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In context Lawerence Scott Lynch MRN-104638 · born 1964-02-09 ✦ AI Ask ✦ AI Ambient note Chart
Chart · view recorded under the Health care operations purpose
Lawerence Scott Lynch MRN-104638 Born Feb 9, 1964 (62) Sex male Payer Aetna Orleans, MA
✦ AI Ask about this patient ✦ AI Start ambient note ✦ AI Draft instructions Drafts awaiting signature 0
AI summary drafted by claude-sonnet-5 from this record · verify against the chart

Lawerence Scott Lynch is a male patient with a long-standing history of chronic pain, chronic intractable migraine without aura, and impacted molars dating back to 1990. Records indicate an emergency room admission for overdose in January 1993, followed by death certification later that month, also attributed to overdose.

Drives care
  • Chronic pain
  • Chronic intractable migraine without aura
  • Impacted molars
  • History of overdose (fatal)
Watch
  • Death certification on file - overdose (1993-01-31); confirm chart status/closure
  • Prior ER admission for overdose (1993-01-19) shortly before death - review events and medication use
  • Repeated outpatient visits for allergic disposition (Nov 1992-Jan 1993) - verify if related to medication reactions
Withheld from this view and from assistant retrieval: 2 × SUD — 42 CFR Part 2 · 2 × Mental health. Sensitive-category records exist and are counted, never silently absent — reaching them takes the dedicated role and path, and every access is audited as a disclosure. Your psychotherapy role can open the notes below.

Active problems

ConditionStatusOnset
Chronic pain (finding) active Jul 25, 1990
Chronic intractable migraine without aura (disorder) active May 28, 1990
Impacted molars (disorder) active Feb 6, 1990
Educated to high school level (finding) active Apr 4, 1982

Active medications

MedicationDosageSince
Astemizole 10 MG Oral TabletTake as needed. Mar 27, 1983
Hydrocortisone 10 MG/ML Topical CreamTake as needed. Mar 11, 1983

Allergies

SubstanceReactionVerification
Allergic disposition (finding)— confirmed
Lisinopril— confirmed
Sulfamethoxazole / Trimethoprim— confirmed

Recent results

TestValueWhen
Respiratory rate 14 /min Oct 11, 1992
Heart rate 97 /min Oct 11, 1992
BMI 22.65 kg/m2 Oct 11, 1992
Body weight 74.7 kg Oct 11, 1992
Pain severity 2 {score} Oct 11, 1992
Body height 181.6 cm Oct 11, 1992
Hemoglobin 15.933 g/dL Apr 19, 1992
WBC 8.401 10*3/uL Apr 19, 1992
Respiratory rate 13 /min Apr 19, 1992
Heart rate 79 /min Apr 19, 1992
BMI 22.65 kg/m2 Apr 19, 1992
Body weight 74.7 kg Apr 19, 1992
Pain severity 1 {score} Apr 19, 1992
Body height 181.6 cm Apr 19, 1992
Pain severity 6 {score} Dec 25, 1990
Pain severity 5 {score} Jul 25, 1990
Respiratory rate 16 /min Apr 16, 1989
Heart rate 62 /min Apr 16, 1989
BMI 21.37 kg/m2 Apr 16, 1989
Body weight 70.5 kg Apr 16, 1989
Body height 181.6 cm Apr 16, 1989
Hemoglobin 14.695 g/dL Apr 13, 1986
WBC 4.587 10*3/uL Apr 13, 1986
Respiratory rate 14 /min Apr 13, 1986
Heart rate 90 /min Apr 13, 1986
BMI 20.05 kg/m2 Apr 13, 1986
Body weight 66.1 kg Apr 13, 1986
Body height 181.6 cm Apr 13, 1986

Notes & documents

DocumentAuthorDate
No unrestricted documents.

Claims

ClaimPayerDateStatus BilledPaid
CLM-2026634000Aetna Jan 31, 1993 paid $211.38 $59.66 Lines
CLM-2026634001Aetna Jan 19, 1993 denied $146.18 $0.00 Lines
CLM-2026634002Aetna Jan 3, 1993 paid $5,263.67 $4,096.87 Lines
CLM-2026634003Aetna Dec 9, 1992 paid $11,150.24 $8,806.13 Lines
CLM-2026634004Aetna Nov 18, 1992 paid $5,572.96 $4,344.30 Lines
CLM-2026634006Aetna Nov 1, 1992 paid $2,784.83 $2,159.42 Lines
CLM-2026634005Aetna Nov 1, 1992 paid $56.93 $0.00 Lines
CLM-2026634007Aetna Oct 25, 1992 paid $7,196.55 $5,643.18 Lines