there are any uncertainties in the medical information, mention them explicitly 5. If you don't have enough information to answer confidently, say so 6. Consider temporal relationships between medical events 7. It's currently {datetime.now().strftime("%Y-%m-%d")}. Consider this when interpreting dates 8. Maintain patient privacy by using only first names or initials when necessary
Question: {question}
To determine the types of well-child visits and immunizations Joseph Crona received in his first year, we need to consider the relevant medical events and their timing. Joseph was born in 2022, and it is currently November 9, 2024. Therefore, his first year would span from 2022 to 2023.
**Well-Child Visits:** - Joseph had an encounter categorized as a "Well child visit," which falls under preventive care in pediatrics. This type of visit is typically part of routine check-ups for children, especially in their first year.
**Immunizations:** During his first year, Joseph received the following immunizations, all of which are common for pediatric patients: 1. **Hep B, adolescent or pediatric** - Completed 2. **Hib (PRP-OMP)** - Completed 3. **Rotavirus, monovalent** - Completed 4. **IPV (Inactivated Poliovirus Vaccine)** - Completed 5. **DTaP (Diphtheria, Tetanus, and Pertussis)** - Completed 6. **Pneumococcal conjugate PCV 13** - Completed
These immunizations are typically administered during the first year of life as part of the standard immunization schedule for infants.
In summary, Joseph Crona received a well-child visit and completed a series of standard pediatric immunizations during his first year.
To address the question regarding the sequence of encounters and observations for patients with otitis media, we will focus on the medical records of Miles Dickinson, as he is the patient identified with this condition.
1. **Condition Onset:** - Miles Dickinson was diagnosed with otitis media on June 10, 2024. The condition is currently resolved.
2. **Encounters:** - Miles had two types of encounters recorded: - **Well Child Visit:** This is categorized as a preventive encounter in pediatrics. - **Encounter for Symptom:** This is categorized as a follow-up encounter in primary care.
3. **Observations:** - Various observations were recorded for Miles, including: - **Pain Severity:** Recorded multiple times with scores ranging from 0 to 4. - **Body Weight:** Recorded with values ranging from 3.2 kg to 8.2 kg. - **Head Occipital-frontal Circumference and Percentile:** Recorded with specific values in cm and percentiles. - **Heart Rate:** Recorded with values ranging from 61 to 100 beats per minute. - **Respiratory Rate:** Recorded with values ranging from 12 to 16 breaths per minute.
4. **Temporal Sequence:** - The otitis media diagnosis occurred on June 10, 2024. Observations and encounters before this date may have been related to other conditions or routine check-ups. Observations and encounters after this date could be related to follow-up care for otitis media or other health assessments.
5. **Conclusion:** - The sequence of encounters and observations for Miles Dickinson includes preventive and follow-up encounters, along with various health observations. The specific sequence related to otitis media is not detailed in terms of exact dates for each observation or encounter, but the diagnosis date provides a temporal marker for understanding subsequent medical activities.
If more detailed temporal data on each observation and encounter were available, a more precise sequence could be established. However, based on the current information, this is the overview of the sequence related to otitis media for Miles Dickinson.
Based on the provided medical records, there are two patients diagnosed with acute bronchitis: Maximo Swaniawski and Bennie Herman.
### Onset Patterns: - **Maximo Swaniawski**: - Onset dates for acute bronchitis: - October 24, 2014 - November 7, 2015 - November 29, 2018 - **Bennie Herman**: - Onset dates for acute bronchitis: - October 24, 2014 - November 7, 2015 - November 29, 2018
### Typical Onset Patterns: The onset dates for both patients are identical, suggesting a pattern where acute bronchitis episodes occurred in late October or November. This could indicate a seasonal pattern, possibly related to colder weather or other seasonal factors that might contribute to respiratory conditions.
Both patients have had their conditions resolved, indicating that the episodes of acute bronchitis were acute and not chronic.
To determine which patients had both viral sinusitis and bronchitis, we need to analyze the conditions associated with each patient and their onset dates.
From the information provided, none of the patients have both viral sinusitis and bronchitis. Each patient has either one condition or the other, but not both. Therefore, there are no patients with both conditions, and consequently, no earliest onset dates for both conditions in a single patient.
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