+ +

Initial Public Health Case Report

+ +
+
+
+
Peter Pan Epictest
+
+
Patient Identifiers
+
+
POC1417409 OID: 1.2.840.114350.1.13.297.3.7.3.688884.100
+
+
+
+
+
+

About

+
+
+
Date of Birth
+
02/17/1986
+
+
+
Sex
+
Male
+
+
+
Race
+
+
+
+
Ethnicity
+
+
+
+
Preferred Language
+
+ Information not available +
+
+
+
+
+

Contact

+
+
+
Primary Home (04/7/2017 to // )
+
+

278 MAIN ST

+

NEWHALL, CA

+

91321

+
+
+
+
tel: (Primary Home) +1-661-210-7348
+
+
+
+
+
+
+
+
+

Author

+
+
+
Time:
+
12/23/2022, 14:59
+
+
+
Background Lab
+
+
+
LABBACKGROUND OID: 1.2.840.114350.1.13.297.3.7.2.697780
+
+
+
+
+

Contact

+
+
+
+
+
+
+
+

Author Organization

+
+
+
Hoag Memorial Hospital
+
+
+
51 OID: 1.2.840.114350.1.13.297.3.7.2.696570
+
+
+
+
+

Contact

+
+
+
Work Place
+
+

1 HOAG DR

+

NEWPORT BEACH, CA

+

92663-4162, USA

+
+
+
+
tel: (Work Place) +1-949-764-8400
+
+
+
+
+
+
+

Author

+
+
+
Time:
+
12/23/2022, 14:59
+
+
+
+
+
+
10.1 OID: 1.2.840.114350.1.1
+
+
+
+
+

Contact

+
+
+
+
+
+
+
+

Author Organization

+
+
+
Hoag Memorial Hospital
+
+
+
51 OID: 1.2.840.114350.1.13.297.3.7.2.696570
+
+
+
+
+

Contact

+
+
+
Work Place
+
+

1 HOAG DR

+

NEWPORT BEACH, CA

+

92663-4162, USA

+
+
+
+
tel: (Work Place) +1-949-764-8400
+
+
+
+
+
+
+
+
+

Encounter

+
+
+
Identifier
+
50000596781 OID: 1.2.840.114350.1.13.297.3.7.3.698084.8
+
+
+
Type
+
Emergency
+
+
+
Date
+
+ From: 10/11/2022 +
+
+
+
Location
+
HOAG MEMORIAL HOSPITAL NEWPORT EMERGENCY CENTER of HOAG HOSPITAL NEWPORT BEACH
+
+
+
+
+
+
+
+
+
+
+
+

Miscellaneous Notes

+
+ Not on file + documented in this encounter +
+
+
+

Immunizations

+
+ Not on file + documented as of this encounter +
+
+
+

Administered Medications

+
+ Not on file + documented in this encounter +
+
+
+

Plan of Treatment

+
+
+ + Pending Results + + + + + + + + + + + + + + + + +
NameTypePriorityAssociated DiagnosesDate/Time
+ Drugs Of Abuse Comprehensive Screen, Ur + LabSTAT12/23/2022 11:13 AM PST
+
+
+ + Scheduled Orders + + + + + + + + + + + + + + + + +
NameTypePriorityAssociated DiagnosesOrder Schedule
+ Drugs Of Abuse Comprehensive Screen, Ur + LabRoutineOne Time for 1 Occurrences starting 12/23/22 until 12/23/22
+
+ documented as of this encounter +
+
+
+

Problems

+
+

No known active problems

+ documented as of this encounter (statuses as of 12/23/2022) +
+
+
+

Reason for Visit

+
+ Not on file +
+
+
+

Results

+
+
    +
  • + (ABNORMAL) Drugs of Abuse, Screen, Urine (12/23/2022 12:56 PM PST): +
    + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    Phencyclidine Screen, Urine + Negative + Negative +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 2:59 PM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + PCP: Cut-off conc 25 ng/mL +
    +
    +
    +     +     +
    Benzodiazepines Screen, Urine + Negative + Negative +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 2:59 PM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Benzo: Cut-off conc 200 ng/mL +
    +
    +
    +     +     +
    Cocaine Screen, Urine + Negative + Negative +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 2:59 PM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Cocaine: Cut-off conc 150 ng/mL + +
    Barbiturates Screen, Urine + Negative + Negative +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 2:59 PM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Barb: Cut-off conc 200 ng/mL +
    +
    +
    +     +     +
    Amphetamine Screen, Urine + Negative + Negative +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 2:59 PM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Amph: Cut-off conc 500 ng/mL +
    +
    +
    +     +     +
    Cannabinoids Screen, Urine + Negative + Negative +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 2:59 PM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + THC: Cut-off conc 50 ng/mL + +
    Opiates Screen, Urine + Negative + Negative +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 2:59 PM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Opiates: Cut-off conc 300 ng/mL + +
    Specific Gravity, Urine12/23/2022 2:59 PM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Not Indicated + +
    Creatinine, Urine, Random43Not Established mg/dL +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 2:59 PM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    Fentanyl Screen, Urine + Positive + (A) + Negative +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 2:59 PM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Fentanyl: Cut-off conc 1 ng/mL + +
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    UrineCollection / Unknown12/23/2022 12:56 PM PST12/23/2022 12:56 PM PST
    +
    +
    + + + + + + + + + + + +
    Narrative
    +

    HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) - 12/23/2022 2:59 PM PST

    +

    + Positive screening results are unconfirmed and are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing). +
    + Only positive maternal and neonatal screening results reflex for confirmation and are reported separately. +
    + +

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Midwife Obstetrics CNMURINE ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)

    +     		+

    One Hoag Drive

    +     		+

    Newport Beach, CA 92663

    +     		+

    949-764-5600

    +
    +
    +
    • +
  • + (ABNORMAL) Drugs of Abuse, Screen, Urine (12/23/2022 11:16 AM PST): +
    + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    Phencyclidine Screen, Urine + Negative + Negative +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 11:35 AM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + PCP: Cut-off conc 25 ng/mL +
    +
    +
    +     +     +
    Benzodiazepines Screen, Urine + Negative + Negative +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 11:35 AM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Benzo: Cut-off conc 200 ng/mL +
    +
    +
    +     +     +
    Cocaine Screen, Urine + Negative + Negative +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 11:35 AM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Cocaine: Cut-off conc 150 ng/mL + +
    Barbiturates Screen, Urine + Negative + Negative +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 11:35 AM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Barb: Cut-off conc 200 ng/mL +
    +
    +
    +     +     +
    Amphetamine Screen, Urine + Negative + Negative +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 11:35 AM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Amph: Cut-off conc 500 ng/mL +
    +
    +
    +     +     +
    Cannabinoids Screen, Urine + Negative + Negative +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 11:35 AM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + THC: Cut-off conc 50 ng/mL + +
    Opiates Screen, Urine + Negative + Negative +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 11:35 AM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Opiates: Cut-off conc 300 ng/mL + +
    Specific Gravity, Urine12/23/2022 11:35 AM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Not Indicated + +
    Creatinine, Urine, Random100Not Established mg/dL +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 11:35 AM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    Fentanyl Screen, Urine + Positive + (A) + Negative +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		12/23/2022 11:35 AM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Fentanyl: Cut-off conc 1 ng/mL + +
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    UrineCollection / Unknown12/23/2022 11:16 AM PST12/23/2022 11:16 AM PST
    +
    +
    + + + + + + + + + + + +
    Narrative
    +

    HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) - 12/23/2022 11:35 AM PST

    +

    + Positive screening results are unconfirmed and are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing). +
    + Only positive maternal and neonatal screening results reflex for confirmation and are reported separately. +
    + +

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Valerie Krozel MDURINE ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)

    +     		+

    One Hoag Drive

    +     		+

    Newport Beach, CA 92663

    +     		+

    949-764-5600

    +
    +
    +
    • +
  • + (ABNORMAL) PSA, Screen (11/23/2022 9:16 AM PST): +
    + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    PSA + 8.00 + (H) + 0.06 - 4.00 ng/mL +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		11/23/2022 9:17 AM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + This immunoassay is manufactured by Ortho clinical Diagnostics. Tumor marker values using different test methods or manufacturers may vary and cannot be compared. If there is a change to the manufacturer or methodology, patients undergoing serial monitoring should have additional testing performed to confirm baseline values. + +
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    BloodVenipuncture / Unknown11/23/2022 9:16 AM PST11/23/2022 9:16 AM PST
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Victor J Aaen MDLAB BLOOD ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)

    +     		+

    One Hoag Drive

    +     		+

    Newport Beach, CA 92663

    +     		+

    949-764-5600

    +
    +
    +
    • +
  • + (ABNORMAL) PSA, Diagnostic (11/23/2022 9:16 AM PST): +
    + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    PSA + 8.00 + (H) + 0.06 - 4.00 ng/mL +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		11/23/2022 9:17 AM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + This immunoassay is manufactured by Ortho clinical Diagnostics. Tumor marker values using different test methods or manufacturers may vary and cannot be compared. If there is a change to the manufacturer or methodology, patients undergoing serial monitoring should have additional testing performed to confirm baseline values. + +
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    BloodVenipuncture / Unknown11/23/2022 9:16 AM PST11/23/2022 9:16 AM PST
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Ruth A Fischer-Wright MDLAB BLOOD ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)

    +     		+

    One Hoag Drive

    +     		+

    Newport Beach, CA 92663

    +     		+

    949-764-5600

    +
    +
    +
    • +
  • + (ABNORMAL) CEA (11/23/2022 9:16 AM PST): +
    + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    CEA + 50.0 + (H) + 0.3 - 3.0 ng/mL +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		11/23/2022 9:17 AM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + This immunoassay is manufactured by Ortho clinical Diagnostics. Tumor marker values using different test methods or manufacturers may vary and cannot be compared. If there is a change to the manufacturer or methodology, patients undergoing serial monitoring should have additional testing performed to confirm baseline values. + +
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    BloodVenipuncture / Unknown11/23/2022 9:16 AM PST11/23/2022 9:16 AM PST
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Ruth A Fischer-Wright MDLAB BLOOD ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)

    +     		+

    One Hoag Drive

    +     		+

    Newport Beach, CA 92663

    +     		+

    949-764-5600

    +
    +
    +
    • +
  • + (ABNORMAL) CA 125, Quant (11/23/2022 9:16 AM PST): +
    + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    Cancer Antigen 125 + 12,200 + (H) + 6 - 35 U/mL +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		11/23/2022 9:17 AM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + This immunoassay is manufactured by Ortho clinical Diagnostics. Tumor marker values using different test methods or manufacturers may vary and cannot be compared. If there is a change to the manufacturer or methodology, patients undergoing serial monitoring should have additional testing performed to confirm baseline values. + +
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    BloodVenipuncture / Unknown11/23/2022 9:16 AM PST11/23/2022 9:16 AM PST
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Ruth A Fischer-Wright MDLAB BLOOD ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)

    +     		+

    One Hoag Drive

    +     		+

    Newport Beach, CA 92663

    +     		+

    949-764-5600

    +
    +
    +
    • +
  • + CA 19-9, Quant (11/23/2022 9:16 AM PST): +
    + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    CA 19 9 + 10 + 1 - 37 U/mL +

    LAB DEVICE: ORTHO CLINICAL DIAGNOSTICS VITROS® 7500

    +     		11/23/2022 9:17 AM PSTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + This immunoassay is manufactured by Ortho clinical Diagnostics. Tumor marker values using different test methods or manufacturers may vary and cannot be compared. If there is a change to the manufacturer or methodology, patients undergoing serial monitoring should have additional testing performed to confirm baseline values. + +
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    BloodVenipuncture / Unknown11/23/2022 9:16 AM PST11/23/2022 9:16 AM PST
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Ruth A Fischer-Wright MDLAB BLOOD ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)

    +     		+

    One Hoag Drive

    +     		+

    Newport Beach, CA 92663

    +     		+

    949-764-5600

    +
    +
    +
    • +
  • + (ABNORMAL) Drugs Of Abuse Comprehensive Screen, Ur (10/19/2022 10:17 AM PDT): +
    + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    Phencyclidine Screen, Urine + Negative + Negative10/19/2022 11:29 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + PCP: Cut-off conc 25 ng/mL +
    +
    +
    +     +     +
    Benzodiazepines Screen, Urine + Negative + Negative10/19/2022 11:29 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Benzo: Cut-off conc 200 ng/mL +
    +
    +
    +     +     +
    Cocaine Screen, Urine + Negative + Negative10/19/2022 11:29 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Cocaine: Cut-off conc 150 ng/mL + +
    Barbiturates Screen, Urine + Negative + Negative10/19/2022 11:29 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Barb: Cut-off conc 200 ng/mL +
    +
    +
    +     +     +
    Amphetamine Screen, Urine + Negative + Negative10/19/2022 11:29 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Amph: Cut-off conc 500 ng/mL +
    +
    +
    +     +     +
    Cannabinoids Screen, Urine + Negative + Negative10/19/2022 11:29 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + THC: Cut-off conc 50 ng/mL + +
    Opiates Screen, Urine + Negative + Negative10/19/2022 11:29 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Opiates: Cut-off conc 300 ng/mL + +
    Methadone Screen, Urine + Negative + Negative10/19/2022 11:29 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Methadone: Cut-off conc 300 ng/mL + +
    Fentanyl Screen, Urine + Negative + Negative10/19/2022 11:29 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Fentanyl: Cut-off conc 1 ng/mL + +
    Ethyl Glucuronide Screen, Urine + Negative + Negative10/19/2022 11:29 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Ethyl Glucuronide: Cut-off conc 500 ng/mL + +
    Buprenorphine Screen, Urine + Positive + (A) + Negative10/19/2022 11:29 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Buprenorphine: Cut-off conc 5 ng/mL + +
    Oxycodone Screen, Urine + Negative + Negative10/19/2022 11:29 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Oxycodone: Cut-off conc 100 ng/mL +
    +
    +
    +     +     +
    MDMA Screen, Urine + Negative + Negative10/19/2022 11:29 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + MDMA: Cut-off conc 500 ng/mL +
    +
    +
    +     +     +
    Specific Gravity, Urine1.0111.003 - 1.03510/19/2022 11:29 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    Creatinine, Urine, Random44Not Established mg/dL10/19/2022 11:29 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    Mitragynine (Kratom), Urine + Negative + Negative10/19/2022 11:29 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Mitragynine: Cut-off conc 50 ng/mL + +
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    UrineCollection / Unknown10/19/2022 10:17 AM PDT10/19/2022 10:17 AM PDT
    +
    +
    + + + + + + + + + + + +
    Narrative
    +

    HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) - 10/19/2022 11:29 AM PDT

    +

    + Positive screening results are unconfirmed and are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing). +
    + Only positive maternal and neonatal screening results reflex for confirmation and are reported separately. +
    + +

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Valerie Krozel MDURINE ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)

    +     		+

    One Hoag Drive

    +     		+

    Newport Beach, CA 92663

    +     		+

    949-764-5600

    +
    +
    +
    • +
  • + Drugs Of Abuse Comprehensive Screen, Ur (10/19/2022 8:31 AM PDT): +
    + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    Phencyclidine Screen, Urine + Negative + Negative10/19/2022 10:04 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + PCP: Cut-off conc 25 ng/mL +
    +
    +
    +     +     +
    Benzodiazepines Screen, Urine + Negative + Negative10/19/2022 10:04 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Benzo: Cut-off conc 200 ng/mL +
    +
    +
    +     +     +
    Cocaine Screen, Urine + Negative + Negative10/19/2022 10:04 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Cocaine: Cut-off conc 150 ng/mL + +
    Barbiturates Screen, Urine + Negative + Negative10/19/2022 10:04 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Barb: Cut-off conc 200 ng/mL +
    +
    +
    +     +     +
    Amphetamine Screen, Urine + Negative + Negative10/19/2022 10:04 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Amph: Cut-off conc 500 ng/mL +
    +
    +
    +     +     +
    Cannabinoids Screen, Urine + Negative + Negative10/19/2022 10:04 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + THC: Cut-off conc 50 ng/mL + +
    Opiates Screen, Urine + Negative + Negative10/19/2022 10:04 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Opiates: Cut-off conc 300 ng/mL + +
    Methadone Screen, Urine + Negative + Negative10/19/2022 10:04 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Methadone: Cut-off conc 300 ng/mL + +
    Fentanyl Screen, Urine + Negative + Negative10/19/2022 10:04 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Fentanyl: Cut-off conc 1 ng/mL + +
    Ethyl Glucuronide Screen, Urine + Negative + Negative10/19/2022 10:04 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Ethyl Glucuronide: Cut-off conc 500 ng/mL + +
    Buprenorphine Screen, Urine + Negative + Negative10/19/2022 10:04 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Buprenorphine: Cut-off conc 5 ng/mL + +
    Oxycodone Screen, Urine + Negative + Negative10/19/2022 10:04 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Oxycodone: Cut-off conc 100 ng/mL +
    +
    +
    +     +     +
    MDMA Screen, Urine + Negative + Negative10/19/2022 10:04 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + MDMA: Cut-off conc 500 ng/mL +
    +
    +
    +     +     +
    Specific Gravity, Urine1.0111.003 - 1.03510/19/2022 10:04 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    Creatinine, Urine, Random55Not Established mg/dL10/19/2022 10:04 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    Mitragynine (Kratom), Urine + Negative + Negative10/19/2022 10:04 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Mitragynine: Cut-off conc 50 ng/mL + +
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    UrineCollection / Unknown10/19/2022 8:31 AM PDT10/19/2022 8:31 AM PDT
    +
    +
    + + + + + + + + + + + +
    Narrative
    +

    HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) - 10/19/2022 10:04 AM PDT

    +

    + Positive screening results are unconfirmed and are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing). +
    + Only positive maternal and neonatal screening results reflex for confirmation and are reported separately. +
    + +

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Shssurgmd Ord MDURINE ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)

    +     		+

    One Hoag Drive

    +     		+

    Newport Beach, CA 92663

    +     		+

    949-764-5600

    +
    +
    +
    • +
  • + (ABNORMAL) Drugs Of Abuse Comprehensive Screen, Ur (10/11/2022 12:29 PM PDT): +
    + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
    ComponentValueRef RangeTest MethodAnalysis TimePerformed AtPathologist Signature
    Phencyclidine Screen, Urine + Negative + Negative10/19/2022 10:00 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + PCP: Cut-off conc 25 ng/mL +
    +
    +
    +     +     +
    Benzodiazepines Screen, Urine + Positive + (A) + Negative10/19/2022 10:00 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Benzo: Cut-off conc 200 ng/mL +
    +
    +
    +     +     +
    Cocaine Screen, Urine + Negative + Negative10/19/2022 10:00 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Cocaine: Cut-off conc 150 ng/mL + +
    Barbiturates Screen, Urine + Positive + (A) + Negative10/19/2022 10:00 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Barb: Cut-off conc 200 ng/mL +
    +
    +
    +     +     +
    Amphetamine Screen, Urine + Positive + (A) + Negative10/19/2022 10:00 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Amph: Cut-off conc 500 ng/mL +
    +
    +
    +     +     +
    Cannabinoids Screen, Urine + Positive + (A) + Negative10/19/2022 10:00 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + THC: Cut-off conc 50 ng/mL + +
    Opiates Screen, Urine + Negative + Negative10/19/2022 10:00 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Opiates: Cut-off conc 300 ng/mL + +
    Methadone Screen, Urine + Negative + Negative10/19/2022 10:00 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Methadone: Cut-off conc 300 ng/mL + +
    Fentanyl Screen, Urine + Negative + Negative10/19/2022 10:00 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Fentanyl: Cut-off conc 1 ng/mL + +
    Ethyl Glucuronide Screen, Urine + Negative + Negative10/19/2022 10:00 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Ethyl Glucuronide: Cut-off conc 500 ng/mL + +
    Buprenorphine Screen, Urine + Negative + Negative10/19/2022 10:00 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Buprenorphine: Cut-off conc 5 ng/mL + +
    Oxycodone Screen, Urine + Negative + Negative10/19/2022 10:00 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + Oxycodone: Cut-off conc 100 ng/mL +
    +
    +
    +     +     +
    MDMA Screen, Urine + Negative + Negative10/19/2022 10:00 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: +
    + + MDMA: Cut-off conc 500 ng/mL +
    +
    +
    +     +     +
    Specific Gravity, Urine1.0141.003 - 1.03510/19/2022 10:00 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    Creatinine, Urine, Random63Not Established mg/dL10/19/2022 10:00 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    Mitragynine (Kratom), Urine + Negative + Negative10/19/2022 10:00 AM PDTHOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)
    + + Comment: + Mitragynine: Cut-off conc 50 ng/mL + +
    +
    +
    + + + + + + + + + + + + + + +
    Specimen (Source)Anatomical Location / LateralityCollection Method / VolumeCollection TimeReceived Time
    UrineCollection / Unknown10/11/2022 12:29 PM PDT10/11/2022 12:30 PM PDT
    +
    +
    + + + + + + + + + + + +
    Narrative
    +

    HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635) - 10/19/2022 10:00 AM PDT

    +

    + Positive screening results are unconfirmed and are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing). +
    + Only positive maternal and neonatal screening results reflex for confirmation and are reported separately. +
    + +

    +
    +
    +
    + + + + + + + + + + + + + + + +
    Authorizing ProviderResult Type
    Ruth A Fischer-Wright MDURINE ORDERABLES
    +
    +
    + + + + + + + + + + + + + + + +
    Performing OrganizationAddressCity/State/ZIP CodePhone Number
    +

    HOAG MEMORIAL HOSPITAL NEWPORT BEACH LABORATORY (CLIA 05D0578635)

    +     		+

    One Hoag Drive

    +     		+

    Newport Beach, CA 92663

    +     		+

    949-764-5600

    +
    +
    +
    • +
+ documented in this encounter +
+
+
+

Social History

+
+
+ + + + + + + + + + + + + + + + + +
Tobacco UseTypesPacks/DayYears UsedDate
Smoking Tobacco: Never Assessed
+
+
+ + + + + + + + + + + + + + + +
Sex Assigned at BirthDate Recorded
Not on file
+
+ documented as of this encounter +
+
+
+

Encounter Details

+
+
+ + + + + + + + + + + + + + + + +
DateTypeDepartmentCare TeamDescription
10/11/22Emergency +

HOAG MEMORIAL HOSPITAL NEWPORT EMERGENCY CENTER

+

1 HOAG DR

+

NEWPORT BEACH, CA 92663-4162

+

949-764-8372

+
+
+
+
+
+
+
+
+

Document maintained by

+
Hoag Memorial Hospital
+
+
+

Contact

+
+
+
Work Place
+
+

1 HOAG DR

+

NEWPORT BEACH, CA

+

92663-4162, USA

+
+
+
+
tel: (Work Place) +1-949-764-8400
+
+
+
+
+
+

Document Information

+
+ + + + + + + + + + + +
Document IdentifierDocument Created
OID: 1.2.840.114350.1.13.297.3.7.8.688883.56747012/23/2022, 14:59
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