CUI // PRVCY — Demonstration environment · notional data only
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Adult Preventive & Chronic Care Flowsheet

DD FORM 2766 · REV 01-00 Forms menu
Patient: SMITH, Dana R.Source
DEERS · verified at sign-in · 02 Jul 2026
DoD ID: 1234500000 Sex: F DOB: 14 Feb 1989 Rank/Grade: O3 Records maintained at: NMC Portsmouth
Assembled from the reconciled record via the Paratus Data Service — field-level sources shown on ⓘ. Read-only view; updates flow from signed encounters, not manual edits.
✅ 41 of 43 entries verified by automation against source systems (labs, ITS, pharmacy, dental). 2 need your attention: sulfa allergy addition pending provider confirmation (member-reported 30 Jun) · outside PT episode (knee, Feb–Mar 2026) from HIE — records requested. Signed-PHA updates will post here automatically (Step 11c).
This is the longitudinal record the PHA (DD 3024) reads at data-assembly and regenerates at completion. Family history, immunizations, dental, labs, and readiness markers below map to the PHA's IMR determination.
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