Report Specs · Diary Entry Report Patient name: Bob Johnson Reporting Period: 5/24/14 - 5/30/14 Page 1 Report created using: Chronic Pain Tracker Chronic Pain Tracker is designed

Chronic Pain Tracker Last 7 Days - 0x

Diary Entry ReportPatient name: Bob Johnson

Reporting Period:5/24/14 - 5/30/14

Page 1

Report created using: Chronic Pain TrackerChronic Pain Tracker is designed for general education purposes only. Your healthcare professional is the single best source of information regarding your health. Please consult your healthcare professional if you have any questions about your health or treatment. Chronic Pain Tracker, Chronic Stimulation, and the Chronic Stimulation logo are trademarks of Chronic Stimulation, LLC. Apple, the Apple logo, iPod, iPod touch, and iTunes are trademarks of Apple Inc., registered in the U.S. and other countries. iPhone is a trademark of Apple Inc. App Store is a service mark of Apple Inc.

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Data Generated: 5/30/14, 5:10 PM

Report Specs Last 7 Days - 0x 2/9/12 - 3/9/12

Diary name:Report name:

Number of entries:Tracker count: Staleness factor:

Data generated on:Date range:

Patient name:Bob's Pain DiaryLast 7 Days - 0x2815

Bob Johnson5/24/14 to 5/30/145/30/14, 5:10 PM0%

May 30, 2014, 3:15 PM

Pain Triggers Pain Intensity Level Pain Descriptions Medication Tracking Effective Treatments

Driving - Stop & Go, Lack of Sleep, Movement, Sitting Too Long, Standing6

Aching, Arthritic, Gnawing, Grinding, Radiating, Sciatic, Soreness, Stiffness

Opana 10mg 0.5 tablets

Medication, Sitting / Reclining, Spinal Cord Stimulator, Zero G Chair

Other Symptoms Activity Level Fatigue Level Mental State Weather Tracker

Fatigue, Sore Muscles, Very Sleepy, Weakness 5

/ 104

5

Disposition:

Mood Stability:

Stress Level:

Stable

Neutral

Neutral

Mostly Cloudy77.3 F (25.2 C)80% Rel Humidity30.06 in (1018 mb)Pressure is Steady0.04 in (1 mm)UV Index is 5

Dallas, TX USA(32.7800, -96.8000)

5/30/14, 4:45 PM

May 30, 2014, 11:45 AM

Pain Triggers Pain Intensity Level Pain Descriptions Effective Treatments Other Symptoms

Driving - Stop & Go, Lack of Sleep, Movement, Standing, Walking4

Aching, Arthritic, Gnawing, Radiating, Soreness, Stiffness


Fatigue, Sore Muscles




Page 2




May 30, 2014, 11:45 AM (continued from previous page)

Activity Level Fatigue Level Mental State Weather Tracker

4/ 10

1

4

Disposition:

Mood Stability:

Stress Level:

Stable

Happy

Calm

Mostly Cloudy75.2 F (24.0 C)78% Rel Humidity30.11 in (1020 mb)Pressure is FallingNAUV Index is NA

Dallas, TX USA(32.7800, -96.8000)

5/30/14, 11:47 AM

May 30, 2014, 7:30 AM

Pain Triggers Pain Intensity Level Pain Descriptions Pain Location Mapping Medication Tracking

Lack of Sleep, Movement, Standing, Walking 5

Aching, Arthritic, Gnawing, Radiating, Sciatic, Soreness,

Baclofen 20mg 1 Tablet

Effective Treatments Other Symptoms Bowel Movements Activity Level Fatigue Level

Laying Down, Medication, Sitting / Reclining, Zero G Chair

Fatigue, Sore Muscles, Weakness 3

Blood

Quantity

4/ 10

Bristol Scale CodeLike a sausage but with cracks on its

surface 2/ 10

1

4Mental State Sleep History Weather Tracker

Disposition:

Mood Stability:

Stress Level:

Stable

Happy

Calm

Type:

Quality:

Sleep Time:

Time to Fall:

Sleeping Aid:

Interruptions:

30 min

Overnite

05:30

Not Used

2 times

8 / 10


Dallas, TX USA(32.7800, -96.8000)

5/30/14, 7:20 AM




Page 3




May 29, 2014, 10:15 PM


Movement, Standing, Walking, Yard Work 7

Aching, Arthritic, Burning, Gnawing, Grinding, Radiating, Sciatic, Soreness, Stiffness,


Ice / Cold Compress, Laying Down, Medication



/ 103

7

Disposition:

Mood Stability:

Stress Level:

Stable

Happy

Neutral

Scattered Clouds71.7 F (22.1 C)96% Rel Humidity30.06 in (1018 mb)Pressure is Rising0.11 in (3 mm)UV Index is 0

Dallas, TX USA(32.7800, -96.8000)

5/29/14, 10:10 PM

May 29, 2014, 6:15 PM


Movement, Physical Exertion, Standing, Walking, Yard Work 7


Baclofen 20mg 1 Tablet Opana 10mg 0.5 tablets

Laying Down, Medication

Other Symptoms Activity Level Fatigue Level Mental State Sleep History

Fatigue, Foggy Head, Sore Muscles, Tremors, Very Sleepy, Weakness

7/ 10

3

8

Disposition:

Mood Stability:

Stress Level:

Erratic

Neutral

Stressed

Type:

Quality:

Sleep Time:

Time to Fall:

Sleeping Aid:

Interruptions:

0 min

Nap

01:00

Not Used

0 times

5 / 10




Page 4




May 29, 2014, 6:15 PM (continued from previous page)

Weather TrackerScattered Clouds82.4 F (28.0 C)51% Rel Humidity30.02 in (1016 mb)Pressure is FallingNAUV Index is NA

Dallas, TX USA(32.7800, -96.8000)

5/29/14, 5:47 PM

May 29, 2014, 2:15 PM


Movement, Physical Exertion, Standing, Walking, Yard Work 8

Aching, Arthritic, Burning, Gnawing, Grinding, Radiating, Sciatic, Soreness, Stabbing, Stiffness,


Laying Down, Medication, Spinal Cord Stimulator



7/ 10

3

8

Disposition:

Mood Stability:

Stress Level:

Erratic

Neutral

Stressed

Scattered Clouds84.2 F (29.0 C)48% Rel Humidity30.06 in (1018 mb)Pressure is FallingNAUV Index is NA

Dallas, TX USA(32.7800, -96.8000)

5/29/14, 1:47 PM

May 29, 2014, 11:00 AM



Aching, Arthritic, Burning, Gnawing, Grinding, Radiating, Sciatic, Soreness,


Fatigue, Foggy Head, Sore Muscles, Very Sleepy, Weakness




Page 5






3/ 10

4

4

Disposition:

Mood Stability:

Stress Level:

Stable

Neutral

Stressed

Mostly Cloudy77.1 F (25.1 C)86% Rel Humidity30.08 in (1018 mb)Pressure is Rising0.00 in (0 mm)UV Index is 3

Dallas, TX USA(32.7800, -96.8000)

5/29/14, 10:54 AM

May 29, 2014, 8:00 AM


Driving - Stop & Go, Movement, Standing, Walking 5






Blood

Quantity

8/ 10

Bristol Scale CodeLike a sausage or snake, smooth and

soft 3/ 10

2


Disposition:

Mood Stability:

Stress Level:

Stable

Happy

Calm

Type:

Quality:

Sleep Time:

Time to Fall:

Sleeping Aid:

Interruptions:

30 min

Overnite

04:45

Not Used

0 times

8 / 10


Dallas, TX USA(32.7800, -96.8000)

5/29/14, 7:55 AM




Page 6




May 28, 2014, 10:00 PM

Pain Triggers Pain Intensity Level Pain Descriptions Effective Treatments

Movement, Standing, Walking 6

Aching, Arthritic, Burning, Gnawing, Grinding, Pins and Needles, Radiating, Sciatic, Soreness,

Ice / Cold Compress, Laying Down, Medication

May 28, 2014, 6:30 PM



Aching, Arthritic, Gnawing, Grinding, Pins and Needles, Radiating, Sciatic, Soreness,





/ 102

5

Disposition:

Mood Stability:

Stress Level:

Stable

Neutral

Calm


Dallas, TX USA(32.7800, -96.8000)

5/28/14, 5:47 PM

May 28, 2014, 2:00 PM



Aching, Arthritic, Gnawing, Grinding, Pins and Needles, Radiating, Soreness, Stiffness






Page 7







3/ 10

3

4

Disposition:

Mood Stability:

Stress Level:

Stable

Happy

Calm

Scattered Clouds83.3 F (28.5 C)66% Rel Humidity30.08 in (1018 mb)Pressure is Falling0.00 in (0 mm)UV Index is 10

Dallas, TX USA(32.7800, -96.8000)

5/28/14, 2:12 PM

May 28, 2014, 10:15 AM



Aching, Arthritic, Gnawing, Grinding, Radiating, Soreness,

Medication, Sitting / Reclining, Zero G Chair



3/ 10

4

6

Disposition:

Mood Stability:

Stress Level:

Stable

Happy

Calm


Dallas, TX USA(32.7800, -96.8000)

5/28/14, 9:47 AM

May 28, 2014, 7:45 AM



Aching, Arthritic, Gnawing, Grinding, Radiating, Soreness,





Page 8





Effective Treatments Other Symptoms Bowel Movements Blood Pressure Body Weight


Fatigue, Sore Muscles 3

No Blood

Quantity

4/ 10


surface Blood Pressure

Pulse Rate 71 BPM

11362

Weight:

BMI:

Height:

31.2

211.6

5' 9"

Activity Level Fatigue Level Mental State Sleep History Weather Tracker

3/ 10

1

3

Disposition:

Mood Stability:

Stress Level:

Stable

Happy

Calm

Type:

Quality:

Sleep Time:

Time to Fall:

Sleeping Aid:

Interruptions:

15 min

Overnite

05:30

Not Used

1 times

9 / 10

Scattered Clouds63.7 F (17.6 C)99% Rel Humidity30.08 in (1018 mb)Pressure is Falling0.00 in (0 mm)UV Index is 0

Dallas, TX USA(32.7800, -96.8000)

5/28/14, 7:48 AM

May 27, 2014, 7:00 PM


Driving - Stop & Go, Movement, Physical Exertion, Standing, Walking6

Aching, Arthritic, Burning, Gnawing, Grinding, Pins and Needles, Radiating, Sciatic, Soreness, Stiffness,




Fatigue, Foggy Head, Sore Muscles, Weakness 5

/ 103

6

Disposition:

Mood Stability:

Stress Level:

Erratic

Neutral

Stressed

Mostly Cloudy78.4 F (25.8 C)84% Rel Humidity30.07 in (1018 mb)Pressure is Steady0.00 in (0 mm)UV Index is 1

Dallas, TX USA(32.7800, -96.8000)

5/27/14, 6:57 PM




Page 9




May 27, 2014, 3:00 PM


Driving - Stop & Go, Movement, Physical Exertion, Standing, Walking6






6/ 10

4

7

Disposition:

Mood Stability:

Stress Level:

Erratic

Depressed

Stressed


Dallas, TX USA(32.7800, -96.8000)

5/27/14, 2:55 PM

May 27, 2014, 8:00 AM



Aching, Arthritic, Gnawing, Grinding, Pins and Needles, Radiating, Sciatic, Soreness,





3No Blood

Quantity

8/ 10


surface 3/ 10

5

3




Page 10





Mental State Sleep History Weather Tracker

Disposition:

Mood Stability:

Stress Level:

Stable

Neutral

Neutral

Type:

Quality:

Sleep Time:

Time to Fall:

Sleeping Aid:

Interruptions:

15 min

Overnite

07:45

Not Used

2 times

9 / 10


Dallas, TX USA(32.7800, -96.8000)

5/27/14, 9:00 AM

May 26, 2014, 7:30 PM


Driving - Long Distance, Lack of Sleep, Movement, Standing, Walking7





Fatigue, Foggy Head, Sore Muscles 6

/ 103

6

Disposition:

Mood Stability:

Stress Level:

Stable

Happy

Neutral


Dallas, TX USA(32.7800, -96.8000)

5/26/14, 7:47 PM

May 26, 2014, 4:00 PM

Pain Triggers Pain Intensity Level Pain Descriptions Medication Tracking

Driving - Long Distance, Lack of Sleep, Movement, Physical Exertion, Playing with the kids, Standing, Walking6






Page 11




May 26, 2014, 11:00 AM


Lack of Sleep, Movement, Physical Exertion, Playing with the kids, Standing, Walking6



Medication, Sitting / Reclining, Spinal Cord Stimulator


6/ 10

3

5

Disposition:

Mood Stability:

Stress Level:

Stable

Neutral

Neutral


Dallas, TX USA(32.7800, -96.8000)

5/26/14, 10:47 AM

May 26, 2014, 9:15 AM


Lack of Sleep, Movement, Off My Routine, Standing, Walking 5

Aching, Arthritic, Gnawing, Pins and Needles, Radiating, Sciatic, Soreness, Stiffness


Effective Treatments Other Symptoms Activity Level Fatigue Level Mental State

Laying Down, Medication, Sitting / Reclining, Spinal Cord Stimulator


4/ 10

1

3

Disposition:

Mood Stability:

Stress Level:

Stable

Happy

Calm




Page 12





Sleep History Weather Tracker

Type:

Quality:

Sleep Time:

Time to Fall:

Sleeping Aid:

Interruptions:

60 min

Overnite

05:00

Not Used

4 times

6 / 10

Clear78 F (25 C)68% Rel Humidity30.21 in (1023 mb)Pressure is Steady0.00 in (0.0 mm)UV Index is 3

Dallas, TX USA(32.7800, -96.8000)

5/26/14, 9:15 AM

May 25, 2014, 8:30 PM


Movement, Physical Exertion, Riding On Boat, Standing, Walking 6






4/ 10

4

7

Disposition:

Mood Stability:

Stress Level:

Stable

Neutral

Stressed

Clear80.6 F (27.0 C)70% Rel Humidity30.09 in (1019 mb)Pressure is FallingNAUV Index is NA

Dallas, TX USA(32.7800, -96.8000)

5/25/14, 8:35 PM

May 25, 2014, 5:15 PM





Laying Down, Medication, Sitting / Reclining, Sleep, Spinal Cord Stimulator




Page 13





Other Symptoms Activity Level Fatigue Level Mental State Sleep History

Chills, Fatigue, Foggy Head, Sore Muscles, Tremors, Very Sleepy,

5/ 10

3

7

Disposition:

Mood Stability:

Stress Level:

Erratic

Depressed

Stressed

Type:

Quality:

Sleep Time:

Time to Fall:

Sleeping Aid:

Interruptions:

0 min

Nap

02:00

Not Used

0 times

5 / 10

Weather TrackerClear90.7 F (32.6 C)36% Rel Humidity30.09 in (1019 mb)Pressure is FallingNAUV Index is NA

Dallas, TX USA(32.7800, -96.8000)

5/25/14, 5:15 PM

May 25, 2014, 12:00 PM







Fatigue, Sore Muscles, Tremors, Weakness 5

/ 102

6

Disposition:

Mood Stability:

Stress Level:

Erratic

Neutral

Stressed


Dallas, TX USA(32.7800, -96.8000)

5/25/14, 11:55 AM




Page 14




May 25, 2014, 7:45 AM





Effective Treatments Other Symptoms Activity Level Fatigue Level Mental State



4/ 10

1

3

Disposition:

Mood Stability:

Stress Level:

Very Stable

Happy

Calm

Sleep History Weather Tracker

Type:

Quality:

Sleep Time:

Time to Fall:

Sleeping Aid:

Interruptions:

30 min

Overnite

06:00

Not Used

2 times

5 / 10

Clear81 F (27 C)65% Rel Humidity30.16 in (1021 mb)Pressure is Steady0.00 in (0.0 mm)UV Index is 4

Dallas, TX USA(32.7800, -96.8000)

5/25/14, 9:35 AM

May 24, 2014, 6:00 PM


Driving - Long Distance, Movement, Physical Exertion, Standing, Walking7

Aching, Arthritic, Burning, Gnawing, Grinding, Pins and Needles, Radiating, Sciatic, Soreness, Stabbing,






Page 15






Fatigue, Foggy Head, Pulled Muscle, Sore Muscles, Tremors, Weakness

5/ 10

3

7

Disposition:

Mood Stability:

Stress Level:

Stable

Happy

Neutral


Dallas, TX USA(32.7800, -96.8000)

5/24/14, 5:55 PM

May 24, 2014, 2:45 PM


Driving - Long Distance, Movement, Standing, Walking 6

Aching, Arthritic, Burning, Gnawing, Grinding, Pins and Needles, Radiating, Sciatic, Soreness, Stabbing,


Ice / Cold Compress, Laying Down, Medication, Sitting / Reclining, Spinal Cord Stimulator


Fatigue, Foggy Head, Pulled Muscle, Sore Muscles, Tremors, Weakness

5/ 10

3

6

Disposition:

Mood Stability:

Stress Level:

Stable

Happy

Neutral


Dallas, TX USA(32.7800, -96.8000)

5/24/14, 2:35 PM

May 24, 2014, 9:30 AM



Aching, Arthritic, Gnawing, Radiating, Sciatic, Soreness, Stabbing, Stiffness






Page 16






Fatigue, Pulled Muscle, Sore Muscles 5

/ 101

4

Disposition:

Mood Stability:

Stress Level:

Stable

Happy

Calm

Clear82.0 F (27.8 C)68% Rel Humidity30.12 in (1020 mb)Pressure is Falling0.00 in (0 mm)UV Index is 9

Dallas, TX USA(32.7800, -96.8000)

5/24/14, 11:30 AM

May 24, 2014, 7:30 AM


Lack of Sleep, Movement, Standing 5





Fatigue, Sore Muscles 4

No Blood

Quantity

4/ 10

Bristol Scale CodeLike a sausage or snake, smooth and

soft 3/ 10

1


Disposition:

Mood Stability:

Stress Level:

Stable

Happy

Calm

Type:

Quality:

Sleep Time:

Time to Fall:

Sleeping Aid:

Interruptions:

30 min

Overnite

06:00

Not Used

3 times

7 / 10


Dallas, TX USA(32.7800, -96.8000)

5/24/14, 7:35 AM

Documents

Report Specs · Diary Entry Report Patient name: Bob Johnson Reporting Period: 5/24/14 - 5/30/14 Page 1 Report created using: Chronic Pain Tracker Chronic Pain Tracker is designed