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 ⌀ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
300 | 308 | Hospital admission for pain management using oxycodone ER. | 1950-04-15 | Micheal721 | 2000-02-10 | 2000-02-10 | 7 | emergency | 183,452,005 | Emergency hospital admission (procedure) | 87.71 | 87.71 | 37.71 | 82,423,001 | Chronic pain (finding) | 49 | PainScore 7.0 {score} | null | AD 12hr Oxycodone 15mg ER tab | null | FIRST NAME:
Micheal721
NOTE:
Hospital admission for pain management using oxycodone ER.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
301 | 309 | "Routine check-up at 50 included colonoscopy; no conditions or medications noted." | 1950-04-15 | Micheal721 | 2000-04-15 | 2000-04-15 | 7 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 18,453.49 | 18,303.49 | 275,978,004 | Screening for malignant neoplasm of colon (procedure) | 50 | null | null | null | Colonoscopy | FIRST NAME:
Micheal721
NOTE:
"Routine check-up at 50 included colonoscopy; no conditions or medications noted."
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN... |
302 | 310 | General exam at 50 with social and depression assessments; patient not in workforce, on antihypertensive meds. | 1950-04-15 | Micheal721 | 2000-05-27 | 2000-05-27 | 7 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 778.78 | 728.78 | null | null | 50 | HbA1c 5.9 %, Height 193.3 cm, PainScore 4.0 {score}, Weight 111.4 kg, BMI 29.8 kg/m2, DBP 67.0 mm[Hg], SBP 120.0 mm[Hg], HR 89.0 /min, RR 13.0 /min, BloodGlucose 70.8 mg/dL, BloodBUN 12.7 mg/dL, BloodCreatinine 1.8 mg/dL, BloodCalcium 9.8 mg/dL, BloodNa 140.4 mmol/L, BloodK 4.5 mmol/L, BloodChloride 102.2 mmol/L, Total... | Not in workforce | HCTZ 25mg tab, Lisinopril 10mg tab | Health/social needs assess, Depression screen, Depression screen | FIRST NAME:
Micheal721
NOTE:
General exam at 50 with social and depression assessments; patient not in workforce, on antihypertensive meds.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
303 | 311 | Emergency wisdom tooth extraction at 50 with opioid analgesics. | 1950-04-15 | Micheal721 | 2000-06-23 | 2000-06-23 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 5,308.14 | 5,258.14 | 196,416,002 | Impacted molars (disorder) | 50 | PainScore 4.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | FIRST NAME:
Micheal721
NOTE:
Emergency wisdom tooth extraction at 50 with opioid analgesics.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
304 | 314 | Repeat emergency wisdom tooth extraction with pain control. | 1950-04-15 | Micheal721 | 2000-09-17 | 2000-09-17 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 16,280.65 | 16,230.65 | 196,416,002 | Impacted molars (disorder) | 50 | PainScore 7.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | FIRST NAME:
Micheal721
NOTE:
Repeat emergency wisdom tooth extraction with pain control.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
305 | 315 | Hospital admission with oxycodone ER for pain. | 1950-04-15 | Micheal721 | 2000-11-07 | 2000-11-07 | 7 | emergency | 183,452,005 | Emergency hospital admission (procedure) | 87.71 | 87.71 | 37.71 | 82,423,001 | Chronic pain (finding) | 50 | PainScore 8.0 {score} | null | AD 12hr Oxycodone 15mg ER tab | null | FIRST NAME:
Micheal721
NOTE:
Hospital admission with oxycodone ER for pain.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
306 | 316 | Additional hospital admission at 50 continuing with oxycodone ER. | 1950-04-15 | Micheal721 | 2000-12-21 | 2000-12-21 | 7 | emergency | 183,452,005 | Emergency hospital admission (procedure) | 87.71 | 87.71 | 37.71 | 82,423,001 | Chronic pain (finding) | 50 | PainScore 6.0 {score} | null | AD 12hr Oxycodone 15mg ER tab | null | FIRST NAME:
Micheal721
NOTE:
Additional hospital admission at 50 continuing with oxycodone ER.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
307 | 317 | Emergency treatment with acetaminophen/oxycodone tablets at 51. | 1950-04-15 | Micheal721 | 2001-04-18 | 2001-04-18 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 146.18 | 96.18 | 124,171,000,119,105 | Chronic intractable migraine without aura (disorder) | 51 | PainScore 5.0 {score} | null | APAP 325mg/Oxycodone 5mg tab | null | FIRST NAME:
Micheal721
NOTE:
Emergency treatment with acetaminophen/oxycodone tablets at 51.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
308 | 320 | Hospital admission at 51 with ongoing pain meds oxycodone ER. | 1950-04-15 | Micheal721 | 2001-05-25 | 2001-05-25 | 7 | emergency | 183,452,005 | Emergency hospital admission (procedure) | 87.71 | 87.71 | 0 | 82,423,001 | Chronic pain (finding) | 51 | PainScore 7.0 {score} | null | AD 12hr Oxycodone 15mg ER tab | null | FIRST NAME:
Micheal721
NOTE:
Hospital admission at 51 with ongoing pain meds oxycodone ER.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
309 | 321 | General examination with anxiety and domestic abuse screenings, patient unemployed at 51, on antihypertensives. | 1950-04-15 | Micheal721 | 2001-06-02 | 2001-06-02 | 7 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 996.16 | 883.87 | null | null | 51 | HbA1c 5.9 %, Height 193.3 cm, PainScore 2.0 {score}, Weight 113.4 kg, BMI 30.4 kg/m2, DBP 69.0 mm[Hg], SBP 125.0 mm[Hg], HR 85.0 /min, RR 14.0 /min, BloodGlucose 81.5 mg/dL, BloodBUN 19.5 mg/dL, BloodCreatinine 1.5 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 140.2 mmol/L, BloodK 4.4 mmol/L, BloodChloride 107.9 mmol/L, Tota... | Unemployed | HCTZ 25mg tab, Lisinopril 10mg tab | Health/social needs assess, Anxiety assess, Domestic abuse screen | FIRST NAME:
Micheal721
NOTE:
General examination with anxiety and domestic abuse screenings, patient unemployed at 51, on antihypertensives.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
310 | 322 | Emergency hospital admission with oxycodone ER at 51. | 1950-04-15 | Micheal721 | 2001-07-08 | 2001-07-08 | 7 | emergency | 183,452,005 | Emergency hospital admission (procedure) | 87.71 | 87.71 | 37.71 | 82,423,001 | Chronic pain (finding) | 51 | PainScore 7.0 {score} | null | AD 12hr Oxycodone 15mg ER tab | null | FIRST NAME:
Micheal721
NOTE:
Emergency hospital admission with oxycodone ER at 51.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
311 | 323 | Emergency treatment with acetaminophen/oxycodone tablets. | 1950-04-15 | Micheal721 | 2001-10-13 | 2001-10-13 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 146.18 | 96.18 | 124,171,000,119,105 | Chronic intractable migraine without aura (disorder) | 51 | PainScore 7.0 {score} | null | APAP 325mg/Oxycodone 5mg tab | null | FIRST NAME:
Micheal721
NOTE:
Emergency treatment with acetaminophen/oxycodone tablets.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
312 | 324 | Repeated emergency treatment with combination analgesics. | 1950-04-15 | Micheal721 | 2002-01-16 | 2002-01-16 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 146.18 | 96.18 | 124,171,000,119,105 | Chronic intractable migraine without aura (disorder) | 51 | PainScore 7.0 {score} | null | APAP 325mg/Oxycodone 5mg tab | null | FIRST NAME:
Micheal721
NOTE:
Repeated emergency treatment with combination analgesics.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
313 | 325 | Additional hospital admission at 51 with oxycodone ER. | 1950-04-15 | Micheal721 | 2002-04-14 | 2002-04-14 | 7 | emergency | 183,452,005 | Emergency hospital admission (procedure) | 87.71 | 87.71 | 37.71 | 82,423,001 | Chronic pain (finding) | 51 | PainScore 7.0 {score} | null | AD 12hr Oxycodone 15mg ER tab | null | FIRST NAME:
Micheal721
NOTE:
Additional hospital admission at 51 with oxycodone ER.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
314 | 326 | General exam at 52 focusing on health/social needs, patient diagnosed with metabolic syndrome, maintains antihypertensives. | 1950-04-15 | Micheal721 | 2002-06-08 | 2002-06-08 | 7 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 860.16 | 710.16 | null | null | 52 | HbA1c 6.4 %, Height 193.3 cm, PainScore 2.0 {score}, Weight 105.3 kg, BMI 28.2 kg/m2, DBP 67.0 mm[Hg], SBP 118.0 mm[Hg], HR 71.0 /min, RR 16.0 /min, BloodGlucose 98.6 mg/dL, BloodBUN 19.1 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 143.3 mmol/L, BloodK 4.9 mmol/L, BloodChloride 105.3 mmol/L, Total... | MetS | HCTZ 25mg tab, Lisinopril 10mg tab | Health/social needs assess | FIRST NAME:
Micheal721
NOTE:
General exam at 52 focusing on health/social needs, patient diagnosed with metabolic syndrome, maintains antihypertensives.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
315 | 327 | Emergency room admission due to drug overdose at 52. | 1950-04-15 | Micheal721 | 2002-06-09 | 2002-06-09 | 7 | emergency | 50,849,002 | Emergency room admission (procedure) | 146.18 | 146.18 | 96.18 | 55,680,006 | Drug overdose | 52 | null | Drug OD | null | null | FIRST NAME:
Micheal721
NOTE:
Emergency room admission due to drug overdose at 52.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
316 | 330 | Patient deceased at age 52; no further details recorded. | 1950-04-15 | Micheal721 | 2002-06-22 | 2002-06-22 | 7 | wellness | 308,646,001 | Death Certification | 136.8 | 211.38 | 161.38 | 55,680,006 | Drug overdose | 52 | DeathCause Drug overdose nan | null | null | null | FIRST NAME:
Micheal721
NOTE:
Patient deceased at age 52; no further details recorded.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
317 | 279 | General examination at age 18 with no procedures or medications noted. Patient has a history of primary education only. | 1956-04-12 | Nina110 | 1974-06-07 | 1974-06-07 | 8 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,567 | 0 | null | null | 18 | null | Primary ed only | null | null | FIRST NAME:
Nina110
NOTE:
General examination at age 18 with no procedures or medications noted. Patient has a history of primary education only.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
318 | 281 | At age 22, patient noted to have obesity with BMI>30 during routine general exam. No procedures or medications recorded. | 1956-04-12 | Nina110 | 1978-06-16 | 1978-06-16 | 8 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 994.48 | 0 | null | null | 22 | null | Obesity BMI>30 | null | null | FIRST NAME:
Nina110
NOTE:
At age 22, patient noted to have obesity with BMI>30 during routine general exam. No procedures or medications recorded.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
319 | 282 | General exam at age 25 noted with mention of criminal record. No procedures, medications, or conditions noted. | 1956-04-12 | Nina110 | 1981-06-19 | 1981-06-19 | 8 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 704.2 | 0 | null | null | 25 | null | Criminal record | null | null | FIRST NAME:
Nina110
NOTE:
General exam at age 25 noted with mention of criminal record. No procedures, medications, or conditions noted.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
320 | 283 | Patient admitted to surgical department at 25 with history of tubal procedure. No medications or additional procedures noted. | 1956-04-12 | Nina110 | 1981-12-31 | 1982-01-01 | 8 | inpatient | 305,408,004 | Admission to surgical department (procedure) | 146.18 | 7,029.52 | 0 | 183,996,000 | Sterilization requested (situation) | 25 | null | H/o tubal | null | null | FIRST NAME:
Nina110
NOTE:
Patient admitted to surgical department at 25 with history of tubal procedure. No medications or additional procedures noted.
ENCOUNTER TYPE:
inpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
321 | 284 | General examination at age 48 revealed prediabetes. No medications or procedures noted. | 1956-04-12 | Nina110 | 2004-05-07 | 2004-05-07 | 8 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 849.22 | 0 | null | null | 48 | null | Prediabetes | null | null | FIRST NAME:
Nina110
NOTE:
General examination at age 48 revealed prediabetes. No medications or procedures noted.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
... |
322 | 285 | Evaluation noted hypertension, prescribed HCTZ 25mg. Patient is unemployed and history of intimate partner violence (IPV) reported. | 1956-04-12 | Nina110 | 2007-04-20 | 2007-04-20 | 8 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,347.2 | 0 | null | null | 51 | null | HTN, Unemployed, IPV | HCTZ 25mg tab | null | FIRST NAME:
Nina110
NOTE:
Evaluation noted hypertension, prescribed HCTZ 25mg. Patient is unemployed and history of intimate partner violence (IPV) reported.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
323 | 289 | Follow-up visit with Lisinopril 10mg prescribed for hypertension. | 1956-04-12 | Nina110 | 2007-05-20 | 2007-05-20 | 8 | ambulatory | 390,906,007 | Follow-up encounter (procedure) | 85.55 | 85.55 | 0 | 59,621,000 | Essential hypertension (disorder) | 51 | null | null | Lisinopril 10mg tab | null | FIRST NAME:
Nina110
NOTE:
Follow-up visit with Lisinopril 10mg prescribed for hypertension.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
324 | 290 | Follow-up encounter; patient on Amlodipine 2.5mg for blood pressure control. | 1956-04-12 | Nina110 | 2007-07-19 | 2007-07-19 | 8 | ambulatory | 390,906,007 | Follow-up encounter (procedure) | 85.55 | 85.55 | 50.78 | 59,621,000 | Essential hypertension (disorder) | 51 | DBP 92.0 mm[Hg], SBP 117.0 mm[Hg] | null | Amlodipine 2.5mg tab | null | FIRST NAME:
Nina110
NOTE:
Follow-up encounter; patient on Amlodipine 2.5mg for blood pressure control.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
325 | 292 | null | 1956-04-12 | Nina110 | 2007-09-17 | 2007-09-17 | 8 | ambulatory | 390,906,007 | Follow-up encounter (procedure) | 85.55 | 516.95 | 413.56 | 59,621,000 | Essential hypertension (disorder) | 51 | DBP 83.0 mm[Hg], SBP 107.0 mm[Hg] | null | null | HTN clinic referral | null |
326 | 294 | Comprehensive assessment including mental health and dental screening. On multiple antihypertensives. Anemia and social factors documented. | 1956-04-12 | Nina110 | 2008-04-25 | 2008-04-25 | 8 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 853.36 | 0 | null | null | 52 | HbA1c 5.9 %, Height 166.0 cm, PainScore 2.0 {score}, Weight 101.4 kg, BMI 36.8 kg/m2, DBP 80.0 mm[Hg], SBP 110.0 mm[Hg], HR 87.0 /min, RR 13.0 /min, BloodGlucose 78.9 mg/dL, BloodBUN 19.5 mg/dL, BloodCreatinine 1.7 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 138.5 mmol/L, BloodK 5.1 mmol/L, BloodChloride 104.9 mmol/L, Total... | Med review due, Anemia, Part-time employed, Limited social contact, Gingivitis | HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral | FIRST NAME:
Nina110
NOTE:
Comprehensive assessment including mental health and dental screening. On multiple antihypertensives. Anemia and social factors documented.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2... |
327 | 303 | Problem focused encounter including review of systems, peripheral smear interpretation, and medication reconciliation. | 1956-04-12 | Nina110 | 2008-05-02 | 2008-05-02 | 8 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 1,067.79 | 372.7 | 271,737,000 | Anemia (disorder) | 52 | BloodHgb 11.1 g/dL, BloodHct 34.4 %, AutoWBCCount 8.0 10*3/uL, AutoRBCCount 5.4 10*6/uL, AutoMCV 84.1 fL, MCH 31.3 pg, MCHC 36.0 g/dL, RDWv 44.5 fL, PlateletCount 397.5 10*3/uL, PDW 503.4 fL, MPV 11.5 fL | null | null | Periph smear interp, ROS, Med rec, Brief exam | FIRST NAME:
Nina110
NOTE:
Problem focused encounter including review of systems, peripheral smear interpretation, and medication reconciliation.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
328 | 312 | Dental evaluation for gum disease, including extensive dental procedures and education. | 1956-04-12 | Nina110 | 2008-05-16 | 2008-05-16 | 8 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 4,830.95 | 3,864.76 | 66,383,009 | Gingivitis (disorder) | 52 | 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:
Nina110
NOTE:
Dental evaluation for gum disease, including extensive dental procedures and education.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 Na... |
329 | 318 | General exam with focus on mental health and social factors. Medications for hypertension continued. Patient reports work-related stress. | 1956-04-12 | Nina110 | 2009-05-01 | 2009-05-01 | 8 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,149.14 | 0 | null | null | 53 | HbA1c 5.9 %, Height 166.0 cm, PainScore 2.0 {score}, Weight 102.8 kg, BMI 37.3 kg/m2, DBP 81.0 mm[Hg], SBP 104.0 mm[Hg], HR 60.0 /min, RR 15.0 /min, BloodGlucose 72.0 mg/dL, BloodBUN 13.1 mg/dL, BloodCreatinine 1.2 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 141.9 mmol/L, BloodK 3.9 mmol/L, BloodChloride 103.5 mmol/L, Total... | Full-time employed, Stress | 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, PHQ-9 screen, Substance use assess, AUDIT-C assess, Dental referral | FIRST NAME:
Nina110
NOTE:
General exam with focus on mental health and social factors. Medications for hypertension continued. Patient reports work-related stress.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
330 | 328 | Routine dental care and oral health education provided. | 1956-04-12 | Nina110 | 2009-05-15 | 2009-05-15 | 8 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 2,673.95 | 1,893.96 | 103,697,008 | Patient referral for dental care (procedure) | 53 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed | FIRST NAME:
Nina110
NOTE:
Routine dental care and oral health education provided.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
331 | 329 | Continued health and social needs assessment with medication review due. | 1956-04-12 | Nina110 | 2010-05-07 | 2010-05-07 | 8 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 785.58 | 0 | null | null | 54 | HbA1c 6.3 %, Height 166.0 cm, PainScore 2.0 {score}, Weight 102.8 kg, BMI 37.3 kg/m2, DBP 85.0 mm[Hg], SBP 99.0 mm[Hg], HR 63.0 /min, RR 14.0 /min, BloodGlucose 78.2 mg/dL, BloodBUN 14.8 mg/dL, BloodCreatinine 1.1 mg/dL, BloodCalcium 9.8 mg/dL, BloodNa 137.2 mmol/L, BloodK 4.6 mmol/L, BloodChloride 108.5 mmol/L, TotalC... | Med review due | HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen | FIRST NAME:
Nina110
NOTE:
Continued health and social needs assessment with medication review due.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
332 | 331 | Colonoscopy performed as part of routine check up. | 1956-04-12 | Nina110 | 2011-04-21 | 2011-04-21 | 8 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 5,138.45 | 2,944.36 | 275,978,004 | Screening for malignant neoplasm of colon (procedure) | 55 | null | null | null | Colonoscopy | FIRST NAME:
Nina110
NOTE:
Colonoscopy performed as part of routine check up.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
333 | 332 | General exam with mental health screening and dental referral. Reports part-time employment and stress. | 1956-04-12 | Nina110 | 2011-05-13 | 2011-05-13 | 8 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 778.78 | 623.02 | null | null | 55 | HbA1c 6.2 %, Height 166.0 cm, PainScore 4.0 {score}, Weight 102.8 kg, BMI 37.3 kg/m2, DBP 81.0 mm[Hg], SBP 105.0 mm[Hg], HR 80.0 /min, RR 14.0 /min, BloodGlucose 74.6 mg/dL, BloodBUN 11.9 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 140.5 mmol/L, BloodK 4.3 mmol/L, BloodChloride 106.6 mmol/L, Tota... | Part-time employed, Stress | HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Anxiety assess, Dental referral | FIRST NAME:
Nina110
NOTE:
General exam with mental health screening and dental referral. Reports part-time employment and stress.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
334 | 333 | Dental care for dental caries with full cusp coverage and oral health education. | 1956-04-12 | Nina110 | 2011-05-27 | 2011-05-27 | 8 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,536.75 | 2,829.4 | 103,697,008 | Patient referral for dental care (procedure) | 55 | null | Dental caries | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Full cusp coverage, Oral health ed | FIRST NAME:
Nina110
NOTE:
Dental care for dental caries with full cusp coverage and oral health education.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
335 | 334 | Emergency care for facial laceration requiring wound suturing and acetaminophen for pain management. | 1956-04-12 | Nina110 | 2011-12-23 | 2011-12-23 | 8 | emergency | 50,849,002 | Emergency room admission (procedure) | 146.18 | 7,217.67 | 5,774.13 | 312,608,009 | Laceration - injury (disorder) | 55 | null | Lac, Facial lac | APAP 325mg tab | Wound suture | FIRST NAME:
Nina110
NOTE:
Emergency care for facial laceration requiring wound suturing and acetaminophen for pain management.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
336 | 335 | Chronic kidney disease and diabetic nephropathy noted with ongoing medication including insulin. Patient employed full-time. | 1956-04-12 | Nina110 | 2012-05-18 | 2012-05-18 | 8 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,218.22 | 0 | null | null | 56 | SerumGlucose 79.7 mg/dL, SerumBUN 13.8 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 141.2 mmol/L, SerumK 4.0 mmol/L, SerumChloride 107.2 mmol/L, TotalCO2Serum 20.8 mmol/L, MDRDGFR 63.9 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | 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) | Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Nina110
NOTE:
Chronic kidney disease and diabetic nephropathy noted with ongoing medication including insulin. Patient employed full-time.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
337 | 336 | Progression of CKD to stage 3 with diabetic proteinuria. Mental health and social assessment included. | 1956-04-12 | Nina110 | 2013-01-25 | 2013-01-25 | 8 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 1,092.39 | 873.9 | null | null | 56 | SerumGlucose 83.0 mg/dL, SerumBUN 8.4 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 137.2 mmol/L, SerumK 4.4 mmol/L, SerumChloride 108.7 mmol/L, TotalCO2Serum 28.4 mmol/L, MDRDGFR 58.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nom... | Med review due, CKD stage 3, Diabetic proteinuria, Limited social contact, Stress | 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 | FIRST NAME:
Nina110
NOTE:
Progression of CKD to stage 3 with diabetic proteinuria. Mental health and social assessment included.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
338 | 337 | Treatment for acute bronchitis given, including symptomatic medication. | 1956-04-12 | Nina110 | 2013-02-14 | 2013-02-14 | 8 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 85.55 | 68.44 | 10,509,002 | Acute bronchitis (disorder) | 56 | null | Acute bronchitis | APAP 21.7mg/DM 1mg/Doxylamine 0.417mg per ml soln | null | FIRST NAME:
Nina110
NOTE:
Treatment for acute bronchitis given, including symptomatic medication.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
339 | 338 | ER admission with full medication review and social/mental health screening; patient currently unemployed. | 1956-04-12 | Nina110 | 2013-02-22 | 2013-02-22 | 8 | emergency | 50,849,002 | Emergency room admission (procedure) | 146.18 | 1,664.12 | 1,331.28 | null | null | 56 | SerumGlucose 94.1 mg/dL, SerumBUN 16.0 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.9 mg/dL, SerumNa 137.9 mmol/L, SerumK 4.8 mmol/L, SerumChloride 110.5 mmol/L, TotalCO2Serum 21.4 mmol/L, MDRDGFR 48.0 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Med review due, Unemployed | 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, AUDIT-C assess | FIRST NAME:
Nina110
NOTE:
ER admission with full medication review and social/mental health screening; patient currently unemployed.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
340 | 340 | Emergency admission with medication review due. | 1956-04-12 | Nina110 | 2013-03-01 | 2013-03-01 | 8 | emergency | 50,849,002 | Emergency room admission (procedure) | 146.18 | 295.34 | 236.26 | null | null | 56 | SerumGlucose 81.3 mg/dL, SerumBUN 17.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 138.2 mmol/L, SerumK 4.4 mmol/L, SerumChloride 109.6 mmol/L, TotalCO2Serum 27.1 mmol/L, MDRDGFR 55.2 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 | null | FIRST NAME:
Nina110
NOTE:
Emergency admission with medication review due.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
341 | 341 | Urgent care visit with mental health and social needs assessment, dental referral for gingivitis. | 1956-04-12 | Nina110 | 2013-03-08 | 2013-03-08 | 8 | urgentcare | 702,927,004 | Urgent care clinic (environment) | 142.58 | 1,660.52 | 1,328.4 | null | null | 56 | SerumGlucose 65.0 mg/dL, SerumBUN 18.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 136.3 mmol/L, SerumK 4.0 mmol/L, SerumChloride 109.1 mmol/L, TotalCO2Serum 28.1 mmol/L, MDRDGFR 54.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | 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:
Nina110
NOTE:
Urgent care visit with mental health and social needs assessment, dental referral for gingivitis.
ENCOUNTER TYPE:
urgentcare
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
342 | 342 | Comprehensive dental care provided with fluoride treatment. | 1956-04-12 | Nina110 | 2013-03-22 | 2013-03-22 | 8 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 2,484.28 | 66,383,009 | Gingivitis (disorder) | 56 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Nina110
NOTE:
Comprehensive dental care provided with fluoride treatment.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
343 | 343 | Ongoing medication and mental health monitoring. Patient reports stress. | 1956-04-12 | Nina110 | 2013-04-26 | 2013-04-26 | 8 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 1,090.82 | 115.1 | null | null | 57 | SerumGlucose 80.8 mg/dL, SerumBUN 16.9 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 137.4 mmol/L, SerumK 4.5 mmol/L, SerumChloride 103.8 mmol/L, TotalCO2Serum 26.3 mmol/L, MDRDGFR 43.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Med review due, Stress | 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, Substance use assess, Drug abuse screen, Dental referral | FIRST NAME:
Nina110
NOTE:
Ongoing medication and mental health monitoring. Patient reports stress.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
344 | 344 | Routine dental visit including fluoride application. | 1956-04-12 | Nina110 | 2013-05-10 | 2013-05-10 | 8 | 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) | 57 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Nina110
NOTE:
Routine dental visit including fluoride application.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
345 | 345 | General exam with continued monitoring of gingivitis and mental health. | 1956-04-12 | Nina110 | 2013-05-24 | 2013-05-24 | 8 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,329.96 | 1,063.96 | null | null | 57 | SerumGlucose 74.4 mg/dL, SerumBUN 19.6 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 139.0 mmol/L, SerumK 4.8 mmol/L, SerumChloride 105.3 mmol/L, TotalCO2Serum 26.2 mmol/L, MDRDGFR 49.9 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 | Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | FIRST NAME:
Nina110
NOTE:
General exam with continued monitoring of gingivitis and mental health.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
346 | 346 | Assessment for chronic congestive heart failure; cardiovascular investigations including ECG and chest X-ray performed. | 1956-04-12 | Nina110 | 2013-05-28 | 2013-05-28 | 8 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 6,785.18 | 5,428.11 | 88,805,009 | Chronic congestive heart failure (disorder) | 57 | Symptom Dyspnea on exertion (finding) nan, Symptom Dyspnea (finding) nan, Symptom Paroxysmal dyspnea (finding) nan, Symptom Orthopnea (finding) nan, Symptom Edema (finding) nan, Symptom Rales (finding) nan, Weight 102.8 kg, NTproBNP 1196.1 pg/mL, AutoWBCCount 5.1 10*3/uL, AutoRBCCount 3.8 10*6/uL, BloodHgb 12.9 g/dL, A... | Chronic CHF | null | ECG, CXR, NYHA class assess | FIRST NAME:
Nina110
NOTE:
Assessment for chronic congestive heart failure; cardiovascular investigations including ECG and chest X-ray performed.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
347 | 347 | Routine dental cleaning and examination. | 1956-04-12 | Nina110 | 2013-06-07 | 2013-06-07 | 8 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 2,484.28 | 66,383,009 | Gingivitis (disorder) | 57 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Nina110
NOTE:
Routine dental cleaning and examination.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
348 | 348 | Echocardiogram and medication reconciliation performed for cardiac evaluation. | 1956-04-12 | Nina110 | 2013-06-16 | 2013-06-16 | 8 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 1,333.35 | 1,066.67 | 88,805,009 | Chronic congestive heart failure (disorder) | 57 | LVEF 47.8 %, BloodGlucose 85.5 mg/dL, BloodBUN 16.7 mg/dL, BloodCreatinine 5.8 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 142.0 mmol/L, BloodK 4.3 mmol/L, BloodChloride 108.9 mmol/L, TotalCO2Blood 22.4 mmol/L | null | Lasix 40mg tab, Carvedilol 25mg tab, Losartan 50mg tab | Echo, Med rec | FIRST NAME:
Nina110
NOTE:
Echocardiogram and medication reconciliation performed for cardiac evaluation.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
349 | 349 | Ongoing treatment for cardiac conditions with multiple medications; dental and mental health assessed. | 1956-04-12 | Nina110 | 2013-07-26 | 2013-07-26 | 8 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 1,055.43 | 844.33 | null | null | 57 | SerumGlucose 89.1 mg/dL, SerumBUN 12.6 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 138.8 mmol/L, SerumK 4.0 mmol/L, SerumChloride 109.2 mmol/L, TotalCO2Serum 28.0 mmol/L, MDRDGFR 52.4 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), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, Losartan 50mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral | FIRST NAME:
Nina110
NOTE:
Ongoing treatment for cardiac conditions with multiple medications; dental and mental health assessed.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
350 | 352 | Regular dental care to manage gingival health. | 1956-04-12 | Nina110 | 2013-08-09 | 2013-08-09 | 8 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 2,484.28 | 66,383,009 | Gingivitis (disorder) | 57 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Nina110
NOTE:
Regular dental care to manage gingival health.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
351 | 358 | Echocardiogram and medication reconciliation; medication adjusted to Lisinopril 20mg. | 1956-04-12 | Nina110 | 2013-12-13 | 2013-12-13 | 8 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 1,442.63 | 1,154.1 | 88,805,009 | Chronic congestive heart failure (disorder) | 57 | LVEF 43.0 %, BloodGlucose 73.1 mg/dL, BloodBUN 15.3 mg/dL, BloodCreatinine 4.4 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 141.6 mmol/L, BloodK 5.0 mmol/L, BloodChloride 110.5 mmol/L, TotalCO2Blood 27.9 mmol/L | null | Lisinopril 20mg tab | Echo, Med rec | FIRST NAME:
Nina110
NOTE:
Echocardiogram and medication reconciliation; medication adjusted to Lisinopril 20mg.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
... |
352 | 360 | Urgent care visit including comprehensive medication and psychosocial assessment. Patient is employed full-time. | 1956-04-12 | Nina110 | 2013-12-27 | 2013-12-27 | 8 | urgentcare | 702,927,004 | Urgent care clinic (environment) | 142.58 | 1,286.08 | 1,028.85 | null | null | 57 | SerumGlucose 91.9 mg/dL, SerumBUN 19.4 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 142.1 mmol/L, SerumK 3.8 mmol/L, SerumChloride 106.8 mmol/L, TotalCO2Serum 20.6 mmol/L, MDRDGFR 55.2 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), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Nina110
NOTE:
Urgent care visit including comprehensive medication and psychosocial assessment. Patient is employed full-time.
ENCOUNTER TYPE:
urgentcare
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
353 | 367 | Check up with emphasis on social risks including intimate partner violence; ongoing medication review. | 1956-04-12 | Nina110 | 2014-01-24 | 2014-01-24 | 8 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 740.69 | 592.54 | null | null | 57 | SerumGlucose 64.6 mg/dL, SerumBUN 17.9 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 142.6 mmol/L, SerumK 4.2 mmol/L, SerumChloride 107.1 mmol/L, TotalCO2Serum 23.4 mmol/L, MDRDGFR 52.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Med review due, IPV | 70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | FIRST NAME:
Nina110
NOTE:
Check up with emphasis on social risks including intimate partner violence; ongoing medication review.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
354 | 381 | Dental exam and preventive care. | 1956-04-12 | Nina110 | 2014-02-07 | 2014-02-07 | 8 | 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) | 57 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed | FIRST NAME:
Nina110
NOTE:
Dental exam and preventive care.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 NaN
... |
355 | 384 | Evaluation for chronic low back and neck pain treated with acetaminophen. | 1956-04-12 | Nina110 | 2014-02-14 | 2014-02-14 | 8 | outpatient | 185,347,001 | Encounter for problem (procedure) | 85.55 | 85.55 | 68.44 | 82,423,001 | Chronic pain (finding) | 57 | null | Chronic pain, Chronic LBP, Chronic neck pain | APAP 325mg tab (Tylenol) | null | FIRST NAME:
Nina110
NOTE:
Evaluation for chronic low back and neck pain treated with acetaminophen.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
356 | 385 | Comprehensive check-up with medication management and mental health assessment. | 1956-04-12 | Nina110 | 2014-02-21 | 2014-02-21 | 8 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 1,001.52 | 801.2 | null | null | 57 | SerumGlucose 67.8 mg/dL, SerumBUN 16.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 136.9 mmol/L, SerumK 4.7 mmol/L, SerumChloride 107.1 mmol/L, TotalCO2Serum 25.7 mmol/L, MDRDGFR 35.9 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | null | 70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess | FIRST NAME:
Nina110
NOTE:
Comprehensive check-up with medication management and mental health assessment.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
357 | 386 | Routine check with detailed psychosocial and mental health screening. | 1956-04-12 | Nina110 | 2014-04-25 | 2014-04-25 | 8 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 740.69 | 592.54 | null | null | 58 | SerumGlucose 79.8 mg/dL, SerumBUN 8.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 138.8 mmol/L, SerumK 4.8 mmol/L, SerumChloride 106.7 mmol/L, TotalCO2Serum 24.7 mmol/L, MDRDGFR 39.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nom... | Med review due, Stress | 70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, PHQ-9 screen, Substance use assess, AUDIT-C assess | FIRST NAME:
Nina110
NOTE:
Routine check with detailed psychosocial and mental health screening.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
358 | 388 | General examination with comprehensive assessment and medication review. | 1956-04-12 | Nina110 | 2014-05-30 | 2014-05-30 | 8 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,172.81 | 938.24 | null | null | 58 | SerumGlucose 70.6 mg/dL, SerumBUN 12.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 138.5 mmol/L, SerumK 3.8 mmol/L, SerumChloride 105.9 mmol/L, TotalCO2Serum 28.0 mmol/L, MDRDGFR 32.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | null | 70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | FIRST NAME:
Nina110
NOTE:
General examination with comprehensive assessment and medication review.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
359 | 395 | Acute episode requiring oxygen therapy with prone positioning and chest X-ray evaluation. | 1956-04-12 | Nina110 | 2014-06-11 | 2014-06-11 | 8 | emergency | 185,347,001 | Encounter for problem (procedure) | 87.71 | 4,681.19 | 3,744.93 | 88,805,009 | Chronic congestive heart failure (disorder) | 58 | SaO2 75.0 %, Weight 99.3 kg, NTproBNP 291.7 pg/mL, AutoWBCCount 7.6 10*3/uL, AutoRBCCount 5.1 10*6/uL, BloodHgb 13.8 g/dL, AutoHct 46.2 %, AutoMCV 93.2 fL, MCH 31.5 pg, MCHC 32.8 g/dL, RDW 14.7 %, PlateletCount 404.9 10*3/uL, SerumGlucose 88.7 mg/dL, SerumBUN 19.6 mg/dL, SerumCreatinine 5.4 mg/dL, SerumCalcium 8.7 mg/d... | null | null | O2 mask, Prone position, CXR | FIRST NAME:
Nina110
NOTE:
Acute episode requiring oxygen therapy with prone positioning and chest X-ray evaluation.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 N... |
360 | 396 | null | 1956-04-12 | Nina110 | 2014-06-11 | 2014-06-16 | 8 | inpatient | 305,351,004 | Admission to intensive care unit (procedure) | 146.18 | 8,602.03 | 6,881.5 | 88,805,009 | Chronic congestive heart failure (disorder) | 58 | SaO2 75.0 %, Weight 99.3 kg, NTproBNP 202.7 pg/mL, AutoWBCCount 6.9 10*3/uL, AutoRBCCount 4.7 10*6/uL, BloodHgb 17.5 g/dL, AutoHct 39.0 %, AutoMCV 83.6 fL, MCH 30.1 pg, MCHC 31.6 g/dL, RDW 15.3 %, PlateletCount 233.6 10*3/uL, SerumGlucose 88.7 mg/dL, SerumBUN 19.6 mg/dL, SerumCreatinine 5.4 mg/dL, SerumCalcium 8.7 mg/d... | null | 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj | Med rec, ECG, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, HF ed | null |
361 | 402 | Extensive dental care for gum disease including surgical intervention and postoperative care. | 1956-04-12 | Nina110 | 2014-06-20 | 2014-06-20 | 8 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 4,399.55 | 3,519.64 | 103,697,008 | Patient referral for dental care (procedure) | 58 | null | Gum disease | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed | FIRST NAME:
Nina110
NOTE:
Extensive dental care for gum disease including surgical intervention and postoperative care.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
362 | 406 | Check up with social risk factors including IPV, medication review, and mental health assessments. | 1956-04-12 | Nina110 | 2014-07-25 | 2014-07-25 | 8 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 740.69 | 592.54 | null | null | 58 | SerumGlucose 72.1 mg/dL, SerumBUN 16.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 138.1 mmol/L, SerumK 4.3 mmol/L, SerumChloride 109.4 mmol/L, TotalCO2Serum 20.8 mmol/L, MDRDGFR 42.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Med review due, Stress, IPV | 70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | FIRST NAME:
Nina110
NOTE:
Check up with social risk factors including IPV, medication review, and mental health assessments.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
363 | 409 | Dental treatment for caries including restorative work and fluoride application. | 1956-04-12 | Nina110 | 2014-08-08 | 2014-08-08 | 8 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,536.75 | 2,829.4 | 103,697,008 | Patient referral for dental care (procedure) | 58 | null | Dental caries | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Full cusp coverage, Dental fluoride, Oral health ed | FIRST NAME:
Nina110
NOTE:
Dental treatment for caries including restorative work and fluoride application.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
364 | 410 | Comprehensive evaluation with mental health screening and IPV history; patient currently not in workforce. | 1956-04-12 | Nina110 | 2014-08-22 | 2014-08-22 | 8 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 1,058 | 846.39 | null | null | 58 | SerumGlucose 92.1 mg/dL, SerumBUN 12.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 141.2 mmol/L, SerumK 4.4 mmol/L, SerumChloride 109.2 mmol/L, TotalCO2Serum 25.3 mmol/L, MDRDGFR 38.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Not in workforce, IPV | 70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Nina110
NOTE:
Comprehensive evaluation with mental health screening and IPV history; patient currently not in workforce.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
365 | 411 | Follow-up visit with focus on medication review and management of stress; patient currently employed full-time. | 1956-04-12 | Nina110 | 2014-09-19 | 2014-09-19 | 8 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 740.69 | 592.54 | null | null | 58 | SerumGlucose 94.6 mg/dL, SerumBUN 14.6 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 142.6 mmol/L, SerumK 4.3 mmol/L, SerumChloride 108.0 mmol/L, TotalCO2Serum 23.0 mmol/L, MDRDGFR 35.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Med review due, Full-time employed, Stress | 70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Nina110
NOTE:
Follow-up visit with focus on medication review and management of stress; patient currently employed full-time.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
366 | 413 | Urgent care visit including assessment of substance use and ongoing medication management. | 1956-04-12 | Nina110 | 2014-10-17 | 2014-10-17 | 8 | urgentcare | 702,927,004 | Urgent care clinic (environment) | 142.58 | 1,149.42 | 919.52 | null | null | 58 | SerumGlucose 84.6 mg/dL, SerumBUN 10.7 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 140.4 mmol/L, SerumK 3.9 mmol/L, SerumChloride 108.6 mmol/L, TotalCO2Serum 23.7 mmol/L, MDRDGFR 53.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | null | 70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Substance use assess, AUDIT-C assess | FIRST NAME:
Nina110
NOTE:
Urgent care visit including assessment of substance use and ongoing medication management.
ENCOUNTER TYPE:
urgentcare
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
367 | 414 | Visit included detailed mental health screening and medication review. | 1956-04-12 | Nina110 | 2014-11-21 | 2014-11-21 | 8 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 740.69 | 592.54 | null | null | 58 | SerumGlucose 92.5 mg/dL, SerumBUN 17.3 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 139.2 mmol/L, SerumK 4.9 mmol/L, SerumChloride 106.9 mmol/L, TotalCO2Serum 20.9 mmol/L, MDRDGFR 36.5 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), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Depression screen, Depression screen, PHQ-9 screen, Substance use assess, Drug abuse screen | FIRST NAME:
Nina110
NOTE:
Visit included detailed mental health screening and medication review.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
368 | 418 | Patient with metabolic syndrome, not currently in workforce, stress present. | 1956-04-12 | Nina110 | 2014-12-19 | 2014-12-19 | 8 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 740.69 | 592.54 | null | null | 58 | SerumGlucose 78.2 mg/dL, SerumBUN 10.6 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 136.1 mmol/L, SerumK 4.3 mmol/L, SerumChloride 107.4 mmol/L, TotalCO2Serum 22.1 mmol/L, MDRDGFR 43.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | MetS, Not in workforce, Stress | 70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Depression screen, Depression screen | FIRST NAME:
Nina110
NOTE:
Patient with metabolic syndrome, not currently in workforce, stress present.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
369 | 422 | Echocardiogram conducted with medication reconciliation. | 1956-04-12 | Nina110 | 2014-12-26 | 2014-12-26 | 8 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 1,364.91 | 1,091.92 | 88,805,009 | Chronic congestive heart failure (disorder) | 58 | LVEF 46.8 %, BloodGlucose 90.6 mg/dL, BloodBUN 12.9 mg/dL, BloodCreatinine 3.2 mg/dL, BloodCalcium 8.6 mg/dL, BloodNa 138.0 mmol/L, BloodK 4.9 mmol/L, BloodChloride 104.8 mmol/L, TotalCO2Blood 22.8 mmol/L | null | null | Echo, Med rec | FIRST NAME:
Nina110
NOTE:
Echocardiogram conducted with medication reconciliation.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
370 | 424 | Routine checkup including mental health and dental referral; patient employed full-time but has limited social contacts. | 1956-04-12 | Nina110 | 2015-05-15 | 2015-05-15 | 8 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 740.69 | 592.54 | null | null | 59 | SerumGlucose 71.7 mg/dL, SerumBUN 13.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 139.4 mmol/L, SerumK 4.8 mmol/L, SerumChloride 104.1 mmol/L, TotalCO2Serum 23.4 mmol/L, MDRDGFR 58.7 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Full-time employed, Limited social contact | 70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | FIRST NAME:
Nina110
NOTE:
Routine checkup including mental health and dental referral; patient employed full-time but has limited social contacts.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
371 | 428 | Dental services provided for preventive care. | 1956-04-12 | Nina110 | 2015-05-29 | 2015-05-29 | 8 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 2,673.95 | 2,139.16 | 103,697,008 | Patient referral for dental care (procedure) | 59 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed | FIRST NAME:
Nina110
NOTE:
Dental services provided for preventive care.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
372 | 429 | General exam with psychosocial and dental referral. | 1956-04-12 | Nina110 | 2015-06-12 | 2015-06-12 | 8 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 866.52 | 693.2 | null | null | 59 | SerumGlucose 92.0 mg/dL, SerumBUN 13.0 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.9 mg/dL, SerumNa 141.3 mmol/L, SerumK 3.8 mmol/L, SerumChloride 106.4 mmol/L, TotalCO2Serum 23.1 mmol/L, MDRDGFR 54.0 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | null | 70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Anxiety assess, Substance use assess, Drug abuse screen, Dental referral | FIRST NAME:
Nina110
NOTE:
General exam with psychosocial and dental referral.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
373 | 430 | Echo and med rec completed for clinical concerns. | 1956-04-12 | Nina110 | 2015-06-24 | 2015-06-24 | 8 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 1,442.63 | 1,154.1 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | LVEF 41.7 %, BloodGlucose 72.7 mg/dL, BloodBUN 12.3 mg/dL, BloodCreatinine 3.6 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 138.9 mmol/L, BloodK 5.2 mmol/L, BloodChloride 103.3 mmol/L, TotalCO2Blood 22.7 mmol/L | null | null | Echo, Med rec | FIRST NAME:
Nina110
NOTE:
Echo and med rec completed for clinical concerns.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
374 | 431 | Dental examination and care provided. | 1956-04-12 | Nina110 | 2015-06-26 | 2015-06-26 | 8 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 2,673.95 | 2,139.16 | 103,697,008 | Patient referral for dental care (procedure) | 59 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed | FIRST NAME:
Nina110
NOTE:
Dental examination and care provided.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
375 | 432 | Medication reconciliation and psychosocial assessment in patient working part-time with stress reported. | 1956-04-12 | Nina110 | 2015-10-16 | 2015-10-16 | 8 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 1,739.49 | 1,391.58 | null | null | 59 | SerumGlucose 78.5 mg/dL, SerumBUN 7.9 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 143.4 mmol/L, SerumK 3.9 mmol/L, SerumChloride 106.7 mmol/L, TotalCO2Serum 22.9 mmol/L, MDRDGFR 57.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nom... | Part-time employed, Stress | 70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen | FIRST NAME:
Nina110
NOTE:
Medication reconciliation and psychosocial assessment in patient working part-time with stress reported.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
376 | 436 | Acute respiratory episode managed with oxygen and prone positioning. | 1956-04-12 | Nina110 | 2015-12-21 | 2015-12-21 | 8 | emergency | 185,347,001 | Encounter for problem (procedure) | 87.71 | 5,256.59 | 4,205.25 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | SaO2 79.0 %, Weight 94.9 kg, NTproBNP 488.3 pg/mL, AutoWBCCount 4.9 10*3/uL, AutoRBCCount 4.5 10*6/uL, BloodHgb 12.4 g/dL, AutoHct 50.6 %, AutoMCV 84.2 fL, MCH 28.1 pg, MCHC 34.6 g/dL, RDW 14.6 %, PlateletCount 223.8 10*3/uL, SerumGlucose 94.8 mg/dL, SerumBUN 10.7 mg/dL, SerumCreatinine 3.7 mg/dL, SerumCalcium 8.5 mg/d... | null | null | O2 mask, Prone position, CXR | FIRST NAME:
Nina110
NOTE:
Acute respiratory episode managed with oxygen and prone positioning.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
377 | 438 | null | 1956-04-12 | Nina110 | 2015-12-21 | 2015-12-29 | 8 | inpatient | 305,351,004 | Admission to intensive care unit (procedure) | 146.18 | 11,879.92 | 9,503.74 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | SaO2 79.0 %, Weight 94.9 kg, NTproBNP 1036.9 pg/mL, AutoWBCCount 9.5 10*3/uL, AutoRBCCount 5.8 10*6/uL, BloodHgb 13.8 g/dL, AutoHct 41.1 %, AutoMCV 89.4 fL, MCH 29.8 pg, MCHC 32.0 g/dL, RDW 15.3 %, PlateletCount 383.8 10*3/uL, SerumGlucose 94.8 mg/dL, SerumBUN 10.7 mg/dL, SerumCreatinine 3.7 mg/dL, SerumCalcium 8.5 mg/... | null | 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Las... | Med rec, ECG, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, HF ed | null |
378 | 442 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2015-12-31 | 2015-12-31 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 64.0 mm[Hg], SBP 72.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
379 | 443 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-01-01 | 2016-01-01 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 62.0 mm[Hg], SBP 79.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
380 | 444 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-01-03 | 2016-01-03 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 69.0 mm[Hg], SBP 76.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
381 | 445 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-01-05 | 2016-01-05 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 62.0 mm[Hg], SBP 72.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
382 | 446 | Comprehensive check-up with medication and mental health screening. | 1956-04-12 | Nina110 | 2016-01-15 | 2016-01-15 | 8 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 740.69 | 592.54 | null | null | 59 | SerumGlucose 85.1 mg/dL, SerumBUN 7.9 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 137.5 mmol/L, SerumK 5.1 mmol/L, SerumChloride 107.9 mmol/L, TotalCO2Serum 25.1 mmol/L, MDRDGFR 37.0 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nom... | Med review due | 70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab | Health/social needs assess, Depression screen, Depression screen | FIRST NAME:
Nina110
NOTE:
Comprehensive check-up with medication and mental health screening.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
383 | 447 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-01-22 | 2016-01-22 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 68.0 mm[Hg], SBP 70.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
384 | 448 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-01-24 | 2016-01-24 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 61.0 mm[Hg], SBP 70.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
385 | 449 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-01-27 | 2016-01-27 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 62.0 mm[Hg], SBP 75.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
386 | 450 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-01-28 | 2016-01-28 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 60.0 mm[Hg], SBP 69.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
387 | 451 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-01-29 | 2016-01-29 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 70.0 mm[Hg], SBP 69.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
388 | 452 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-01-31 | 2016-01-31 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 62.0 mm[Hg], SBP 69.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
389 | 453 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-02-02 | 2016-02-02 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 61.0 mm[Hg], SBP 72.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
390 | 454 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-02-06 | 2016-02-06 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 64.0 mm[Hg], SBP 72.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
391 | 455 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-02-07 | 2016-02-07 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 62.0 mm[Hg], SBP 72.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
392 | 456 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-02-08 | 2016-02-08 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 63.0 mm[Hg], SBP 71.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
393 | 457 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-02-09 | 2016-02-09 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 65.0 mm[Hg], SBP 70.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
394 | 458 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-02-15 | 2016-02-15 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 65.0 mm[Hg], SBP 68.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
395 | 459 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-02-17 | 2016-02-17 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 61.0 mm[Hg], SBP 73.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
396 | 460 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-02-18 | 2016-02-18 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 68.0 mm[Hg], SBP 80.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
397 | 461 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-02-19 | 2016-02-19 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 62.0 mm[Hg], SBP 79.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
398 | 462 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-02-23 | 2016-02-23 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 65.0 mm[Hg], SBP 68.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
399 | 463 | Routine telemedicine consultation conducted. | 1956-04-12 | Nina110 | 2016-02-24 | 2016-02-24 | 8 | ambulatory | 448,337,001 | Telemedicine consultation with patient (procedure) | 142.58 | 142.58 | 114.06 | 88,805,009 | Chronic congestive heart failure (disorder) | 59 | DBP 63.0 mm[Hg], SBP 75.0 mm[Hg] | null | null | null | FIRST NAME:
Nina110
NOTE:
Routine telemedicine consultation conducted.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.