index int64 0 1.75k | ENCOUNTER_ID int64 0 1.79k | CLINICAL_NOTES stringlengths 20 334 ⌀ | BIRTHDATE stringdate 1922-09-26 00:00:00 2019-12-03 00:00:00 | FIRST stringclasses 33
values | START stringdate 1939-11-15 00:00:00 2025-03-27 00:00:00 | STOP stringdate 1939-11-15 00:00:00 2025-03-27 00:00:00 | PATIENT_ID int64 0 33 | ENCOUNTERCLASS stringclasses 10
values | CODE int64 1.51M 703M | DESCRIPTION stringclasses 32
values | BASE_ENCOUNTER_COST float64 75 146 | TOTAL_CLAIM_COST float64 75 106k | PAYER_COVERAGE float64 0 85k | REASONCODE float64 6.53M 124,171B ⌀ | REASONDESCRIPTION stringclasses 66
values | PATIENT_AGE int64 3 89 | DESCRIPTION_OBSERVATIONS stringlengths 11 12.5k ⌀ | DESCRIPTION_CONDITIONS stringclasses 255
values | DESCRIPTION_MEDICATIONS stringclasses 90
values | DESCRIPTION_PROCEDURES stringclasses 303
values | TEXT stringlengths 3.48k 3.79k ⌀ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
100 | 100 | At 46 years, patient underwent medication reconciliation and psychosocial screenings with medication review noted due. | 1975-02-15 | Arie325 | 2021-03-06 | 2021-03-06 | 3 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,158.73 | 740.58 | null | null | 46 | Height 160.8 cm, PainScore 1.0 {score}, Weight 87.1 kg, BMI 33.7 kg/m2, DBP 79.0 mm[Hg], SBP 131.0 mm[Hg], HR 87.0 /min, RR 16.0 /min, TotalCholesterol 169.4 mg/dL, HDL 51.9 mg/dL, AutoWBCCount 8.8 10*3/uL, AutoRBCCount 4.7 10*6/uL, BloodHgb 13.5 g/dL, AutoHct 38.0 %, AutoMCV 87.9 fL, MCH 29.6 pg, MCHC 35.6 g/dL, RDWv ... | Med review due | null | Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Arie325
NOTE:
At 46 years, patient underwent medication reconciliation and psychosocial screenings with medication review noted due.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
101 | 101 | Vaccination administered at 46 years to produce active immunity; details of vaccine unspecified. | 1975-02-15 | Arie325 | 2021-04-10 | 2021-04-10 | 3 | outpatient | 33,879,002 | Administration of vaccine to produce active immunity (procedure) | 142.58 | 278.58 | 222.86 | null | null | 46 | null | null | null | null | FIRST NAME:
Arie325
NOTE:
Vaccination administered at 46 years to produce active immunity; details of vaccine unspecified.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
102 | 102 | Additional vaccine given at 46 years as part of immunization schedule. | 1975-02-15 | Arie325 | 2021-05-01 | 2021-05-01 | 3 | outpatient | 33,879,002 | Administration of vaccine to produce active immunity (procedure) | 142.58 | 278.58 | 222.86 | null | null | 46 | null | null | null | null | FIRST NAME:
Arie325
NOTE:
Additional vaccine given at 46 years as part of immunization schedule.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
103 | 103 | Patient treated for knee osteoarthritis at 46 years with Naproxen sodium 220mg tablets. | 1975-02-15 | Arie325 | 2021-08-18 | 2021-08-18 | 3 | virtual | 185,347,001 | Encounter for problem (procedure) | 75 | 75 | 60 | 239,873,007 | Osteoarthritis of knee (disorder) | 46 | PainScore 9.0 {score} | Knee OA | Naproxen Na 220mg tab | null | FIRST NAME:
Arie325
NOTE:
Patient treated for knee osteoarthritis at 46 years with Naproxen sodium 220mg tablets.
ENCOUNTER TYPE:
virtual
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
... |
104 | 104 | Consultation included prescription of Camila 28-day oral contraceptive pack. | 1975-02-15 | Arie325 | 2021-09-28 | 2021-09-28 | 3 | outpatient | 698,314,001 | Consultation for treatment (procedure) | 142.58 | 142.58 | 114.06 | 389,095,005 | Contraception care (regime/therapy) | 46 | null | null | Camila 28d pack | null | FIRST NAME:
Arie325
NOTE:
Consultation included prescription of Camila 28-day oral contraceptive pack.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
105 | 105 | At 47 years, patient underwent removal of prior subcutaneous contraceptive implant followed by insertion of a new implant. | 1975-02-15 | Arie325 | 2022-10-22 | 2022-10-22 | 3 | outpatient | 308,335,008 | Patient encounter procedure (procedure) | 142.58 | 22,867.95 | 0 | 389,095,005 | Contraception care (regime/therapy) | 47 | null | null | null | SC contraceptive removal, SC contraceptive insert | FIRST NAME:
Arie325
NOTE:
At 47 years, patient underwent removal of prior subcutaneous contraceptive implant followed by insertion of a new implant.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
106 | 106 | Comprehensive exam at 48 years included medication reconciliation (Hydrochlorothiazide 25mg bid), psychosocial assessments, and dental referral; ongoing hypertension and stress noted. | 1975-02-15 | Arie325 | 2023-03-11 | 2023-03-11 | 3 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,051.34 | 655.76 | null | null | 48 | Height 160.8 cm, PainScore 2.0 {score}, Weight 87.1 kg, BMI 33.7 kg/m2, DBP 99.0 mm[Hg], SBP 155.0 mm[Hg], HR 65.0 /min, RR 12.0 /min, SmokingStatus Never smoked tobacco (finding) nan | HTN, Med review due, Stress | HCTZ 25mg tab, HCTZ 25mg tab | Med rec, Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Dental referral | FIRST NAME:
Arie325
NOTE:
Comprehensive exam at 48 years included medication reconciliation (Hydrochlorothiazide 25mg bid), psychosocial assessments, and dental referral; ongoing hypertension and stress noted.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 ... |
107 | 107 | Dental checkup at 48 years included scaling, exams, fluoride treatment with NaF gel, and oral health education. | 1975-02-15 | Arie325 | 2023-03-25 | 2023-03-25 | 3 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 2,484.28 | 103,697,008 | Patient referral for dental care (procedure) | 48 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Arie325
NOTE:
Dental checkup at 48 years included scaling, exams, fluoride treatment with NaF gel, and oral health education.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
108 | 108 | Follow-up appointment involved continuation of Lisinopril 10mg for blood pressure management. | 1975-02-15 | Arie325 | 2023-04-10 | 2023-04-10 | 3 | ambulatory | 390,906,007 | Follow-up encounter (procedure) | 85.55 | 85.55 | 68.44 | 59,621,000 | Essential hypertension (disorder) | 48 | DBP 90.0 mm[Hg], SBP 138.0 mm[Hg] | null | Lisinopril 10mg tab | null | FIRST NAME:
Arie325
NOTE:
Follow-up appointment involved continuation of Lisinopril 10mg for blood pressure management.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
109 | 109 | Routine follow-up visit at 48 years with no new clinical interventions. | 1975-02-15 | Arie325 | 2023-06-09 | 2023-06-09 | 3 | ambulatory | 390,906,007 | Follow-up encounter (procedure) | 85.55 | 85.55 | 68.44 | 59,621,000 | Essential hypertension (disorder) | 48 | DBP 80.0 mm[Hg], SBP 130.0 mm[Hg] | null | null | null | FIRST NAME:
Arie325
NOTE:
Routine follow-up visit at 48 years with no new clinical interventions.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
110 | 110 | Additional follow-up visit at 48 years; patient stable with current management. | 1975-02-15 | Arie325 | 2023-08-08 | 2023-08-08 | 3 | virtual | 390,906,007 | Follow-up encounter (procedure) | 75 | 75 | 60 | 59,621,000 | Essential hypertension (disorder) | 48 | DBP 83.0 mm[Hg], SBP 128.0 mm[Hg] | null | null | null | FIRST NAME:
Arie325
NOTE:
Additional follow-up visit at 48 years; patient stable with current management.
ENCOUNTER TYPE:
virtual
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
111 | 111 | Consultation resulted in insertion of Liletta 52mg intrauterine system for contraception. | 1975-02-15 | Arie325 | 2023-09-18 | 2023-09-18 | 3 | outpatient | 698,314,001 | Consultation for treatment (procedure) | 142.58 | 142.58 | 114.06 | 389,095,005 | Contraception care (regime/therapy) | 48 | null | null | Liletta 52mg IUS | null | FIRST NAME:
Arie325
NOTE:
Consultation resulted in insertion of Liletta 52mg intrauterine system for contraception.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
112 | 112 | IUD insertion procedure completed during clinical visit at 48 years. | 1975-02-15 | Arie325 | 2023-09-21 | 2023-09-21 | 3 | outpatient | 308,335,008 | Patient encounter procedure (procedure) | 142.58 | 4,052.91 | 3,242.32 | 389,095,005 | Contraception care (regime/therapy) | 48 | null | null | null | IUD insertion | FIRST NAME:
Arie325
NOTE:
IUD insertion procedure completed during clinical visit at 48 years.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
113 | 113 | Emergency room admission at 49 years for facial laceration requiring wound suture; ibuprofen 200mg prescribed for pain control. | 1975-02-15 | Arie325 | 2024-02-27 | 2024-02-27 | 3 | emergency | 50,849,002 | Emergency room admission (procedure) | 146.18 | 4,140.89 | 3,271.45 | 312,608,009 | Laceration - injury (disorder) | 49 | null | Lac, Facial lac | Ibuprofen 200mg tab | Wound suture | FIRST NAME:
Arie325
NOTE:
Emergency room admission at 49 years for facial laceration requiring wound suture; ibuprofen 200mg prescribed for pain control.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
114 | 114 | Comprehensive evaluation at 49 years identified ischemic heart disease; medication regimen includes HCTZ, Lisinopril, Clopidogrel, Simvastatin, Metoprolol ER, NTG spray; patient currently not working. | 1975-02-15 | Arie325 | 2024-03-16 | 2024-03-16 | 3 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 778.78 | 623.02 | null | null | 49 | Height 160.8 cm, PainScore 2.0 {score}, Weight 87.1 kg, BMI 33.7 kg/m2, DBP 82.0 mm[Hg], SBP 127.0 mm[Hg], HR 79.0 /min, RR 15.0 /min, TotalCholesterol 192.1 mg/dL, HDL 64.5 mg/dL, SmokingStatus Never smoked tobacco (finding) nan | Med review due, IHD, Not in workforce | HCTZ 25mg tab, Lisinopril 10mg tab, Clopidogrel 75mg tab, Simvastatin 20mg tab, 24hr Metoprolol 100mg ER tab, NTG 0.4mg/act spray | Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Arie325
NOTE:
Comprehensive evaluation at 49 years identified ischemic heart disease; medication regimen includes HCTZ, Lisinopril, Clopidogrel, Simvastatin, Metoprolol ER, NTG spray; patient currently not working.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 ... |
115 | 115 | Referral to cardiology for further evaluation of cardiac concerns noted at 49 years. | 1975-02-15 | Arie325 | 2024-03-23 | 2024-03-23 | 3 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 516.95 | 413.56 | 414,545,008 | Ischemic heart disease (disorder) | 49 | null | null | null | Cards referral | FIRST NAME:
Arie325
NOTE:
Referral to cardiology for further evaluation of cardiac concerns noted at 49 years.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
... |
116 | 116 | Cardiology workup at 49 years involved treatment consult, coronary angiography showing abnormal cardiac imaging; patient managed post-procedure in PACU. | 1975-02-15 | Arie325 | 2024-03-25 | 2024-03-25 | 3 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 1,444.46 | 1,155.57 | 414,545,008 | Ischemic heart disease (disorder) | 49 | null | Abn cardiac img | null | Tx consult, Coronary angio, PACU, Cards referral | FIRST NAME:
Arie325
NOTE:
Cardiology workup at 49 years involved treatment consult, coronary angiography showing abnormal cardiac imaging; patient managed post-procedure in PACU.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 ... |
117 | 117 | Percutaneous coronary intervention performed at 49 years as treatment for coronary artery disease. | 1975-02-15 | Arie325 | 2024-04-01 | 2024-04-01 | 3 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 22,600.37 | 18,080.3 | 414,545,008 | Ischemic heart disease (disorder) | 49 | null | null | null | PCI | FIRST NAME:
Arie325
NOTE:
Percutaneous coronary intervention performed at 49 years as treatment for coronary artery disease.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
118 | 118 | Contraceptive management with Jolivette 28-day oral contraceptive pack continued at 49 years. | 1975-02-15 | Arie325 | 2024-09-15 | 2024-09-15 | 3 | outpatient | 698,314,001 | Consultation for treatment (procedure) | 142.58 | 142.58 | 114.06 | 389,095,005 | Contraception care (regime/therapy) | 49 | null | null | Jolivette 28d pack | null | FIRST NAME:
Arie325
NOTE:
Contraceptive management with Jolivette 28-day oral contraceptive pack continued at 49 years.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
119 | 119 | Presented with sinusitis symptoms at 49 years, managed symptomatically. | 1975-02-15 | Arie325 | 2024-11-22 | 2024-11-22 | 3 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 85.55 | 68.44 | 36,971,009 | Sinusitis (disorder) | 49 | null | Sinusitis | null | null | FIRST NAME:
Arie325
NOTE:
Presented with sinusitis symptoms at 49 years, managed symptomatically.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
120 | 120 | Routine check-up at 50 years involved screening colonoscopy. | 1975-02-15 | Arie325 | 2025-02-15 | 2025-02-15 | 3 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 5,138.45 | 3,924.36 | 275,978,004 | Screening for malignant neoplasm of colon (procedure) | 50 | null | null | null | Colonoscopy | FIRST NAME:
Arie325
NOTE:
Routine check-up at 50 years involved screening colonoscopy.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
121 | 130 | General examination at 50 years included medication reconciliation for hypertension medications; no acute issues noted. | 1975-02-15 | Arie325 | 2025-03-22 | 2025-03-22 | 3 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,702.11 | 1,361.69 | null | null | 50 | Height 160.8 cm, PainScore 1.0 {score}, Weight 87.1 kg, BMI 33.7 kg/m2, DBP 79.0 mm[Hg], SBP 116.0 mm[Hg], HR 67.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan | null | HCTZ 25mg tab, Lisinopril 10mg tab | Med rec, Health/social needs assess | FIRST NAME:
Arie325
NOTE:
General examination at 50 years included medication reconciliation for hypertension medications; no acute issues noted.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
122 | 121 | Patient presented to the emergency room with a history of seizure disorder. No procedures done during this visit. Monitoring and management of seizure disorder initiated. | 1974-02-19 | Everette494 | 1983-05-16 | 1983-05-16 | 4 | emergency | 50,849,002 | Emergency room admission (procedure) | 146.18 | 9,936.95 | 9,886.95 | 128,613,002 | Seizure disorder (disorder) | 9 | null | Seizure d/o, H/o seizure | null | null | FIRST NAME:
Everette494
NOTE:
Patient presented to the emergency room with a history of seizure disorder. No procedures done during this visit. Monitoring and management of seizure disorder initiated.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 ... |
123 | 122 | Well child visit at age 11. Patient currently prescribed Clonazepam 0.25mg for seizure management. No new conditions reported. | 1974-02-19 | Everette494 | 1985-03-05 | 1985-03-05 | 4 | wellness | 410,620,009 | Well child visit (procedure) | 136.8 | 778.78 | 743.78 | null | null | 11 | null | null | Clonazepam 0.25mg tab | null | FIRST NAME:
Everette494
NOTE:
Well child visit at age 11. Patient currently prescribed Clonazepam 0.25mg for seizure management. No new conditions reported.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
124 | 123 | Emergency admission for epilepsy management. No procedures performed. Patient diagnosed with epilepsy, ongoing medication management required. | 1974-02-19 | Everette494 | 1986-08-26 | 1986-08-26 | 4 | emergency | 50,849,002 | Emergency room admission (procedure) | 146.18 | 5,690.88 | 5,655.88 | 128,613,002 | Seizure disorder (disorder) | 12 | null | Epilepsy | null | null | FIRST NAME:
Everette494
NOTE:
Emergency admission for epilepsy management. No procedures performed. Patient diagnosed with epilepsy, ongoing medication management required.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 ... |
125 | 124 | Routine check-up with focus on screening for risk behaviors at age 17. No new medications or procedures. Patient educated on risk behavior management. | 1974-02-19 | Everette494 | 1991-10-29 | 1991-10-29 | 4 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 1,139.78 | 1,104.78 | null | null | 17 | null | Risk behaviors | null | null | FIRST NAME:
Everette494
NOTE:
Routine check-up with focus on screening for risk behaviors at age 17. No new medications or procedures. Patient educated on risk behavior management.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 ... |
126 | 125 | General examination noted patient is enrolled in higher education. No procedures or medications during this visit. | 1974-02-19 | Everette494 | 1992-04-14 | 1992-04-14 | 4 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 823.23 | 788.23 | null | null | 18 | null | Higher ed | null | null | FIRST NAME:
Everette494
NOTE:
General examination noted patient is enrolled in higher education. No procedures or medications during this visit.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
127 | 126 | Patient assessed at age 31 with obesity (BMI >30). Lifestyle modification counseling provided. No new medication changes. | 1974-02-19 | Everette494 | 2005-05-03 | 2005-05-03 | 4 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,305.91 | 1,270.91 | null | null | 31 | null | Obesity BMI>30 | null | null | FIRST NAME:
Everette494
NOTE:
Patient assessed at age 31 with obesity (BMI >30). Lifestyle modification counseling provided. No new medication changes.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
128 | 127 | At 37 years, patient due for medication review. No immediate changes made. | 1974-02-19 | Everette494 | 2011-05-10 | 2011-05-10 | 4 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 778.78 | 778.78 | null | null | 37 | null | Med review due | null | null | FIRST NAME:
Everette494
NOTE:
At 37 years, patient due for medication review. No immediate changes made.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
129 | 128 | Urgent care visit revealed prediabetes. Patient advised on glucose monitoring and lifestyle changes to prevent diabetes progression. | 1974-02-19 | Everette494 | 2013-10-29 | 2013-10-29 | 4 | urgentcare | 702,927,004 | Urgent care clinic (environment) | 142.58 | 929.58 | 894.58 | null | null | 39 | null | Prediabetes | null | null | FIRST NAME:
Everette494
NOTE:
Urgent care visit revealed prediabetes. Patient advised on glucose monitoring and lifestyle changes to prevent diabetes progression.
ENCOUNTER TYPE:
urgentcare
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
130 | 129 | Patient presented with chronic pain and transformed migraine at age 39. Management strategies discussed. | 1974-02-19 | Everette494 | 2014-02-06 | 2014-02-06 | 4 | outpatient | 185,347,001 | Encounter for problem (procedure) | 85.55 | 85.55 | 50.55 | 82,423,001 | Chronic pain (finding) | 39 | null | Chronic pain, Transformed migraine | null | null | FIRST NAME:
Everette494
NOTE:
Patient presented with chronic pain and transformed migraine at age 39. Management strategies discussed.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
131 | 131 | General examination at age 40 identified unemployment and stress contributing to health status. Social support and stress management discussed. | 1974-02-19 | Everette494 | 2014-02-25 | 2014-02-25 | 4 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 921.58 | 921.58 | null | null | 40 | null | Unemployed, Stress | null | null | FIRST NAME:
Everette494
NOTE:
General examination at age 40 identified unemployment and stress contributing to health status. Social support and stress management discussed.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 ... |
132 | 132 | Health and social needs assessed including dual depression screening. Patient has anemia and is currently not in workforce. Support services considered. | 1974-02-19 | Everette494 | 2016-03-01 | 2016-03-01 | 4 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,132.16 | 1,132.16 | null | null | 42 | HbA1c 6.4 %, Height 179.4 cm, PainScore 2.0 {score}, Weight 89.0 kg, BMI 27.7 kg/m2, DBP 74.0 mm[Hg], SBP 104.0 mm[Hg], HR 88.0 /min, RR 13.0 /min, BloodGlucose 64.5 mg/dL, BloodBUN 10.2 mg/dL, BloodCreatinine 1.2 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 143.3 mmol/L, BloodK 4.9 mmol/L, BloodChloride 106.6 mmol/L, TotalC... | Anemia, Not in workforce | null | Health/social needs assess, Depression screen, Depression screen | FIRST NAME:
Everette494
NOTE:
Health and social needs assessed including dual depression screening. Patient has anemia and is currently not in workforce. Support services considered.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 ... |
133 | 133 | Encounter performed with peripheral smear interpretation, review of systems, and medication reconciliation. No additional conditions noted. | 1974-02-19 | Everette494 | 2016-03-08 | 2016-03-08 | 4 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 1,579.79 | 1,544.79 | 271,737,000 | Anemia (disorder) | 42 | BloodHgb 10.9 g/dL, BloodHct 31.4 %, AutoWBCCount 3.5 10*3/uL, AutoRBCCount 4.3 10*6/uL, AutoMCV 86.7 fL, MCH 28.2 pg, MCHC 35.4 g/dL, RDWv 43.7 fL, PlateletCount 332.7 10*3/uL, PDW 308.8 fL, MPV 12.3 fL | null | null | Periph smear interp, ROS, Med rec, Brief exam | FIRST NAME:
Everette494
NOTE:
Encounter performed with peripheral smear interpretation, review of systems, and medication reconciliation. No additional conditions noted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 ... |
134 | 134 | General exam with multiple screenings including domestic abuse and depression. Diagnosed with hypertension and gingivitis. Prescribed Amlodipine 2.5mg twice. Patient employed part-time. | 1974-02-19 | Everette494 | 2018-03-06 | 2018-03-06 | 4 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 785.58 | 785.58 | null | null | 44 | HbA1c 5.9 %, Height 179.4 cm, PainScore 2.0 {score}, Weight 92.0 kg, BMI 28.6 kg/m2, DBP 100.0 mm[Hg], SBP 135.0 mm[Hg], HR 82.0 /min, RR 13.0 /min, BloodGlucose 68.1 mg/dL, BloodBUN 10.4 mg/dL, BloodCreatinine 1.2 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 142.7 mmol/L, BloodK 4.4 mmol/L, BloodChloride 101.4 mmol/L, Total... | HTN, Part-time employed, Gingivitis | Amlodipine 2.5mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Dental referral | FIRST NAME:
Everette494
NOTE:
General exam with multiple screenings including domestic abuse and depression. Diagnosed with hypertension and gingivitis. Prescribed Amlodipine 2.5mg twice. Patient employed part-time.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 ... |
135 | 135 | Comprehensive dental care visit addressing gum disease with scaling, surgery including gingivectomy, and postoperative care. Topical fluoride applied. | 1974-02-19 | Everette494 | 2018-03-20 | 2018-03-20 | 4 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 4,830.95 | 4,795.95 | 66,383,009 | Gingivitis (disorder) | 44 | null | Gum disease | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Dental fluoride, Oral health ed | FIRST NAME:
Everette494
NOTE:
Comprehensive dental care visit addressing gum disease with scaling, surgery including gingivectomy, and postoperative care. Topical fluoride applied.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 ... |
136 | 136 | "Follow-up visit to review medications. Hydrochlorothiazide 25mg prescribed for hypertension management." | 1974-02-19 | Everette494 | 2018-04-05 | 2018-04-05 | 4 | ambulatory | 390,906,007 | Follow-up encounter (procedure) | 85.55 | 85.55 | 50.55 | 59,621,000 | Essential hypertension (disorder) | 44 | DBP 92.0 mm[Hg], SBP 133.0 mm[Hg] | null | HCTZ 25mg tab | null | FIRST NAME:
Everette494
NOTE:
"Follow-up visit to review medications. Hydrochlorothiazide 25mg prescribed for hypertension management."
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
137 | 137 | "Follow-up medication management with addition of Lisinopril 10mg for blood pressure control." | 1974-02-19 | Everette494 | 2018-06-04 | 2018-06-04 | 4 | ambulatory | 390,906,007 | Follow-up encounter (procedure) | 85.55 | 85.55 | 50.55 | 59,621,000 | Essential hypertension (disorder) | 44 | DBP 79.0 mm[Hg], SBP 115.0 mm[Hg] | null | Lisinopril 10mg tab | null | FIRST NAME:
Everette494
NOTE:
"Follow-up medication management with addition of Lisinopril 10mg for blood pressure control."
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
138 | 138 | "Routine follow-up without new findings or changes in medications." | 1974-02-19 | Everette494 | 2018-08-03 | 2018-08-03 | 4 | ambulatory | 390,906,007 | Follow-up encounter (procedure) | 85.55 | 85.55 | 50.55 | 59,621,000 | Essential hypertension (disorder) | 44 | DBP 68.0 mm[Hg], SBP 100.0 mm[Hg] | null | null | null | FIRST NAME:
Everette494
NOTE:
"Routine follow-up without new findings or changes in medications."
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
139 | 139 | Patient evaluated for viral sinusitis symptoms presenting with nasal congestion and facial pain. Supportive care recommended. | 1974-02-19 | Everette494 | 2018-08-23 | 2018-08-23 | 4 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 85.55 | 50.55 | 444,814,009 | Viral sinusitis (disorder) | 44 | null | Viral sinusitis | null | null | FIRST NAME:
Everette494
NOTE:
Patient evaluated for viral sinusitis symptoms presenting with nasal congestion and facial pain. Supportive care recommended.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
140 | 140 | Encounter with pulmonary function testing due to acute bronchitis symptoms. Patient continued on current antihypertensive regimen with addition of acetaminophen for symptom relief. | 1974-02-19 | Everette494 | 2018-11-04 | 2018-11-04 | 4 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 616.28 | 581.28 | 10,509,002 | Acute bronchitis (disorder) | 44 | null | Acute bronchitis | APAP 325mg tab, HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | PFT | FIRST NAME:
Everette494
NOTE:
Encounter with pulmonary function testing due to acute bronchitis symptoms. Patient continued on current antihypertensive regimen with addition of acetaminophen for symptom relief.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 ... |
141 | 141 | Comprehensive check-up including medication reconciliation and mental health screenings. Patient employed full-time. Current medications continued. | 1974-02-19 | Everette494 | 2018-11-13 | 2018-11-13 | 4 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 1,041.21 | 1,006.21 | null | null | 44 | HbA1c 5.9 %, Height 179.4 cm, PainScore 3.0 {score}, Weight 93.6 kg, BMI 29.1 kg/m2, DBP 68.0 mm[Hg], SBP 106.0 mm[Hg], HR 81.0 /min, RR 14.0 /min, BloodGlucose 65.5 mg/dL, BloodBUN 13.1 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 141.4 mmol/L, BloodK 4.7 mmol/L, BloodChloride 104.5 mmol/L, Total... | Full-time employed | HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral | FIRST NAME:
Everette494
NOTE:
Comprehensive check-up including medication reconciliation and mental health screenings. Patient employed full-time. Current medications continued.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 ... |
142 | 142 | Dental care visit with scaling and bitewing radiographs performed. Fluoride treatment applied. | 1974-02-19 | Everette494 | 2018-11-27 | 2018-11-27 | 4 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,536.75 | 3,501.75 | 103,697,008 | Patient referral for dental care (procedure) | 44 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Everette494
NOTE:
Dental care visit with scaling and bitewing radiographs performed. Fluoride treatment applied.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
143 | 143 | Comprehensive exam including multiple screenings. Patient reports stress and limited social contact. Gingivitis ongoing. Med review pending. | 1974-02-19 | Everette494 | 2019-03-12 | 2019-03-12 | 4 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,149.62 | 1,149.62 | null | null | 45 | HbA1c 6.0 %, Height 179.4 cm, PainScore 1.0 {score}, Weight 94.4 kg, BMI 29.3 kg/m2, DBP 66.0 mm[Hg], SBP 106.0 mm[Hg], HR 78.0 /min, RR 15.0 /min, BloodGlucose 77.3 mg/dL, BloodBUN 9.8 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 143.6 mmol/L, BloodK 4.1 mmol/L, BloodChloride 103.5 mmol/L, TotalCO... | Med review due, Limited social contact, Stress, Gingivitis | HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | FIRST NAME:
Everette494
NOTE:
Comprehensive exam including multiple screenings. Patient reports stress and limited social contact. Gingivitis ongoing. Med review pending.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 ... |
144 | 144 | Dental visit focusing on scaling, gingival exam, and fluoride therapy for preventive care. | 1974-02-19 | Everette494 | 2019-03-26 | 2019-03-26 | 4 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 3,070.35 | 66,383,009 | Gingivitis (disorder) | 45 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Everette494
NOTE:
Dental visit focusing on scaling, gingival exam, and fluoride therapy for preventive care.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
145 | 145 | General exam with ongoing medication review. Patient employed part-time and undergoing mental health and substance use assessments. | 1974-02-19 | Everette494 | 2020-03-17 | 2020-03-17 | 4 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,262.84 | 1,262.84 | null | null | 46 | HbA1c 5.9 %, Height 179.4 cm, PainScore 0.0 {score}, Weight 96.8 kg, BMI 30.1 kg/m2, DBP 66.0 mm[Hg], SBP 102.0 mm[Hg], HR 62.0 /min, RR 13.0 /min, BloodGlucose 66.8 mg/dL, BloodBUN 10.4 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 137.4 mmol/L, BloodK 4.0 mmol/L, BloodChloride 109.1 mmol/L, Total... | Med review due, Part-time employed | HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Everette494
NOTE:
General exam with ongoing medication review. Patient employed part-time and undergoing mental health and substance use assessments.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
146 | 146 | Patient with chronic kidney disease stage 2 and diabetic nephropathy reviewed. Insulin therapy initiated. Employed full-time. | 1974-02-19 | Everette494 | 2021-03-23 | 2021-03-23 | 4 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 927.94 | 927.94 | null | null | 47 | SerumGlucose 80.4 mg/dL, SerumBUN 10.6 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 141.5 mmol/L, SerumK 3.8 mmol/L, SerumChloride 108.3 mmol/L, TotalCO2Serum 27.5 mmol/L, MDRDGFR 67.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Med review due, CKD stage 2, Diabetic nephropathy, Diabetic microalbumin, Full-time employed | HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab, 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | FIRST NAME:
Everette494
NOTE:
Patient with chronic kidney disease stage 2 and diabetic nephropathy reviewed. Insulin therapy initiated. Employed full-time.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
147 | 147 | Dental check-up identified loose filling; COVID-19 ruled out. Preventive dental care provided. | 1974-02-19 | Everette494 | 2021-04-06 | 2021-04-06 | 4 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,536.75 | 3,501.75 | 103,697,008 | Patient referral for dental care (procedure) | 47 | null | Loose filling, R/O COVID | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental composite post-fx, Oral health ed | FIRST NAME:
Everette494
NOTE:
Dental check-up identified loose filling; COVID-19 ruled out. Preventive dental care provided.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
148 | 148 | Patient presenting with respiratory symptoms including cough, sore throat, shortness of breath, wheezing, fever, and loss of taste. COVID-19 evaluated during visit. | 1974-02-19 | Everette494 | 2021-06-04 | 2021-06-04 | 4 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 235.34 | 200.34 | 840,544,004 | Suspected disease caused by Severe acute respiratory coronavirus 2 (situation) | 47 | BodyTemp 41.9 Cel, RR 21.8 /min, HR 167.5 /min, SaO2 82.6 %, DBP 66.0 mm[Hg], SBP 105.0 mm[Hg], Weight 88.7 kg, FluA_PCR Negative (qualifier value) nan, FluB_PCR Negative (qualifier value) nan, RSV Negative (qualifier value) nan, PIV1 Negative (qualifier value) nan, PIV2 Negative (qualifier value) nan, PIV3 Negative (q... | Cough, Sore throat, SOB, Wheezing, Fever, Ageusia, COVID-19 | null | Face mask | FIRST NAME:
Everette494
NOTE:
Patient presenting with respiratory symptoms including cough, sore throat, shortness of breath, wheezing, fever, and loss of taste. COVID-19 evaluated during visit.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 ... |
149 | 149 | Routine check-up with depression screening and health/social needs assessment. Ongoing insulin and antihypertensive treatment. | 1974-02-19 | Everette494 | 2021-07-20 | 2021-07-20 | 4 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 740.69 | 705.69 | null | null | 47 | SerumGlucose 96.7 mg/dL, SerumBUN 16.4 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 142.5 mmol/L, SerumK 4.7 mmol/L, SerumChloride 103.4 mmol/L, TotalCO2Serum 28.2 mmol/L, MDRDGFR 75.7 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | null | 70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Depression screen, Depression screen | FIRST NAME:
Everette494
NOTE:
Routine check-up with depression screening and health/social needs assessment. Ongoing insulin and antihypertensive treatment.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
150 | 150 | Check-up focus on medication review and anxiety screening. Patient diagnosed with metabolic syndrome, currently not in workforce. | 1974-02-19 | Everette494 | 2021-11-16 | 2021-11-16 | 4 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 1,739.49 | 1,704.49 | null | null | 47 | SerumGlucose 71.9 mg/dL, SerumBUN 20.0 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 139.1 mmol/L, SerumK 5.0 mmol/L, SerumChloride 101.8 mmol/L, TotalCO2Serum 25.9 mmol/L, MDRDGFR 63.7 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | MetS, Not in workforce | 70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Anxiety assess | FIRST NAME:
Everette494
NOTE:
Check-up focus on medication review and anxiety screening. Patient diagnosed with metabolic syndrome, currently not in workforce.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
151 | 151 | Comprehensive examination with mental health and domestic abuse screenings conducted. Medications reviewed. Patient employed full-time. | 1974-02-19 | Everette494 | 2022-03-29 | 2022-03-29 | 4 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,408.56 | 1,126.83 | null | null | 48 | SerumGlucose 67.5 mg/dL, SerumBUN 11.8 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 138.0 mmol/L, SerumK 4.3 mmol/L, SerumChloride 110.9 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 60.9 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Med review due, Full-time employed | 70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen | FIRST NAME:
Everette494
NOTE:
Comprehensive examination with mental health and domestic abuse screenings conducted. Medications reviewed. Patient employed full-time.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2... |
152 | 152 | Urgent care visit addressing social stressors and environmental violence exposure. Gingivitis present. Medications reviewed. | 1974-02-19 | Everette494 | 2022-10-11 | 2022-10-11 | 4 | urgentcare | 702,927,004 | Urgent care clinic (environment) | 142.58 | 933.72 | 746.96 | null | null | 48 | SerumGlucose 75.8 mg/dL, SerumBUN 15.0 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 140.1 mmol/L, SerumK 5.1 mmol/L, SerumChloride 107.2 mmol/L, TotalCO2Serum 23.0 mmol/L, MDRDGFR 69.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Med review due, Limited social contact, Stress, Enviro violence, Gingivitis | 70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Dental referral | FIRST NAME:
Everette494
NOTE:
Urgent care visit addressing social stressors and environmental violence exposure. Gingivitis present. Medications reviewed.
ENCOUNTER TYPE:
urgentcare
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
153 | 155 | Routine dental check-up focusing on scaling and gingival evaluation. | 1974-02-19 | Everette494 | 2022-10-25 | 2022-10-25 | 4 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 2,673.95 | 2,139.16 | 66,383,009 | Gingivitis (disorder) | 48 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed | FIRST NAME:
Everette494
NOTE:
Routine dental check-up focusing on scaling and gingival evaluation.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
154 | 156 | Check-up including anxiety, substance use and alcohol use disorder screening. Dental referral made. | 1974-02-19 | Everette494 | 2022-12-06 | 2022-12-06 | 4 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 740.69 | 592.54 | null | null | 48 | SerumGlucose 74.9 mg/dL, SerumBUN 12.4 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 138.8 mmol/L, SerumK 3.9 mmol/L, SerumChloride 101.7 mmol/L, TotalCO2Serum 26.6 mmol/L, MDRDGFR 75.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | null | 70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Anxiety assess, Substance use assess, AUDIT-C assess, Dental referral | FIRST NAME:
Everette494
NOTE:
Check-up including anxiety, substance use and alcohol use disorder screening. Dental referral made.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
155 | 162 | Dental visit addressing tooth infection with surgical intervention including extraction and postoperative care. Fluoride treatment applied. | 1974-02-19 | Everette494 | 2022-12-20 | 2022-12-20 | 4 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 5,262.35 | 4,209.88 | 103,697,008 | Patient referral for dental care (procedure) | 48 | null | Tooth infxn | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Dental surgery, Dental desensitizing, Simple tooth ext, Dental postop care, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Everette494
NOTE:
Dental visit addressing tooth infection with surgical intervention including extraction and postoperative care. Fluoride treatment applied.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 ... |
156 | 167 | General examination with multiple mental health and substance use assessments. Medications reviewed and maintained. | 1974-02-19 | Everette494 | 2023-04-04 | 2023-04-04 | 4 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,654.74 | 1,654.74 | null | null | 49 | SerumGlucose 93.4 mg/dL, SerumBUN 9.7 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 139.4 mmol/L, SerumK 5.1 mmol/L, SerumChloride 102.0 mmol/L, TotalCO2Serum 28.2 mmol/L, MDRDGFR 72.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nom... | null | 70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Everette494
NOTE:
General examination with multiple mental health and substance use assessments. Medications reviewed and maintained.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
157 | 169 | Check-up focusing on mental health, substance use, and dental health in context of environmental violence. Gingivitis ongoing. Medication review due. | 1974-02-19 | Everette494 | 2023-09-05 | 2023-09-05 | 4 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 876.69 | 841.69 | null | null | 49 | SerumGlucose 99.9 mg/dL, SerumBUN 13.5 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 136.9 mmol/L, SerumK 4.6 mmol/L, SerumChloride 107.8 mmol/L, TotalCO2Serum 26.3 mmol/L, MDRDGFR 88.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Med review due, Enviro violence, Gingivitis | 70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | FIRST NAME:
Everette494
NOTE:
Check-up focusing on mental health, substance use, and dental health in context of environmental violence. Gingivitis ongoing. Medication review due.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 ... |
158 | 173 | Dental check-up with scaling, fluoride application, and oral health education. | 1974-02-19 | Everette494 | 2023-09-19 | 2023-09-19 | 4 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 3,070.35 | 66,383,009 | Gingivitis (disorder) | 49 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Everette494
NOTE:
Dental check-up with scaling, fluoride application, and oral health education.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
159 | 175 | Evaluation for substance use and referral to dental services provided. Gingivitis present. | 1974-02-19 | Everette494 | 2023-12-05 | 2023-12-05 | 4 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 815.27 | 780.27 | null | null | 49 | SerumGlucose 99.8 mg/dL, SerumBUN 19.6 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 141.8 mmol/L, SerumK 4.9 mmol/L, SerumChloride 110.6 mmol/L, TotalCO2Serum 27.2 mmol/L, MDRDGFR 87.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Gingivitis | 70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Substance use assess, Drug abuse screen, Dental referral | FIRST NAME:
Everette494
NOTE:
Evaluation for substance use and referral to dental services provided. Gingivitis present.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
160 | 177 | Routine dental care including scaling and gingival exam conducted. | 1974-02-19 | Everette494 | 2023-12-19 | 2023-12-19 | 4 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 2,673.95 | 2,638.95 | 66,383,009 | Gingivitis (disorder) | 49 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed | FIRST NAME:
Everette494
NOTE:
Routine dental care including scaling and gingival exam conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
161 | 178 | Comprehensive medication and health/social needs review with focus on substance use and stress management. Patient employed part-time. | 1974-02-19 | Everette494 | 2024-01-02 | 2024-01-02 | 4 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 956.39 | 921.39 | null | null | 49 | SerumGlucose 85.9 mg/dL, SerumBUN 19.7 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 136.7 mmol/L, SerumK 5.1 mmol/L, SerumChloride 107.1 mmol/L, TotalCO2Serum 21.1 mmol/L, MDRDGFR 71.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Part-time employed, Stress | 70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Substance use assess, AUDIT-C assess | FIRST NAME:
Everette494
NOTE:
Comprehensive medication and health/social needs review with focus on substance use and stress management. Patient employed part-time.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
... |
162 | 183 | Routine colonoscopy performed as part of age-appropriate screening. No complications. | 1974-02-19 | Everette494 | 2024-02-20 | 2024-02-20 | 4 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 5,138.45 | 3,924.36 | 275,978,004 | Screening for malignant neoplasm of colon (procedure) | 50 | null | null | null | Colonoscopy | FIRST NAME:
Everette494
NOTE:
Routine colonoscopy performed as part of age-appropriate screening. No complications.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
163 | 186 | Comprehensive medical and mental health screening with dental referral. Medication review due. Patient employed full-time. | 1974-02-19 | Everette494 | 2024-04-02 | 2024-04-02 | 4 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 1,092.39 | 873.9 | null | null | 50 | SerumGlucose 85.0 mg/dL, SerumBUN 11.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 138.2 mmol/L, SerumK 5.0 mmol/L, SerumChloride 108.2 mmol/L, TotalCO2Serum 25.3 mmol/L, MDRDGFR 79.9 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | Med review due, Full-time employed, Gingivitis | 70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | FIRST NAME:
Everette494
NOTE:
Comprehensive medical and mental health screening with dental referral. Medication review due. Patient employed full-time.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
164 | 188 | General exam with medication reconciliation showing need for medication review. | 1974-02-19 | Everette494 | 2024-04-09 | 2024-04-09 | 4 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 501.66 | 401.32 | null | null | 50 | SerumGlucose 86.2 mg/dL, SerumBUN 19.0 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 137.2 mmol/L, SerumK 4.1 mmol/L, SerumChloride 105.4 mmol/L, TotalCO2Serum 23.5 mmol/L, MDRDGFR 81.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Med review due | 70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec | FIRST NAME:
Everette494
NOTE:
General exam with medication reconciliation showing need for medication review.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
165 | 189 | Dental check-up with thorough cleaning, gingival examination, and fluoride application. | 1974-02-19 | Everette494 | 2024-04-16 | 2024-04-16 | 4 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 2,484.28 | 66,383,009 | Gingivitis (disorder) | 50 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Everette494
NOTE:
Dental check-up with thorough cleaning, gingival examination, and fluoride application.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
166 | 190 | Medication and health/social assessment with attention to anxiety and substance use. Patient employed part-time. | 1974-02-19 | Everette494 | 2024-07-30 | 2024-07-30 | 4 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 1,603.49 | 1,282.78 | null | null | 50 | SerumGlucose 86.2 mg/dL, SerumBUN 15.7 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 136.2 mmol/L, SerumK 4.3 mmol/L, SerumChloride 103.1 mmol/L, TotalCO2Serum 28.6 mmol/L, MDRDGFR 84.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Med review due, Part-time employed | 70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Anxiety assess, Substance use assess, Drug abuse screen | FIRST NAME:
Everette494
NOTE:
Medication and health/social assessment with attention to anxiety and substance use. Patient employed part-time.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
167 | 191 | Full screening including domestic abuse and mental health assessments. Medication review performed. Patient employed full-time. | 1974-02-19 | Everette494 | 2024-08-27 | 2024-08-27 | 4 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 1,665.41 | 1,332.32 | null | null | 50 | SerumGlucose 65.1 mg/dL, SerumBUN 7.2 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 138.0 mmol/L, SerumK 4.1 mmol/L, SerumChloride 102.3 mmol/L, TotalCO2Serum 25.3 mmol/L, MDRDGFR 60.9 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nom... | Med review due, Full-time employed | 70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Substance use assess, Drug abuse screen | FIRST NAME:
Everette494
NOTE:
Full screening including domestic abuse and mental health assessments. Medication review performed. Patient employed full-time.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
168 | 192 | Health and depression screenings completed with dental referral for persistent gingivitis. Medication review due. | 1974-02-19 | Everette494 | 2024-11-26 | 2024-11-26 | 4 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 740.69 | 592.54 | null | null | 50 | SerumGlucose 86.3 mg/dL, SerumBUN 10.8 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.9 mg/dL, SerumNa 138.1 mmol/L, SerumK 4.0 mmol/L, SerumChloride 107.9 mmol/L, TotalCO2Serum 23.8 mmol/L, MDRDGFR 65.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Med review due, Gingivitis | 70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Depression screen, Depression screen, Dental referral | FIRST NAME:
Everette494
NOTE:
Health and depression screenings completed with dental referral for persistent gingivitis. Medication review due.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
169 | 193 | Dental visit focusing on preventive care with scaling and gingival examination. Oral health education provided. | 1974-02-19 | Everette494 | 2024-12-10 | 2024-12-10 | 4 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 2,673.95 | 2,139.16 | 66,383,009 | Gingivitis (disorder) | 50 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed | FIRST NAME:
Everette494
NOTE:
Dental visit focusing on preventive care with scaling and gingival examination. Oral health education provided.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
170 | 153 | At 4 years old, patient presented for a well child visit. No procedures or medications were noted. A medication review is due. | 2008-10-08 | Dewitt635 | 2013-09-18 | 2013-09-18 | 5 | wellness | 410,620,009 | Well child visit (procedure) | 136.8 | 816.8 | 0 | null | null | 4 | null | Med review due | null | null | FIRST NAME:
Dewitt635
NOTE:
At 4 years old, patient presented for a well child visit. No procedures or medications were noted. A medication review is due.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
171 | 154 | At 6 years old, patient attended a well child visit including medication reconciliation. No new medications or conditions were documented. | 2008-10-08 | Dewitt635 | 2015-09-30 | 2015-09-30 | 5 | wellness | 410,620,009 | Well child visit (procedure) | 136.8 | 706.93 | 0 | null | null | 6 | Height 120.1 cm, PainScore 3.0 {score}, Weight 24.7 kg, BMI 17.1 kg/m2, BMIPercentile 82.2 %, DBP 80.0 mm[Hg], SBP 127.0 mm[Hg], HR 71.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan | null | null | Med rec | FIRST NAME:
Dewitt635
NOTE:
At 6 years old, patient attended a well child visit including medication reconciliation. No new medications or conditions were documented.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
... |
172 | 157 | During the well child visit at age 7, a dental referral was made due to gingivitis. Medication review is still pending. | 2008-10-08 | Dewitt635 | 2016-10-05 | 2016-10-05 | 5 | wellness | 410,620,009 | Well child visit (procedure) | 136.8 | 704.2 | 0 | null | null | 7 | Height 126.2 cm, PainScore 3.0 {score}, Weight 27.5 kg, BMI 17.3 kg/m2, BMIPercentile 78.7 %, DBP 73.0 mm[Hg], SBP 132.0 mm[Hg], HR 81.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan | Med review due, Gingivitis | null | Dental referral | FIRST NAME:
Dewitt635
NOTE:
During the well child visit at age 7, a dental referral was made due to gingivitis. Medication review is still pending.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
173 | 158 | At 8 years old, comprehensive dental care was provided including scaling, bitewing x-rays, gingival exam, fluoride application, and oral health education. NaF 2.72% oral gel prescribed. | 2008-10-08 | Dewitt635 | 2016-10-12 | 2016-10-12 | 5 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,536.75 | 0 | 66,383,009 | Gingivitis (disorder) | 8 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Dewitt635
NOTE:
At 8 years old, comprehensive dental care was provided including scaling, bitewing x-rays, gingival exam, fluoride application, and oral health education. NaF 2.72% oral gel prescribed.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 ... |
174 | 159 | Patient at age 9 attended a well child visit with medication reconciliation performed. No new medications or conditions noted. | 2008-10-08 | Dewitt635 | 2017-10-11 | 2017-10-11 | 5 | wellness | 410,620,009 | Well child visit (procedure) | 136.8 | 537.25 | 0 | null | null | 9 | Height 132.2 cm, PainScore 0.0 {score}, Weight 29.2 kg, BMI 16.7 kg/m2, BMIPercentile 60.8 %, DBP 75.0 mm[Hg], SBP 133.0 mm[Hg], HR 66.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan | null | null | Med rec | FIRST NAME:
Dewitt635
NOTE:
Patient at age 9 attended a well child visit with medication reconciliation performed. No new medications or conditions noted.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
175 | 160 | At age 9, patient presented with symptoms diagnosed as viral sinusitis. No procedures or medications were documented. | 2008-10-08 | Dewitt635 | 2018-05-29 | 2018-05-29 | 5 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 85.55 | 0 | 444,814,009 | Viral sinusitis (disorder) | 9 | null | Viral sinusitis | null | null | FIRST NAME:
Dewitt635
NOTE:
At age 9, patient presented with symptoms diagnosed as viral sinusitis. No procedures or medications were documented.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
176 | 161 | At 10 years old, patient had a well child visit with a dental referral issued. Medication review is still due. | 2008-10-08 | Dewitt635 | 2018-10-17 | 2018-10-17 | 5 | wellness | 410,620,009 | Well child visit (procedure) | 136.8 | 704.2 | 0 | null | null | 10 | Height 137.2 cm, PainScore 1.0 {score}, Weight 31.2 kg, BMI 16.6 kg/m2, BMIPercentile 49.2 %, DBP 80.0 mm[Hg], SBP 135.0 mm[Hg], HR 87.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan | Med review due | null | Dental referral | FIRST NAME:
Dewitt635
NOTE:
At 10 years old, patient had a well child visit with a dental referral issued. Medication review is still due.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
177 | 163 | Dental consult and cleaning were provided at age 10 including scaling, gingival exam, and oral health education. | 2008-10-08 | Dewitt635 | 2018-10-24 | 2018-10-24 | 5 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 2,673.95 | 0 | 103,697,008 | Patient referral for dental care (procedure) | 10 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed | FIRST NAME:
Dewitt635
NOTE:
Dental consult and cleaning were provided at age 10 including scaling, gingival exam, and oral health education.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
178 | 164 | At 11 years old, a well child visit with medication reconciliation was performed. No new conditions or medications noted. | 2008-10-08 | Dewitt635 | 2019-10-23 | 2019-10-23 | 5 | wellness | 410,620,009 | Well child visit (procedure) | 136.8 | 1,321.66 | 0 | null | null | 11 | Height 142.0 cm, PainScore 1.0 {score}, Weight 36.1 kg, BMI 17.9 kg/m2, BMIPercentile 62.0 %, DBP 82.0 mm[Hg], SBP 120.0 mm[Hg], HR 80.0 /min, RR 14.0 /min, AutoWBCCount 5.3 10*3/uL, AutoRBCCount 5.2 10*6/uL, BloodHgb 13.4 g/dL, AutoHct 50.0 %, AutoMCV 93.5 fL, MCH 32.0 pg, MCHC 34.1 g/dL, RDWv 39.6 fL, PlateletCount 2... | null | null | Med rec | FIRST NAME:
Dewitt635
NOTE:
At 11 years old, a well child visit with medication reconciliation was performed. No new conditions or medications noted.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
179 | 165 | At 12 years old, mental health screenings including anxiety assessment, depression screen, and PHQ-9 were conducted. Dental referral issued due to gingivitis. Medication review remains pending. | 2008-10-08 | Dewitt635 | 2020-10-28 | 2020-10-28 | 5 | wellness | 410,620,009 | Well child visit (procedure) | 136.8 | 840.2 | 0 | null | null | 12 | Height 147.4 cm, PainScore 1.0 {score}, Weight 40.4 kg, BMI 18.6 kg/m2, BMIPercentile 61.8 %, DBP 81.0 mm[Hg], SBP 120.0 mm[Hg], HR 79.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan | Med review due, Gingivitis | null | Anxiety assess, Depression screen, PHQ-9 screen, Dental referral | FIRST NAME:
Dewitt635
NOTE:
At 12 years old, mental health screenings including anxiety assessment, depression screen, and PHQ-9 were conducted. Dental referral issued due to gingivitis. Medication review remains pending.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 Na... |
180 | 166 | Comprehensive dental care including surgery (gingivectomy), scaling, bitewing x-rays, desensitizing treatment, and postoperative care was provided at age 12. Patient diagnosed with gum disease. | 2008-10-08 | Dewitt635 | 2020-11-11 | 2020-11-11 | 5 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 4,830.95 | 819.8 | 66,383,009 | Gingivitis (disorder) | 12 | null | Gum disease | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed | FIRST NAME:
Dewitt635
NOTE:
Comprehensive dental care including surgery (gingivectomy), scaling, bitewing x-rays, desensitizing treatment, and postoperative care was provided at age 12. Patient diagnosed with gum disease.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 ... |
181 | 168 | At age 12, patient received vaccination to produce active immunity. COVID-19 ruled out. | 2008-10-08 | Dewitt635 | 2021-08-11 | 2021-08-11 | 5 | outpatient | 33,879,002 | Administration of vaccine to produce active immunity (procedure) | 142.58 | 278.58 | 195.01 | null | null | 12 | null | R/O COVID | null | null | FIRST NAME:
Dewitt635
NOTE:
At age 12, patient received vaccination to produce active immunity. COVID-19 ruled out.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
182 | 170 | At age 12, patient presented with fever and COVID-19 diagnosis. Provider ensured use of face mask for infection control. | 2008-10-08 | Dewitt635 | 2021-08-21 | 2021-08-21 | 5 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 239.67 | 167.77 | 840,544,004 | Suspected disease caused by Severe acute respiratory coronavirus 2 (situation) | 12 | BodyTemp 37.9 Cel, RR 38.0 /min, HR 192.7 /min, SaO2 77.6 %, DBP 80.0 mm[Hg], SBP 136.0 mm[Hg], Weight 42.6 kg, FluA_PCR Negative (qualifier value) nan, FluB_PCR Negative (qualifier value) nan, RSV Negative (qualifier value) nan, PIV1 Negative (qualifier value) nan, PIV2 Negative (qualifier value) nan, PIV3 Negative (q... | Fever, COVID-19 | null | Face mask | FIRST NAME:
Dewitt635
NOTE:
At age 12, patient presented with fever and COVID-19 diagnosis. Provider ensured use of face mask for infection control.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
183 | 171 | Patient aged 12 received vaccination to produce active immunity. No additional details given. | 2008-10-08 | Dewitt635 | 2021-09-08 | 2021-09-08 | 5 | outpatient | 33,879,002 | Administration of vaccine to produce active immunity (procedure) | 142.58 | 278.58 | 195.01 | null | null | 12 | null | null | null | null | FIRST NAME:
Dewitt635
NOTE:
Patient aged 12 received vaccination to produce active immunity. No additional details given.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
184 | 172 | At 13 years, patient underwent mental health screenings (depression, PHQ-9), substance use assessments (including CRAFFT), and anticipatory guidance. Dental referral issued. | 2008-10-08 | Dewitt635 | 2021-11-03 | 2021-11-03 | 5 | wellness | 410,620,009 | Well child visit (procedure) | 136.8 | 840.2 | 0 | null | null | 13 | Height 154.4 cm, PainScore 0.0 {score}, Weight 43.1 kg, BMI 18.1 kg/m2, BMIPercentile 43.4 %, DBP 82.0 mm[Hg], SBP 134.0 mm[Hg], HR 84.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan | null | null | Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide, Dental referral | FIRST NAME:
Dewitt635
NOTE:
At 13 years, patient underwent mental health screenings (depression, PHQ-9), substance use assessments (including CRAFFT), and anticipatory guidance. Dental referral issued.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 ... |
185 | 174 | Dental care at age 13 included scaling, bitewing x-rays, gingival exam, and oral health education. | 2008-10-08 | Dewitt635 | 2021-11-17 | 2021-11-17 | 5 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 0 | 103,697,008 | Patient referral for dental care (procedure) | 13 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed | FIRST NAME:
Dewitt635
NOTE:
Dental care at age 13 included scaling, bitewing x-rays, gingival exam, and oral health education.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
186 | 176 | At 13 years, patient was admitted to ER with bone and rib fractures. Chest X-ray and bone immobilization done. APAP 325mg prescribed for pain management. | 2008-10-08 | Dewitt635 | 2021-12-26 | 2021-12-26 | 5 | emergency | 50,849,002 | Emergency room admission (procedure) | 146.18 | 8,155.58 | 5,449.21 | 125,605,004 | Fracture of bone (disorder) | 13 | null | Bone fx, Rib fx | APAP 325mg tab | CXR, Bone immob | FIRST NAME:
Dewitt635
NOTE:
At 13 years, patient was admitted to ER with bone and rib fractures. Chest X-ray and bone immobilization done. APAP 325mg prescribed for pain management.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 ... |
187 | 179 | Routine check-up at age 13. No procedures, medications, or conditions reported. | 2008-10-08 | Dewitt635 | 2022-03-14 | 2022-03-14 | 5 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 85.55 | 59.88 | 33,737,001 | Fracture of rib (disorder) | 13 | null | null | null | null | FIRST NAME:
Dewitt635
NOTE:
Routine check-up at age 13. No procedures, medications, or conditions reported.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
188 | 180 | At 14 years, patient received substance use assessments including CRAFFT screening and anticipatory guidance. | 2008-10-08 | Dewitt635 | 2022-11-09 | 2022-11-09 | 5 | wellness | 410,620,009 | Well child visit (procedure) | 136.8 | 704.2 | 0 | null | null | 14 | Height 162.7 cm, PainScore 3.0 {score}, Weight 52.0 kg, BMI 19.6 kg/m2, BMIPercentile 56.2 %, DBP 81.0 mm[Hg], SBP 122.0 mm[Hg], HR 100.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan | null | null | Substance use assess, CRAFFT screen, Anticipatory guide | FIRST NAME:
Dewitt635
NOTE:
At 14 years, patient received substance use assessments including CRAFFT screening and anticipatory guidance.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
189 | 181 | Patient at 14 presented with strep throat, treated with Penicillin VK 250mg tablets. | 2008-10-08 | Dewitt635 | 2023-04-27 | 2023-04-27 | 5 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 85.55 | 0 | 43,878,008 | Streptococcal sore throat (disorder) | 14 | BodyTemp 37.6 Cel | Strep throat | PCN VK 250mg tab | null | FIRST NAME:
Dewitt635
NOTE:
Patient at 14 presented with strep throat, treated with Penicillin VK 250mg tablets.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN... |
190 | 182 | At age 15, comprehensive well child visit including medication reconciliation, mental health and substance use assessments, health risk education, and dental referral due to gingivitis. | 2008-10-08 | Dewitt635 | 2023-11-15 | 2023-11-15 | 5 | wellness | 410,620,009 | Well child visit (procedure) | 136.8 | 1,532.82 | 0 | null | null | 15 | Height 168.5 cm, PainScore 4.0 {score}, Weight 54.9 kg, BMI 19.3 kg/m2, BMIPercentile 41.2 %, DBP 79.0 mm[Hg], SBP 136.0 mm[Hg], HR 71.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan | Risk behaviors, Gingivitis | null | Med rec, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Health risk ed, Dental referral | FIRST NAME:
Dewitt635
NOTE:
At age 15, comprehensive well child visit including medication reconciliation, mental health and substance use assessments, health risk education, and dental referral due to gingivitis.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 ... |
191 | 184 | Dental check-up with scaling, bitewing x-ray and oral health education at 15 years old. | 2008-10-08 | Dewitt635 | 2023-11-29 | 2023-11-29 | 5 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 96.72 | 66,383,009 | Gingivitis (disorder) | 15 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed | FIRST NAME:
Dewitt635
NOTE:
Dental check-up with scaling, bitewing x-ray and oral health education at 15 years old.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
192 | 185 | Well child visit at 16 included depression screening and dental referral. Gingivitis persists and medication review is pending. | 2008-10-08 | Dewitt635 | 2024-11-20 | 2024-11-20 | 5 | wellness | 410,620,009 | Well child visit (procedure) | 136.8 | 914.78 | 0 | null | null | 16 | Height 171.9 cm, PainScore 3.0 {score}, Weight 61.8 kg, BMI 20.9 kg/m2, BMIPercentile 54.3 %, DBP 79.0 mm[Hg], SBP 126.0 mm[Hg], HR 90.0 /min, RR 15.0 /min, AutoWBCCount 7.9 10*3/uL, AutoRBCCount 4.3 10*6/uL, BloodHgb 13.0 g/dL, AutoHct 39.4 %, AutoMCV 87.8 fL, MCH 32.2 pg, MCHC 35.1 g/dL, RDWv 44.4 fL, PlateletCount 3... | Med review due, Gingivitis | null | Depression screen, PHQ-9 screen, Dental referral | FIRST NAME:
Dewitt635
NOTE:
Well child visit at 16 included depression screening and dental referral. Gingivitis persists and medication review is pending.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
193 | 187 | At 16 years, patient received dental consult and care including fluoride treatment with NaF 2.72% oral gel, scaling, bitewing x-rays, and oral health education. | 2008-10-08 | Dewitt635 | 2024-12-04 | 2024-12-04 | 5 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,536.75 | 57.03 | 66,383,009 | Gingivitis (disorder) | 16 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Dewitt635
NOTE:
At 16 years, patient received dental consult and care including fluoride treatment with NaF 2.72% oral gel, scaling, bitewing x-rays, and oral health education.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 ... |
194 | 194 | At age 5, patient had a history of appendectomy; no current procedures, medications, or active conditions noted. | 1968-06-12 | Georgene966 | 1973-10-10 | 1973-10-11 | 6 | inpatient | 185,347,001 | Encounter for problem (procedure) | 87.71 | 18,064.74 | 0 | 74,400,008 | Appendicitis (disorder) | 5 | null | H/o appendectomy | null | null | FIRST NAME:
Georgene966
NOTE:
At age 5, patient had a history of appendectomy; no current procedures, medications, or active conditions noted.
ENCOUNTER TYPE:
inpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
195 | 195 | At 18, underwent general examination; social factors include poor housing and pursuing higher education; no procedures or medications noted. | 1968-06-12 | Georgene966 | 1986-08-06 | 1986-08-06 | 6 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 704.2 | 0 | null | null | 18 | null | Poor housing, Higher ed | null | null | FIRST NAME:
Georgene966
NOTE:
At 18, underwent general examination; social factors include poor housing and pursuing higher education; no procedures or medications noted.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 ... |
196 | 196 | At age 22, general examination revealed obesity with BMI over 30; no procedures or medications documented. | 1968-06-12 | Georgene966 | 1990-08-15 | 1990-08-15 | 6 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 914.78 | 0 | null | null | 22 | null | Obesity BMI>30 | null | null | FIRST NAME:
Georgene966
NOTE:
At age 22, general examination revealed obesity with BMI over 30; no procedures or medications documented.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
197 | 197 | At age 25, general examination identified hypertension; no procedures or medications recorded. | 1968-06-12 | Georgene966 | 1993-08-18 | 1993-08-18 | 6 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,567 | 0 | null | null | 25 | null | HTN | null | null | FIRST NAME:
Georgene966
NOTE:
At age 25, general examination identified hypertension; no procedures or medications recorded.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
198 | 198 | At age 33, general exam noted presence of a criminal record; no procedures, medications, or conditions listed. | 1968-06-12 | Georgene966 | 2001-10-03 | 2001-10-03 | 6 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,641.58 | 0 | null | null | 33 | null | Criminal record | null | null | FIRST NAME:
Georgene966
NOTE:
At age 33, general exam noted presence of a criminal record; no procedures, medications, or conditions listed.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
199 | 199 | Emergency admission at age 35 for emphysema and anemia; details of procedures and medications absent. | 1968-06-12 | Georgene966 | 2003-09-10 | 2003-09-10 | 6 | emergency | 50,849,002 | Emergency room admission (procedure) | 146.18 | 10,343.37 | 0 | null | null | 35 | null | Emphysema, Anemia | null | null | FIRST NAME:
Georgene966
NOTE:
Emergency admission at age 35 for emphysema and anemia; details of procedures and medications absent.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
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