PERSONAL HEALTH SCREENING

PERSONAL HEALTH SCREENING REPORT

The Occupational and Diving Medicine Centre
So great that you are taking charge of your health!

Health screening aims to identify presence of some chronic diseases and risk factors. Please select the type of Health Screening Package (Standard or Comprehensive) and any additional tests.

Results will be reviewed by our Occupational Medicine Specialist and a summary report sent to you. He may ask to have a discussion with you if there are abnormal results.

Do check with our staff if you have any queries.
Health Package

StandardComprehensiveKongsberg Health Screening
Name*
NRIC/FIN (last 4 characters)*
Citizenship

Singapore citizenSingapore permanent residentOther
CHAS card (if applicable)

Pioneer GenerationMerdeka GenerationBlue CHASOrange CHASGreen CHASNoneOther
Email*
example@example.com
Allergies:

NilYes. Specify:
Date of Birth*

DayMonthYear
Date
Age*
Gender*

MaleFemale
Nature of Occupation

Risk Factors*

	No	Yes	Please elaborate
Family history of heart disease before 50 years old
Family history of stroke, diabetes, high blood pressure, high cholesterol
Family history of cancer
Heart disease
Stroke
High blood pressure
High cholesterol
Diabetes Mellitus
Renal disease
Cancer
Overweight
Feel stressed at work or home
Sleep less than 7 hrs per day
Asthma
Chronic Obstructive Lung Disease
Hepatitis B carrier
Parkinson's Disease
Psoariasis
Rheumatoid Arthritis
Gout
Osteoarthritis
Benign Prostatis Hypertrophy
Epilepsy
Dementia
Anxiety
Bipolar Disorder
Depression
Schizoprenia

Smoking History

I currently smokeI do not smokeI do not plan to stop smoking (if smoker)I am thinking of stopping smoking (if smoker)I am planning to stop smoking (if smoker)How many cigarrettes per day (if smoker)?
Exercise History

I exercise daily for at least 15 minutesI exercise at least 3 times per week for at least 15 minutes each timeI exercise1-2 times per week for at least 15 minutes each timeI exercise less than 4 times per month for at least 15 minutes each timeI rarely exercise

Vaccination History

	Have Taken	Dates of Vaccination
Hepatitis B
Tetanus
Tetanus, Dipterhia, Pertuss (TDaP)
Mumps, Measles, Rubella (MMR)
Chickenpox
Hepatitis A
Influenza
COVID
Typhoid
Shingles
Meningococcal
Rabies
Japanese Encephalitis
Yellow Fever
Dengue
Prevenar - 13
Pneumovax - 23
Others

Declaration

I consent for my Diagnosis, Lab investigations and Medications to be contributed to National Electronic Health Records (NEHR)
Signature*

Clear
Date*

DayMonthYear
Date
TO BE FILLED BY CLINIC
Height (m)
Weight (kg)
BMI (Weight/(heightxheight)
Body Fat %
Waist Circumference (cm)
Blood Pressure (mmHg)
Pulse Rate (beats/min)
Colour Vision

NormalPartial deficiencyTotal deficiency

Review of Key Results
Consultation Findings by Physician (if any)
Vision

Your vision is within acceptable limitsDo consult your optometrist as you may require further vision correctionOther
Body Mass Index (Asian guidelines)

BMI 18.5-23: you are in the ideal weight range (Asians)BMI 23-27: you have some risk of heart disease/diabetesBMI > 27: you are at higher risk of heart disease/diabetesBMI: you are underweightBMI 18.5-24.9: you are in the ideal weight rangeBMI 25-29.9: you are in the overweight rangeBMI 30-34.9: you are in the Obese Class I rangeBMI 35-39.9: you are in the Obese Class II rangeBMI more than 40: you are in Obese Class III rangeOther
Waist Circumference

You have acceptable waist circumferenceYour waist circumference has exceeded the safe level. Please aim for less than 90 cm.Your waist circumference has exceeded the safe level. Please aim for less than 80 cm.Your waist circumference has exceeded the safe level. Please aim for less than 100 cm.Your waist circumference has exceeded the safe level. Please aim for less than 90cm.Other
Blood Pressure

You have normal blood pressureYour blood pressure is slightly high. Do recheck/monitor your blood pressure and consult a doctor if it remains high.Your blood pressure is moderately high. Do followup with your doctor soon.Your blood pressure is very high. Do consult your doctor soonest.Other
Screen for Diabetes

You do not have diabetesYour blood glucose is mildly elevated. Do followup with your doctor to exclude diabetes.Your blood glucose is moderately elevated. Do followup with your doctor to exclude diabetes.Your HBA1C (marker for diabetes) is mildly elevated and there is a risk of diabetes. Do followup with your doctor to exclude diabetes.Your HBA1C (marker for diabetes) is moderately elevated and there is a risk of diabetes. Do followup with your doctor to exclude diabetes.Other
Screen for Hyperlipidaemia (High Cholesterol)

Your cholesterol readings are within normal limits.Your bad cholesterol (LDL/Triglycerides) are slightly elevated. Do monitor the levels with your doctor.Your bad choleserol levels are moderately high (LDL/Triglycerides). Do monitor the levels with your doctor.Other
Apolipoprotein A and Apolipoprotein B levels (Assess Cardiac Risk)

Apoprotein A is within optimal rangeApoprotein B is within optimal rangeApo B/Apo A1 ratio is low. This suggest your lipid metabolism is favourable and your cardiac risk is low.
Framingham Risk Score (10 year risk for first Coronary Artery event)
Liver Function

Your liver function is within normal limits.There are minor abnormalities - do continue to monitor with your doctor.There are moderate abnormalities - do check in with your doctor.Other
Kidney Function

Your electrolytes and kidney function is within normal limits.There are abnormalities. Do monitor with your doctor.Other
Uric Acid/Gout

Your uric acid level is within normal limitsYour uric acid level is raised. There is risk of gout attacks. You will need to modify your diet to reduce the uric acid. Do monitor with your doctor.Other
Hepatitis B immunity

Immune.Not immune. Do consider vaccination. Hepatitis B virus can cause liver inflammation, and chronic infection which increases risk of liver cirrhosis and liver cancer.Other
Hepatitis A immunity

Immune.Not immune. Hepatitis A is endemic in our region and transmitted via contaminated food and shellfish. It can cause liver inflammation. Do consider vaccinatiion.
Hepatitis C Screen

Non-reactive. This means you do not have Hepatitis C infection. However, it may be false negative if the body is immunocompromised.Reactive. This would require additional testing to verify Hepatitis C infection. Please check with your doctor urgently.
VDRL - Syphilis

Negative. No evidence of syphilis.Positive. This would require a confirmatory test for syphilis. Please check with your doctor urgently.
Thyroid Function

Satisfactory.Possibly hyperthyroid (raised free T4/reduced TSH). Please followup early with your doctor.Possibly hypothyroid (low free T4/raised TSH). Please followup early with your doctor.Other
Cancer Markers for various cancers (Liver- AFP, Colon - CEA, Ovarian - CA125, Prostate - PSA)

Not elevated. However, do note that cancer markers do not necessarily equate to 100% not having the tumor. Do continue to monitor for any symptoms or rising trend of the cancer marker.Elevated. Please followup with your doctor.
Full Blood Count

Within Normal limits.Abnormalities noted. Details:
Urine Analysis

Within Normal limits.Abnormalities noted. Details:
Spirometry (Lung Function Tests)

NormalAbnormalities noted. Details:
Resting Electrocardiogram

SatisfactoryAbnormalities noted.
Chest Xray (Postero-anterier only)

SatisfactoryAbnormalities noted. Details:
Risk Factors for Heart Disease

Non-modifiable: ethnicity (risk reduces from Indian, Malay, Chinese), increasing age, male gender and family history of heart disease.

Modifiable: high cholesterol, smoking, high blood pressure, sedentary lifestyle, obesity.

Do take effort to reduce modifiable risk factors with a healthy lifestyle.
Personal Risk Assessment

You have minimal risk of developing heart/chronic diseases. Keep up the healthy lifestyle.You have minimal risk of developing heart/chronic diseases.You have some risk factors for heart/chronic diseases. You need to take steps to maintain a healthy lifestyle by watching your diet, exercising regularly, stop smoking (if you are a smoker), drink enough water and obtain adequate rest. It is also advisable to consult your doctor to reduce modifiable risk factors.You have many risk factors for heart/chronic diseases. It is necessary to take steps to maintain a healthy lifestyle by watching your diet, exercising regularly, stop smoking (if you are a smoker), drink enough water and obtain adequate rest. It is also advisable to consult your doctor to reduce modifiable risk factors.Consider colorectal cancer screening (if you have not previously done so)Consider other vaccinations such as shinglesOther
Other Physician Remarks
Dr Gregory Chan Chung Tsing, PPA(G), PP

MBBS, MMED Occup Med, GDip Geriatric Med, GDip FP Derm, DWD (All hazards)

Senior Specialist Physician, Occupational Medicine

MCR: M06367C
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Far vision
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PERSONAL HEALTH SCREENING REPORT

TO BE FILLED BY CLINIC