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Records: 897 EMPLOYER 1 WORKSAFE 5 LEGAL 8 INTERNAL 852 PERSONAL 31 ⭐ Key: 26 | Last import: 2026-05-11 10:20
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HOLAND_CLAIM_FILE_p332
📄 HOLAND_CLAIM_FILE | p.332
📝 Extracted Text (OCR)
Mar 12, 2026 11:58 To: +16042339777 Page: 27/46 From: Foremed Medical Clinic Fax: 16043985614

Patient: HOLAND,MARK THOMAS
Preferred Name:

PHN: 9128549738
Unit/MRN: RC03030788 FRASER HEALTH AUTHORITY
DOB (dd/mm/yyyy): 04/09/1978 Age: 46 Roya! Columbian Hospital
Legal Sex: M Admit Date (dd/mm/yyyy): 19/05/2025
Acct/Encounter: RCO161840/25 Discharge Date (dd/mm/yyyy): 19/05/2025
Pat Type/Reg Cat/Care: DEP ER LOC: RC.ER

*Signed*

Emerg Note

Patient Encounter
Patient assessed date and time: 19/05/2025 11:47

Triaged
Triage data:
| Status/ehase | Dire/ Value i | sec/Act ton
Recoived / 18/05/2025 08:31 | Dhillon Ashvinder |
i 05/2025 08:15:45 | Nouven, Kim
Stated Complaint LOW BF/CHEST PAIN/FAINTISH | New |

HISTORY OF STOMACH ULCER, CHEST TIGHTNESS, NO
NAUSEA, VOMITING, DIARRHEA

FAINT LIKE FEELING WITH LITTLE EXERTION. SYMPTOMS
RAGAN LAST COUPLR OF WHEKS

| NO MELENA

| Apeessment of chief complaint

ZONE 2 INTAKE: TRIAGE NOTE VERIFIED. REPORTS
| LIGHTHEADEDNESS. DENIES MELENA, DIZZINESS OR
_ABDOMINAL PAIN
STOMACH ULCER
RASH-DAILY ANTIHISTAMINE
MIGRAINES

Pertinent clinical history

Is patient currently pregnant? |

Glasgow Coma Scale total score | i5/15 1 49/05/2025 11:20)

Glasgow Coma Scale total score 15/15 £19/05/2025 08:25 |

This record contains confidential information which must be protected. Any unauthorized use or disclosure is strictly prohibited.

Meditech Report iD: 1905-00211 10f4

PAGE 27/46 * RCVD AT 3/12/2026 11:59:36 AM [Pacific Daylight Time] * SVR:FAXP21/12 * DNIS:9777 * CSID:16043985614 * ANI:6043985614 * DURATION (mi