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{"name": "dictations-2025_11_10_140138 {"name": "dictations-2025_11_10_140138.pdf", "content_type": "application/octet-stream", "size": 52172, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-f6210465-cac2-4420-8b37-096055b7943e"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n#250 8500 Blackfoot Trail SE Calgary, AB T2J 7E1\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Tel 403-879-7911 Fax 403-879-7899\nFaxTo:\u00a0\u00a0Aamer, Nazish From:\u00a0Advanced Rheumatology\nFax:\u00a0\u00a0 Pages: 1\nPhone:\u00a0\u00a0- Date:\u00a0\u00a010 November 2025\nRe:\u00a0\u00a0Div Kash CC:\nThank you for your referral.\n\u00a0\nPlease be advised that Dr. Dhalla / Advanced Rheumatology can only provide evaluation for pediatric patients at\nthis time. As the referred patient is over the age of 18 they cannot be seen and the file will be closed. We will\ndirect this referral to rheumatology central triage (see above) but would recommend you also send a referral in\nto ensure it is processed and that you can be sent a status update, and/or consider referral to any of the private\nrheumatology practices in the city.\n\u00a0\nAt this time we will close the file. If there is anything further we can do to assist you, please contact us at 403-\n879-7911 or Fax 403-879-7899.\n\u00a0\nThank you,\nDr. Dhalla\nPatient Care Coodinator\n\u00a0\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the\nrecipient(s). If the reader of this message is not the intended recipient, you are hereby notified that any\ndissemination, distribution, or copying of this communication or any of its contents is strictly prohibited. If you\nreceived this communication in error, Please return it to the sender and contact Advanced Cardiology 403-879-\n7911.\nPage 1 of 1\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"name": "dictations-2025_11_10_135551 {"name": "dictations-2025_11_10_135551.pdf", "content_type": "application/octet-stream", "size": 52172, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-bdf9e0ac-6d08-437b-84bd-3841679ee23c"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n#250 8500 Blackfoot Trail SE Calgary, AB T2J 7E1\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Tel 403-879-7911 Fax 403-879-7899\nFaxTo:\u00a0\u00a0Aamer, Nazish From:\u00a0Advanced Rheumatology\nFax:\u00a0\u00a0 Pages: 1\nPhone:\u00a0\u00a0- Date:\u00a0\u00a010 November 2025\nRe:\u00a0\u00a0Div Kash CC:\nThank you for your referral.\n\u00a0\nPlease be advised that Dr. Dhalla / Advanced Rheumatology can only provide evaluation for pediatric patients at\nthis time. As the referred patient is over the age of 18 they cannot be seen and the file will be closed. We will\ndirect this referral to rheumatology central triage (see above) but would recommend you also send a referral in\nto ensure it is processed and that you can be sent a status update, and/or consider referral to any of the private\nrheumatology practices in the city.\n\u00a0\nAt this time we will close the file. If there is anything further we can do to assist you, please contact us at 403-\n879-7911 or Fax 403-879-7899.\n\u00a0\nThank you,\nDr. Dhalla\nPatient Care Coodinator\n\u00a0\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the\nrecipient(s). If the reader of this message is not the intended recipient, you are hereby notified that any\ndissemination, distribution, or copying of this communication or any of its contents is strictly prohibited. If you\nreceived this communication in error, Please return it to the sender and contact Advanced Cardiology 403-879-\n7911.\nPage 1 of 1\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"name": "dictations-2025_11_04_115547 {"name": "dictations-2025_11_04_115547.pdf", "content_type": "application/octet-stream", "size": 53337, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-95f33bb3-001c-42a8-b20f-ac7f0ad5c0ad"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\nDate: 04 November 2025\n\u00a0\nDear: Aasman, Edward\nFax:\n\u00a0\nRef: Div Kash\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Chart: A43819\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\nPHN: 666777888\nTel: (587) 998-7876\n\u00a0\nThank you for your referral\nThe above patient has been booked for the following appointment:\n{{PATIENTAPPTDATE5DOCNAME}}\u00a0 \u00a0\n\u00a0 \u00a0\n\u00a0 \u00a0\n\u00a0 \u00a0\n\u00a0\n\u00a0\n\u00a0\nPlease arrive 15 min before your appointment.\n__________\u00a0Patient has been informed on Telephone No.: (587) 998-7876\n__________ Message has been left for the patient on Telephone No.:\u00a0 (587) 998-7876. Kindly assist in informing the\npatient.\u00a0\n\u00a0\nKind regards\nAdvanced Cardiology Consultants & Diagnostics Inc.\n#201-3151 27th St NE,\nCalgary AB,\u00a0T1Y 0B4\nTel: 403 235 4109\nFax: 403 235 4147\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\nPage 1 of 1\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"name": "dictations-2025_10_30_151046 {"name": "dictations-2025_10_30_151046.pdf", "content_type": "application/octet-stream", "size": 58958, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-284b1a00-d3b7-4255-bc19-b81c51547aee"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\nChart Number : A43819\nAasman, Edward\nFax:\u00a0 \u00a0\n\u00a0\nRE:\u00a0Div Kash\nPHN:\u00a0666777888\nDOB:\u00a0\u00a02025-12-12\n\u00a0\u00a0\u00a0\nDear Aasman, Edward,\n\u00a0\u00a0\u00a0\n\u00a0\njbjnxj dwjeknf cexwn\n\u00a0\u00a0\u00a0\n\u00a0\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's\nstandard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to\nmake a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting,\nremaining essentially unchanged. It was popularised ------- in the 1960s with the release of Letraset sheets\ncontaining Lorem Ipsum passages, and more recently with desktop........\n\u00a0\n\u00a0\npublishing software like Aldus <> PageMaker including versions of Lorem () Ipsum\n\u00a0\n\u00a0\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's\nstandard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to\nmake a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting,\nremaining essentially unchanged. It was popularised ------- in the 1960s with the release of Letraset sheets\ncontaining Lorem Ipsum passages, and more recently with desktop........//////\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the\nindustry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and\nscrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into\nelectronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of\nLetraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus\nPageMaker including versions of Lorem Ipsum\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the\nindustry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and\nscrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into\nelectronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of\nLetraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus\nPageMaker including versions of Lorem Ipsum\n\u00a0\u00a0\n\u00a0\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\nPage 1 of 2 Yours Sincerely,\ntest\n\u00a0\nDictation\u00a0file:\u00a0Dr John Doe\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\ntest\nPage 2 of 2\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\nChart Number : A43819\nAasman, Edward\nFax:\u00a0 \u00a0\n\u00a0\nRE:\u00a0Div Kash\nPHN:\u00a0666777888\nDOB:\u00a0\u00a02025-12-12\n\u00a0\u00a0\u00a0\nDear Aasman, Edward,\n\u00a0\u00a0\u00a0\n\u00a0\njbjnxj dwjeknf cexwn\n\u00a0\u00a0\u00a0\n\u00a0\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's\nstandard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to\nmake a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting,\nremaining essentially unchanged. It was popularised ------- in the 1960s with the release of Letraset sheets\ncontaining Lorem Ipsum passages, and more recently with desktop........\n\u00a0\n\u00a0\npublishing software like Aldus <> PageMaker including versions of Lorem () Ipsum\n\u00a0\n\u00a0\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's\nstandard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to\nmake a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting,\nremaining essentially unchanged. It was popularised ------- in the 1960s with the release of Letraset sheets\ncontaining Lorem Ipsum passages, and more recently with desktop........//////\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the\nindustry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and\nscrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into\nelectronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of\nLetraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus\nPageMaker including versions of Lorem Ipsum\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the\nindustry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and\nscrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into\nelectronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of\nLetraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus\nPageMaker including versions of Lorem Ipsum\n\u00a0\u00a0\n\u00a0\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\nPage 1 of 2 Yours Sincerely,\ntest\n\u00a0\nDictation\u00a0file:\u00a0Dr John Doe\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\ntest\nPage 2 of 2\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\n30 October 2025\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\nA43819\n\u00a0\nDr.Aasman, Edward\n\u00a0\nFax:\n\u00a0\nRE:\u00a0 \u00a0 Div Kash\nPHN: 666777888\nDOB:\u00a012 December 2025\n\u00a0\nDear Dr.Aasman, Edward,\n\u00a0\n\u00a0\nThank you very much for allowing me to participate in Div's care.\nsadbb cvmkfnvkfgnb fkrngkr\n\u00a0\n\u00a0\nMany thanks for your consideration.\n\u00a0\nSincerely yours,\nAli Debek, MD FCCP\nInternal Medicine\nAD/\nDictation: Debek\n\u00a0\nDICTATED BUT NOT READ TO AVOID DELAY\n\u00a0\nA43819\u00a0\u00a0\u00a0 Date: 30 October 2025\n\u00a0\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the\nrecipient(s). If the reader of this message is not the intended recipient, you are hereby notified that any\ndissemination, distribution, or copying of this communication or any of its contents is strictly prohibited. If you\nreceived this communication in error, Please return it to the sender and contact Advanced Cardiology 403-235-\n4109.\nPage 1 of 1\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the\nindustry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and\nscrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into\nelectronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of\nLetraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus\nPageMaker including versions of Lorem Ipsum\nwsqdbqehxbd ejwdf\ndzwhbdhbenxh bfdxbefx ehbf xhefbfe\nzwevhf ejwxf\nThe scientist\u2014a woman of unparalleled intellect\u2014stepped to the lectern and began her presentation, \"Ladies and\ngentlemen, we have made a staggering discovery!\" The atmosphere crackled with anticipation; the audience,\ncomposed of scholars and journalists alike, leaned forward in their seats. Was this the breakthrough they had all\nbeen waiting for? She displayed a slide with a series of complex calculations and notes (including her initial\nsketches) to provide a thorough explanation of the experiment's results. Her message was clear: this new\nfinding, which she documented in her now-famous journal, was poised to change the course of history.\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the\nindustry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and\nscrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into\nelectronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of\nLetraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus\nPageMaker including versions of Lorem Ipsum\nakcbdhbcjdn\nabcd\nHi, how are you?\nalsdf;lh;uiwehfajksdfkjah;foha;skdfjalsdjhfkajhf;ahfWF\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's\nstandard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to\nmake a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting,\nremaining essentially unchanged. It was popularised ------- in the 1960s with the release of Letraset sheets\ncontaining Lorem Ipsum passages, and more recently with desktop........\n\u00a0\n\u00a0\npublishing software like Aldus <> PageMaker including versions of Lorem () Ipsum\n\u00a0\n\u00a0\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's\nstandard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to\nmake a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting,\nremaining essentially unchanged. It was popularised ------- in the 1960s with the release of Letraset sheets\ncontaining Lorem Ipsum passages, and more recently with desktop........//////\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\nPage 1 of 2 test\nPage 2 of 2\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the\nindustry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and\nscrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into\nelectronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of\nLetraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus\nPageMaker including versions of Lorem Ipsum\nwsqdbqehxbd ejwdf\ndzwhbdhbenxh bfdxbefx ehbf xhefbfe\nzwevhf ejwxf\ntest\nPage 1 of 1\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\nChart Number : A43819\nAasman, Edward\nFax:\u00a0 \u00a0\n\u00a0\nRE:\u00a0Div Kash\nPHN:\u00a0666777888\nDOB:\u00a0\u00a02025-12-12\n\u00a0\u00a0\u00a0\nDear Aasman, Edward,\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum\u00a0is simply dummy text\nof the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since\nthe 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has\nsurvived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It\nwas popularised ------- in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and\nmore recently with desktop........\n\u00a0\n\u00a0Lorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the\nindustry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and\nscrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into\nelectronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of\nLetraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus\nPageMaker including versions of Lorem Ipsum\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the\nindustry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and\nscrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into\nelectronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of\nLetraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus\nPageMaker including versions of Lorem Ipsum\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the\nindustry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and\nscrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into\nelectronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of\nLetraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus\nPageMaker including versions of Lorem Ipsum\n\u00a0\npublishing software like Aldus <> PageMaker including versions of Lorem () Ipsum\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the\nindustry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and\nscrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into\nelectronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of\nLetraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus\nPageMaker including versions of Lorem Ipsum\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\nPage 1 of 3 Lorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the\nindustry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and\nscrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into\nelectronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of\nLetraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus\nPageMaker including versions of Lorem Ipsum\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's\nstandard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to\nmake a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting,\nremaining essentially unchanged. It was popularised ------- in the 1960s with the release of Letraset sheets\ncontaining Lorem Ipsum passages, and more recently with desktop........//////\nIpsum has been the industry's standard dummy text ever since the 1500s, when an unknown printer took a\ngalley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also\nthe leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the\nrelease of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software\nlike Aldus PageMaker including versions of Lorem Ipsum\u00a0\u00a0\u00a0\u00a0\n\u00a0\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the\nindustry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and\nscrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into\nelectronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of\nLetraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus\nPageMaker including versions of Lorem Ipsum\nhi hi h\u00a0h\n\u00a0\u00a0\u00a0\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's\nstandard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to\nmake a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting,\nremaining essentially unchanged. It was popularised ------- in the 1960s with the release of Letraset sheets\ncontaining Lorem Ipsum passages, and more recently with desktop........\n\u00a0\n\u00a0\npublishing software like Aldus <> PageMaker including versions of Lorem () Ipsum\n\u00a0\n\u00a0\nLorem Ipsum\u00a0is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's\nstandard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to\nmake a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting,\nremaining essentially unchanged. It was popularised ------- in the 1960s with the release of Letraset sheets\ncontaining Lorem Ipsum passages, and more recently with desktop........//////\nalsdf;lh;uiwehfajksdfkjah;foha;skdfjalsdjhfkajhf;ahfWF\nHi, how are you?\n\u00a0\n\u00a0\nYours Sincerely,\ntest\n\u00a0\nDictation\u00a0file:\u00a0Dr John Doe\u00a0\n\u00a0\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\nPage 2 of 3 DICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\ntest\nPage 3 of 3\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\n10 September 2025\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\nA43819\n\u00a0\nCaddy, Jane\n\u00a0\nFax:\u00a0 \u00a0 \u00a0\n\u00a0\nRE:\u00a0 \u00a0 \u00a0Div Kash\nPHN:\u00a0 124356789\nDOB:\u00a0\u00a012 December 2025\n\u00a0\nDear Dr.Caddy, Jane\n\u00a0\nThank you very much for allowing me to participate in Div's care.\n\u00a0\nF denies chest pains/classic exertional chest pains or with emotional stress. There is non-specific\nshortness of breath on increased exertion without pedal edema, orthopnea or PND. There is no\npalpitations, pre-syncope, syncope or claudication. There are no calf pain tenderness or redness, calf\nswelling, hormones like birth control, injury, surgery, immobilization or cancer.\u00a0\n\u00a0\nCARDIAC RISK FACTORS and PAST MEDICAL HISTORY:\nNo Diabetes with A1C\nNo Hypertension with BP today -\u00a0 mmHg\nNo Dyslipidemia with LDL mmol/L\nNo Obesity with BMI kg/m2\n\u00a0\nMEDICATIONS:f25g65\n-\nALLERGIES:b7b7b6\nNKDA\nFAMILY HISTORY:\nNo family history of premature heart disease or stroke (M-55 and women 65) in first degree relatives. No\nsudden cardiac/unexpected death in extended family\n\u00a0\nSOCIAL HISTORY:\nThe patient is a non-smoker.\u00a0F\u00a0drinks socially and denies illicit substances.\n\u00a0\nPHYSICAL EXAMINATION:\nThe patient looks well and in no distress. Blood pressure: - Heart Rate: - JVP was normal Pedal radial and\ncarotid pulses are normal and there is no pedal edema. Heart sounds are normal without any murmurs\nLungs were clear.\n\u00a0\nINVE STIGATIONS:\nECG in the clinic revealed normal sinus rhythm with no evidence of acute ischemia.\nStress Test\u00a0o file shows no high risk findings at minutes on the Bruce protocol\nEchocardiogram on file shows no gross pathology influencing clinical magement\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\nPage 1 of 4 Carotid ultrasound on file shows mild or moderate disease\nMPI on file shows overall normal study\nHolter shows overall reassuring findings\n24 hour BP monitor reasonable control\nCXR on file shows no gross cardio respiratory pathology\nAngiogram on file shows no critical disease with no LM and no pLAD lesions of significance\nAbdominal imaging shows atherosclerosis of the abdo aorta without aneurysm\nBlood work shows eGFR TSH ACR Hemoglobin\n\u00a0\n\u00a0As stated, Cristo has been referred in regards allergies and respiratory assessment.\u00a0I saw him today\naccompanied by his daughter who helped with translation, he was diagnosed with asthma when he was younger\nand then it went away and it sounded recently started to have symptoms of shortness of breath, in the last\ncouple of months, he was given the Ventolin which he has been using twice a day and this has been helping.\nAdditionally, has been reporting some nasal congestion he does use the nasal spray and that he just had the\nallergy testing done, I do not have access to the notes but he was told he has allergy to grass, dust and may be\ndogs, he does have a dog at home and he admits that he does have some allergies in the proximity of the dog.\nHe reports sometimes waking up there is wheezing and his cough with occasional phlegm usually clear,\nsometimes yellow, no blood and no change of voice. Climbing a flight of stairs would be out of breath and\nwalking 2 blocks in a fast pace, he would be out of breath and sometimes with wheezing. Today's lung exam\nthere was no wheezing per se, he had no bouts of cough. He had a pneumonia a while ago but he was not\nhospitalized and does not recall being hospitalized for respiratory decompensation, ICU admission or oxygen\ntreatment. He did not comment about hives, urticaria, angioedema or stridor, it sound that he does use the\nBlexten, he did not bring his home medication with him today. He denies any history of cancer, chemo, or\nradiation therapy, no aspiration or choking and he does use the PPI but did not comment about uncontrolled\nreflux.\nHe has been worked up from the cardiovascular perspective as above and still having on and off chest pain,\nalthough there is no progression in intensity or frequency, no typical anginal pain, no palpitation, unexplained\nloss of consciousness, no symptoms of heart failure, no pleuritic type chest pain, no \u00a0 Thromboembolic\u00a0 disease,\nno calf pain. I do not believe he is taking any ASA and or an other blood thinner, he denies any bleeding\ntendency or peptic ulcer disease, he reports he may have gained some few pounds recently.\u00a0He does not recall\nhaving a previous PFT done before for comparison.\nPFT August 2025 normal baseline spirometry postbronchodilator was improvement.\nThe desaturation 50 m brisk walking 90%.\nCBC April 2025 normal eosinophil 0.2.\n\u00a0\nChest x-ray March 2025 subsegmental airspace opacity inferior lingula? \u00a0Aspiration or lower tract infection.\nVitamin B12 October 2025 was 480.\nNormalUrine sample present TSH, electrolyte, PSA, iron indices, liver function, CRP within normal limit.\nRheumatoid factor, ANA, anti-CCP -2018.\nCT coronary calcium score as above reported the increased attenuation of the lung bilateral dependent\natelectatic changes scarring atelectasis left lower lobe calcified granuloma both lower lobes dense calcified\nsubcarinal lymph nodes.\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\nPage 2 of 4 Suspicious for PFO.\n\u00a0\nFamily history:\nLung: mom ?\nCardiac: dad MI 79.\nCancer: anut?\nMom DM\n\u00a0\nCurrent Medications:\nBlistine prn.\nNasal spray.\nSalbutamol 2 X a day, 2 months.\nStatin on hold for SE.\nMg.\nPantoprazole 40 mg daily.\n\u00a0\nPast Surgical History:\nColonoscopy April 2022.\n\u00a0\nSocial History:\nLiving: family.\nProfession: construction.\nExposure: cement and silica.\nAlcohol: occasionally.\nRecreational\u00a0Drug: none.\nPet dog\u00a0 alalergies occasionally\nSame place 6 years. Carpets bedroom yes, feathers none.\n\u00a0\nSmoking History:\nNone.\n\u00a0\nIMPRESSION and PLAN\nThis 0 year old\u00a0female\u00a0\u00a0with risk factors as above is presenting with non-specific symptoms. I have\narranged a stress test. On the whole I feel that the cardiac prognosis is reassuring. For the long run, I\ncounselled with regards to ongoing diet exercise and weight loss strategies for ongoing risk reduction\nand improved quality of life\n\u00a0\nI discussed smoking cessation and\n\u00a0\nI will follow-up with Div after the above tests.\n\u00a0\nIn the meantime if there is any questions or concerns please do not hesitate to contact me at any time.\n\u00a0\nYours\u00a0Sincerely,\u00a0\nDr.\u00a0Ravi\u00a0Varshney,\u00a0MD,\u00a0FRCPC\u00a0\nCardiologist\u00a0\nRV/\n\u00a0\n\u00a0\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\nPage 3 of 4 Dictation\u00a0file:\u00a0Varshney\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\n\u00a0\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s). If the reader of\nthis message is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this\ncommunication or any of its contents is strictly prohibited. If you received this communication in error, Please return it to the sender\nand contact Advanced Cardiology 403-235-4109.\nPage 4 of 4\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"name": "dictations-2025_10_24_152203 {"name": "dictations-2025_10_24_152203.pdf", "content_type": "application/octet-stream", "size": 40222, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-23dc5ea0-5f12-475f-8b4d-dd34acf66b9c"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\nChart Number : A43819\nAamir, Rabbiya\nFax:\u00a0 \u00a0\n\u00a0\nRE:\u00a0Div Kash\nPHN:\u00a0666777888\nDOB:\u00a0\u00a02025-12-12\n\u00a0\u00a0\u00a0\nDear Aamir, Rabbiya,\nI am wroking today\ntodya\u00a0\n\u00a0\ndfdvfyt v\n\u00a0\u00a0\u00a0DICTATED\u00a0BUT\u00a0NOT\u00a0RaeD\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\nNo clubbing or cyanosis. No peripheral\u00a0edema\nCardiovascular examination- normal heart sounds, no murmurs\nRespiratory examination- normal breath sounds, no added sounds\nAbdominal examination- soft, non - tender, no organomegaly\nFeet examination- normal bilateral pulses, normal 10g monofilament test and vibration\n<p style=\"line-height: 25.2px;\">No clubbing or cyanosis. No peripheral <span class=\"scayt-misspell-\nword\" data-scayt-word=\"oedema\" data-wsc-lang=\"en_US\" data-wsc-\nid=\"men1eiut2kxcuz6ab\">edema</span><br>Cardiovascular examination- normal heart sounds, no\nmurmurs<br>Respiratory examination- normal breath sounds, no added sounds<br>Abdominal examination-\nsoft, non - tender, no organomegaly</p><p style=\"line-height: 25.2px;\">Feet examination- normal bilateral\npulses, normal 10g monofilament test and vibration</p>\n\u00a0\n\u00a0\n\u00a0\u00a0\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\ntest\n\u00a0\nDictation\u00a0file:\u00a0Dr John Doe\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\nPage 1 of 2 Information\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\nPage 2 of 2\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"name": "dictations-2025_10_09_121525 {"name": "dictations-2025_10_09_121525.pdf", "content_type": "application/octet-stream", "size": 40525, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-50488d94-75c2-492f-8916-c5c0f5b8009a"}...
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{"status": "completed", "conte {"status": "completed", "content": "8500 Blackfoot Trl SE #250\nCalgary, AB, T2J 7E1\nTel:4038797911 Fax:4038797899\nHello Hello\nare they This patient is very critical and we need to find some way to get the help right away\nEffectively clarity Effectively clarity You know the Punjabi\nPrevious line No other way Chart Number : A43819\ntest1234 test\u00a0\nAamir, Rabbiya\nFax:\u00a0 \u00a0test\u00a0\ntest1234 test\u00a0\ntest3\ntest1234 test\u00a0\n\u00a0\nRE:\u00a0Div Kash\nPHN:\u00a0666777888\nDOB:\u00a0\u00a02025-12-12\n\u00a0\u00a0\u00a0\nDear Aamir, Rabbiya,\n\u00a0\u00a0\u00a0\n\u00a0\nThank you very much for allowing me to participate in Div's care.\n\u00a0\nThank you very much for allowing me to participate in Div's care. F denies chest pains/classic exertional chest\npains or with emotional stress. There is non-specific shortness of breath on increased exertion without pedal\nedema, orthopnea or PND. There is no palpitations, pre-syncope, syncope or claudication. There are no calf pain\ntenderness or redness, calf swelling, hormones like birth control, injury, surgery, immobilization or cancer.\u00a0\nCARDIAC RISK FACTORS and PAST MEDICAL HISTORY: No Diabetes with A1C No Hypertension with BP today -\u00a0\nmmHg No Dyslipidemia with LDL mmol/L No Obesity with BMI kg/m2\n\u00a0\n\u00a0\n\u00a0\n\u00a0\u00a0\u00a0\n\u00a0\n\u00a0\n\u00a0\u00a0\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\n\u00a0\n\u00a0\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\nPage 1 of 2 Dictation\u00a0file:\u00a0Super Admin\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\nPage 2 of 2\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"name": "dictations-2025_10_06_085442 {"name": "dictations-2025_10_06_085442.pdf", "content_type": "application/octet-stream", "size": 38397, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-b4629bb2-4a1a-4889-84a1-c587ff1a942e"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\nChart Number : A43819\nAamir, Rabbiya\nFax:\u00a0 \u00a0\n\u00a0\nRE:\u00a0Div Kash\nPHN:\u00a0666777888\nDOB:\u00a0\u00a02025-12-12\n\u00a0\u00a0\u00a0\nDear Aamir, Rabbiya,\n\u00a0\u00a0\u00a0\n\u00a0\n\u00a0\n\u00a0\u00a0\u00a0\n\u00a0\nfrdrtyg uyhbuyhnu uyr6r67\ndecrdt\ngcvdyfb7yunhumio\nvtf67bgyngg7 ugyunigihui iuhiuhmuyhiu\u00a0\n\u00a0\u00a0\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\ntest\n\u00a0\nDictation\u00a0file:\u00a0Dr John Doe\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\ntest\nPage 1 of 1\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"name": "dictations-2025_10_06_085424 {"name": "dictations-2025_10_06_085424.pdf", "content_type": "application/octet-stream", "size": 38397, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-24c8c054-20df-4e76-863d-409d616c83f2"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\nChart Number : A43819\nAamir, Rabbiya\nFax:\u00a0 \u00a0\n\u00a0\nRE:\u00a0Div Kash\nPHN:\u00a0666777888\nDOB:\u00a0\u00a02025-12-12\n\u00a0\u00a0\u00a0\nDear Aamir, Rabbiya,\n\u00a0\u00a0\u00a0\n\u00a0\n\u00a0\n\u00a0\u00a0\u00a0\n\u00a0\nfrdrtyg uyhbuyhnu uyr6r67\ndecrdt\ngcvdyfb7yunhumio\nvtf67bgyngg7 ugyunigihui iuhiuhmuyhiu\u00a0\n\u00a0\u00a0\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\ntest\n\u00a0\nDictation\u00a0file:\u00a0Dr John Doe\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\ntest\nPage 1 of 1\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"name": "dictations-2025_10_03_125906 {"name": "dictations-2025_10_03_125906.pdf", "content_type": "application/octet-stream", "size": 36787, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-9193e997-2937-4619-919c-9069ac595054"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\n03 October 2025\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\nA43819\n\u00a0\nDr.Aamir, Rabbiya\n\u00a0\nFax:\n\u00a0\nRE:\u00a0 \u00a0 Div Kash\nPHN: 666777888\nDOB:\u00a012 December 2025\n\u00a0\nDear Dr.Aamir, Rabbiya,\n\u00a0\n\u00a0\nThank you very much for allowing me to participate in Div's care.\nshbidcs aedjhrbfjhebdtuyvgth5krjew thaskfjhtgiu4werhds\n\u00a0\n\u00a0\nMany thanks for your consideration.\n\u00a0\nSincerely yours,\nAli Debek, MD FCCP\nInternal Medicine\nAD/\nDictation: Debek\n\u00a0\nDICTATED BUT NOT READ TO AVOID DELAY\n\u00a0\nA43819\u00a0\u00a0\u00a0 Date: 03 October 2025\n\u00a0\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the\nrecipient(s). If the reader of this message is not the intended recipient, you are hereby notified that any\ndissemination, distribution, or copying of this communication or any of its contents is strictly prohibited. If you\nreceived this communication in error, Please return it to the sender and contact Advanced Cardiology 403-235-\n4109.\nPage 1 of 1\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"name": "dictations-2025_10_02_133902 {"name": "dictations-2025_10_02_133902.pdf", "content_type": "application/octet-stream", "size": 38373, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-75f8cd1e-f01f-488a-ba37-d178edf68650"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\nChart Number : A43819\nAamir, Rabbiya\nFax:\u00a0 \u00a0\n\u00a0\nRE:\u00a0Div Kash\nPHN:\u00a0666777888\nDOB:\u00a0\u00a02025-12-12\n\u00a0\u00a0\u00a0\nDear Aamir, Rabbiya,\n\u00a0\u00a0\u00a0\n\u00a0\n\u00a0\n\u00a0 \u00a0 eqwdsc\n\u00a0\n\u00a0\n\u00a0\u00a0\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\ntest\n\u00a0\nDictation\u00a0file:\u00a0Dr John Doe\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\ntest\nPage 1 of 1\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"name": "dictations-2025_09_25_085638 {"name": "dictations-2025_09_25_085638.pdf", "content_type": "application/octet-stream", "size": 43358, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-7df87995-ecfd-4cbe-ae7f-c388b4518231"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\n14 July 2025\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0A79878\n\u00a0\nDr. Ananya Das\n\u00a0\nFax:\u00a0 \u00a0 \u00a04032637996\n\u00a0\nRE:\u00a0 \u00a0 \u00a0 \u00a0Janina Wanda Wisniewski\nPHN:\u00a0 779986220\nDOB:\u00a0\u00a007 October 1950\n\u00a0\nDear Dr. Ananya Das\n\u00a0\nThank you for bringing this patient to our attention. I saw the patient with their daughter, Sandra. There is non-\nspecific chest pains without patterns. There is no exertional chest pains or with emotional stress. There is non-\nspecific shortness of breath on exertion. There is non-specific palpitations and dizziness without syncope. She\u00a0is\noverall better from a symptoms standpoint. Investigations were reviewed with patient and, thus far have not\nrevealed any major findings necessitating the need for cardiac interventions at this point based on risks/benefits,\nas reviewed with patient. Physical examination today was non-contributory.\nI reviewed the echocardiogram and thank-fully to me the PASP seems over-estimated but I have referred to Dr.\nDebek (GIM with special interest in Respirology) to further assess given history of PMR as well.\u00a0\n\u00a0\nIn terms of risk reduction, again, I reviewed life-style strategies as needed. For cardiovascular risk reduction\ntargets, I reviewed the biochemical risk profile and recommended the current guidelines directed goals (LDL,\nA1C, Blood-pressures) and based on risks/benefits discussions recommended: ongoing follow-up.\u00a0\n\u00a0\nIt was explained to the patient that this is an evaluation of the present cardiovascular\u00a0assessment and risk\nprofile. Though this is a thorough work-up of the current clinical picture,\u00a0cardiovascular disease can behave\nunpredictably and that any change in symptoms\u00a0or concerns should prompt further health care advice and a\npossible reassessment. To this\u00a0regard, the patient was also provided our contact and/or advised to call 911, as\nneeded. I have also provided my email (rvarshney@cardiai.com) for non-urgent matters to review during work-\nhours only, as applicable.\u00a0\n\u00a0\nAll\u00a0questions\u00a0as\u00a0pertaining\u00a0to\u00a0the\u00a0above\u00a0matters\u00a0were\u00a0answered.\u00a0\n\u00a0\nI\u00a0recommended\u00a0for\u00a0the\u00a0patient\u00a0to\u00a0further\u00a0review\u00a0these\u00a0suggestions\u00a0with\u00a0you.\n\u00a0\nI\u00a0have\u00a0arranged\u00a0a\u00a0stress alsdf;lh;uiwehfajksdfkjah;foha;skdfjalsdjhfkajhf;ahfWF and\u00a0 follow-\nup.\u00a0If\u00a0in\u00a0the\u00a0meantime\u00a0there\u00a0are\u00a0any\u00a0questions\u00a0or\u00a0concerns\u00a0please\u00a0do\u00a0not\u00a0hesitate\u00a0to\u00a0contact\u00a0me.\n\u00a0\n\u00a0\nYours\u00a0Sincerely,\u00a0\nDr.\u00a0Ravi\u00a0Varshney,\u00a0MD,\u00a0FRCPC\u00a0\nCardiologist\u00a0\nRV/\n\u00a0\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\nPage 1 of 2 Dictation\u00a0file:\u00a0Varshney\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\u00a0\n\u00a0\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the\nrecipient(s). If the reader of this message is not the intended recipient, you are hereby notified that any\ndissemination, distribution, or copying of this communication or any of its contents is strictly prohibited. If you\nreceived this communication in error, Please return it to the sender and contact Advanced Cardiology 403-235-\n4109.\ntest\nPage 2 of 2\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"name": "dictations-2025_09_17_145637 {"name": "dictations-2025_09_17_145637.pdf", "content_type": "application/octet-stream", "size": 45023, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-7ed858f5-1992-4c25-864f-73abcc3679e2"}...
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{"status": "completed", "conte {"status": "completed", "content": "8500 Blackfoot Trl SE #250\nCalgary, AB, T2J 7E1\nTel:4038797911 Fax:4038797899\n17 September 2025\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\nA43819\n\u00a0\nAamir, Rabbiya\n\u00a0\nFax:\u00a0 \u00a0 \u00a0\n\u00a0\nRE:\u00a0 \u00a0 \u00a0Div Kash\nPHN:\u00a0 666777888\nDOB:\u00a0\u00a012 December 2025\n\u00a0\nDear Dr.Aamir, Rabbiya\n\u00a0\nThank you very much for allowing me to participate in Div's care.\n\u00a0\nF denies chest pains/classic exertional chest pains or with emotional stress. There is non-specific\nshortness of breath on increased exertion without pedal edema, orthopnea or PND. There is no\npalpitations, pre-syncope, syncope or claudication. There are no calf pain tenderness or redness, calf\nswelling, hormones like birth control, injury, surgery, immobilization or cancer.\u00a0\n\u00a0\nCARDIAC RISK FACTORS and PAST MEDICAL HISTORY:\nNo Diabetes with A1C\nNo Hypertension with BP today -\u00a0 mmHg\nNo Dyslipidemia with LDL mmol/L\nNo Obesity with BMI kg/m2\n\u00a0\nMEDICATIONS:sdcsb\n-\nALLERGIES:ver\nNKDA\nFAMILY HISTORY:v3q\nNo family history of premature heart disease or stroke (M-55 and women 65) in first degree relatives. No\nsudden cardiac/unexpected death in extended family\n\u00a0\nSOCIAL HISTORY:\nThe patient is a non-smoker.\u00a0F\u00a0drinks socially and denies illicit substances.\n\u00a0\nPHYSICAL EXAMINATION:\nThe patient looks well and in no distress. Blood pressure: - Heart Rate: - JVP was normal Pedal radial and\ncarotid pulses are normal and there is no pedal edema. Heart sounds are normal without any murmurs\nLungs were clear.\n\u00a0\nINVE STIGATIONS:\nECG in the clinic revealed normal sinus rhythm with no evidence of acute ischemia.\nStress Test\u00a0o file shows no high risk findings at minutes on the Bruce protocol\nEchocardiogram on file shows no gross pathology influencing clinical magement\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\nPage 1 of 2 Carotid ultrasound on file shows mild or moderate disease\nMPI on file shows overall normal study\nHolter shows overall reassuring findings\n24 hour BP monitor reasonable control\nCXR on file shows no gross cardio respiratory pathology\nAngiogram on file shows no critical disease with no LM and no pLAD lesions of significance\nAbdominal imaging shows atherosclerosis of the abdo aorta without aneurysm\nBlood work shows eGFR TSH ACR Hemoglobin\n\u00a0\nIMPRESSION and PLAN\nThis 0 year old\u00a0female\u00a0\u00a0with risk factors as above is presenting with non-specific symptoms. I have\narranged a stress test. On the whole I feel that the cardiac prognosis is reassuring. For the long run, I\ncounselled with regards to ongoing diet exercise and weight loss strategies for ongoing risk reduction\nand improved quality of life\n\u00a0\nI discussed smoking cessation and\n\u00a0\nI will follow-up with Div after the above tests.\n\u00a0\nIn the meantime if there is any questions or concerns please do not hesitate to contact me at any time.\n\u00a0\nYours\u00a0Sincerely,\u00a0\nDr.\u00a0Ravi\u00a0Varshney,\u00a0MD,\u00a0FRCPC\u00a0\nCardiologist\u00a0\nRV/\n\u00a0\n\u00a0\nDictation\u00a0file:\u00a0Varshney\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\n\u00a0\n\u00a0\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s). If the reader of\nthis message is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this\ncommunication or any of its contents is strictly prohibited. If you received this communication in error, Please return it to the sender\nand contact Advanced Cardiology 403-235-4109.\nPage 2 of 2\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\nChart Number : A43819\nAasman, Edward\nFax:\u00a0 \u00a0\n\u00a0\nRE:\u00a0Div Kash\nPHN:\u00a0666777888\nDOB:\u00a0\u00a02025-12-12\n\u00a0\u00a0\u00a0\nDear Aasman, Edward,\n\u00a0\u00a0\u00a0\nwe5b6uwqerthyuji\n\u00a0\n\u00a0\n\u00a0\n\u00a0\n\u00a0\u00a0\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\n\u00a0\n\u00a0\nDictation\u00a0file:\u00a0Super Admin\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\ntest\nPage 1 of 1\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"name": "dictations-2025_09_16_151812 {"name": "dictations-2025_09_16_151812.pdf", "content_type": "application/octet-stream", "size": 38384, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-2d7624c6-a000-4bc8-b650-7ff79e4bad87"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\nChart Number : A43819\nAasman, Edward\nFax:\u00a0 \u00a0\n\u00a0\nRE:\u00a0Div Kash\nPHN:\u00a0666777888\nDOB:\u00a0\u00a02025-12-12\n\u00a0\u00a0\u00a0\nDear Aasman, Edward,\n\u00a0\u00a0\u00a0\nvgbnmnbvgyhujimnujikmnhjkm\n\u00a0\u00a0\u00a0\n\u00a0\n\u00a0\n\u00a0\u00a0\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\n\u00a0\n\u00a0\nDictation\u00a0file:\u00a0Super Admin\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\ntest\nPage 1 of 1\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"name": "dictations-2025_09_16_151726 {"name": "dictations-2025_09_16_151726.pdf", "content_type": "application/octet-stream", "size": 38487, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-ea47ea58-1797-4980-a979-f1c6150e533f"}...
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{"status": "completed", "conte {"status": "completed", "content": "52 Castelfall way NEasdasdasd\ncalgary, asdsadsad, t3j1m7\nTel:1234567876 Fax:1234345676\nChart Number : A43819\nAasman, Edward\nFax:\u00a0 \u00a0\n\u00a0\nRE:\u00a0Div Kash\nPHN:\u00a0666777888\nDOB:\u00a0\u00a02025-12-12\n\u00a0\u00a0\u00a0\nDear Aasman, Edward,\n\u00a0\u00a0\u00a0\nasgvf test 1\ntest2\n\u00a0\n\u00a0\n\u00a0\u00a0\u00a0\n\u00a0\n\u00a0\n\u00a0\u00a0\u00a0\n\u00a0\n\u00a0\nYours Sincerely,\n\u00a0\n\u00a0\nDictation\u00a0file:\u00a0Super Admin\u00a0\n\u00a0\nDICTATED\u00a0BUT\u00a0NOT\u00a0READ\u00a0TO\u00a0AVOID\u00a0DELAY\u00a0\n\u00a0\nInformation\u00a0contained\u00a0in\u00a0this\u00a0communication\u00a0may\u00a0be\u00a0confidential\u00a0and\u00a0is\u00a0intended\u00a0only\u00a0for\u00a0the\u00a0use\u00a0of\u00a0the\u00a0recipient(s).\u00a0If\u00a0the\u00a0reader\u00a0of\u00a0this\u00a0message\u00a0is\u00a0not\u00a0the\u00a0intended\u00a0recipient,\u00a0you\u00a0are\u00a0hereby\u00a0notified\u00a0that\u00a0any\u00a0dissemination,\u00a0distribution,\u00a0or\u00a0copying\u00a0of\u00a0this\u00a0communication\u00a0or\u00a0any\u00a0of\u00a0its\u00a0contents\u00a0is\u00a0strictly\u00a0prohibited.\u00a0If\u00a0you\u00a0received\u00a0this\u00a0communication\u00a0in\u00a0error,\u00a0Please\u00a0return\u00a0it\u00a0to\u00a0the\u00a0sender\u00a0and\u00a0contact\u00a0Advanced\u00a0Cardiology\u00a0403-\n235-4109.\ntest\nPage 1 of 1\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}...
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{"status": "completed", "conte {"status": "completed", "content": "Logo\nAdvanced Cardiology Consultants & Diagnostic Inc\n#250 8500 Blackfoot Trail SE\nCalgary, AB, T2J7E1\nTel: 403-879-7911 | Fax 403-879-7899\nDictation Letter\nDate: 11/18/2025 Chart No: A43819\nPatient: Div Kash\nPhysician:\nSubject: Appointment Booking Confirmation ACCD\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s)..."}...
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{"status": "completed", "conte {"status": "completed", "content": "Logo\nAdvanced Cardiology Consultants & Diagnostic Inc\n#250 8500 Blackfoot Trail SE\nCalgary, AB, T2J7E1\nTel: 403-879-7911 | Fax 403-879-7899\nDictation Letter\nDate: 11/18/2025 Chart No: A43819\nPatient: Div Kash\nPhysician:\nSubject: Appointment Booking Confirmation MM\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s)..."}...
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{"status": "completed", "conte {"status": "completed", "content": "Logo\nAdvanced Cardiology Consultants & Diagnostic Inc\n#250 8500 Blackfoot Trail SE\nCalgary, AB, T2J7E1\nTel: 403-879-7911 | Fax 403-879-7899\nDictation Letter\nDate: 11/18/2025 Chart No: A43819\nPatient: Div Kash\nPhysician:\nSubject: Appointment confirmation\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s)..."}...
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{"name": "dictations-1763476337071.pdf {"name": "dictations-1763476337071.pdf", "content_type": "application/octet-stream", "size": 48008, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-57daf7e6-8755-478d-ad86-665fb08e0aeb"}...
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{"status": "completed", "conte {"status": "completed", "content": "Logo\nAdvanced Cardiology Consultants & Diagnostic Inc\n#250 8500 Blackfoot Trail SE\nCalgary, AB, T2J7E1\nTel: 403-879-7911 | Fax 403-879-7899\nDictation Letter\nDate: 11/18/2025 Chart No: A43819\nPatient: Div Kash\nPhysician:\nSubject: Dictation Letter -Super Admin\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s)..."}...
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{"status": "completed", "conte {"status": "completed", "content": "Advanced Cardiology Consultants & Diagnostic Inc\n#250 8500 Blackfoot Trail SE\nCalgary, AB, T2J7E1\nTel: 403-879-7911 | Fax 403-879-7899\nNUCLEAR MYOCARDIAL PERFUSION IMAGING EXERCISE STRESS STUDY\nDecember 11, 2025 Chart No: A43819\nRef. Dr.: Dr. Ali Debek Family Dr.:\nRE: Div Kash Supervising MD:Dr. Daniel Anselm\nPHN: 666777888 Technologist:\nDOB: 12 December, 2025 Gender: Female\nClinical History:Z\n- Chest Pain\nECG Information Resting ECG: zx\n- Horizontal ST changes in the Inferolateral Lead\nExercise Stress Test Information\nInterpretation by: Dr. Daniel Anselm Stress Interpretation ECG:\nProtocol: Symptoms During Test: METS achieved:\nPeak HR: zxzxz Peak HR % Achieved: Exercise Duration:\nReason of Termination: zx\nProtocol completed\nStage Heart Rate (bpm) Blood Pressure\nRest\n1 zx\n2\n3\n4\n5\nRecovery\nMPI Technique:\nMbq of 99m Tc-Tetrofosmin was administered intravenously at rest and\nMbq of 99m Tc-Tetrofosmin was administered intravenously at peak stress following Exercise Myocardial Perfusion.\nMultiple gated tomographic emission images were obtained post stress and at rest. These images were reconstructing\ninto short axis, vertical long axis and horizontal long axis planes.\nImage quality:\nFindings:\nThere is normal myocardial perfusion. No fixed or reversible perfusion abnormalities are identified.\nThe left ventricle is normal in size. All left ventricular segments thicken and contract normally. The left ventricular ejection\nfraction is >50% post stress and >50% at rest. There is no visual evidence of TID.\nImpression:\nNormal myocardial perfusion and left ventricular systolic function.\nMPI Interpreting Physician: Ramu Report Date: December 11, 2025\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s). If the reader of this\nmessage is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication or any\nof its contents is strictly prohibited. If you received this communication in error please return it to the sender and contact Advanced\nCardiology on 403-8797899 .\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025 Page 1 Of 1"}...
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{"status": "completed", "conte {"status": "completed", "content": "Advanced Cardiology Consultants & Diagnostic Inc\n#250 8500 Blackfoot Trail SE\nCalgary, AB, T2J7E1\nTel: 403-879-7911 | Fax 403-879-7899\nNUCLEAR MYOCARDIAL PERFUSION IMAGING EXERCISE STRESS STUDY\nDecember 02, 2025 Chart No: A43819\nRef. Dr.:Don Family Dr. : Anna(Libby) Morrison\nFax : 4032470014\nRE: Div Kash Supervising MD: Kabhi khushi kabhi gham\nPHN: 666777888 Technologist: Michelle Mitschke\nMaya EI-Bittar\nDOB: 12 December, 2025 Clinical History: Sultan\nECG Information Resting ECG: Khiladi\nExercise Stress Test Information\nInterpretation by: Kabhi khushi kabhi\ngham\nStress Interpretation ECG: - Horizontal ST changes in the Anterolateral\nLead\n- Horizontal ST changes in the Inferior Lead\n- Horizontal ST changes in the Lateral Lead\n- LBBB\n- Horizontal ST changes in the Lateral Lead\n- Negative\nProtocol: Dipyridamole\nBruce\nSymptoms During\nTest:\nKhiladi\n2 METS achieved: test\nPeak HR: jhsdjhd Peak HR % Achieved: Exercise Duration:\nReason of Termination: jhwjh\nStage Heart Rate (bpm) Blood Pressure\nRest hkg 33/33\n1 Singh is King 135/80\n2 njnj 77/88\n3 kj 77/88\n4 jhih 77/88\n5 Dhoni 77/88\nRecovery ihihi\nMPI Technique:\nlkjj Mbq of 99m Tc-Tetrofosmin was administered intravenously at rest and\niji Mbq of 99m Tc-Tetrofosmin was administered intravenously at peak stress following Exercise Myocardial Perfusion.\nMultiple gated tomographic emission images were obtained post stress and at rest. These images were reconstructing\ninto short axis, vertical long axis and horizontal long axis planes.\nImage quality: Great\nFindings:\n- The left ventricle is normal in size. All left ventricular segments thicken and contract normally.\n- The left ventricle is normal in size. All let ventricular segments thicken and contract normally. The left ventricular\nejection fraction is _% post stress and _ % at rest.\n- The left ventricular ejection fraction is >60% post stress and >60% at rest.\n- The left ventricular ejection fraction is __________% post stress and __________% at rest\nImpression:\nNormal myocardial perfusion and left ventricular systolic function.\n- High probability of inducible ischemia.\n- Impression\n- Intermediate cardiac risk.\n- Intermediate probability of inducible ischemia\n- Intermediate probability of inducible ischemia\n- Low cardiac risk\nMPI Interpreting Physician: Dr.Div Report Date: December 02, 2025\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s). If the reader of this message is not\nthe intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication or any of its contents is strictly\nprohibited. If you received this communication in error please return it to the sender and contact Advanced Cardiology on 403-8797899 ."}...
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{"status": "completed", "conte {"status": "completed", "content": "Advanced Cardiology Consultants & Diagnostic Inc\n#250 8500 Blackfoot Trail SE\nCalgary, AB, T2J7E1\nTel: 403-879-7911 | Fax 403-879-7899\nNUCLEAR MYOCARDIAL PERFUSION IMAGING EXERCISE STRESS STUDY\nNovember 17, 2025 Chart No: A43819\nRef. Dr.:Dr Anmol Kapoor Family Dr. :\nRE: Div Kash Supervising MD:\nPHN: 666777888 Technologist: Maya EI-Bittar\nDOB: 12 December, 2025 Clinical History:\nECG Information Resting ECG:\nExercise Stress Test Information\nInterpretation by: Stress Interpretation ECG:\nProtocol: Symptoms During Test: METS achieved:\nPeak HR: Peak HR % Achieved: Exercise Duration:\nReason of Termination:\nStage Heart Rate (bpm) Blood Pressure\nRest\n1\n2\n3\n4\n5\nRecovery\nMPI Technique:\nMbq of 99m Tc-Tetrofosmin was administered intravenously at rest and\nMbq of 99m Tc-Tetrofosmin was administered intravenously at peak stress following Exercise Myocardial Perfusion.\nMultiple gated tomographic emission images were obtained post stress and at rest. These images were reconstructing\ninto short axis, vertical long axis and horizontal long axis planes.\nImage quality:\nFindings:\nThere is normal myocardial perfusion. No fixed or reversible perfusion abnormalities are identified.\nThe left ventricle is normal in size. All left ventricular segments thicken and contract normally. The left ventricular ejection\nfraction is >50% post stress and >50% at rest. There is no visual evidence of TID.\nImpression:\nNormal myocardial perfusion and left ventricular systolic function.\nMPI Interpreting Physician: Dr.Div12k Report Date: November 17, 2025\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s). If the reader of this message is not\nthe intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication or any of its contents is strictly\nprohibited. If you received this communication in error please return it to the sender and contact Advanced Cardiology on 403-8797899 ."}...
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{"status": "completed", "conte {"status": "completed", "content": "Advanced Cardiology Consultants & Diagnostic Inc\n#250 8500 Blackfoot Trail SE\nCalgary, AB, T2J7E1\nTel: 403-879-7911 | Fax 403-879-7899\nNUCLEAR MYOCARDIAL PERFUSION IMAGING STRESS STUDY\n2/6/2026 Chart No: A4381909\nRef. Dr.: Family Dr.:\nRE: Div Kash Supervising\nMD:\nPHN: 578788878 Technologist:Jada Hall\nDOB: 12/11/1998 Clinical History:Chest Pain\nECG Information Resting ECG:\nundefined Stress Test Information\nInterpretation by: undefined Stress Interpretation ECG:\nProtocol: Dipyridamole ECG Gating: No Dipyridamole Dose: undefined\nReason of Termination:\nMedication During Test: Aminophylline undefined mg,\nStage Heart Rate (bpm) Blood Pressure\nPre-Pharmacological Stress\n2 Min\n4 Min\n6 Min\n8 Min\nRecovery\nMPI Technique:\nundefined Mbq Tc-Tetrofosmin administered at rest.\nundefined Mbq Tc-Tetrofosmin administered post-pharmacological stress.\n(0.56 mg/kg infusion over 4 minutes, injection at 7 minutes)\nImage quality: undefined\nFindings:\nanteroseptal\napical\nbasal\nbasal to mid\nImpression:\nHigh probability of inducible ischemia\nHigh cardiac risk.\n1. Abnormal study.\n2. Myocardial Perfusion Imaging: Normal myocardial perfusion. LV ischemia %. LV scar %.\n3. LV function: Normal LV size, LVEF and wall motion/thickening.\nMPI Interpreting Physician: undefined Report Date: 2/6/2026\nPaPrinted by Super Admin, Feb 06, 2026 at 12:23:52 p.m."}...
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{"status": "completed", "conte {"status": "completed", "content": "Div Kash (A4381909) DOB: 12/11/1998 Age: 27\nDate: Jan 22, 2026 Chart Note:\nAddress and phone given to the patient\nBooked appointment for Pt.\nConfirmed appointment date & time with Pt. COVID-19 questionnaire done over phone.\nPrinted by Super Admin, 2026 at Jan 22, 2026 05:34:31 PM Page: 1"}...
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{"status": "completed", "conte {"status": "completed", "content": "Div Kash (A4381909) DOB: 12/11/1998 Age: 27\nDate: Jan 21, 2026 Chart Note:\nAddress and phone given to the patient\nBooked appointment for Pt.\nPrinted by Super Admin, 2026 at Jan 21, 2026 11:02:39 AM Page: 1"}...
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{"status": "completed", "conte {"status": "completed", "content": "Div Kash (A4381909) DOB: 12/11/1998 Age: 27\nDate: Jan 21, 2026 Chart Note:\nConfirmed appointment date & time with Pt. All instructions given...\nBooked appointment for Pt.\nPrinted by Super Admin, 2026 at Jan 21, 2026 10:59:28 AM Page: 1"}...
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{"status": "completed", "conte {"status": "completed", "content": "Div Kash (A4381909) DOB: 12/11/1998 Age: 27\nDate: Jan 21, 2026 Chart Note:\nConfirmed appointment date & time with Pt. All instructions given...\nPrinted by Super Admin, 2026 at Jan 21, 2026 10:59:10 AM Page: 1"}...
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{"status": "completed", "conte {"status": "completed", "content": "Div Kash (A4381909) DOB: 12/11/1998 Age: 27\nDate: Jan 21, 2026 Chart Note:\nAddress and phone given to the patient\nPrinted by Super Admin, 2026 at Jan 21, 2026 10:37:05 AM Page: 1"}...
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chart-1768987211660-doctor.pdf
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{"status": "completed", "conte {"status": "completed", "content": "Div Kash (A4381909) DOB: Dec 11, 1998 Age: 27\nDate: Jan 21, 2026 Chart Note:\nBP\nHeart Rate (bpm)\nHeight (cm) 167\nWeight (kg) 120\nBMI (kg/m^2) 76.4\nComplaint 4343\nPast Medical History: MOA 43434\nCardiac Risk Factor: MOA 4343\nPhysical Examination 364yht\nSurgical History hgfhgfh\nECG hgfhg\nAllergies to Medication hgf\nPlan: hgfutyhnhf\nFollow-up: ngnhfnh\nPrinted by Super Admin, 2026-01-21, 9:20:11 a.m. \u2014 Page: 1"}...
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chart-1768985481496-plain.pdf
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{"status": "completed", "conte {"status": "completed", "content": "Div Kash (A4381909) DOB: 12/11/1998 Age: 27\nDate: Jan 21, 2026 Chart Note:\nBooked appointment for Pt.\nPrinted by Super Admin, 2026 at Jan 21, 2026 08:51:21 AM Page: 1"}...
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chart-1768983024109-mpi.pdf
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{"status": "completed", "conte {"status": "completed", "content": "Advanced Cardiology Consultants & Diagnostic Inc\n#250 8500 Blackfoot Trail SE\nCalgary, AB, T2J7E1\nTel: 403-879-7911 | Fax 403-879-7899\nNUCLEAR MYOCARDIAL PERFUSION IMAGING STRESS STUDY\n1/21/2026 Chart No: A4381909\nRef. Dr.: Family Dr.:\nRE: Div Kash Supervising\nMD:\nPHN: 578788878 Technologist:\nDOB: 12/11/1998 Clinical History:Chest pain\nECG Information Resting ECG:\nundefined Stress Test Information\nInterpretation by: undefined Stress Interpretation ECG:\nProtocol: ECG Gating: No Dipyridamole Dose: undefined\nReason of Termination:\nMedication During Test: Aminophylline undefined mg,\nStage Heart Rate (bpm) Blood Pressure\nPre-Pharmacological Stress\n2 Min\n4 Min\n6 Min\n8 Min\nRecovery\nMPI Technique:\nundefined Mbq Tc-Tetrofosmin administered at rest.\nundefined Mbq Tc-Tetrofosmin administered post-pharmacological stress.\n(0.56 mg/kg infusion over 4 minutes, injection at 7 minutes)\nImage quality: undefined\nFindings:\nNormal myocardial perfusion. No fixed or reversible perfusion abnormalities.\nImpression:\nNormal systolic function.\nMPI Interpreting Physician: undefined Report Date: 1/21/2026\nPaPrinted by Super Admin, Jan 21, 2026 at 08:10:24 a.m."}...
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chart-1768978821802-plain.pdf
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{"status": "completed", "conte {"status": "completed", "content": "Div Kash (A4381909) DOB: 12/11/1998 Age: 27\nDate: Jan 21, 2026 Chart Note:\nAddress and phone given to the patient\nConfirmed appointment date & time with Pt. All instructions given...\nPrinted by Super Admin, 2026 at Jan 21, 2026 07:00:21 AM Page: 1"}...
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chart-1758743913731.pdf
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{"name": "chart-1758743913731.pdf" {"name": "chart-1758743913731.pdf", "content_type": "application/octet-stream", "size": 51642, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-9aa59e17-ed3c-43a5-9ead-df9a4db1ec2c"}...
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{"status": "completed", "conte {"status": "completed", "content": "Logo\nAdvanced Cardiology Consultants & Diagnostic Inc\n#250 8500 Blackfoot Trail SE\nCalgary, AB, T2J7E1\nTel: 403-879-7911 | Fax 403-879-7899\nNUCLEAR MYOCARDIAL PERFUSION IMAGING STRESS STUDY\n9/24/2025 Chart No: A43819\nRef. Dr.: Family Dr.:\nRE: Div Kash Supervising MD:\nFindings\nNormal myocardial perfusion. No fixed or reversible perfusion abnormalities.\nImpression\nNormal systolic function.\nInformation contained in this communication may be confidential..."}...
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WGS_Report_template-1.pdf
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{"status": "completed", "conte {"status": "completed", "content": "XXXX 27 Aug, 1979 Page 1 of 16 XXXX 27 Aug, 1979 Page 2 of 16 \n \nPatient Information: \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \nCopyright Protection \nThis report, inclusive of its design and content, is copyright-protected and remains the sole property of BioAro Inc. globally. Unauthorized \nreproduction, distribution, copying of design elements, or dissemination of any content from this report, in whole or in part, is strictly \nprohibited. Any individual or entity found infringing upon this copyright without obtaining prior written consent from BioAro Inc. may be \nsubjected to severe legal penalties, including but not limited to financial damages, injunctiv e relief, and other remedies available under \napplicable laws. We urge all parties to respect our intellectual property rights and adhere to the terms set forth herein. \n \nName XXXX Sample Type BLOOD \nGender Female Collection Date 3 March, 2024 \nDate of Birth 27 Aug, 1979 Report Date 23 March, 2024 \nID P3626 Patient's Address 159, Birch Road XXXX 27 Aug, 1979 Page 3 of 16 \n \n \n \nVariations in multiple genes have been identified in this individual. The report has examined variants that have been flagged \nas 'Pathogenic or Likely Pathogenic', as well as some of the VUS variants. Many of these variants have been implicated, by \nmultiple peer -reviewed clinical studies and Genomic databases in different hereditary and acquired diseases. A clinical \ncorrelation of these variants with any symptoms or family history of the patient, by a physician is advised. \n \nAMPD1, TSFM, MAGI3, PSRC1, MYO15A, LPR2, COL3A1, CACNA1D, FLG, MASP1, DST, COL9A1, TBXAS1, \nCPT1A, INPPL1, KRT3, KRT4, KRT8, HPD, TNFSF11, NKX2-1, COQ9, GAMT, IFIH1, ITGB2, FOXQ1, ABCG8, \nPCSK9, MSX2. \n \n \n \nWGS has identified multiple variants in the individual. As per ACMG guidelines, \"Pathogenic' and \"Likely Pathogenic\" variants \nare treated as Pathogenic. These variants are likely to alter the normal functioning of a gene, cause disease, and affect the \nhealth of an individual. However, an analysis of some variants of unknown significance (VUS), is also included for this patient. \nSummary of genes associated with specific disease. \nSummary of genetic variants associated with cancer-associated genes. \n \n \n \n \n \n \n \nSummary \nOverall Summary of the Genomic test XXXX 27 Aug, 1979 Page 4 of 16 \n \n \nSummary of genetic variants associated with cardiovascular diseases. XXXX 27 Aug, 1979 Page 5 of 16 \n \nSummary of genetic variants associated with longevity. \n \n \nBelow is a summary of the variant genes identified in this individual. This section has been segregated into two categories: \nNote: The presence of these variants does not imply the individual shall necessarily manifest the disease or its symptoms XXXX 27 Aug, 1979 Page 6 of 16 \n \nSummary of Pathogenic/Likely Pathogenic Genetic Variants from the Screen XXXX 27 Aug, 1979 Page 7 of 16 \n \n \nSummary of VUS / Uncertain significance mutations found in the client include: \nThese variant genes include those for which firm clinical evidence may not yet be available (VUS or conflicting). These \nvariations need correlation with clinical symptoms or family history to determine risk assessment. Further investigations and \nmonitoring may be prescribed by the physician or geneticist. XXXX 27 Aug, 1979 Page 8 of 16 XXXX 27 Aug, 1979 Page 9 of 16 XXXX 27 Aug, 1979 Page 10 of 16 XXXX 27 Aug, 1979 Page 11 of 16 XXXX 27 Aug, 1979 Page 12 of 16 XXXX 27 Aug, 1979 Page 13 of 16 XXXX 27 Aug, 1979 Page 14 of 16 \n \n \n \n \n \n \nAs per the criteria laid out by the American College of Medical Genetics and Genomics (ACMG), this report has separated \ngenes with alterations, into those which are either \"pathogenic\" or \"likely pathogenic\". \nPathogenic alterations in a gene imply that the specific alteration is 100% associated with the disease observed in the \npopulation. While likely pathogenic implies that there is a 90% certainty of the variant gene being responsible for the disease \nin the population. \nThese genetic alterations can compromise the functioning of the listed genes and affect the health of the individual. \nThe presence of these variants does not imply the individual shall necessarily manifest the disease or its symptoms. A clinical \ncorrelation of these variants with any symptoms or family history of the patient is required to be performed by a physician or \ngeneticist (and interpretation made by a genetic counselor for the patient). \nMultiple variant genes have been found, which are pathogenic/likely pathogenic or VUS. Many of these are heterozygous \nrecessive (unlikely to produce a disease). However, a clinical correlation with any symptoms or family history is strongly \nadvised to support further investigations or risk assessment. \nA few key variants are summarized below: \n \nAMPD1, TSFM, MAGI3, PSRC1, MYO15A, LPR2, COL3A1, CACNA1D, FLG, MASP1, DST, COL9A1, TBXAS1, \nCPT1A, INPPL1, KRT3, KRT4, KRT8, HPD, TNFSF11, NKX2-1, COQ9, GAMT, IFIH1, ITGB2, FOXQ1, ABCG8, \nPCSK9, MSX2. \n \n \n \n \nWhat this result means to you? XXXX 27 Aug, 1979 Page 15 of 16 \n \n \n \nVariations in multiple genes have been identified in this individual. The report has examined variants that have been flagged \nas 'Pathogenic or Likely Pathogenic', as well as some of the VUS variants. Many of these variants have been implicated, by \nmultiple peer-reviewed clinical studies and Genomic databases, in different diseases. \nIn the case of an autosomal dominant variant, a single copy of the variant gene is sufficient to produce the symptoms/disease \nin the individual (or modify the response to drugs). Additionally, where both copies of a variant gene are affected \n(homozygous), the offspring/children have a 50% chance of getting the disease (and a 100% probability of getting the disease \nif a similar variant gene is inherited from the other parent). \nThe gene alterations identified in this client can lead to the development of associated diseases, however, not all individuals \ndevelop actual symptoms. Several studies have shown that positive modifications to diet, gut microbiome, and other \nenvironmental factors (e.g. smoking) can ameliorate the effect of genetic variations. \nThe individual is strongly advised to have a genetic analysis completed for all their siblings/children/grandchildren to help \nidentify variant genes that may have been transmitted to the children (or grandchildren). This would allow appropriate \ncounseling and management of children to help prevent (or reduce the severity) of any inflammatory disease in them (or \ntheir children). The individual is advised to discuss a TRIO analysis. \n \n \n \n \nWhole genome sequencing (WGS) was carried out on a blood sample obtained from the patient. WGS examines the entire \nset of known genes present in humans (over 22,000 genes) and compares it with a reference human genome (GRCh37). The \ntest and subsequent analysis of the data, helps identify which genes show alterations or variations, as compared to the \nreference genome. \nFurther analysis (tertiary analysis and clinical correlation) of the data, help to distinguish, which of these gene variants may \nbe responsible for: \n1. Any diseases (or clinical symptoms) the patient has today. \n2. Can be harmful (pathogenic) to the patient, and put her/him at high risk of getting a disease in the future. \n3. Which genetic variants and/or associated disease/s could have been inherited from parents? \n4. If there is a Proband in the family, how does the individual correlate to the proband clinically and genetically? \n5. Adverse effects/correlation with any medication the patient is taking today (Pharmacogenomic Analysis/on \ndemand). \nBioAro uses the DNBSEQ G400 for WGS. All collected data is analyzed in -house and stored locally, without \ncompromising the security or privacy of the data. \nAs per ACMG guidelines (American College of Medical Genetics and Genomics): \nRecommendation / Next step \nSummary of Genomic test performed XXXX 27 Aug, 1979 Page 16 of 16 \n \n1. Alterations in genes are often referred to as 'variations'; altered genes are often called 'variant genes' or simply \n'variants'. \n2. Pathogenic and likely pathogenic variants, carry >90% certainty of being responsible for a disease and hence are \naccorded the same level of association. \n3. Variants of unknown significance (VUS) are variations/changes in a person's DNA sequence, which \nhave a yet unknown effect on an individual's health or correlation to the disease/symptoms. \n4. Autosomal dominant* implies that the variant gene is located on a numbered non-sex chromosome and a single copy \nof the gene is enough to cause a disease in the individual. A child of a person having an autosomal dominant variant \nhas a 50% chance of being affected by the same disorder. However, in some cases, it is not possible to determine if the \nvariant gene is dominant or recessive. In such instances, further testing is advised to determine the risk to an offspring. \n5. BioAro offers a Genetic monitoring program (GMP) that monitors published, peer-reviewed scientific literature and \nclinical studies for new information that may correlate VUS with known diseases or symptoms. \n \n \n \n \nGenetic testing using the methods applied by BioAro is expected to be accurate but reflex to analysis testing may be sought \nfor confirmation. No diagnostic claims are being made or implied. An absence of definitive pathogenic findings does not rule \nout the diagnosis of a genetic disorder because there are abnormalities that cannot be detected by this test, and pathogenic \nclassifications are subject to change. It is also possible that a disease -causing variant is located in a region not covered by \nthe analys is. The chance of a false positive or false negative due to laboratory error cannot be completely excluded. \nConsultation with a genetics professional is recommended for interpretation of results. This test was performed and \ndeveloped according to the characteristics of BioAro Inc. following the recommended standards and QC measures by the test \nmanufacturers and industry. \n \n \nAll gene references are hyperlinked for convenience. \nInformation has been confirmed from Clinvar, ACMG guidelines and https://www.genecards.org/ \n \n \n \nLiterature references \nDisclaimer"}...
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