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Treatment Discrepancy
Treatment: Diagonosis: Diagonosis not in Profile
<Name of Treatment/Drug> Treatment Type <Medicine, Therapy, etc > Currently Active <Y/N>
Created: Updated: Last Prescribed:
Dosage: Frequency: Quantity: Generic OK? <Y/N/NA>
Usable for Future: <Y/N/NA> Treatment not in Profile
Individual Side Effects:
Provider: <ID Number > Provider Type <Doctor, Hospital, Pharmacy, Clinic, etc.>
<Provider Org Name> <contact information>
<Health Provider Name> Type of Provider<primary, oncologist, eye, dentist, Pharmacy, etc.> Acess: Read
Descrepencies <e.g. Multiple Prescriptions, Incompatible with other Treatments, Allergies, Out of perscription, past bad experiences>
Treatment Check and Verifification Discrepencies
(Auto recheck on any personal or provider updates)
Primary Physician (contact Primary Physician to resolve any discrepancies)
Treatment List
Treatment: Diagonosis: Diagonosis in Profile
<Name of Treatment/Drug> Treatment Type <Medicine, Therapy, etc > Currently Active <Y/N>
Created: Updated: Last Prescribed:
Dosage: Frequency: Quantity: Generic OK? <Y/N/NA>
Usable for Future: <Y/N/NA> Treatment in Profile
Individual Side Effects:
Provider: <ID Number > Provider Type <Doctor, Hospital, Pharmacy, Clinic, etc.>
<Provider Org Name> <contact information>
<Health Provider Name> Type of Provider<primary, oncologist, eye, dentist, Pharmacy, etc.> Acess: Read
Descrepencies <e.g. Multiple Prescriptions, Incompatible with other Treatments, Allergies, past bad experiences>
Discrepancy: Treatment Incompatability (e.g. Mobility, amount of exersize) Status: Pending
Provider 1: <Provider Name> <Provider Type> <Provider Organization> <Provider Contact Information>
Treatment: Type: Subtype: Frequency: Duration:
Provider 2: <Provider Name> <Provider Type> <Provider Organization> <Provider Contact Information>
Treatment: Type: Subtype: Frequency: Duration:
Discrepancy: Medicine Incompatability (e.g. Multiple Prescriptions, Incompatible with other Treatments, Status: OK
Allergies, Out of perscription, past bad experiences)
Provider 1: <Provider Name> <Provider Type> <Provider Organization> <Provider Contact Information>
Medication: Dosage: Frequency: Quantity:
Provider 2: <Provider Name> <Provider Type> <Provider Organization> <Provider Contact Information>
Medication: Dosage: Frequency: Quantity:
Notes: Grey Buttons are not implemented, Blue Buttons with the symbol , are for general operations, Green Buttons with the symbol , have no active actions or status, Yellow Buttons with the symbol , have an action pending, and Red Buttons with the symbol , require immediate action.
