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My Health VetePersonal Information Report *************CONFIDENTIAL************* Produced by the VA Blue Button (v12) 15 Dec 2011 @ 1625 This summary

is a copy of information from your My HealtheVet Personal Health Re cord. Your summary contains information that you entered and may also include a copy of som e of the information in your VA medical record as it becomes available in My HealtheVet. Please let your health care team know if you have questions about your health information. For some Vet erans, information from the Department of Defense (DoD) is available. You will see this in VA Blue Button as DoD Military .Service InformationName: MACKEY, JOHN J Date of Birth: 19 Jan 1929 MACKEY, JOHN J CONFIDENTIAL Page 1 of 23 MACKEY, JOHN J CONFIDENTIAL Page 1 of 2 3

MACKEY, JOHN J CONFIDENTIAL Page 2 of 23 Download Request Summary System Request Date/Time: 15 Dec 2011 @ 1625 User Request Type: Download all of my available data from My HealtheVet File Name: mhv_MACKEY_20111215.pdf Data Types Selected: My HealtheVet Account Summary Demographics Health Care Providers Treatment Facilities Health Insurance VA Wellness Reminders VA Appointments (Future) VA Appointments (Limited to past 2 years) VA Medication History Medications and Supplements VA Allergies Allergies/Adverse Reactions Medical Events Immunizations VA Laboratory Results Labs and Tests Vitals and Readings Family Health History Military Health History DoD Military Service Information

Source: VA Authentication Status: Authenticated Authentication Date: 11 Dec 2009 Authentication Facility Name: VA BOSTON HEALTHCARE SYSTEM - BOSTON DIVISION Authentication Facility ID: 523 My HealtheVet Account Summary VA Treating Facility Type AUSTIN HEALTH DATA REPOSITORY (HDR) OTHER VA BOSTON HEALTHCARE SYSTEM - BOSTON DIVISION VAMC DEPARTMENT OF DEFENCE DEERS OTHER AUSTIN MHV OTHER AUSTIN PSIM OTHER MACKEY, JOHN J CONFIDENTIAL Page 3 of 23 MACKEY, JOHN J CONFIDENTIAL Page 3 of 2 3

Source: Self-Entered First Name: JOHN Middle Initial: J Last Name: MACKEY Suffix: Alias: Relationship to VA: Patient, Veteran Current Occupation retired Home Phone Number: 781-925-9024 Work Phone Number: Pager Number: Cell Phone Number: FAX Number: Demographics Date of Birth: 19 Jan 1929 Gender: Male Blood Type: Organ Donor: Yes Marital Status: Married Mailing or Destination Address: 821 Avalon Dr Hull, MA United States 02045 Email Address: jandamackey@Comcast.net Preferred Method of Contact: Email MACKEY, JOHN J CONFIDENTIAL Page 4 of 23 MACKEY, JOHN J CONFIDENTIAL Page 4 of 2 3

VA Wellness Reminders Source: VA Last Updated: 15 Dec 2011 @ 1617 Sorted By: Name (Ascending) Learn more about these Wellness Reminders by visiting My HealtheVet. Please cont act your health care team with any questions about your VA Wellness Reminders. Wellness Reminder Due Date Last Completed Location Hypertension (High Blood Pressure) DUE NOW UNKNOWN VA BOSTON HEALTHCARE SYSTEM BOSTON DIVISION Influenza Vaccine 01 Nov 2011 01 Nov 2010 VA BOSTON HEALTHCARE SYSTEM BOSTON DIVISION Pneumonia Vaccine 01 Nov 2001 VA BOSTON HEALTHCARE SYSTEM BOSTON DIVISION MACKEY, JOHN J CONFIDENTIAL Page 5 of 23 MACKEY, JOHN J CONFIDENTIAL Page 5 of 2 3

Source: VA Last Updated: 15 Dec 2011 @ 1617 Sorted By: Date (Descending) VA Past Appointments are limited to two years from the date of your download req uest. VA Appointments Future Appointments Date/Time: 23 Dec 2011 @ 0945 Location: VAMC BOSTON Status: FUTURE Clinic: BO DERM 2400 Phone Number: 857-364-4757 Past Appointments Date/Time: 09 Dec 2011 @ 1000 Location: VAMC BOSTON Status: APPOINTMENT KEPT Clinic: BO DERM 2400 Phone Number: 857-364-4757 Date/Time: 30 Aug 2011 @ 0800 Location: QUINCY CBOC Status: CANCELLED Clinic: QU PCC NP BANFIELD 0014 Phone Number: (800)865-3384 Date/Time: 16 Aug 2011 @ 1030 Location: QUINCY CBOC Status: APPOINTMENT KEPT Clinic: QU PCC NP BANFIELD 0014 Phone Number: (800)865-3384 Date/Time: 27 Jul 2011 @ 1030 Location: QUINCY CBOC Status: CANCELLED Clinic: QU PCC NP BANFIELD 0014 Phone Number: (800)865-3384 Date/Time: 05 Jul 2011 @ 0800 Location: QUINCY CBOC Status: CANCELLED MACKEY, JOHN J CONFIDENTIAL Page 6 of 23 Source: VA Last Updated: 15 Dec 2011 @ 1617 Sorted By: Date (Descending) VA Past Appointments are limited to two years from the date of your download req uest. VA Appointments Future Appointments Date/Time: 23 Dec 2011 @ 0945 Location: VAMC BOSTON Status: FUTURE Clinic: BO DERM 2400 Phone Number: 857-364-4757 Past Appointments Date/Time: 09 Dec 2011 @ 1000 Location: VAMC BOSTON Status: APPOINTMENT KEPT Clinic: BO DERM 2400 Phone Number: 857-364-4757 Date/Time: 30 Aug 2011 @ 0800 Location: QUINCY CBOC Status: CANCELLED Clinic: QU PCC NP BANFIELD 0014

Phone Number: (800)865-3384 Date/Time: 16 Aug 2011 @ 1030 Location: QUINCY CBOC Status: APPOINTMENT KEPT Clinic: QU PCC NP BANFIELD 0014 Phone Number: (800)865-3384 Date/Time: 27 Jul 2011 @ 1030 Location: QUINCY CBOC Status: CANCELLED Clinic: QU PCC NP BANFIELD 0014 Phone Number: (800)865-3384 Date/Time: 05 Jul 2011 @ 0800 Location: QUINCY CBOC Status: CANCELLED MACKEY, JOHN J CONFIDENTIAL Page 6 of 23

Date/Time: 10 Jun 2011 @ 1000 Location: VAMC BOSTON Status: APPOINTMENT KEPT Clinic: BO DERM 2400 Phone Number: 857-364-4757 Clinic: QU PCC NP BANFIELD 0014 Phone Number: (800)865-3384 Date/Time: 28 Feb 2011 @ 0800 Location: QUINCY CBOC Status: APPOINTMENT KEPT Clinic: QU PCC NP BANFIELD 0014 Phone Number: (800)865-3384 Date/Time: 12 Jan 2011 @ 1100 Location: QUINCY CBOC Status: CANCELLED Clinic: QU PCC NP BANFIELD 0014 Phone Number: (800)865-3384 Date/Time: 10 Jan 2011 @ 1000 Location: QUINCY CBOC Status: CANCELLED Clinic: QU PCC NP BANFIELD 0014 Phone Number: (800)865-3384 Date/Time: 10 Dec 2010 @ 1000 Location: VAMC BOSTON Status: APPOINTMENT KEPT Clinic: BO DERM 2400 Phone Number: 857-364-4757 Date/Time: 11 Jun 2010 @ 1000 Location: VAMC BOSTON Status: APPOINTMENT KEPT Clinic: BO DERM 2400 Phone Number: 857-364-4757 Date/Time: 06 Apr 2010 @ 1000 Location: QUINCY CBOC Status: APPOINTMENT KEPT Clinic: QU PCC NP BANFIELD 0014 Phone Number: (800)865-3384 MACKEY, JOHN J CONFIDENTIAL Page 7 of 23 MACKEY, JOHN J CONFIDENTIAL Page 7 of 2 3

MACKEY, JOHN J CONFIDENTIAL Page 8 of 23 Date/Time: 05 Apr 2010 @ 1000 Location: QUINCY CBOC Status: CANCELLED Clinic: QU PCC NP BANFIELD 0014 Phone Number: (800)865-3384

MACKEY, JOHN J CONFIDENTIAL Page 9 of 23 VA Medication History Source: VA Last Updated: 30 May 2011 @ 1523 Sorted By: Last Filled On (Descending) VA Medication History includes up to two years of medication history unless you select a different date range in your download request. Medication: ABSORBASE TOP OINT Instructions: APPLY MODERATE AMOUNT TO SKIN EVERY DAY FOR DRY OR IRRITATED SKIN Status: Active Refills Remaining: 5 Last Filled On: 10 Dec 2010 Initially Ordered On: 10 Dec 2010 Quantity Days Supply Pharmacy Prescription Number 454 30 BOSTON 3272860 Medication: DILTIAZEM (INWOOD) 360MG SA CAP Instructions: TAKE ONE CAPSULE BY MOUTH EVERY DAY FOR HEART RATE/ BLOOD PRESSURE Status: Expired Refills Remaining: 0 Last Filled On: 14 May 2011 Initially Ordered On: 28 Feb 2011 Quantity Days Supply Pharmacy Prescription Number 90 90 QUINCY CBOC 5018155A Medication: ALBUTEROL 90MCG (CFC-F) 200D ORAL INHL Instructions: INHALE 2 PUFFS BY MOUTH THREE TIMES A DAY FOR BREATHING Status: Submitted Refills Remaining: 3 Last Filled On: 02 Mar 2011 Initially Ordered On: 28 Feb 2011 Quantity Days Supply Pharmacy Prescription Number 3 90 QUINCY CBOC 5018202 Medication: DILTIAZEM (INWOOD) 360MG SA CAP Instructions: TAKE ONE CAPSULE BY MOUTH EVERY DAY FOR HEART RATE/ BLOOD PRESSURE Status: Discontinued Refills Remaining: 0 Last Filled On: 23 Feb 2011

Medication: TRIAMCINOLONE ACETONIDE 0.1% CREAM Instructions: APPLY SMALL AMOUNT TO SKIN TWICE A DAY AS NEEDED FOR ITCHING/RASH TO CHEST RASH -- ONLY USE WHEN RASH IS BOTHERSOME Status: Submitted Refills Remaining: 5 Last Filled On: 10 Dec 2010 Initially Ordered On: 10 Dec 2010 Quantity Days Supply Pharmacy Prescription Number 80 30 BOSTON 3272861 Initially Ordered On: 23 Feb 2011 Quantity Days Supply Pharmacy Prescription Number 90 90 QUINCY CBOC 5018155 Medication: TRIAMCINOLONE ACETONIDE 0.1% CREAM Instructions: APPLY SMALL AMOUNT TO SKIN TWICE A DAY AS NEEDED FOR ITCHING/RASH TO CHEST RASH -- ONLY USE WHEN RASH IS BOTHERSOME Status: Discontinued Edit Refills Remaining: 2 Last Filled On: 13 Oct 2010 Initially Ordered On: 15 Jan 2010 Quantity Days Supply Pharmacy Prescription Number 80 30 BOSTON 3179346 Medication: FUROSEMIDE 40MG TAB Instructions: TAKE ONE TABLET BY MOUTH THREE TIMES A DAY TO REMOVE FLUID/CONTROL BLOOD PRESSURE Status: Discontinued Refills Remaining: 0 Last Filled On: 13 Oct 2010 Initially Ordered On: 13 Oct 2010 Quantity Days Supply Pharmacy Prescription Number 270 90 WEST ROXBURY 5013405A Medication: OMEPRAZOLE 20MG EC CAP Instructions: TAKE ONE CAPSULE BY MOUTH TWICE A DAY 30 MINUTES BEFORE FOOD ( FOR STOMACH ACID) Status: Expired Refills Remaining: 3 Last Filled On: 06 Apr 2010 Initially Ordered On: 06 Apr 2010 Quantity Days Supply Pharmacy Prescription Number 180 90 QUINCY CBOC 5015414 MACKEY, JOHN J CONFIDENTIAL Page 10 of 23 MACKEY, JOHN J CONFIDENTIAL Page 10 of 23

MACKEY, JOHN J CONFIDENTIAL Page 11 of 23 VA Laboratory Results Source: VA Last Updated: 15 Dec 2011 @ 1617 Sorted By: Date Specimen Collected (Descending) VA Laboratory Results includes up to two years of history unless you select a di fferent date range in your download request. Test results slightly outside the reference range are not unus ual. Your provider has reviewed your test results and will contact you for any important issues. If you have further questions, please do not hesitate to contact your primary care provider. Lab Test: Vitamin D 25 Hydroxy Lab Type: Chemistry/Hematology Ordering Provider: BANFIELD, MARYANNE Specimen: Serum (substance) Ordering Location: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Date/Time Collected: 23 Feb 2011 @ 0930 Test Name CALCIDIOL CALCIDIOL Interpretation: CALCIFEROL Result Units Reference Range Status 36 ng/mL Final 36 ng/mL (30-100) Final < 30 ng/mL indicates Vitamin D insufficiency. Levels below 20 ng/mL indicates Vit D deficiency. <4 ng/mL Final Performing Location QUEST CHANTILLY QUEST CHANTILLY QUEST CHANTILLY Comments: VITAMIN D, 25-OH, D2 25-OHD3 indicates both endogenous production and supplementation. 25-OHD2 is an indicator of exogenous sources such as diet or supplementation. Therapy is based on measurement of Total 25-OHD, with levels <20 ng/mL indicative of Vitamin D deficiency while levels between 20 ng/mL and 30 ng/mL suggest insufficiency. Optimal levels are > or = 30ng/mL. Test Performed by Quest, Chantilly,

Quest Diagnostics Nichols Institute, 14225 Newbrook Drive, Chantilly, VA 20153 Kenneth Sisco, M.D., Ph.D., Director of Laboratories (703) 802-6900, CLIA 49D0221801 Performing Location Name/Address:

MACKEY, JOHN J CONFIDENTIAL Page 12 of 23 QUEST CHANTILLY 14225 NEWBROOK DR , CHANTILLY, VA 20153 Lab Test: Albumin Lab Type: Chemistry/Hematology Ordering Provider: BANFIELD, MARYANNE Specimen: Serum (substance) Ordering Location: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Date/Time Collected: 23 Feb 2011 @ 0930 Test Name Result Units Reference Range Status Performing Location ALBUMIN 3.9 g/dL (3.2-5.0) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Comments: For eGFR: Race unknown, if African American multiply result by 1.210 Performing Location Name/Address: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION 1400 VFW PARKWAY , WEST ROXB URY, MA 02132 Lab Test: Bilirubin Total Lab Type: Chemistry/Hematology Ordering Provider: BANFIELD, MARYANNE Specimen: Serum (substance) Ordering Location: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Date/Time Collected: 23 Feb 2011 @ 0930 Test Name Result Units Reference Range Status Performing Location BILIRUBIN 0.8 mg/dL (0.2-1.2) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Comments: For eGFR: Race unknown, if African American multiply result by 1.210 Performing Location Name/Address: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION 1400 VFW PARKWAY , WEST ROXB URY, MA 02132 Lab Test:

Calcium

MACKEY, JOHN J CONFIDENTIAL Page 13 of 23 Lab Type: Chemistry/Hematology Ordering Provider: BANFIELD, MARYANNE Specimen: Serum (substance) Ordering Location: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Date/Time Collected: 23 Feb 2011 @ 0930 Test Name Result Units Reference Range Status Performing Location CALCIUM 8.9 mg/dL (8.5-10.5) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Comments: For eGFR: Race unknown, if African American multiply result by 1.210 Performing Location Name/Address: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION 1400 VFW PARKWAY , WEST ROXB URY, MA 02132 Lab Test: Creatinine eGFR Lab Type: Chemistry/Hematology Ordering Provider: BANFIELD, MARYANNE Specimen: Serum (substance) Ordering Location: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Date/Time Collected: 23 Feb 2011 @ 0930 Test Name Result Units Reference Range Status Performing Location CREATININE 1.0 mg/dL (0.5-1.5) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION GLOMERULAR FILTRATION RATE.PREDICTED 72 mL/min (>60) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Interpretation: eGFR= estimated Glomerular Filtration Rate eGFR < 60 ml/min indicates the presence of chronic kidney disease.

Lower doses of some drugs may be needed in patients with eGFR < 60. eGFR<60: associated with increased risk of cardiovascular disease. Patients with eGFR <30 should be referred for renal consultation.

MACKEY, JOHN J CONFIDENTIAL Page 14 of 23 Comments: For eGFR: Race unknown, if African American multiply result by 1.210 Performing Location Name/Address: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION 1400 VFW PARKWAY , WEST ROXB URY, MA 02132 Lab Test: Electrolytes Lab Type: Chemistry/Hematology Ordering Provider: BANFIELD, MARYANNE Specimen: Serum (substance) Ordering Location: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Date/Time Collected: 23 Feb 2011 @ 0930 Test Name Result Units Reference Range Status Performing Location CARBON DIOXIDE 28 mmol/L (20-30) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION CHLORIDE 100 mmol/L (100-110) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION POTASSIUM 3.8 mmole/L (3.5-5.0) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION SODIUM 141 mmole/L (135-145) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Comments: For eGFR: Race unknown, if African American multiply result by 1.210 Performing Location Name/Address: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION 1400 VFW PARKWAY , WEST ROXB URY, MA 02132 Lab Test: Lab Type: Provider: Specimen: Location: Glucose Quant Chemistry/Hematology Ordering BANFIELD, MARYANNE Serum (substance) Ordering VA BOSTON HEALTHCARE

MACKEY, JOHN J CONFIDENTIAL Page 15 of 23 SYSTEM - WEST ROXBURY DIVISION Date/Time Collected: 23 Feb 2011 @ 0930 Test Name Result Units Reference Range Status Performing Location GLUCOSE 130 High mg/dL (65-100) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Interpretation: RR based on Fasting Glucose and the American Diabetic Assoc. Comments: For eGFR: Race unknown, if African American multiply result by 1.210 Performing Location Name/Address: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION 1400 VFW PARKWAY , WEST ROXB URY, MA 02132 Lab Test: Lipid Panel Lab Type: Chemistry/Hematology Ordering Provider: BANFIELD, MARYANNE Specimen: Serum (substance) Ordering Location: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Date/Time Collected: 23 Feb 2011 @ 0930 Test Name Result Units Reference Range Status Performing Location CHOLESTEROL 162 mg/dL (0-199) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Interpretation: <200 is desirable; 200-239 is borderline/high; >240 is high CHOLESTEROL.IN HDL 72 High mg/dl (40-60) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION CHOLESTEROL.IN LDL 76 mg/dL (0-129) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Interpretation: The ATP III LDL-C goals and cutpoints for TLC(Therapeutic Lifest

yle Changes) and drug therapy in different risk categories published in

MACKEY, JOHN J CONFIDENTIAL Page 16 of 23 2004 is as follows. Eval added 4/16/08. Risk Category LDL-C Goal Initiate TLC Consider Drug Therapy High <100 mg/dL >=100 mg/dL >=100 mg/dL Moderately High <130 mg/dL >=130 mg/dL >=130 mg/dL Lower <160 mg/dL >=160 mg/dL >=190 mg/dL TRIGLYCERIDE 70 mg/dL (0-149) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Comments: For eGFR: Race unknown, if African American multiply result by 1.210 Performing Location Name/Address: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION 1400 VFW PARKWAY , WEST ROXB URY, MA 02132 Lab Test: Phosphatase Alkaline Lab Type: Chemistry/Hematology Ordering Provider: BANFIELD, MARYANNE Specimen: Serum (substance) Ordering Location: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Date/Time Collected: 23 Feb 2011 @ 0930 Test Name Result Units Reference Range Status Performing Location ALKALINE PHOSPHATASE 137 Units/L (40-150) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Comments: For eGFR: Race unknown, if African American multiply result by 1.210 Performing Location Name/Address: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION 1400 VFW PARKWAY , WEST ROXB URY, MA 02132 Lab Test: Protein Total Lab Type: Chemistry/Hematology Ordering BANFIELD, Provider: MARYANNE Specimen: Serum (substance) Ordering Location: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Date/Time Collected: 23 Feb 2011 @ 0930

MACKEY, JOHN J CONFIDENTIAL Page 17 of 23 Test Name Result Units Reference Range Status Performing Location PROTEIN 7.9 g/dL (6.0-8.5) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Comments: For eGFR: Race unknown, if African American multiply result by 1.210 Performing Location Name/Address: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION 1400 VFW PARKWAY , WEST ROXB URY, MA 02132 Lab Test: Transferase Alanine Amino SGPT Lab Type: Chemistry/Hematology Ordering Provider: BANFIELD, MARYANNE Specimen: Serum (substance) Ordering Location: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Date/Time Collected: 23 Feb 2011 @ 0930 Test Name Result Units Reference Range Status Performing Location ALANINE AMINOTRANSFERASE 24 Units/L (7-52) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Comments: For eGFR: Race unknown, if African American multiply result by 1.210 Performing Location Name/Address: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION 1400 VFW PARKWAY , WEST ROXB URY, MA 02132 Lab Test: Transferase Aspartate SGOT Lab Type: Chemistry/Hematology Ordering Provider: BANFIELD, MARYANNE Specimen: Serum (substance) Ordering Location: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Date/Time Collected: 23 Feb 2011 @ 0930 Test Name Result Units Reference Range

Status Performing Location

MACKEY, JOHN J CONFIDENTIAL Page 18 of 23 ASPARTATE AMINOTRANSFERASE 25 Units/L (5-34) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Comments: For eGFR: Race unknown, if African American multiply result by 1.210 Performing Location Name/Address: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION 1400 VFW PARKWAY , WEST ROXB URY, MA 02132 Lab Test: Urea Nitrogen Lab Type: Chemistry/Hematology Ordering Provider: BANFIELD, MARYANNE Specimen: Serum (substance) Ordering Location: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Date/Time Collected: 23 Feb 2011 @ 0930 Test Name Result Units Reference Range Status Performing Location UREA NITROGEN 19 mg/dL (7-25) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Comments: For eGFR: Race unknown, if African American multiply result by 1.210 Performing Location Name/Address: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION 1400 VFW PARKWAY , WEST ROXB URY, MA 02132 Lab Test: Hemogram III Lab Type: Chemistry/Hematology Ordering Provider: BANFIELD, MARYANNE Specimen: Blood (substance) Ordering Location: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Date/Time Collected: 23 Feb 2011 @ 0930 Test Name Result Units Reference Range ERYTHROCYTE

DISTRIBUTION 16.5 High % (11.5-14.5) Status Final Performing Location VA BOSTON HEALTHCARE

MACKEY, JOHN J CONFIDENTIAL Page 19 of 23 WIDTH ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN 30.2 ERYTHROCYTE MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATION 33.0 ERYTHROCYTES 4.44 Low HEMATOCRIT 40.5 HEMOGLOBIN 13.4 Low LEUKOCYTES 7.9 MEAN CORPUSCULAR VOLUME 91.3 PLATELET MEAN VOLUME 8.3 PLATELETS 325 pg gm/dL M/cmm % g/dL K/cmm fL mu3 K/cmm (27-34) (32-37) (4.7-6.1) (40-52) (14-18) (4.5-11.0) (80-98) (7.4-10.4) (130-450) Final Final Final Final Final Final Final Final Final SYSTEM - WEST ROXBURY DIVISION VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION

VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Comments:

MACKEY, JOHN J CONFIDENTIAL Page 20 of 23 Performing Location Name/Address: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION 1400 VFW PARKWAY , WEST ROXB URY, MA 02132 Lab Test: Urinalysis Chemical w micro Auto Lab Type: Chemistry/Hematology Ordering Provider: BANFIELD, MARYANNE Specimen: Urine (substance) Ordering Location: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Date/Time Collected: 23 Feb 2011 @ 0930 Test Name Result Units Reference Range APPEARANCE Hazy (Clear) BILIRUBIN Negative mg/dL (Neg.) COLOR Yellow (Yellow) GLUCOSE Negative mg/dL (Neg.) HEMOGLOBIN Small mg/dL (Neg.) KETONES Negative mg/dL (Neg.) LEUKOCYTE ESTERASE Trace (Neg.) Status Final Final Final Final Final Final Final Performing Location VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION VA BOSTON HEALTHCARE SYSTEM - WEST

ROXBURY DIVISION VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION VA BOSTON HEALTHCARE

MACKEY, JOHN J CONFIDENTIAL Page 21 of 23 SYSTEM - WEST ROXBURY DIVISION NITRITE Negative (Neg.) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION PH 5.5 (4.5-8.0) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION PROTEIN Negative mg/dL (NEG) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION SPECIFIC GRAVITY 1.013 (1.010-1.025) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION UROBILINOGEN <2.0 mg/dL (<2.0) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Comments: Performing Location Name/Address: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION 1400 VFW PARKWAY , WEST ROXB URY, MA 02132 Lab Test: Urinalysis Microsopic Lab Type: Chemistry/Hematology Ordering Provider: BANFIELD, MARYANNE Specimen: Urine (substance) Ordering Location: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Date/Time Collected: 23 Feb 2011 @ 0930 Test Name Result Units Reference Range BACTERIA Rare (None) Status Final Performing Location VA BOSTON HEALTHCARE SYSTEM - WEST

MACKEY, JOHN J CONFIDENTIAL Page 22 of 23 ROXBURY DIVISION CALCIUM OXALATE CRYSTALS Occ /HPF (Not Established) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION ERYTHROCYTES 27 High /HPF (0-2) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION GRANULAR CASTS 1 (None) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION HYALINE CASTS 10 /LPF (0-10) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION LEUKOCYTES 24 High /HPF (0-3) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION MUCUS RARE /HPF (Not established) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION TRANSITIONAL CELLS 2 High /HPF (0-1) Final VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION Comments: Performing Location Name/Address: VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION 1400 VFW PARKWAY , WEST ROXB URY, MA 02132 Test results slightly outside the reference range are not unusual. Your provider has reviewedyour test results and will contact you for any important issues. If you have further questions, please do n ot hesitate to contact your primary care provider.

DoD Military Service Information Source: DoD Last Updated: 15 Dec 2011 @ 1617 NOTE: This report may not show your complete DoD Military Service Information. For more information go to the FAQ tab. ** No data was found. ** END OF MY HEALTHEVET PERSONAL INFORMATION REPORT MACKEY, JOHN J CONFIDENTIAL Page 23 of 23 MACKEY, JOHN J CONFIDENTIAL Page 23 of 23