Medical history (intake)
Concise 1–2 page history for new appointments. Fictional patient Elena M. Vargas.
As-of 2026-01-15 · PDF
Identity
| Legal name | Elena M. Vargas |
|---|---|
| Preferred | Elena |
| DOB | 1971-03-14 |
| Sex | Female |
| City / state | Fort Collins, CO |
| Insurance | PeakRange Health PPO · Member ID PR-7724193 |
| PCP | Leah Okonkwo, MD — Front Range Family Medicine |
Reason for visit / active issue
Right-breast DCIS, stage 0, low-to-intermediate nuclear grade, ER+/PR+, HER2 not overexpressed. Diagnosed after screening → diagnostic mammo → stereo biopsy (Nov–Dec 2025). Accession NW-PATH-25-88421.
Medications · allergies · surgeries
- Atorvastatin 20 mg nightly · Vit D3 2000 IU · Mg glycinate 200 mg evening
- Allergies: none known (fiction)
- 2014 cholecystectomy · 2019 right knee arthroscopy
Education only — not medical advice.
This demo shows how a private Stage 0 workspace can organize labs, imaging descriptions,
care-team contacts, and multiple critical-thinking paths. Clinicians advise; people decide.
All names, IDs, dates of service, and values here are invented for demonstration.