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134 lines (134 loc) · 30 KB
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"filename": "JohnDoeMedicalReport.pdf",
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},
"87c53a55-2c57-43db-9952-5b855fe5bbcd": {
"id": "87c53a55-2c57-43db-9952-5b855fe5bbcd",
"patient_id": "9fe2efc1-8365-4e0b-ab93-655c4f81aee9",
"filename": "JohnDoe_Clinical_Notes.pdf",
"extracted_text": "Clinical Notes\nPatient Name: John Doe\nAge: 45\nSex: Male\nMedical ID: 123456789\nDate: 2025-03-22\nChief Complaint:\nPatient complains of chest pain radiating to the left arm for the past two weeks, worsens with\nexertion.\nMedical History:\n- Hypertension (5 years)\n- Appendectomy (2010)\n- Medications: Lisinopril 20 mg daily\n- No known drug allergies\n- Family history of heart disease (father had MI at 60)\nPhysical Examination:\n- BP: 150/95 mmHg\n- HR: 85 bpm\n- RR: 18 breaths/min\n- Temp: 37\u00b0C\n- Normal respiratory and cardiovascular exam\nAssessment:\nSuspected non-ST elevation myocardial infarction (NSTEMI)\nPlan:\n- Start aspirin 81 mg daily\n- Refer to cardiology for further evaluation\n- Recommend smoking cessation and diet changes\nSigned,\nDr. Jane Smith, MD\n"
},
"9d3c8972-cc4d-48a4-98cc-54ae1748cda5": {
"id": "9d3c8972-cc4d-48a4-98cc-54ae1748cda5",
"patient_id": "ee478184-c738-44b6-9776-9f2f13b6b387",
"filename": "JohnDoe_Clinical_Notes.pdf",
"extracted_text": "Clinical Notes\nPatient Name: John Doe\nAge: 45\nSex: Male\nMedical ID: 123456789\nDate: 2025-03-22\nChief Complaint:\nPatient complains of chest pain radiating to the left arm for the past two weeks, worsens with\nexertion.\nMedical History:\n- Hypertension (5 years)\n- Appendectomy (2010)\n- Medications: Lisinopril 20 mg daily\n- No known drug allergies\n- Family history of heart disease (father had MI at 60)\nPhysical Examination:\n- BP: 150/95 mmHg\n- HR: 85 bpm\n- RR: 18 breaths/min\n- Temp: 37\u00b0C\n- Normal respiratory and cardiovascular exam\nAssessment:\nSuspected non-ST elevation myocardial infarction (NSTEMI)\nPlan:\n- Start aspirin 81 mg daily\n- Refer to cardiology for further evaluation\n- Recommend smoking cessation and diet changes\nSigned,\nDr. Jane Smith, MD\n"
},
"3decce91-3903-4392-afe4-dec07ba89a93": {
"id": "3decce91-3903-4392-afe4-dec07ba89a93",
"patient_id": "ee478184-c738-44b6-9776-9f2f13b6b387",
"filename": "short_medical_report.pdf",
"extracted_text": "Short Medical Report\nDate: March 22, 2025\nSummary:\nYou visited the clinic today because you\u2019ve been feeling tired and dizzy.\nDetails:\n- Your blood pressure was lower than normal, which can sometimes cause dizziness.\n- Your blood test showed that your iron levels are slightly low, which could explain the\ntiredness.\n- We recommend increasing your intake of iron-rich foods like spinach, beans, and red\nmeat.\n- A follow-up blood test will be done in 4 weeks to check your progress.\nNext Steps:\n- Start taking an over-the-counter iron supplement once daily.\n- If you feel worse or develop new symptoms like chest pain or shortness of breath,\nplease contact us immediately.\n"
},
"5f7b8b6d-495a-477f-9ead-d5bddb1e40e7": {
"id": "5f7b8b6d-495a-477f-9ead-d5bddb1e40e7",
"patient_id": "9fe2efc1-8365-4e0b-ab93-655c4f81aee9",
"filename": "JohnDoe_Clinical_Notes.pdf",
"extracted_text": "Clinical Notes\nPatient Name: John Doe\nAge: 45\nSex: Male\nMedical ID: 123456789\nDate: 2025-03-22\nChief Complaint:\nPatient complains of chest pain radiating to the left arm for the past two weeks, worsens with\nexertion.\nMedical History:\n- Hypertension (5 years)\n- Appendectomy (2010)\n- Medications: Lisinopril 20 mg daily\n- No known drug allergies\n- Family history of heart disease (father had MI at 60)\nPhysical Examination:\n- BP: 150/95 mmHg\n- HR: 85 bpm\n- RR: 18 breaths/min\n- Temp: 37\u00b0C\n- Normal respiratory and cardiovascular exam\nAssessment:\nSuspected non-ST elevation myocardial infarction (NSTEMI)\nPlan:\n- Start aspirin 81 mg daily\n- Refer to cardiology for further evaluation\n- Recommend smoking cessation and diet changes\nSigned,\nDr. Jane Smith, MD\n"
},
"d5e45257-7209-47d7-b939-4f30ea464a5c": {
"id": "d5e45257-7209-47d7-b939-4f30ea464a5c",
"patient_id": "9fe2efc1-8365-4e0b-ab93-655c4f81aee9",
"filename": "JohnDoe_Clinical_Notes.pdf",
"extracted_text": "Clinical Notes\nPatient Name: John Doe\nAge: 45\nSex: Male\nMedical ID: 123456789\nDate: 2025-03-22\nChief Complaint:\nPatient complains of chest pain radiating to the left arm for the past two weeks, worsens with\nexertion.\nMedical History:\n- Hypertension (5 years)\n- Appendectomy (2010)\n- Medications: Lisinopril 20 mg daily\n- No known drug allergies\n- Family history of heart disease (father had MI at 60)\nPhysical Examination:\n- BP: 150/95 mmHg\n- HR: 85 bpm\n- RR: 18 breaths/min\n- Temp: 37\u00b0C\n- Normal respiratory and cardiovascular exam\nAssessment:\nSuspected non-ST elevation myocardial infarction (NSTEMI)\nPlan:\n- Start aspirin 81 mg daily\n- Refer to cardiology for further evaluation\n- Recommend smoking cessation and diet changes\nSigned,\nDr. Jane Smith, MD\n"
},
"ff027054-1daf-475c-bac0-aee4fe99d014": {
"id": "ff027054-1daf-475c-bac0-aee4fe99d014",
"patient_id": "9fe2efc1-8365-4e0b-ab93-655c4f81aee9",
"filename": "JohnDoe_Clinical_Notes.pdf",
"extracted_text": "Clinical Notes\nPatient Name: John Doe\nAge: 45\nSex: Male\nMedical ID: 123456789\nDate: 2025-03-22\nChief Complaint:\nPatient complains of chest pain radiating to the left arm for the past two weeks, worsens with\nexertion.\nMedical History:\n- Hypertension (5 years)\n- Appendectomy (2010)\n- Medications: Lisinopril 20 mg daily\n- No known drug allergies\n- Family history of heart disease (father had MI at 60)\nPhysical Examination:\n- BP: 150/95 mmHg\n- HR: 85 bpm\n- RR: 18 breaths/min\n- Temp: 37\u00b0C\n- Normal respiratory and cardiovascular exam\nAssessment:\nSuspected non-ST elevation myocardial infarction (NSTEMI)\nPlan:\n- Start aspirin 81 mg daily\n- Refer to cardiology for further evaluation\n- Recommend smoking cessation and diet changes\nSigned,\nDr. Jane Smith, MD\n"
},
"31a44fba-e8c3-4648-bc27-751968bcd694": {
"id": "31a44fba-e8c3-4648-bc27-751968bcd694",
"patient_id": "ee478184-c738-44b6-9776-9f2f13b6b387",
"filename": "JohnDoe_Clinical_Notes.pdf",
"extracted_text": "Clinical Notes\nPatient Name: John Doe\nAge: 45\nSex: Male\nMedical ID: 123456789\nDate: 2025-03-22\nChief Complaint:\nPatient complains of chest pain radiating to the left arm for the past two weeks, worsens with\nexertion.\nMedical History:\n- Hypertension (5 years)\n- Appendectomy (2010)\n- Medications: Lisinopril 20 mg daily\n- No known drug allergies\n- Family history of heart disease (father had MI at 60)\nPhysical Examination:\n- BP: 150/95 mmHg\n- HR: 85 bpm\n- RR: 18 breaths/min\n- Temp: 37\u00b0C\n- Normal respiratory and cardiovascular exam\nAssessment:\nSuspected non-ST elevation myocardial infarction (NSTEMI)\nPlan:\n- Start aspirin 81 mg daily\n- Refer to cardiology for further evaluation\n- Recommend smoking cessation and diet changes\nSigned,\nDr. Jane Smith, MD\n"
},
"02b78d45-44a0-473b-bf0c-b1001ce9243c": {
"id": "02b78d45-44a0-473b-bf0c-b1001ce9243c",
"patient_id": "ee478184-c738-44b6-9776-9f2f13b6b387",
"filename": "JohnDoe_Clinical_Notes.pdf",
"extracted_text": "Clinical Notes\nPatient Name: John Doe\nAge: 45\nSex: Male\nMedical ID: 123456789\nDate: 2025-03-22\nChief Complaint:\nPatient complains of chest pain radiating to the left arm for the past two weeks, worsens with\nexertion.\nMedical History:\n- Hypertension (5 years)\n- Appendectomy (2010)\n- Medications: Lisinopril 20 mg daily\n- No known drug allergies\n- Family history of heart disease (father had MI at 60)\nPhysical Examination:\n- BP: 150/95 mmHg\n- HR: 85 bpm\n- RR: 18 breaths/min\n- Temp: 37\u00b0C\n- Normal respiratory and cardiovascular exam\nAssessment:\nSuspected non-ST elevation myocardial infarction (NSTEMI)\nPlan:\n- Start aspirin 81 mg daily\n- Refer to cardiology for further evaluation\n- Recommend smoking cessation and diet changes\nSigned,\nDr. Jane Smith, MD\n"
},
"9b305ede-c6d4-493f-ad78-e9f49dc6806a": {
"id": "9b305ede-c6d4-493f-ad78-e9f49dc6806a",
"patient_id": "9fe2efc1-8365-4e0b-ab93-655c4f81aee9",
"filename": "JohnDoe_Clinical_Notes.pdf",
"extracted_text": "Clinical Notes\nPatient Name: John Doe\nAge: 45\nSex: Male\nMedical ID: 123456789\nDate: 2025-03-22\nChief Complaint:\nPatient complains of chest pain radiating to the left arm for the past two weeks, worsens with\nexertion.\nMedical History:\n- Hypertension (5 years)\n- Appendectomy (2010)\n- Medications: Lisinopril 20 mg daily\n- No known drug allergies\n- Family history of heart disease (father had MI at 60)\nPhysical Examination:\n- BP: 150/95 mmHg\n- HR: 85 bpm\n- RR: 18 breaths/min\n- Temp: 37\u00b0C\n- Normal respiratory and cardiovascular exam\nAssessment:\nSuspected non-ST elevation myocardial infarction (NSTEMI)\nPlan:\n- Start aspirin 81 mg daily\n- Refer to cardiology for further evaluation\n- Recommend smoking cessation and diet changes\nSigned,\nDr. Jane Smith, MD\n"
},
"438b18bd-af23-4c30-aece-6c2811ce35f1": {
"id": "438b18bd-af23-4c30-aece-6c2811ce35f1",
"patient_id": "17833300-d08a-49ef-836d-d70266acadda",
"filename": "01022025_bloodwork.pdf",
"extracted_text": "John Doe Medical Report\nThis is a sample medical report for testing purposes.\nSummary: Your test results are within normal limits.\nNotes: Continue maintaining a healthy lifestyle and follow up with your GP in 6 months.\n"
},
"1bc38211-0e29-4fe5-9b06-94f34c197f8e": {
"id": "1bc38211-0e29-4fe5-9b06-94f34c197f8e",
"patient_id": "17833300-d08a-49ef-836d-d70266acadda",
"filename": "10052024_MRI.pdf",
"extracted_text": "Clinical Notes\nPatient Name: John Doe\nAge: 45\nSex: Male\nMedical ID: 123456789\nDate: 2025-03-22\nChief Complaint:\nPatient complains of chest pain radiating to the left arm for the past two weeks, worsens with\nexertion.\nMedical History:\n- Hypertension (5 years)\n- Appendectomy (2010)\n- Medications: Lisinopril 20 mg daily\n- No known drug allergies\n- Family history of heart disease (father had MI at 60)\nPhysical Examination:\n- BP: 150/95 mmHg\n- HR: 85 bpm\n- RR: 18 breaths/min\n- Temp: 37\u00b0C\n- Normal respiratory and cardiovascular exam\nAssessment:\nSuspected non-ST elevation myocardial infarction (NSTEMI)\nPlan:\n- Start aspirin 81 mg daily\n- Refer to cardiology for further evaluation\n- Recommend smoking cessation and diet changes\nSigned,\nDr. Jane Smith, MD\n"
},
"e36f6a17-74d2-4a2c-8da6-e4a698c23f08": {
"id": "e36f6a17-74d2-4a2c-8da6-e4a698c23f08",
"patient_id": "17833300-d08a-49ef-836d-d70266acadda",
"filename": "05012025_GPConsult.pdf",
"extracted_text": "Clinical Notes\nPatient Name: John Doe\nAge: 45\nSex: Male\nMedical ID: 123456789\nDate: 2025-03-22\nChief Complaint:\nPatient complains of chest pain radiating to the left arm for the past two weeks, worsens with\nexertion.\nMedical History:\n- Hypertension (5 years)\n- Appendectomy (2010)\n- Medications: Lisinopril 20 mg daily\n- No known drug allergies\n- Family history of heart disease (father had MI at 60)\nPhysical Examination:\n- BP: 150/95 mmHg\n- HR: 85 bpm\n- RR: 18 breaths/min\n- Temp: 37\u00b0C\n- Normal respiratory and cardiovascular exam\nAssessment:\nSuspected non-ST elevation myocardial infarction (NSTEMI)\nPlan:\n- Start aspirin 81 mg daily\n- Refer to cardiology for further evaluation\n- Recommend smoking cessation and diet changes\nSigned,\nDr. Jane Smith, MD\n"
},
"0329f4a0-8194-4d66-8598-d73aa5183383": {
"id": "0329f4a0-8194-4d66-8598-d73aa5183383",
"patient_id": "17833300-d08a-49ef-836d-d70266acadda",
"filename": "01032025_LiverBioMArkers.pdf",
"extracted_text": "Clinical Notes\nPatient Name: John Doe\nAge: 45\nSex: Male\nMedical ID: 123456789\nDate: 2025-03-22\nChief Complaint:\nPatient complains of chest pain radiating to the left arm for the past two weeks, worsens with\nexertion.\nMedical History:\n- Hypertension (5 years)\n- Appendectomy (2010)\n- Medications: Lisinopril 20 mg daily\n- No known drug allergies\n- Family history of heart disease (father had MI at 60)\nPhysical Examination:\n- BP: 150/95 mmHg\n- HR: 85 bpm\n- RR: 18 breaths/min\n- Temp: 37\u00b0C\n- Normal respiratory and cardiovascular exam\nAssessment:\nSuspected non-ST elevation myocardial infarction (NSTEMI)\nPlan:\n- Start aspirin 81 mg daily\n- Refer to cardiology for further evaluation\n- Recommend smoking cessation and diet changes\nSigned,\nDr. Jane Smith, MD\n"
},
"71c1b855-3e80-47fc-b411-f138d73160aa": {
"id": "71c1b855-3e80-47fc-b411-f138d73160aa",
"patient_id": "17833300-d08a-49ef-836d-d70266acadda",
"filename": "22032025_GPConsult.pdf",
"extracted_text": "Clinical Notes\nPatient Name: John Doe\nAge: 45\nSex: Male\nMedical ID: 123456789\nDate: 2025-03-22\nChief Complaint:\nPatient complains of chest pain radiating to the left arm for the past two weeks, worsens with\nexertion.\nMedical History:\n- Hypertension (5 years)\n- Appendectomy (2010)\n- Medications: Lisinopril 20 mg daily\n- No known drug allergies\n- Family history of heart disease (father had MI at 60)\nPhysical Examination:\n- BP: 150/95 mmHg\n- HR: 85 bpm\n- RR: 18 breaths/min\n- Temp: 37\u00b0C\n- Normal respiratory and cardiovascular exam\nAssessment:\nSuspected non-ST elevation myocardial infarction (NSTEMI)\nPlan:\n- Start aspirin 81 mg daily\n- Refer to cardiology for further evaluation\n- Recommend smoking cessation and diet changes\nSigned,\nDr. Jane Smith, MD\n"
},
"5515c3c1-3ad4-4693-8f3b-e84e7cc84a3d": {
"id": "5515c3c1-3ad4-4693-8f3b-e84e7cc84a3d",
"patient_id": "17833300-d08a-49ef-836d-d70266acadda",
"filename": "22032025_GPConsultNotes.pdf",
"extracted_text": "Patient Name: Sebastian Kot\nDate: 23/03/2025\nConsultation Notes:\nChief Complaint:\n- Patient reports persistent fatigue and frequent episodes of illness, including recurrent upper\nrespiratory tract infections.\nHistory of Present Illness:\n- Mr. Kot describes a 6-month history of generalized fatigue, worsened over the past 2 months.\n- Denies significant weight loss, night sweats, or recent travel history.\n- Reports intermittent sore throat and occasional low-grade fevers.\nReview of Systems:\n- Positive for fatigue, frequent infections.\n- Negative for chest pain, shortness of breath, gastrointestinal symptoms, or neurological deficits.\nObjective Findings:\n- Recent bloodwork indicates:\n - Mild hypercholesterolemia (Total Cholesterol: 5.8 mmol/L)\n - Elevated liver enzymes (ALT: 55 U/L, AST: 48 U/L)\n - Mild lymphocytosis (Lymphocytes: 4.5 x10^9/L)\nPhysical Examination:\n- General: Alert, oriented, appears fatigued.\n- HEENT: Oropharynx clear, no lymphadenopathy.\n- Cardiovascular: Normal S1, S2, no murmurs.\n- Respiratory: Clear to auscultation bilaterally.\n- Abdomen: Soft, non-tender, no hepatosplenomegaly.\n- Neurological: No focal deficits.\nAssessment:\n1. Fatigue likely multifactorial - differential includes post-viral syndrome, early chronic fatigue\nsyndrome, or underlying immune dysregulation.\n2. Mild hypercholesterolemia - dietary factors vs. metabolic syndrome to be considered.\n3. Elevated liver enzymes - possible NAFLD (Non-Alcoholic Fatty Liver Disease), recommend\nhepatic ultrasound.\n4. Mild lymphocytosis - reactive vs. chronic viral infection.\nPlan:\n- Advise lifestyle modifications: low-fat diet, increased physical activity.\n- Repeat liver function tests and lipid panel in 3 months.\n- Hepatic ultrasound to assess for steatosis.\n- Consider referral to hematology if lymphocytosis persists.\n- Counsel on sleep hygiene and stress management.\n"
},
"42cf19dd-1ac2-4844-b82a-06f011fa72b2": {
"id": "42cf19dd-1ac2-4844-b82a-06f011fa72b2",
"patient_id": "4e89feb1-f33f-4930-b8c3-9307bc4e3607",
"filename": "22032025_GPConsultNotes.pdf",
"extracted_text": "Patient Name: Sebastian Kot\nDate: 23/03/2025\nConsultation Notes:\nChief Complaint:\n- Patient reports persistent fatigue and frequent episodes of illness, including recurrent upper\nrespiratory tract infections.\nHistory of Present Illness:\n- Mr. Kot describes a 6-month history of generalized fatigue, worsened over the past 2 months.\n- Denies significant weight loss, night sweats, or recent travel history.\n- Reports intermittent sore throat and occasional low-grade fevers.\nReview of Systems:\n- Positive for fatigue, frequent infections.\n- Negative for chest pain, shortness of breath, gastrointestinal symptoms, or neurological deficits.\nObjective Findings:\n- Recent bloodwork indicates:\n - Mild hypercholesterolemia (Total Cholesterol: 5.8 mmol/L)\n - Elevated liver enzymes (ALT: 55 U/L, AST: 48 U/L)\n - Mild lymphocytosis (Lymphocytes: 4.5 x10^9/L)\nPhysical Examination:\n- General: Alert, oriented, appears fatigued.\n- HEENT: Oropharynx clear, no lymphadenopathy.\n- Cardiovascular: Normal S1, S2, no murmurs.\n- Respiratory: Clear to auscultation bilaterally.\n- Abdomen: Soft, non-tender, no hepatosplenomegaly.\n- Neurological: No focal deficits.\nAssessment:\n1. Fatigue likely multifactorial - differential includes post-viral syndrome, early chronic fatigue\nsyndrome, or underlying immune dysregulation.\n2. Mild hypercholesterolemia - dietary factors vs. metabolic syndrome to be considered.\n3. Elevated liver enzymes - possible NAFLD (Non-Alcoholic Fatty Liver Disease), recommend\nhepatic ultrasound.\n4. Mild lymphocytosis - reactive vs. chronic viral infection.\nPlan:\n- Advise lifestyle modifications: low-fat diet, increased physical activity.\n- Repeat liver function tests and lipid panel in 3 months.\n- Hepatic ultrasound to assess for steatosis.\n- Consider referral to hematology if lymphocytosis persists.\n- Counsel on sleep hygiene and stress management.\n"
},
"5b4821df-94f6-4dd9-b4aa-931ab33b67b5": {
"id": "5b4821df-94f6-4dd9-b4aa-931ab33b67b5",
"patient_id": "4e89feb1-f33f-4930-b8c3-9307bc4e3607",
"filename": "22032025_bloodwork.pdf",
"extracted_text": "Patient Name: Sebastian Kot\nDate: 23/03/2025\nConsultation Notes:\nChief Complaint:\n- Patient reports persistent fatigue and frequent episodes of illness, including recurrent upper\nrespiratory tract infections.\nHistory of Present Illness:\n- Mr. Kot describes a 6-month history of generalized fatigue, worsened over the past 2 months.\n- Denies significant weight loss, night sweats, or recent travel history.\n- Reports intermittent sore throat and occasional low-grade fevers.\nReview of Systems:\n- Positive for fatigue, frequent infections.\n- Negative for chest pain, shortness of breath, gastrointestinal symptoms, or neurological deficits.\nObjective Findings:\n- Recent bloodwork indicates:\n - Mild hypercholesterolemia (Total Cholesterol: 5.8 mmol/L)\n - Elevated liver enzymes (ALT: 55 U/L, AST: 48 U/L)\n - Mild lymphocytosis (Lymphocytes: 4.5 x10^9/L)\nPhysical Examination:\n- General: Alert, oriented, appears fatigued.\n- HEENT: Oropharynx clear, no lymphadenopathy.\n- Cardiovascular: Normal S1, S2, no murmurs.\n- Respiratory: Clear to auscultation bilaterally.\n- Abdomen: Soft, non-tender, no hepatosplenomegaly.\n- Neurological: No focal deficits.\nAssessment:\n1. Fatigue likely multifactorial - differential includes post-viral syndrome, early chronic fatigue\nsyndrome, or underlying immune dysregulation.\n2. Mild hypercholesterolemia - dietary factors vs. metabolic syndrome to be considered.\n3. Elevated liver enzymes - possible NAFLD (Non-Alcoholic Fatty Liver Disease), recommend\nhepatic ultrasound.\n4. Mild lymphocytosis - reactive vs. chronic viral infection.\nPlan:\n- Advise lifestyle modifications: low-fat diet, increased physical activity.\n- Repeat liver function tests and lipid panel in 3 months.\n- Hepatic ultrasound to assess for steatosis.\n- Consider referral to hematology if lymphocytosis persists.\n- Counsel on sleep hygiene and stress management.\n"
},
"856acdbd-a7ee-411c-890b-ceafd15956a7": {
"id": "856acdbd-a7ee-411c-890b-ceafd15956a7",
"patient_id": "4e89feb1-f33f-4930-b8c3-9307bc4e3607",
"filename": "17032025_HepatologyNotes.pdf",
"extracted_text": "Patient Name: Sebastian Kot\nDate: 23/03/2025\nConsultation Notes:\nChief Complaint:\n- Patient reports persistent fatigue and frequent episodes of illness, including recurrent upper\nrespiratory tract infections.\nHistory of Present Illness:\n- Mr. Kot describes a 6-month history of generalized fatigue, worsened over the past 2 months.\n- Denies significant weight loss, night sweats, or recent travel history.\n- Reports intermittent sore throat and occasional low-grade fevers.\nReview of Systems:\n- Positive for fatigue, frequent infections.\n- Negative for chest pain, shortness of breath, gastrointestinal symptoms, or neurological deficits.\nObjective Findings:\n- Recent bloodwork indicates:\n - Mild hypercholesterolemia (Total Cholesterol: 5.8 mmol/L)\n - Elevated liver enzymes (ALT: 55 U/L, AST: 48 U/L)\n - Mild lymphocytosis (Lymphocytes: 4.5 x10^9/L)\nPhysical Examination:\n- General: Alert, oriented, appears fatigued.\n- HEENT: Oropharynx clear, no lymphadenopathy.\n- Cardiovascular: Normal S1, S2, no murmurs.\n- Respiratory: Clear to auscultation bilaterally.\n- Abdomen: Soft, non-tender, no hepatosplenomegaly.\n- Neurological: No focal deficits.\nAssessment:\n1. Fatigue likely multifactorial - differential includes post-viral syndrome, early chronic fatigue\nsyndrome, or underlying immune dysregulation.\n2. Mild hypercholesterolemia - dietary factors vs. metabolic syndrome to be considered.\n3. Elevated liver enzymes - possible NAFLD (Non-Alcoholic Fatty Liver Disease), recommend\nhepatic ultrasound.\n4. Mild lymphocytosis - reactive vs. chronic viral infection.\nPlan:\n- Advise lifestyle modifications: low-fat diet, increased physical activity.\n- Repeat liver function tests and lipid panel in 3 months.\n- Hepatic ultrasound to assess for steatosis.\n- Consider referral to hematology if lymphocytosis persists.\n- Counsel on sleep hygiene and stress management.\n"
},
"7135eaa2-5bd3-4113-a0b6-510eca518731": {
"id": "7135eaa2-5bd3-4113-a0b6-510eca518731",
"patient_id": "4e89feb1-f33f-4930-b8c3-9307bc4e3607",
"filename": "05012025_Bloodwork.pdf",
"extracted_text": "Patient Name: Sebastian Kot\nDate: 23/03/2025\nConsultation Notes:\nChief Complaint:\n- Patient reports persistent fatigue and frequent episodes of illness, including recurrent upper\nrespiratory tract infections.\nHistory of Present Illness:\n- Mr. Kot describes a 6-month history of generalized fatigue, worsened over the past 2 months.\n- Denies significant weight loss, night sweats, or recent travel history.\n- Reports intermittent sore throat and occasional low-grade fevers.\nReview of Systems:\n- Positive for fatigue, frequent infections.\n- Negative for chest pain, shortness of breath, gastrointestinal symptoms, or neurological deficits.\nObjective Findings:\n- Recent bloodwork indicates:\n - Mild hypercholesterolemia (Total Cholesterol: 5.8 mmol/L)\n - Elevated liver enzymes (ALT: 55 U/L, AST: 48 U/L)\n - Mild lymphocytosis (Lymphocytes: 4.5 x10^9/L)\nPhysical Examination:\n- General: Alert, oriented, appears fatigued.\n- HEENT: Oropharynx clear, no lymphadenopathy.\n- Cardiovascular: Normal S1, S2, no murmurs.\n- Respiratory: Clear to auscultation bilaterally.\n- Abdomen: Soft, non-tender, no hepatosplenomegaly.\n- Neurological: No focal deficits.\nAssessment:\n1. Fatigue likely multifactorial - differential includes post-viral syndrome, early chronic fatigue\nsyndrome, or underlying immune dysregulation.\n2. Mild hypercholesterolemia - dietary factors vs. metabolic syndrome to be considered.\n3. Elevated liver enzymes - possible NAFLD (Non-Alcoholic Fatty Liver Disease), recommend\nhepatic ultrasound.\n4. Mild lymphocytosis - reactive vs. chronic viral infection.\nPlan:\n- Advise lifestyle modifications: low-fat diet, increased physical activity.\n- Repeat liver function tests and lipid panel in 3 months.\n- Hepatic ultrasound to assess for steatosis.\n- Consider referral to hematology if lymphocytosis persists.\n- Counsel on sleep hygiene and stress management.\n"
},
"f48725cc-3273-4e3b-bf28-c82d3d335e23": {
"id": "f48725cc-3273-4e3b-bf28-c82d3d335e23",
"patient_id": "4e89feb1-f33f-4930-b8c3-9307bc4e3607",
"filename": "09112024_GPConsult.pdf",
"extracted_text": "Patient Name: Sebastian Kot\nDate: 23/03/2025\nConsultation Notes:\nChief Complaint:\n- Patient reports persistent fatigue and frequent episodes of illness, including recurrent upper\nrespiratory tract infections.\nHistory of Present Illness:\n- Mr. Kot describes a 6-month history of generalized fatigue, worsened over the past 2 months.\n- Denies significant weight loss, night sweats, or recent travel history.\n- Reports intermittent sore throat and occasional low-grade fevers.\nReview of Systems:\n- Positive for fatigue, frequent infections.\n- Negative for chest pain, shortness of breath, gastrointestinal symptoms, or neurological deficits.\nObjective Findings:\n- Recent bloodwork indicates:\n - Mild hypercholesterolemia (Total Cholesterol: 5.8 mmol/L)\n - Elevated liver enzymes (ALT: 55 U/L, AST: 48 U/L)\n - Mild lymphocytosis (Lymphocytes: 4.5 x10^9/L)\nPhysical Examination:\n- General: Alert, oriented, appears fatigued.\n- HEENT: Oropharynx clear, no lymphadenopathy.\n- Cardiovascular: Normal S1, S2, no murmurs.\n- Respiratory: Clear to auscultation bilaterally.\n- Abdomen: Soft, non-tender, no hepatosplenomegaly.\n- Neurological: No focal deficits.\nAssessment:\n1. Fatigue likely multifactorial - differential includes post-viral syndrome, early chronic fatigue\nsyndrome, or underlying immune dysregulation.\n2. Mild hypercholesterolemia - dietary factors vs. metabolic syndrome to be considered.\n3. Elevated liver enzymes - possible NAFLD (Non-Alcoholic Fatty Liver Disease), recommend\nhepatic ultrasound.\n4. Mild lymphocytosis - reactive vs. chronic viral infection.\nPlan:\n- Advise lifestyle modifications: low-fat diet, increased physical activity.\n- Repeat liver function tests and lipid panel in 3 months.\n- Hepatic ultrasound to assess for steatosis.\n- Consider referral to hematology if lymphocytosis persists.\n- Counsel on sleep hygiene and stress management.\n"
}
}