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Audrea Prudence Doyle MRN-100746 · born 2004-11-10 ✦ AI Ask ✦ AI Ambient note Chart
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Audrea Prudence Doyle MRN-100746 Born Nov 10, 2004 (21) Sex female Payer Medicaid South Hadley, MA
AI summary drafted by claude-sonnet-5 from this record · verify against the chart

Audrea is a 20-year-old female with chronic sinusitis and a history of risk activity involvement, currently on inhaled and antihistamine therapy plus an epinephrine auto-injector for possible allergy/asthma management. She recently had an encounter for viral sinusitis and has been followed prenatally, with one visit noting a congenital uterine anomaly amid otherwise normal pregnancy visits.

Drives care
  • Chronic sinusitis
  • Risk activity involvement
  • Congenital uterine anomaly noted during pregnancy
  • Possible asthma/allergy requiring inhalers and epinephrine auto-injector
Watch
  • No recent lab/imaging abnormal results on file - confirm testing status
  • Clarify indication and allergy history behind epinephrine auto-injector prescription
  • Ensure follow-up for congenital uterine anomaly in context of pregnancy care
Withheld from this view and from assistant retrieval: 5 × Reproductive health · 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 sinusitis (disorder) active Apr 25, 2023
Risk activity involvement (finding) active Sep 1, 2021

Active medications

MedicationDosageSince
albuterol 0.83 MG/ML Inhalation SolutionTake as needed. Sep 23, 2025
budesonide 0.25 MG/ML Inhalation SuspensionTake as needed. Sep 23, 2025
NDA020800 0.3 ML Epinephrine 1 MG/ML Auto-InjectorTake as needed. Nov 14, 2009
Fexofenadine hydrochloride 30 MG Oral TabletTake as needed. Nov 9, 2009

Allergies

SubstanceReactionVerification
Allergic disposition (finding) confirmed
Mold (organism) confirmed
House dust mite (organism) confirmed
Animal dander (substance)Eruption of skin (disorder) confirmed
Grass pollen (substance) confirmed
Tree pollen (substance) confirmed

Recent results

TestValueWhen
Hemoglobin 13.944 g/dL Sep 23, 2025
WBC 5.949 10*3/uL Sep 23, 2025
Respiratory rate 15 /min Sep 23, 2025
Heart rate 83 /min Sep 23, 2025
BMI 23.62 kg/m2 Sep 23, 2025
Body weight 62.8 kg Sep 23, 2025
Pain severity 2 {score} Sep 23, 2025
Body height 163 cm Sep 23, 2025
Respiratory rate 14 /min Sep 17, 2024
Heart rate 68 /min Sep 17, 2024
BMI 22.94 kg/m2 Sep 17, 2024
Body weight 60.9 kg Sep 17, 2024
Pain severity 1 {score} Sep 17, 2024
Body height 163 cm Sep 17, 2024
Respiratory rate 14 /min Sep 12, 2023
Heart rate 60 /min Sep 12, 2023
BMI 22.22 kg/m2 Sep 12, 2023
Body weight 59 kg Sep 12, 2023
Pain severity 2 {score} Sep 12, 2023
Body height 163 cm Sep 12, 2023
Respiratory rate 15 /min May 3, 2023
Heart rate 71 /min May 3, 2023
BMI 21.86 kg/m2 May 3, 2023
Body weight 58 kg May 3, 2023
Pain severity 3 {score} May 3, 2023
Body height 162.9 cm May 3, 2023
Hemoglobin 16.878 g/dL Aug 25, 2020
WBC 7.879 10*3/uL Aug 25, 2020

Notes & documents

DocumentAuthorDate
No unrestricted documents.

Claims

ClaimPayerDateStatus BilledPaid
CLM-2026078002Medicaid Sep 24, 2025 paid $1,186.78 $1,994.67 Lines
CLM-2026078001Medicaid Sep 24, 2025 denied $129.94 $0.00 Lines
CLM-2026078000Medicaid Sep 24, 2025 paid $129.94 $0.00 Lines
CLM-2026078003Medicaid Sep 10, 2025 paid $85.55 $0.00 Lines
CLM-2026078004Medicaid Jan 28, 2025 paid $1,005.38 $690.24 Lines
CLM-2026078005Medicaid Jan 8, 2025 paid $142.58 $99.81 Lines
CLM-2026078006Medicaid Dec 11, 2024 paid $14,114.78 $11,177.76 Lines
CLM-2026078007Medicaid Nov 13, 2024 paid $42,069.87 $33,541.83 Lines

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