| ELECTRONIC HEALTH RECORD | ![]() | ||||||||||
| Lillie Dick | Gender: Female | 72 yrs | DOB: 03/10/YEAR | Pref Lang: English | |||||||||||

![]() | Patient # | Last Name | First Name | Bed |
| MRN | CSN | Preferred Language | Patient Class | |
HIGH RISK OF FALLS Allergies: Blood Type: | ||||
| Attend Provider: D Luickas, MD | Address | Status | ||
| DOB | ||||
| Home Ph | Age | |||
| Last Note | Work Ph | Sex | ||
| Employer | Marital Status | |||
| D Luickas, MD Oncology Specialist | H&P Date of Service: MONTH/DAY/YEAR HR:MIN Signed Creation Time: MONTH/DAY/YEAR HR:MIN |
| Social History | Age: 72 Gender: Male / Female Marital Status/Relationship: Widowed (1 son) Job/Occupation: Retired (former oncology nurse) Living Situation: Lives alone in remote community - 300 miles (480 km) from the Oncology centre. Neighbor Evelyn is a close friend and carer for Lillie. |
Updated November 28, 2022

