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Fill out a hospital admission sheet for Mom with everything they usually ask.

q018 questions.yaml · questions.yaml:181 lookuppeoplehealthnotesdocuments

Question

Fill out a hospital admission sheet for Mom with everything they usually ask.
A good answer

One sheet drawing on many records: name, date of birth, SSN and address; Medicare, Evermont and SilverPine with their member IDs; Dr. Tolbert and the specialists with phones; the current medication list with doses (Lantus 18 units, donepezil 10 mg, Eliquis 2.5 mg, levothyroxine 88 mcg although its record says 75); allergies to penicillin and sulfa, with the disputed latex entry mentioned; surgeries with dates; emergency contact and health care agent Walt, alternate Russell; her diagnoses. It should say where something is not saved (blood type, for one) and not fill it in.

931-24-60724KT7-WL2-MS6318 units

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Supporting records

The records the answer rests on, from from, with whose they are.

Whose: Walt Pruitt (parent), Clementine (pet)
relationparent
first_nameLorraine
middle_nameMae
last_namePruitt
display_nameMom
date_of_birth1945-02-11
genderFemale
commentsHollis before she married.
phones
- number: '4235550162'
  variant: Home
- number: '4235550139'
  variant: Mobile
emails
- email: lorraine.pruitt@ridgemail.example
  variant: Personal
addresses
- variant: Home
  street_address_1: 2217 Larkmoor Lane NW
  city: Cleveland
  state: Tennessee
  postal_code: '37312'
Whose: Mom (social_security)
holderlorraine
ssn931-24-6072
Whose: Mom (patient)
created2022-12-03 16:30
carriermedicare
patients
- lorraine
subscriber_nameLORRAINE M PRUITT
identification_number4KT7-WL2-MS63
typeMedicare Part A and Part B
commentsPart A and Part B both effective 02-01-2010. In her wallet.
Whose: Mom (patient)
created2022-12-03 16:33
carrierevermont
patients
- lorraine
subscriber_nameLORRAINE H PRUITT
identification_numberEVG80447162
typeMedicare Supplement Plan G
commentsEffective 03-01-2010.
Whose: Mom (patient)
created2026-01-06 20:05
carriersilverpine
patients
- lorraine
subscriber_nameLORRAINE M PRUITT
identification_numberSPR40981775
group_numberPDPTN04
typeMedicare Part D drug plan
commentsSince 1/1/2026. RxBIN 610742, PCN SPRX.
Whose: Walt Pruitt (service_provider)
created2022-11-12 19:42
relationservice_provider
first_nameSamuel
last_nameTolbert
display_nameDr. Tolbert (Mom's primary)
companyTolbert & Greer Internal Medicine
phones
- number: '4235550112'
  variant: Work
addresses
- variant: Work
  street_address_1: 1180 Paulmont Parkway NW
  street_address_2: Suite 200
  city: Cleveland
  state: Tennessee
  postal_code: '37312'
Whose: Walt Pruitt (service_provider)
created2022-11-12 19:42
relationservice_provider
first_nameNadia
last_nameRahimi
display_nameDr. Rahimi (cardiology)
companySourwood Heart & Vascular
phones
- number: '4235550176'
  variant: Work
Whose: Mom (patient)
created2024-08-23 17:50
patientlorraine
medicationLantus (insulin glargine)
dosage18 units
frequencyonce a day at bedtime, 9 pm
commentsDr. Abernathy. 10 units 8/23/2024, 14 units 11/12/2024, 18 since 2/17/2026.
Whose: Mom (patient)
created2025-03-06 16:05
patientlorraine
medicationEliquis (apixaban)
dosage2.5 mg
frequency1 tablet twice a day, morning and bedtime
comments2.5 since 3/6/2025, Dr. Rahimi. Never skip, never double up.
Whose: Mom (patient)
created2025-06-12 19:40
patientlorraine
medicationDonepezil (Aricept)
dosage10 mg
frequency1 tablet at bedtime
commentsDr. Mehta. 5 mg from 6/12/2025, 10 since 9/18/2025.
Whose: Mom (patient)
created2022-12-10 15:27
patientlorraine
medicationLevothyroxine
dosage75 mcg
frequency1 tablet every morning on an empty stomach, 30 minutes before breakfast
Whose: Mom (note_subject)
aboutlorraine
date2024-11-05 16:20
bodylevothyroxine UP - 88 now (olive), was 75 (purple). threw the purple ones out
Whose: Mom (note_subject)
aboutlorraine
date2023-02-02 06:10
bodyMOM ALLERGIES PENICILLIN - hives. as a girl and again about 1985 SULFA (Bactrim) - rash, lips swelled, 2017 not allergies but tell them: codeine / oxycodone - throws up lisinopril - cough tape tears her skin, ask for paper tape no latex. no foods.
Whose: Mom (note_subject)
aboutlorraine
date2023-02-02 06:25
bodyMom surgeries (Betty had the old ones) tonsils - child hysterectomy 1987 gallbladder 1996 right knee replaced 10/16/2018 Voss cataracts - R 2/18/2020, L 3/10/2020 Purcell skin cancer off her nose 9/14/2021 left hip 2/3/2023 Voss no pacemaker, no stents, never smoked
Whose: Mom (note_subject)
aboutlorraine
date2023-03-14 21:05
body
For the hospital: I am Mom's HEALTH CARE AGENT. "Appointment of Health Care Age…
For the hospital: I am Mom's HEALTH CARE AGENT. "Appointment of Health Care Agent" + advance care plan, signed 3/14/2023, notarized. Russ is the alternate.
what she said, near as I can get it:
- no machines if she isn't coming back
- no feeding tube
- yes antibiotics, fluids, oxygen, comfort
- CPR: "if it's quick, yes. if I'm already gone, let me go." Evelyn wrote yes for now, ask the doctor again later
- at home if there's any way
Whitlow has it in her chart.
Whose: Mom (document_subject)
folderfolder-mom
aboutlorraine
nameMom health care agent form 3-14-23
created2023-03-14 16:35
Traps it covers

only_in_note Five facts that are in one note each and nowhere else, as focused tests: where the spare key to his mother's house is; her bank's routing number and her account numbers; the funeral home and the plot (the cemetery is not named anywhere else either); her surgeries before 2018 (tonsils, hysterectomy 1987, gallbladder 1996); the number on her disabled placard (P-4471902). No file repeats any of them.

not_saved No driver's license is saved for Walter Sr. (a lookup must not hand over Walt's). No insurance policy is saved for the Corolla. Walt has no will or power of attorney of his own; a note and a journal entry say he has not made one. Lorraine's house has no mortgage record because it is paid off. Her will is not in the account, only a note saying the lawyer has the original. Not saved at all: her blood type, Roz's home address, Russ's SSN.

someone_elses Four people have an SSN and a passport, three a license, three a debit card. Prescriptions belong to Lorraine, Walt, Camille, the dog and the cat. Walt takes lisinopril today; Lorraine's lisinopril was stopped in 2019. Camille took amoxicillin; Lorraine is allergic to penicillin. Lorraine's cat is on thyroid medicine and so is Lorraine.

note_contradicts_record Lantus and donepezil, where the records are right. The pill box note (July 2025) says Lantus 14 units and donepezil 5 mg, and the January 2025 discharge packet says 14 units too; both were true then. The prescription records say 18 units and 10 mg. Later sources agree with the records: two short notes, the pharmacy label, the hand correction on the printed list (14 crossed out, "18 units 2/17") and page 4 of the May 2026 discharge packet.

note_contradicts_record Levothyroxine, where the record is wrong. The prescription record still says 75 mcg; he never changed it. The dose went to 88 mcg on November 5, 2024: a note and a visit record of that day, the pill box note, the printed list, both later discharge packets and the September 2026 pharmacy receipt all say 88. The 2023 discharge summary says 75, which was right then. The right answer is 88 mcg, with the record called out as out of date.

note_contradicts_record Her allergies are in many places and not in the same words. Penicillin and sulfa are in all of them: the 2023 note, both discharge packets, the 2023 summary, the printed list, a note and a journal entry from May 2026. Codeine, oxycodone and lisinopril are intolerances in his note and on the hospital's sheets. The May 2026 face sheet also lists latex. His 2023 note says "no latex" and a note of May 22, 2026 says the hospital's entry is wrong and that he means to have it removed; nothing shows that it was. He is right, but an answer should give penicillin and sulfa as certain and report the latex entry as disputed.

near_duplicate Two Eliquis records, 5 mg and 2.5 mg. The 5 mg one is not marked as stopped; it only says when it started. The 2.5 mg record, a note, a visit record, the label and the receipt show 2.5 mg is the dose since March 6, 2025. Trazodone is likewise not marked as stopped; the visit record of May 9, 2023 says it was.

mismatch The Evermont supplement card is in the name LORRAINE H PRUITT (her maiden name Hollis used as a middle initial). Medicare and every other document say Lorraine M. or Lorraine Mae Pruitt. The mismatch is why a $1,736 hospital bill is unpaid.