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Abram Kenton Homenick is a 50-year-old male with chronic low back pain and chronic pain managed on multiple opioid medications, alongside obesity, prediabetes, and anemia. He has been on stable routine care with periodic general exams and preventive screening, including a recent colon cancer screening encounter. B12 injections suggest ongoing management related to his anemia.
Drives care
- Chronic low back pain on multi-drug opioid regimen
- Obesity (BMI 30+)
- Prediabetes
- Anemia
Watch
- Concurrent use of multiple long- and short-acting opioids (fentanyl, oxycodone, hydrocodone) - review for overlap/safety
- BMI persistently at 30.1 kg/m2 over past two years - no documented improvement
- No recent labs shown for anemia or prediabetes follow-up (e.g., HbA1c, CBC) to confirm status
Withheld from this view and from assistant retrieval:
3 × Mental health · 1 × SUD — 42 CFR Part 2 · 2 × Psychotherapy notes.
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them takes the dedicated role and path, and every access is audited as a disclosure.
Your psychotherapy role can open the notes below.
Psychotherapy sessions separate store · every read audited
| Session | Therapist | |
|---|---|---|
| Nov 2, 2025 | Dr. L. Feldman, PhD | Open — logs a disclosure |
| Dec 10, 2025 | M. Okonkwo, LCSW | Open — logs a disclosure |
Active problems
| Condition | Status | Onset |
|---|---|---|
| Prediabetes (finding) | active | Dec 4, 2021 |
| Anemia (disorder) | active | Dec 4, 2021 |
| Body mass index 30+ - obesity (finding) | active | Oct 25, 2014 |
| Chronic pain (finding) | active | Oct 7, 2013 |
| Chronic low back pain (finding) | active | Oct 7, 2013 |
Active medications
| Medication | Dosage | Since |
|---|---|---|
| 12 HR Hydrocodone Bitartrate 10 MG Extended Release Oral Capsule | Every twelve hours as required (qualifier value) | Dec 27, 2025 |
| 72 HR Fentanyl 0.025 MG/HR Transdermal System | Every seventy two hours (qualifier value) | Dec 27, 2025 |
| Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin] | — | Dec 27, 2025 |
| Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet] | Every six hours (qualifier value) | Dec 27, 2025 |
| Vitamin B12 5 MG/ML Injectable Solution | — | Dec 12, 2021 |
| Acetaminophen 300 MG / Hydrocodone Bitartrate 5 MG Oral Tablet | Every four to six hours (qualifier value) | May 10, 2015 |
Allergies
| Substance | Reaction | Verification |
|---|---|---|
| No known allergies recorded. | ||
Recent results
| Test | Value | When |
|---|---|---|
| Potassium | 4.71 mmol/L | Dec 27, 2025 |
| Sodium | 140.64 mmol/L | Dec 27, 2025 |
| Glucose | 92.69 mg/dL | Dec 27, 2025 |
| Respiratory rate | 14 /min | Dec 27, 2025 |
| Heart rate | 81 /min | Dec 27, 2025 |
| BMI | 28.28 kg/m2 | Dec 27, 2025 |
| Body weight | 88.6 kg | Dec 27, 2025 |
| Pain severity | 0 {score} | Dec 27, 2025 |
| Body height | 177 cm | Dec 27, 2025 |
| Hemoglobin A1c | 6.31 % | Dec 27, 2025 |
| Hemoglobin | 14.955 g/dL | Dec 21, 2024 |
| WBC | 3.987 10*3/uL | Dec 21, 2024 |
| HDL cholesterol | 52.3 mg/dL | Dec 21, 2024 |
| LDL cholesterol | 93.78 mg/dL | Dec 21, 2024 |
| Triglycerides | 131.56 mg/dL | Dec 21, 2024 |
| Total cholesterol | 172.4 mg/dL | Dec 21, 2024 |
| Potassium | 4.62 mmol/L | Dec 21, 2024 |
| Sodium | 140.38 mmol/L | Dec 21, 2024 |
| Glucose | 99.38 mg/dL | Dec 21, 2024 |
| Respiratory rate | 13 /min | Dec 21, 2024 |
| Heart rate | 98 /min | Dec 21, 2024 |
| BMI | 28.53 kg/m2 | Dec 21, 2024 |
| Body weight | 89.4 kg | Dec 21, 2024 |
| Pain severity | 2 {score} | Dec 21, 2024 |
| Body height | 177 cm | Dec 21, 2024 |
| Hemoglobin A1c | 6.04 % | Dec 21, 2024 |
| Potassium | 4.47 mmol/L | Dec 16, 2023 |
| Sodium | 139.48 mmol/L | Dec 16, 2023 |
| Glucose | 82.12 mg/dL | Dec 16, 2023 |
| Respiratory rate | 15 /min | Dec 16, 2023 |
Notes & documents
| Document | Author | Date | |
|---|---|---|---|
| Progress note | A. Clinician, MD | Feb 18, 2026 | Read |
Claims
| Claim | Payer | Date | Status | Billed | Paid | |
|---|---|---|---|---|---|---|
| CLM-2026005004 | Cigna | Dec 27, 2025 | denied | $914.78 | $0.00 | Lines |
| CLM-2026005003 | Cigna | Dec 27, 2025 | paid | $129.94 | $0.00 | Lines |
| CLM-2026005002 | Cigna | Dec 27, 2025 | paid | $129.94 | $0.00 | Lines |
| CLM-2026005001 | Cigna | Dec 27, 2025 | pending | $129.94 | $0.00 | Lines |
| CLM-2026005000 | Cigna | Dec 27, 2025 | paid | $129.94 | $0.00 | Lines |
| CLM-2026005005 | Cigna | Mar 15, 2025 | denied | $11,380.09 | $0.00 | Lines |
| CLM-2026005006 | Cigna | Jan 4, 2025 | paid | $443.97 | $286.74 | Lines |
| CLM-2026005007 | Cigna | Dec 21, 2024 | paid | $129.94 | $0.00 | Lines |